COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM - CDBG - PUBLIC SERVICE AGREEMENTCOMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
PUBLIC SERVICE AGREEMENT
BETWEEN THE CITY OF CLEARWATER, FLORIDA AND
HOPE VILLAGES OF AMERICA
THIS CDBG PROGRAM AGREEMENT (this "Agreement") is made and entered into by and between the
City of Clearwater, Florida, a Florida municipal corporation, with a principal address of P.O. Box 4748, Clearwater,
Florida 33758 (the "City"), and Hope Villages of America, Inc., Florida not-for-profit corporation with a principal
address of 503 S. Martin Luther King Jr. Ave, Clearwater, FL 33756 ("Subrecipient") (the City and Subrecipient
shall be referred to collectively as the "Parties").
WITNESSETH:
WHEREAS, the City administers a Community Development Block Grant ("CDBG") Public Services
Program, which is funded by the United States Department of Housing and Urban Development ("HUD"); and
WHEREAS, the City submitted its Annual Action Plan (the "Action Plan") for the fiscal and program year
ending September 30, 2026 (FY2025-2026), as approved by the City of Clearwater City Council, to HUD.
WHEREAS, The City is an entitlement community that receives CDBG funds awarded under the Housing
and Community Development Act of 1974, in furtherance of its goals of promoting Public Services, Public Facilities
and Improvements, and Housing Initiatives as further detailed in its Consolidated Plan for Housing and Community
Development Programs 2025 -2029; and
WHEREAS, Subrecipient is a not—for—profit organization that provides Abuse Services, Housing Stability
& Homeless Prevention, and Food Insecurity Programs; and
WHEREAS, Subrecipient was granted TWENTY-THREE THOUSAND ONE HUNDRED FORTY-SEVEN
DOLLARS AND 00/100 CENTS ($23,147.00) in FY2025-2026 to utilize CDBG funds for Salary Support and
Fringe Costs to enable Subrecipient to provide access to nutritious foods and empower seniors through targeted
dietary education. A key component will be on-site nutrition guidance from a registered dietitian, who will teach
seniors how to make healthier food choices, prepare balanced meals, and manage chronic conditions through
improved nutrition.; and
WHEREAS, these services are an eligible activity under the CDBG program in accordance with 24 CFR
§570.201(e) Public Services and meet a national objective as required under 24 CFR §570.200(a) being that the
services are activities benefiting low -and moderate -income persons as Low Mod Limited Clientele Activities;
and
WHEREAS, Subrecipient has available the necessary qualified personnel, facilities, materials, and supplies
to perform such services and/or carry out such programs for these people, 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 as Exhibit "A" and incorporated herein by
reference; and
WHEREAS, all allowable expenses under this Agreement will be paid from available CDBG program grant
funds on a reimbursement basis; and
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 Subrecipient agree as follows:
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SECTION I: 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). The qualifying
national objective for this activity is:
❑ (1) Low Mod Area benefit (LMA) activities as described in 24 CFR 570.208(a)(1); or
® (2) Low Mod limited clientele (LMC) activities as described in 24 CFR 570.208(a)(2)
LMA or LMC activities may include:
Presumed benefit activities – serving a group of persons that HUD presumes to be principally low -
and moderate -income, such as abused children, battered spouses, elderly persons, severely
disabled adults, homeless persons, illiterate adults, persons living with aids, or migrant farm
workers. The subrecipient shall maintain a description of the facility and the nature of the service
provided, along with records showing that the facility is used primarily by the eligible group.
Income -verified activities – serving a group of persons that are not presumed to be principally
low- and moderate -income. The subrecipient shall collect client self -certification or intake forms
documenting household size and annual income, and maintain aggregate demographic data
(race, ethnicity, etc.) as required for HUD reporting.
3. The Grant. Under the terms and conditions of this Agreement, the City has allocated a subaward to
Subrecipient in the amount of TWENTY-THREE THOUSAND ONE HUNDRED FORTY-SEVEN DOLLARS
AND 00/100 CENTS ($23,147.00) (the "Grant") in FY 2025-2026 to utilize CDBG funds toward the project
defined below. Pursuant to 2 CFR §200.332 "Requirements for pass-through entities", the required
subaward information is attached as Exhibit "B". Any portion of the Grant remaining unexpended or not
disbursed to Subrecipient by the City as of the termination date of this Agreement may be deobligated
from this Agreement and made available for other City projects as determined by the City.
4. Statement of Work/Program and Project Description. Subrecipient will operate its "Senior Wellness
Pantry" Program to provide direct food access and nutrition education services to elderly Clearwater
residents. CDBG funding will for salary support and fringe costs directly attributable to the following
positions, One (1) full-time Volunteer Manager, One (1) full-time Director of Programs and Services, and
One (1) full-time Warehouse Manager, (the "Project"). The Project will benefit 48 low- to moderate -
income City of Clearwater residents according to HUD income guidelines attached as Exhibit "A".
Additional requirements for the Project are attached as Exhibit "C" and made a part hereof by this
reference. The budget, scope of work, and milestone for this Project (the "Budget") is attached as
Exhibit "D" and made a part hereof by reference.
5. Performance Monitoring. The City will monitor the Subrecipient's performance against goals, program
requirements, and compliance with this Agreement, including timely expenditure of the Grant,
achievement of performance benchmarks, and adherence to the milestone schedule in Exhibit "D." In
accordance with 2 CFR § 200.339, substandard performance—such as failure to meet performance goals,
expend funds in a timely manner, or comply with any provision of this Agreement—constitutes
noncompliance. The City may issue written notice of noncompliance and require corrective action. If
corrective action is not taken within thirty (30) calendar days, the City may, at its discretion, reduce,
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suspend, or terminate the Grant, reallocate unspent funds, or take other remedies permitted under federal
regulations. Subrecipient must return any unspent or de -obligated CDBG funds within five (5) business
days of written notice from the City's Economic Development and Housing Department Director. In
accordance with 2 CFR §200.344, the City may reprogram such funds for other eligible activities in
accordance with CDBG regulations.
6. Expenditure of Funds/Budget. Subrecipient shall use the Grant for eligible expenses permitted under
the CDBG regulations as set forth in 24 CFR Part 570 and in accordance with the Budget. Any changes
in budget line items, including additions, must be requested in writing and approved in writing by the City's
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
amount of the Grant. 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 the Budget may be modified by the City accordingly.
Subrecipient acknowledges and agrees that any funds not used in accordance with permitted CDBG
regulations and the Budget must be repaid to the City.
7. Term and Time of Performance. Subrecipient shall perform services under this Agreement during its
effective term from October 1, 2025, through September 30, 2026 unless cancelled or earlier
terminated. Costs may not be incurred after September 30, 2026. Notwithstanding anything herein to
the contrary, Subrecipient's obligations to the City shall not end until all closeout requirements are
completed, including but not limited to making final payments, disposing of program assets, and retention
of records. Additionally, the term of this Agreement 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 II: 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,
all other laws and regulations and regulatory guidance governing the use of the Grant, and any
amendments or policy revisions thereto which shall become effective during the term of this Agreement.
It is Subrecipient's responsibility to read, understand, and comply with these laws and regulations. In
addition, Subrecipient shall abide by any and all other applicable federal or state laws, rules, regulations,
HUD guidance, and policies governing the funds provided under this Agreement, whether presently
existing or hereafter promulgated. Subrecipient shall also comply with all other applicable federal, state,
or local laws, statutes, ordinances, rules, and regulations.
2. Uniform Administrative Requirements and Cost Principles. Subrecipient shall comply with the uniform
administrative requirements specified at 24 CFR §570.502 and §570.610. Subrecipient also agrees to
comply with the provisions of the Uniform Administrative Requirements, Cost Principles, and Audit
Requirements set forth in 2 CFR Part 200 and adopted by HUD at 2 CFR Part 2400. 2 CFR Part 200
addresses many requirements including but 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,
Federal Funding Accountability Transparency Act ("FFATA"), and closeout. Subrecipient shall comply
with all applicable HUD guidance, policies, and procedures. 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
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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.
3. Procurement/Subcontracting/Third-Party Contracts. Subrecipient agrees to abide by the provisions
of 2 CFR Part 200.318 and 24 CFR Part 92.356, which include maintaining a written code of standards or
conduct that will govern the performance of its officers, employees, or agents engaged in the award and
administration of contracts supported by Federal funds.
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 § § 200.318-200.327. Third
parties may be procured for a variety of services. Subrecipient shall ensure 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 into any and all third party bid documents and contracts the
provisions required in 2 CFR § 200.327 and Appendix II to Part 200, 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, Equal Employment Opportunity requirements, 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 for
the performance of work to be undertaken within the scope of this Agreement along with documentation
concerning the selection process. The lowest and most responsive bidder shall be recommended by
Subrecipient to the City' s Economic Development and Housing Department. Subrecipient shall require
and monitor compliance by all contractors, subcontractors, and other third parties. Subrecipient will
monitor all subcontracted services on a regular basis to ensure 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 Maintenance Requirement. Subrecipient shall maintain all records and accounts in accordance
with 2 CFR Part 200, 24 CFR Part 570.502 and 24 CFR 570.506. These records are essential for
documenting eligibility, compliance, and proper use of CDBG funds. All records must be accurate,
complete, and well -organized to ensure proper accounting and monitoring of all CDBG funds. In the event
that the City determines the Subrecipient is not adequately maintaining required records, the City reserves
the right to unilaterally terminate this Agreement. These records include but are not limited to the
following:
• Records providing a full description of each activity undertaken;
• Records demonstrating that each activity undertaken meets one of the National Objectives of the
CDBG program;
• Records required to determine the eligibility of activities;
• If applicable, Records required to document the acquisition, improvement, use or disposition of real
property acquired or improved with CDBG assistance;
• Records documenting compliance with the fair housing and equal opportunity components of the
CDBG program;
• Financial records as required by 24 CFR 570.502, and 2 CFR 200;
• Other records necessary to document compliance with Subpart K of 24 CFR 570;
• Proof of city residency documents;
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• Proof of required insurance;
• If applicable, the basis for determining eligibility;
• Description of services received and dates of services; and
• Any other records related to or resulting from the activities performed under this Agreement.
