COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM AGREEMENT (3)• COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM AGREEMENT BETWEEN
THE CITY OF CLEARWATER, FLORIDA AND CLEARWATER NEIGHBORHOOD HOUSING
SERVICES, INC.
THIS CDBG AGREEMENT (hereinafter the "Agreement") is made and entered into
by and between the City of Clearwater, a Florida municipal corporation, with a principal
address of P.O. Box 4748, Clearwater, Florida 33758, (hereinafter referred to as the "City"), and
Clearwater Neighborhood Housing Services, Inc., a Florida non-profit corporation, with a
principal address of 608 North Garden Avenue, Clearwater, FL 33755 (hereinafter referred to as
"CNHS" or "Subrecipient").
WITNESSETH:
WHEREAS, the Community Development Block Grant Program ("CDBG") is
administered by the United States Department of Housing and Urban Development ("HUD");
WHEREAS, the City is an entitlement community that receives CDBG funds awarded
under the Housing and Community Development Act of 1974, in furtherance of its goal of
promoting community development and improvement of public facilities, as further detailed in
the Consolidated Plan for Housing and Community Development Programs 2016-2020;
WHEREAS, CNHS is a private non-profit corporation that provides foreclosure
counseling;
WHEREAS, CNHS submitted a proposal to utilize $20,000 in FY 2019-2020 CDBG
funds to enable CNHS to provide foreclosure counseling services;
WHEREAS, these services are an eligible activity under the CDBG program in
accordance with 24 CFR §570.201(e). It is a limited clientele activity and meets a national
objective as required under 24 CFR §570.200(a)(2) and 24 CFR §570.208(a)(2);
WHEREAS, in response to the Coronavirus Pandemic (COVID-19) the United States
Department of Housing and Urban Development (HUD) has eliminated the restriction that
participating jurisdictions cannot spend in excess of fifteen percent (15%) of its 2019-2020
CDBG allocation to fund additional public service programs to prevent, prepare for, and respond
to COVID-19;
WHEREAS, CNHS has available the necessary qualified personnel, facilities, materials
and supplies to perform such services and/or carry out such programs for these residents, who
are eligible and qualified to receive said services and are within the income limits for low- and
moderate -income persons as defined by HUD and adjusted annually, and which current income
levels are attached hereto as Exhibit "A" and incorporated herein by reference.
NOW THEREFORE, in consideration of the mutual covenants and agreements
contained herein, and for other good and valuable consideration, the sufficiency and receipt
whereof being hereby acknowledged, the City and CNHS agree as follows:
CNHS, Inc.
FY19-20 CDBG Agreement FC Page 1
SECTION 1: SCOPE OF SERVICES AND USE OF FUNDS
1. Recitals. The recitals set forth above are true and correct and are incorporated herein
and made a part of this Agreement.
2. National Objectives and Use. Subrecipient certifies that the activities carried out with
the funds provided under this Agreement will meet the CDBG program national objective of
benefiting low- and moderate -income persons as required under 24 CFR §570.200(a)(2) and
24 CFR §570.208(a)(2).
3. The Grant. Under the terms and conditions of this Agreement, the City has allocated
a subaward to Subrecipient in the amount of TWENTY THOUSAND DOLLARS AND
00/100 CENTS ($20,000.00) in FY 2019-2020 CDBG funds towards the project, as defined
below. Pursuant to 2 CFR §200.331, the required subaward information is attached as Exhibit
"B". Any funds remaining unexpended or not disbursed to Subrecipient by the City as of the
termination date of this Agreement may be deobligated from this Agreement and made available
for other City projects as determined by the City.
4. Statement of Work/Program and Project Description. Subrecipient provides
foreclosure counseling. The subrecipient will provide foreclosure counseling services, at an
amount not to exceed $850 for each client, that will benefit approximately 50 low- to moderate -
income City of Clearwater residents according to HUD income guidelines attached hereto as
Exhibit "A" (hereinafter referred to as the "Project"). Additional requirements for the Project
are attached hereto as Exhibit "C" and made a part hereof by this reference. The Budget for this
Project is attached as Exhibit "D" and made a part hereof by this reference.
5. Goals and Performance Measures: Implementation Schedule. Subrecipient agrees
to work diligently towards the completion of the Project and complete the Project by September
30, 2020. HUD requires the City to timely spend its CDBG funds. Therefore, it is critical that
Subrecipient complies with applicable time deadlines. Time is of the essence. Subrecipient's
failure to work diligently toward timely completing the Project and incidents of
non-performance may result in conditions being placed on the grant funds, suspension of grant
funds, or the City may cease disbursing funds pursuant to this Agreement so that the City can reallocate
the funds for other uses or projects.
6. Performance Monitoring. The City will monitor Subrecipient's performance against
goal and performance standards and compliance with the terms of this Agreement as required
herein. Further monitoring requirements are set forth in Section 2 herein. Substandard
performance as determined by the City will constitute non-compliance with this Agreement. If
action to correct such substandard performance is not taken by Subrecipient within thirty (30)
days after being notified by the City, the City will terminate this Agreement and all funding will
end. Subrecipient must return any CDBG funds within 5 days of the Economic Development
and Housing Department Director's or Assistant Director's written request.
7. Expenditure of Funds/Budget. Subrecipient shall use the grant proceeds for eligible
expenses permitted under the CDBG regulations as set forth in 24 CFR part 570 and in
accordance with the Budget attached hereto as Exhibit "D" and made a part hereof by this
reference. Any changes in budget line items, including additions, must be requested in writing
CNHS, Inc. FY19-20 CDBG Agreement FC Page 2
and must be approved in writing by the Economic Development and Housing Department
Director or Assistant Director before related expenditures can be undertaken. Subrecipient shall
be responsible for any cost overruns above the grant amount of $20,000. Subrecipient shall not
use any CDBG funds for prohibited activities as set forth in 24 CFR §570.207. Notwithstanding
anything to the contrary in this Agreement, the City also reserves the right to request and
approve documentation supporting any requests for reimbursement to verify the reasonableness
and validity of such costs and said Budget may be modified by the City accordingly.
Subrecipient acknowledges and agrees that any funds not used in accordance with permitted
CDBG regulations and the Budget must be repaid to the City.
8. Term. This Agreement shall be in effect for the period commencing on the effective
date hereof and terminating on September 30, 2020. Costs may not be incurred after September
30, 2020. Notwithstanding anything herein to the contrary, Subrecipient's obligations to the City
shall not end until all close-out requirements are completed, including, but not limited to, such
things as making final payments, disposing of program assets, and retention of records. Also,
notwithstanding the foregoing, the term of this Agreement and the provisions herein shall be
extended to cover any additional time period during which Subrecipient remains in control of
CDBG funds or other assets, including Program Income or for any HUD audits requiring
repayment of any funds unlawfully spent under this Agreement.
SECTION 2: ADMINISTRATIVE REQUIREMENTS
1. Applicable Laws and Regulations. Subrecipient shall comply with the
requirements of the Housing and Community Development Act of 1974, as amended, all CDBG
program requirements, 24 CFR Part 570, and other laws and regulations and regulatory guidance
governing the use of these funds, whether set forth herein or not, and any amendments or policy
revisions thereto which shall become effective during the term of this Agreement. It is
Subrecipient' s responsibility to read, understand, and comply with these laws and
regulations. In addition, Subrecipient shall abide by any and all other applicable federal or state laws,
rules, regulations, HUD guidance, and policies governing the funds provided under this Agreement,
whether presently existing or hereafter promulgated. Subrecipient shall also comply with all other
applicable federal, state or local laws, statutes, ordinances, rules and regulations.
2. Uniform Administrative Requirements and Cost Principles. Subrecipient
shall comply with the uniform administrative requirements specified at 24 CFR §570.502 and
§570.610. Subrecipient also agrees to comply with the provisions of the Uniform Administrative
Requirements, Cost Principles, and Audit Requirements set forth in 2 CFR part 200 and adopted
by HUD at 2 CFR part 2400. Although 2 CFR part 200 addresses many requirements, some of
the items it addresses includes, but is not limited to, standards for financial and program
management, property and procurement standards, performance and financial monitoring and
reporting, subrecipient monitoring and management, record retention and access, remedies for
noncompliance, FFATA, and closeout. Subrecipient is aware and acknowledges that 2 CFR part
200 and 2 CFR part 2400 are recent regulatory changes to the administrative requirements and
HUD is in the process of developing guidance on their specific requirements. Although this may
change the administrative requirements set forth herein, Subrecipient will comply with whatever
guidance HUD requires. Subrecipient also agrees to adhere to the accounting principles and
procedures required therein, utilize adequate internal controls, maintain necessary source
documentation for all costs incurred, and submit an indirect cost allocation plan, if such plan is
CNHS, Inc. FY19-20 CDBG Agreement FC Page 3
required. Subrecipient also agrees to comply with the Program Requirements set forth irk
Exhibit "E" which is attached hereto and incorporated herein by this reference.
3. Procurement/Subcontracting/Third Party Contracts. If Subrecipient hires
contractors, Subrecipient shall procure all material, property, or services in accordance with
state and local requirements and the requirements of 2 CFR §200.318-§200.326. Third parties
may be procured for a variety of services. Subrecipient shall insure that all subcontracts let in
the performance of this Agreement shall be awarded on a fair, full, and open competition basis
in accordance with applicable procurement requirements and secure at least three (3) price
quotes or bids, as applicable. Subrecipient shall incorporate in any and all bid documents and
contracts with third parties the provisions required in 2 CFR §200.326 including, but not limited
to, provisions which will obligate each of its subcontractors to comply with all notices
pertaining to HUD guidelines such as bidding procedures, Davis Bacon, Equal Employment
Opportunity requirements, Section 3 requirements, all affirmative action laws,
nondiscrimination requirements, anti -kickback requirements, federal labor standard provisions,
and lobbying prohibitions issued by various federal agencies applicable to the CDBG program.
Subrecipient shall not enter into any subcontract with any entity, agency or individual in the
performance of this Agreement without the written consent and approval of the City's Economic
Development and Housing Department prior to execution of the agreement or contract.
Subrecipient agrees to furnish to the Economic Development and Housing Department a copy of
each third -party contract it enters into an agreement with for the performance of work to be
undertaken within the scope of this Agreement along with documentation concerning the
selection process. The lowest and most responsive bidder shall be recommended by Subrecipient
to the City's Economic Development and Housing Department. Subrecipient shall require and
monitor compliance by all contractors, subcontractors and other third parties. Subrecipient will
monitor all subcontracted services on a regular basis to assure contract compliance. Results of
monitoring efforts shall be summarized in the monthly report. The City shall not be obligated or
liable hereunder to any party Subrecipient enters into agreements with for the Project.
4. Records to be Maintained. Subrecipient shall maintain all records required by 2
CFR part 200, 24 CFR §570.506, and 24 CFR §570.502 regarding records that must be
maintained for the Project. Such records shall include but are not limited to:
a.) Records providing a full description of each activity undertaken and its CDBG
eligibility, including its location, and the amount of CDBG funds budgeted,
obligated, and expended for the activity;
b.) Records demonstrating that each activity undertaken meets one of the national
objectives of the CDBG program (i.e. the criteria set forth in 24 CFR §570.208); to
support activities by a limited clientele, Subrecipient must obtain data showing the
family size and annual income of each person receiving the benefit and that at least
51% of those served are low- and moderate -income persons;
c.) Records required to determine the eligibility of activities;
d.) Records for each activity carried out for the purpose of providing or improving
services and programs which is determined to benefit low- and moderate -income
persons including the total cost of the activity, including both CDBG and non-
CDBG funds and the size and income and eligibility of each person or household;
CNHS, Inc. FY19-20 CDBG Agreement FC Page 4
e.) Records required to document the acquisition, improvement, use or disposition of real
property acquired or improved with CDBG assistance;
f.) Records which demonstrate compliance with the requirements in 24 CFR §570.505
regarding any change of use of real property acquired or improved with CDBG
assistance;
g.) Records that demonstrate compliance with citizen participation
requirements;
h.) Records which demonstrate compliance with requirements in 24 CFR §570.606
regarding acquisition, displacement, relocation, and replacement housing;
i.) Records documenting compliance with all Fair Housing and Equal
Opportunity regulations;
j.) Financial records that document all transactions and that can be properly documented
and audited, as required by 24 CFR §570.502 and 2 CFR part 200;
k.) Records and agreements related to lump sum disbursements to private
financial institutions for financing rehabilitation as prescribed in 24 CFR
§570.513;
1.) Other records necessary to document compliance with Subpart K of 24 CFR part
570;
m.) Copies of all bid documents, bids received, Requests for Proposals, Requests for
Qualifications, and any other procurement documents;
n.) Copies of all third party or subcontracts; and
o.) Detailed records of Subrecipient's organization, financial and administrative systems,
and the specific CDBG-funded project or activities.
