COMMUNITY DEVELOPMENT BLOCK GRANT - CORANAVIRUS RESPONSE FUNDS PROGRAM AGREEMENTCOMMUNITY DEVELOPMENT BLOCK GRANT — CORONAVIRUS RESPONSE FUNDS
(CDBG-CV) PROGRAM AGREEMENT BETWEEN THE CITY OF CLEARWATER,
FLORIDA AND TAMPA BAY BLACK BUSINESS INVESTMENT CORPORATION
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 Tampa Bay Black
Business Investment Corporation, a Florida non-profit corporation, with a principal address of
1920 East Hillsborough Avenue, Suite 222, Tampa, FL 33610 (hereinafter referred to as "TBBBIC"
or "Subrecipient").
WITNESSETH:
WHEREAS, the Community Development Block Grant Program ("CDBG") is
administered by the United States Department of Housing and Urban Development ("HUD"); and
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; and
WHEREAS, in response to the Coronavirus Pandemic (COVID-19), the United States
Depaitwent of Housing and Urban Development (HUD) has notified the City of Clearwater that it
will receive an allocation of Four Hundred Ninety -Two Thousand, Five Hundred Ninety -Two
dollars and xx/100 cents ($492,592.00) of Community Development Block Grant Program —
Coronavirus Response funds (CDBG-CV) to be used to prevent, prepare for, and respond to
COVID-19; and
WHEREAS, the City's allocation of CDBG-CV was authorized by the Coronavirus Aid,
Relief, and Economic Security Act (CARES Act), Public Law 116-136, which was signed by
President Trump on March 27, 2020, to respond to the growing effects of this historic public health
crisis; and
WHEREAS, beginning on May 11, 2020, the City will be administering a program utilizing
CDBG-CV funds to assist businesses in responding to and recovering from financial loss as a result
of COVID-19 (the "Program"); and
WHEREAS, TBBBIC, is a private non-profit corporation that offers capital accompanied
by hands-on technical assistance to start-ups, micro and small businesses and entrepreneurs; and
WHEREAS, TBBBIC is currently under contract with the City to utilize $30,000 in FY
2019-2020 CDBG funds to enable TBBBIC to provide salary support and fringe for a Business
Development Consultant and CEO; and
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); and
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CDBG-CV - TA to Micro & SBO Page 1
WHEREAS, the city desires that TBBBIC utilize its expertise to provide technical
assistance and/or refer qualifying Clearwater businesses to technical/professional assistance
providers to assist those businesses having suffered financial loss as a result of COVID-19; and
WHEREAS, TBBBIC has available the necessary qualified personnel, facilities, materials
and supplies to perform such services and/or carry out such programs for these businesses, 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 TBBBIC agree as follows:
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), and other applicable regulations, as may be waived or suspended from time to time
by HUD.
3. The Grant. Under the terms and conditions of this Agreement, the City has allocated a
subaward to Subrecipient in the amount not to exceed ONE HUNDRED THOUSAND DOLLARS
AND 00/100 CENTS ($100,000.00) in CDBG-CV funds to assist businesses in responding to and
recovering from the COVID-19 pandemic, 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 TBBBIC 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. TBBBIC
recognizes that there is a limited supply of CDBG-CV funding and once the supply is depleted,
whether by TBBBIC or by other eligible activities, the City is under no obligation to supply funding
thereafter regardless of whether the not -to -exceed amount identified herein has been reached. The
terms CDBG and CDBG-CV shall be used interchangeably throughout this Agreement.
4. Statement of Work/Program and Project Description. Subrecipient offers technical
assistance to Clearwater entrepreneurs trying to maintain their business through the COVID-19
pandemic and to reach full business capacity after the pandemic has passed. Eligible expenses also
include the actual cost of services provided by third -party technical assistance providers as described
and limited herein. The subrecipient will utilize funds for salary support and fringe to provide, or to
engage a qualified third -party professional to provide, technical assistance to micro and small
business owners that will benefit low- to moderate- income City of Clearwater businesses 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" (Program Guidelines)
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.
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5. Goals and Performance Measures; Implementation Schedule. Subrecipient agrees to
work diligently towards the completion of the Project and complete the Project by December 31,
2020. HUD requires the City to timely spend its CDBG-CV 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 (as may be amended,
waived or suspended by HUD from time to time) 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 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 up to $100,000.00. 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-CV 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 December 31, 2020. Costs may not be incurred after December 31, 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, the CARES Act 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
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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. The Parties recognize that HUD has
provided for certain waivers and suspensions of regulations and the parties agree to utilize such
waivers and suspensions where applicable and beneficial.