If applicable, for Records for Low -and Moderate Income Benefit (LMA) Activities:
• Documentation identifying the service area of the activity and demonstrating that the area meets
HUD's definition of a primarily low- and moderate -income area per §570.208(a)(1);
• A map of the service area;
• Current low/mod census data or approved survey results to support income qualification;
• Description of how the service or activity benefits all residents of the area on an area -wide basis (not
individual intake).
NOTE: The above items are only a brief summary of the records Subrecipient is required to maintain.
Subrecipient shall consult 2 CFR Part 200 and 24 CFR §570.506 for a detailed description of the required
records.
5. Retention of Records. Subrecipient shall maintain accurate and complete records, including
accounting, financial, statistical, and supporting documentation, to demonstrate compliance with this
Agreement and CDBG requirements (2 CFR Part 200 and 24 CFR § 570.506). All records shall be retained for
five (5) years from the date the City submits its Consolidated Annual Performance and Evaluation Report
(CAPER) to HUD in which the activities under this Agreement are reported.
Records must be retained longer if:
• They are subject to litigation, claims, or audits initiated before the retention period ends (retain
until resolution);
• They relate to displaced persons (retain for five years after final payment);
• They pertain to real property or equipment acquired with CDBG funds (retain for five years after
final disposition);
• Subrecipient is notified by the City, HUD, or an auditor to retain them longer; or
• They involve program income, indirect cost proposals, or cost allocation plans (retain three years
after the end of the applicable period).
6. Monitoring and Inspections/Access to Records. In accordance with 2 CFR § 200.336 and 24 CFR §
570.502, the City may monitor Subrecipient's performance, financial management, and compliance with
this Agreement and applicable CDBG regulations. Subrecipient shall permit the City, HUD, and their
authorized representatives, during normal business hours or as otherwise required, to access the Project
site, facilities, records, and personnel for the purposes of inspection, monitoring, audit, and compliance
verification.
Subrecipient shall ensure that its contractors and subcontractors provide the same access and
cooperation. This obligation includes furnishing all requested reports and documentation promptly. These
rights of access and inspection shall survive the termination of this Agreement.
7. Audits and Financial Statements.
a. Subrecipient shall comply with 2 CFR Part 200 Subpart F — Audit Requirements. In accordance
with 2 CFR §200.510, Subrecipient shall prepare financial statements that reflect its financial
position, results of operations or changes in net assets, and, where appropriate, cash flows for the
fiscal year audited. Subrecipient shall also prepare a schedule of expenditures of federal awards
for the period covered by Subrecipient's financial statements. The schedule must include the
total Federal awards expended as determined in accordance with § 200.502. Subrecipient shall
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provide the City with its annual financial statement within ninety (90) days of the end of its fiscal
year. This financial statement shall be prepared by an independent certified public accountant.
b. In addition, if expending One Million Dollars and 00/100 Cents ($1,000,000.00) or more of Federal
awards during its fiscal year, Subrecipient shall comply with the audit provisions contained in
2 CFR 200 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 thirty (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 One Million Dollars and 00/100 Cents
($1,000,000.00) 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 deems
necessary at any time during the term of this Agreement or pursuant to any HUD request.
Subrecipient shall provide written confirmation to City highlighting the status of actions planned
or taken to address Single Audit findings of deficiencies related to the subaward provided for
hereunder in accordance with 2 CFR §200.332(d)(2).
8. Program Income. Subrecipient shall report all program income, as defined and required at 24 CFR
§570.500 and 24 CFR §570.504 ("Program Income"), 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 within five (5) days of receipt. If applicable, Subrecipient shall
file reports of Program Income as set forth in the below section entitled "Reports."
9. Reports. Subrecipient shall file reports in accordance with the Reporting Schedule attached as
Exhibit "F". In the event that Subrecipient is legally unable to provide the City with certain information or
documentation, Subrecipient shall promptly notify the city of its inability to provide such information or
documentation and cite to the body of law preventing such disclosure. The City may, at its sole discretion,
waive certain reporting requirements of this Agreement to the extent such waiver does not conflict with
the applicable laws, regulations, or rules of the CDBG program or HUD. Such information and
documentation shall remain on file and available with Subrecipient for onsite inspections by either the City
or HUD. In the event that the City elects not to waive such reporting requirements and Subrecipient is
unable or unwilling to provide the requested documentation or information, the City reserves the right to
unilaterally terminate this Agreement.
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The monthly report shall be due on the 10th of each month for activities conducted during the
preceding month.
10. Reversion of Assets. The reversion of assets and use and disposition of real property and
equipment under this Agreement shall be in compliance with the requirements of 2 CFR §200.311
and §200.313, 24 CFR §570.502, §570.503, §570.504, and §570.505, as applicable, which include
but is not limited to the following:
a. Subrecipient shall transfer to the City any CDBG funds or Program Income on hand at the time of
expiration or termination of this -Agreement and any accounts receivable attributable to the use of
CDBG funds as required by 24 CFR §570.503(b)(7); and
b. If this Agreement involves real property under Subrecipient's control that was acquired or
improved, in whole or in part, with CDB funds in excess of Twenty -Five Thousand Dollars
($25,000.00), then the real property:
(1) Shall continually for a period of five (5) years following the expiration of this Agreement
be used to meet one of the CDBG National Objectives cited in 24 CFR §570.208; or
(2) If Subrecipient fails to use the real property in accordance with paragraph (1) above,
Subrecipient shall pay the City an amount equal to the current fair market value of the
property less any portion of the value attributable to expenditure of non-CDBG funds for
the acquisition or improvement to the real property. The payment shall be considered
Program Income to the City.
11. Indirect Costs. If applicable and requested by the City, Subrecipient shall develop an indirect cost
allocation plan in accordance with 2 CFR Part 200 for determining the appropriate share of administrative
costs and shall submit such plan to the City for approval in a form specified by the City. This indirect cost
allocation plan must be submitted before any funds will be disbursed under this Agreement.
12. Payment Procedures/Reimbursement of Funds. This is a cost reimbursement agreement.
Reimbursement of funds under this Agreement may be requested only for necessary, reasonable, and
allowable costs described in the Budget 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 draw request (to be submitted in the City's
Subrecipient Portal of Neighborly Software). Draw requests 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. All draw requests 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, timesheets) and other supporting documentation the City may request. Draw
Requests shall include adequate documentation of expenditures and all other information described in
Exhibits "E" -"G", attached hereto and incorporated herein by reference. No interest shall be earned on
grant proceeds. All draw requests submitted to the City must be submitted by an authorized signatory of
Subrecipient and certified in accordance with 2 CFR §200.415. Notwithstanding anything to the contrary
in this Agreement, the City also reserves the right to request and approve documentation supporting any
draw requests 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
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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 IV: PERSONNEL AND PARTICIPANT CONDITIONS
1. Nondiscrimination. Subrecipient shall comply with all applicable federal nondiscrimination laws and
regulations including but not limited to Sections 104(b), 107, and 109 of the Housing and Community
Development Act of 1974, as amended; Title VI of the Civil Rights Act of 1964; the Age Discrimination Act
of 1975; Section 504 of the Rehabilitation Act of 1973; and the implementing regulations in 24 CFR Parts
1, 6 and 8. Subrecipient shall include appropriate nondiscrimination provisions in all subcontracts and
maintain documentation demonstrating compliance
2. Subrecipient agrees it will not use Federal funding to promote diversity, equity, and inclusion (DEI)
mandates, policies, or activities that violate any applicable Federal anti -discriminations laws.
3. 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 as Exhibit "H" 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 employer and attach this clause. Subrecipient shall keep records and
documentation demonstrating compliance with these regulations.
4. Disability 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.
5. Certain Business Enterprises. Subrecipient shall comply with applicable federal procurement standards,
including 2 CFR §200.321, which require consideration of small businesses, veteran -owned businesses,
and other disadvantaged business enterprises in the procurement of goods and services. Solicitations
shall be structured, where feasible, to provide opportunities for such entities to compete. Subrecipient
shall maintain procurement records that demonstrate compliance with applicable outreach and inclusion
efforts, and shall incorporate these requirements into all subcontracts, as appropriate.
6. Political Activities. Subrecipient shall comply with 24 CFR §570.207(a)(3) regarding political activities.
CDBG funds shall not be used for lobbying or political patronage activities. Subrecipient further agrees
that no funds provided, nor personnel employed under this Agreement, shall be in any way or to any
extent be engaged in the conduct of political activities in violation of Chapter 15 of Title V, United States
Code (Hatch Act) or 24 CFR §570.207(a)(3).
