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OMB Approved No. 1505-0271 <br />Expiration Date: November 30, 2021 <br />U.S. DEPARTMENT OF THE TREASURY <br />CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS <br />Recipient name and address: <br />Sunny Isles Beach, City of <br />Address: <br />DUNS Number: 079608491 <br />Taxpayer Identification Number: 650784647 <br />Assistance Listing Number: 21.027 <br />Sections 602(b) and 603(b) of the Social Security Act (the Act) as added by section 9901 of the <br />American Rescue Plan Act, Pub. L. No. 117-2 (March 11, 202 1) authorize the Department of the <br />Treasury (Treasury) to make payments to certain recipients from the Coronavirus State Fiscal <br />Recovery Fund and the Coronavirus Local Fiscal Recovery Fund. <br />Recipient hereby agrees, as a condition to receiving such payment from Treasury, to the terms <br />attached hereto. <br />Recipient: Sunny Isles Beach City of <br />Au*Jed6resentative: <br />Title: C 1}� tAa tit@%0 t K <br />Date signed: 1 <br />/!6 <br />/101- <br />U.S. Department of the Treasury: <br />Authorized Representative: <br />Title: <br />Date: <br />PAPERWORK REDUCTION ACT NOTICE <br />The information collected will be used for the U.S. Government to process requests for support. The <br />estimated burden associated with this collection of information is 15 minutes per response. Comments <br />concerning the accuracy of this burden estimate and suggestions for reducing this burden should be <br />directed to the Office of Privacy, Transparency and Records, Department of the Treasury, 1500 <br />Pennsylvania Ave., N.W., Washington, D.C. 20220. DO NOT send the form to this address. An agency <br />may not conduct or sponsor, and a person is not required to respond to, a collection of information unless <br />it displays a valid control number assigned by OMB. <br />20 <br />