AGREEMENT-IMPLEMENT THE FAIR HOUSING PROGRAM-AQUIRE REAL PROPERTY TO BUILD A MULTIFAMILY RENTAL HOUSING COMPLEX
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AGREEMENT
THIS AGREEMENT is entered into this 1st day of October, 1996,er.>~nd
between the City of Clearwater, a Florida municipal corporation, having its
principal office at 112 South Osceola Avenue, Clearwater, Florida,
hereinafter referred to as the "City", and the Community Service Foundation,
hereinafter referred to as the "Provider".
WITNESSETH:
WHEREAS, the City has entered into an agreement with the U.S.
Departmenc of Housing and Urban Development for the purpose of conducting a
Housing and Community Development Program (HUD) with federal financial
assistance under Title I of the Housing and Community Development Act of
1974, as amended, hereinafter called "Act"; and the Cranston-Gonzalez
National Affordable Housing Act of 1990; and
WHEREAS, the City has determined through its Fiscal Year 1996-97
Consolidate plan of Objectives and Projected Use of Funds, which was adopted
by City of Clearwater July 18, 1996, the necessity for providing for a Fair
Housing Program and Rental Housing Development; and
WHEREAS, the City desires to engage the Provider to render certain
services in connection therewith:
NOW, THEREFORE, the parties hereto agree as follows:
SECTION I:
SCOPE OF SERVICES
A. The Provider agrees to implement the Fair Housing Program and aquire
real property to build a multifamily rental housing complex, in
accordance with the projected accomplishments attached and made a fully
binding part of this Agreement, as Appendix 1, as follows:
Provide salaries and benefits of $6,300 to implement the Fair Housing
Program. Program services to include providing printed materials about
housl~g discrimination, counseling on housing discrimination, providing
instr~ction on filing housing discrimination complaints and advocating
affirTati ve housing policies, rules and procedures. Funding of up to
$45 ,J::; 0 will be proviced to acquire a vacant parcel at 906 Woodlawn
Stre~c to build a unit multifamily rental housing complex for low to
moderace income families.
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SECTION II:
CONDITION OF SERVICE
The Provider hereby agrees to the following:
A. The Program shall serve eligible low and moderate income persons living
primarily in Clearwater.
B. The Provider shall maintain in its file the documentation on which
basis it determines that the project benefits low and moderate income
persons, minorities and residents of Clearwater. Such records shall
include, but not be limited to profiles identifying financial
classification, head of household, ethnicity, race and gender, or area
benefit data, as required.
C. The Provider shall maintain a citizen participation mechanism, which
will include, but not be limited to the following:
1 Logging citizen comments or complaints when received.
2. Copies of comments and/or complaints received in writing.
3 .
Copies of responses to complaints
resolutions to complaints.
and/or explanations
of
D. The Provider shall comply with the following attachments to the Office
of Management and Budget (OMB) Circular No. A-110, "Uniform
Administrative Requirements for Grants and Agreements with Institutions
of Higher Education, Hospitals and Other Non-Profit Organizations",
incorporated by reference into this Agreement.
1.
Attachment A, "Cash Depositories",
concerning deposit insurance.
except for paragraph 4
2. Attachment E, "Bonding and Insurance".
3. Attachment C, "Retention and Custodial Requirements for Records",
except that in lieu of the provisions in paragraph 4, the
retention period for records pertaining to individual CDBG
activities starts from the date of expiration of this Agreement,
as prescribed in 570.507, in which the specific activity is
reported on for the final time.
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4. Attachment F, "Standards for Financial Management Systems".
5.
Attachment H,
paragraph 2.
"Monitoring and Reporting Program Performance",
6. Attachment N, "Monitoring Management Standards", except for
paragraph 3 concerning the standards for real property and except
that paragraphs 6 and 7 are modified so that in all cases in which
personal property is sold, the proceeds shall be "program income"
and that personal property not needed by the sub-recipient for
CDBG activities shall be transferred to the recipient for the CDBG
program or shall be retained after compensating the recipient.
7. Attachment 0, "Procurement Standards".
E. Costs incurred under this program shall be in compliance with Federal
Management Circular No. A-122, "Cost Principles for Non-Profit
Organizations", incorporated by reference into this Agreement.
F. The Provider shall abide by those provisions of 24 CFR Part 570 subpart
J, when applicable, incorporated by reference into this Agreement.
G. No expenditures or obligations shall be incurred for the program prior
to approval and release of funds from the U.S. Department of Housing
and Urban Development. Further, it is expressly understood that in the
event no funds are released from the U. S. Department of Housing and
Urban Development in connection with this Program, then the City is not
liable for any claims under this contract.
H. The Provider shall certify, pursuant to Section 109 of the Act, that no
person shall be denied the benefits of the program on the ground of
race, color, national origin or sex.
1.
The Provider agrees that to the extent that it staffs
personnel not presently employed by said party,
affirmative action in attempting to employ low income
in the City of Clearwater, particularly minority group
the Program with
it will take
persons residing
members.
J. The ?rovider shall comply with the provisions of 24 CFR 570.504 (c),
"Pr~g::::-s.,n Income", gross income directly generated from the use of CDBG
funes. In those instances where the City allows the sub-recipient to
ret~~~ program income, these funds shall be expended for CDBG eligible
act~c,ciCles, previously approved by the City in accordance with the
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projected accomplishments and budget descriptions attached to this
Agreement.
K. The Provider shall adhere to the applicable requirements contained in
the "Acknowledgement of Economic Development Activities", attached
hereto and made a part hereof as Appendix 2, if applicable.
L. The Provider shall comply with First Amendment Church/State principles,
as follows:
1. It will not discriminate against any employee or applicant for
employment on the basis of religion and will not limit employment
or give preference in employment to persons on the basis of
religion.
2. It will not discriminate against any person applying for public
services on the basis of religion and will not limit such services
or give preference to persons on the basis of religion.