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7. Anti -Lobbying Provision. Subrecipient shall comply with the requirements set forth in 31 U.S.C. §1352
and implementing regulations at 24 CFR Part 87. Subrecipient and any contractors who apply or bid for
an award of One Hundred Thousand Dollars and 00/100 Cents ($100,000.00) or more shall execute and
comply with the "Certification Regarding Lobbying" attached as Exhibit "I" 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.
8. 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
must maintain written standards of conduct covering conflicts of interest the actions of its employees
engaged in the selection, award, and administration of contracts. No employee, officer, agent, or board
member with a real or apparent conflict of interest may participate in the selection, award, or
administration of a contract supported by the Federal award. A conflict of interest includes when the
employee, officer, agent, board member, or any member of their immediate family, their partner, or an
organization that 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 an entity considered for a contract. An
employee, officer, agent, or board member of Subrecipient may neither solicit nor accept gratuities, favors,
or anything of monetary value from contractors or parties to subcontracts. Subrecipient's standards of
conduct must also provide for disciplinary actions to be applied for violations by its employees, officers,
agents, or board members.
If Subrecipient has a parent, affiliate, or subsidiary organization, Subrecipient must also maintain written
standards of conduct covering organizational conflicts of interest. Organizational conflicts of interest
mean that because of relationships with a parent company, affiliate, or subsidiary organization,
Subrecipient is unable or appears to be unable to be impartial in conducting a procurement action
involving a related organization.
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 (e.g., rehabilitation, preservation, and other
improvements of private properties or facilities pursuant to § 570.202; or grants, loans, and other
assistance to businesses, individuals, and other private entities pursuant to § 570.203, 570.204, 570.455,
or 570.703(i)). Although this summary does not intend to replace 24 CFR §570.611, essentially this rule
states that no "persons" described in §570.611(c) who exercise or have exercised any functions or
responsibilities with respect to activities assisted with CDBG funds, or who are 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 a financial interest in any contract,
subcontract, or agreement with respect to a CDBG-assisted activity, or with respect to the proceeds of
the CDBG-assisted activity, either for themselves or those with whom they have business or immediate
family ties, during their tenure or for one year thereafter. The "persons" covered in 24 CFR §570.611(c)
include any person who is an employee, agent, consultant, officer, or elected official or appointed official
of the recipient, or of any designated public agencies, or of Subrecipients that are receiving CDBG funds.
Subrecipient shall also keep records supporting requests for waivers of conflicts.
Subrecipient will disclose in writing any potential conflicts of interest to the City. By executing this
Agreement, Subrecipient covenants and certifies that none of its employees, officers, agents, or board
members described in these regulations have any interest in this Agreement, any property being
FY 2025-2026 CDBG
Hope Villages of America, Inc. (Food Distribution & Basic Needs) PS 16432 Page 9 of 46
rehabilitated, or any other interest which would conflict in any manner with this Agreement or its
performance.
9. Faith -Based Activities. Subrecipient shall comply with Executive Order 13279, 24 CFR §5.109 (Equal
Participation of Religious Organizations in HUD Programs and Activities), and 24 CFR §570.200(j).
Essentially, these regulations provide for the following:
a) Equal treatment of program participants and program beneficiaries. Organizations that are
religious or faith -based are eligible, on the same basis as any other organization, to participate in
the CDBG program. The Federal Government, the State government, and any local governments
receiving funds under the CDBG program shall not discriminate against an organization based on
the organization's religious character or affiliation.
b) Separation of inherently religious activities. Organizations that are directly funded under the
CDBG program may not engage in inherently religious activities, such as worship, religious
instruction, or proselytization, as part of the programs or services funded. If an organization
conducts such activities, the activities must be offered separately, in time or location, from the
programs or services funded under this part, and participation must be voluntary for the program
beneficiaries of the HUD -funded programs or services provided.
c) Religious Identity. A religious organization that is a recipient or subrecipient of CDBG funds will
retain its independence, autonomy, expression of religious beliefs, or religious character. Such
organization will retain its independence from federal, state, and local governments, and may
continue to carry out its mission, including the definition, practice, and expression of its religious
beliefs, provided that it does not use direct CDBG funds to support any inherently religious
activities, such as worship, religious instruction, or proselytization. Among other things,
faith -based organizations may use space in their facilities to provide CDBG-funded services,
without removing or altering religious art, icons, scriptures, or other religious symbols. In addition,
a CDBG-funded religious organization retains its authority over its internal governance, and it may
retain religious terms in its organization's name, select its board members on a religious basis,
and include religious references in its organization's mission statements and other governing
documents.
d) Beneficiaries. An organization that participates in the CDBG program shall not in providing
program assistance discriminate against a program beneficiary or prospective program
beneficiary based on religion or religious belief.
e) Structures. CDBG funds may not be used for the acquisition, construction, or rehabilitation of
structures to the extent that those structures are used for explicitly religious activities. CDBG funds
may be used for the acquisition, construction, or rehabilitation of structures only to the extent that
those structures are used for conducting eligible activities under the CDBG program. 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).
FY 2025-2026 CDBG
Hope Villages of America, Inc. (Food Distribution & Basic Needs) PS 16432 Page 10 of 46
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 as Exhibit "J" and made a part hereof by this
reference. Subrecipient shall ensure that the provisions in Exhibit "J" are included in all third -party
contracts, subcontracts, and purchase orders that exceed Ten Thousand Dollars ($10,000.00), 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 Part 570, Subpart K.
12. Nondiscrimination and Equal Opportunity in Housing Under E.0 11063. Subrecipient shall comply
with 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.
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 is debarred,
suspended, excluded from, or ineligible for participation in federal assistance programs under Executive
Order 12549 or 12689, "Debarment and Suspension," which is made a part of this Agreement by
reference. In the event that Subrecipient has entered into a contract or subcontract with a debarred or
suspended party, no CDBG funds will be provided as reimbursement for the work done by that debarred
or suspended contractor or subcontractor. Subrecipient shall keep copies of the debarment and
suspension certifications required by 2 CFR Part 2424 and a copy of the sheet documenting that the
federal debarment list was checked.
15. Florida Statutes and Clearwater City Codes. Subrecipient agrees to comply with all laws of the State
of Florida and the Clearwater City Codes. 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 the 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 System for Award
Management ("SAM") database (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 prior to the date the City executes this Agreement, and no later than October
1,2025. Furthermore, Subrecipient attests that there are no exclusions for the organization or any
principals of the organization; there is no suspension, debarment, or proposal for debarment of an
FY 2025-2026 CDBG
Hope Villages of America, Inc. (Food Distribution & Basic Needs ) PS 16432 Page 11 of 46
individual or entity, which is prohibited, restricted, or otherwise excluded or ineligible for federal awards
by any federal agency. Subrecipient shall also complete and sign the affidavit attached as Exhibit "K" 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
§200.339, which 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.
20. Cybersecurity. Subrecipient shall comply with the cybersecurity regulation at 2 CFR §200.303(e)
regarding the requirement to take reasonable cybersecurity and other measures to safeguard information
including protected personally identifiable information and other types of information.
SECTION V: 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 (the "ERR") and environmental clearance
before funds are expended or costs incurred. City staff will prepare the ERR. Subrecipient is not required
to assume responsibility for an environmental review or assessment of this program pursuant to 24 CFR
Part 58, nor responsibility for initiation of an intergovernmental review of this program and its activities
(24 CFR §570.604). However, Subrecipient is required to provide information about its activities in order
for the City to comply with its responsibility under 24 CFR Part 58. Subrecipient shall submit to the City
any changes to the proposed activity so that the City may evaluate this new information and conduct any
further environmental review. This information must be submitted to the City for approval at least
forty-five (45) days prior to any commencement of work. Subrecipient also agrees to assist the City in
addressing environmental issues that may arise during the City's review process.
2. 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 80 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.
3. 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.
FY 2025-2026 CDBG
Hope Villages of America, Inc. (Food Distribution & Basic Needs) PS 16432 Page 12 of 46
SECTION VI: 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 to 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 whom 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 (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 five (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 Noncompliance. 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 specific conditions as described in 2 CFR §200.208. If the City determines that
noncompliance cannot be remedied by imposing specific conditions, the City may take one or more of
the following actions, including but not limited to:
a) Temporarily withhold cash payment pending correction of the deficiency or more severe
enforcement action by the City;
b) Disallow both use of funds and any applicable matching credit for all or part of the cost of the
activity or action not in compliance;
c) Wholly or partly suspend or terminate the award;
FY 2025-2026 CDBG
Hope Villages of America, Inc. (Food Distribution & Basic Needs) PS 16432 Page 13 of 46
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) Seek any other remedies that may be available at law or equity 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 noncompliance in 2 CFR
§200.339, the City may suspend or terminate this Agreement in whole or in part 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 §200.340, the City can additionally 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 §200.340(a)(4), the Agreement may also be terminated individually 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 §200.344 and post -closeout requirements set forth in 2 CFR
§200.345.
All remedies shall be deemed cumulative and, to the extent permitted by law, the election of one or more
remedies shall not be construed as a waiver of any other remedy the City may have available to it.
