REQUEST FOR RELEASE OF FUNDS AND CERTIFICATION
Form Arprc-vr-j
OMS No, (J.R.F-.06
,
U S. OE")RT....fNT OF HOUSING AND URBAN DE VE lol'ENT
CO........v....IT'r DEVElOP"'ENT BLOCK GRANT Pll0G~'"
REOUEST FOR RELEASE OF FUNDS
AND
CERTIFICATION
(f'urrwmt 10 S~clion }{1.4 (h) of Titl~} of Ih~ Hourinlllnd Community Dndopmcnt Act of 1974 as Amended)
ENVIRONMENTAL
,. NAME OF RECIPIENT
2. APPLICATION/GRANT NO.
City of Clearwater
B-83-MJ-12-0002
3 APPLlCANT"S A:JDAESS (J";-)~r 5TT~~:' Cily. S:~" "nJ ZIP C(,J~;
<
DATE OF REQUEST/CERTlFI,
CAT ION
P. O. Box 4748
Clearwater, Florida 33518
8-1-83
5. Rl:.QUEST FOR RELEASE OF FUNDS. Reicase of approved pant funds for the follo\J,;ng project is requested:
PROJECT
GRANTEE
(lfO/her Than Applicant)
Project No. 1
Rehabilitation of Private Property at
211 South Prospect Avenue
project No. 2
Capital Improvements to the Upper Pinellas County for
Retarded Citizens, Inc. facilities at 2151 Calumet Street.
6. CERTIFICATION. With reference to the above project, I, the undersigned officer of
the applicant, certify:
That the applicant has at least seven (7) days prior to submitting this request for
release of funds and certification, published and disseminated ~n the manner pre-
scribed by 24 CFR 58.43, a notice to the public (a copy of which ~s attached) in
accordance with 24 CFR 58.70:
That the applicant has fully carried out ~ts responsibilities for environmental
rev~ew, decision-making an~ action pertaiDing to the project named above; that the
applicant has cospliec with the National Environmental Policy Act of 1969, that the
applicant has co~plied with the environmental procedures, permlt requirements and tne
statutory obligations of the laws citec ~n 2~ CF~ 58.5 (a) (2); and that the applicant
has taken into account the environmental critieria, standards, permit requirements and
o~he~ obligatio~s applicable ~~ to: frojec~ under the other related laws and authorities
Cltea ~~a~r suc~ laws ~n 24 Cr~: 5e_~.
clearance ~arried out by applicant 1n connection with
not requlre the preparation and dissemination of an
That the level of environ=-,ental
this said project 0 did 0 cid
environ~ental imoact state~ent:
,.'1 -:7 /,k! ...../"., - ,"", -
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That the date~ upon which all SI;,IUIOT)' ilnd rq;ulalory lime perIOds for reVieW, comment, or othel re~D(ln~ or action ir.
rq~ard to this clearance began and ended as indicated helow: that all such dales which arc apphcable to the
aforesaid clearance are indlcaled helow, and Ih;\1 with the expiration of each of the time periDd~ indicated below, applicant
is in comphance with the requHcmenu of 24 CFR Part 58:
That I am authorized to, and do, consent to assume the status of responsible federal
official under the National Environmental Policy Act of 1969 and each provision of law
specified in 24 CFR 58_5 insofar as the provisions of these laws apply to the HUD
responsibilities for environmental review, decisionmaking and action assumed and carried
out by the applicant; that by so consenting, I assume the responsibilities, where
applicable, for the conduct of environmental review, decisionmaking and action as to
environmental issues, preparation and circulation of draft, final and supplemental
environmental impact statements, and assumption of lead agency'(r cooperating agency
responsibilities for preparation of such statements on behalf of Federal'agencies
including BUD, when these agencies consent to such assumption;
Corn~n~ Expire
ITEM MO/DA Y /YR MO/DAY/YR
Notioe of Findm~ of No Sifniflcant Envuonm.:nul 7-6-83 tttfftmm
Impact: Publicat'o"
Same: Comment period 7-6-83 7-21-83
...-- .---- -..---..
.. .. .. .. .. .. .. .. .. .. .. .. .. .
NOliee of Intenl 10 File EIS' .. .. .. .. .. .. .. .. .. .. .. .. ... .. ..
Puhlicallon .. .. .. .. .. .. .. .. .. .. .. .. .. ..
.........................