3. It will provide no religious instruction or counseling, conduct no
religious worship or services, engage in no religious
proselytizing, and exert no other religious influence in the
provision of such public services.
4.
The portion of a facility used
In whole or in part under
sectarian or religious symbols
to provide public services assisted
this Agreement shall contain no
or decorations.
5. The funds received under this Agreement shall not be used to
construct, rehabilitate, or restore any religious facility which
is owned by the Provider and in which the public services are to
be provided. However, minor repairs may made if such repairs are
directly related to the public services; are located in a
structure used exclusively for non-religious purposes; and
constitute, in dollar terms, only a minor portion of the CDBG
expenditure for the public services.
M. The Provider shall transfer to the City upon expiration of this
Agreement, any CDBG funds on hand at the time of expiration and any
accounts receivable attributable to the use of CDBG funds. The
following restrictions and limitations apply to any real property under
the Provider's control which was acquired or improved in whole or in
part with CDBG funds in excess of $25,000:
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1 . Any real property under the Provider I s control must be used to
meet one of the National Objectives in the CDBG Regulation~~__~3rt
570.208 until five years or such longer period of time as
determined appropriate by the City after expiration of the
Agreement.
2. If the real property is sold within the period of time specified
above, the property must be disposed of in a manner which results
in the City being reimbursed in the amount of the current fair
market value of the property, less any portion thereof
attributable to expenditures on non-CDBG funds for acquisition of,
or improvement to, the property. Such reimbursement is required.
N. The Provider agrees that when sponsoring a project financed in whole or
in part under this Agreement, all notices, informational pamphlets,
press releases, advertisements, descriptions of the sponsorship of the
proj ect, research reports, and similar public notices prepared and
released by the Provider shall include the statement:
FUNDED BY THE CITY OF CLEARWATER
COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM
In written materials, the words "CITY OF CLEARWATER COMMUNITY
DEVELOPMENT BLOCK GRANT FUNDS ADMINISTERED BY THE DEPARTMENT OF
ECONOMIC DEVELOPMENT" shall appear in the same size letters or type as
the name of the Provider.
O. The Provider shall ensure the following when entering into a sub-
contract agreement:
1. The full correct legal name of the party shall be identified.
2. The "Scope of Services" shall describe the activities to be
performed.
P. The Provider shall maintain sufficient records in accordance with 24
CFR 570.502 and 570.506 to determine compliance with the requirements
of this Agreement, the Community Development Block Grant Program and
all applicable laws and regulations.
This documentation shall include, but not be limited to, the following:
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1. Books, records and documents in accordance with generally accepted
accounting principles, procedures and practices which suffi~~~~tly
and properly reflect all revenues and expenditures of funds
provided directly or indirectly by this Agreement, including
matching funds and program income.
2. Time sheets for split-funded employees who work on more than one
activity, in order to record the CDBG activity delivery cost by
project and the non-CDBG related charges.
3. How the Statutory National Objective(s) and the eligibility
requirement (s) under which funding has been received, have been
met. These also include special requirements such as necessary
and appropriate determinations, income certifications, written
agreements with beneficiaries, where applicable.
Q. The Provider is responsible for maintaining and storing all records
pertinent to this Agreement in an orderly fashion in a readily
accessible, permanent and secured location for a period of three (3)
years after expiration of this Agreement, with the following exception:
if any litigation, claim or audit is started before the expiration date
of the three year period, the records will be maintained until all
litigation, claims or audit findings involving these records are
resolved. The City shall be informed in writing after close-out of
this Agreement, of the address where the records are to be kept.
SECTION III:
TERM OF AGREEMENT
This Agreement shall be deemed effective upon approval and release of funds
by the U. S . Department of Housing and Urban Development and being duly
executed by both parties, whichever is later.
This proj ect shall become operational as of October 1, 1996, and shall
continue through September 30, 1997.
SECTION IV:
TERMINATION
The City and the Provider agree:
A. Thls Agreement may be terminated by either party hereto by written
notlce of the other party of such intent to terminate at least thirty
(30) days prior to the effective date of such termination.
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B. This Agreement may be terminated in whole or in part, for convenience,
when both parties agree upon the termination conditions. A~E.!1;-_ten
notification shall be required and shall include the following: reason
for the termination, the effective date, and in the case of a partial
termination, the actual portion to be terminated. However, if, in the
case of a partial termination, the City determines that the remaining
portion of the Agreement will not accomplish the purposes of such
Agreement, the City may terminate such in its entirety.
C. The City may place the Provider in default of this Agreement, and may
suspend or terminate this Agreement in whole, or in part, for cause.
1. Cause shall include, but not be limited to, the following:
a. Failure to comply and/or perform in accordance with this
Agreement, or any federal statute or regulation.
b. Submitting reports to the City which are late, incorrect or
incomplete in any material respect.
c. Implementation of this Agreement, for any reason, is rendered
impossible or infeasible.
d.
Failure to respond in writing to any concerns raised
City, including substantiating documents
required/requested by the City.
by the
when
e. Any evidence of fraud, mismanagement, and/or waste, as
determined by the City's monitoring of the subrecipient, and
applicable HUD rules and regulations.
2. The City shall notify the Provider in writing when the Provider
has been placed in default. Such notification shall include
actions taken by the City, such as withholding of payments,
actions to be taken by the Provider as a condition precedent to
clearing the deficiency and a reasonable date for compliance,
which shall be no more than fifteen (15) days from notification
date.
3. The City shall notify the Provider in writing when sufficient
cause is found for termination of this Agreement. The Provider
shall be given no more than fifteen (15) days in which to reply in
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writing, appealing the termination prior to final action being
taken by the City.
D. Let it be further understood that upon curtailment of, or regulatory
constraints placed on, the funds of the u.s. Department of Housing and
Urban Development, this Agreement will terminate effective as of the
time that it is determined such funds are no longer available.