4. No Waiver. Failure of the City to declare a default shall not constitute a waiver of any rights by the City.
Furthermore, the waiver of any default by the City shall in no event be construed as a waiver of rights with
respect to any other default, past or present.
SECTION VII: INDEMNIFICATION AND INSURANCE
1. Indemnification. To the fullest extent permitted by law, Subrecipient agrees to defend, indemnify, and
hold the City, its officers, agents, and employees, harmless from and against any and all liabilities,
demands, claims, suits, losses, damages, causes of action, fines or judgments, including costs, attorneys',
witnesses', and expert witnesses' fees, and expenses incident thereto, relating to, arising out of, or
resulting from: (i) Subrecipient's performance or nonperformance of this Agreement or because of or due
to the existence of the Agreement itself; (ii) any negligent acts, errors, mistakes or omissions by
Subrecipient or Subrecipient personnel; and (iii) Subcontractor or Subcontractor's personnel's failure to
comply with or fulfill the obligations established by this Agreement.
FY 2025-2026 CDBG
Hope Villages of America, Inc. (Food Distribution & Basic Needs) PS 16432 Page 14 of 46
Subrecipient will update the City during the course of the litigation to timely notify the City of any issues
that may involve the independent negligence of the City that is not covered by this indemnification.
The City assumes no liability for actions of Subrecipient and will not indemnify or hold Subrecipient or any
third party harmless for claims based on this Agreement or use of Subrecipient-provided supplies or
services.
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 provision 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 and the City, 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.
c) Subrecipient shall carry the types of insurance specified below and further described in Exhibit
"N" attached hereto:
Commercial General Liability Insurance coverage, including but not limited to, bodily injury,
personal injury, death, property damage, advertising liability, premises operations,
products/completed operations, severability of interest, and contractual liability in the minimum
amount of One Million Dollars and 00/100 Cents ($1,000,000.00) per occurrence and Two Million
Dollars and 00/100 Cents ($2,000,000.00) general aggregate.
Professional Liability/Errors or Omissions Insurance coverage appropriate for the type of
business engaged in by the Contractor with minimum limits of One Million Dollars and 00/100
Cents ($1,000,000.00) per occurrence. If a claims made form of coverage is provided, the
retroactive date of coverage shall be no later than the inception date of claims made coverage,
unless prior policy was extended indefinitely to cover prior acts. Coverage shall be extended
FY 2025-2026 CDBG
Hope Villages of America, Inc. (Food Distribution & Basic Needs) PS 16432 Page 15 of 46
beyond the policy year either by a supplemental extended reporting period (ERP) of as great a
duration as available, and with no less coverage and with reinstated aggregate limits, or by
requiring that any new policy provide a retroactive date no later than the inception date of claims
made coverage.
Employee Theft/Dishonesty/Fraud or Commercial Crime coverage appropriate for Employee
Dishonesty and Fraud, with minimum limits of One Million Dollars and 00/100 Cents
($1,000,000.00) per occurrence. Coverage must protect against loss of money, securities, or
other property caused by dishonest acts committed by Subrecipient's employees, officers,
directors, agents, or volunteers whether acting alone or in collusion with others, including but not
limited to theft, forgery, embezzlement, fraud, or other dishonest acts. Additionally, the coverage
shall remain in force for the duration of this Agreement and for a minimum of three (3) years
following the final expenditure of grant funds.
The above insurance limits may be achieved by a combination of primary and umbrella/excess
liability policies. Subrecipient's insurance as outlined above shall be primary and non-contributory
coverage for Contractor's negligence.
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.
Flood Insurance. Flood insurance as required under applicable HUD regulations.
SECTION VIII: MISCELLANEOUS PROVISIONS
1. Whistleblower Protections — Pursuant to 2 CFR § 200.217, Subrecipient must not discharge, demote, or
otherwise discriminate against its employees as a reprisal for disclosing to a person or body described in
paragraph (a)(2) of 41 U.S.C. § 4712 information that the employee reasonably believes is evidence of
gross mismanagement of a Federal contract or grant, a gross waste of Federal funds, an abuse of authority
relating to a Federal contract or grant, a substantial and specific danger to public health or safety, or a
violation of law, rule, or regulation related to a Federal contact (including the competition for or negotiation
of a contract) or grant. Subrecipient must inform their employees in writing of employee whistleblower
rights and protections under 41 U.S.C. § 4712. See statutory requirements for whistleblower protections
at 10 U.S.C. § 4701, 41 U.S.C. § 4712, 41 U.S.C. § 4304, and 10 U.S.C. § 4310.
2. Mandatory Disclosures — Pursuant to 2 CFR § 200.113, Subrecipient must promptly disclose whenever,
in connection with the Federal award (including any activities or subawards thereunder), it has credible
evidence of the commission of a violation of Federal criminal law involving fraud, conflict of interest,
bribery, or gratuity violations found in Title 18 of the United States Code or a violation of the Civil False
Claims Act (31 U.S.C. §§ 3729-3733). The disclosure must be made in writing to the Federal agency, the
agency's Office of Inspector General, and pass-through entity (if applicable). Subrecipient is also required
to report matters related to recipient integrity and performance in accordance with Appendix XII of this
part. Failure to make required disclosures can result in any of the remedies described in § 200.339. (See
also 2 CFR Part 180, 31 U.S.C. § 3321, and 41 U.S.C. § 231.3.)
3. Citizen Verification & Eligibility- The Subrecipient shall ensure that assistance provided under this
agreement is directed only to individuals and families eligible under federal law, consistent with Section
214 of the Housing and Community Development Act of 1980 (42 U.S.0 § 1436a) and related HUD
requirements. In alignment with Executive Order 14218 (2025) the Subrecipient must incorporate
provisions requiring eligibility verification in tenant selection and assistance programs.
FY 2025-2026 CDBG
Hope Villages of America, Inc. (Food Distribution & Basic Needs) PS 16432 Page 16 of 46
4. Assignment. Subrecipient shall not assign or transfer any interest in this Agreement without the prior
written consent of the City.
5. 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.
6. 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 Workers'
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.
7. Licensing. Prior to performing any services or work hereunder Subrecipient shall obtain all licenses,
permits, qualifications, and approvals of whatever nature that are legally required to perform the work and
services required by this Agreement and CDBG Funds. Subrecipient represents and warrants to City that
Subrecipient shall, at its sole cost and expense, keep in effect at all times during the term of this Agreement
and any extension, any license, permit, qualification, or approval that is legally required for Subrecipient
to perform the work and services required or authorized by this Agreement or CDBG Funds. Subrecipient
shall have the sole obligation to pay for any fees, assessments, and taxes, plus applicable penalties and
interest, which may be imposed by law and arise from or are necessary for the Subrecipient's performance
of the work and services required or authorized by this Agreement or CDBG Funds, and shall defend,
indemnify, and hold the City, its officials, officers, employees, agents and volunteers, free and harmless
from and against any claim or liability arising out of any failure or alleged failure to obtain such license,
permits, and approvals of whatever nature that are legally required to perform the work or services set
forth in the CDBG Program.
8. 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.
9. 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
FY 2025-2026 CDBG
Hope Villages of America, Inc. (Food Distribution & Basic Needs) PS 16432 Page 17 of 46
statements heretofore made with respect to such subject matter, whether written or verbal, are merged
herein. This Agreement may only be modified in writing, signed by both of the Parties.
10. 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 U.S. certified mail, return receipt requested, postage
prepaid to:
Attn: Economic Development & Housing
Manager
City of Clearwater
P.O. Box 4748
Clearwater, FL 33758
Attn: Nick DiCeglie, CEO & President
Hope Villages of America, Inc.
503 S. Martin Luther King Jr. Ave
Clearwater, FL 33756
11. 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.
IN WITNESS WHEREOF, the Parties hereto have
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2ruo/.1 , 2026.
FY 2025-2026 CDBG
IA-
executedc)
executed this Agreement this lday of
Hope Villages of America, Inc. (Food Distribution & Basic Needs) PS 16432 Page 18 of 46
Approved as to form:
/
Matthew J. Myt h, Esq.
Assistant City Att me
Date: ��5 I
FY 2025-2026 CDBG
(CITY OF CLEARWATER SIGNATURE PAGE)
CITY OF CLEARWATER, FLORIDA,
a Florida municipal corporation.
By:
Date:
Attest:
i e Po°rrier
Cit/I iUter
`U6121s
Rosemarie CaII
City Clerk
Date: ZI
Hope Villages of America, Inc. (Food Distribution & Basic Needs) PS 16432 Page 19 of 46
(SUBRECIPIENT SIGNATURE PAGE)
Hope Villages of America, Inc.
a Florida Not for Profit Corporation
By
Print Name: Nick DiCeglie
Title: President & CEO
Date: q'ZG'20LS'
STATE OF FLORIDA
COUNTY OF PINELLAS
This Agreement was acknowledged before me by means of [✓'physical presence or ❑ online notarization, this
day of X 2025, by Nick DiCeglie as President & CEO of Hope Villages of America.
Inc. He/She is personally known to me or ❑ has produced as
identification.
(Notary Seal/Stamp)
4 ;oia \ JESSICA L. BUCKLEY
Notary Public - State of Florida
8
4,:,;. My Comm.sExpi es Apr 217,8 2027
Banded through National Notary Assn. 1
FY 2025-2026 CDBG
'-14/11,1-
NO Y PUB B C�•
Print Name: J3tcc J..7U L- ce...
