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HomeMy Public PortalAbout13-8674 MDC Housing and Community Grant CDBG Award in the amount of 202,000.00 Sponsored by: City Manager Resolution No. 13-8674 A RESOLUTION OF THE CITY COMMISSION OF THE CITY OF OPA-LOCKA, FLORIDA, TO AUTHORIZE THE CITY MANAGER TO ACCEPT THE MIAMI-DADE COUNTY HOUSING AND COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) AWARD, IN THE AMOUNT OF TWO HUNDRED TWO THOUSAND DOLLARS ($202,000.00); PROVIDING FOR INCORPORATION OF RECITALS; PROVIDING FOR AN EFFECTIVE DATE WHEREAS,Miami-Dade County Public Housing and Community Development("PHCD") amended FY 2013-14 Action Plans by reprogramming Community Development Block Grant ("CDBG") funds; and WHEREAS,$202,000.00 of the reprogrammed funds has been awarded to the City of Opa- locka for Lift Station 8 Rehabilitation project, and WHEREAS,rehabilitation of Lift Station 8 will facilitate the City's compliance with Miami- Dade County wastewater regulations, and the additional funds will relieve this project's current existing funding gap; and WHEREAS,The City Commission of the City of Opa-locka desires that the City Manager accept and execute the necessary agreement for the CDBG award. NOW,THEREFORE,BE IT DULY RESOLVED BY THE CITY COMMISSION OF THE CITY OF OPA-LOCKA, FLORIDA: Section 1. The recitals to the preamble herein are incorporated by reference. Section 2. The City Commission of the City of Opa-locka hereby authorizes and directs the City Manager to execute the necessary agreement, in acceptance of the Miami-Dade County Resolution No. 13-8674 Housing and Community Development Block Grant(CDBG)award,in the amount of Two Hundred Two Thousand Dollars ($202,000.00), and any additional funds awarded by PCHD for the rehabilitation project of Lift Station 8. Section 3. This resolution shall take effect immediately upon adoption. PASSED AND ADOPTED this 11th day of September, 2013. 110 Y AYLOR MAYOR Attest to: Jet a Flores City Clerk Ap•roved .. to f and legal sufficiency: Jo-1 S. Geller EEN POON MARDER PA f(ty Attorney Moved by: COMMISSIONER JOHNSON Seconded by: COMMISSIONER HOLMES Commission Vote: 5-0 Commissioner Holmes: YES Commissioner Johnson: YES Commissioner Santiago: YES Vice-Mayor Kelley: YES Mayor Taylor: YES 04 1 \Q\ ~ I 2/ oli•ti na a.�:. City of Opa-Locka Agenda Cover Memo Commission Meeting September 11, 2013 Item Type: Resolution Ordinance Other Date: X (EnterXin box) Fiscal Impact: Ordinance Reading: 1st Reading 2nd Reading (Enter X in box) Yes No (EnterXin box) X Public Hearing: Yes No Yes No (EnterXin box) X Funding Source: (Enter Fund&Dept) Advertising Requirement: Yes No (Enter Acct No.) CDBG (EnterXin box) X Public Works Contract/P.O.Required: Yes No RFP/RFQ/Bid#: (EnterXin box) X N/A Strategic Plan Related Yes No Strategic Plan Priority Area: Strategic Plan Obj./Strategy: (list the (EnterXin box) X specific objective/strategy this item will address) Enhance Organizational 0 Bus.&Economic Dev • Increase public health safety and Public Safety 0 Economic Growth. Quality of Education O Qual.of Life&City Image IN Communcation Sponsor Name City Manager Department: Public Works Short Title: A RESOLUTION OF THE CITY COMMISSION OF THE CITY OF OPA-LOCKA, FLORIDA AUTHORIZING THE CITY MANAGER TO ACCEPT THE MIAMI-DADE COUNTY HOUSING AND COMMUNITY DEVELOPMENT COMMUNITY DEVELOPMENT BLOCK GRANT(CDBG)AWARD IN THE AMOUNT OF TWO HUNDRED AND TWO THOUSAND DOLLARS ($202,000.00) CDBG 2013 FUNDS AWARDED TO THE CITY, FOR THE REHABILITATION OF LIFT STATION 8 PROJECT WHICH COMPLEMENTS THE CITY'S $200,000.00 AND PRIOR CDBG ALLOCATIONS OF $250,000.00 MAKING A TOTAL PROJECT FUNDING OF $652,000.00 Staff Summary: Miami Dade County Public Housing and Community Development (PHCD) substantial amended the FY 2013-2014 Consolidated Action Plans by reprogramming CDBG and Home Investment Partnership Program funds. The City was awarded $202,000.00 of the reprogrammed funds for Lift Station #8 Rehabilitation Project. Proposed Action: Staff recommends the adoption of the Resolution to authorize the acceptance of the additional CDBG award and further to authorize the City Manager to accept any additional funds awarded by PHCD for the Rehabilitation of Lift Station 8, and to enter into and execute the necessary agreement. Attac ment: 1) The County Resolution and Contract# R-185-13 2) Resolution#12-8440 Op LOCk4`. 4: 1 Memorandum TO: Mayor Myra L. Taylor Vice-Mayor Dorothy John, Commissioner Ti othy Hon s Commissioner Jose h L. K I 119 Commissioner Luis Sa� 4 FROM: Kelvin L. Baker, Sr., City Manag DATE: September 11, 2013 RE: Authorization to accept the PHCD-CDBG grant award for Lift Station 8 Request: A RESOLUTION OF THE CITY COMMISSION OF THE CITY OF OPA-LOCKA, FLORIDA AUTHORIZING THE CITY MANAGER TO ACCEPT THE MIAMI-DADE COUNTY HOUSING AND COMMUNITY DEVELOPMENT COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) AWARD, IN THE AMOUNT OF ONE HUNDRED AND FIFTY THOUSAND DOLLARS ($202,000.00) CDBG FUNDS AWARDED TO THE CITY, FOR THE REHABILITATION OF LIFT STATION 8 PROJECT. Description: Miami Dade County Public Housing and Community Development (PHCD) substantial amended the FY 2003 - 2012 Consolidated Action Plans by reprogramming CDBG and Home Investment Partnership Program funds. The City was awarded $202,000.00 of the reprogrammed funds for Lift Station#8 Rehabilitation Project. Financial Impact:. The City has been approved to receive the additional $202,000.00 in CDBG funds to cover the additional project cost. Implementation Time Line: Immediately because the project is shovel ready. Legislative History: Resolution#11-8265 to accept the CDBG award of$100,000.00 Resolution #10-8170 authorizing the City Manager to submit the application, Resolution# 12-8440 to accept the additional $150,000 Recommendation(s): Staff recommends the adoption of the Resolution to authorize the acceptance of the additional CDBG award and further to authorize the City Manager to accept any additional funds awarded by PHCD for the Rehabilitation of Lift Station 8, and to enter into and execute the necessary agreement. In executing the contract, the city can begin the construction phase. Analysis: The Lift Station 8 Rehabilitation Project will facilitate the compliance with the Miami Dade County wastewater regulations. The additional funds will relieve the current funding gap that exist for this project, will allow the city to award the construction contract to the approved contractor and enable the city to complete this project. Attachment(s): Resolution # 12-8440 Prepared By: Delia R Kennedy, Grant Administrator Finance Department END OF MEMORANDUM Sponsored by City Manager Resolution No.12-8440 A RESOLUTION OF THE CITY COMMISSION OF THE CITY OF OPA LOCKA, FLORIDA, TO AUTHORIZE THE CITY MANAGER TO ACCEPT THE MIAMI-DADE COUNTY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT (PHCD) COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) AWARD,'IN THE AMOUNT OF ONE HUNDRED FIFTY THOUSAND DOLLARS ($150,000), TOGETHER WITH ANY ADDITIONAL CDBG FUNDS AWARDED TO THE CITY FOR THE REHABILITATION OF LIFT STATION#8;PROVIDING FOR INCORPORATION OF RECITALS;PROVIDING FOR AN EFFECTIVE DATE. • WHEREAS, the Miami-Dade County Public Housing and Community Development (PHCD)Department amended the FY 2003-2012 Consolidated Action Plan by reprogramming the Community Development Block Grant(CDBG)and Home Investment Partnership Program funds; and WHEREAS,pursuant to Resolution#R-552-12 of the Miami-Dade County Commission, the City has been awarded an additional$150,000 for Lift Station#8 Rehabilitation Project,which was approved on July 3,2012,by Miami Dade Board of County Commissioners,in addition to funds previously approved;and WHEREAS,funding for lift Station#8 was budgeted in the CDBG grant,with the total of funds that have been committed or received from the CDBG grant totaling$250,000;and ity is nego wing with t'HCD to secure the remainf $201100 needed to complete the project from CDBG funds;and Resolution No.12-8440 . WHEREAS,if the additional CDBG funds are received,the City will be responsible for paying$200,626 of the project cost for Lift Station#8,payable from Account No;35-535630;and WHEREAS,The City Commission of the City of Opa-locka desires that the City Manager accept and execute the necessary agreements for the CDBG award. NOW,THEREFORE,BE IT DULY RESOLVED BY THE CITY COMMISSION OF THE CITY OF OPA-LOCKA,FLORIDA: Section 1. The recitals to the preamble herein are incorporated by reference. Section 2. The City Conmiission of the City of Opa-locka hereby authorizes and directs the City Manager to accept the Miami-Dade County Department of Housing and Community Development(PHCD)Community Development Block Grant(CDBG)award,in the amount of One Hundred Fifty Thousand Dollars($150,00),together with any additional CDBG funds which can be secured,for the rehabilitation of Lift Station#8. Section 3. This resolution shall take effect immediately upon adoption. PASSED AND ADOPTED this 31`day of July,2012. MYRA TA' e R i MAYOR • hest: 41.4.,,(lki\jk. 14(0'. li-/D Flores term City Clerk Resolution No.12-8440 Approved as to form d legal BLtf�lGi I )/// 111 1/. /ChY JeY Moved by: COMMISSIONER HOLMES Seconded by VICE MAYOR JOHNSON Commission Vote: 5-0 Commissioner Holmes: YES Commissioner Miller: YES • Commissioner Tydus: YES Vice-Mayor Johnson: YES Mayor Taylor: YES 9894359 vi • - Resolution Number#R-165-13 Duns Number#083111823 Awarded Amount$202,000 . CDBG 2013 FY 2013 COMMUNITY DEVELOPMENT BLOCK GRANT Municipality CONTRACT BETWEEN MIAMI-DADE COUNTY AND CITY OF OPA-LOCKA Please be advised that although the United States Congress has approved the FY 2013 budget, Congress may reduce funding intended for the above referenced program,which may impact your FY 2013 allocation and this Agreement It is important that Awardee (as defined below) understand that the amount set forth in this Agreement is the anticipated funding, and the actual amount shall be up to but not exceed the anticipated amount. This Agreement is subject to change or termination in the event that federal funding is reduced from tie amount anticipated by the County at the time of execution of this Agreement This Agreement (hereinafter referred