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EXFYjj;JI+ 5 <br />O R A N G E C O U N T Y <br />CSC Communi ty Resources <br />Our Community. Our Commitment. <br />Reimbursement Policy Status Form <br />Per CIC 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 M MA-012-25010265 <br />Effective Date: Upon Execution <br />Documentation Status: ❑ Abbreviated ® Comprehensive <br />Program Authorization by: Auditor Controller Authorization by: <br />Print Name Print Name <br />Signed by: Signed by: <br />Date: <br />Two signatures are required to implement the form. <br />Mctrihi itinn - <br />Contractor <br />Auditor Controller <br />Contract File <br />Program File <br />Date: <br />Rei i y ounci 23 — 69 12/17/2024 <br />