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 required. Subrecipient also agrees to
comply with the Program Requirements set forth in Exhibit "E" which is attached hereto and
incorporated herein by this reference. If any conflict exists as between this Agreement and the
Program Requirements, this Agreement shall take precedence.
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
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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;
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
§570.505regarding 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;
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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.
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
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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 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".
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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, June, September, and December. Annual reports
are due by October 15, 2020 for activities conducted during the preceding year (Example: October
1, 2019 — September 30, 2020).
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.
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 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
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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. Acquisition and Replacement 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
CDBG or CDBG-CV 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
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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 Requirements. 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 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
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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 and CDBG-CV 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-Lobbvin2 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 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.
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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 andprogram beneficiaries.
b) 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.
c) 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.
d) 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.
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e) 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.
f) 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.
12. Fair Housing Act and Nondiscrimination and Equal 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
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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 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
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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 National Flood Insurance
Program. Subrecipient agrees that if any portion of the any property improved in connection with
this Project is 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
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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 Act).
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:
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.) failure 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;
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:
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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.
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.
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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 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.
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.
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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 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
Tampa Bay BBIC CDBG-CV - TA to Micro & SBO Pace 19
written or verbal, are merged herein. This Agreement may only be modified in writing, signed by
both of the parties hereto.
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
Albert Lee
President & CEO
1920 East Hillsborough Avenue, Suite 222
Tampa, FL 33610
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.
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IN WITNESS WHEREOF, the parties hereto have executed these presents and have set
their hands and seals this 1i day of , 2020.
ATTEST:
By:
tl : Rosei'narie Call, C
STATE OF FLORIDA
COUNTY OF PINELLAS
is
identification.
CITY OF CLEARWATER, FLORIDA, a municipal
corporation organized and existing under the laws of the State
of Florida
By: O C� D
William B. Horne II, City Manager
Tampa Bay Black Business Investment
Corporatijy, a .rida non-profit
corporati
By:
Title:
Print Name:
Date:
FOREGOING CDBG AGREEMENT was acknowledged before me thisc day o
fuL, , 2020, by A't ez- , as re -c ; (le•-,
personally known to me or ❑ who has produced as
A Jo a,01-
NOTARY P, ULIC
Print Name: 16//,"///1 3 0.
My Commission Expires:
APPROVED AS TO FORM
for the use and reliance of the City
of Clearwater, Florida, only.
, 2020.
Laura Mahony, Sr. Assi nt City Attorney
Clearwater, Florida
Tamoa Bav BBIC CDBG-CV - TA to Micro & SBO
Paee 21
Exhibit A
Exhibit B
Exhibit C
Exhibit D
Exhibit E
Exhibit F
Exhibit G
Exhibit G-1
Exhibit G-2
Exhibit G-3
Exhibit H
Exhibit I
Exhibit J
Exhibit K
Exhibit L
Exhibit M
Exhibit N
Exhibit Index
Standards of Eligibility
Required Subrecipient Information
Additional Program Requirements
Budget
CDBG Program Requirements
Reporting Schedule
Public Service and Public Facility Program Activity Report (2 Pages)
Microenterprise Program Activity Report
Financial and Project Update Report
Timesheet
Request for Payment
EEO Clause for Subrecipients/Contractors and Subcontractors — Standard Solicitation for Bid
and Contract Language
Certification Regarding Lobbying
Section 3 Economic Opportunity Clause
Certification Regarding Drug -Free Workplace Requirements
Affidavit
Signature Card
Tampa Bav BBIC
CDBG-CV - TA to Micro & SBO Page 22
Exhibit "A"
INCOME LIMITS
June 28, 2019
CDBG, HOME & NSP INCOME LIMITS
Effective 6/28/2019
Household
Size
0 to 30% AMI
(Extremely Low)
30+ to 50% AMI
(Low)
50+ to 80% AMI
(Moderate)
Above 80% AMI
(Non-Low/Moderate)
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
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 Persons
26,500
44,200
70,650
GROSS (UNADJUSTED) MEDIAN HOUSEHOLD INCOME - $66,900
Tamoa Bav BBIC CDBG-CV - TA to Micro & SBO Paee 23
Exhibit "B"
REQUIRED SUBRECIPIENT INFORMATION
1. Subrecipient name (which must match registered name in DUNS): Tampa Bay
Black Business Investment Corporation
2. Subrecipient's DUNS number (see §200.32 Data Universal Numbering System
(DUNS) number): 0777019490
3. Subaward Period of Performance Start Date and End Date: Effective date hereof
to 12/31/2020
4. Amount of Federal Funds Obligated by this activity: up to $100,000
5. Total Amount of Federal Funds obligated to subrecipient: up to $100,000
6. Federal award project description, as required to be responsive to the Federal
Funding Accountability and Transparency Act (FFATA): Funds will be used for
salary support and fringe to provide, or to engage a qualified third -party
professional to provide, technical assistance to micro and small business owners.