E. Costs of the Provider resulting from obligations incurred during a
suspension or after termination, are not allowable unless the City
expressly authorizes them in the notice of suspension or termination or
subsequently. Other costs during suspension or after termination which
are necessary and not reasonably avoidable are allowable if:
1. The costs result from obligations which were properly incurred
before the effective date of suspension or termination, are not in
anticipation of it, and in the case of termination, are
noncancelable, and
2. The costs would be allowable if the award were not suspended or
expired normally at the end of the Agreement in which the
termination takes effect.
F. Upon termination of the Agreement, the Provider and the City shall meet
to discuss the City's determination if any amounts are to be repaid to
the City or if additional amounts are due the Provider.
SECTION V:
AMENDMENTS
Any alterations, variations, modifications or waivers of this Agreement
shall only be valid when they have been reduced to writing and duly signed
by both parties. Any changes which do not substantially change the scope of
the project and/or the Project Implementation Schedule or increase the total
amount payable under this Agreement, shall be valid only when reduced to
writing and signed by the City Administration and the Provider.
The City shall not reimburse the Provider for outlays in excess of the
funded amount of the Agreement unless and until the City officially, in
writing, approves such expenditure by executing a written modification to
the original Agreement.
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SECTION VI:
METHOD OF PAYMENT
It is expressly understood and agreed that the total compensation to be paid
hereunder for actual expenditures incurred shall not exceed Six Thousand
THREE HUNDRED DOLLARS ($6,300.00) for the Fair Housing Program and Forty
Five Thousand Dollars ($45,000) for the Rental Housing Development Program.
Such funds must be expended during the term of the Agreement, and any
remaining balance of funds shall revert to the City. Such compensation
shall be paid in accordance with the projected accomplishments and budget
descriptions attached hereto and made a part hereof as Appendix 1.
A. The Provider shall submit monthly requests for payment for actual
expenditures, including applicable back-up documentation, no later than
the tenth (10th) day of the succeeding month and the City will provide
reimbursement, upon approval, within ten (10) working days after
receipt of the same, if submitted by the deadline data for inclusion on
the drawdown request.
B. The City agrees to pay the Provider for expenditures incurred under
this Agreement on a monthly basis in accordance with the Budget and
Project Implementation Schedule attached hereto and made a part hereof
as Appendix 1. Line item transfers are allowable only within each
component and may not exceed in the aggregate fifteen percent (15%) of
each line item without prior written approval of the City. All changes
amounting to more than fifteen percent (15%) require prior written
approval.
SECTION VII:
CONFLICT OF INTEREST
The Provider covenants that no person, under its employ who presently
exercises any functions or responsibilities in connection with Community
Development funded activities, has any personal financial interests, direct
or indirect, in this Agreement. The Provider covenants that in the
performance of this Agreement, no person having such conflicting interest
shall be employed. The Provider covenants that it will comply with all
provisions of 24 CFR 570.611 "Conflict of Interest", and the State Statutes
governing conflicts of interest. The Provider shall disclose, in writing,
to the City any possible conflicting interest or apparent impropriety that
is covered by the Above provisions. This disclosure shall occur immediately
upon knowledge of such possible conflict. The City will then render an
opinion which shall be binding on both parties.
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SECTION VIII:
INDEMNIFICATION AND INSURANCE
The Provider shall indemnify and hold harmless the City from anYCi!l~ __all
claims, liability, losses and causes of action which may arise out of the
Agreement. The Provider shall pay all claims and losses of any nature
whatsoever in connection therewith and shall defend or pay to defend all
suits brought against the City, when requested, and shall pay all costs and
judgements which may issue thereon.
Automobile and
automobiles and
the Agreement.
vehicle coverage shall be required when the use of
other vehicles are involved in any way in the performance of
The Provider shall submit to the City an ORIGINAL Certificate of Insurance.
All liability insurance coverage shall be approved by the City's Risk
Management Office prior to the release of any funds under this Agreement.
Generally, the amount of coverage necessary would be at a minimum of
$300,000.
Further, in the event evidence of the required insurance is not forwarded to
the Risk Management Office within thirty (30) days after the execution of
this Agreement, this Agreement may be terminated at the City's option and
any payments then due may be permanently withheld by the City and the City
will have no further obligation under this contract or any subrecipient
contract.
SECTION IX:
REPORTING AND EVALUATION REOUIREMENTS
Maintaining credibility for the community development effort rests heavily
on the ability to produce an impact in low/moderate income areas, through
progress in accomplishing scheduled activities. An effective method for
maintaining proj ect progress against a previously established schedule is
through project evaluation and reporting, which will consist of both written
reports and staff discussions on a regular basis. The Provider also assures
prompt and efficient submission of the following:
A. Monthly Reports are due no later than the tenth (10th) day of the
succeeding month and shall include the request for payment when
applicable. Contents of the Monthly Report, attached hereto and made a
part hereof as Appendix 3, shall include but not necessarily be limited
to the following:
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1.
2.
The Narrative Report Form
The Financial Summary Form, which shall
payment and documentation, as applicable.
The Client Profile Form
include the request for
3 .
B. Final Evaluation. Within twenty (20) days of contract completion, a
final report documenting how the Statutory National Objective and the
eligibility requirements were met, must be submitted by the Provider to
the Ci ty' s Economic Development Department for review and approval.
The contents of same shall include a cumulative total of the data
submitted during the program's operation. Further, such report shall
include statistical findings which depict program efficiency; i.e., the
number of dollars spent, including non-CDBG funding sources, to render
actual service to program recipients, and an overall evaluation of the
program's effectiveness, and quantitative results. The final report
will be evaluated and the Provider will be notified if additional data
is necessary or that the project/activity is considered "closed-out".
Other Reporting Requirements may be required by the City in the event of
program changes, need for additional information or documentation and/or
legislation amendments. The Provider shall be informed, in writing, if any
changes become necessary.
Reports and/or requested documentation not received by the due date, shall
be considered delinquent, and may be considered by the City as sufficient
cause to suspend CDBG payments to the Provider.