to as "Agreement" or"Contract"), by and between Miami-Dade County, a political subdivision of the State of Florida, hereinafter referred to as "County" and City of Opa-locka, hereinafter referred to as"Awardee"and having offices at 780 Fisherman Street,4th Floor, Opa-locka, FL 33054,and telephone n ber of (305) 953-2868, states conditions and covenants for the rendering of Community, Economic or Housing act ities hereinafter referred to as "Activity or Activities" for the County through its Public Housing and Community De lopmenthereinafter referred to as"PHCD,"and having its principal offices at 701 N.W. 1 Court, 14th Floor, Miami, Florida 33136, collectively referred to as the"Parties." WHEREAS, the Home Rule Charter authorizes Miami-Dade County to provide for the uniform health and welfare of the residents throughout the County a; and WHEREAS, the Community Development Block Grant(CDBG) Program was authorized by the Housing and Community Development Act of 1974, as amended,with the primary objective of promoting the development of viable urban communities;and , WHEREAS, the Awardee provides it will develop activities of value to the County and has demonstrated an ability to provide these activities;and WHEREAS, the County is desirous of obtaining such activities of the Awardee, and the Awardee is desirous of providing such activities; and WHEREAS, the County has appropriated$202,000 of CDBG funds to the Activity Lift Station 8 Rehabilitation Project located at 2352 N.W. 147 Street, Opa-locka, FL 33054.All CDBG funds awarded to County Departments and municipalties, such as Awardee, shall be in the form of a grant conditioned upon Awardee meeting a CDBG national objective pursuant to the terms and conditions set forth herein, including but not limited to Section II, W(2)(a)(1)-(2); and • WHEREAS, the Awardee shall carry out the Activities defined and set forth in Attachment A, "Scope of Services", in Miami-Dade County or the focus area(s)of the county. NOW, therefore, in consideration of the mutual covenants recorded herein, the parties hereto agree as follows: I. DEFINITIONS PHCD Public Housing and Community Development or its successor Department. 24 CFR Part 570—CDBG Federal regulations implementing Title I of the Housing and Regulations Community Development Act of 1974, as amended - Community Development Block Grant. Community Development A local agency that is organized to meet community development Corporation needs with particular emphasis on the economic development, housing and revitalization needs of low- and moderate-income area Page 1 Agreement. The Awardee shall provide Builder's Risk Insurance and/or Flood Insurance (if applicable) upon the issuance of the Notice to Proceed with an effective date for coverage commencing on the Notice to Proceed date. Any changes to the required insurance policies, including coverage renewals, must be submitted to PHCD through a formal notice immediately upon occurrence throughout the Agreement period. If the Awardee fails to submit the required insurance documents in the manner prescribed in these requirements within sixty(60)calendar days after the Board of County Commissioners'approval,the Awardee shall be in default of the terms and conditions of the Agreement. C. Certificate of Continuity The Awardee shall be responsible for ensuring that the insurance certificates required in conjunction with this subsection remain in force for the duration of the Agreement period, including any and all option years,if applicable. In the case of construction and major rehabilitation activities,the Awardee must have the coverage cited in Attachment 1 of this Agreement at the time that it begins construction on the project. If the insurance certificates are scheduled to expire during the Agreement period, the Awardee shall be responsible for submitting new or renewed insurance certificates to the County at a minimum of thirty(30)calendar days before such expiration. In the event that expiration certificates are not replaced with new or renewed certificates that cover the Agreement period,the County shall suspend the Agreement until the new or renewed certificates are received by the County in the manner prescribed in the requirements; provided, however, that this suspended period does not exceed thirty(30) calendar days. If such suspension exceeds thirty (30) calendar days, the County may, at its sole discretion, terminate the Agreement. Prior to execution of the Agreement by the County and commencement of the contracted services, the Awardee shall obtain all insurance required under this Section and submit same to the County for approval. All insurance shall be maintained throughout the term of the Agreement. D. Indemnification The County shall not assume any liability for the acts, omissions to act or negligence of the Awardee, its agents, servants or employees; nor shall the Awardee exclude liability for its own acts, omissions to act, or negligence arising out of the Awardee's performance pursuant to this Agreement.The Awardee shall indemnify and hold harmless the County and its officers, employees, agents and instrumentalities from any and all liability, losses or damages, including attorneys' fees and costs of defense, which the County or its officers, employees, agents or instrumentalities may incur as a result of claims, demands, suits, causes of actions or proceedings of any kind or nature arising out of, relating to or resulting from the performance of this Agreement by the Awardee or its employees, agents, servants, partners principals or subcontractors. The Awardee shall pay all claims and losses in connection therewith and shall investigate and defend all claims, suits or actions of any kind or nature in the name of the County, where applicable, including appellate proceedings, and shall pay all costs,judgments, and attorney's fees which may issue thereon. The Awardee expressly understands and agrees that any insurance protection required by this Agreement or otherwise provided by the Awardee shall in no way limit the responsibility to indemnify, keep and save harmless and defend the County or its officers, employees, agents and instrumentalities as herein provided. Nothing herein is intended to serve as a waiver of sovereign immunity by the County or Awardee(if Awardee is a municipality). Nothing herein shall be construed to extend the County's or Awardee's liability (if Awardee is a municipality) beyond that provided in section 768.28, Florida Statutes. Nothing herein shall be construed as consent by the County or Awardee (if Awardee is a municipality) to be sued by third parties in any matter arising out of this Agreement. The provisions of this section survive the termination or expiration of this Agreement. E. National Objective In accordance with 24 CFR Section 570.208 of the federal regulations, the Awardee shall be required to achieve the national objective of Benefit to Low and Moderate Income Persons or Households (LMI). (See Attachment B-2). Awardee shall execute and deliver to the County, simultaneous with this Agreement,a Promissory Note committing to repay the funds provided by the County pursuant to this Agreement in the event that Awardee fails to meet the national objective. In the event the CDBG funds subject to this Agreement are to be used for the acquisition or improvement of real property, the Awardee shall also be required to give the County a mortgage or other sercurity instrument to be determined at the absolute and sole discretion of the County Mayor or Mayor's designee in order to secure the loan described in this Agreement. Title work and a title insurance policy, if so required in the absolute and sole discretion of the County Mayor or Mayor's Page 3 50% and 70%, respectively, of the Activities described herein. For Awardees engaged in construction and/or housing rehabilitation projects, Awardees shall report on the progress of their activities including the number of housing units completed and occupied by low-moderate and low income residents. The Awardee shall also report demographic information on each head of household. Each goal and corresponding objective(s), as indicated in the approved Scope of Services, must be addressed as part of this report. Awardees engaged in job creation projects shall report on the progress of their activities including the names of businesses assisted,the number of jobs created and the income qualification of individuals holding the jobs created. In conjunction with the progress reports submitted, Awardee shall submit the Performance & Benefit Data Supplement (the "Supplement") to the Quarterly Expenditure&Progress Report.The Supplement shall be considered a part of the progress reports due pursuant to this Agreement. Section III-Contract and Subcontract Activity Report: Contract and Subcontract Activity Report (First and Third Quarter Progress Report) - The Awardee shall report to PHCD the number of business activities involving minority vendors, including subcontractors performing work under this Agreement.The"Contract and Subcontract Activity Report" Section in Attachment C, and when applicable Section 3 in the same Attachment shall be completed semiannually by the Awardee and submitted to PHCD no later than 10 days after the first and third quarter. Section IV-Neighborhood Employment Opportunities: Neighborhood Employment Opportunities Report (First and Third Quarter Progress Report) -The Awardee shall report to PHCD the number of target and service area residents who have received employment opportunities from federally financed and assisted projects and activities. The Neighborhood Employment Opportunities Report shall be submitted using the Progress Report Form attached hereto as a Section in Attachment C, as it may be revised. This section of the form shall be completed semiannually by the Awardee and submitted to PHCD no later than 10 days after the first and third quarter. The Awardee shall submit to the County, in a timely manner,any other information deemed necessary by the County to show Awardee has performed its obligations set forth in this Agreement and to show U.S. HUD that Awardee has met the national objective, and its presentation shall comply