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REQUEST FOR LEGAL SERVICES, THE KIMBERLY HOME TRANSITIONAL HOUSING RENOVATION - REQUEST FOR RELEASE OF FUNDS AND CERTIFICATIONBRIGHT AND BEAUTIFUL • BAY TO BEACH REQUEST FOR LEGAL SERVICES FORM TO: Laura Mahony, Senior Assistant City Attorney FROM: AUTHORIZED BY: COPY TO: SUBJECT: Irin Gomez, HUD Programs Administrator k -L -wit. Pamela K. Akin, City Attorney w/o attachments Chuck Lane, Assistant Director Request for Legal Services4k--044t. V0-6( , Re: The Kimberly Home Transitional Housing Renovation Lt --a\ Request for Release of Funds and Certification DATE: 3/26/2021 Service Required: (Click on appropriate box) Review and comment on document Draft document ❑ Written opinion requested ❑ Advise ❑ 1. Brief factual background of the request or problem: Please approve as to form and forward the attached Request for Release of Funds and Certification (Form HUD -7015.15) to the City Manager for signature. 2. Specific questions to be answered: None. 3. Identify prior legal assistance on this or a related matter and the name of the attorney who handled it: N/A s:\Forms\Legal services form 4. List and/or attach (all supporting documentation, related materials and known authorities, i.e., statute, ordinance, resolution, administrative code, legal case, contract, lease letter, memorandum, prior legal opinion): • Cover letter s:\Forms\Legal services form Request for Release of Funds and Certification U.S. Department of Housing and Urban Development Office of Community Planning and Development OMB No. 2506-0087 (exp. 08/31/2023) This form is to be used by Responsible Entities and Recipients (as defined in 24 CFR 58.2) when requesting the release of funds, and requesting the authority to use such funds, for HUD programs identified by statutes that provide for the assumption of the environmental review responsibility by units of general local government and States. Public reporting burden for this collection of information is estimated to average 36 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. This agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless that collection displays a valid OMB control number. Part 1. Program Description and Request for Release of Funds (to be completed by Responsible Entity) 1. Pro ram Title s Home Investment Partnerships Program (HOME) 2. HUD/State Identification Number M -15 -MC -12-0230 3. Recipient Identification Number optional) ) 59-6000289 4. OMB Catalo. Number s 14.239 6. For information about this re•uest, contact name & phone number Irin Gomez (727) 562-4032 5. Name and address of responsible entity City of Clearwater Economic Development and Housing Department 600 Cleveland Street, Suite 600, Clearwater, FL 33755 8. HUD or State Agency and office unit to receive request U.S. Department of Housing and Urban Development Region IV Jacksonville CPD Field Office 7. Name and address of recipient (if different than responsible entity) N/A The recipient(s) of assistance under the program(s) listed above requests the release of funds and removal of environmental grant conditions governing the use of the assistance for the following 9. Program Activity(ies)/Project Name(s) The Kimberly Home Transitional Housing Renovation Residential Rehabilitation 10. Location (Street address, city, county, State) 1178 Grove Street Clearwater, Pinellas County, FL 33755 11. Program Activity/Project Description Funds provided for the energy-efficient renovation of an existing two-story one -bedroom apartment structure with three parking garages/storage units below. This includes selective demolition; replacement of all windows and door openings with hurricane -resistant units; roof replacement; replacement of the wood access staircase to the second -floor unit; installation of a new air handler and new duct work; installation of exterior vinyl siding and trim; electrical upgrade and installation of new solid surface flooring, new bathroom and plumbing fixtures, and appliances to current code; installation of material for 1 -hr. floor/ceiling tenant/garage separation; repair and patch of all interior walls; and interior/exterior painting. Previous editions are obsolete form HUD -7015.15 (1/99) Part 2. Environmental Certification (to be completed by responsible entity) With reference to the above Program Activity(ies)/Project(s), I, the undersigned officer of the responsible entity, certify that: 1. The responsible entity has fully carried out its responsibilities for environmental review, decision-making and action pertaining to the project(s) named above. 