SECTION X:
AUDIT AND INSPECTIONS
At any time during normal business hours and as often as City and/or Federal
Government representatives may deem necessary, there shall be made available
to representatives of the City and/or the Federal Government an opportunity
to review, inspect or audit all records, documentation, and any other data
relating to all matters covered by the Agreement.
An annual organization audit shall be submitted to the City 120 days after
the end of the Provider's fiscal year. The audit shall be performed in
accordance with OMB Circular A-110 Attachment F, OMB Circular A-133 or OMB
Circular A-128, as applicable. If this Agreement is closed-out prior to the
receipt of an audit report, the City reserves the right to recover any
disallowed costs identified in an audit after such close-out.
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SECTION XI: COMPLIANCE WITH LOCAL. STATE & FEDERAL REGULATIONS
The Provider agrees to comply with .al.l. applicable federal regulations as
they may apply to program administration. Additionally, the Provider will
comply with ~ state and local laws and ordinances hereto applicable.
SECTION XII:
ADDITIONAL CONDITIONS AND COMPENSATION
It is expressly understood and agreed by the parties hereto that monies
contemplated by this Agreement to be used for compensation originated from
grants of federal Community Development Block Grant funds, and must be
implemented in full compliance with all of HUD's rules and regulations.
It is expressly understood and agreed that in the event of curtailment or
non-production of said federal grant funds, that the financial sources
necessary to continue to pay the Provider compensation will not be available
and that this Agreement will thereby terminate effective as of the time that
it is determined that said funds are no longer available.
In the event of such determination, the Provider agrees that it will not
look to, nor seek to hold liable, the City or any individual member of the
City Commission thereof personally for the performance of this Agreement and
all of the parties hereto shall be released from further liability each to
the other under the terms of this Agreement.
IN WITNESS WHEREOF. the parties hereto have caused this Agreement to be
executed by their duly authorized officials on the day and date first above
indicated.
COMMUNITY SERVICE FOUNDATION
By ~'
President Lee gulski
~-JO^1b
Date
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countersigned:
Rita arvey
Mayor-Commissioner
Approved as to form & legal
sufficiency:
~~~
[Assist ] or [Interim]
City Attorney
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ATTEST:
414
s-€cretary
~.Jdi.
Sylvia M. Costello
iO/1ol1<...
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Date
CITY OF CLEARWATER, FLORIDA
By ~ ~~
Elizabe M. D tula
City Manager
Date
ATTEST:
Q~~. ~~..J]~
Cyn~hia Goudeau ~ ~_ "'.
City Clerk /--_
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/I!:J'Y/Ytr;
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Date
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Agency: Community Service Foundation
Project Title: Fair Housing
Category Category Breakdown
Number
1
Salaries & Benefits
Travel
Grand Total:
LEVERAGE WORKSHEET
PROJECT BUDGET SUMMARY SHEET
Funding Year 1996-1997
Amount
Requested
$5,970
330
Other Funds
Proposed/Committed
Other Funding Sources
Total Funds
$5,970
$330
$6,300
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GOAL AND PROGRAM IMPLEMENTATION SCHEDULE
Funding Year: 1995 - 1996
PROJECT NAME: Fair Housing
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Organization: Community Services Foundation
Implementation Steps Oct Nov Dee Jan Feb Mar Apr May Jun Jul Aug Sep
- -- - -- - -- - -- - -- - -- - -- - -- - -- - -- - -- - -
GOAL:
l. Fair Housing Screening 25 25 25 25 25 25 25 25 25 25 25 25
2. Fair Housing Counseling 2 2 2 2 2 2 2 2 2 2 2 2
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Purchase $45,000 $45,000
Total'. .
$45,,000
$45,000
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:----.--.--.---------.---.....--....-.--.-------.......-.--
: loJmUE:J{ 'S CUI-IP F"J~3AT f Dhl
: ()hID
lEMPLOYER'S LIABILITY
.
,
: ..- ..- -- .--.- -- ".- "'. .-- .'- -.. -.- .-- .... -- .-. ".- .... ... ,... -.. .-.
I DTHEfi
I
,
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Eff Date:Exp DatelLiabilitv Limits
I , . '"
.....-............................... I ..,..........,.-....-........... I .........................................-....:-............--......---
: 'ICi(:"IlE'!'Hl (\qqr'€,'qal:e
06/24/95l06/24/96:1,OOO~OOO"" ,
: lProd-Comp/Op~ Agg.
I iexcluded
I : P Fn' .~: (.~ d V E;'! r. I tl J .
: lexclUded
I :tach Dccurence
\ \~1~~06~~~ge
: i50,?OO _
I :Medlcal lxpense
: lexcluded
.-.. ..- h_ __ ..._ .__ _,. ..... _... ..... .... .... .... "... .__ ...h .... ..._ mOo ..U. "w"'. l ~.. .~. ....' _.. ..... "._ .".. __ l ..._ _h. "'n ..." .p' .... ... .'W __ .__ .._. ,__ _U. "'_ __ __.__
: IComb. Single Limit
I I
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: : (Pers6n/Acciaent)
I I
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: IPrupertv Damage
I I ..