N/A .-..-.-..-.-..................-..-.........-.-
..:.:..:..:..:..:-:..:..: -:..:..:..:.:..:
D;att FIS (-OJl1nH:nl period N/A N/A
Same' 9CKlay period (NEPA Regulations) N/A N/A
-,
Fin:li EIS: 30 day period (NEPA Regulatioos) N/A N/A
7 Day Notice of Intent to FeqLeSt -,
of Funds: publication 7-6-83 7-21-83
l5-day HUD decision period 8-3-83 R-IR. RCl
Other (Specify)
15 day combined notice FONSI
and NOI/ROF 7-6-83 7-21-83
That I am authorized to consent to, and do,
personally, the jurisdiction of the Federal
responsibilities, in my official capacity
accept on behalf of the applicant and
courts for the enforcement of all these
certifying icer of the applicant_
City Manager
Clearwater, Florid~
(Slgr),]TUr~. Tu/.. ond Addr..SJ c.'
WARI'I"G _ Section 1001 of Tille 16 of the l'nlled SI"tcs Code and Cmmr.a.l Procedure s:-..:lJl a,,~',- Ie this certification.
Tilk 18 provides. amon~ other IhJnp.. that ",'hOC"er kno....inpy 2nd ....illfully m"~c.s or uses" documenl or ""rilin,!' eonUlnlOl; "ny blsc:.
rOCllllr>US, or fr;oudulcnl s:;oIMTJent or rnln'. tn :lny m~lIer ,,'ithln the juri.tlictlOn of 2n)' departmenl or a.ency of the United Sutes, sh"ll
tY. :t"cd n~: ..,ere :t.,n SID.DC/C! or un:>"~IO"CC r.OI mC'le than flYc vcaorJ or botL
I
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Appendix I to HUD - 7015.15
Pursuant to Notice JAX 78-26, the following certifications are submitted in
relationship to the Request for Release of Funds in support of the "Jobs Bill"
Grant B-83-MJ-12-0002, dated August 1, 1983.
AUTHENTICATION:
Anthony L_ Shoemaker, being the certifying officer of the City of Clearwater,
Florida, is duly authorized to execute the attached Request for Release of
Funds and Certification, and that he did execute the same.
Dt~L
,~
Lucille Williams
(Seal)
City Clerk
Title
Clearwater, Florida
Grantee
CERTIFICATE OF ATTORNEY:
~nthony L. Shoemaker, being the certifying officer of the City of Clearwater,
Florida, has executed the attached Request for Release of Funds and Certification
and has consented, as therein stated, personally and on behalf of the applicant,
in his official capacity as such certifying officer only, and not otherwise.
Further, the applicant and said certifying officer are authorized and empowered
by law to make the said Request for Release of Funds and Certification and the
same was duly made by them with such authority and power. No claim of legal
incapaci ty pursuant to 24CFR 58.5 has been made b ,t cant"
City of Clearwater, Florida
Grantee
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B-83-~.'lJ -12-00J2
)
_. I
GRANT AGREEMENT
This Grant Agreoement is made by and between the Department of Housing and Urban
DevelopmentCHUD) and the City of Clearwater, Florida ' (the Grantee)
pursuant to the authority of tlUe J of the HOUSIng and CommunI ty Development Act ot
1974 (Public Law 93-383), as amended. The Grantee's submissions (or Title I assistance
and the HUD regulations at 24 CFR Part 510 (as now in erteet and as may be amended
trom time to time), which are incorporated by reference, together with the certiticatior.s
ot the Grantee and the HUD funding Form 1082, which are hereto attached, constitute
part ot the Agreement. " .
'"
In reliance upon and in consideratiory.or-the mutual representations and obligations
hereunder, HUD and the Gran~ee agr..e as follows:
..
SUbjeet to the provisions of this Grant Arreement, HUD wi11 make the funding assistance
tor Fiscal Year 19 83 speeified in the attached HUD funding Form 1082 available to the
Grantee upon executIon of the Agreement by the parties. The obligation and utilization
or the funding assistance provided is subject to the requirements of the regulations and
any speeial conditions set forth in the HUD funding Form 1082. The Grantee further
agrees to accept responsibility for adherence to the Agreoement by subrecipient entities
or. desiina ted public agencies to which it makes such lunding assistance available.
BY:
TITLE
DATE:
T OF HOUSIN
J.
URBAN DEVELOP MENT
"/ /~I oJ
THE
1-lATER, FLDRIDA
BY:
TITLE: City Manager
DATE: 8-1-81
'1,-,", ...........
