IRPOSE: This form is used to notify grant recipients of award reporting and record keeping requirements. Grantees a quired to review and sign the form and return to SBA at the address: SBDC- SBA/OSBDC, 409 Third Street, SW 6th Flo OMB Approval No.: 3245-0140 Washington, DC 20416All other SBA/OGM, 409 Third Street, 5th Floor, Washington, DC 20416 Expiration Date 5/31/2015 BUS
U.S. Small Business Administration NOTICE OF AWARD
1. AUTHORIZATION (Legislation/ 2. Grant/Cooperative Agreement No.:
Regulation)
Section 324 of division N of
SBAHQ21SV010724.3
the Consolidated Appropriations
Act, 2021 (Pub. L. 116-260) 4. PROJECT PERIOD (Mo./Day/r.) (Mo./Day/Yr.)
3. RECIPIENT: (Name, Organizational Unit, Address)
From 08/03/2021 Through 06/30/2022
City of Riverside
5. BUDGET PERIOD (Mo/Day.Yr.) (Mo./Day/Yr.)
956000769 040502114-0000
3900 Main Street From 08/03/2021 Through 02/03/2023
Riverside CA 92522 United States 6. FEDERAL CATALOG NO. 7. ADMINISTRATIVE CODES
8. TITLE OF PROJECT/PROGRAM (limit to 53 spaces) 59.075
9. AWARD AMOUNT
Shuttered Venue Operators Grant Amount of SBA Financial $3,479,911.21 Assistance
10. DIRECTOR OF PROJECT (Program or Center Director, 11. RECOMMENDED FUTURE SUPPORT(Subject to the availability of Coordinator or Principal Investigator) funds and satisfactory progress of the project)
NAME Haupt Margie BUDGET TOTAL BUDGET TOTAL
Last First Initial YEAR DIRECT COST YEAR DIRECT COST
ADDRESS: 3900 Main Street
Rivérside CA 92522 United States a. N/A N/A b.N/A N/A
12. Approved Budget (Excludes SBA Direct Assistance) 13. REMARKS (Other Terms & Conditions Attached) XYes No I SBA Fur Total project costs including all thor financla articipation.
Federal Non-Federal Non-Federa Non-Federa
Share Share In-Kind Program Ing 14. THIS AWARD IS SUBJECT TO THE FOLLOWING a. Personal Service. $0.00 COST PRINCIPLESAND OMB UNIFORM b. Fringe Benefits... $0.00 ADMINISTRATIVE REQUIREMENTS:
c. Consultan...... $0.00
d. Travel. $0.00 X 2 CFR Chapter 1, Chapter II, Part 200, et al, uniform Administrative Requirements, Cost
e. Equipment. $0.00 Principles, and Audit Requirements for Federal $0.00 Awards.
f. Supplies....
g. Contractual. $0.00 X Part 180 - OMB Guidelines to Agencies on h. Other..... $3,479,911.21 government debarment and suspension (Non Procurement)
I. TOTAL DIRECT COSTS. $3,479,911.21
i. Indirect cost...
N/A N/A N/A N/A
(Rate).
k. OTHER APPL. COST..... N/A N/A N/A N/A
I. TOTAL APPROVED BUDGET $3,479,911.21
*Must meet all matching or cost participation
requirements
subject to adjustment in accordance with SBA
policy
15. THIS AWARD IS SUBJECT TO THE TERMS AND CONDITIONS ON THE REVERSE SIDE
16. CRS - EIN 17. COUNTY NAME 3. CONGRESSIONA
956000769-DA-000028080 STRICT N
19a. CITY CODE Riverside b. COUNTY CODE TC. STATE CODE CA d. PROGRAM CODE SVOG BUDGET CODE DOCUMENT NO. AMT. ACTION FIN. ASST. TYPE OF ORGANIZATION 20a. X0700DB90050060500 b.2 c. $3,479,911.21 d. Majority Government Owned 02/11/2022
21. AGENCY OFFICIAL (Sigrature, Name and Title) 22. DATE ISSUED (Mo./DayNr.) AL ZELINKA, CITY MAMACIOR 2/18/22
23. RECIPIENT OFFICIAL (Signature, Name and Title) 24. DATE (Mo./Day/Yr.) SBA FORM 1222 (4-12) Previous editions obsolete
Note: The estimated burden completing this form is 80 hours per response. You will not be required to respond to any collection of information unless it displays a currently valid OMB approval number. Comments on the burden should be sent to U.S. Small Business Administration, Chief, AIB, 409, 3rd St., S.W., Washigton, D.C. 20416 and Desk Office for Small Business Administration, Office of Management and Budget, New Executive Office Building, room 10202 Washington, D.C. 20503. OMB Approval (3245-0140).
PLEASE DO NOT SEND FORMS TO OMB.
SBA FORM 1222 (4-12) Previous editions obsolete