A �
I My Commission Expires: \rl 211
Hope Villages of America, Inc. (Food Distribution & Basic Needs) PS 16432 Page 20 of 46
Exhibit Index
Exhibit "A" Standards of Eligibility
Exhibit "B" Required Subrecipient Information
Exhibit "C" Additional Program Requirements
Exhibit "D" Budget, Scope of Work, and Milestone
Exhibit "E" CDBG Program Requirements
Exhibit "F" Reporting Schedule
Exhibit "G" CDBG Public Services Employee Timesheet
Exhibit "H" EEO Clause for Subrecipients/Contractors and Subcontractors — Standard Solicitation for Bid
and Contract Language
Exhibit "I" Certification Regarding Lobbying
Exhibit "J" Certification Regarding Drug -Free Workplace Requirements
Exhibit "K" Affidavit Federal Funding Accountably and Transparency Act (FFATA)
Exhibit "L" Authorization Signature Card
Exhibit "M" No Coercion for Labor or Services Attestation
Exhibit "N" CDBG Grant City of Clearwater Insurance Requirements
FY 2025-2026 CDBG
Hope Villages of America, Inc. (Food Distribution & Basic Needs) PS 16432 Page 21 of 46
Exhibit "A"
Standards of Eligibility
CDBG Income Limits
Effective June 1, 2025
Household Size
1 Person
0 to 30% AMI
(Extremely Low)
$21,950
30+ to 50% AMI
(Low)
$36,500
50+ to 80% AMI
(Moderate)
$58,450
Above 80% AMI
(Non-Low/Moderate)
N/A
2 Persons
$25,050
$41,700
$66,800
N/A
3 Persons
$28,200
$46,950
$75,150
N/A
4 Persons
$31,300
$52,150
$83,450
N/A
5 Persons
$33,850
$56,350
$90,150
N/A
6 Persons
$36,350
$60,500
$96,850
N/A
7 Persons
$38,850
$64,700
$103,500
N/A
8 Persons
$41,350
$68,850
$110,200
N/A
Median Family Income (MFI) Rounded - $98,400
Updates to income limits will be published at the following location:
myclearwater.com > My Neighborhood and Community Programs > Programs and Services Available for
Residents > Income Eligibility: CDBG, HOME and SHIP
FY 2025-2026 CDBG
Hope Villages of America, Inc. (Food Distribution & Basic Needs) PS 16432 Page 22 of 46
Exhibit "B"
Required Subrecipient Information
1. Subrecipient name (which must match registered name in SAM.gov): Hope Villages of America, Inc.
2. Subrecipient's SAM.gov unique entity identifier (UEI) number (see 2 CFR Part 25 - Universal Identifier
and System for Award Management): TS79VPGHH6H6
3. Subaward Period of Performance Start Date and End Date: 10/01/2025 to 09/30/2026
4. Amount of Federal Funds Obligated by this activity: $23,147.00
5. Total Amount of Federal Funds obligated to subrecipient: $108,147.00
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 Costs to enable
Subrecipient to provide access to nutritious foods and empower seniors through targeted dietary
education. A key component will be on-site nutrition guidance from a registered dietitian, who will
teach seniors how to make healthier food choices, prepare balanced meals, and manage chronic
conditions through improved nutrition.
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 2 CFR §200.414
Indirect [F&A costs]): N/A
FY 2025-2026 CDBG
Hope Villages of America, Inc. (Food Distribution & Basic Needs) PS 16432 Page 23 of 46
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 (51%) of those served must have incomes that do not exceed low- and moderate -income limits
—under eighty percent (80%) MSA— of the CDBG Program.
3. Subrecipient shall ensure that the numbers, background, and qualifications of 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 recordkeeping
requirements set forth in this Agreement.
FY 2025-2026 CDBG
Hope Villages of America, Inc. (Food Distribution & Basic Needs) PS 16432 Page 24 of 46
Exhibit "D"
Budget, Scope of Work, and Milestones
VILLAGES OF AMERICA, INC
Project Type: CDBG Public Services — Needs Address: Nutrition/Food Services
Amount of CDBG Funding: $ 23,147.00
Budget
Line Item
Amount
Salary Support
$19,013.00
Fringe Benefits
$4,134.00
Unit Cost Rate (Fee for service)
$N/A
Operating Expenses
$N/A
Total Approved Budget
$23,147.00
Subrecipient may reallocate funds among approved budget line items as necessary, provided that such
reallocations do not result in an increase to the total funding amount authorized under this Agreement. Budget
modification that remains within the total approved budget shall not require a formal amendment to this
Agreement.
Scope of Work:
Public Services
The Senior Wellness Pantry is designed to provide access to nutritious foods and empower seniors through
targeted dietary education. A key component will be on-site nutrition guidance from a registered dietitian, who will
teach seniors how to make healthier food choices, prepare balanced meals, and manage chronic conditions
through improved nutrition.
The Program Goals & Expected Impact:
• Personalized Nutrition: Ensure seniors receive dietitian -recommended foods tailored to their
health needs.
• Empowerment through Education: Equip seniors with dietary knowledge and meal preparation
skills for long-term health improvements.
• Sustainable Food Security: Strengthen food security through consistent sourcing and efficient
distribution.
• Ongoing Support & Tracking: Provide personalized, six-month follow-up to track health
improvements and reinforce positive changes.
The Subrecipient will operate its HVA Senior Wellness Pantry Program to provide direct food access and nutrition
education services to elderly Clearwater residents. This program meets the HUD National Objective of benefiting
low -and moderate -income clientele (LMC). Services are projected to reach an estimated forty-eight (48)
Clearwater residents during the program year.
Use of CDBG Funds:
CDBG funding will be used to support salary and fringe costs for staff time directly attributable to the
following positions.
1. One (1) Volunteer Manager
• Provides strategic oversight of the volunteer workforce to ensure sufficient staffing capacity for
Food Bank operations and nutrition education activities.
• Recruits, trains, and coordinates volunteers, interns, and dietitians, aligning their skills with
program needs to maximize impact.
FY 2025-2026 CDBG
Hope Villages of America, Inc. (Food Distribution & Basic Needs) PS 16432 Page 25 of 46
• Implement scheduling, retention, and performance monitoring systems to sustain a reliable and
skilled volunteer team
2. One (1) Full -Time (FTE) Director of Programs and Services (Cesar Garcia)
• Manage partnerships with grocery stores, retail donors, and food pantries to secure consistent
food supplies.
• Oversees program planning and ensures the integration of nutrition education into food
distribution efforts.
3. One (1) Full -Time (FTE) Warehouse Manager (Felipe Hernandez)
• Logistics of food storage,
• Inventory tracking
• Scheduling food pickups,
• Ensuring that food is properly stored and distributed efficiently to meet program goals.
Benefit — 48 Persons
Beneficiaries assisted must reside within City of Clearwater limits
(Tax District CW, CWD, or CWDO) and household income must be at or below 80% AMI based on the CDBG
income limits in effect at the time assistance is provided.
Milestone:
Milestone Description : ""� ='-.� <�
`-Target Date:.
Execute Subrecipient Agreement
October 1, 2025
Start Date for Time of Performance
October 1, 2025
At least 50% of grant funds should have been requested
April 1, 2025
100% of clients served and funds expended
September 30, 2026
FY 2025-2026 CDBG
Hope Villages of America, Inc. (Food Distribution & Basic Needs) PS 16432 Page 26 of 46
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 HUD
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. Certification: Subrecipients under the Federal award must certify to the pass-through entity whenever
applying for funds, requesting payment, and submitting financial reports:
"I certify to the best of my knowledge and belief that the information provided herein is true,
complete, and accurate. I am aware that the provision of false, fictitious, or fraudulent information,
or the omission of any material fact, may subject me to criminal, civil, or administrative
consequences including, but not limited to violations of U.S. Code Title 18,
Sections 2 1001. 1343 and Title 31, Sections 3729-3730 and 3801-3812."
Each such certification must be maintained pursuant to the requirements of § 200.334. This paragraph
applies to all tiers of subrecipients.
5. 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, and 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. At 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.
FY 2025-2026 CDBG
Hope Villages of America, Inc. (Food Distribution & Basic Needs) PS 16432 Page 27 of 46
e) Attendance Records. Attendance records (individual timesheets) 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. 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 timesheets 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 City's 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 prenumbered 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, small
businesses, minority businesses, women's business enterprises, and veteran -owned businesses
are given an opportunity to participate.
i) Inventories. Subrecipient is advised to maintain adequate safeguards against Toss 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.
6. 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.
FY 2025-2026 CDBG
Hope Villages of America, Inc. (Food Distribution & Basic Needs) PS 16432 Page 28 of 46
Exhibit "F"
Reporting Schedule
Project Eligibility — Activates Benefiting Low and Moderate Income (LMI)
® Persons ❑ Households
• ® Low -Moderate Income Clientele (LMC) 24 CFR 570.208(a)(2). Activities that benefit a limited clientele,
at least 51% of whom are low/mod income.
