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PROPOSER APPLICATION <br />Agency Legal Name <br />City of Santa Ana <br />Agency DBA <br />Santa Ana WORK Center <br />Program Name <br />STEM Career Awareness Program <br />Program Address <br />1000 E. Santa Ana boulevard, Suite 200 Santa Ana, CA 92701 <br />Corporate Office Address <br />1600,000 <br />Contact Person & Title <br />Oberman Linda — Economic Development Manager <br />Email <br />LOberman @santa - ana.org <br />Telephone # <br />(714) 565 -2622 <br />Fax # <br />(714) 565 -2602 <br />Federal ID Number <br />95- 6000785 <br />AGENCY STATUS <br />Public Non- Profit Corporation Private Non -Profit <br />Private for Profit Government I X I Other Years in Operation? 30 <br />PRIMARY FUNDING SOURCES <br />Funding Source <br />WIA -Youth <br />WIA -Adult <br />I SSA <br />Thursday <br />Friday <br />Amount <br />$321,355 <br />$2,650,000 <br />1600,000 <br />7:00am- <br />5:30pm <br />7 :00am- <br />5:30pm <br />HOURS OF OPERATION AND DAYS <br />Days <br />Monday <br />Tuesday <br />Wednesday <br />Thursday <br />Friday <br />Saturday <br />Sunday <br />Hours <br />7:00am- <br />5:30pm <br />7:00am- <br />5:30pm <br />7 :00am- <br />5:30pm <br />7:00am- <br />5:30pm <br />8:00am- <br />5:00pm <br />Closed <br />Closed <br />TARGET POPULATION <br />Older Youth ✓ Younger Youth ✓ Out -of- School ✓ 1n- 1chool ✓ <br />F# of Youth to be Served in 2013 -2014 20 Total WIA Funds Requested $170,000 i� <br />In compliance with the RFP noted above, and subject to the conditions thereof, the undersigned offers to furnish <br />the services stipulated and certifies he has read, understands, and agrees to all terms, conditions, and <br />requirements of this RFP and is authorized to contract on behalf of the agency named above. <br />Economic Development Manager <br />Signature Title Date <br />W CKI R <br />