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55B - RESO - CLEAN DRINKING WATER
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55B - RESO - CLEAN DRINKING WATER
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Last modified
7/28/2016 3:40:18 PM
Creation date
7/28/2016 3:21:45 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
55B
Date
8/2/2016
Destruction Year
2021
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STATE OF CALIFORNIA <br />STATE WATER RESOURCES CONTROL BOARD <br />Division of Financial Assistance <br />P. O. Box 944212, Sacramento, CA 94244 -2120 <br />GENERAL INFORMATION PACKAGE <br />Financial Assistance Application Page 1 of 6 General Information Package <br />(Ray. 0312016) Drinking Water State Revolving Fund <br />EXHIBIT 8 <br />5513-61 <br />FOR STATE USE ONLY <br />Project Manager <br />`DWSRFProject# <br />Date Complete Package Received <br />1. TYPE OF ASSISTANCE REQUESTED <br />LGTS <br />State Only) <br />PLANNING <br />CONSTRUCTION <br />Estimated Amount of Financial Assistance Requested: $ 10,800,000 <br />Project Title: Water Distribution System Improvements_ <br />14 APPLICANT INFORMATION <br />Water System Number: 3010038 <br />Data Universal Numbering System (DUNS) Number: 08- 315 -3247 <br />Applicant (Entity) Name: City of Santa Ana <br />Street Address: 20 Civic, Center Plaza <br />City: Santa Ana <br />State: CA <br />Zi +4 Code: 92702-4058 <br />Mailing Address: 220 S Daisy St <br />Santa Ana <br />State: CA <br />_gjty <br />Zi +4 Code: 92703 -4334 <br />Congressional District(s): 46 47 48 <br />State Senate District S : 33 <br />.,34 <br />State Assembly District(s): 69 <br />Count :Oran e <br />Federal Tax Identification Number: 95- 6000785 <br />(MANDATORY) <br />Authorized Re reseirtative Name, Title: Nabil Saba Water Resources Manager_ <br />Phone Number: 714 )647 -3378 <br />Email Address: nsaba(d)santa- ana.org <br />(MANDATORY) <br />Primar Contact Person Name: Rodolfo Rosas <br />Phone Number: 714 647 -3379 <br />_ <br />Email Address: rrosas(rilsanta -ana ora <br />- . <br />(OPTIONAL) <br />Project Engineer and License Number: <br />Phone Number: <br />Email Address: <br />(OPTIONAL) <br />Environmental Contact Person Name: <br />Phone Number: ( ) <br />Email Address: <br />_ <br />(MANDATORY) <br />Local Counsel Name: Sonia Carvalho <br />Phone Number: (714 )647-5203 <br />Email Address: scarvalho Santa- ana.or <br />(MANDATORY) <br />Davis -Bacon Contact Person Name: Jason Gabriel <br />Phone Number: 714 647 -5664 <br />Email Address: ' abriei cr)santa- ana.or <br />Financial Assistance Application Page 1 of 6 General Information Package <br />(Ray. 0312016) Drinking Water State Revolving Fund <br />EXHIBIT 8 <br />5513-61 <br />
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