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2010/11- 2014/15 CITY OF SANTA ANA CONSOLIDATED PLAN I 2014/15 <br />ACTION PLAN <br />OMBNumber 40400004 <br />Ex p lraknDal OV3112008 <br />e, <br />Application for Federal Assistance SF -424 Version 02 <br />18. Congressional Districts Of: <br />*a. Applicant: 46 & 47 *b. Program /Project: 46 & 47 <br />17, Proposed Project: <br />*a. Start Date: 07/01/2014 *b. End Date: 06/30/2015 <br />18. Estimated Funding $ : <br />*a. Federal $5,560,186 <br />*b. Applicant <br />*c. State <br />*d. Local <br />*e. Other (Carry Forward) $633,300 <br />*f, Program Income $246,700 <br />*g. TOTAL $6,440,186 <br />*19. Is Application Subject to Review By State Under Executive Order 12372 Process? <br />❑ a, This application was made available to the Stale under the Executive Order 12372 Process for review on _ <br />❑ b. Program Is subject to E.0.12372 but has not been selected by the State for review. <br />® c. Program Is not covered by E. 0.12372 <br />*20. Is the Applicant Delinquent On Any Federal Debt? (if "Yes ", provide explanation.) <br />❑ Yes ❑ No <br />21. *By signing this application, I certify (1) to the statements contained in the list of certifications ** and (2) that the statements herein are true, <br />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 <br />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. <br />Code, Title 218, Section 1001) <br />® **I AGREE <br />The list of certifications and assurances, or an internet site where you may obtain this list, is contained in the announcement or agency specific <br />Instructions <br />Authorized Representative: <br />Prefix: *First Name: David <br />Middle Name: <br />*Last Name: Cavazos <br />Suffix: <br />*Title: City Manager <br />*Telephone Number: 714 - 647 -5200 <br />Fax Number: 714 -647 -6713 <br />*Email: dcavazos @santa- ana.ore <br />*Signature of Authorized Represve: <br />*Date Signed: v 4 <br />Amhom d %, [,soul <br />04/25/2014 <br />St.dmd porn 424 GL- LW 102005) <br />prescribed by ONe Chewer A -102 <br />