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: .... .... ..... ..-. -". -... ...- .-. l . "'h -_. .... --- _u ..'_ .__. _.. n'. ..... -... __ _ ._
: : u c cur' !' . A (~ 9 '" e I) ate
, I
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.-.---.--.--.....-.-----.f-..----------:--.---.---------:--.--..-..--.--..------~-------
: : l!?l:iltutory
1 I : [';,ac::h Ac:c
: : : D i:,;" L i .11
: : I Di.'::;. Crop
, , ,
..... ..-, .... .-- .'w .w.. __ __ ..w_ .w_ .._ .__ M... .-- I .... ..... hM' .m ..... .... I ,
: : I
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: F'(:l], i cv ",lumber'
~ ..... ..... .... ...-.... ~
,
:GPP56725i-Oi
,
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;CRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS========
:Should anv of the above described policies be
:c<lncnlled"hr,~fol"E~ the p::pir'atior\ dat€=~ th,,~r'eoi,
:t;h(:~ i~',sLlinq c:urnpallv I'Jill er'ld~:?;:lVOI' to mail 30
'''J~~'- ")\-l'{-~~r'l r'lr)tl'(-~ '["'J the -Pl.tl'fl'r~t~ 1,~lrl~,'
1 l. .:1. ;::) ~ . . , .r n_ ~.. ;.. ~.. r l.. ~ _ L. -:_.r . .... ':'. ..... ... _. Co. ,
: b u" f ,", 1. 1 u r' E' turn::J. 1 1 ''::; U C h not 1 c: E' s h a I], 1 m p 0,:; ~~
: r\ D 0 b 1 i ~J ,;1 t i 0 rl ClI' l:i. a h i 1 i l; Y D f a 11 y kin d up 0 nth e
:company, its ~qetlts or representatives.
I . ..
,
\":~"{'-J:l"~""''''~'': :' '[ 7 E:'I'\J7'I~',;F'~"I~~;::':'-:-".I':J''''-I:''&''i~:I:''''''''';-1:~-,""''''''''''''''--'''''''''''''-''''
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: U~ ~
=====================n=n====n============~===;===~========~==================
~RTIFICATE HOLDER
ity of Clearwat~r
JmmunityDevelopment Dept.
.0.80:< 4748
learwater, Fla. 34b18-4748
tT:
Alatl J.
~erri
~e
CER1IFICATE OF INSURANCE
I
I
Issue Date 06/22/95
,
~==============================================================================
(25-S
3/88)
IThis certific.te is issued as a matter of
linformation only and confers no rights upon
lthe certificate holder.This certificate does
:not amend1extend or alter coverage afforded
lbv the po icies below.
I~~~~~~r k:~~~~ ~~;~;;~~;-~~:-~~-~;;;~~;-----
:Companv Letter B----------------------------
_._.______...__.__.__.___....._____._.___l ~
:Company Letter C----------------------------
I
,
lCompany Letter 0----------------------------
I
I
lCompanv Letter E----------------------------
I "
I
P f'oducer
BURKE-LEHMAN INSURANCE, INC.
2173 N.E. COACHMAN RD.
CLEARWATER, FLORIDA 34625
TELEPHONE(813)441-4914
FAX#442-2409
CUc!P
f:lub Codf.~
I n~ou T'ecl
Community Srv. Foundation,
111 S. Garden Ave.
Clearwater, Fl 34616
Inc.
COVERAGES=======================================================================
This is to certify that policies of insurance listed below have been issued to
the insured named above for the period indicated notwithstanding any require-
ment, term or condition of any contract or other document with respect to
1,'Ihic:h thi~:; cf::.'r'tificatE~ may be" issued or may pertain, the inSU1'ance afforded by'
the policies described herein is subject to all the terms, exclusions, and
conditions of such policies.limits shown may have been reduced by paid claims.
I n~"jL\ ra nee
.----.--.....--.....-"-----.----------------------------------------------------------------------
I
I
I
,
I
I
I
,
.....--.---.-.....---.-.-----------------.---- _._----_..__._---_._---_.~_._------
I
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..--...--......--....-...--...--.....--.-.-.--.-----.-.-..--.-- ---------.---.-.---:--------
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.-----.--...............---.----.....-...--.-.----.------:-..._------------------:--------
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C:Tvr:le uf
1 .~ t
,-.- I ,........ .-....." .-....-....
.... _... _.. W'" ..... .__ ._.' .- - ..- -- -", .-- ..... -.
iGENERAL LIABILITY
A:x Commercial General
: Liabilitv
: Claims Ma8e x Occur.
: Ul,mer' 's ~.~ Contf'ac::tof'e.:;
: Proj;E'~cj;i'..'e
I
I
I
I
I
I
AUTOMUBILE lIABILITY
l~rlV (\u to
A 11. Ut.',) rlF:'c1 ?'Iu t os;
~3c:hecJu,led {\utos
H 1 f'ec:l Au tos
Nun"",Ch'jrlf?d nu to:"
Garage Liability
[XCEf.3!3 LI{'lBILITY
other than Umbrella
:WORKER'S COMPENSnTION
: mm
:EMPLOYER'S LIABILITY
I
I
I
I
: CrrHEH
I
I
I
I
Pulicv Number IEff DatelExp DatelLiabilitv Limits
__..__.__~____-------~-----_--.--l----.__--_:_-.-------~---------
: : :General Aggregate
106/24/95106/24/9611,000tOOO
I I IProd-Comp/Ops Agg.
: I lexcluded .
: I I Pel' . ~,~ Ad ve r. In j .
: I lexcluded
I : lEach Occurence
: I 11 000 000
I 'F" .1
I I 1 re uarnage
I 150,000 .
: Med i ea 1 E:'~pense
le:<cluded
---------- ------_._--~---_._------------------
:Comb. Single Limit
I
I
I
I
:Bodi ly InjuT'y'
I (Person/Acciaent)
I
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: P rap€:!rtv DamaQe
I J -
,
------_._--~-------_._---------
IOccurr. Aggregate
I
I
I
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---------l--.------.----------
:Statutory
lEach Ace
IDis. Lim
IDis. Ernp
---------:--_._--------------
I
I
I
I
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GPP567251-01
I
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I
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I -- ..- ..- -- _.- .-- -- ."M ... .-- ._- -- .._--
I
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DESCRIPTION OF OPERATIONS/lOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS========
CERTIFICATE HOLDER
.__.........._____._.R____._R.__.._._____.______________-----.-------------------------.-----------------
:Should any of the above described policies be
:cancelled"before the expiration date thereof,
:the issuing company will endeavor to mail 30
:days written notice to the certificate holder,
:but failure to mail such notice shall impose
lno obligation or liability of any kind upon the
!company, its agents or representatives.