Please note that the above descriptions are brief and provide only a summary of the
records Subrecipient is required to maintain. Subrecipient agrees to consult 2 CFR part
200 and 24 CFR §570.506 for a detailed description of the required records.
5. Retention of Records. All records must be accurate, complete and orderly.
Subrecipient shall retain all accounting records, financial records, statistical records, supporting
documents, source documentation to support how CDBG funds were expended, and all other
documents pertinent to the Project and this Agreement in accordance with the requirements of
2 CFR part 200 as modified by 24 CFR §570.502, plus a five (5) year retention period. This
retention period begins on the date of the submission of the City's Annual Performance and
Evaluation Report (CAPER) to HUD in which the activities assisted under the Agreement are
reported on for the final time.
CNHS, Inc.
FY19-20 CDBG Agreement FC Page 5
Notwithstanding the above, 2 CFR §200.333 states that Subrecipient may need to'
keep the records for longer if they fall into one of the following exceptions: if any records are
the subject of any litigation, claim, or audit that started before the expiration of the five (5) year
period, then such records must be kept until such litigation, claims, or audit findings have been
resolved, completed and final action taken; records for any displaced person must be kept for
five (5) years after he/she has received final payment; records for any real property and any
equipment acquired with these funds shall be retained for five (5) years after final disposition; if
Subrecipient is notified by the City, HUD, its cognizant agency for audit, its oversight agency
for audit, its cognizant agency for indirect costs, or the City to extend the retention period;
records for program income after the period of performance; and indirect cost rate proposals and
cost allocation plans.
6. Monitoring and Inspections/Access to Records. Subrecipient shall monitor the
progress of the Project covered by this Agreement and shall submit appropriate reports to the
City. The City shall monitor Subrecipient's performance and financial and programmatic
compliance. Subrecipient shall allow on-site monitoring of the Subrecipient's facility and this
Project on as frequent a basis as the City deems necessary and at any other time that may be
required by HUD to determine compliance with CDBG regulations and this Agreement.
Subrecipient shall also furnish and cause each of its own subcontractors, if any, to furnish all
information and reports required hereunder and will permit access to its books, records and
accounts by the City, HUD, or any other authorized official or designee for purposes of
investigation to ascertain compliance with the rules, regulations, and provisions stated herein.
All files, records, and documents, including financial statements and data, shall be
made available for review to the City's Economic Development and Housing Department, any
auditors, the City's Office of Internal Audit, Comptroller General, HUD, the Inspector General,
and/or any of their authorized representatives, who shall have access to and the right to audit,
examine, inspect, make transcripts or excerpts of any of the above records, documents, or papers
related to the Project or to meet any HUD requirements during normal business hours and any
other reasonable time requested. This right also includes timely and reasonable access to
Subrecipient's personnel for the purpose of interviewing and discussion related to said
documents. This same right to review and access will be imposed upon any third party or
subcontractor and it is Subrecipient's responsibility to ensure that any contract entered into
with third parties contain all necessary clauses and language required by the City and/or HUD
to ensure compliance with this Agreement and with all federal, state, and local laws and
regulations. This section shall survive termination of this Agreement.
7. Audits and Financial Statements.
(a) Subrecipient shall comply with 2 CFR part 200 Subpart F — Audits. In
accordance with 2 CFR §200.510, Subrecipient shall prepare financial statements and a schedule
of expenditures of federal awards. Subrecipient shall provide the City with its annual financial
statement within ninety (90) days of the end of its operating year. This financial statement shall
be prepared by an actively licensed public accountant.
(b) In addition, if expending more than $750,000 of Federal awards during an
operating year, Subrecipient shall comply with the audit provisions contained in 2 CFR subpart
F and the Single Audit Act Amendments of 1996 (31 U.S.C. §§7501-7507). Audits shall be
CNHS, Inc. FY 19-20 CDBG Agreement FC Page 6
conducted annually. Subrecipient shall submit its annual audit to the City and within one
hundred twenty (120) days of the end of Subrecipient's fiscal year. Subrecipient must clear any
deficiencies noted in the audit reports within 30 days after receipt of any noted deficiencies. In
the event the audit shows that the entire funds disbursed hereunder, or any portion thereof, were
not expended in accordance with the conditions of this Agreement, Subrecipient shall be held
liable for reimbursement to the City of all funds not expended in accordance with those
regulations and Agreement provisions within thirty (30) days after City has notified
Subrecipient of such non-compliance. Any reimbursement by Subrecipient shall not preclude
the City from taking any other action or pursuing other remedies. Failure to comply with these
audit requirements constitutes a violation of the Agreement and may result in the withholding of
future payments. If Subrecipient expends less than $750,000 in federal awards during its fiscal
year, they are exempt from this requirement, except as noted in 2 CFR §200.503, but records
must be available for review or audit by appropriate officials of HUD, the City, or GAO.
(c) Subrecipient also agrees to allow the City's Internal Audit Department, or any of
the City's other departments or representatives, to conduct any audits or financial monitoring
the City feels necessary at any time during the term of this Agreement or pursuant to any HUD
request.
8. Program Income. Subrecipient shall report all Program Income, as defined
and required at 24 CFR §570.500 and 24 CFR §570.504, in a monthly report to the City's
Economic Development and Housing Department. Documentation of the receipt of Program
Income, such as supporting schedules identifying the project and the source of income, must
be submitted to the City within five (5) days of its receipt. At the end of the program year or
upon expiration or earlier termination of this Agreement, Subrecipient shall transfer all CDBG
Program Income to the City within five (5) days of the expiration or termination of this
Agreement. If Subrecipient receives any Program Income after this Agreement expires or is
terminated, Subrecipient shall immediately remit said Program Income balances to the City as
required in 24 CFR §570.503(c) within five (5) days of receipt. If applicable, Subrecipient
shall file reports of Program Income as set forth in the below section entitled "Reports".
9. Reports. Subrecipient shall file reports in accordance with the Reporting
Schedule attached as Exhibit "F". Subrecipient shall provide the City's Economic
Development and Housing Department with monthly, quarterly, and annual reports concerning
the progress made on the Project, in the form attached hereto as Exhibit "G-2". The report
shall include the following information:
(1) name and address of each client served; (2) narrative statement of the services provided to
each client; selection of any contractors, utilization of MBE/WBE's, and (3) such other
information as may be considered appropriate by the City, such as client data demonstrating
client eligibility including, but not limited to, ethnicity, race, gender, age, head of household,
income level, or other basis for determining eligibility. Subrecipient shall also submit the
demographic information as to gender and race and income on the Report attached as
Exhibit "G". Subrecipient shall also file a Personnel Activity Report for personnel activities
including but not limited to duties performed and time allocated in the form attached hereto as
Exhibit "G-3", or on such forms provided by the City. Subrecipient shall also file and report on
such other information as may be considered appropriate by the City. The monthly report shall
be due on the 10th of each month for activities conducted during the preceding month. The
quarterly reports are due the 10th day of the month following the end of the quarter for March,
CNHS, Inc. FY19-20 CDBG Agreement FC Page 7
June, September, and December. Annual reports are due by October 15, 2019 for activities
conducted during the preceding year (Example: October 1, 2018 — September 30, 2019).
10. Reversion of Assets. The reversion of assets and use and disposition of real
property and equipment under this Agreement shall be in compliance with the
requirements of 2 CFR §200.311 and §200.313, 24 CFR §570.502, §570.503, §570.504, and §570.505,
as applicable, which include but is not limited to the following:
1. Subrecipient shall transfer to the City any CDBG funds or Program Income on hand
at the time of expiration or termination of this Agreement and any accounts receivable
attributable to the use of CDBG funds as required by 24 CFR §570.503 (b)(7); and
2. If this Agreement involves real property under Subrecipient's control that was
acquired or improved, in whole or in part, with CDBG funds in excess of $25,000, then the real
property:
a) shall continue for a period of five (5) years following the expiration of this
Agreement to be used to meet one of the CDBG national objectives cited in 24 CFR §570.208;
or
b) if Subrecipient fails to use the property in accordance with paragraph (a) above,
Subrecipient shall pay the City an amount equal to the current fair market value of the property
less any portion of the value attributable to expenditures of non-CDBG funds for the acquisition
or improvement to the property. The payment shall be considered Program Income to the City.
11. indirect Costs. If applicable and requested by the City, Subrecipient shall
develop an indirect cost allocation plan in accordance with 2 CFR part 200 for determining the
appropriate share of administrative costs and shall submit such plan to the City for approval in a
form specified by the City. This indirect cost allocation plan must be submitted before any funds
will be disbursed under this Agreement.
12. Payment Procedures/Reimbursement of Funds. This is a cost reimbursement
agreement. Reimbursement of funds under this Agreement may be requested only for necessary,
reasonable, and allowable costs described in the Budget, attached hereto as Exhibit "D" and for
which Subrecipient has made payment. Upon compliance with the terms of this Agreement, the
City will reimburse funds only after completion of the work and after receipt and approval by
appropriate City personnel of the "Request for Payment" form (to be printed on Subrecipient's
letterhead) attached hereto as Exhibit "H". Requests for Payment shall be submitted no more
frequently than once a month and shall be in accordance with the Budget specifying the
services performed and expenses incurred. Upon compliance with the terms of this Agreement,
the City will reimburse funds to Subrecipient for the Project after the completion of the work
has been verified and approved by the Economic Development and Housing Department and
after receipt and approval by appropriate City personnel of a "Request for Payment" which shall
be in accordance with the Budget specifying the expenses incurred. All Requests for Payment
must be accompanied by adequate billing documentation of payment for eligible expenses (i.e.
invoices, costs, receipts, bills from vendors, copies of checks, lien waivers, affidavits,
applications, certifications, time sheets) and other supporting documentation the City may
request. Requests for Payment shall include adequate documentation of expenditures and all
CNHS, Inc.
FY19-20 CDBG Agreement FC Page 8
other information described in Exhibits "E — G-3", attached hereto and incorporated herein by
reference. No interest shall be earned on grant proceeds. All Requests for Payment submitted to
the City must be signed by an authorized signatory of Subrecipient and certified in accordance
with 2 CFR §200.415. Notwithstanding anything to the contrary in this Agreement, the City also
reserves the right to request and approve documentation supporting any Requests for Payment to
verify the reasonableness and validity of such costs and such Budget may be modified by the
City accordingly.
Notwithstanding anything herein to the contrary, Subrecipient shall not request
payment from the City under this Agreement for any portion which has been paid from another
source of revenue and further agrees to utilize funds available under this Agreement to
supplement rather than supplant funds otherwise available.
13. Withholding Payments. The City's obligation to reimburse Subrecipient is
conditioned on Subrecipient's full compliance with this Agreement. A breach of this Agreement
is grounds for non-payment by the City.
SECTION 3: DISPLACEMENT, RELOCATION, ACQUISITION, AND
REPLACEMENT OF HOUSING
1. Displacement. Relocation. Acuuisition and Replace ent of Housing. In
accordance with 24 CFR §570.606, Subrecipient shall take all reasonable steps to minimize the
displacement of persons as a result of activities funded under this Agreement. Any persons
displaced shall be provided with relocation assistance to the extent permitted and required under
applicable regulations. Subrecipient shall comply with 1) the Uniform Relocation Assistance
and Real Property Acquisitions Policies Act of 1970, as amended (URA), and the implementing
regulations at 49 CFR Part 24 and 24 CFR §570.606(b); 2) the requirements of 24 CFR
§570.606(c) governing the Residential Anti- displacement and Relocation Assistance Plan under
section 104(d) of the Housing and Community Development Act; and 3) the requirements in
24 CFR §570.606(d) governing relocation policies established by the City. Subrecipient shall
provide all notices, advisory assistance, relocation benefits, and replacement dwelling units as
required by said regulations, rules, and documents. Subrecipient shall provide relocation
assistance to persons (families, individuals, businesses nonprofit organizations and farms) that
are displaced as a direct result of acquisition, rehabilitation, demolition or conversion of a
CDBG assisted project. Subrecipient shall comply with 24 CFR §570.606 and shall keep all
records demonstrating compliance with these requirements including, but not limited to, those
records required in 24 CFR §570.506.