2. The responsible entity has assumed responsibility for and complied with and will continue to comply with, the National Environmental Policy Act of 1969, as amended, and the environmental procedures, permit requirements and statutory obligations of the laws cited in 24 CFR 58.5; and also agrees to comply with the authorities in 24 CFR 58.6 and applicable State and local laws. 3. The responsible entity has assumed responsibility for and complied with and will continue to comply with Section 106 of the National Historic Preservation Act, and its implementing regulations 36 CFR 800, including consultation with the State Historic Preservation Officer, Indian tribes and Native Hawaiian organizations, and the public. 4. After considering the type and degree of environmental effects identified by the environmental review completed for the proposed project described in Part 1 of this request, I have found that the proposal did did not IV require the preparation and dissemination of an environmental impact statement. 5. The responsible entity has disseminated and/or published in the manner prescribed by 24 CFR 58.43 and 58.55 a notice to the public in accordance with 24 CFR 58.70 and as evidenced by the attached copy (copies) or evidence of posting and mailing procedure. 6. The dates for all statutory and regulatory time periods for review, comment or other action are in compliance with procedures and requirements of 24 CFR Part 58. 7. In accordance with 24 CFR 58.71(b), the responsible entity will advise the recipient (if different from the responsible entity) of any special environmental conditions that must be adhered to in carrying out the project. As the duly designated certifying official of the responsible entity, I also certify that: 8. I am authorized to and do consent to assume the status of Federal official under the National Environmental Policy Act of 1969 and each provision of law designated in the 24 CFR 58.5 list of NEPA-related authorities insofar as the provisions of these laws apply to the HUD responsibilities for environmental review, decision-making and action that have been assumed by the responsible entity. 9. I am authorized to and do accept, on behalf of the recipient personally, the jurisdiction of the Federal courts for the enforcement of all these responsibilities, in my capacity as certifying officer of the responsible entity. Signature of Certifying Officer of the Responsible Entity x WALiftw. /Weit,w2------ Title of Certifying Officer City Manager Address of Certifying Officer 1600 Cleveland Street, Suite 600 Clearwater, FL 33755 Part 3. To be completed when the Recipient is not the Responsible Entity The recipient requests the release of funds for the programs and activities identified in Part 1 and agrees to abide by the special conditions, procedures and requirements of the environmental review and to advise the responsible entity of any proposed change in the scope of the project or any change in environmental conditions in accordance with 24 CFR 58.71(b). Signature of Authorized Officer of the Recipient X Title of Authorized Officer Date si.ned Warning: HUD will prosecute false claims and statements. Conviction may result in criminal and/or civil penalties. (18 U.S.C. 1001, 1010, 1012; 31 U.S.C. 3729, 3802) Previous editions are obsolete form HUD -7015.15 (1/99) ECONOMIC DEVELOPMENT AND HO $IN(E March 26, 2021 CITY OF CLEARWATER Posr OFFICE Bot 4748, CLEARWATER, FLORIDA 33758-4748 600 CLEVELAND STREET, SI -ITE 600, CLEARWATER, FL 33755 TELEPHONE (727) 562-4220 FAx (727) 562-4037 Lisa A. Hill, CPD Director U.S. Department of Housing and Urban Development Office of Community Planning and Development Charles E. Bennett Federal Building 400 West Bay Street, Suite 1015 Jacksonville, FL 32202 RE: Request for Release of Funds and Certification The Kimberly Home Transitional Housing Renovation Dear Ms. Hill: A Request for Release of Funds and Certification (Form HUD -7015.15) for The Kimberly Home Transitional Housing Renovation is enclosed. The City of Clearwater requests the release of funds and the authority to use such funds for this project. A copy of the Notice of Intent to Request Release of Funds published in the Tampa Bay Times on Wednesday, March 17, 2021, is also enclosed. The City of Clearwater received no comments in response to the published notice. Should you have any questions or need additional information, I may be reached at 727-562-4032 or irin.Bomez@myclearwater.com. Sincerely, '1217111121- Irin Gom HUD Programs Administrator Enclosures Mark Bunker, Councilmember Kathleen Beckman, Councilmember Frank V. Hibbard, Mayor David Allbritton, Councilmember Hoyt Hamilton, Councilmember "Equal Employment and Affirmative Action Employer"