• ❑ Low -Moderate Area Benefit (LMA) 24 CFR.208(a)(1). Activities providing benefit that are available to
all the residents of a particular area, at least 51 % of whom are low/mod income. Ther service aera of an
LMA activity is
Presumed Benefit
Does this activity serve HUD -designated presumed benefit populations under 24 CFR 570.208(a)(2)?
• ❑ Yes
• ® No
If the activity exclusively serves a HUD -designated presumed benefit group, the Subrecipient is not required
to collect income documentation for individual beneficiary. However, the Subrecipient must maintain adequate
records to demonstrate that services were provided solely to individuals within the qualifying presumed benefit
category.
Reporting Requirements
1. Subrecipient shall submit all reports to the City's Economic Development and Housing Department
through the City of Clearwater's Neighborly Software Portal under the "Monthly Reports" section. Reports
must be submitted no later than the 10th day of the month.
2. Between the required reporting dates, events may occur that 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.
FY 2025-2026 CDBG
Hope Villages of America, Inc. (Food Distribution & Basic Needs) PS 16432 Page 29 of 46
Information and documentation required for monthly reports
Every month, the Subrecipient shall upload the following information in the City of Clearwater Neighborly
Software Portal, under the "Monthly Reports" section, no later than the 10th of the following month:
A. Goals: Provide a narrative update on:
• Progress,
• Difficulties Encountered,
• Planned Activity Next Period.
B. Accomplishments: Report the following performance data:
• Total number of Unduplicated Beneficiaries Assisted,
• Beneficiaries Income Limits, not exceeding 80% AMI,
• Beneficiaries — Race / Ethnicity,
• Complete all other required sections, as listed in the Neighborly Portal (e.g., new or continuing
access, improved access, no longer substandard).
C. Submit Supporting Documents — Subrecipient shall submit the required documents through Neighborly
Software under the "Monthly Report" tab for your CDBG Project. All documentation must be consistent
with the activity's national objective as outlined in 24 CFR 570.208.
Data requirements vary depending on the national objective, project type and whether the project qualifies
as an LMC Presumed Benefit Activates. Submit the checked items.
a) Limited Clientele (LMC)
❑ Intake forms / Applications - Client's names, Addresses, Total household size, Total household
income, Race and Ethnicity.
❑ Client Self -Certification forms - Clients names, Address, Total household size, Total household
income, Race and Ethnicity.
❑ Client Detail Form - Client name and/or business names, Address, Total household size, Total
household income, Race, Ethnicity, and Services provided.
❑ Client Detail Form: Client ID Number (from HMIS or internal system), Household size, Area Median
Income, Ethnicity, Race, Address (as shown on ID card or driver's license), and Services provided.
® Pinellas County Property Card
❑ Other -
b) Area Benefit (LMA) Activities:
❑ Census/ACS data — Supporting the service area Boundaries
❑ Project Location maps
❑ Calculations showing that at least 51% of residents in the services area are low- and moderate
income.
❑ Other —
c. Limited Clientele (LMC) — Presumed Benefit Activities:
❑ Narrative Description- Description of the facility and presumed benefit group served (seniors,
homeless persons, abused children).
❑ Records showing that the facility is used primarily by the eligible group.
['Other —
IN THE EVENT THAT SUBRECIPIENT IS LEGALLY UNABLE TO PROVIDE THE CITY WITH CERTAIN
INFORMATION OR DOCUMENTATION, SUBRECIPIENT SHALL PROMPTLY NOTIFY THE CITY OF ITS
INABILITY TO PROVIDE SUCH INFORMATION OR DOCUMENTATION AND CITE TO THE BODY OF
LAW PREVENTING SUCH DISCLOSURE. THE CITY MAY, AT ITS SOLE DISCRETION, WAIVE CERTAIN
FY 2025-2026 CDBG
Hope Villages of America, Inc. (Food Distribution & Basic Needs) PS 16432 Page 30 of 46
REPORTING REQUIREMENTS OF THIS AGREEMENT TO THE EXTENT SUCH WAIVER DOES NOT
CONFLICT WITH THE APPLICABLE LAWS, REGULATIONS, OR RULES OF THE CDBG PROGRAM OR
HUD. SUCH INFORMATION AND DOCUMENTATION SHALL REMAIN ON FILE AND AVAILABLE WITH
SUBRECIPIENT FOR ONSITE INSPECTIONS BY EITHER THE CITY OR HUD. IN THE EVENT THAT THE
CITY ELECTS NOT TO WAIVE SUCH REPORTING REQUIREMENTS AND SUBRECIPEINT IS UNABLE
OR UNWILLING TO PROVIDE THE REQUESTED DOCUMENTATION OR INFORMATION, THE CITY
RESERVES THE RIGHT TO UNILATERALLY TERMINATE THIS AGREEMENT.
Method of Payment requirements and documentation:
Payments shall be made based on completed services and submission of documentation, as outlined in this
Agreement. Subrecipient shall submit monthly requests for payment to the City's Economic Development and
Housing Department in accordance with the following procedures:
1. The City's Economic Development and Housing Department shall authorize the reimbursement of
Subrecipient for actual expenditures outlined in the Budget as expressed in Exhibit "D" of this Agreement,
except that the Economic Development and Housing Director, or designee, may approve a variance with
regard to variable costs.
2. Expenses incurred by Subrecipient will not be authorized for payment by the City's Economic
Development and Housing Department if such expenses cannot be documented by paid 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. The following checked documents must be uploaded onto Neighborly Software for monthly payment
requirements.
a) ® Invoice Document Details
• Signed and dated by an authorized official of the organization
• Payees' name and address
• Invoice number
• Case ID number (as provided through Neighborly),
• Cost itemization
• Brief description of the services provided
• Total cost of services clearly stated
b) ® Reimbursements for salary support, if applicable
• Timesheets must include the following (See Exhibit "G" for reference):
o Daily total hours worked,
o Hours specifically charged to the grant,
o Signatures of both the employee and supervisor,
o Brief description of hours spent
c) ❑ Supporting Invoices/Receipts, if applicable
• Required for any contractors eligible under this Agreement
• Must show amount, date and services provided.
FY 2025-2026 CDBG
Hope Villages of America, Inc. (Food Distribution & Basic Needs) PS 16432 Page 31 of 46
d) ❑ Unit cost rate for services provided, if applicable
• Must include the unit cost rate as described in this Agreement,
• Date of services,
• Description of services,
• Names of Clients and/or business owners, and address,
• Hours spent,
• Brief Description of services provided, per client
e) ® Proof of payment: Acceptable forms include one of the following:
• Direct deposit statements (Paycheck stubs)
• Payroll check registers
• Canceled checks
FY 2025-2026 CDBG
Hope Villages of America, Inc. (Food Distribution & Basic Needs) PS 16432 Page 32 of 46
EmpL Namo:
Hato of Pay: $
Exhibit "G"
Timesheet Activity Report
Exhibit G
City of Clearwater
Economic Dovobpmontd Housing Dopartmont
C000 Public Service Employee Timeliest
Pay Cyclo: Hourly
Pay
139In
Period
Data
Grand
Tout
Hous .
Regular
Hours
Worked
Clearwater
CDBG
Funding
Othor
Funding
tithet'
Funding
Tus
07/01/2025
0 .
0
Wed
07/022025
0
0.
Thu
07/03.2025
0
0
Fri
07/012025
0
0
Sat
07/05/2025
0
0
Sun
07/062025
0
0
Mon
07/07/2025
0
0
. 0
0
0
WEEK 1 TOTAL
0
0
0
0
Tuo
07/082025
0
0
Wed
07/092025
0
0
Thu
07/10/2025
0
- 0
Fri
07/11/025
0
0
Sat
07/122025
0
0
Sun ,
07/13/025
0
0
Mon
07/142025
0
0
WEEK
2TOTAL
0
0
. 0
0
0
Tuo-
07/15/2025
0
0 .
Wed
07/16/1025
0
0
Thu.
_
07/172025
0
0
Fri
07/162025
0
0
Sat07/192025
07/262025
0
0-
Sun
, 07/202025
0
0
!Aon
07/21/2025
0
0 .
WEEK3TOTAL
0
0
0_
- 0
0
Tuo
07/222025
0
0
Wad
07/232025
0
0
Thu
07/24/2025
0
0
Fri
07/252025
0
0
Sat
07/262025
0 _
0
Sun
07/27/2025
0
0
Mon
07/252025
. 0
0
WEEK4TOTAL
0
0
0
0
0
Tuo
07/292025
0
0
Wod
,
07/302025
0
0
Thu
,
07/31/2025
0
0
Fri
09/012025
0.
0
Sat
08/0222025
0
0
Sun
081032025
0
0
Mon
06/0472025
0
0
WEEK 6TOTAL .
0
0
0
0
0
TOTALS:. 1 0 1 0 1 0 I- 0 I
Pay Poriod Bogin Dato: r � � 07/01/2028
Pay Ported End Onto: 07/21/2025
Fringe Haas. ONLY d fnetuded in Amreemnt
Total
Other .
Forge
Haas
Vacation
Forge
Haas
Holiday
Fringe
Sick
Lsays
Activity Description - Brief description of task based
on approved CDBG AdNCy (Agreerreng
0
0
0
0
0
0
0
0
0
0
0'
0
0
0
0
0
0
0
0 '
. 0
0.
0
0
0
0
0
0
0
0 .
0 .