I -I ,I
. U.S. DE'ARTMENT OF HOU~INC; AND URBAN DEVEl JPMENT I f
. ,
COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM
FUNOlf'4G APPROVAL UNDER TITLE I OF THE HOUSING AND C'MMUNITY
DEVELOPMENT ACT OF 197.. (Public Low 93-383), AS AMENDED
I. NAME OF EE ~. GRANT NO.
........... B-83-MJ-12-0002
City of Clearwater
I. CRANTEE' S ADDRESS (lnclud. S,,_,. Cd,. c.""". $,.,. en" ZI" Cod.) .. DATE 0" SUBMISSION
June 20 I 1983
P.O. Box 4748
I. DATE 0,. HUD RECEI~T OF SUBMISSION
Clearwater, Pinellas County, ,June 23, 1983
.
Florida 33518 t.
I8J Original Funding Approval
D Amendment. Amendment No.
M.section references below are to the HousinJ! and Community DeveloDment Act of 1974. as amended. unless otherwise indicated.
7. CATEGORY OF COMMUNITY DEvELOPMENT BLOCK GRANT FOR THIS FUNDING ACTION
~CI,..:" on'y ..n.)
a. 0 Metlopulltan Entitlement (See, 1(6)
b. 0 Mel/Clpolllan Discretionary (Sec. ,1(6)
c. 0 Non.Metropolitan Entitlement (Sec. 106)
d. 0 Non.Metropolitan Discretionary (Sec. 106)
~, 0 Secretary's Discretionary (Sec. 107) .
f. 0 Categorical Program Settlement Grants(Sec. 1000b))
g. CXl Jobs Bill
8. AMOUNT OF COMMUNITY DEVELOPMENT BLOCK GRANT FUNDS APPROVED
a. Amount of CDSG Funds Currently Reserved for this GRANTEE. . . . . . . . . . . ~ . . . . .. . . . . . . . .. S 238 ,000.00
b. Amount of CDSG Funds Now Seing Approved for this GRANTEE 238,000.00
.......0................. S
.."
Amount of Reservation to be Cancelled (line 8a minus 8b). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S -0-
C.
HUD ACCOUNTING USE ONL Y
B....TC... T....C rm~ ~ LIJ OJ DOCUMENT NO tIEtIITrrmrrtfj
IT 115131 I 710 1.121
117 16 T T
, . . " II ,. n n II 10 . II
DID tmTImrrrJj tiTIIO e ITftrnrrmJj EITfIJj
I' ., .. .0 .. .0 " .. 70 7. 7.
'..
9. DISTRI8UTIONOF APPROVED COMMUNITY DEVELOPMENT I_:;'=K GRANT
I. Grant Amount Budaeted by Locality fOl Repayment of Urban Renewal Loans. . . . . . . . . . ... . . . . . .. S -0-
b. Grant Amount Withheld for Payment of Principal and Interest on loa:1S Guallnteed Pursuant to Sec. 108 . S -o-
f
t. Grant Amount Deducted by HUD to Settle Outstandina Ultan Renewal Loans -0-
(*. 112(1)(1)) ................................. OJ. . ........ .. . ........_... S
d. Sum Df lines 9a. 9b, and 9c . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S 0
e. Amount of Approved CDSG Available for Disbursement (Line 8b minus 9d) . . . ~ . . . . . . . . . . . . . . .. S 238,000.00
Pr..i.". Editi.". ... D~..I.t.
1
HUD-7082 (8-781
I
I
B-83-MJ-12-0002
..
'0. AMOUNT OF 'U""LUS U"IAN "ENEWAL FUNDI ....."OvED .ND I. LANCE .V.,LAIU _.c. IU(.II N/A
.. Amount of Surplus 4.R. Fundi R...rved for this ClANTEE ..................... .
It. Amount of Surplus U.R. Funds Now Being Approved........... .......... ...... .
c. allance of Surplus U.R. Funds AVlillble for Futul't Ute (UM 10. ........IObJ. ....... .
. -
MUD ACCOUNTING USE ONLY .
OIl mjjjj B ~ [] fjj mID ~
I I . II II I_ I' I' II 10 II
om tTITIIJnrroj fmjjj B ffillmrrmj SCHEDULE NO.
IIII i
_I .. 10" 10 .1 .. 70 7. 7.
n. M.XIMUM .MOUNT OF LO.N GU.R.NTEE COMMITMENT AVAILAILE AND AMOUNT NOW BEING APPROVEO N/A
Crantee', .,
.. Llttst Entitl.ment Amount - I .
