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EXHIBIT 4 <br />OMB Approved No.: 1505-0266 <br />Expiration Date: 7/31/21 <br />Recipient name and address: <br />City of Sani<a Ana <br />20 Civic Center Plaza <br />Santa Ana, ( A 92701 0000 <br />U.S. DC.PAR] MFN'T Cal T111 TRI ASURY <br />EMERGENCY RI3NTAL ASSIS I ANCt <br />DI fNS Nwnber': <br />ott 315-32-17 <br />Taxpayer Identification Number: <br />95-6000785 <br />Section 501(a) of llrvuion N of the C'om)lidated Appropriations Act, 2021, Pub. L. No. 116-260 (Dec. 27, <br />2020) authorizes the Department of the Treasury (' T casmy") to make payments to certain recipients to be <br />used to provide emergency rental assistance. <br />Recipient hereby agrees, as a condition to receiving such payment from Treasury, to the terms attached <br />hereto. <br />Authorized Representative Name: <br />title: City Manager <br />Date signed: January 1.1, 2021 <br />Kristine Ridge. <br />City Council 9 — 30 7/6/2021 <br />