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EXHIBIT 5 O cc���{;riity Resources <br />Our Community. Our Commitment. <br />Reimbursement Policy Status Form <br />Per OC Community Resources Contract Reimbursement Policy, in regards to the Contract # <br />listed herein, Contractor is designated with the Documentation Status of Abbreviated unless <br />Comprehensive is checked below. If the contractor's designation should change to <br />Abbreviated, a new status form shall be approved. All related documentation requirements <br />are in full force, until further notice. <br />Contractor: City of Santa Ana <br />Contract #: MA-012-20011850 <br />Effective Date: Upon Execution <br />Documentation Status: □ Abbreviated 181 Comprehensive <br />************************************************************************************************************* <br />Program Authorization by: <br />Carma Lacy <br />Print Name <br />Signed by: _________ _ <br />Date: <br />Two signatures are required to implement the form. <br />Distribution: <br />Contractor <br />Auditor Controller <br />Contract File <br />Program File <br />Reimbursement Policy Status (RPS-1) <br />Auditor Controller Authorization by: <br />Eric Takanishi <br />Print Name <br />Signed by: _________ _ <br />Date: <br />EXHIBIT 2