with the format specified at the time of the request. Failure to submit the Progress Reports or other information in a manner satisfactory to the County by the due date shall render the Awardee in noncompliance with this Agreement. The County may require the Awardee to forfeit its claim to payment requests or the County may invoke the termination provision in this Agreement by giving five (5) days written notice of such action to be taken. b. Quarterly Reporting when Subcontractors are Utilized Awardees are advised that when Subcontractors or Subconsultants are utilized to fulfill the terms and conditions of this Agreement, Miami-Dade County Resolution No. 1634-93 will apply to this Agreement. This resolution requires the Awardees to file quarterly reports as to the amount of Agreement monies received from the County and the amounts thereof that have been paid by the Awardee directly to Black, Hispanic and Women-Owned businesses performing part of the contract work. Additionally, the listed businesses are required to sign the reports, verifying their participation in the contract work and their receipt of such monies. For purposes of applicability,the requirements of this resolution shall be in addition to any other reporting requirements required by law, ordinance or administrative order. Page 5 direct or indirect ownership interest in Awardee, (c) whose members appointed by Awardee, or(d)which the County deems in its sole discretion to be a Related or Affiliated Party of Awardee. The Awardee shall report this information to the County upon forming the relationship or, if already formed, shall report it immediately. Any supplemental information shall be reported quarterly in the required Progress Report. This provision shall be construed broadly to the benefit of the County. Non-compliance with these requirements will be considered a default, which may result in the immediate termination of the agreement, the recovery of the entire funding award, and the disqualification of funding through PHCD for a period of three years. 10. Reporting on Financial Status, Bankruptcy, Real Property, or Personal Property—Awardee shall notify the County in writing within ten (10) days of the occurrence of any of the following as to Awardee or any Related or Affiliated Parties: a. Any anticipated or pending lis pendens, foreclosure action, arrearage, default, late payment regarding any property of Awardee or Related or Affiliated Parties, including properties not related to this Agreement.Awardee shall also provide the County with a copy of all court filings, notices of default, arrearage or late payment,or any other documents relevant to the disclosures required herein. b. Any legal encumbrance on the Property not permitted in writing by the County. c. Any default or arrearage on any loan, Note or other debt or obligation for which the Property is security. d. Any anticipated or pending bankruptcy, restructuring, dissolution, reorganization, appointment of a trustee or receiver. e. Any action, activity, facts, or circumstances that would materially impair performance by Awardee of all the terms and conditions of this Agreement. Failure to comply with these reporting requirements shall constitute a default and shall entitle the County to seek any and all remedies available at law,equity and pursuant to this Agreement. G. Lobbying Prohibition 1. The Awardee shall certify that no federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any federal Agreement,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 Agreement, grant, loan, or cooperative Agreement. 2. The Awardee shall disclose to PHCD 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 Agreement, grant, loan, or cooperative Agreement, on a Standard Form-LLL, "Disclosure Form to Report Lobbying,"in accordance with its instructions. 3. The Awardee shall ensure that the language in this Section II, Paragraph G.1. and G.2 be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and Agreements under grants, loans, and cooperative Agreements) and to ensure that all subrecipients shall certify and disclose accordingly in connection with this activity. H Federal, State, and County Laws and Regulations Rules, Regulations and Licensing Requirements Page 7 8. Affirmative Action/Non-Discrimination of Employment, Promotion, and Procurement Practices (Ordinance#98-30)-All firms with annual gross revenues in excess of$5 million, seeking to contract with Miami-Dade County shall, as a condition of award, have a written Affirmative Action Plan and Procurement Policy on file with the County's Regulatory and Economic Resources Department. Said firms must also submit, as a part of their proposals/bids to be filed with the Clerk of the Board, an appropriately completed and signed Affirmative Action Plan/Procurement Policy Affidavit. Firms whose Boards of Directors are representative of the population make-up of the nation are exempt from this requirement and must submit, in writing, a detailed listing of their Boards of Directors, showing the race or ethnicity of each board member, to the County's Regulatory and Economic Resources Department. Firms claiming exemption must submit,as a part of their proposals/bids to be filed with the Clerk of the Board, an appropriately completed and signed Exemption Affidavit in accordance with Ordinance 98-30. These submittals shall be subject to periodic reviews to assure that the entities do not discriminate in their employment and procurement practices against minorities and women-owned businesses. It will be the responsibility of each firm to provide verification of their gross annual revenues to determine the requirement for compliance with the Ordinance. Those firms that do not exceed$5 million annual gross revenues must clearly state so in their bid/proposal. Any bidder/respondent which does not provide an affirmative action plan and procurement policy may not be recommended by the County Mayor for award by the Board of County Commissioners. 9. Domestic Violence Leave Affidavit - Prior to entering into any contract with the County, a firm desiring to do business with the County shall, as a condition of award, certify that it is in compliance with the Domestic Leave Ordinance, 99-5 and Section 11A-60 of the Miami- Dade County Code.This Ordinance applies to employers that have,in the regular course of business,fifty(50)or more employees working in Miami Dade County for each working day during each of twenty (20) or more calendar work weeks in the current or preceding calendar year. In accordance with Resolution R-185-00, the obligation to provide domestic violence leave to employees shall be a contractual obligation. The County shall not enter into a contract with any firm that has not certified its compliance with the Domestic Leave Ordinance. Failure to comply with the requirements of Resolution R-185-00, as well as the Domestic Leave Ordinance may result in the contract being declared void, the contract being terminated and/or the firm being debarred. 10. Code of Business Ethics- In accordance with Section 2-8.1(1) of the Code of Miami-Dade County each person or entitiy that seeks to do business with Miami-Dade County shall adopt a Code of Business Ethics ("Code") and shall submit an affidavit stating that the Awardee has adopted a Code that complies with the requirements of Section 2-8.1(i)of the Miami-Dade County Code (Form A-12). Section 2-11.1(d) of Miami-Dade County Code as amended by Ordinance 00-1, also requires any county employee or any member of the employee's immediate family who has a controlling financial interest, direct or indirect, with Miami-Dade County or any person or agency acting for Miami-Dade County from competing or applying for any such contract as it pertains to this solicitation, must first request a conflict of interest opinion from the County's Ethic Commission prior to their or their immediate family member's entering into any contract or transacting any business through a firm, corporation, partnership or business entity in which the employee or any member of the employee's immediate family has a controlling financial interest, direct or indirect, with Miami-Dade County or any person or agency acting for Miami-Dade County and that any such contract, agreement or business engagement entered in violation of this subsection, as amended,shall render this Agreement voidable. For additional information, please contact the Ethics Commission hotline at(305) 579-9093. 11. Public Entity Crimes - Pursuant to Paragraph 2(a) of Section 287.133, Florida Statutes, a person or affiliate who has been placed on the convicted vendor list following a conviction for a public entity crime may not submit a proposal for a contract to provide any goods or services to a public entity; may not submit a proposal on a contract with a public entity for the construction or repair of a public building or public work; may not submit proposals on leases of real property to a public entity; may not be awarded or perform work as a Awardee, supplier, subcontractor, or consultant under a contract with any public entity; and, Page 9 ° Eligibility of contractors or sub recipients. Uniform administrative requirements and cost principles. Conflict of interest. Executive Order 12372. Eligibility of certain resident aliens. Architectural Barriers Act and the Americans with Disabilities Act. 13. CDBG-Related Requirements 1. National Objective - Awardee must perform the Activities described herein in a manner in which Awardee meets the national objective of benefit to low- andmoderate-income persons. Awardee shall ensure and maintain documentation, acceptable to the County in its sole and absolute discretion, that conclusively demonstrates that each activity assisted in whole or in part with CDBG funds is an activity which provides benefit to low- and moderate-income persons, as defined in the CDBG Regulations. 2. The Awardee shall comply with all applicable provisions of 24 CFR Part 570 and shall carry out each activity in compliance with all applicable federal laws and regulations described therein. If the Awardee is a primarily religious entity, it shall comply with all provisions of 24 CFR 570.200(j). 