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
Tampa Bav BBIC CDBG-CV - TA to Micro & SBO Page 24
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.
Tampa Bav BBIC
CDBG-CV - TA to Micro & SBO Page 25
Exhibit "D"
BUDGET
Tampa Bay Black Business Investment Corporation
CDBG-CV
May 2020 through December 2020
Services Funded
Category
Maximum Hourly
Rate
Maximum # of
Hours/Client
Legal Services
(Transactional services only)
$250
2 hours
Accounting Services
$100
N/A
Marketing Services
$100
N/A
General Business Consulting
$125
N/A
Web Design and Related Services
$100
N/A
A combination of services according to the table above may be used for a cumulative per -client cost of
services not -to -exceed $1,000. Additionally, subrecipient will be paid a ten percent (10%) administration
fee on services provided resulting in a total per -client cost of $1,100.
Tampa Bav BBIC
CDBG-CV - TA to Micro & SBO Paee 26
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 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.
Tamoa Bav BBIC CDBG-CV - TA to Micro & SBO Paee 27
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.
J.
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
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.
Tampa Bav BBIC CDBG-CV - TA to Micro & SBO Paee 28
Exhibit "F"
Reporting Schedule
1. Subrecipient shall submit all reports to the City's Economic Development and Housing
Department as described in this Agreement.
2. 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.
3. 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.
4. 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:
a) 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.
b) 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
Tampa Bav BBIC CDBG-CV - TA to Micro & SBO Page 29
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 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.
Tampa Bav BBIC CDBG-CV - TA to Micro & SBO Page 30
X189 AEG eawel
085'8 wollA1 of V1- A9-91303
Exhibit "G"
City of Clearwater
Economic Development & Housing Department
FY 2019-2020
Program Activity Report
Agency Name:
Reporting Month:
PARTICIPANTS
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.
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.
Agency Representative:
Title:
Date:
DI99 Ae9 eawel
09S'2 oa0I1A1 o; dl - AD-99aJ
RACE AND ETHNICITY OF NEW PARTICIPANTS (Do not include race or ethnicity of returning participants.)
RACE:
OCTOBER NOVEMBER
DECEMBER
JANUARY
FEBRUARY
MARCH
0
l: Race
Ethnicity-`;
AUGUST
Race
Ethnicity
0
n4 y
*
n
Race
Ethnicity
, ti
Total
Hispanic/
Latino
�
# "'
Total
Hispanic/
Latino
Total
Hispanic/
Latino
White
Black/African American AND White
0
0
Total
Hispanic/
Latino
i
Other Multi -Racial
0
�� A ��
Total
Hispanic/3
Latino
n
Black/African American
Hispanic/
Latino
White
Asian
Black/African American
American Indian/Alaskan Native
Asian
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native AND White
Native Hawaiian/Other Pacific Islander
Asian AND White
,
'Black/African American AND White
American Indian/Alaskan Native AND White
American Indian/Alaskan Native AND
Black/African American
Asian AND White
Other Multi -Racial
-
Black/African American AND White
TOTAL NEW PARTICIPANTS
, `;
_
t;
0
0
0
0
RACE:��,
TOTALS
APRIL
MAY
White
JUNE
0
Black/African American
JULY
AUGUST
SEPTEMBER
0
0
�e
Race
Ethnicity
Native Hawaiian/Other Pacific Islander
0
American Indian/Alaskan Native AND White
Race
i
Ethncity
k,
Race
Ethnicity
Black/African American AND White
0
0
Total
Hispanic/
Latino
i
Other Multi -Racial
0
�� A ��
Total
Hispanic/3
Latino
n
Total
Hispanic/
Latino
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
=
` ;
, �"
0 _
0
_ 0
.'
- 0.