I
:--------------------------~-------------------------
iAUT~P~NTA~~, ~.
===================================================~==================
City of Clearwater
Community Development Dept.
P.O. Box 4748
Clearwater, Fla. 34618-4748
ATT:
Alan J. Ferri
I .. Fr.t ~ EO t-/1.9 1..- (g '-Ii \,t u - Ll..' ct \,
! (;; I;:~ I~~ ~ ~~ ~~ ~~:~; "~~~ F~ ,~ ~ I~ ~:;; ':1, F~~ ~~~ I~ (;~; ~~ :: :: , :: ..: :; "' ~: :; " "' ~ ~~ ~;~ : ~~ :~ ::: ~;~ '~ F!, ~;; ~ '.. :.: ," ::: ::: ::: I::: ,,: :", ..: ;~'~;~;~ f;;~ :: I:: <~: ':~: ~'; ::: (:~ ~ ~ : ~ (. ~ ~ = =
~d uc f:0 Y" .. : l' h J:; c. t,:,\ r' t '1 i' 1 c: ;':l t (,;~ J, '",; 1 ':r.::;uE~d a ~,i ,;l ma t t €;) r' ,") i'
BURKE-l:EHMAN INSURANCE, INC. : ini'cH'matiun only and cC:lrIi'r2~r~:; no l'ights upon
2173 N.E. COACHMAN RD. :the certificate holder.This certii'icate does
CLEARWATER, FLORIDA 34625 :not amend,extend or alter coverage afforded
TELEPHONE (813) 441-4914 : by thE'~ po 1i c i €?::; b€01 Ol",
FAX#442-2409 :Companv Letter A-----------------------'-----
Code Sub Code :~eneral Agents ~nsurance Co. of America
: L C) m pan ji L I;:! t t ('2 l' U ...., ..,.. ..... ..... ,.... ..'.. -.. ...., .... ,... ,- ...., ..,.. ........ .... ,... .,.. ..,. .,. .... .,...- .... .,. ..'. --
I
_..___~___________.._._H__________._.___.__.___._.__._I
Insured :Company Letter C----------------------------
Community Srv. Foundation, Inc. ' : .
111 S. Garden Ave. :Company Letter D----------------------------
Clearwater, Fl 34616 :
:Company Letter E----------------------------
I
I
COVERAGES==========::::::==========================================================
This is to certify that policies oi' insurance listed below have been issued' to
the insured named. above for the period indicated nutwithstandino any require-
ment, term or condition of any contract or other document with fespect to
which this certificate may be issued or may pertain, the insurance afforded by
the policies described herein is subject to all the terms, excluslons, and
conditions of such policies.Limits shown may have been reduced by paid claims.
---.-----"-------------------------.-----------.----.-------------_._----_.._._----------_._----~-
CiTvpe of Insurance :Policy Number :Eff DatelExp DatelLiability Limits
.....:._:___.___.........__.._._._.."........__......_._.___..__.._.._...._~:...__..........._.._...._-_._....................__.._:_...................._".'....,..J......-.......-..-..--.....-\..........-.....--...N'_'__'.'."._'__'."__"'__'_'___
. _,r if3 E:i\.jt::t~ Prt,:t. In~.~l'::l L J"r y .. i . ,.::- _u_. '\6<.0 rre:rr-a-t-- {I\;:rs~ 1"~c.:ral;E:' u
A::< Comm,,~r'c:ial UE!nel'al IGPP567251-01 106/24/95:06/24/9611,0001000
: L:i,<:l.bilitv : :: :PY'ocj.'.CC)mp/Clp~s Aqg.
: Claims Ma8e x Occur. I :: lexcluded
: O\llnep'S; gl, Contractors: :: :p€;)l'.f:.', {'klvE~r. Inj.
: Protective: :: lexcluded
: :::: Each Oc:cur'€;~nc:\'?
I :::: 1 ~ 0001. 000
: ::: :F'lT"'€~ l};;~fnaqe
: : :50,000 ._'
: : : IvlfE:c11 c:: alE:.:< p ((? n~::;e
I :: : e:<c luded
_.:"________.____M'_____.____...__.__._____l__.__________.___.______.:___.___.___.__ __.__.....________l____._______________._.M__.___
:AUTOMOBILE LIABILITY: : :Comb. Single Limit
Anv AL\tC) : : :
A 1 r-OWflf:::C:1 Au to:,: : :
Scheduled Autc)~5: : :BocJj.ly Injurv
Hir'ec:l Auto::; : : : (PE~r::;i:>n/Acc:::i,C:l€0nt)
Nc:)r",-'-C)lJ.Jn(~.?d {..\Lt tC}~:5 ~ : :
(3ar'at;;.I€'? '_:Lability: : :PropE'~r'tv D.;,ifTlat:,:IE'~
I I 1.1
I I I I I
--~--------_.__._------------:----_._---_._--'---:-....--.---.--.--:----.----.---.:-----------.--.---..--.--.---
lEXCESS LIABILITY: :: :Occurr. Aggregate
I I I I I
I t I I I
1 Other than Umbrella : ,I I l
.__:____.______________._______:___~_____..__.___.:---______:__________;_____..._h________~._._____
:WORKER'S COMPENSATION : :: :Statutorv
: f~ND : i: iE:ach (iCC"
:EI'1PL()YE~H'E; LI(~BIL.ITY: :: :Di,5. Lim
: : :Dj.s. Ei1}~J
.._:.._______._._________.M_________..._..._:_.._____.__"____'___MM'___:_'."'M'_'_'.'_"__"___:M'___.'.__.---l--.-.-.M..--....-------------
I crrHER : ::
I I I I
I I I I
I f I I
r I I I
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS=======:
.M.___..___________.__.....___________..._._.____.____...-------------.--.-..----....--.-...-.-.--.---......------.-------------------..--------
ATT:
Alan J. Ferri
:Should any of the above described policies be
ir?I..)c..Q]]Q~"I::)pi:nT'p t~(= ~~I-)]'l'?t]'r)I.1 rl~t~ .t~pr'p-)i'
I .... ..... _ ... o;.~ ._' . . ..... ....' .. .'M u_ .... ., I I... L:., ... . ..i..r. ~.. :- <:,. ~ 1;;;, 1 I M~ . -., L .,
:the ISSUIng comoanv wlll endeavor to mall 30
Id~~= "l\~].t'l.~r' r'0't]'-~ 't.l") th= r~l,.tl'~Jrptp l~")l~~l'
I -r.l. ;;:) l" ., ,1:._ I I.J ., t. ..... ,. ., \,--;; .... -.::;.. I. ....... .r -00 t 1... -. _.1:-.. 1J
:rJu' f~iilur'E~ to mail '''iuch notiC:f~ shall i.mpo'~:;€~ .