3. The Awardee agrees to comply with (a) the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, as amended (URA), and implementing regulations at 49 CFR Part 24 and 24 CFR 570.606(b): (b) the requirements of 24 CFR 570.606(c) governing the Residential Antidisplacement and Relocation Assistance plan under section 104(d) of the HCD Act; and (c)the requirements in 570.606(d) governing optional relocation policies. (The County may preemept the optional policies). The Awardee shall provide relocation assistance to persons (families, individuals, businesses, non-profit organizations and farms) that are displaced as a direct result of acquisition, rehabilitaion, demolition or conversion for a CDBG assisted project. The Awardee also agrees to comply with applicable County ordinances, resolutions and policies concerning the displacement of persons from their residences. 4. For each activity or portion of activity described in Attachment A hereto for which a location has not yet been identified, the Awardee shall obtain, immediately after a site is identified by the Awardee, PHCD's written environmental clearance statement and shall agree in writing to comply with any and all requirements as may be set forth in the Site Environmental Clearance Statement. 5. The Awardee shall cooperate with PHCD in informing the appropriate CDBG citizen participation structures, including the appropriate area committees, of the activities of the Awardee in adhering to the provisions of this Agreement. Representatives of the Awardee shall attend meetings of the appropriate committees and citizen participation structures, upon the request of the citizen participation officers, PHCD, or the County. 6. The Awardee shall make a good faith effort to address the concerns of the residents of the affected area. The Awardee shall cooperate with PHCD in informing the appropriate CDBG citizen participation structures, including the appropriate area committees, of the activities of the Awardee in adhering to the provisions of this Agreement. Representatives of the Awardee shall attend meetings of the appropriate committees and citizen participation structures, upon the request of the citizen participation officers, PHCD, or the County. 7. For activities involving acquisition, rehabilitation and/or demolition of property and which require the relocation of families, individuals, businesses and/or industries, the Awardee shall submit a written notification to the Community Planning and Outreach Division of PHCD prior to relocating, evacuating, and/or dispersing any and all legal occupants who reside at this property on the basis of a long or short term lease. When the legality of an occupant (individual, family, business, and/or industry) is in question, the Awardee shall contact the above mentioned unit prior to making a determination. Awardees receiving CDBG funds shall adhere to 24 Page 11 7. The County shall have the right to assign Professional Staff and provide Technical Assistance from the Public Housing and Community Development to assist the project if the County's staff determines that the Awardee has been unable to consistently achieve the work and units described within the time frames of the action step format of this agreement. Such involvement may result in a reduction of a maximum of 5% of the Agreement's award to cover the cost of the technical assistance.The Awardee shall cooperate and comply with all requests made by such staff. 8. Execute and record, at the County's request, any of the following documents in order to ensure the Property is used as defined and described in Attachment A of this Agreement: a. Promissory Note b. Mortgage c. Loan Agreement d. Restrictive Covenant e. Rental Regulatory Agreement f. Collateral Assignment of leases, rents and Contract Rights g. UCC-1 Rider h. Title Insurance Policy L. Audits and Records 1. Nonprofit organizations that expend $500,000 or more annually in federal awards shall have a single or program specific audit conducted in accordance with OMB A-133. Nonprofit organizations expending federal awards of $500,000 or more under only one federal program may elect to have a program-specific audit performed, in accordance with OMB A-133. Awardees who will be receiving, or who have received, federal awards for loans or loan guaranteed programs may be required to conduct audits of those programs in accordance with regulations of the federal agencies providing those guarantees or loans. 2. Nonprofit organizations that expend less than $500,000 annually in federal awards shall be exempt from an audit conducted in accordance with OMB A-133, although their records must be available for review (e.g., inspections, evaluations). Such agencies that receive less than $500,000 in combined Federal awards must submit to the County annual compilation reports that describe their performance. To achieve uniformity regarding the reporting format, such documents must comply with the accounting industry standards by communicating an independent accountant's (1) expression of limited assurance on FINANCIAL STATEMENTS as a result of performing inquiry and analytic procedures (Review Report); (2) results of procedures performed (Agreed-Upon Procedures Report); (3) non-expression of opinion or any form of assurance on a presentation in the form of financial statements information that is the representation of management (Compilation Report); or (4) an opinion on an assertion made by management in accordance with the Statements on Standards for Attestation Engagements(Attestation Report). 3. When the requirements of OMB A-133 apply, an audit shall be conducted for each fiscal year for which federal awards attributable to this Agreement have been received by the Awardee. Each audit shall include a fiscal review, which includes a validation of all program generated income and its disposition, especially attributable to CDBG funds, an internal control review,and a compliance review as described in OMB A-133. A copy of the audit report in triplicate must be received by PHCD no later than six months following the end of the Awardee's fiscal year. 4. If an audit is required by Paragraph L of this Agreement, but the requirements of OMB A- 133 do not apply the Awardee may choose to have an audit performed either on the basis of the Awardee's fiscal year or on the basis of the period during which PHCD-federal assistance has been received. In either case, each audit shall cover a time period of not more than twelve (12) months and an audit shall be submitted covering each assisted period until all the assistance received from this Agreement has been reported on. Each audit shall adhere to all other audit standards of OMB A-133, as these may be limited to cover only those services undertaken pursuant to the terms of this Agreement. A copy of the audit report in triplicate must be received by PHCD no later than six months following each audit period. 5. The Awardee shall maintain all Contract Records in accordance with generally accepted accounting principles, procedures, and practices which shall sufficiently and properly reflect Page 13 PHI shall maintain its protected status regardless of the form and method of transmission (paper records, and/or electronic transfer of data). The Contractor must give its customers written notice of its privacy information practices including specifically, a description of the types of uses and disclosures that would be made with protected health information. N. Retention of Records 1. The Awardee shall retain all Contract Records for a period of at least seven (7) years following the final Close-Out of the Activity/Project (hereinafter referred to as "Retention Period") subject to the limitations set forth below. The final Close-Out of the Activity/Project is the date when PHCD provides written notificationo of such. Under no circumstances shall Awardee dispose of any Contract Records prior to Awardee providing the County sufficient documentation to show that the HOME Regulations were fully complied with in Awardee's performance of its obligations under this Agreement and has received confirmation from Fl-ICD that the Activity/Project has been finally Closed-Out in the U.S. HUD IDIS system. Upon Awardee's request in writing for confirmation of said final Close-Out, PHCD shall provide Awardee in writing either confirmation of final Close-Out or a list of documentation required in order to proceed toward final Close-Out. 2. If the County or the Awardee have received or given notice of any kind indicating any threatened or pending litigation, claim or audit arising out of the services provided pursuant to the terms of this Agreement, the Retention Period shall be extended until such time as the threatened or pending litigation, claim or audit is, in the sole and absolute discretion of PHCD,fully, completely and finally resolved. 3. The Awardee shall allow the County, federal personnel, or any person authorized by the County full access to and the right to examine any of the Agreement records during the required Retention Period. 4. The Awardee shall notify PHCD in writing, both during the pendency of this Agreement and after its expiration as part of the final closeout procedure, of the address where all Agreement records will be retained. 5. The Awardee shall obtain written approval of PHCD prior to disposing of any Agreement records within one year after expiration of the Retention Period. O. Provision of Records and Proprietary Rights and Information 1. The Awardee shall provide to PHCD, upon request, all Agreement records. These records shall become the property of PHCD without restriction, reservation, or limitation of their use. PHCD shall have unlimited rights to all books, articles, or other copyrightabte materials developed for the purpose of this Agreement. These unlimited rights shall include the rights to royalty-fees; nonexclusive, and irrevocable license to reproduce, publish, or otherwise use,and to authorize others to use,the information for public purposes. 