SECTION 4: PERSONNEL AND PARTICIPANT CONDITIONS
1. Non -Discrimination. Subrecipient shall always comply with sections 104(b),
107 and 109 of the Housing and Community Development Act of 1974, as amended, and
42 U.S.C.§5309,et. seq., 24 CFR §570.602 and 24 CFR Part 6. In accordance with Section 109 of the
Housing and Community Development Act of 1974, no person in the United States shall on the ground
of race, color, national origin, religion, or sex, be excluded from participation in, be denied the benefits
of, or be subjected to discrimination under, any program or activity funded in whole or in part with
CNHS, Inc. FY19-20 CDBG Agreement FC Page 9
CDBG funds. Subrecipient shall also comply with Title VI of the Civil Rights Act of 1964 (42 U.S.C:
§2000d, et seq.) (Non-discrimination in Federally -assisted Programs) and implementing regulations in
24 CFR Part 1. Title VI provides that no person in the United Sates shall on the grounds of race, color or
national origin be excluded from participation in, be denied benefits of, or be subject to discrimination
under any program or activity receiving federal financial assistance. HUD's Title VI regulations specify
types of prohibited discrimination. Subrecipient must not, for example, based on race, color, or national
origin deny a person housing or services; provide different housing or services than those provided
others; subject a person to segregation or separate treatment in the receipt of housing or services; use
different admission or eligibility requirements for housing or services; or select a housing site or location
with the purpose or effect of excluding or denying benefits to persons in protected classes.
Subrecipient shall also not discriminate based on age under the Age Discrimination Act
of 1975 (42 U.S.C. §6101, et. seq.) and the implementing regulations contained in 24 CFR
Part 146, or based on disability as provided in Section 504 of the Rehabilitation Act of 1973,
and the implementing regulations contained in 24 CFR Part 8. Any contracts entered into by
Subrecipient shall include a provision for compliance with these regulations. Subrecipient
shall keep records and documentation demonstrating compliance with these regulations.
2. Equal Employment Opportunity. Subrecipient shall comply with 24 CFR
§570.607, Executive Order 11246, as amended by Executive Orders 11375, 11478, 12086, and
12107 (Equal Employment Opportunity Programs), and Executive Order 13279 (Equal
Protection of the Laws for Faith Based Community Organizations) and the implementing
regulations in 41 CFR Part 60, and the provisions of the Equal Employment Opportunity Clause
attached hereto as Exhibit "I", and made a part hereof by this reference. Any contracts or
subcontracts entered into by Subrecipient or its contractors shall also require compliance with
these regulations and will, in all solicitations or advertisements for employees state that
Subrecipient is an Equal Opportunity/Affirmative Action employer and attach this clause.
Subrecipient shall keep records and documentation demonstrating compliance with these
regulations.
3. Handicapped Accessibility Reauirements. Subrecipient shall comply with
the Architectural Barriers Act of 1968 (42 U.S.C. §§ 4151-4157), the Uniform Federal
Accessibility Standards, as set forth in 24 CFR §570.614, the Americans with Disabilities Act
of 1990 (42 U.S.C. §12131) and its implementing regulations in 28 CFR Parts 35 and 36, Section 504
of the Rehabilitation Act of 1973 and the implementing regulations in 24 CFR Part 8, and all state and
local laws requiring physical and program accessibility to people with disabilities. Any contracts
entered into by Subrecipient shall include a provision for compliance with these regulations.
Subrecipient shall keep records demonstrating compliance with these regulations.
4. Utilization of Minority/Women's Business Enterprises. Subrecipient must
take all necessary steps to ensure that minority/women' s business enterprises are used when
possible, including for consideration for participation in all construction, supply or service
contracts or in the performance of this Agreement. Affirmative steps include those items
required in 2 CFR §200.321 which include 1) placing qualified small and minority businesses
and women's business enterprises on solicitation lists; 2) assuring that small and minority
businesses and women's business enterprises are solicited whenever they are potential
sources; 3) dividing total requirements, when economically feasible, into smaller tasks or
quantities to permit maximum participation by small and minority businesses, and women's
business enterprises; 4) establishing delivery schedules where the requirement permits which
CNHS, Inc.
FY19-20 CDBG Agreement FC Page 10
encourage participation by small and minority businesses, and women's business enterprises;
5) using the services and assistance, as appropriate, of such organizations as the Small
Business Administration and the Minority Business Development Agency of the Department
of Commerce; and 6) requiring the prime contractor, if subcontracts are to be let, to take the
affirmative steps listed in 1-5. Subrecipient shall also comply with Executive Order 11625, as
amended by Executive Order 12007 (Minority Business Enterprises); Executive Order 12432
(Minority Business Enterprise Development); and Executive Order 12138, as amended by
Executive Order 12608 (Women's Business Enterprise). Any contracts entered into by
Subrecipient shall include a provision for compliance with these regulations. Subrecipient
shall keep records demonstrating compliance with this provision.
5. Political Activities. Subrecipient shall comply with 24 CFR §570.207(a)(3)
regarding political activities. CDBG funds shall not be used for lobbying or political patronage
activities. Subrecipient further agrees that no funds provided, nor personnel employed under
this Agreement, shall be in any way or to any extent be engaged in the conduct of political
activities in violation of Chapter 15 of Title V, United States Code (Hatch Act) or 24 CFR
§570.207(a)(3).
6. Anti -Lobbying Provision. Subrecipient shall comply with the requirements set
forth in 31 U.S.C. §1352 and implementing regulations at 24 CFR Part 87. Subrecipient and
any contractors who apply or bid for an award of $100,000 or more shall execute and comply
with the "Certification Regarding Lobbying" attached hereto as Exhibit "J" and made a part
hereof by this reference. Subrecipient shall execute the "Certification Regarding Lobbying"
and a copy shall be kept in the files of each of the parties of this Agreement.
7. Conflict of Interest. In the procurement of supplies, equipment, construction,
and services, Subrecipient shall comply with the conflict of interest rules in 2 CFR part 200.
Subrecipient agrees and warrants that it will establish and adopt written standards of conduct
governing conflicts of interest and the performance of its officers, employees, or agents engaged
in the selection, award and administration of contracts supported by these federal funds. At a
minimum these safeguards must ensure that no employee, officer or agent must participate in
the selection, award, or administration of a contract supported by a Federal award if he or she
has a real or apparent conflict of interest. Such a conflict of interest would arise when the
employee, officer, or agent, any member of his or her immediate family, his or her partner, or an
organization which employs or is about to employ any of the parties indicated in 2 CFR
§200.318, has a financial or other interest in or a tangible personal benefit from a firm
considered for a contract. The officers, employees, and agents of Subrecipient must neither
solicit nor accept gratuities, favors, or anything of monetary value from contractors or parties to
subcontracts. These standards of conduct must also provide for disciplinary actions to be applied
for violations of such standards by officers, employees, or agents of Subrecipient. If
Subrecipient has a parent, affiliate, or subsidiary organization, Subrecipient must also maintain
written standards of conduct covering organizational conflicts of interest.
In all cases not governed by 2 CFR part 200, Subrecipient shall comply with the conflict
of interest provisions contained in 24 CFR §570.611. Such cases include the acquisition and
disposition of real property and the provision of assistance by Subrecipient to individuals,
businesses, and other private entities under eligible activities that authorize such assistance.
Although this summary does not intend to replace 24 CFR §570.611, essentially this rule
CNHS, Inc.
FY19-20 CDBG Agreement FC Page 11
states that no "person" described in §570.611(c) who exercise or have exercised any
functions or responsibilities with respect to activities assisted with CDBG funds, or who is in a
position to participate in a decision making process or gain inside information with regard to
these activities, may obtain a financial interest or benefit from a CDBG assisted activity, or have
an interest in any contract, subcontract or agreement with respect thereto, or the proceeds
thereunder, either for themselves or those with whom they have family or business ties, during
their tenure of for one year thereafter. The "persons" covered in 24 CFR §570.611(c)
include employees, agents, consultants, officers, or elected officials or appointed officials of the
recipient or of any designated public agencies or of Subrecipients that are receiving CDBG
funds. Subrecipient shall also keep records supporting requests for waivers of conflicts.
Subrecipient will disclose in writing any potential conflicts of interest to the City. By
executing this Agreement, Subrecipient covenants and certifies that none of its employees,
officers, or agents described in these regulations have any interest in this Agreement or the
Property being rehabilitated or any other interest which would conflict in any manner with this
Agreement or the performance of the this Agreement.
8. ,Section 3 of the Housing and Urban Development Act of 1968/Equal
Opportunity. Subrecipient shall comply with the provisions of Section 3 of the Housing and
Urban Development Act of 1968 (12 U.S.C. §1701u) and its implementing regulations
contained in 24 CFR Part 135 regarding economic opportunities for low income persons and
the use of local businesses, if applicable. Subrecipient shall comply with the provisions of the
"Section 3 Clause", attached hereto as Exhibit "K" and made a part hereof by this reference,
and require all subcontracts to contain a copy of the Section 3 clause. Subrecipient shall also
keep records demonstrating compliance with these regulations, including 24 CFR
§570.506(g)(5).
9. Faith -based Activities. Subrecipient shall comply with Executive Order
13279, 24 CFR §5.109 (Equal Participation of Religious Organizations in HUD Programs and
Activities), and 24 CFR §570.200(j). Essentially, these regulations provide for the following:
(a) Equal treatment of program participants and program beneficiaries.
(1) Program participants. Organizations that are religious or faith -based are
eligible, on the same basis as any other organization, to participate in the CDBG program.
Neither the Federal Government or a State or local government receiving funds under the
CDBG program shall discriminate against an organization based on the organization's
religious character or affiliation.
(b) Separation of inherently religious activities. Organizations that are directly funded
under the CDBG program may not engage in inherently religious activities, such as
worship, religious instruction, or proselytization, as part of the programs or services
funded. If an organization conducts such activities, the activities must be offered
separately, in time or location, from the programs or services funded under this part, and
participation must be voluntary for the program beneficiaries of the HUD -funded
programs or services provided.
CNHS, Inc.
FY19-20 CDBG Agreement FC Page 12
(c) Religious Identity. A religious organization that is a recipient or subrecipient of CDBG
program funds will retain its independence, autonomy, expression of religious beliefs, or
religious character. Such organization will retain its independence from federal, state, and
local governments, and may continue to carry out its mission, including the definition,
practice, and expression of its religious beliefs, provided that it does not use direct CDBG
funds to support any inherently religious activities, such as worship, religious instruction,
or proselytization. Among other things, faith -based organizations may use space in their
facilities to provide CDBG-funded services, without removing or altering religious art,
icons, scriptures, or other religious symbols. In addition, a CDBG-funded religious
organization retains its authority over its internal governance, and it may retain religious
terms in its organization's name, select its board members on a religious basis, and include
religious references in its organization's mission statements and other governing
documents.
(d) Beneficiaries. An organization that participates in the CDBG program shall not in
providing program assistance discriminate against a program beneficiary or prospective
program beneficiary based on religion or religious belief.
(e) Structures. CDBG funds may not be used for the acquisition, construction, or
rehabilitation of structures to the extent that those structures are used for explicitly religious
activities. CDBG funds may be used for the acquisition, construction, or rehabilitation of
structures only to the extent that those structures are used for conducting eligible activities
under this part. Where a structure is used for both eligible and inherently religious
activities, CDBG funds may not exceed the cost of those portions of the acquisition, new
construction, or rehabilitation that are attributable to eligible activities in accordance with
the cost accounting requirements applicable to CDBG funds. Sanctuaries, chapels, or other
rooms that a CDBG-funded religious congregation uses as its principal place of worship,
however, are ineligible for CDBG-funded improvements. Disposition of the real property
after the term of the loan or grant, or any change in use of the property during the term of
the grant or loan, is subject to government wide regulations governing real property
disposition (2 CFR part 200).
10. Drug Free Workplace. Subrecipient will provide a drug-free workplace.
Subrecipient shall comply with the Drug -Free Workplace Act of 1988 and implementing
regulations in 2 CFR Part 2429 regarding maintenance of a drug-free workplace. Subrecipient
shall complete and comply with the "Certification Regarding Drug -Free Workplace
Requirements" attached hereto as Exhibit "L" and made a part hereof by this reference.
Subrecipient shall ensure that the provisions of the clauses in Exhibit "L" are included in all
third -party contracts, subcontracts, and purchase orders that exceed ten thousand dollars
($10,000), so that the provisions will be binding upon each subcontractor or vendor.
Subrecipient will complete this certification and a copy shall be kept in the files of each of the
parties of this Agreement.
11. Program Requirements. Subrecipient agrees to comply and carry out all its
activities in accordance with the CDBG program requirements set forth in 24 CFR 570, subpart
K.
CNHS, Inc.
FY19-20 CDBG Agreement FC Page 13
12. Fair Housing Act and Nondiscrimination and Eaual Opportunity in Housing
under E.O. 11063. Subrecipient shall comply with the Fair Housing Act (42 U.S.C. §§3601-
3620) and implementing regulations at 24 CFR Part 100; and Executive Order 11063, as
amended by Executive Order 12259 (Equal Opportunity in Housing) and their implementing
regulations in 24 CFR Part 107. Executive Order 11063 prohibits discrimination based on race,
color, religion, or national origin or to be denied equal opportunity in housing or related
facilities (i.e. housing, rental, leasing, sale or other disposition of residential property).
Subrecipient shall keep records demonstrating compliance with this provision.
