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PROPOSER APPLICATION <br />Agency Legal Name <br />Orange County Conservation Corps <br />Agency DBA <br />J <br />Program Name <br />x <br />Program Address <br />1853 N. Raymond Ave., Anaheim, California 92801 <br />Corporate Office Address <br />810,000 <br />Contact Person & Title <br />Katharyn Bandon!, Chief Executive Officer <br />Email <br />kbandoni @hireyouth.org <br />Telephone # <br />714 956 6222 <br />Fax # <br />714 9561944 <br />Federal ID Number <br />33- 056381 <br />AGENCY STATUS <br />Public Non - Profit <br />Cal Recycle <br />Corporation <br />J <br />I Private Non-Profit <br />x <br />Years in Operation? <br />20 years <br />Private for Profit <br />810,000 <br />Government <br />7:00 -5:00 <br />Other <br />8:00- <br />12:00 <br />PRIMARY FUNDING SOURCES <br />Funding Source <br />Cal Recycle <br />Grants <br />Proposition 84 <br />Fee for Service <br />Amount <br />2,189,331 <br />1,600,000 <br />829,351 <br />810,000 <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 />7:00 -5:00 <br />7:00 -5:00 <br />7:00 -5:00 <br />7:00 -5:00 <br />8:00- <br />12:00 <br />None <br />None <br />TARGET POPULATION <br />Older Youth x Younger Youth I x I Out -of- School x In- School <br /># of Youth to be Served in 2013 -2014 20 Total WIA Funds $200,000 <br />Requested <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 />Chief Executive Officer <br />Signature Title <br />EXHIBIT A <br />25D -268 <br />Date <br />