It. Grant AmountR'Quired by MUD 10 be Applied 10 UrtNn R.ntWII LoIns .
c. Amount of Ouutanding LOInS (IrecWu., /'riJtcipo1_llllerar 1Ja6eoll) Guaram.td .
Pursulnt to Section 108
fl. Amount of Outstanding LOIn Guar.n," Commitments Approved Punuent to Section 108 .
.. Ma.imum Amount of LOIn Guar.ntee Commitment AVlillbII (LiM 11. mbIra 1111. lie. .
."d lid)
f. Amount of LOin Guarantee Commitment Now B.ing Apptowtd .
1a. RECIPIENT OF LOAN GlJAR4NTEE (O~i A,plabk ...) N/A
8. C Crantee Identified In Block No. t
It. C Public Agency Deai",,_ . Gr.ntH to Receive Loan Guarantee (Nlllftt N Addral)
.
.
13. SPECIAL CONDITIONS
SEE ATTACHED
-7012 1-7 ,
Hue ..
I
I
B-83-MJ-12-0002
13. SPECIAL CONDITIONS
a.
The funding assistance authorized hereunder shall not be obligated or utilized for any
activities requiring a release of funds by HUD under the Environmental Review
Procedured for the Community Development Block Grant Program at 24 CFR Part 58,
until such release is issued in writing.
b.
The Grantee shall take all actions necessary to correct any inconsistencies with the
requirements of HUD regulations implementing the Housing and Community
Development Amendments of 1981 within 90 days of the effectifve date of such
regulations.
, .1
..., ~
I
I
B-83-.%J-12-0002
Special Grant Agreement Conditions
for Additional CnSG Funds
[For grantees designating 50 percent or less of the additional cnSG funds for public
service activities]
Notwithstanding any other provision of this agreement, the grantee agrees to:
A. Account separately for the receipt and expenditure of funds under this grant.
S. Fulfill the fonowing reporting requirements:
1. Submit quarterly reports to HUn on forms specified for these reports until all
funds under this agreement have been expended.
a. Reports are due no later than 30 days after the end of each Federal
fiscal year quarter 1.UltU all ftmds are expended. The first full report is
due on or before October 31, 1983 for the period ending.September 30,
1983.
b. A report indicating only the amount of funds budgeted (by the categories
specified in the report form) shall be submitted by July 31, 1983.
2. Submit a separate GPR (except Form HUD-4949.6, Fair Housing) in
accordance with ins1ructions issued for this purpose for funds under this grant
at the same time the GPR is submitted for regular FY 1983 cnSG funds and
each year thereafter untU an funds under this agreement have been expended.
c. Ensure that no more than $ -0- - of the cnSG funds
provided under this agreement will be used to undertake public service activities
authorized by section 105(a)(8) of Title I of the Hen Act of 1974, as amended.
,.
. .
I
I
Revised 12/23/82
CERTIFICATIONS
The grantee hereby assures and certifies that it will comply with'the regulations,
policies, guidelines and requirem ents with respect to the acceptance and use of Federal
funds for this federally-assisted program. Also the grantee gives assurances and certifies
with respect to the grant that:
c
<
(a) It possesses legal authority to make a grant submission and to execute a
commmunity development and housing program;
(b) Its governing body has duly adopted or passed as an official act a resolution,
motion or similar action authorizing the person identified as the official
representative of the grantee to submit the final statement, aU' understandings
and assurances contained therein, and directing and authorizing the person
identified as the official representative of the grantee to act in connection with
the submission of the final statement and to provide such additional information
as may be required.
(c) That prior to submission of its final statement to HUD, the grantee has met the
citizen participation requirements, prepared its final statement of community
development objectives and projected use of funds, and made the final statement
available to the public, as required by section 104(a)(2) of the Housing and
Community Development Act of 1974, as amended;
(d) It is following a current housing assistance plan which has been approved by H'C'D
and which meets the requirements or" section l04(c)(I) of the Housing and
Coom unity Developm ent Act of 1974, as am ended;
(e) It has developed its final statement or" projected use of funds so as to give
maximum feasible priority to activities which benefit low- and moderate-income
families or aid in the prevention or elimination of slum:; or blight; the 'final
statement of projected use of funds may also include activities which the grantee
certifies are designed to meet other community development needs having a
particular urgency because existing conditions pose a serious threat to the health
and welfare of the community, and other financial resources are not available;
(f) Its chief executive officer or other officer of the grantee approved by HUD:
(1) Consents to assume the status of a responsible Federal offical under the
National Environmental Policy Act of 1969 and other authorities as
specified in 24 CFR 58.5; and
(2) Is authorized and consents on b-ehalf of the grantee and himself/herself
to accept the jurisdiction of the Federal courts for the purpose of
enforcement of his/her responsibilities as such an official;
"
'(g) The grant will be conducted and administered in compliance with:
'.