13. Resident Aliens. Subrecipient shall comply with the requirements set forth in
24 CFR §570.613 regarding eligibility restrictions for certain resident aliens.
14. Debarment and Suspension. Subrecipient shall comply with the debarment and
suspension requirements set forth in 24 CFR §570.609, which requires compliance with 24 CFR
Part 5 and 2 CFR Part 2424. Subrecipient shall not enter into a contract with any person, agency
or entity that s debarred, suspended or otherwise excluded from or ineligible for participation in
federal assistance programs under Executive Order 12549 or 12689, "Debarment and
Suspension," which is made a part of this Agreement by reference. In the event that Subrecipient
has entered into a contract or subcontract with a debarred or suspended party, no CDBG funds
will be provided as reimbursement for the work done by that debarred or suspended contractor
or subcontractor. Subrecipient shall keep copies of the debarment and suspension certifications
required by 2 CFR part 2424 and a copy of the sheet documenting that the federal debarment list
was checked.
15. Florida Statutes, Clearwater City Code, and Permits. Subrecipient agrees to
comply with all laws of the State of Florida and the Clearwater City Code. In particular,
Subrecipient shall comply with all licensing, registration, and other applicable laws and
regulations governing their ability to administer the Program and the activities in the Project.
16. Agreement between City and HUD. Subrecipient agrees that it shall be bound
by the standard terms and conditions used in the CDBG Agreement between the City and HUD,
and such other rules, regulations or requirements as HUD may reasonably impose in addition to
the conditions of this Agreement or subsequent to the execution of this Agreement by the parties
hereto.
17. Fees for Use of Facilities. Reasonable fees may be charged for the use of the
facilities assisted with CDBG funds, but charges such as excessive membership fees, which
have the effect of precluding low- and moderate -income persons from using the facilities, are
not permitted.
18. Registration. Subrecipient agrees to maintain a current registration in the federal
System for Award Management ("SAM") database (http://www.sam.gov) pursuant to the
Federal Funding Accountability and Transparency Act (FFATA), P.L. 109-282, as amended by
section 6202(a) of P.L. 110-252 and the regulations implementing the Act at 2 CFR part 25 and
2 CFR part 170. If Subrecipient is not currently registered, it must do so within ten (10) days of
the date Subrecipient executes this Agreement. A Dun and Bradstreet Data Universal
Numbering System (DUNS) Number (http://www.dnb.com) is required for registration.
Subrecipient shall also complete and sign the affidavit attached hereto as Exhibit "M" in
CNHS, Inc.
FY19-20 CDBG Agreement FC Page 14
conjunction with its execution of this Agreement and provide any supporting documentation, if
required.
19. Mandatory disclosures — Violations of Federal criminal law. Subrecipient
must disclose to the City all violations of Federal criminal law involving fraud, bribery, or
gratuity violations potentially affecting the Federal award. Failure to make required disclosures
can result in any of the remedies described in 2 CFR §200.338, includes suspension or
debarment. (See also 2 CFR part 180 and 31 U.S.C. §3321). By executing this Agreement,
Subrecipient warrants and certifies that no such violations of federal criminal law exist that
could potentially affect this award.
SECTION 5: ENVIRONMENTAL
1. Environmental Review Requirements. In accordance with 24 CFR §570.604
and 24 CFR Part 58, the activities under this Agreement are subject to environmental review
requirements. CDBG regulations require the preparation of an Environmental Review Record
(ERR) and environmental clearance before funds are expended or costs incurred. City staff will
prepare the ERR. Subrecipient is not required to assume responsibility for an environmental
review or assessment of this program pursuant to 24 CFR Part 58, nor responsibility for
initiation of an intergovernmental review of this program and its activities (24 CFR §570.604).
However, Subrecipient is required to provide information about its activities in order for the
City to comply with its responsibility under 24 CFR Part 58. Subrecipient shall submit to the
City any changes to the proposed activity so that the City may evaluate this new information and
conduct any further environmental review. This information must be submitted to the City for
approval at least forty-five (45) days prior to any commencement of work. Subrecipient also
agrees to assist the City in addressing environmental issues that may arise during the City's
review process.
2. Environmental Protection. Subrecipient and its contractors shall comply with
all applicable standards, orders or regulations of the Clean Air Act (42 U.S.C. §7401 et. seq.);
Section 306 of the Clean Air Act ( 42 U.S.C. 7401 et. seq.); Section 508 of the Clean Water Act
(33 U.S.C. Section 1368); Executive Order 11738; the Federal Water Pollution Control Act, as
amended (33 U.S.C. §1251, et. seq.); EPA regulations pursuant to 40 CFR Part 50; National
Environmental Policy Act of 1969; standards and policies relating to energy efficiency
contained in the State Energy Conservation Plan issued in compliance with the Energy Policy
and Conservation Act; and HUD Environmental Review Procedures at 24 CFR Part 58.
Violations shall be reported to the City, HUD and EPA.
3. Flood Disaster Protection. Subrecipient shall comply with the requirements of
the Flood Disaster Protection Act of 1973 (42 U.S.C. §4106) and implementing regulations in
44 CFR Parts 59 through 79 in regard to the sale, lease or other transfer of land acquired,
cleared or improved under the terms of this Agreement, as it may apply to the provisions of this
Agreement.
4. Flood Insurance Program. Should any construction or rehabilitation of existing
structures with assistance provided under this Agreement occur in an area identified as having
special flood hazards by the Director of Federal Emergency Management, Subrecipient agrees
to comply with all relevant and applicable provisions of 24 CFR §570.605 concerning the
CNHS, Inc.
FY19-20 CDBG Agreement FC Page 15
National Flood Insurance Program. Subrecipient agrees that if any portion of the any property
improved in connection with this Project is located in a special flood hazard area that flood
insurance will be required by the City and must be provided.
5. Lead -Based Paint. Lead—based paint is prohibited in the construction or
rehabilitation of any properties assisted under this Agreement. Subrecipient agrees that any
construction or rehabilitation of residential structures with assistance provided under this
Agreement shall be subject to HUD Lead -Based Paint Regulations at 24 CFR §570.608, which
requires compliance with the Lead- Based Paint Poisoning Prevention Act (42 U.S.C. §§4821-
4846), the Residential Lead -Based Paint Hazard Reduction Act of 1992 (42 U.S.C. §§4851-
4856), and implementing regulations at 24 CFR Part 35, of which subparts A, B, J, K, and R
apply to the CDBG Program. Such regulations pertain to all HUD -assisted housing and require
that all owners, prospective owners, and tenants of properties constructed prior to 1978 be
properly notified that such properties may include lead-based paint. Such notification shall point
out the hazards of lead-based paint and explain the symptoms, treatment and precautions that
should be taken when dealing with lead-based paint poisoning and the advisability and
availability of blood lead level screening for children under seven. The notice shall also point
out that if lead-based paint is found on the property, abatement measures may be undertaken.
The regulations further require that, depending on the amount of Federal funds applied to a
property, paint testing, risk assessment, treatment and -or abatement may be conducted.
Subrecipient shall maintain records documenting compliance with these requirements.
6. Historic Preservation. Subrecipient agrees to comply with the Historic
Preservation requirements set forth in the National Historic Preservation Act of 1966, as
amended (54 U.S.C. 300101 et. seq.) and the procedures set forth in 36 CFR Part 800, Advisory
Council on Historic Preservation Procedures for Protection of Historic Properties, insofar as
they apply to the performance of this Agreement. Subrecipient shall notify the City CDBG
representative immediately upon determining that a property may fall into this category.
7. Procurement of Recovered Materials (Resource Conservation and Recovery
Al. Subrecipient shall comply with 2 CFR part 200 regarding the use of specific products
made or used with recovered materials.
SECTION 6: DEFAULTS AND REMEDIES
1. Events of Default. The following shall constitute an Event of Default under
this Agreement:
CNHS, Inc.
a.) failure to comply with any of the rules, regulations or provisions referred to
herein or governing CDBG awards, including, but not limited to, 24 CFR part
570 or such statutes, laws, regulations, executive orders, and HUD guidelines,
HUD guidance, policies or directives as may become applicable at any time;
b.) fails to comply with any of the terms contained in this Agreement and such
failure continues for a period of thirty (30) days following written notice thereof
given by the City to Subrecipient;
c.) failure to fulfill in a timely and proper manner its obligations under this Agreement;
FY19-20 CDBG Agreement FC Page 16
d.) ineffective or improper use of funds provided under this Agreement;
e.) submission by Subrecipient at any time of any material representation in any
certification, report or communication the City that is determined by the City to
be false, incomplete, misleading, or incorrect in any material manner;
f.) failure to disclose to the City, upon demand, the name of all persons with who
Subrecipient has contracted or intends to contract with for the construction or
management of any portion of the Project, including contracts for services
and/or labor; or
g.) if any other default occurs under any of the grant documents executed by
Subrecipient in connection with this grant by the City (herein the "Grant
Documents") which is not elsewhere specifically addressed herein and such
default is not cured within the applicable cure period set forth in the grant
documents, or if there is no cure period set forth, then within five (5) days
following the date of notice to Subrecipient thereof.
Notwithstanding any of the forgoing provisions to the contrary, if Subrecipient has failed to cure
any default within (5) days prior to the expiration of any applicable cure period, the City may, at
its sole option, cure such default, provided, however, that the City shall be under no duty or
obligation to do so.
2. Remedies for Non-compliance. If Subrecipient commits an Event of Default or fails in
any way to comply with Federal or state statutes, local laws or regulations, or the terms and
conditions of this Agreement, the City may impose additional conditions as described in 2 CFR
§200.207. If the City determines that noncompliance cannot be remedied by imposing additional
conditions, the City may take one or more of the following actions, including but not limited to:
(a) Temporarily withhold cash payment pending correction of the deficiency or more
severe enforcement action by the City;
(b) Disallow both use of funds and any applicable matching credit for all or part of the
cost of the activity or action not in compliance;
(c) Wholly or partly suspend or terminate the award;
(d) Initiate suspension or debarment proceedings as authorized under 2 CFR part 180 and
applicable regulations or recommend such proceedings be initiated by HUD;
(e) Withhold further federal awards for the project or program; or
(f) Take other remedies that may be legally available including, but not limited to
litigation, declaratory judgment, specific performance, damages, injunctions,
termination of the Agreement, or any other available remedies.
CNHS, Inc.
FY19-20 CDBG Agreement FC Page 17
3. Remedies/Suspension and Termination. Subrecipient and the City will comply
with the noncompliance and termination provisions in 2 CFR part 200. In addition to
the remedies for non- compliance in 2 CFR §200.338, in accordance with 2 CFR
§200.338 and .339, the City may suspend or terminate this Agreement in whole or in
part if Subrecipient fails to comply with any terms and conditions of this Agreement or
upon the occurrence of any Event of Default or any other breach of this Agreement.
The City can withhold all funding and disbursements, demand repayment for amounts
disbursed, terminate all payments, and/or exercise all rights and remedies available to it
under the terms of this Agreement, the Grant Documents, under statutory law, equity or
under common law. If the City terminates this Agreement, Subrecipient shall also
forfeit to the City all unexpended monies awarded under the Agreement. Subrecipient may also
be required to refund all CDBG funds awarded by the City.
In accordance with 2 CFR §200.339, the City can terminate the Agreement with
the consent of Subrecipient in which case Subrecipient and the City must agree upon
the termination conditions, including the effective date, and in the case of partial
termination, the portion to be terminated.
In accordance with 2 CFR §200.339(a)(4), the Agreement may also be
terminated by Subrecipient or the City with written notification setting forth the reason
for such termination, the effective date and in the case of partial termination, the
portion to be terminated. However, if the City determines in the case of partial
termination that the reduced or modified portion of the award will not accomplish the
purposes for which the award was made, the City may terminate the award in its
entirety.
If this award is terminated or partially terminated, Subrecipient remains
responsible for compliance with the closeout requirements in 2 CFR §200.343 and
post -closeout requirements set forth in 2 CFR §200.344.
All remedies shall be deemed cumulative and, to the extent permitted by law, the
election of one or more remedies shall not be construed as a waiver of any other
remedy the City may have available to it.
4. No Waiver. Failure of the City to declare a default shall not constitute a waiver
of any rights by the City. Furthermore, the waiver of any default by the City shall in no
event be construed as a waiver of rights with respect to any other default, past or
present.
SECTION 7: INDEMNIFICATION AND INSURANCE
1. Indemnification. Subrecipient shall defend, indemnify and hold harmless the City
from and against any and all liability, claims, demands, damages, expenses, fees, fines,
penalties, suits, proceedings, actions and costs of actions, including attorney's fees,
whether or not suit is filed and if suit is filed, attorney fees and costs at all trial and
appellate levels, of any kind and nature arising or growing out of or in any way
connected with Subrecipient's performance or non-performance of this Agreement or
because of or due to the existence of the Agreement itself. Nothing contained herein
CNHS, Inc.
