29A - SMALL BUSINESS INCENTIVE PROG

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6. The business owner must submit receipts to the City for all approved costs. (See Reimbursement Instructions) The business must be active at the time of reimbursement. Only one application for your business will be accepted. 7. The business owner must allow access to the City and its employees, as deemed necessary, for audit purposes and to assess the benefits derived from participating in the Santa Ana Small Business Incentive Program. 8. The business owner must complete an approved business development training workshop from the Orange County Small Business Development Center. To sign up for an approved training workshop, please visit www.ocsbdc.ore or call (714) 564 -5200. 9. The business must be licensed in the City of Santa Ana and in compliance with all City codes and regulations. 10. The business must register for a Data Universal Number System (DUNS) identification number. (See attached) 11. The business must fill out a Form W -9 (Request for Taxpayer Identification Number and Certification) and submit with the application. (See attached) 12. Funding is not transferable and other restrictions may apply. NOTE: Any violation of the program guidelines will result in the businessperson promptly repaying the City any amount paid pursuant to this agreement. The business owner must complete an approved business development training workshop prior to the disbursement of rebate funds. To sign up for an approved training workshop, please visit www.ocsbde.org or call (714) 564 -5200. Applicants will not receive the grant if the training workshop has not been completed prior to the submittal of the application. Please provide following information: Name of Training Program (subject): Name of Instructor who provided the Training: Date(s) of Training: Total Hours: Important: Please keep a copy of your workshop receipt to submit with the application. Applicant Certification: I acknowledge and agree to the above eligibility requirements and certify that all information provided herein is true and complete to the best of my knowledge. Verification will be provided, if requested. Business Owner /Operator (Print of Type) Business Owner /Operator Signature Date Business Owner /Operator (Print of Type) Date Business Owner /Operator Signature City of Santa Ana, Economic Development Division 20 Civic Center Plaza, M -25, Santa Ana, CA 92701 (714) 647 -6987 29A -16