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Application for Federal Assistance SF-424 16. Congressional Districts Of: * a. Applicant FL-8 * b. Program/Project FL-8 Attach an additional list of Program/Project Congressional Districts if needed. Add. Attachment Delete Attachment View Attachmerit 17. Proposed Project: * a. Start Date: 01/01/2021 * b. End Date: 12/31/2021 18. Estimated Funding ($): * a. Federal * b. Applicant *c. State * d. Local * e. Other * f. Program Income *g.TOTAL 77, 629.00 0.00 38,814.50 38, 814.50 0, 00 0.00 155,258.00 * 19. Is Application a. This application Q b. Program is subject Subject to Review By State Under Executive Order 12372 Process? was made available to the State under the Executive Order 12372 Process for review on to E.O. 12372 but has not been selected by the State for review. covered by E.O. 12372. 0 c. Program is not * 20. Is the Applicant Delinquent On Any Federal Debt? (If "Yes," provide explanation in attachment.) Yes r No If "Yes", provide explanation and attach IF Add Attachment l Delete Attachment F'`View Attachment 21. *By signing this herein are true, complete comply with any resulting subject me to criminal, application, I certify (1) to the statements contained in the list of certifications** and (2) that the statements and accurate to the best of my knowledge. I also provide the required assurances** and agree to terms if l accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may civil, or administrative penalties. (U.S. Code, Title 218, Section 1001) and assurances, or an internet site where you may obtain this list, is contained in the announcement or agency j ** I AGREE ** The list of certifications specific instructions. Authorized Representative: Prefix: * First Name: Phillip Middle Name: * Last Name: Matson Suffix: * Title: Community Development Director * Telephone Number: 772-226-1253 Fax Number: *Email: pmatson@ircgov.com * Signature of Authorized Representative: * Date Signed: 03/18/2020 55