FY19-20 CDBG Agreement FC Page 18
shall be construed as consent by the City to be sued by third parties, or as a waiver or
modification of the provisions or limits of Section 768.28, Florida Statutes or the
Doctrine of Sovereign Immunity.
2. Environmental Indemnification. Subrecipient shall indemnify and hold the City
harmless from any claim arising from, or in any way related to, the environmental
condition of the property where the Project takes place, including, but not limited to, the
cost of investigating, defending, and/or negotiating to a satisfactory conclusion claims
made by environmental regulatory agencies, as well as all cleanup and property
maintenance requirements imposed by any agency with lawful jurisdiction over the
Project. This indemnification shall run from the time of initial discovery of any such
adverse environmental condition and shall not be construed to commence only upon
realization by the City of an actual pecuniary loss as a result of such adverse
environmental condition. The existence of this indemnification agreement shall not be
construed as an indicia of ownership, management or control of the property by the City
and Subrecipient hereby recognizes and acknowledges that the City is not an owner or
manager of the property and does not exert any control thereupon. Notwithstanding
anything herein to the contrary, this indemnification provision shall survive the
termination of this Agreement.
3. Insurance. Without limiting Subrecipient's indemnification, Subrecipient shall
maintain in force at all times during the performance of this Agreement all appropriate
policies of insurance hereinafter described and as required by 2 CFR part 200, concerning
its operations. Certificates with valid and authorized endorsements, evidencing the
maintenance and renewal of such insurance coverage shall be delivered to the City prior to
execution of this Agreement. The City shall be given notice in writing at least thirty (30)
calendar days in advance of cancellation or modification of any policy of insurance. The
City, its officers and employees shall be named as an additional named insured on all
policies of liability insurance.
CNHS, Inc.
a.) All policies of insurance shall be in a company or companies authorized by law to
transact insurance business in the State of Florida. In addition, such policy shall
provide that the coverage shall be primary for losses arising out of Subrecipient's
performance of the Agreement. Neither the City nor any of its insurers shall be
required to contribute to any such loss. The required certificate shall be furnished
prior to execution of this Agreement.
b.) At least thirty (30) calendar days prior to the expiration of any of the above
referenced insurance policies, Subrecipient shall provide the City with evidence of
the renewal of said insurance policies in a form satisfactory to the City.
c.) The policies and insurance required by the City include:
1. Commercial General Liability Insurance. Commercial general liability
insurance to include, but not be limited to bodily injury and property damage
coverage. The policy's limit liability amount shall not be less than Five
Hundred Thousand Dollars ($500,000) per person/per occurrence for bodily
injury to, or death to one or more than one person and not less than One
FY19-20 CDBG Agreement FC Page 19
Hundred Thousand Dollars ($100,000) per occurrence for property damage.
2. Workers' Compensation Coverage. Workers' Compensation insurance for all
its employees in an amount and with coverage to meet all requirements of the
laws of the State of Florida.
3. Flood Insurance. Flood insurance as required under applicable HUD
regulations.
4. Employee Fraud Insurance. Sufficient insurance to protect from loss due to
fraud, theft, and physical damage and shall purchase a bond or insurance
covering all employees for theft or fraud.
5. Bonding requirements. Bonding requirements in 2 CFR §200.325.
SECTION 8: MISCELLANEOUS PROVISIONS
1. Assignment. Subrecipient shall not assign or transfer any interest in this
Agreement without the prior written consent of the City.
2. No Grant of Vested Rights. This Agreement shall not be construed as granting or
assuring or vesting any land use, zoning, development approvals, permission or rights with
respect to property owned by Subrecipient or anyone it assists.
3. Independent Contractor. Nothing in this Agreement is intended to, or shall be construed
in any manner, as creating or establishing the relationship of master/servant, principal/agent,
employer/employee or joint venture partner between the City and Subrecipient. The City shall
be exempt from payment of all Unemployment Compensation, FICA, retirement, life and/or
medical insurance and Worker's Compensation Insurance as Subrecipient is an independent
contractor. Subrecipient agrees and acknowledges that it shall be responsible for and shall pay
any and all applicable compensation, insurance and taxes, including but not limited to federal
income taxes and Social Security on the salary of any positions funded in whole or in part with
CDBG funds.
4. Severability. This Agreement shall be construed in accordance with the laws of the State
of Florida. It is agreed by and between the parties that if any covenant, condition, provision
contained in this Agreement is held to be invalid by any court of competent jurisdiction, such
invalidity shall not affect the validity of any other covenants, conditions or provisions herein
contained and all other parts shall nevertheless be in full force and effect.
5. Entire Agreement/Modification. This Agreement, together with all the Exhibits,
constitutes the entire Agreement between the parties hereto with respect to the subject matter
hereof. Any representations or statements heretofore made with respect to such subject matter,
whether written or verbal, are merged herein. This Agreement may only be modified in writing,
signed by both of the parties hereto.
CNHS, Inc. FY19-20 CDBG Agreement FC Page 20
6. Notices. Whenever by the terms of this Agreement, notice is to be given to either party,
such notice shall be in writing and shall be hand delivered or sent by certified mail, return
receipt requested, postage prepaid to:
Chuck Lane, Assistant Director
Economic Development and Housing
P.O. Box 4748
Clearwater, FL 33758
Isay Gulley
President/CEO
608 North Garden Avenue
Clearwater, FL 33755
7. Compliance with all Laws. Notwithstanding anything herein to the contrary, the Project
shall be operated consistent with all applicable federal, state and local laws and regulations.
CNHS, Inc. FY19-20 CDBG Agreement FC Page 21
IN WITNESS WHERE
their hands and seals this !" day of V l 2020.
, the parties hereto have executed these presents and have set
ATTEST:
STATE OF FLORIDA
COUNTY OF PINELLAS
CITY OF CLEARWATER, FLORIDA, a municipal
corporation organized and existing under the laws of the State
of Florida
By: W t;L;v%
William B. Horne II, City Manager
T,1 -IF FOREGOING CDBG AGREEMENT
2020, by
is personally known to me or
identification.
Clearwater Neighborhood Housing
Services, I c., a Florida non-profit
corpora
By:
Title:
Print Name: 1)
Date: < :.J 1:1 /%� 9 £QL ?
was ac
CNHS, Inc.
owledgebefpr Tis day of
as r He/She
ced as
o has p o
fori igitrAt 21lA
NOTA' ' I
Print Name: V oL (.) I
My Commission Expires:
w. A
ARVALYN T. MALCOLM-SMITH
Notary Public - State of Florida
Commission : GG '89949
?off?- My Comm. Expires May ", 2022
"''' Bonded through National Notary Assn.
APPROVED AS TO FORM
for the use and reliance of the
City of Clearwater, Florida, only.
, 2020'
Laura Mahony, Sr. Assistant
Clearwater, Florida
ity Attorney
FY19-20 CDBG Agreement FC Page 22
Exhibit Index
Exhibit A — Standards of Eligibility
Exhibit B — Required Subrecipient Information
Exhibit C — Additional Program Requirements
Exhibit D — Budget
Exhibit E — CDBG Program Requirements
Exhibit F — Reporting Schedule
Exhibit G — Public Service and Public Facility Program Activity Report (2 Pages)
Exhibit G-1 — Microenterprise Program Activity Report
Exhibit G-2 — Financial and Project Update Report
Exhibit G-3 - Timesheet
Exhibit H — Request for Payment
Exhibit I — EEO Clause for Subrecipients/Contractors and Subcontractors — Standard Solicitation for Bid and
Contract Language
Exhibit J — Certification Regarding Lobbying
Exhibit K — Section 3 Economic Opportunity Clause
Exhibit L — Certification Regarding Drug -Free Workplace Requirements
Exhibit M — Affidavit
Exhibit N — Signature Card
CNHS, Inc. FY19-20 CDBG Agreement FC Page 23
Exhibit "A"
INCOME LIMITS
June 28, 2019
INCOME ELIGIBILITY LIMITS
HUD Release Date — June 28, 2019
Household
Size
100% Median
Income
30% Median
(Extremely
Low)
Income
50% Median
(Very Low)
Income
80% Median
(Low)
Income
1 Person
$14,050
23,450
$ 37,450
2 Persons
16,050
26,800
42,800
3 Persons
18,050
30,150
48,150
4 Persons
66,900
20,050
33,450
53,500
5 Persons
21,700
36,150
57,800
6 Persons
23,300
38,850
62,100
7 Persons
24,900
41,500
66,350
8 Person
26,500
44,200
70,650
GROSS (UNADJUSTED) MEDIAN HOUSEHOLD INCOME - $66,900
CNHS, Inc. FY19-20 CDBG Agreement FC Page 24
Exhibit "B"
REQUIRED SUBRECIPIENT INFORMATION
1. Subrecipient name (which must match registered name in DUNS): Clearwater
Neighborhood Housing Services, Inc.
2. Subrecipient's DUNS number (see §200.32 Data Universal Numbering System
(DUNS) number): 621619188
3. Subaward Period of Performance Start Date and End Date: May, 2020 to 9/30/2020
4. Amount of Federal Funds Obligated by this activity: $20,000
5. Total Amount of Federal Funds obligated to subrecipient: $20,000
6. Federal award project description, as required to be responsive to the Federal Funding
Accountability and Transparency Act (FFATA): Funds will be used for foreclosure
counseling.
7. Name of Federal awarding agency, pass-through entity, and contact information for
awarding official: U.S. Department of Housing and Urban Development; City of
Clearwater, Economic Development and Housing Director; P.O. Box 4748, Clearwater,
Florida 33758; (727) 562-4031
8. CFDA Number and Name; the pass-through entity must identify the dollar amount
made available under each Federal award the CFDA number at the time of
disbursement: 14.218, Community Development Block Grants/Entitlement Grants
9. Identification of whether the award is R&D: N/A
10. Indirect cost rate for the Federal award (including if the de minimis rate is charged per
§200.414 Indirect (F&A costs)): N/A
CNHS, Inc. FY19-20 CDBG Agreement FC Page 25
Exhibit "C"
Additional Program Requirements
1. Subrecipient shall always maintain facilities in conformance with all applicable
codes, licensing, and other requirements necessary for the operation of the
Program.
2. Subrecipient will accept applications and perform income and other eligibility
determinations. Fifty-one percent of those served must have incomes that do not
exceed low- and moderate -income limits (under 80% MSA) of the CDBG
Program.
3. Subrecipient shall ensure that the numbers, background, and qualifications of the
Subrecipient staff are appropriate for the services provided and at least meet the
minimum standards established by the pertinent licensing bodies.
4. All costs eligible for CDBG reimbursement offered by Subrecipient under the
Program shall only include costs directly related to the provision of the service
under this Project as described in this Agreement.
5. Subrecipient shall complete detailed work write-ups of the services to be
performed, including estimated costs and material to be used, if applicable.
Subrecipient will monitor the work to ascertain that services are proceeding
properly and satisfactory. Subrecipient will ensure that the expenses are
reasonable, and the services are completed properly. In addition, Subrecipient
shall maintain case files, including applications and all documentation of
eligibility, work write-ups, the assistance agreement between the client and
Subrecipient, documentation on all necessary licenses and permits, site visits and
final reports, invoices and checks. Subrecipient shall maintain these records in
accordance with general record-keeping requirements set forth in this Agreement.
CNHS, Inc. FY19-20 CDBG Agreement FC Page 26
Project Type
Amount of Funding =
Exhibit "D"
BUDGET
Clearwater Neighborhood Housing Services,
Inc.
FY 2019-2020
= CDBG
$20,000
Services Funded
Category
CDBG Portion
Public Services
Foreclosure Counseling — @ not -to -exceed $850 Per Client
Benefit — approximately 50 Clients
$20,000
Total
$20,000
Proposed Foreclosure Services Fee Structure:
• Level One — Telephone Triage $100 per household
o Gathering personal information on client (Name, Address and Contact Info)
o Gathering client demographic information (Race, Ethnicity, Income, etc.)