0 -
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 0
0
1 1.. 0. 1 0 .I
'Other Funding - Spocey tlx: ottor fundatg source above (n g. HOME. SHIP)
Pay poriod begin and and datos on this roport must match you aupportirg documentation.
I certify thattha information herein contained le true and complototo tho best of my knowledge.
Signature: Contractor
Dato
Slgnaturo: Supervisor Approval W to
'Tee cost of fringe ben efts may include the mss of to ave (woo ton. tamely -rotated leave. sick Leave, ho/days, courtleavo, or mt;tary leave); emptoyercontnbutbns or expenses /r social coeu ty,
crnptoyee Ido, team, uyempayyment. and workers compensation insurance (except as indicated in §200.447); pennon ptancosts, and unemp!oyrmm benea plans The costa of tinge beneiM are
ea, ab!o pnaviCed eat the benefits are reasoraM and are required by tut, suteecipienisimproyee agreement oran estiteshed careen poricy dale set:co:Went
Tho foCo•ving supportrq Commentator' mus bo suort4bdwith this Timesboet Activity Report
- Atlendanco famed, (x+ffniduat t; neshcots).
• Prod of payment (Lo. enact -deposit atm:north o-, emceed checks).
FY 2025-2026 CDBG
FY2023-24 Tt:e5t*ttACtv4tyRe o1
Hope Villages of America, Inc. (Food Distribution & Basic Needs) PS 16432 Page 33 of 46
Exhibit "H"
Equal Employment Opportunity Clause for Subrecipients and Their
Contractors and Subcontractors
Standard Solicitation for Bid and Contract Language
(1) Equal Opportunity Clause:
Subrecipient hereby agrees that it will incorporate or cause to be incorporated into any contract for
construction work, or modification thereof, as defined in the regulations of the Secretary of Labor at
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 as required by 41 CFR §60-1.4(b):
During the performance of this contract, the contractor agrees as follows:
FY 2025-2026 CDBG
(1) The contractor shall not discriminate in employment practices and shall comply with all
applicable federal Equal Employment Opportunity requirements, including those under
Title VII of the CMI Rights Act of 1964, Executive Order 11246 (as amended), and the
implementing regulations in 41 CFR Part 60. Employment decisions shall be made without
regard to non -merit -based factors and in accordance with applicable federal
nondiscrimination laws.
Employment practices include 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 by the contracting officer setting forth the provisions
of this nondiscrimination clause.
(2) The contractor will, in all solicitations or advertisements for employees placed by or on
behalf of the contractor, state that all qualified applicants will receive consideration for
employment
(3)
The contractor will not discharge or in any other manner discriminate against any
employee or applicant for employment because such employee or applicant has inquired
about, discussed, or disclosed the compensation of the employee or applicant or another
employee or applicant. This provision shall not apply to instances in which an employee
who has access to the compensation information of other employees or applicants as a
part of such employee's essential job functions discloses the compensation of such other
employees or applicants to individuals who do not otherwise have access to such
information, unless such disclosure is in response to a formal complaint or charge, in
furtherance of an investigation, proceeding, hearing, or action, including an investigation
conducted by the employer, or is consistent with the contractor's legal duty to furnish
information.
(4) The contractor will send to each labor union or representative of workers with which he
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
Hope Villages of America, Inc. (Food Distribution & Basic Needs) PS 16432 Page 34 of 46
FY 2025-2026 CDBG
commitments under this section and shall post copies of the notice in conspicuous places
available to employees and applicants for employment.
(5) 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.
(6) 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 his 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.
(7)
In the event of the contractor's noncompliance with the nondiscrimination clauses of this
contract or with any of the said rules, regulations, or orders, this contract may be
canceled, terminated, or suspended in whole or in part and the contractor may be
declared ineligible for further Government contracts or federally assisted construction
contracts in accordance with procedures authorized in Executive Order 11246 of
September 24, 1965, and such other sanctions may be imposed and remedies invoked
as provided in Executive Order 11246 of September 24, 1965, or by rule, regulation, or
order of the Secretary of Labor, or as otherwise provided by law.
(8) The contractor will include the portion of the sentence immediately preceding
paragraph (1) and the provisions of paragraphs (1) through (8) in every subcontract or
purchase order unless exempted by rules, regulations, or orders of the Secretary of Labor
issued pursuant to section 204 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.
The contractor 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.
The contractor 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.
Hope Villages of America, Inc. (Food Distribution & Basic Needs) PS 16432 Page 35 of 46
FY 2025-2026 CDBG
The contractor 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 or the
Secretary of Labor pursuant to Part II, Subpart D of the Executive Order. In addition, the
contractor 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 contractor under the program with respect to
which the failure or refund occurred until satisfactory assurance of future compliance has
been received from such contractor; and refer the case to the Department of Justice for
appropriate legal proceedings.
Hope Villages of America, Inc. (Food Distribution & Basic Needs) PS 16432 Page 36 of 46
Exhibit "1"
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 an 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 subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and
cooperative agreements) and that all subrecipients 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 the required certification shall be subject to a civil penalty
of not less than $10,000.00 and not more than $100,000.00 for each such failure.
ATTEST:
(CORPORATE SEAL)
HOPE VILLAGES OF AMERICA, INC.
By:
Signature ef Signature
By: �,..Q
ct
Print Name Title: President & CEO
FY 2025-2026 CDBG
Print Name: Nick DiCeglie
Date:
1-26- 212(
Hope Villages of America, Inc. (Food Distribution & Basic Needs) PS 16432 Page 37 of 46
Exhibit "J"
Certification Regarding Drug -Free Workplace Requirements
The certification set out below is a material representation upon which reliance is placed by the City of Clearwater
and the U.S. Department of Housing and Urban Development in awarding the grant. If it is later determined that
Subrecipient knowingly rendered a false certification, or otherwise violates the requirements of the Drug -Free
Workplace Act, the City and/or the U.S. Department of Housing and Urban Development, in addition to any other
remedies available to the Federal Government, may take action authorized under the Drug -Free Workplace Act.
Subrecipient will comply with the other provisions of the Act and with other applicable laws.
CERTIFICATION
1. Subrecipient certifies that it will or will continue to 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 the 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) The 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 the 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 paragraph (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;
f) Taking one of the following actions, within 30 calendar days of receiving notice under
paragraph (d)(2), with respect to any employee who is so convicted:
FY 2025-2026 CDBG
Hope Villages of America, Inc. (Food Distribution & Basic Needs) PS 16432 Page 38 of 46
(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.
FY 2025-2026 CDBG
Hope Villages of America, Inc. (Food Distribution & Basic Needs) PS 16432 Page 39 of 46
Place of Performance
For Certification Regarding Drug -Free Workplace Requirements
Name of Subrecipient: Hope Villages of America. Inc.
Program Name: HVA Senior Wellness Pantry
Grant: Community Development Block Grant (CDBG)
Term: October 1, 2025, through September 30, 2026
The Subrecipient shall insert in the space provided below the site(s) expected to be used for the performance of
the work under this Agreement:
Place of Performance (include street address, city, county, state, and zip code for each site):
700 Druid Road, Clearwater, Pinellas County, FL 33756
❑ Check this box if there are workplaces on file that are not identified here.
ATTEST:
(CORPORATE SEAL)
By:
Signature
HOPE VILLAGES OF AMERICA, INC.
////eb-r.
1?"
By: Signature
Title: President & CEO
Print Name JJ
FY 2025-2026 CDBG
Print Name: Nick DiCeglie
Date: 4� ZG, 262-
Hope
dZ
Hope Villages of America, Inc. (Food Distribution & Basic Needs) PS 16432 Page 40 of 46
Exhibit "K"
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 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 subcontracts awarded and prime grant awardees will report against subgrants awarded. The subaward
information entered in FSRS will then be displayed on 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, subcontracts, grants, and subgrants.
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 the primary location of performance under the award;
• Unique identifier of the entity receiving the award and of the parent entity of the recipient; and
• Names and total compensation of the five (5) most highly compensated officers of the entity if the entity
in the preceding fiscal year received eighty (80) percent or more of its annual gross revenues in Federal
awards; and Twenty -Five Million Dollars ($25,000,000.00) 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.
FY 2025-2026 CDBG
Hope Villages of America, Inc. (Food Distribution & Basic Needs ) PS 16432 Page 41 of 46
I, Nick DiCeglie (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 Hope Villages of America. Inc., does not meet the above threshold requiring names and total
compensation of the five (5) most highly compensated officers of the entity if the entity.
I attest that Hope Villages of America, Inc., does meet the above threshold* requiring names and total
compensation of the five (5) 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 (5) most highly compensated officers of the entity, signed and dated by one of the
following: President; Executive Director; CEO; Board Chairperson; Finance Director; CFO; or Treasurer.
I understand that the submission of a false affidavit is punishable as a second-degree misdemeanor under
Florida law.
Signature of President/Executive Director/Board Chair
/I+/!e —1)%C00xr�
Printed Name of President/Executive Director/Board Chair
STATE OF FLORIDA
COUNTY OF PINELLAS COUNTY
THE FOREGOING CDBG AGREEMENT was acknowledged before me by means of 'ysical presence or ❑
online notarization, this 20 day of
Hope Villages of America. Inc. He/She is personally known to me or ❑ has produced
as identification.