I I.)"') or.)"\ J' c - J.. ]. -J r' .') I" '1 ,,' '0 [') '}' '1 :, 'I'" I r)'.c '0 ['I" I I,}' ['I." II r) -) f) .~. ,., ."
: L ...,. J .:S. l., .. l,. I t. .. .. \;,;... .. .. .' .-) -. I <:.i. "'f t:... to . '1' l. oW 1 I 1;;.
.company, its agents or' re~re5entatives.
! . .. t"
CERTIFICATE HOLDER
City of Clearwater
Community Development Dept.
P.O. Bo:< 4748
Clearwater, Fla. 34618-4748
) ;.~l,:J~:i~:'F,;f~'i~~':l:{;W;;~:...,....~..,.._,.......,.........-..,...,.............,.....'''...,....,.....".......''........-
===================================================~==================
CERTIFICATE OF INBLlRANCE' (25--S 3/88) tIssue Da te 06/19/96
=======.~=====================================================================
ProdUter IThis certificate is issued as a matter of
BURKE-LEHMAN INSURANCE, INC. : infor-mation only and confers no ri9hts upon
2173 N .E. COACHMAN RD. : the cert i f ica t€~ ho lder. Th is cer't i f lca t€'~ does
CLEARWATER~ FLORIDA 34625 I nClt amend ie:<tend or a I ter cover-age afforded
TELEPHONE(~13)441-4914 :by the po icies below.
FAX*442-2409 :Company Letter A----------------------------
Code Sub Code lGeneral Agents Insurance Co. of America
ICompany letter B----------------------------
---------------------------------;
Insured lCompany Letter C----------------------------
Community Srv. Foundation, Inc. :
111 S. Barden Ave. ICompany Letter D---------------~------------
Clearwater, FI 34616 I
:Company Letter E----------------------------
,
,
COVERAGES==============================================-========================
This is to certify that ~olicies of insurance listed below have been issued to
the insured namedJabove for the period indicated notwithstanding any require-
ment, term or condition of any contract or ather document with respect to
which this certificate may be issued or may pertain, the insurance afforded by
the policies described herein is subject to all the terms, exclusions, and
conditions of such policies. Limits shown may have been reduced by paid claims.
-------------------------------------------------------------------------.-------
CIType of Insurance IPolicy Number IEff DatelExp Date'Liability limits
-:------------------------:--------------:--------:-------- ------------------
IGENERAL lIABILITY: : I General Aggregate
Alx Commercial General :BPP567251-01 '06/24/96106/24/97 1,0001.000
I liability: Prod-Lomp/Ops Agg.
: Claims Made x Occur. : excluded
: Owner's & Contractors: Per.& Adver. Inj.
: Protective I excluded -
: : lEach Occurence
: : :1,000~000
: : :Flre Damage
: : : 50,000
: : :Medical Expense
: : ,:excluded
_:________________________:______________ --______1______--:------------------
IALlTOMOBILE LIABILITY : :Comb. SinQle Limit
I Anv Auto I : ,-
: All Owned Autos : :
: Scheduled Autos :
: Hired Autos :
: Non-Owned Autos :
: Garage Liability :
I '
, I
-:---~--------------------:--------------- -------- -------- ------------------
:EXCESS LIABILITY :
, I
, I
I Other than Umbrella I ,
------------------------:--------------:-------- -------- ------------------
WORKER'S COMPENSATION : :
AND I :
EMPLOYER'S LIABILITY I :
, I
, I'
------------------------:--------------:--------:-------- ------------------
.OTHER : ::
I I I 1
i I i I
I I I'
I I 1 I
Bodily Injurv
(Person/Acciaent)
Property Damage
Occurr.
(:H~g rega te
Statutory
Each AccJ
Dis. Lil1l
Dis. Emp
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHIClES/RESTRICTIONS/SPECIAL ITEMS========
------------------------------------------------------------------------------
:Should any of the above described policies be
:cancelled before the expiration date thereof,
Ithe issuing company will endeavor to mail 30
:days written notice to the certificate holder,
:but failure to mail such notice shall impose
:no obligation or liability of any kind upon the
lcompany, its agents or representatives.
,
I
:------------------------------------------------
!AUT~RE~TAT~ I
= = :: = ::: = ::: ::: = ::: ::: = :::::: ::: ::: ::: = = ::: = ::: = :: = :: :: = = = ~ = = :::~ = ::: = ::: = = = :: ::: = ~ ::: ::: ~ ::: :: = = ::: :: ::: :: ::: :: ;::: =-" = = = ::::
CERTIFICATE HOLDER
City of Clearwater
Community Development Dept.
P.O. Box 4748
Clearwater, Fla. 34618-4748
ATT: Alan J. Ferri
P 1"Odl..\c: ii.i': ('
BURKE-LEHMAN INSURANCE, INC.
2173 N.E. COACHMAN RD.
CLEARWATER~ F~ORIDA 34625
TELEPHONE(~13)441-4914
FAX#442-2409
CDdr,;!
l'IAR 3' 95 10: 15
CE~TIFICATFOF INS~R~t'F
. ,- ". .... .... ..- .~. ....