• All information at this point is self-reported by the client
o Determine reason for default
o Determine if default is curable
• Likelihood of the following: Repayment Plan, Forbearance, Loan Modification, Sale
of Home, Deed in Lieu of Foreclosure, Short Sale
o Advising client on best next steps
o Registering client for an upcoming Foreclosure Prevention Seminar
• Level Two — Foreclosure Prevention Workshop online
o 90 Minute interactive online workshop
o Zoom type format
o Suggest twice/month
o Information is given on:
• The importance of providing the right documents
• The foreclosure process/timeline in Florida
• Potential options to avoid foreclosure
• Benefits to working hand in hand with a Housing Counselor
• Services available in their community to lower expenses
$50 per household
CNHS, Inc. FY19-20 CDBG Agreement FC Page 27
• Level Three — One -on -One Counseling $400 per household
o Gather of documents from client for review
• Proof of income
• Proof of available funds
• Proof of ownership
o Work with client to create:
• Hardship Letter
• Emergency Budget
• Action Plan
• Submission Packet for Lender
o Submission to Lender of Initial Client Document Packet
• Level Four — Positive Outcome (Avoiding Foreclosure) $300 per household
o Proof of one of the following:
• Repayment Plan
• Forbearance
• Loan Modification
• Deed in Lieu of Foreclosure
• Sale of Home
• Short Sale
CNHS, Inc. FY19-20 CDBG Agreement FC Page 28
Exhibit "E"
CDBG PROGRAM REQUIREMENTS
Subrecipient, in addition to the terms set forth in the Agreement, shall operate the
Project funded through the City's Community Development Block Grant Program
according to the following guidelines:
1. Any equipment, furnishings and any other usable item purchased with the
City's CDBG Program contribution to Subrecipient for use in the Project shall be
kept on an inventory and shall be made available to the City's Economic
Development and Housing Department for disposition upon termination of the City's
CDBG assistance to Subrecipient.
2. Subrecipient hereby agrees to maintain accounting systems with internal
controls to safeguard the U.S. Department of Housing and Urban Development
(HUD) — Community Development Block Grant (CDBG) funds and assets, provide
for accurate financial data, promote operational efficiency, and foster compliance
with generally accepted accounting principles (GAAP) in accordance with 2 CFR
part 200.
3. Subrecipient's accounting records must adequately identify the receipt
and expenditure of all CDBG funds for each budget line item. There must be a
separate accounting for each budgetary allocation as approved by the City's
Economic Development and Housing Department. Cash receipts and expenditures
from other sources must be accounted for separately from CDBG funds; therefore, if
Subrecipient maintains a common account for both CDBG and other funds, the
accounting system must provide for the clear and easy identification of CDBG funds.
4. Accounting and related records of Subrecipient shall comprise the
following as a minimum:
a. Voucher system — All supporting documentation, such as purchase
orders, invoices, receiving reports, requisitions.
b. Books of Original Entry — Cash receipts and disbursements journal,
general ledger.
c. Chart of Accounts — Listing of accounts must be maintained in the
accounting system.
d. Personnel Records — A separate personnel file shall be maintained for
each CDBG project employee paid with CDBG funds. As a minimum,
the file shall contain a resume of the employee, a description of duties
assigned, and a record of the date employed, rate of pay at time of
employment, subsequent pay adjustments, and documentation
supporting leave taken by the employee.
e. Attendance Records — Attendance records (individual time sheets) shall
CNHS, Inc. FY19-20 CDBG Agreement FC Page 29
be maintained for all personnel paid with CDBG funds that are involved
in operating the Project. This applies to part-time as well as full-time
personnel. In addition to the accounting for daily attendance, the type of
leave taken (annual, sick or other), shall be disclosed. Daily attendance
records must support budgetary charges for payroll purposes.
f. Payroll Records — Formal payroll records supporting cash
disbursements to employees shall be maintained. All time sheets or
personnel activity reports must be signed by the employee and the
employee's supervisor. Such records shall disclose each employee's
name, job, title, social security number, date hired, rate of pay, and all
required deductions for tax purposes. Timely payments must be made
of FICA taxes, including the required employer matching costs, and of
income tax withheld from employees. All charges for payroll purposes
shall be in accordance with the Budget submitted to the City's
Economic Development and Housing Department. In addition, salaries
and wages of employees chargeable with more than one (1) grant
program and/or other funding sources will be supported by appropriate
time distribution records. Actual time distribution records shall be
available for review by the Economic Development and Housing
Department at monitoring visits.
g.
Checking Accounts — A monthly bank reconciliation shall be conducted
by Subrecipient. All checks, stubs, etc. shall be pre -numbered and
accounted for, including all voided checks. Check stubs, canceled
checks, and deposit slips must be readily available for audit purposes.
h. Purchasing Practices — Purchasing practices shall be at the very least in
accordance with 2 CFR part 200. Subrecipient must provide
documentation indicating how all vendors, contractors, minority and/or
women owned businesses are given an opportunity to participate.
i. Inventories — Subrecipient, as are all CDBG program sub -grantees, is
advised to maintain adequate safeguards against loss by theft or
physical deterioration of any inventories of office supplies, equipment,
or other items purchased with CDBG funds.
Property Records — Subrecipient is required to maintain formal
subsidiary records to control all CDBG program project property and
equipment. Such records shall disclose the acquisition and subsequent
disposition of all property. An annual inventory should be conducted
and the books should reflect the actual value of property on hand at the
end of the year.
5. Subrecipient should maintain records in an orderly manner, with separate
identification for different Federal fiscal periods. Records must be protected from
fire or other perils, and if stored in a location other than the project site, shall be
readily accessible to the City's Economic Development and Housing Department
CNHS, Inc. FY 19-20 CDBG Agreement FC Page 30
CNHS, Inc.
staff, the Inspector General, and HUD officials and others who may be authorized
to examine such records. Failure to do so may constitute a default of this
agreement resulting in suspension of reimbursement until said documentation is
submitted.
FY19-20 CDBG Agreement FC Page 3I
Exhibit "F"
Reporting Schedule
A. Subrecipient shall submit all reports to the City's Economic Development and Housing
Department as described in this Agreement.
B. Subrecipient shall maintain data demonstrating client eligibility for services provided. Such
data shall include client name, address, number of persons in the household and household income, and
such other information requested by the City's Economic Development and Housing Department. Such
information shall be made available to City and/or HUD monitors or their designees for review upon
request. Subrecipient understands that client information collected under this contract is private and the
use or disclosure of such information, when not directly connected with the administration of the
City's or Subrecipient responsibilities under this Agreement is prohibited by the U.S. Privacy Act of
1974 unless written consent is obtained from such person receiving services, and in the case of a
minor, that of a responsible parent/guardian.
C. Upon fifteen (15) days notice by the City's Economic Development and Housing Department,
Subrecipient shall provide the information requested by the City for submission of performance or
other reports to HUD.
D. Between the required reporting dates, events may occur which have significant impact upon the
project or program. In such cases, Subrecipient shall inform the City's Economic Development and
Housing Department as soon as the following types of conditions become known:
1. Problems, delays or adverse conditions, which may materially affect the ability to meet
program objectives, prevent the meeting of time schedules and goals, or preclude the
attainment of project work units by established term periods. This disclosure shall be
accompanied by a statement of the action taken or contemplated and any assistance needed
to resolve the situation.
2. Favorable development or events, which will enable meeting time schedules and goals
sooner or at less cost than anticipated or producing more or different beneficial results than
originally planned.
Method of Payment:
Payments shall be made based on completed services and submission of documentation as outlined in
this Agreement between the City and Subrecipient. Subrecipient shall submit monthly Requests for
Payment to the City's Economic Development and Housing Department in accordance with the
following:
1. The City's Economic Development and Housing Department shall authorize the
reimbursement of Subrecipient for actual expenditures outlined in the Budget as expressed
in Exhibit "D" of this Agreement, except that the Economic Development and Housing
Director, or designee, may approve a variance with regard to variable costs.
2. Expenses incurred by Subrecipient will not be authorized for payment by the City's Economic
Development and Housing Department if such expenses cannot be documented by paid
CNHS, Inc. FY19-20 CDBG Agreement FC Page 32
receipts, invoices or other appropriate documentation and information. Furthermore, all
Requests for Payment submitted by Subrecipient to the City's Economic Development and
Housing Department shall not be reimbursable by the City if such expenditures were not
expended directly for the provision of services and activity delivery costs to benefit low- and
moderate- income persons in accordance with this Agreement.
3. Provided that the Requests for Payment are complete and undisputed, the City's Economic
Development and Housing Department shall authorize reimbursement of approved expenditure
requests within thirty (30) days of receipt of such requests.
4. As applicable, the monthly Requests for Payment shall include:
a. Name and address of each client receiving services.
b. CDBG costs to be reimbursed, shown as labor, materials, other costs, including copies
of invoices, and checks in payment.
c. Brief description of services or activities undertaken during the month for which
reimbursements are being requested.
d. Total cost of services.
e. If requesting reimbursement for salaries, timesheets showing tenths of hours where
work has been done by Subrecipient and staff detailing daily total hours worked.
f. If applicable, if outside contractors have done the work, submit the contractor's paid
invoices for reimbursement. These should include an itemization of the work done, the
total cost for labor and materials, the number of hours on the job, and the rate per hour
agreed to on the project.
CNHS, Inc. FY19-20 CDBG Agreement FC Page 33
n
z
Agency Name:
DA luauiaa.2d DIUD OZ-6IAd
Reporting Month:
PARTICIPANTS
Exhibit "G"
City of Clearwater
Economic Development & Housing Department
FY 2019-2020
Program Activity Report
INCOME CHARACTERISTICS OF NEW PARTICIPANTS (Do not include income characteristics of returning participants.)
OCT
NOV
DEC
JAN
FEB
MAR
APR
MAY
JUNE
JULY
AUG
SEPT
YEAR TO DATE
NEW Participants
0
RETURNING Participants
0
TOTAL Participants
0
0
0
0
0
0
0
0
0
0
0
0
0
INCOME CHARACTERISTICS OF NEW PARTICIPANTS (Do not include income characteristics of returning participants.)
Note 1: The totals in Row 30 above must match the numbers you entered in Row 17 above.
Note 2: The Race totals in Rows 58 & 73 below must match the numbers you entered in Row 17 above.
b
ac
rP Agency Representative:
Title:
Date:
OCT
NOV
DEC
JAN
FEB
MAR
APR
MAY
JUNE
JULY
AUG
SEPT
YEAR TO DATE
Extremely Low (0%-30%)
0
Low (31%-50%)
0
Low -Moderate (51%-80%)
0
Over Income (81%+)
0
TOTAL NEW Participants
0
0
0
0
0
0
0
0
0
0
0
0
0
** NO REQUEST FOR REIMBURSEMENT WILL BE PROCESSED WITHOUT A COMPLETED FORM**
Note 1: The totals in Row 30 above must match the numbers you entered in Row 17 above.
Note 2: The Race totals in Rows 58 & 73 below must match the numbers you entered in Row 17 above.
b
ac
rP Agency Representative:
Title:
Date:
DJ luow3310V DEM OZ-6I Ad
RACE AND ETHNICITY OF NEW PARTICIPANTS (Do not include race or ethnicity of returning participants.)
RACE:
White
OCTOBER
NOV
Race
Total
EMBER
Ethnicity
Hispanic/
Latino
DECEMBER
JANUARY
Race
Total
Ethnicity
Hispanic/
Latino
FEBRUARY
Race
Total
MARCH
Ethnicity .
Hispanic/
Latino
Black/African American
Asian
American Indian/Alaskan Native
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native AND White
Asian AND White
Black/African American AND White
American Indian/Alaskan Native AND
Black/African American
Other Multi -Racial
TOTAL NEW PARTICIPANTS
0
0
0
0
0
0
APRIL
RACE:
White
Black/African American
Asian
American Indian/Alaskan Native
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native AND White
Asian AND White
Black/African American AND White
American Indian/Alaskan Native AND
Black/African American
Other Multi -Racial
TOTAL NEW PARTICIPANTS
MAY
Race
Total
Ethnicity
Hispanic/
Latino
0 0
JUNE
JULY
AUGUST
SEPTEMBER
Race
Total
Ethnicity
Hispanic/
Latino
0 0
Race
Total
Ethnicity
Hispanic/
Latino
0 0
OFFICE USE ONLY
RACE:
TOTALS
Race
Total
White
0
0
Black/African American
0
0
Asian
0
0
American Indian/Alaskan Native
0
0
Native Hawaiian/Other Pacific Islander
0
0
American Indian/Alaskan Native AND White
0
0
Asian AND White
0
0
Black/African American AND White
0
0
American Indian Alaskan Native AND
Black/African American
0
0
Other Multi -Racial
0
0
TOTAL NEW PARTICIPANTS
0
0
Race - Total:
The total number of households served from the race.
Ethnicity - Hispanic/Latino:
- This field is a subset of the Race Total field.
- Of the total assisted in this race category, how many also
identified as Hispanic/Latino?
- The number reported in the Hispanic/Latino field should never
be greater than the number reported in the Total field.