2. If the Awardee receives funds from, or is under regulatory control of, other governmental agencies, and those agencies issue monitoring reports, regulatory examinations, or other similar reports, the Awardee shall provide a copy of each report and any follow-up communications and reports to PHCD immediately upon such issuance unless such • disclosure is a violation of the rules or policies of the regulatory agencies issuing the reports. 3. Proprietary Information As a political subdivision of the State of Florida, Miami-Dade County is subject to the stipulations of Florida's Public Records Law. The Awardee acknowledges that all computer software in the County's possession may constitute or contain information or materials which the County has agreed to protect as proprietary information from disclosure or unauthorized use and may also constitute or contain information or materials which the County has developed at its own expense, the disclosure of which could harm the County's proprietary interest therein. During the term of the Agreement,the Awardee will not use directly or indirectly for itself or for others, or publish or disclose to any third party, or remove from the County's property, Page 15 information shall be deemed to have been given in confidence and any statement or legend to the contrary shall be void and of no effect P. Audits and Inspectors General Nothing in this Agreement shall impair any independent right of the County to conduct audit or investigate activities. The provisions of this section are neither intended nor shall they be construed to impose any liability on the County by the Awardee or third parties.The provisions in this section shall apply to the Awardee, its officers, agents, employees, subcontractors, suppliers and Related or Affiliated Parties. The Awardee shall incorporate the provisions in this section in all subcontracts and all other Agreements executed by the Awardee in connection with the performance of the Agreement. Miami-Dade County Inspectors General Review According to Section 2-1076 of the Code of Miami-Dade County, as amended, Miami-Dade County has established the Office of the Inspector General which may, on a random basis, perform audits on all County contracts, throughout the duration of said contracts, except as otherwise provided below. The cost of the audit of any Contract shall be one quarter(1/4)of one (1)percent of the total contract amount which cost shall be included in the total proposed amount. The audit cost will be deducted by the County from progress payments to the selected Awardee. The audit cost shall also be included in all change orders and all contract renewals and extensions. Exception: The above application of one quarter(1/4)of one percent fee assessment shall not apply to the following contracts: (a) IPSIG contracts; (b) contracts for legal services; (c) contracts for financial advisory services; (d) auditing contracts; (e) facility rentals and lease agreements; (f) concessions and other rental agreements; (g)insurance contracts; (h)revenue-generating contracts; (I)contracts where an IPSIG is assigned at the time the contract is approved by the Commission; (j) professional service agreements under $1,000; (k) management agreements; (I) small purchase orders as defined in Miami-Dade County Administrative Order 3-2; (m) federal, state and local government-funded grants; and (n) interlocal agreements. Notwithstanding the foregoing, the Miami-Dade County Board of County Commissioners may authorize the inclusion of the fee assessment of one quarter(1/4)of one percent in any exempted contract at the time of award. Awardee consents to the powers of the Inspector General. The Miami-Dade County Inspector General is authorized and empowered to review past, present and proposed County contracts, transactions, accounts, records and programs. In addition, the Inspector General has the power to subpoena witnesses, administer oaths, require the production of records and monitor existing projects and programs. Monitoring of an existing project or program may include a report concerning whether the project is on time, within budget and in compliance with plans, specifications and applicable law. Upon ten (10)days prior written notice to the Awardee from the Inspector General or IPSIG retained by the Inspector General, the Awardee shall make all requested records and documents available to the Inspector General or IPSIG for inspection and copying. The Inspector General and IPSIG shall have the right to inspect and copy all documents and records in the Awardee's possession, custody or control which, in the Inspector General or IPSIG's sole judgment, pertain to performance of the Agreement, including, but not limited to original estimate files, worksheets, proposals and Agreements from and with successful and unsuccessful subcontractors and suppliers, all project- related correspondence, memoranda, instructions, financial documents, construction documents, proposal and Agreement documents, back-charge documents, all documents and records which involve cash,trade or volume discounts, insurance proceeds, rebates,or dividends received, payroll and personnel records, and supporting documentation for the aforesaid documents and records. Independent Private Sector Inspector General Reviews Pursuant to Miami-Dade County Administrative Order 3-20, the Awardee is aware that the County has the right to retain the services of an Independent Private Sector Inspector General (hereinafter "IPSIG"),whenever the County deems it appropriate to do so. Upon written notice from the County, the Awardee shall make available to the IPSIG retained by the County, all requested records and documentation pertaining to this Agreement for inspection and reproduction. The County shall be responsible for the payment of these IPSIG services, and under no circumstance shall the Awardee's prices and any changes thereto approved by the County, be inclusive of any charges relating to these IPSIG services. The terms of this provision herein, apply to the Awardee, its officers, agents, employees, subcontractors and assignees. Nothing contained in this provision shall impair any independent right of the County to conduct an audit or investigate the operations, Page 17 conflict in any manner or degree with the performance of services requried under this Agreement. The Awardee further covenants that in the performance of this Agreement no person having such a financial interest shall be employed or retained by the Awardee hereunder. These conflict of interest provisions apply to any person who is an employee, agent, consultant, officer, or elected official or appointed official of the County, or of any designated public agencies or subrecipients which are receiving funds under the CDBG Entitlement program.The Awardee certifies and represents that no officer, director, employee, agent, or other consultant of the County or a member of the immediate family or household of the aforesaid has directly or indirectly received or been promised any form of benefit, payment or compensation,whether tangible or intangible, in connection with the grant of this Agreement. The Awardee shall abide and be governed by Miami-Dade County Ordinance No. 72-82 (Conflict of Interest Ordinance), as amended, which is incorporated herein by reference as if fully set forth, in connection with its Agreement obligations hereunder. The Awardee shall disclose any possible conflicts of interest or apparent improprieties of any party that are covered by the above standards. The Awardee shall make such disclosure in writing to PHCD immediately upon the Awardee's discovery of such possible conflict. PHCD will then render an opinion which shall be binding on all parties. The Awardee shall submit to PHCD, within five business days of execution this Agreement, all updated Conflict of Interest affidavits, Related Party Disclosure statements, list of current Board members,and list of all business associations with the following documents: > Original Agreement or its subsequent amendments. > Requests for budget revisions. > Requests for approval of subcontracts. Non-compliance with the above requirements will be considered a breach of Agreement, which will result in the immediate termination of the agreement, the recovery of the entire funding award, and the disqualification of funding through PHCD for a period of three years. a) Awardee certifies and represents that there are no undisclosed persons or entities interested with the Awardee in this Agreement. This Agreement is entered into by the Awardee without any connection with any other entity or person making a proposal for the same purpose, and without collusion, fraud or conflict of interest. No elected or appointed officer or official, director, employee, agent or other consultant of the County, or of the State of Florida (including elected and appointed members of the legislative and executive branches of government), or a member of the immediate family or household of any of the aforesaid: i) is interested on behalf of or through the Awardee directly or indirectly in any manner whatsoever in the execution or the performance of this Agreement, or in the services, supplies or work,to which this Agreement relates or in any portion of the revenues; or ii) is an employee, agent, advisor, or consultant to the Awardee or to the best of the Awardee's knowledge any subcontractor or supplier to the Awardee. b) Neither the Awardee nor any officer, director, employee, agency, parent, subsidiary, or affiliate of the Awardee shall have an interest which is in conflict with the Awardee's faithful performance of its obligation under this Agreement; provided that the County, in its sole discretion, may consent in writing to such a relationship, provided the Awardee provides the County with a written notice, in advance, which identifies all the individuals and entities involved and sets forth in detail the nature of the relationship and why it is in the County's best interest to consent to such relationship. c) The provisions of this Article are supplemental to, not in lieu of, all applicable laws with respect to conflict of interest. In the event there is a difference between the standards applicable under this Agreement and those provided by statute, the stricter standard Page 19 2. The parties to this Agreement agree to comply with HUD's regulations in 24 CFR part 135, which implement Section 3. As evidenced by their execution of this Agreement,the parties to this Agreement certify that they are under no contractual or other impediment that would prevent them from complying with the part 135 regulations. 