_. -L
0 _
0
`: (,_, ,
0
0
OFFICE USE ONLY
RACE:
TOTALS
Race
Total
'
rfp
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
RACIAL GROUP
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
RACIAL GROUP
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 FACADE TREATMENT AND/OR
REHAB
MICROENTERPRISES ASSISTED THAT PROVIDE GOODS OR SERVICES TO MEET THE
NEEDS OF A SERVICE AREA, NEIGHBORHOOD, OR COMMUNITY
AMERICAN INDIAN/ALASKAN NATIVE
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
usmess o
RACIALIETHNIC 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
FEMALEFOR
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
THIS REPORTING PERIOD
ONLY
FEMALEFOR
HEAD OF HOUSEHOLD
DISABLED
Tamoa Bay BBIC
CDBG-CV - TA to Micro & SBO
Pae 33
LOW TO MODERATE -INCOME CLIENTELE NATIONAL OBJECTIVE (LMC) — MICROENTERPRISE ACTIVITIES
PAGE 2 OF 2
NAMES OF BUSINESSES ASSISTED
DUNS # FOR BUSINESSES ASSISTED
Tampa Bay BBIC
CDBG-CV - TA to Micro & SBO Pace 34
X198 AB eawei
OBS '8 0-13!W of `dl - AJ -98a:
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
Dies nee eawel
09S 11 aZ! W dl - AD-99aD
-u
n,
Co
m
w
o
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:
Tamoa Bay BBIC CDBG-CV - TA to Micro & SBO Page 37
Exhibit "I"
EQUAL EMPLOYMENT OPPORTUNITY CLAUSE FOR SUBRECIPIENTS AND
THEIR CONTRACTORS AND SUBCONTRACTORS
STANDARD SOLICITATION FOR BID AND CONTRACT LANGUAGE
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
Tampa Bay BBIC CDBG-CV - TA to Micro & SBO Paae 38
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.
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.
Tampa Bay BBIC CDBG-CV - TA to Micro & SBO Paee 39
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:
Tampa Bay Black Business Investment
Corporation
B
Tampa Bay BBIC CDBG-CV - TA to Micro & SBO
Page 40
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
Tamoa Bav BBIC CDBG-CV - TA to Micro & SBO Paee 41
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.
Tampa Bav BBIC CDBG-CV - TA to Micro & SBO Page 42
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, m 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 for the receipt
of such notices. Notice shall include the identification number(s) of each affected grant;
Tampa Bav BBIC CDBG-CV - TA to Micro & SBO Pae 43
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.
Tampa Bav BBIC CDBG-CV - TA to Micro & SBO Pae 44
PLACE OF PERFORMANCE
FOR CERTIFICATION REGARDING DRUG-FREE WORKPLACE
REQUIREMENTS
Name of Subrecipient: Tampa Bay Black Business Investment Corporation
Program Name: Salary Support — Technical Assistance
Grant: Community Development Block Grant - Coronavirus
Date: Effective date of Subrecipient Agreement
May, 2020 through December 31, 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):
• 900 North Martin Luther King Jr. Avenue, Clearwater, FL 33755
Check \/ if there are workplaces on file that are not identified here.
ATTEST:
(CORPORAT
Tampa Bay Black Business Investment
Corporation
By: ALL'
lj
(-AV
_V A40)&la v
Prin ame & Tit
Tampa Bav BBIC CDBG-CV - TA to Micro & SBO Page 45
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.
Signatures follow on next page....
Tamoa Bav BBIC CDBG-CV - TA to Micro & SBO Pae 46
/14-fri
(print name), hereby swear or affirm that:
I read and understand the information 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 Tampa Bay Black Business Investment Corporation 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 Tampa Bay Black Business Investment Corporation 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 t► at the submission of a false affidavit is punishable as a second-degree misdemeanor under
Florida law.
Signature of Presi
xecutive Director/Board Chair
ICz 1�/ate
Printed Name of Pre fdent/Executive Director/Board Chair
STATE OF FLORIDA
COUNTY OF PINELLAS
The foregoing Affidavit was acknowledged before me this o9.('( day ofrJL_, , 2020, by
kt bei{- Lee, as SI clew -}- of Tampa Bay Black Business
Investment Corporation and is personally known to me or CI has produced
as identification.
�..''''''•s TAMISIA B. SCANTLING I Notary Public
S. Notary Puaic • Stats of Florida'
Commission I GG 012430
0 '••: ��; , My Comm. Expires Aug 21, 2020'
. p�
My Commission Expires:
Tampa Bay BBIC CDBG-CV - TA to Micro & SBO Page 47
Subrecipient Name
Applicant's Name
Address
City, State, Zip
Telephone Number
Exhibit "N"
AUTHORIZATION SIGNATURE CARD
;teMe.r-
*Lji
3y/o
Pim
SIGNATURE OF INDIVIDUALS AUTHORIZED TO SIGN FINANCIAL DOCUMENTS:
NAME
URE
certify that the signatures above are of the individuals authorized to execute financial
documents.
Date
Sig g ure of uthgrized Official
Tamoa Bav BBIC CDBG-CV - TA to Micro & SBO
Page 48