29A - CON PLAN ANNUAL UPDATE FOR FEDERAL FUNDED PROGRAMS

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OMB Number: 4040-0004 F-i-inn Pate- Ill/31/7(X19 Application for Federal Assistance SF-424 Version 02 16. Congressional Districts Of: *a. Applicant: 39, 41, 45, 46, 47 & 48 *b. Program Project: 39, 41, 45, 46, 47 & 48 17. Proposed Project: *a. Start Date: 07/01/2013 *b. End Date: 06/30/2014 18. Estimated Funding ($): *a. Federal 1,471,187 *b. Applicant *c. State *d. Local *e. Other (Prior Yr) *f. Program Income *g. TOTAL 1,471,187 *19. Is Application Subject to Review By State Under Executive Order 12372 Process? ? a. This application was made available to the State under the Executive Order 12372 Process for review on ? b. Program is subject to E.O. 12372 but has not been selected by the State for review. ® c. Program is not covered by E. O. 12372 *20. Is the Applicant Delinquent On Any Federal Debt? (If "Yes", provide explanation.) ? Yes ® No 2 L *By signing this application, I certify ( l) to the statements contained in the list of certifications** and (2) that the statements herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to comply with any resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may subject me to criminal, civil, or administrative penalties. (U. S. Code, Title 218, Section 1001) ® **I AGREE ** The list of certifications and assurances, or an internet site where you may obtain this list, is contained in the announcement or agency specific instructions Authorized Representative: Prefix: *First Name: Kevin Middle Name: *Last Name: O'Rourke Suffix: *Title: Interim City Manager *Telephone Number 714-647-5200 *Telephone Number: 714-647-5200 * Email: korourke@santa-ana.org *Signature of Authorized Representative: *Date Signed: Autnor¢ed tar Local Keproducuon 16 Standard Form 424 (Revised 10/2005) Prescribed by OMB Circular A-102 DRAFT 04/22/2013 29A-21