3. The Awardee agrees to send to each labor organization or representative of workers with which the Awardee has a collective bargaining agreement or other understanding, if any, a notice advising the labor organization or workers' representative of the Awardee's commitments under this Section 3 clause, and will post copies of the notice in conspicuous places at the work site where both employees and applicants for training and employment positions can see the notice. The notice shall describe the Section 3 preference, shall set forth minimum number and job titles subject to hire, availability of apprenticeship and training positions, the qualifications for each; and the name and location of the person(s) taking applications for each of the positions;and the anticipated date the work shall begin. 4. The Awardee agrees to include this Section 3 clause in every subcontract subject to compliance with regulations in 24 CFR part 135, and agrees to take appropriate action, as provided in an applicable provision of the subcontract or in this Section 3 clause, upon a finding that the subcontractor is in violation of the regulations in 24 CFR part 135. The Awardee will not subcontract with any subcontractor where the Awardee has notice or knowledge that the subcontractor has been found in violation of the regulations in 24 CFR part 135. 5. The Awardee will certify that any vacant employment positions, including training positions, that are filled (1) after the Awardee is selected but before the Agreement is executed, and (2) with persons other than those to whom the regulations of 24 CFR part 135 require employment opportunities to be directed, were not filled to circumvent the Awardee's obligations under 24 CFR part 135. 6. Noncompliance with HUD's regulations in 24 CFR part 135 may result in sanctions, termination of this Agreement for default, and debarment or suspension from future HUD assisted contracts. 7. With respect to work performed in connection with Section 3 covered Indian housing assistance, section 7(b)of the Indian Self-Determination and Education Assistance Act(25 U.S.C. 450e)also applies to the work to be performed under this Agreement. Section 7(b) requires that to the greatest extent feasible(i) preference and opportunities for training and employment shall be given to Indians, and (ii) preference in the award of contracts and subcontracts shall be given to Indian organizations and Indian-owned Economic Enterprises. Parties to this Agreement that are subject to the provisions of Section 3 and section 7(b) agree to comply with Section 3 to the maximum extent feasible, but not in derogation of compliance with section 7(b). 8. Fair Subcontracting Policies(Ordinance 97-35) All Awardees on County contracts in which subcontractors may be used shall be subject to and comply with Ordinance 97-35 as amended, requiring Awardees to provide a detailed statement of their policies and procedures for awarding subcontracts which: a) notifies the broadest number of local subcontractors of the opportunity to be awarded a subcontract; b) invites local subcontractors to submit bids/proposals in a practical,expedient way; c) provides local subcontractors access to information necessary to prepare and formulate a subcontracting bid/proposal; d) allows local subcontractors to meet with appropriate personnel of the Awardee to discuss the Awardee's requirements; and e) awards subcontracts based on full and complete consideration of all submitted proposals and in accordance with the Awardee's stated objectives. All Awardees seeking to contract with the County shall, as a condition of award, provide a statement of their subcontracting policies and procedures(see Attachment G).The County will not execute this Agreement with Awardees who fail to provide a statement of the Subcontractors Policies and Procedures. Page 21 was improved, the records shall describe the programmatic purpose for which the improvements were made and identify the CDBG national objective that will be met. d. For awards involving the purchase or improvement of real property, the Awardee agrees to execute a mortgage, loan document, or restrictive covenant for the CDBG award with PHCD within 180 days after the execution of this agreement. Failure to comply with this requirement may result in the retraction of the CDBG award for the project and termination of this agreement. e. All real property shall be inventoried annually by the Awardee and an inventory report shall be submitted to PHCD. This report shall include the elements listed in Paragraph W.2.c., above. Nothing in this section shall be construed to limit the County's right to collect from Awardee the entire amount of CDBG funds awarded pursuant to this Agreement in the event Awardee fails to meet a national objective. 3. Inventory-Capital Equipment and Real Property All capital items acquired for the project by the Awardee with funds allocated in this Agreement shall be assets of the Awardee and may be secured by a mortgage delivered to the County. A capital item shall be defined as an item that: (1)has a service life in excess of one year; (2)is either complete within itself or is a major component of another item of property; (3)by definition cannot be described either as supplies or materials; (4)will not be consumed or lose its identity; and (5)has a unit cost of$500 or more. Awardee shall notify the County immediately upon acquiring any capital items with funds allocated in this Agreement The County shall allow the Awardee to retain possession of capital equipment after expiration of this Agreement as long as the Awardee continues to provide the service described in the Scope of Services (Attachment A). If the Awardee disbands, becomes defunct or in any way ceases to exist or if the Awardee ceases to provide the service described in the Scope of Services or another service of value, Awardee shall notify the County immediately and provide instructions describing how the County may take possession of the capital equipment. Awardee shall deliver to the County all documents of title or ownership and shall transfer or assign such ownership rights to the County. Foreclosure of the County mortgage or enforcement of other documents shall not be required in order for the County to claim and take possession of capital equipment. 4. The Awardee shall comply with the nonexpendable personal property requirements as stated below: a. All nonexpendable personal property purchased or improved in whole or in part with funds from this and previous Agreements with PHCD shall be listed in the property records of the Awardee and shall include a description of the property; location; model number; manufacturer's serial number; date of acquisition;funding source; unit cost at the time of acquisition; present market value; property inventory number; information on its condition; and information on transfer, replacement,or disposition of the property. b. All nonexpendable personal property purchased or improved in whole or in part with funds from this and previous Agreements with PHCD shall be inventoried annually by the Awardee and an inventory report shall be submitted to PHCD.The inventory report shall include the elements listed in Paragraph W.3.a.,above. c. Title (ownership) to all nonexpendable personal property purchased in whole or in part with funds given to the Awardee pursuant to the terms of this Agreement shall vest in the County and PHCD. 5. The Awardee shall obtain prior written approval from PHCD for the disposition of real property, expendable personal property, and nonexpendable personal property purchased or improved in whole or in part with funds given to the Awardee or subcontractor pursuant to the terms of this Agreement. The Awardee shall dispose of all such property in accordance with instructions from PHCD. Those instructions may require the return of all such property to PHCD. Page 23 revolving loan fund, cash balances from a lump sum drawdown, or cash or investments held for Section 108 security needs). 4. PHCD, in its sole and absolute discretion, reserves the right to pursue other courses of action in the retention and use of Program Income generated by the Awardee, and such action shall not require an amendment to this Agreement. Y. Travel The Awardee shall comply with the County's travel policies. Documentation of travel expenses shall conform to the requirements of PHCD's Policies and Procedures Manual. Z. Subcontracts and Assignments 1. Unless otherwise specified in this Agreement, the Awardee shall not subcontract any portion of the work without the prior written consent of the County. Subcontracting without the prior consent of the County may result in termination of the Agreement for breach. When Subcontracting is allowed, the Awardee shall comply with County Resolution No. 1634-93,Section 10-34 of the County Code and Section 2-8.8 of the County Code. The Awardee shall ensure that all subcontracts and assignments: a. Ensure that no contractor, subcontractor or assignee is listed on the U.S. HUD's debarred, suspended, or ineligible contractors list; Awardee shall use, at a minimum, US HUD's Excluded Parties List System to confirm clearance of contractors. The system may be accessed at https://www.sam.gov/ Awardee shall provide to PHCD a copy of the site page that indicates the name and the date it was checked. Awardee shall further ensure that no contractor, subcontractor, or assignee is listed on Miami-Dade County's debarred Contractor's List; Awardee shall, at a minimum, check at http:/lwww.miamidade.gov/sba/reports-debarment.aso to determine if a person or entity is on Miami-Dade County's debarred contractor's list. Awardee shall provide PHCD with a printout copy of the site page that indicates the name and the date it was checked. b. Comply with all CDBG requirements, as applicable, as well as the regulations specified in PHCD's Policies and Procedures Manual. c. Identify the full, correct,and legal name of the