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DoctlSlgn Envelope ID CH99CC9D-ADD4-4860•D206-010AO1AFF1FD <br />EXHIBIT 2 <br />OMB Approved No.: 1505 0270 U.S. DEPARTMENT OF THE TREASURY <br />Expiral.iou Uat« If1(31/2021 EMERGFNC'Y REN] Al. ASSIRI'AN(T <br />Eligible grantee name and address: DUNS Number: 0831 53247 <br />City of Santa Ana 'Taxpayer Identification Number: 956000785 <br />20 Civic Center Plaza Assistance Listing Number and Title: 21.023-Emergency Rental Assistance <br />Santa AI1a, California, 92701 _0000 Program <br />Section 3201(a) of the American Rescue Plan Act of 2021, Pub. L. No. 111-2 (March 11, 2021), authorizes the Department of the <br />Treasury (..Treasury") to make payments to certain eligible grantees to be used to provide emergency rental assistance. <br />The eligible grantee hereby agrees, as a condition to receiving such payment from Treasury, to the terms attached hereto. <br />Coneogignad hy: 6AL K <br />nf1E200167a47449... <br />Authorized Representative Signature (above) <br />ITo be signed fiv chief execzttive ojjicer ff recipient is a local goveniment.] <br />Authorized Ropreseutative Namo; <br />Authorized Representative Title: <br />Date Sitmed: <br />U.S. Deparhnent of the Treasury: <br />Name ofAn(horized ReinoSOLIIative: 7aeob Leiklaluft <br />'Iitic. CDIW%eioi to dre Saictsy <br />Date: 5'13i2021 <br />Kristine Ridge <br />Ciry Mallaper <br />5/1012021 <br />PAPER WORK R EM IC I ION ACT NOIICG: The inlinmutiun collected will be uatid for the I I.S. (lovernnicnt m proceev rettuesla ftrrxrlitoit. -Ihe calinruted <br />bunfcn aasoeiated with thta collection of infionnation ix 15 minutes per rcapnnsc Comments concemiug the accuracy ofthia binder witmate and suggeetionv <br />for reducing (tie burden should be (Invoted to the 01fea of Privacy, IranspaCatey and Records. Depart nont of the Trutsmy, 1500 Pennsylvania Ave., N.W., <br />Waxhington, D C. 20220- DO NO(I'send the tuna to ihia addr-cas. An agency may tint conduct tx apnnaor, and a Person is not rcquitort to reaponrl to, a <br />collection ofinfelatybun uni it diapla(vi a valid control number assigne(I by OMn. <br />PRIVACY ACT STATrNT.NT <br />AUI'l(OR[ FY'toliciation oftltix in fotmation lit sutho i?rd by the American Rescue Plat, Act (if 2021, Titic 111, Pull _ L. No 117-0. <br />PI1R11GSEi I'toanry i5 rcAOiied by the Allien(An Resale Plan Act of2o2t to identify eligible grntt6e3lCR;IpidnAB to jauvide elntagnucy rental assistance to <br />individuals who gnahfy for mhefu rider the Act. Eligible granteeslieelpientx are state, local, and teinmrial governments which idcnnty households ingnhing <br />Iother aarotdire lo rEquhenrents t mlaiued 'tit the Act. Treasury maintains contact information f i autl10ri�1 wptesentauve'e and contact 1)er5013x for the <br />Imupos0 ofcrommunitxnng with eligible unrest fegading iaamx reinted to implementation ofthe Act. <br />ROI ITINF I NFS:The in lorinnuall you tinniall nary he ahaj ni. in accordance with the routine uses out[in+j in the llCaaury'a ayatent oCrecnula notice. Treasury <br />017-Cnn-espondctim and Contact folennation, which can be tbuM at 8t Fit 78266 (Nov. 7, 20 in). <br />DISCLOSI IR Fi: Dmclnaui a of tttix intbtmaunn to Treavury is rwPined in order to comply with the rquiremrnrx the American Rcacue Plan Act of2021. <br />Disclosure of Ibis irrformatf On is voluntary, howOvu, gran0.xsfreciptntts drat do not dis,,tvw contact i"hi- inaann wilt he a ith[e to ewnmuuiea[¢ with Treasttry <br />on issues related to rlrc i obGgat t"is ithdo the Act and this nray aPRrot the status of ureic award. <br />City Council 9 — 70 7/6/2021 <br />