, 2025, by Nick DiCeglie as President & CEO of
(Notary Seal/Stamp) NO ( Y PUB IC
Print Name: Q, Ca 1-•�ltCk
My Commission Expires: Acioh \ 2/1 202-1
.4,i %i;;JESSICA L. BUCKLEV
n��°; Notary Public - State of Florida
Commission # HH 391688
\.,.p, r:° * My Comm. Expires Apr 27, 2027
Bonded through National Notary Assn.
FY 2025-2026 CDBG
Hope Villages of America, Inc. (Food Distribution & Basic Needs) PS 16432 Page 42 of 46
Exhibit "L"
Authorization Signature Card
Name of Subrecipient: Hope Villages of America, Inc.
Name of Applicant: Nick DiCeglie, President & CEO
Address: 503 S. Martin Luther King Jr. Ave
City, State, Zip: Clearwater, FL 33756
Telephone Number: 727-584-3528 x4013
SIGNATURE OF INDIVIDUALS AUTHORIZED TO SIGN FINANCIAL DOCUMENTS:
NAME
0A -Ot i v\d a VeAn
Ai 4 U.. 4:›5'
SIGNATURE
vvwei
I certify that the signatures above are of the individuals authorized to execute financial documents.
igcaW
Date Signature of Authorized Official
FY 2025-2026 CDBG
Nick DiCeglie
President & CEO
Hope Villages of America, Inc. (Food Distribution & Basic Needs) PS 16432 Page 43 of 46
Exhibit "M"
No Coercion For Labor or Services Attestation
Pursuant to Section 787.06(13), F.S., this form must be completed by an officer or representative of a
non-governmental entity when a contract is executed, renewed, or extended between the non-
governmental entity and a governmental entity.
Hope Villages of America, Inc. does not use coercion for labor or services as defined in this Section
787.06.
Under penalty of perjury, I declare that I have read the foregoing statement and that the facts stated in it
are true and correct.
Printed Name: Nick DiCeglie
Title:
Signature:
Date:
Chief Operational Officer
Nick Diceglie
Nick Dkegtie (Nov 6,202S OSA2:26 EST)
Nov 6, 2025
FY 2025-2026 CDBG Hope Villages of America, Inc. (Food Distribution & Basic Needs) PS 16432 Page 44 of 46
Page 44 of Agreeemnt Hope Villages
16432docx
Final Audit Report
2025-11-06
Created:
By:
Status:
Transaction ID:
2025-11-05
Dania Perez (dania.perez@myclearwater.com)
Signed
CBJCHBCAABAALeXjcoWYwM BjbYpUtJTxOHhVQN5iSM F1
"Page 44 of Agreeemnt Hope Villages 16432docx" History
5 Document created by Dania Perez (dania.perez@myclearwater.com)
2025-11-05 - 6:55:18 PM GMT
a Document emailed to Nick Diceglie (nick.diceglie@hopevillagesofamerica.org) for signature
2025-11-05 - 6:55:21 PM GMT
5 Email viewed by Nick Diceglie (nick.diceglie@hopevillagesofamerica.org)
2025-11-05 - 6:55:43 PM GMT
6Q Document e -signed by Nick Diceglie (nick.diceglie@hopevillagesofamerica.org)
Signature Date: 2025-11-06 - 10:42:26 AM GMT - Time Source: server
® Agreement completed.
2025-11-06 - 10:42:26 AM GMT
Adobe Acrobat Sign
EXHIBIT "N"
CDBG Grant City of Clearwater
Insurance Requirements
The Contractor, Vendor, or Subrecipient referred to as "Contractor" shall, at its own cost and expense,
acquire and maintain (and cause any subcontractors, representatives, or agents to acquire and maintain
during the term with the City, sufficient insurance to adequately protect the respective interest of the parties.
Coverage shall be obtained with a carrier having an AM Best Rating of A -VII or better. In addition, the City
has the right to review the Contractor's deductible or self-insured retention and to require that it be reduced
or eliminated.
Specifically, the Contractor must carry the following minimum types and amounts of insurance on_an
occurrence basis or in the case of coverage that cannot be obtained on an occurrence basis. then coverage
can be obtained on a claims -made basis with a minimum three (3) year tail following the termination or
expiration of this Agreement:
a. Commercial General Liability Insurance coverage, including but not limited to, bodily injury,
personal injury, death, property damage, advertising liability, premises operations,
products/completed operations, severability of interest, and contractual liability in the minimum
amount of one million dollars ($1,000,000.00) per occurrence and two million dollars
($2,000,000.00) general aggregate.
b. Professional Liability/Errors or Omissions Insurance coverage appropriate for the type of
business engaged in by the Contractor with minimum limits of one million dollars ($1,000,000.00)
per occurrence. If a claims made form of coverage is provided, the retroactive date of coverage
shall be no later than the inception date of claims made coverage, unless prior policy was
extended indefinitely to cover prior acts. Coverage shall be extended beyond the policy year
either by a supplemental extended reporting period (ERP) of as great a duration as available, and
with no less coverage and with reinstated aggregate limits, or by requiring that any new policy
provide a retroactive date no later than the inception date of claims made coverage.
c. Employee Theft/Dishonesty/Fraud or Commercial Crime coverage appropriate for Employee
Dishonesty and Fraud, with minimum limits of one million dollars ($1,000,000.00) per occurrence.
Coverage must protect against Toss of money, securities, or other property caused by dishonest
acts committed by the Sub -recipient's employees, officers, directors, agents, or volunteers
whether acting alone or in collusion with others, including but not limited to theft, forgery,
embezzlement, fraud, or other dishonest acts. Additionally, the coverage shallremain in force for
the duration of the grant agreement and for a minimum of three (3) years following the final
expenditure of grant funds.
The above insurance limits may be achieved by a combination of primary and umbrella/excess
liability policies. Subrecipient's insurance as outlined above shall be primary and non-contributory
coverage for Contractor's negligence.
d. 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.
e. Flood Insurance. Flood insurance as required under applicable HUD regulations.
WAIVER OF SUBROGATION — With regard to any policy of insurance that would pay third party losses,
Contractor hereby grants the City a waiver of any right to subrogation which any insurer of the Contractor
may acquire against the City by virtue of the payment of any loss under such insurance for liability and
workers compensation coverages. Contractor agrees to obtain any endorsement that may be necessary to
affect such waivers, but this provision shall apply to such policies regardless of whether the city has
received a waiver of subrogation endorsement from each insurer.
FY 2025-2026 CDBG
Hope Villages of America, Inc. (Food Distribution & Basic Needs) PS 16432 Page 45 of 46
The above insurance limits may be achieved by a combination of primary and umbrella/excess liability
policies.
Other Insurance Provisions.
a. Prior to the execution of this Agreement, and then annually upon the anniversary date(s) of the insurance
policy's renewal date(s) for as long as this Agreement remains in effect, the Contractor will furnish the
City with a Certificate of Insurance(s) (using appropriate ACORD certificate, SIGNED by the Issuer, and
with applicable endorsements) evidencing all of the coverage set forth above and naming the City as an
"Additional Insured" with respect to general and auto liability coverages.
b. In addition, when requested in writing from the City, Contractor will provide the City with certified copies
of all applicable policies. The address where such certificates and certified policies shall be sent or
delivered is as follows:
City of Clearwater
Attn: Economic Development & Housing Department
P.O. Box 4748
Clearwater, FL 33758-4748
c. Contractor shall provide thirty (30) days written notice of any cancellation, non -renewal, termination,
material change or reduction in coverage.
d. Contractor's insurance as outlined above shall be primary and non-contributory coverage for
Contractor's negligence.
e. Contractor reserves the ri • ht to a • •oint le• al counsel to • rovide for the Contractor's defense for an
and all claims that may arise related to Agreement. work performed under this Agreement, or to
Contractor's equipment. or service. Contractor agrees that the City shall not be liable to reimburse
Contractor for any legal fees or costs as a result of Contractor providing its defense as contemplated
herein.
The stipulated limits of coverage above shall not be construed as a limitation of any potential liability
to the City. and failure to request evidence of this insurance shall not be construed as a waiver of
Contractor's obli • ation to • rovide the insurance covera e s • ecified.
INDEMNIFICATION/LIABILITY:
To the fullest extent permitted by law, Contractor agrees to defend, indemnify, and hold the City, its
officers, agents, and employees, harmless from and against any and all liabilities, demands, claims, suits,
losses, damages, causes of action, fines or judgments, including costs, attorneys', witnesses', and expert
witnesses' fees, and expenses incident thereto, relating to, arising out of, or resulting from: (i) Contractor's
performance or nonperformance of this Agreement or because of or due to the existence of the
Agreement itself; (ii) any negligent acts, errors, mistakes or omissions by Contractor or Contractor
personnel; and (iii) Contractor or Contractor's personnel's failure to comply with or fulfill the obligations
established by this Agreement.
Contractor will update the City during the course of the litigation to timely notify the City of any issues that
may involve the independent negligence of the City that is not covered by this indemnification.
The City assumes no liability for actions of Contractor and will not indemnify or hold Contractor or any
third party harmless for claims based on this Agreement or use of Contractor -provided supplies or
services.
FY 2025-2026 CDBG
Hope Villages of America, Inc. (Food Distribution & Basic Needs) PS 16432 Page 46 of 46