party. d. Describe the activities to be performed. e. Present a complete and accurate breakdown of its price component. f. Incorporate a provision requiring compliance with all applicable regulatory and other requirements of this Agreement and with any conditions of approval that the County or PHCD deem necessary. This applies only to subcontracts and assignments in which parties are engaged to carry out any eligible substantive programmatic service, as may be defined by PHCD, set forth in this Agreement. PHCD shall in its sole discretion determine when services are eligible substantive programmatic services and subject to the audit and record-keeping requirements described above, and; Result from an open competitive bid process generating a minimum of three bids. Such competitive process shall be described in writing, approved by the Board of Directors and a copy of which submitted to PHCD. In such circumstances that open, competitive bids are not feasible or that a minimum of three bids are unobtainable, permission to use other methods of award must be requested in writing and approved by PHCD prior to the assignment or award of subcontract. The Awardee agrees that no assignment or sub-contract will be made or let in connection with the Agreement without the prior written approval of PHCD, which approval shall not be unreasonably withheld, and that all such sub-contractors or assignees shall be governed by the terms and intent of this Agreement. Page 25 the Awardee submits to PHCD canceled checks or original invoices approved by the Awardee's authorized representative which show performance of the Activities described in Attachment A and conformance with the laws, rules and regulations set forth in this Agreement.When original documents cannot be presented, the Awardee must adequately justify their absence in writing and furnish copies of those documents to PHCD. The Awardee shall be paid only for those expenditures contained within Attachment B, "Budget,"to this Agreement as it may be revised with the prior written approval by PHCD. 2. Requests for payment (reimbursement) shall be assembled by calendar month and submitted to PHCD no less frequently than monthly. Expenditures incurred by the Awardee must be submitted to PHCD, along with all original invoices, copies of front and back of cancelled checks paid to all subcontractors and suppliers, all release of liens from all] subcontractors and suppliers, and all final approved permits, for payment within 30 days after the month in which the expenditures were incurred. Failure to comply will result in rejection of invoices. In no event shall the County be obligated to pay any invoices for expenses which were incurred more than 60 days prior to the date the request for payment is submitted to PHCD. 3. In no event shall the County provide advance CDBG funding to the Awardee or to any subcontractor hereunder,nor shall the Awardee advance CDBG funds to any party. 4. Any payment due under the terms of this Agreement may be withheld pending the receipt and approval by PHCD of all reports and documents which the Awardee is required to submit to PHCD pursuant to the terms of this Agreement or any amendments thereto. 5. All payments will be limited to the quarterly payment schedule that accompanies the action step chart in the scope of services. Payment is contingent on the achievement by the Awardee of the quarterly accomplishment levels identified in the scope of services portion of this agreement—Attachment A, which shall be submitted with all payment requests and shall clearly identify the completed level of accomplishments met. This shall also apply to soft costs associated with project delivery. 6. No payment(s) will be made without evidence of appropriate insurance required by this Agreement. Such evidence must be on file with PHCD and the County's Risk Management Division. PHCD must receive the final request for payment from the Awardee no more than thirty (30) calendar days after the expiration or termination of this Agreement. If the Awardee fails to comply with this requirement, the Awardee will forfeit all rights to payment(s)if PHCD, in its sole discretion,so chooses. 7. All monies paid to the Awardee which have not been used to retire outstanding obligations of this Agreement must be refunded to PHCD in accordance with PHCD's Policies and Procedures Manual. 8. Any unexpended funds remaining after the completion of the services under this Agreement,or after termination of this Agreement,shall be recaptured in full by the County. 9. In the event the County determines that the Awardee has breached the terms of this agreement and that the County is entitled to return of any or all of the funds awarded under this Agreement, Awardee agrees to and shall assign any proceeds to the County from any Agreement between the County, its agencies or instrumentalities and the Awardee or any firm, corporation, partnership or joint venture in which the Awardee has a controlling financial interest in order to secure repayment of this award. "Controlling financial interest" shall mean ownership,directly or indirectly to ten percent or more of the outstanding capital stock in any corporation or a direct or indirect interest of ten percent or more in a firm, partnership or other business entity. CC. Reversion of Assets The Awardee shall return to PHCD, upon the expiration or termination of this Agreement, all assets owned or held by Awardee as a result of this Agreement, including, but not limited to any CDBG funds on hand, any accounts receivable, any overpayments due to unearned funds or costs disallowed pursuant to the terms of this Agreement that were disbursed to the Awardee by the County, other than reasonable operating and deficit reserves established by Awardee and which are connected with the real property. In the case of activities involving real property, such reserves shall not be distributed to any partner or subcontractor prior to repayment to PHCD of the CDBG Loan. The Awardee shall at the request of the County execute any and all documents, including but not Page 27 (Attachment A) within the effective term of this Agreement, including but not limited to failure to meet the National Objective, as determined by the County and U.S. HUD. b. Awardee fails to disclose all Related or Affiliated Parties and all matters required to be disclosed as to Related or Affiliated Parties to the County as requried herein. c. Filing of a lis pendens, foreclosure action, or other legal action against the Property, any property of Awardee or Related or Affiliated Party, or against Awardee or Related or Affiliated Party which the County determines, in its sole discretion,threatens the Property or the ability of Awardee to fulfill the provisions of this Agreement and the services outlined in the Scope of Services. d. Any arrearage, default, or late payment on any loan, Note or other debt or obligation for which the Property is security or regarding any property of Awardee or Related or Affiliated Party, including properties not related to this Agreement. e. Any legal encumbrance on the Property not permitted in writing by the County. f. Any anticipated or pending bankruptcy, restructuring,dissolution, reorganization, appointment of a trustee or receiver. g. Any action, activity, facts, or circumstances that the County determines in its sole discretion would materially impair performance by Awardee of all the terms and conditions of this Agreement. h. Awardee fails to report to the County within ten (10) days any bankruptcy, reorganziation, dissolution, liquidation, appointment of a trustee or receiver, lis pendens, foreclosure action or legal encumberance related to the Awardee, Related or Affiliated Party or the Property, or any action, activity, facts, or circumstances that would materially impair performance by Awardee of all the terms and coditions of this Agreement. Failure to comply strictly with Section W(2)(a)(1)-(2)of this Agreement. j. Failure to meet the fifty percent (50%) or seventy percent(70%) Benchmarks, as set forth in this Agreement, or to submit documentation (via Progress Reports and applicable supporting documentation) sufficient to show Awardee has met said Benchmarks. C. Suspension 1. The County may suspend payment in whole or in part under this Contract by providing written notice to the Awardee of such suspension and specifying the effective date thereof, at least ten (10)days before the effective date of suspension. If payments are suspended, the County shall specify in writing the actions that must be taken by the Awardee as conditions precedent to resumption of payments and shall specify a reasonable date for compliance. The County may also suspend any payments in whole or in part under any other Agreements entered into between the County and the Awardee. The Awardee shall be responsible for all direct and indirect costs associated with such suspension, including attorney's fees. Reasonable cause shall be determined by PHCD, in its sole and absolute discretion,and may include,but is not limited to: a. Ineffective or improper use of these Agreement funds by the Awardee or any of its subcontractors; b. Failure by the Awardee to materially comply with any term or provision of this Agreement; c. Failure by the Awardee to submit any documents required by this Agreement;or d. The Awardee's submittal of incorrect or incomplete reports or other required documents. Page 29 between the County and the Awardee, upon approval by the County Mayor or Mayor's designee. 3. The County may,for good and sufficient cause,waive provisions in this Agreement.Waiver requests from the Awardee shall be in writing. No waiver shall be valid unless in writing and signed by the County Mayor or Mayor's designee.Any waiver shall not be construed to be a modification of this Agreement. 