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<br />rrotal Funds Leveraged for HOME-based Project(s) <br />Housing Opportunities for People with AIDS 14.241 HOPWA <br />HOPWA Project Titles Description of Areas Affected by HOPWA Project(s) <br />$HOPWA Grant Amount FAdditional HUD Grant(s) Leveraged[Describe <br />$Additional Federal Funds Leveraged :jiAdditional State Funds Leveraged <br />$Locally Leveraged Funds :jiGrantee Funds Leveraged <br />$Anticipated Program Income Other (Describe) <br />Total Funds Leveraged for HOPWA-based Project(s) <br />Emergency Shelter Grants Program 14.231 ESG <br />ESG Project Titles Description of Areas Affected by ESG Project(s) <br />I$ESG Grant Amount I$Additional HUD Grant(s) Leveraged IDescribe <br />$Additional Federal Funds Leveraged $Additional State Funds Leveraged <br />I$Locally Leveraged Funds $Grantee Funds Leveraged <br />$Anticipated Program Income Other (Describe) <br />Total Funds Leveraged for ESG-based Project(s) <br />Conaressional Districts of: Fortnev Stark (0-13) Is application subject to review by state Executive Order <br />Applicant Districts 13th T Proiect Districts 13th 12372 Process? <br />Is the applicant delinquent on any federal debt? If DYes This application was made available to the <br />"Yes" please include an additional document state EO 12372 process for review on DATE <br />explaining the situation. [Xl No Proaram is not covered bv EO 12372 <br />DYes I r81 No DN/A Program has not been selected by the state <br /> for review <br /> <br />Person to be contacted regarding this application <br /> <br />ohn <br />City Manager <br />liao ci.san-Ieandro.ca.us <br /> <br /> <br />htt ://www.ci.san-Ieandro.ca.us <br /> <br /> <br />510-577-3340 <br />om Liao <br />10/577-6003 <br />Date Signed <br /> <br />Signature of Authorized Representative <br />