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Housing Opportunities for People with AIDS <br />14.241 HOPWA <br />HOPWA Project Titles <br />Description of Areas Affected by HOPWA Project(s) <br />HOPWA Grant Amount <br />dditional HUD Grant(s) Leveraged <br />Describe <br />Additional Federal Funds Leveraged <br />Additional State Funds Leveraged <br />Locally Leveraged Funds <br />Grantee Funds Leveraged <br />Anticipated Program Income <br />$ <br />Other (Describe) <br />Total Funds Leveraged for HOPWA-based Project(s) <br />Emergency Shelter Grants Program <br />14.231 ESG <br />ESG Project Titles <br />Description of Areas Affected by ESG Project(s) <br />ESG Grant Amount <br />$ <br />dditional HUD Grant(s) Leveraged <br />$ <br />Describe <br />Additional Federal Funds Leveraged <br />Additional State Funds Leveraged <br />Locally Leveraged Funds <br />Grantee Funds Leveraged <br />Anticipated Program Income <br />Other (Describe) <br />Total Funds Leveraged for ESG-based Project(s) <br />Congressional Districts of: Fortnev Stark D-13 <br />Is application subject to review by state Executive Order <br />12372 Process? <br />Applicant Districts 13th I Project Districts 13th <br />Is the applicant delinquent on any federal debt? If <br />"Yes" please include an additional document <br />explaining the situation. <br />❑ Yes <br />This application was made available to the <br />state EO 12372 process for review on <br />® No <br />Program is not covered by EO 12372 <br />❑ Yes <br />® No <br />❑ N/A <br />Program has not been selected by the state <br />for review <br />Person to be contacted regarding this application <br />Chris Zapata <br />City Manager 510-577-3354 <br />510-577-3390 <br />liao@sanleandro.org http://www.sanleandro.org Tom Liao - 510/577-6003 <br />Signature of Authorized Representative <br />Date Signed <br />