" (1)
,,~
(2)
Title VI of the Civil Rights Act of 1964 (Pub. 1. 88-352) and
implementing regulations issued at 24 CFR Part 1;
Title vrn of the Civil Rights Act of 1968 (Pub.L. 90-284). as amended;
and that the grantee will administer all programs and activities related
, .
, . I
..
.
I
Certifica tions - Page 2
to housing and commmunity development in a manner to affirmatively
further fair housing;
(3) Section 109 of the Housing and Community Development Act of 1974, as
am ended; and the regulations issued pursuant thereto;
(4) Section 3 of the !-lousing and Urban Development Act of 1968, as
am ended;
...
(5) Executive Order 11246, as amended by Executive Orders 11375 and
12086, and implementing regulations issues at 41 CFR Chapter 60;
(6) Executive Order 11063, as amended by Executive Order 12259, and
implementing regulations at 24 CFR Part 107;
(7) Section 504 of the Rehabilitation Act of 1973 (Pub. L. 93-112), as
amended, and implementing regulations when published for effect;
(8) The Age Discrimination Act of 1975 (Pub. 1. 94-135), as amended, and
implementing regulations when published for effect;
(9) The relocation requirements of Title II and the acquisition requirements
of Title ill of the Uniform Relocation Assistance and Real Property
Acquisition Policies Act of 1970, and the implementing regulations at 24
CFR Part 42;
(10) The labor standards recuirements as set forth in 24 CFR
Part 570, Subpart K and H17D regulations issued to implement such
requirements;
(11) Executive order 11988 relating to the evau1ation of flood hazards and
Executive Order 11288 relating to the prevention, control, and
abateme~t of water pollution;
(12) The flood insurance purchase reauirements of Section 102(a) of the Flood
Disaster Protection Act of 1973 (Pub. 1. 93-234); and
(13) The regulations, policies, guidelines and requirements of OMB Circular
Nos. A-102, Revised, A-87, A-llO, and A-122 as they relate to the
acceptance and use of Federal funds under this federally-assisted
program;
(h) No member, officer or employee of the Grantee, or its designees or agents, no
member of the governing body of the locality in which the program is situated,
and no other public official of such locality or localities who exercises any
functions or responsibilities with respect to the program during his/her tenure or
for one year thereafter, shall have any interest, direct or indirect, in any contract
or subcontract, or the procees thereof, for work to be performed in connection
with the program assisted under the Grant, and that it shall incorporate, or cause
to be incorporated, in all such contracts or subcontracts a provision prohibiting
such interest pursuant to the purposes of this certification;
,.& "
. 'r
., I
F
,
Certifications - Page 3
(i) It will comply with the provisions of the Hatch Act which limits the political
activity of employees;
(j) It will give HUn and the Comptroller General or any authorized representatives
access to and the right to examine all records, books, papers, or documents
related to the grant;
(k) It will comply with the lead-based paint requirements of 24 CFR Part 35 issued
pursuant to the Lead-based Paint Poisoning Prevention Act
(42 U.S.C. 4801 et seq.).
..' '~
..
.
..
I
,
Si~l~J1tal Certifications
Jobs Bill Funds
To be attached to the r~rular Carmmity Developrent PlocJ: Grant certifications
a. It will to the ~"tent practicable, use Jobs Bill funds to rT'axirPize
the iJTtrec1iate creation of na! ar.ployrrent optX)rttmities to indi,riduals
who were 1.IDE!l"ployed at least 15 of the 26 weeks .iJrrreCiately preced-
ing March 24, 1983.
n. Jobs Bill funds will be obligated and di.sbursed as rapidly as
possible so as to quickly assist the unE'l11ployed and needy.
c. It will to the extent practicable, use the .Jobs Bill funds in
areasl where 1.IDerployrnent is highest and has been- high for the
longest period of t.iJ:re.
d. It will use Jobs Pill funos for authorized ptlIp)ses wt-.ich have L~e
greatest imrediate err.ployrrent inpact.
1 The term "area" rreans an QCcup..1tional type, population group, incustrial
category, as well as qeographic part of a rretroF-Oli tan city or urbc,I1
county.