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COVER PAGE <br />PROPOSER APPLICATION <br />Agency Legal Name <br />Santa Ana Public Library <br />Agency DBA <br />Program Name <br />Seeds To Trees Digital Media Technology Academy <br />Agency Address <br />26 Civic Center Plaza, M-75, Santa Ana CA 92702 <br />Contact Person & Title <br />Cheryl A. Eberly, Principal Librarian <br />Email <br />ceberl Santa-ana.or <br />Telephone # <br />714-647-5288 <br />Fax # <br />714-647-6913 <br />Federal ID Number <br />95-6000785 <br />AGENCY STATUS <br />Public Non- <br />Profit <br />Corporation <br />Private Non -Profit <br />Years in <br />100+ <br />Private for Profit <br />Government <br />X <br />OtherOperation? <br />PRIMARY FUNDING SOURCES <br />Funding Source <br />WIA <br />Santa Ana <br />General Fund <br />CDBG <br />Time Warner Franchise <br />Amount <br />$170, 000.00 <br />$ 190, 000.00 <br />1 $27,767.00 <br />$55,857.00 <br />HOURS OF OPERATION AND DAYS <br />Days <br />Monday <br />Tuesday <br />Wednesday <br />Thursday <br />Frida <br />Saturday <br />Sunda <br />Hours <br />10 am-9 pm <br />10 am- <br />9 m <br />10 am-9 pm <br />10 am-9pm <br />10 am-6pm <br />10 am- <br />6pm <br />TARGET POPULATION <br />Older Youth <br />20 <br />Younger <br />Out -of -School <br />8 <br />In -School <br />12 <br />Youth <br /># of Youth to be Served in 2013/2014 <br />20 <br />Total WIA Funds <br />$ 170,000 <br />Requested <br />In compliance with the RFP noted above, and subject to the conditions thereof, the undersigned offers to <br />furnish the services stipulated and certifies he has read, understands, and agrees to all terms, conditions, <br />and requirements of this RFP and is authorized to contract on behalf of the agency named above. <br />Director Parks and <br />Signature Title Recreation Services Date 3/5/2012 <br />