29A_ CONSOLIDATED PLAN ANNUAL UPDATE_EXHIBIT

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2014/15 1 2010/11 - 2014/15 CITY OF SANTA ANA CONSOLIDATED PLAN ACTION PLAN Otvnd Number: 4040 -0004 E a m E D 01912009 XP n tte. Application for Federal Assistance SF -424 Version 02 16. Congressional Districts Of: *a. Applicant: 46&47 *b. Program /Project: 46 & 47 17. Proposed Project: *a. Start Date: 07/01/2014 *b. End Date: 06/30/2014 18. Estimated Funding $): *a. Federal $1,191,686 *b. Applicant *c. State *d. Local *e. Other *f. Program Income *g. TOTAL $1,191,686 *19. Is Application Subject to Review By State Under Executive Order 12372 Process? a. This application was made available to the State under the Executive Order 12372 Process for review on Q b. Program is subject to E.O. 12372 but has not been selected by the State for review. c. Program is not covered by E. O. 12372 *20. Is the Applicant Delinquent On Any Federal Debt? (If "Yes ", provide explanation.) ❑ Yes ® No 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, 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 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. Code, Title 218, Section 1001) ® * *I AGREE ** The list of certifications and assurances, or an interact site where you may obtain this list, is contained in the announcement or agency specific instructions Authorized Representative: Prefix: "First Name: David Middle Name: "Last Name: Cavazos Suffix: "Title: City Manager `Telephone Number: 714- 647 -5200 "Telephone Number: 714- 647 -5200 *Email: dcavazosesanta- ana.ora *Signature of Authorized Represents' , *Dace Signed: Nummiend mr i.eam Stnndnrd F'omm 424 (ROvIscd 10/2005) Prenne dbyOMn Cicevler A- 102 OMR N'mnbei 40-00 -0004 10 04/25/2014