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2014-15 Orange County Children's Therapeutic Arts Center <br />Youth Workforce Investment Act Proposal <br />RFP# 14-007 <br />PROPOSER APPLICATION <br />Agency Legal Name <br />Orange County Children's Therapeutic Arts Center <br />Agency DBA <br />Orange County Children's Therapeutic Arts Center (OCCTAC) <br />Program Name <br />Job Training for Youth with Disabilities, Probation, Foster Youth & HS Dropouts <br />Program Address <br />2215 North Broadway, Santa Ana, CA 92606 <br />Corporate Office Address <br />2215 North Broadway, Santa Ana, CA 92606 <br />Contact Person & Title <br />Dr. Ana Jimenez-Hami, Executive Director <br />Email <br />ana@occtac.org <br />Telephone # <br />(714) 547 — 5468 ext. 307 <br />Fax # <br />(714)564-9690 <br />Federal ID Number <br />33-0930891 <br />AGENCYSTATUS <br />Public Non -Profit <br />IX <br />I Corporation <br />I <br />I Private Non --Profit <br />IFundraising <br />Years in Operation. <br />14 <br />Private for Profit <br />I <br />I Government <br />I <br />I Other <br />CLOSED <br />PRIMARY FUNDING SOURCES <br />Funding Source <br />IGrants <br />Contracts <br />uition <br />IDonations <br />IFundraising <br />Amount $750,000 <br />1$300,000 <br />1$200,000 <br />1$130,000 <br />$70,000 <br />$50,000 <br />HOURS OF OPERATION AND DAYS <br />Days I Monday <br />Tuesday <br />Wednesday <br />Thursday <br />I Friday <br />I Saturday <br />I Sunday <br />Hours 8:30-8;30 pm <br />8:30-8:30pm <br />8:30-8:30 pm <br />8:30-8:30 pm <br />8:30-8:30 <br />8:00-5:00pm <br />CLOSED <br />TARGET POPULATION <br />Older Youth 17-21 Younger Youth 16-21 1 Out -of -School 23 In -School 7 <br /># of Youth to be Served in 2014-2015 1 Total WIA Funds Requested 1 $212,800 <br />In compliance with the RFP noted above, and subject to the conditions thereof, the undersigned offers to furnish <br />the services stipulated and certifies he has read, understands, and agrees to all terms, conditions, and <br />requirements of this RFP and is authorized to contract on behalf of the agency named above. <br />Executive Director 3-19-2014 <br />Signature Title Date <br />EXHIBIT A <br />