.............. ,... '.', ,."
........-...... '"- "...
......'..h...,.... '...
BURI<E -LE Hr'IAH
IHS
PAGE.01
~';:;ub
:I. ;'1',::1,.,1. f'c!d
Community Srv. Foundation,
111 s. Gard~n Ave.
Clearwat~r, Fl 34616
C;ude
I"
" l"~\ ~',:..... b't" / f:n;:: ) : ',,;~",:.l ('; Jh t 0' <) 7 /2 6/94
.:: :::: ~;! i:ii ;:7j ;;:~ ij~:: ~,l~ ;':;; ;;; ;;;~ il" ,::: 1::: . ~~ :.:;: ::~: ;'::. ... .... ..,. ,,,. :::: ::,; :::. ::.: ::.:: .~:: ::", ~l:: :.~: :::: ~':. :::' :::: I::. :.-:: :.:::. ".::: I::; :~:: :j~ ~:; :::: :r.: j:;; it;; .
iI' h :i, ':::; 0:::: (:'::' I' t :i, t j '::: .::; t fli~ :i, 'iii ]:,ii ';,Ii U ~:,' cI ,,~. 'i, a in.1 t; t: r~ r'" Cl 'f'
: it I'd tH'ITlH \; 'j (J ':' Cl '.ll Y. H !',d C. O.lt f ~~H"~") no \":~ l) h bi up 0 n'
, r: 1"1 t:' c n Y" l-; :t. 'I" :I. c::;; t; c'~ ") C) J d ('1 1'.. r h 1 ~::j C ".0 r' t; 1 f j, c: a t; t:' cll:lI.
: ned; ;;\(\I(t('I'\d. f~\:< t('.:~rid tH' !'l.l. t~n' 1.:" """d":'"Y"HCj "?' m f 'f'nr'dr,'~cI
:by the policies below. ..
i~~~~~~r k::~~~ ~~;~;;~~;-~~:~~~-~;;;i~;----
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LRttmr E-------------------------__
CUVSRAG[S~z~~m~~z=~~== -----~~m=~nH==~G~.~~Hn~HH~nGUnHn.~.n.n.n.n...~...'n~n===
f 1"\ :t. l!1i :1. ':i!: \. (I C (:':.~ r' t; :i. 'r \1' '1.'.: I"l ~;.;. t j:'J (') J 'j c: i (,:,:~ ~!~~ C') -1' i 1'" ~::i U. 1" d. flC. ~7;:' 1.i. .~, :-; \',~~ \j b l~':-:Il '.J :..'J i, .'J, '.'1.~',: ;::; E'~ {',~~ r, .!, '::'1 :.:. '.l :~:':.:' '~:r t:
i.: ht:,' 'i. 1..'.,::;....1 j";':::'Cf rid, mCH:!' a h :::;.,1 c" f (") I' t I \ (;~ i) v' " 1 :-'Jd 1 I III I I": ,l I. ~'! I ,"...,:, ,'! I ~,'" ", i :1: !'lei I" '::,1 "ll'\. ':..: '", ,~1 f',:,.-.
fII('ilnl';, h':)I",)j CH" .:':UII\:I.1'I:;;("11'I (It JIll 1'" ('\)IILr'~(..1'. U:' (JI"I,I'''' 1,1"F""in~:"ll. \111'['.['11"'(':..:.1:\"""'. t'::
Ii: \:~ ;;:: c;: :.: '::) .~ I:i" ;'1 ~t' "il ~:, c.' ;;j (~;, .,1:: / ;', Ii ;~; ;~,:!;; . Ii: :,!~ r E! '.i (~.;' ~.:;~ ,; :~ ;,.;;: ,; ~~ ~,; t Il~ 'i~ ~ !,; '.j' 't' " ',~ 1\ :c~ ' t J~ I~~ ~~; 'i;" ~ n ::;~~; ::': '!i. ::.: ~;,; ~i' 0 ;'\ ,,~~ ':' CI ;,: ';~;:j d b
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...., .... "" ..... ..... .".. ..", .......... -.. ,"'.. ...~ ,.- ...,. ..- ,,'M ..._.._ "'M __ ..... __ ___'M .._ .__ 'M. ..._ _... ",,, ..... ..... ...".... ...., ."" '''t, .11.. '''" ,,,., "11' ..." "'" .,.., "". M'.. ..... ..,.. ..... "," ..... ,._. ,..,. ....._
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iEXCESS LIABILlfV
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DESCRIPTION OF OPLRATIONS/LDCATIONB/VEHICLES/RESTRICTIONB/SPECIAL lrEMGG..G~~~
CERTIFICATE HOLDER
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:~:;'l()UUj d,ny D1" the;' ;'tiJD'.'(." dla~:;;(:;:I"ii:H:'(:J pol i.r:i\:;:~i::; b~~
lcancplled' bef6re ~hG R~pirati0n dat8 thmre~f,
City of Clear"j;it~r :t;IH:~ l:o~:,ulnc, C:Dinp~lny lAIll1 f:,rHj.;;iliiJ....':::i\" tel Ilm1.! .::.0
Commun i ty DlCve lopmen t D~p t . : d.\ >" ,,; ,.\11" i. t: 'b:'Hl no t i. c~.,' '1';.:1 thf'i) ce r' t i '( .i. Cis, t ,'". IHJ ,1 dr~;" ,
P.O. BOl< 4748 :bu(failur'E:-' to rr,'!:,ii, ':c,uch noticE"" ~';Ih<i,i,l ;j,'-'q::'C,I;i,':)
Clearl</ater, Fla. 34618-4748 :fln obli.qation en liabiJit;), U('.U"'i.kinci up':::n the.
ATT; Alarl J. Ferri BECE :CCllnp'~r'y" ,'toe; <'\c!prd;F, cH' r'f::tph::?("G'I..,I:;,;It;l'';(,.~:;. .
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