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2010/11- 2014/15 CITY OF SANTA ANA CONSOLIDATED PLAN I 2014/15 <br />ACTION PLAN <br />OMB Nllmb� ; 4090 -0004 <br />Expiration D : 01/31/2009 <br />Application for Federal Assistance SF -424 Version 02 <br />16. 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 Fundh $ <br />*a. Federal $461,626 <br />*b. Applicant <br />*c. State <br />*d. Local <br />*e. Other (Prior Year) m <br />*f. Program Income <br />*g. TOTAL $461,626 <br />*19. Is Application Subject to Review By State Under ixecutive Order 12372 Process? <br />❑ a. This application was made available to the State tinder the Executive Order 12372 Process for review on _ <br />El b. Program is subject to E.O. 12372 but has not been selected by the State for review. <br />® c. Program is not covered by E. O. 12372 <br />*20. Is the Applicant Delinquent On Any Federal Debt? (If "Yes ", provide explanation.) <br />© Yes [D 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 <br />are true, complete and accurate to the best of my knowledge. I also provide the required assurances ** and agree to comply with any <br />resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may subject me to criminal, <br />civil, or administrative penalties. (U. S. Code, Title 218, Section 100 1) <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 <br />agency specific 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 />*Telephone Number: 714 -647 -5200 <br />*Email: dcavazos@santa- ana.org <br />*Signature of Authorized Representat e: ! <br />*Date Signed: <br />44'` -- <br />i.ucaueepmvucnon ,dy' - Sixm4ud Pram 424(ReviseA102005) <br />Mrsaribsd by OMIT Chvti,hv A -102 <br />04/25/2014 13 <br />