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STATE OF CALIFORNIA AGREEMENT NUMBER <br />AGREEMENT SUMMARY <br />L <br />AMENDMENT NUMBER <br />�1 <br />STD 215 (Rev.08/2tl17) 18-HEAP-00007 <br />❑ CHECK HERE IF ADDITIONAL PAGES ARE ATTACHED <br />1. CONTRACTOR'S NAME <br />2. FEDERAL 1.0, NUMBER <br />City of Santa Ana <br />N/A <br />3. AGENCY TRANSMITTING AGREEMENT <br />4. DIVISION, BUREAU, OR OTHER UNIT <br />5, AGENCY BILLING CODE <br />Business, Consumer Services and Housing Agency <br />Homeless Coordinating and Financing Council <br />N/A <br />6a. CONTRACT ANALYST NAME <br />Sb. EMAIL <br />So, PHONE NUMBER <br />Daniel Castillo <br />daniel.castillo@bcsh.ca.gov <br />(916) 651-2788 <br />7. HAS YOUR AGENCY CONTRACTED FOR THESE SERVICES BEFORE? <br />0No 0 Yes(lf Yes, enterpdor Contractor Name and Agreement Number) <br />PRIOR CONTRACTOR NAME PRIOR AGREEMENT NUMBER <br />8. BRIEF DESCRIPTION OF SERVICES <br />Contract is For the provision of shelter and services to address homelessness. <br />9. AGREEMENT OUTLINE (include reason for AgmementIdentify specific problem, administrative requirement, program need or other circumstances making <br />the Agreement necessary, include special or unusual terms and conditions.) <br />Pursuant to Chapter 5 (commencing with Section 50210) of Part 1 of Division 31 of the Health and Safety Code, and all other relevant <br />provisions established under SB 850 (Chapter 48, Statutes of 2018), the State has established the Homeless Emergency Aid Program <br />(HEAP). HEAP is administered by the California Homeless Coordinating and Financing Council in the Business, Consumer Services and <br />Housing Agency. HEAP provides one-time flexible block grant funds to Administrative Entities to address their Immediate homelessness <br />challenges. <br />10. PAYMENT TERMS (More than one may apply) <br />Monthly Flat Rate Quarterly <br />Q Itemized Invoice Withhold <br />Reimbursement / Revenue <br />Other (Explain) <br />11. PROJECTED EXPENDITURES <br />Z One -Time Payment Progress Payment <br />% Q Advanced Payment Not To Exceed <br />or % <br />FUND TITLE <br />ITEM <br />FISCAL <br />YEAR <br />CHAPTER <br />STATUTE <br />PROJECTED <br />EXPENDITURES <br />General Fund <br />0515-101-0001 <br />2018.19 <br />29 <br />2018 <br />$3,690,885.84 <br />OBJECT CODE <br />5432000 -Grants &Subventions •Governmental <br />AGREEMENT TOTAL <br />$3,690,885.84 <br />OPTIONAL USE <br />AMOUNT ENCUMBERED BY THIS DOCUMENT <br />$3,690,885,84 <br />PRIOR AMOUNT ENCUMBERED FOR THIS AGREEMENT <br />1 certify upon my own personal knowledge that the budgeted funds for the current <br />budget yearare av ilable for the period and purpose of the expenditure stated above. <br />TOTAL AMOUNT ENCUMBERED TO DATE <br />$3,690,885.84 <br />ACCOUNTI P ICER'S SIGNATURE <br />ACCOUNTING OFFICER'S NAME (Print or Type) <br />DATE SIGNED <br />