Exhibit "G-1"
LOW TO MODERATE -INCOME CLIENTELE NATIONAL OBJECTIVE (LMC) — MICROENTERPRISE ACTIVITIES
PAGE 1 OF 2
ALL PERSONS OR BUSINESSES ASSISTED UNDER THE LMC NATIONAL OBJECTIVE MUST BE LOW- AND MODERATE -INCOME (LMI)
Name:
Month:
TRAINING/TECHNICAL ASSISTANCE ACTIVITIES
FOR THIS REPORTING PERIOD, THE TOTAL NUMBER OF:
PERSONS THAT ENROLLED IN TRAINING PROGRAM
I
FOR THIS REPORTING PERIOD ONLY
PERSONS THAT COMPLETED TRAINING PROGRAM
NEW MICROENTERPRISES ASSISTED
PERSONS RECEIVING TECHNICAL ASSISTANCE & BUSINESS SUPPORT (IN ADDITION
TO TRAINING PROGRAM, IF APPLICABLE)
FOR THIS REPORTING PERIOD ONLY
BUSINESS INFORMATION
FOR THIS REPORTING PERIOD, THE TOTAL NUMBER OF:
MICROENTERPRISES RECEIVING CDBG ASSISTANCE
I
I FOR THIS REPORTING PERIOD
ONLY
OF THE TOTAL NUMBER OF MICROENTERPRISES ASSISTED, THE TOTAL NUMBER OF:
NEW MICROENTERPRISES ASSISTED
31 - 50 % (LOW-INCOME)
FOR THIS REPORTING PERIOD ONLY
EXISTING MICROENTERPRISES ASSISTED
MICROENTERPRISES ASSISTED WITH COMMERCIAL FAQADE TREATMENT AND/OR
REHAB
MICROENTERPRISES ASSISTED THAT PROVIDE GOODS OR SERVICES TO MEET THE
NEEDS OF A SERVICE AREA, NEIGHBORHOOD, OR COMMUNITY
_
OF THE TOTAL NUMBER OF EXISTING MICROENTERPRISES, THE TOTAL NUMBER OF:
EXPANDED MICROENTERPRISES
NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER
FOR THIS REPORTING PERIOD
ONLY
RELOCATED MICROENTERPRISES
AMERICAN INDIAN/ALASKAN NATIVE AND WHITE
Complete the Racial/Ethnic Composition and Income Data for the LMI persons receiving technical assistance and/or training for the LMI
business owners.
RACIAL/ETHNIC COMPOSITION (FOR THIS REPORTING PERIOD ONLY)
RACIAL CATEGORIES
PERSONS
RACIAL GROUP
*HISPANIC
WHITE
FOR THIS REPORTING PERIOD
ONLY
31 - 50 % (LOW-INCOME)
BLACK/AFRICAN AMERICAN
51-80 % (MODERATE INCOME)
ASIAN
TOTALS
AMERICAN INDIAN/ALASKAN NATIVE
OF THE TOTAL BENEFITING, THE NUMBER OF:
PERSONS
NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER
ELDERLY
AMERICAN INDIAN/ALASKAN NATIVE AND WHITE
FEMALE HEAD OF HOUSEHOLD
ASIAN AND WHITE
_
BLACK/AFRICAN AMERICAN AND WHITE
AMERICAN INDIAN/ALASKAN NATIVE & BLACK/AFRICAN
AMERICAN
OTHER MULTI -RACIAL
TOTALS
HISPANIC' = HUD HAS DESIGNATED HISPANIC AS AN ETHNIC GROUP. A HOUSEHOLD OR PERSON CAN BE IDENTIFIED AS BOTH A MEMBER OF A RACIAL GROUP AND AN ETHNIC
GROUP, BUT CANNOT BE DESIGNATED ONLY AS AN ETHNIC GROUP.
BENEFICIARY INCOME DATA
MEDIAN INCOME (% OF HUD ADJUSTED MEDIAN FAMILY INCOME)
PERSONS
0 - 3 0 % (VERY LOW-INCOME)
FOR THIS REPORTING PERIOD
ONLY
31 - 50 % (LOW-INCOME)
51-80 % (MODERATE INCOME)
81% AND ABOVE - CAN NOT ASSIST
TOTALS
OF THE TOTAL BENEFITING, THE NUMBER OF:
PERSONS
ELDERLY
FOR THIS REPORTING PERIOD
ONLY
FEMALE HEAD OF HOUSEHOLD
DISABLED
_
CNHS, Inc.
FY19-20 CDBG Agreement FC
Page 36
LOW TO MODERATE -INCOME CLIENTELE NATIONAL OBJECTIVE (LMC) — MICROENTERPRISE ACTIVITIES
PAGE 2 OF 2
NAMES OF BUSINESSES ASSISTED
DUNS # FOR BUSINESSES ASSISTED
CNHS, Inc. FY19-20 CDBG Agreement FC Page 37
DA 2uatuaaav Dga3 OZ -6I Ad
Subrecipient:
Month
Beginning
Balance
Expended
Ending
Balance
October
December
$ -
November
$ -
February
$ -
December
$ -
April
$ -
January
$ -
June
$ -
February
$ -
August
$ -
March
$ -
$ -
April
$ -
$ -
May
$
$ -
June
$ -
$ -
July
$ -
$ -
August
$ -
$ -
September
$ -
$ -
Total
$ -
Over/Under
Target
Percentage Expended
*DIV/0!
#DIV/0!
Footnotes:
• Enter total $ amount of CDBG funds allocated
Financial: to this program in Cell C11.
• Report only the amount of each monthly
check request in Column D.
• Do not exceed the total allocation
(cell G22 will turn red).
Financial and Implementation Schedule Report
Exhibit "G-2"
City of Clearwater
Economic Development & Housing Department
Fiscal Year 2019-2020
Financial & Implementation Schedule Report
Project Name:
Month
Monthly Project Updates
October
November
December
January
February
March
April
May
June
July
August
September
Please provide monthly updates above. This may include general monthly updates regarding your project, information on
project implementation schedules (planned vs. actual implementation steps/tasks), issues encountered, or comments.
Additional Comments:
Fiscal Year 2019-2020
Revised: 02.12.2020
DA ;aauiaa.12110103 OZ-6 t Ad
Name:
Rate of Pay:
$
Exhibit "G-3"
City of Clearwater
Economic Development & Housing Department
FY 2019-2020
Timesheet Report
Payroll End
Date
Grand
Total
Hours
Regular
Hours
Worked
Clearwater
CDBG
Other
Funding
Source
Other
Funding
Source
Total
Other
Vacation
VAC
Holiday
HOL
Sick
Leave
SCK
Schools
Seminars
SSS
Training
Work
TRW
Jury Duty
JUR
Funeral
Leave
FLP
Other
S
0
0
0
S
0
0
0
M
0
0
0
T
0
0
0
W
0
0
0
T
0
0
0
F
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
S
0
0
0
S
0
0
0
M
0
0
0
T
0
0
0
W
0
0
0
T
0
0
0
F
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
I certify that the information herein contained is true and complete to the best of my knowledge.
Employee Signature/Date
Supervisor Approval/Date
Exhibit "H"
CITY OF CLEARWATER
Economic Development & Housing Department
Consolidated Action Plan FY2019-2020
Request for Payment
Month
uate
Example: 10/01/2019
Description
Amount
Make Check Payable to:
Totals
$
We request payment for the attached invoices, as provided for in the terms of our contract with the City of
Clearwater, dated . We certify to the best of our knowledge that we have complied
with all applicable federal, state and local laws, regulations and ordinances.
Agency Name
Name and Title
Authorized Signature Date
Attach invoices and supporting documents
For Internal Use Only:
Approver Signature:
Date:
Accomplishments IDIS Entry Signature:
Date:
CNHS, Inc. FY19-20 CDBG Agreement FC Page 40
Exhibit "I"
EOUAL EMPLOYMENT OPPORTUNITY CLAUSE FOR SUBRECIPIENTS AND THEIR
CONTRACTORS AND SUBCONTRACTORS
STANDARD SOLICITATION FOR BID AND CONTRACT LANGUAGE
A. Equal Opportunity Clause:
Subrecipient agrees that it will incorporate or cause to be incorporated into any contract for construction
work, or modification thereof, as defined in the regulation of the Secretary of Labor 41 CFR Chapter 60, which
is paid for in whole or in part with funds obtained from the Federal Government or borrowed on the credit of the
Federal Government pursuant to a grant, contract, loan insurance, or guarantee or undertaken pursuant to any
Federal Program involving such grant, contract, loan insurance, or guarantee, the following equal opportunity
clause:
1. The contractor will not discriminate against any employee or applicant for employment because
of race, color, religion, sex, or national origin. The contractor will take affirmative action to
ensure that applicants are employed, and that employees are treated during employment without
regard to their race, color, religion, sex, or national origin. Such action shall include, but not be
limited to, the following: employment, upgrading, demotion or transfer; recruitment or
recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and
selection for training, including apprenticeship. The contractor agrees to post in conspicuous
places, available to employees and applicants for employment, notices to be provided setting
forth the provisions of this nondiscrimination clause.
2. The contractor will, in all solicitations or advertisements for employees placed by on or' behalf
of the contractor, state that all qualified applicants will receive consideration for employment
without regard to race, color, religion, sex, or national origin.
3. The contractor will send to each labor union or representative of workers with which the
contractor has a collective bargaining agreement or other contract or understanding, a notice to
be provided advising the said labor union or workers' representatives of the contractor's
commitments under this section, and shall post copies of the notice in conspicuous places
available to employees and applicants for employment.
4. The contractor will comply with all provisions of Executive Order 11246 of September 24,
1965, and of the rules, regulations, and relevant orders of the Secretary of Labor.
5. The contractor will furnish all information and reports required by Executive Order 11246 of
September 24, 1965, and by rules, regulations, and orders of the Secretary of Labor, or pursuant
thereto, and will permit access to its books, records, and accounts by the administering agency
and the Secretary of Labor for purposes of investigation to ascertain compliance with such rules,
regulations, and orders.
6. In the event of the contractor's noncompliance with the discrimination clauses of this contract
or with any of the said rules, regulations, or orders, this contract may be canceled, terminated,
or suspended in whole or in part and the contractor may be declared ineligible for further
government contracts or Federally assisted construction contracts in accordance with procedures
authorized in Executive Order 11246 of September 24, 1965, and such other sanctions may be
imposed and remedies invoked as provided in Executive Order 11246 of September 24, 1965, or
by rules, regulations, or orders of the Secretary of Labor, or as otherwise provided by law.
CNHS, Inc. FY19-20 CDBG Agreement FC Page 41
7. The contractor will include the portion of the sentence immediately preceding paragraph (1) and
the provisions of paragraphs (1) through (7) in every subcontract or purchase order unless
exempted by rules, regulations, or orders of the Secretary of Labor issued pursuant to Section
504 of Executive Order 11246 of September 24, 1965, so that such provisions will be binding
upon each subcontractor or vendor. The contractor will take such action with respect to any
subcontract or purchase order as the administering agency may direct as a means of enforcing
such provisions, including sanctions for noncompliance; provided, however, that in the event a
contractor becomes involved in, or is threatened with, litigation with a subcontractor or vendor
as a result of such direction by the administering agency, the contractor may request the United
States to enter into such litigation to protect the interests of the United States.
8. The applicant further agrees that it will be bound by the above equal opportunity clause with
respect to its own employment practices when it participates in Federally assisted construction
work; provided, that if the applicant so participating is a State or local government, the above
equal opportunity clause is not applicable to any agency, instrumentality, or subdivision of such
government which does not participate in work on or under the contract.
9. The applicant agrees that it will assist and cooperate actively with the administering agency and
the Secretary of Labor in obtaining the compliance of contractors and subcontractors with the
equal opportunity clause and the rules, regulations, and relevant orders of the Secretary of
Labor, that it will furnish the administering agency and the Secretary of Labor such information
as they may require for the supervision of such compliance, and that it will otherwise assist the
administering agency in the discharge of the agency's primary responsibility for securing
compliance.
10. The applicant further agrees that it will refrain from entering into any contract or contract
modification subject to Executive Order 11246 of September 24, 1965, with a contractor
debarred from, or who has not demonstrated eligibility for, government contracts and Federally
assisted construction contracts, pursuant to the Executive Order and will carry out such
sanctions and penalties for violation of the equal opportunity clause as may be imposed upon
contractors and subcontractors by the administering agency of the Secretary of Labor pursuant
to Part II, Subpart D of the Executive Order. In addition, the appliance agrees that if it fails or
refuses to comply with these undertakings, the administering agency may take any or all of the
following actions: cancel, terminate, or suspend in whole or in part this grant (contract, loan,
insurance, guarantee); refrain from extending any further assistance to the applicant under the
program with respect to which the failure or refund occurred until satisfactory assurance of
future compliance has been received from such applicant; and refer the case to the Department
of Justice for appropriate legal proceedings.
CNHS, Inc. FY19-20 CDBG Agreement FC Page 42
Exhibit "J"
CERTIFICATION REGARDING LOBBYING
The undersigned certifies, to the best of his or her knowledge and belief, that:
(1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the
undersigned, to any person for influencing or attempting to influence an officer or employee
of any agency, a Member of Congress, an officer or employee of Congress, or an employee
of a Member of Congress in connection with the awarding of any Federal contract, the
making of any Federal grant, the making of any Federal loan, the entering into of any
cooperative agreement, and the extension, continuation, renewal, amendment, or
modification of any Federal contract, grant, loan, or cooperative agreement.
(2) If any funds other than Federal appropriated funds have been paid or will be paid to any
person for influencing or attempting to influence an officer or employee of any agency, a
Member of Congress, an officer or employee of Congress, or an employee of a Member of
Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the
undersigned shall complete and submit Standard Form -LLL, "Disclosure Form to Report
Lobbying," in accordance with its instructions.
(3) The undersigned shall require that the language of this certification be included in the
award documents for all sub -awards at all tiers (including subcontracts, sub -grant, and
contracts under grants, and cooperative agreements) and that Subrecipient shall certify and
disclose accordingly.
This certification is a material representation of fact upon which reliance was placed when
this transaction was made or entered into. Submission of this certification is a prerequisite
for making or entering into this transaction imposed by 31 U.S.C. §1352. Any person who
fails to file this required certification shall be subject to a civil penalty of not less than
$10,000 and not more than $100,000 for each such failure.
ATTEST: J
(CORPORATE SEAL)
, ,t)40
Date
Clearwater Neighborhood Housing
Services, Inc.
By
X9/4'
Print Nei ie & Title
CNHS, Inc. FY19-20 CDBG Agreement FC Page 43
Exhibit "K"
SECTION 3 ECONOMIC OPPORTUNITY
SECTION 3 CLAUSE
A. The work to be performed under this contract is on a project assisted under a program providing direct
Federal financial assistance from the Department of Housing and Urban Development ("HUD") and is
subject to the requirements of Section 3 of the Housing and Urban Development Act of 1968, as
amended, 12 U.S.C. §1701u. The purpose of section 3 is to ensure that to the greatest extent feasible,
opportunities for training and employment be given to low income residents of the Project area and
contracts for work in connection with the Project be awarded to business concerns which are located in
or owned in substantial part by persons residing in the area of the Project.
B. The parties to this contract will comply with the provisions of said Section 3 and the regulations issued
pursuant thereto by the Secretary of HUD set forth in 24 CFR Part 135, and all applicable rules and
orders of the Department issued there under as evidenced by the execution of this contract. The parties
to this contract certify and agree that they are under no contractual agreement or other disability which
would prevent them from complying with these requirements.
C. Subrecipient will send to each labor organization or representative of workers with which it has a
collective bargaining agreement or other contract or understanding, if any, a notice advising the said
labor organization or workers' representative of his commitments under this Section 3 Clause and shall
post copies of the notice in conspicuous places available to employees and applicants for employment or
training. The notice shall describe the Section 3 preference, shall set forth minimum number and job
titles subject to hire, availability of apprenticeship, and training positions, the qualifications for each, the
name and location of the persons taking applications for each of the positions, and the anticipated date
the work shall begin.
D. Subrecipient will include this Section 3 Clause in every subcontract for work in connection with the
Project and will, at the direction of the applicant for or recipient of Federal financial assistance, take
appropriate action pursuant to the subcontract upon a finding that Subrecipient is in violation of the
regulations issued by the Secretary of Housing and Urban Development, 24 CFR Part 135. Subrecipient
will not subcontract with any agency where it has notice or knowledge that the latter has been found in
violation of regulations under 24 CFR Part 135, and will not let any subcontract unless the agency has
first provided it with a preliminary statement of ability to comply with the requirements of these
regulations.
E. Subrecipient will certify that any vacant employment positions, including training positions, that are
filled (1) after the contractor is selected but before the contract is executed, and (2) with persons other
than those to whom the regulations of 24 CFR part 135 require employment opportunities to be directed,
were not filled to circumvent the contractor's obligations under 24 CFR part 135.
Compliance with the provisions of Section 3, the regulations set forth in 24 CFR Part 135, and all
applicable rules and orders of the Department issued there under prior to the execution of the contract
shall be a condition of the Federal financial assistance provided to the Project, binding upon the
applicant or recipient for such assistance, its successors and assigns. Failure to fulfill these
requirements shall subject the applicant or recipient, its subrecipients, and its successors, and assigns to
those sanctions specified by the CDBG Program Agreement or contract through which Federal
assistance is provided, and to such sanctions as are specified by 24 CFR Part 135, which include
termination of this Agreement for default and debarment and suspension from future HUD -assisted
contracts.
CNHS, Inc. FY19-20 CDBG Agreement FC Page 44
Exhibit "L"
CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS
The certification set out below is a material representation upon which reliance is placed by
the City of Clearwater and the U.S. Department of Housing and Urban Development in
awarding the grant. If it is later determined that Subrecipient knowingly rendered a false
certification, or otherwise violates the requirements of the Drug -Free Workplace Act, the
City and/or the U.S. Department of Housing and Urban Development, in addition to any
other remedies available to the Federal Government, may take action authorized under the
Drug- Free Workplace Act. Subrecipient will comply with the other provisions of the Act and
with other applicable laws.
CERTIFICATION
1. Subrecipient certifies that it will provide a drug-free workplace by:
A. Publishing a statement notifying employees that the unlawful manufacture,
distribution, dispensing, possession or use of a controlled substance is prohibited in
Subrecipient's workplace and specifying the actions that will be taken against
employees for violation of such prohibition;
B. Establishing an ongoing drug-free awareness program to inform employees about:
1. the dangers of drug abuse in the workplace;
2. Subrecipient's policy of maintaining a drug-free workplace;
3. any available drug counseling, rehabilitation, and employee assistance programs; and
4. the penalties that may be imposed upon employees for drug abuse violations occurring
in the workplace;
C. Making it a requirement that each employee to be engaged in the performance of this
grant be given a copy of the statement required by paragraph (A);
D. Notifying the employee in the statement required by paragraph (A) that, as a
condition of employment, the employee will:
1. Abide by the terms of the statement; and
2. Notify the employer in writing of his or her conviction for a violation of a
criminal drug statute occurring in the workplace no later than five calendar days
after such conviction;
E. Notify the City's Economic Development and Housing Department and/or the U.S.
Department of Housing and Urban Development in writing within ten (10) calendar days
after receiving notice under subparagraph (D) (2) from an employee or otherwise receiving
actual notice of such conviction. Employers of convicted employees must provide notice,
including position title, to every grant officer or other designee on whose grant activity the
convicted employee was working, unless the Federal agency has designated a central point
CNHS, Inc. FY19-20 CDBG Agreement FC Page 45
for the receipt of such notices. Notice shall include the identification number(s) of each
affected grant;
F. Taking one of the following actions, within 30 calendar days of receiving notice under
subparagraph (D) (2), with respect to any employee who is so convicted:
1. Taking appropriate personnel action against such an employee, up to and
including termination, consistent with the requirements of the Rehabilitation Act
of 1973, as amended; or
2. Requiring such employee to participate satisfactorily in a drug abuse assistance or
rehabilitation program approved for such purposes by a federal, state, or local
health, law enforcement, or other appropriate agency;
G. Making a good faith effort to continue to maintain a drug-free workplace through
implementation of paragraphs (A), (B), (C ), (D), (E), and (F).
2. Subrecipient shall insert in the space provided on the attached "Place of Performance"
form the site(s) for the performance of work to be carried out with the grant funds
(including street address, city, county, state, zip code and total estimated number of
employees). Subrecipient further certifies that, if it is subsequently determined that
additional sites will be used for the performance of work under the grant, it shall notify the
City's Economic Development and Housing Department and/or the U.S. Department of
Housing and Urban Development immediately upon the decision to use such additional
sites by submitting a revised "Place of Performance" form.
CNHS, Inc. FY19-20 CDBG Agreement FC Page 46
PLACE OF PERFORMANCE
FOR CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS
Name of Subrecipient: Clearwater Neighborhood Housing Services, Inc.
Program Name: Foreclosure Counseling
Grant : Community Development Block Grant
Date: May 2020 through September 30, 2020
The subrecipient shall insert in the space provided below the site(s) expected to be used for
the performance of work under this Agreement:
Place of Performance (include street address, city, county, state, zip code for each site):
608 North Garden Avenue, Clearwater, FL 33755
Check if there are workplaces on file that are not identified here.
ATTEST:
CLEARWATER NEIGHBORHOOD
HOUSING SERVICES, INC.
(Corporate a1)
1-1AA91 i Y01r)
CNHS, Inc.
B
Print Name/Title: i7r ///y,
ki/er_72
Date: vGCJ%e e 4 W
FY19-20 CDBG Agreement FC Page 47
Exhibit "M"
AFFIDAVIT
Federal Funding Accountability and Transparency Act (FFATA)
The Federal Funding Accountability and Transparency Act (FFATA) was signed on September
26, 2006. The FFATA legislation requires information on federal awards (federal financial assistance
and expenditures) be made available to the public via a single, searchable website, which is
www.USASpending.gov.
The FFATA Subaward Reporting System (FSRS) is the reporting tool Federal prime awardees
(i.e. prime contractors and prime grants recipients) use to capture and report subaward and executive
compensation data regarding their first tier subawards to meet the FFATA reporting requirements.
Prime contract awardees will report against sub -contracts awarded and prime grant awardees will
report against sub -grants awarded. The sub -award information entered in FSRS will then be displayed
on www.USASpending.gov associated with the prime award furthering Federal spending transparency.
The Transparency Act requires information disclosure concerning entities receiving Federal financial
assistance through Federal awards such as Federal contracts, sub -contracts, grants, and sub -grants.
Specifically, the Transparency Act's section 2(b)(1) requires the City to provide the following
information about each Federal award:
• Name of the entity receiving the award;
• Amount of the award;
• Information on the award including transaction type,
• Location of the entity receiving the award and primary location of performance under the award;
• Unique identifier of the entity receiving the award and the parent entity of the recipient;
• Names and total compensation of the five most highly compensated officers of the entity if the entity
in the preceding fiscal year received 80 percent or more of its annual gross revenues in Federal awards; and
$25,000,000 or more in annual gross revenues from Federal awards; and the public does not have access to this
information about the compensation of the senior executives of the entity through periodic reports filed under
section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15 U.S.C. §§ 78m(a), 78o(d)) or section 6104
of the Internal Revenue Code of 1986.
CNHS, Inc. FY19-20 CDBG Agreement FC Page 48
I," _ �� • ... / ! print name), hereby swear or affirm that:
I read
d understand th
formation provided above.
I have personal knowledge of the facts I am attesting to in this affidavit.
(please check one of the following)
/ I attest that Clearwater Neighborhood Housing Services, Inc. does not meet the above
threshold requiring names and total compensation of the five most highly compensated officers of the
entity if the entity.
I attest that Clearwater Neighborhood Housing Services, Inc. does meet the above
threshold* requiring names and total compensation of the five most highly compensated officers of the
entity if the entity.
*If agency meets the above threshold, the agency MUST attach a spreadsheet with the names and total
compensation of the five most highly compensated officers of the entity, signed and dated by the one
of the following: President; Executive Director; CEO; Board Chairperson; Finance Director; CFO; or
Treasurer.
I understand that the submission of a false affidavit is punishable as a second-degree
misde ' - . or under Florida 1
Signat "e of President/Executive ?rectorBoard'Chair
-.5'/:Y/Ll- lle /) /q -es 2
Printed Name of President/Exec'ufive Director oard Chair
STATE OF FLORIDA
COUNTY OF
PINELLAS
The forego g ; ffidavit
as
as ackn
wled
ea b
e this
ices, Inc. an. i personally known to 17.or has produced
ota 'ublic
day of , 2020, by
of Clearwater Neighborhood Housing
as identification.
My Commission Expire
CNHS, Inc. FY19-20 CDBG Agreement FC
MARVALYNT• MALCOLM.SMdTH
_ Notary Public - State of9949Florida
Commission e1,902
My Comm, Expires May OF e•; h Nat:onai Notary Assn,
�• Bondedthrouq
Page 49
Exhibit "N"
AUTHORIZATION SIGNATURE CARD
Subrecipient Name 6eartbla kJ' / re�� !✓I, 14L,aT Al-MiSi j2+° `'af ire/
Applicant's Name no c' i `_r. i, iI"`J� ,� .� sr�� ke
Address zil9g) / rMj &Al.:4 Arii„,,e,
City, State, Zip (2j!4i' e Gist g2,..<5 --
Telephone
2Telephone Number7, '5197—'9/,-CC--
SIGNATURE
519—'9/ --
SIGNATURE OF INDIVIDUALS AUTHORIZED TO SIGN FINANCIAL DOCUMENTS:
NAME .IGNATURE
iRa ('ra,
I certify that the signatures above are of the individuals authorized to execute financial
documents.
c'2/2
Date
re of Authorize
0
Title of Authorized Official
CNHS, Inc. FY19-20 CDBG Agreement FC
Page 50