4. The County's failure to exercise any of its rights under this Agreement, or the County's waiver of a provision on any one occasion, shall not constitute a waiver of such rights or provision on any other occasion. No failure or delay by the County in the exercise of any right shall operate as a waiver. G. Budget Revisions and Changes to the CDBG Eligibility Activity Title 1. Revisions to the Budget (Attachment B) shall be requested in writing and must comply with PHCD's Policies and Procedures Manual. All budget revisions shall require an amendment of this Agreement, which the County shall have no obligation to execute. The County shall not be obligated to make payments for expenditures incurred prior to the approval of the budget revision related to such expenditures. 2. Budget Revisions Through County Resolution Should a portion of the funding allocation to the Awardee be rescinded by action from the Board of County Commissioners, written notification via certified mail to the Awardee advising of the funding reduction shall be sent by PHCD no later than five(5)working days of the action;written notification will constitute a Agreement amendment. The Awardee will have five working days upon receipt of certified return receipt notification to submit a revised budget reflecting funding adjustments. Should the modified budget not be received within the specified time,The County will revise the budget at its discretion. The County in its sole and absolute discretion will determine whether substantial reductions will necessitate revision and resubmittal of the Scope of Service (Attachment A). Revisions to the Scope of Services,when required, will be negotiated to the mutual satisfaction of both parties. 3. Revisions to the CDBG eligibility activity titles under which this Agreement's objectives are classified as noted in the Scope of Services (Attachment A) shall not require a Agreement amendment. H. Compliance The County shall have the right to inspect, monitor, and inquire of Awardee , at the sole and absolute discretion of the County,remain in effect during any period that the Awardee is obligated to complete a National Objective or has control over Agreement funds, including Program Income, in order to ensure compliance with the CDBG Regulations. However, the County shall have no obligation or responsibility to make any payment or provide any type of assistance or support to the Awardee if this Agreement has expired or been terminated. The Awardee agrees to comply with all applicable State and County laws, rules and regulations, which are incorporated herein by reference or fully set forth herein. Any alterations, variations, modifications, extensions or waivers of provisions of this Agreement shall only be valid when they have been reduced to writing, duly approved and signed by both parties and attached to the original of this Agreement. This contract may be executed in counterpart copies, and these counterparts shall together constitute an original of this Agreement. Disputes • In the event an unresolved dispute exists between the Awardee and PHCD, PHCD shall refer the questions, including the views of all interested parties and the recommendation of PHCD, to the County Mayor for determination. The County Mayor, or an authorized representative, will issue a determination within thirty(30)calendar days of receipt and so advise PHCD and the Awardee,or in the event additional time is necessary, PHCD will notify the Awardee within the thirty (30) day period that additional time is necessary. The Awardee agrees that it shall not seek legal redress for Page 33 c a N. WAIVER OF JURY TRIAL NEITHER THE AWARDEE, SUBCONTRACTOR, NOR ANY OTHER PERSON LIABLE FOR THE RESPONSIBILITIES, OBLIGATIONS, SERVICES AND REPRESENTATIONS HEREIN, NOR ANY ASSIGNEE, SUCCESSOR, HEIR OR PERSONAL REPRESENTATIVE OF THE AWARDEE, SUBCONTRACTOR OR ANY SUCH OTHER PERSON OR ENTITY SHALL SEEK A JURY TRIAL IN ANY LAWSUIT, PROCEEDING, COUNTERCLAIM OR ANY OTHER LITIGATION PROCEDURE BASED UPON OR ARISING OUT OF THIS AGREEMENT, OR THE DEALINGS OR THE RELATIONSHIP BETWEEN OR AMONG SUCH PERSONS OR ENTITIES, OR ANY OF THEM. NEITHER AWARDEE, SUBCONTRACTOR, NOR ANY SUCH PERSON OR ENTITY WILL SEEK TO CONSOLIDATE ANY SUCH ACTION IN WHICH A JURY TRIAL HAS BEEN WAIVED. THE PROVISIONS OF THIS PARAGRAPH HAVE BEEN FULLY DISCUSSED BY THE PARTIES HERETO, AND THE PROVISIONS HEREOF SHALL BE SUBJECT TO NO EXCEPTIONS. NO PARTY HAS IN ANY WAY AGREED WITH OR REPRESENTED TO ANY OTHER PARTY THAT THE PROVISIONS OF THIS PARAGRAPH WILL NOT BE FULLY ENFORCED IN ALL INSTANCES. O. Assignment The Awardee shall not assign, transfer, hypothecate or otherwise dispose of this Agreement, including any rights, title or interest therein, or its power to execute such Agreement to any person, company or corporation without the prior written consent of the County. P. Third Parties This agreement is intended for the sole and exclusive benefit of the parties and is not intended to benefit any third party nor shall it be deemed to give rise to any rights in any third party. Q. Survival The parties acknowledge that many of the obligations in this agreement, including but not limited to Awardee's obligation to indemnify the County, maintain Contract Records, and provide sufficient evidence of CDBG Regulation compliance for the duration of the period in which Awardee is obligated to meet a National Objective or has control over CDBG funds as well as the County's right to inspect and monitor the Project and Awardee for complaince with the HOME Regulations, will survive the term, termination, and cancellation hereof. Accordingly, the respective obligations of the Awardee and the County under this agreement, which by nature would continue beyond the termination, cancellation or expiration thereof, shall survive termination, cancellation or expiration hereof. R. Autonomy The Parties agree that this Agreement recognizes the autonomy of and stipulates and implies no affiliation between the contracting parties. It is expressly understood and intended that the Awardee is only a recipient of funding support and is not an agent, employee,servant or instrumentality of the County. The Awardee is, and shall be, in the performance of all work services and activities under this Agreement, an independent contractor, and not an employee, agent or servant of the County. All persons engaged in any of the work or services performed pursuant to this Agreement shall at all times, and in all places, be subject to the Awardee's sole direction, supervision and control. The Awardee shall exercise control over the means and manner in which it and its employees perform the work, and in all respects the Awardee's relationship and the relationship of its employees to the County shall be that of an independent contractor and not as employees, servants or agents of the County. The Awardee does not have the power or authority to bind the County in any promise,Agreement or representation other than specifically provided for in this Agreement. Page 35 IN WITNESS THEREOF,the parties hereto have caused this contract to be executed by their undersigned officials. AWARDEE: City of Opa-locka MIAMI-DADE COUNTY BY: BY: NAME: NAME: Carlos A. Gimenez TITLE: Mayor TITLE: DATE: BY: ATTEST NAME BY: TITLE: TITLE: Clerk, Board of County Commissioners DATE Witnesses: BY: (Signature) Type or Print Name BY: (Signature) Type or Print Name Federal ID Number: 59-6002412 Resolution Number#R-165-13 Awarded Amount$202,000 Awardee's Fiscal Year Ending Date: CORPORATE SEAL: AGREEMENT IS NOT VALID UNTIL SIGNED AND DATED BY ALL PARTIES Page 37 • ATTACHMENT A PUBLIC HOUSING AND COMMUNITY DEVELOPMENT MIAMI. COUNTY FY 2013 Scope of Services January 1, 2013 through December 31, 2013 Agency Name: City of Opa-locka 1. -ACTIVITY TITLE: Lift Station 8 Rehabilitation Project-RFA 2013 IDIS#: N/A RESOLUTION#: R-165-13 DUNS#: 83111823 2. -ACTIVITY DESCRIPTION: Rehabilitation of Lift Station 8 to include installation of new pumps, upgrading of the wet well,new control panel systems,and site upgrading. 2a—Activity Category: Public Facilities and Capital Improvements 2b.—Objective: Suitable Living Environment 2c.—Outcome: Availability/Accessibility 3. -APPROVED BY BCC: Amount:$202,000 Source:CDBG FY: 2013 Other Funding Source and Amount: 4. - FY 2013 FUNDING REQUESTED: $202,000 5. -HUD INFORMATION: 5a.—HUD matrix code: 03J-Water/Sewer Improvements 5b.—HUD Activity Type: LMA 5c.—HUD National Citation 570.208(a)(1) 6. -ACCOMPLISHMENTS: 6a.—Number of Units: 1 6b.—Type: People 7. -NATIONAL OBJECTIVE: Total#of Low/Mod in Service Area: 47 Census Tract: 4.03 Block Group: 4 8. -ACTIVITY ADDRESS:. 2352 NW 147 Street,Opa-locka,FL 33054 9. -LOCATION: NRSA(Activity located in): Opa-locka District(Activity located in): 1 10. -LABOR STANDARD applicable Type of Work: • ❑ Building ❑Residential ❑ Highway ❑Heavy 11. Set aside units different from total units 12. INSURANCE REQUIREMENTS: Worker's Compensation Insurance,Commercial General Liability Insurance, Auto mobility Liability Insurance and Professional Liability Insurance. See Attachment for/detailed requirements. Project Manager:Jesus Hernandez Winston Parkinson Planner(Signature) / Cordella Ingram: Supervisor,Resident'ervices,Comm ni lancing&Out, ach :gnature) MIAMI- COUNTY ATTACHMENT B-I(A) INDEMNIFICATION AND INSURANCE REQUIREMENTS FOR: Contractor shall indemnify and hold harmless the County and its officers, employees, instrumentalities from any and all liability, losses or damages, including attorney's fees yces, agents am which the County or its officers, employees, agents or instrumentalities may incur demands, suits, causes of actions or proceedings of any kind or Y es and costs of defense from the performance of this Agreement by the Contractor Y as a result of claims, Y nature arising out of, relating to or resulting principals or subcontractors. Contractor shall.pay all claims and llosses pin connection therewith h investigates and defend all claims, suits or actions of any servants, partners applicable, including appellate proceedings, and shall pay all therewith and shall y kind or nature in the name of the County,issue thereon. Contractor expressly understands and agrees that any insurance where P y costs, judgments, and attorney's fees which this Agreement or otherwise provided by Contractor shall in no way limit the responsibility protection required y,by keep and save harmless and defend the County eSPonsibility to indemnify, herein as herein provided. ' °r its officers, employees, agents and instrumentalities as The Contractor shall furnish to the Miami-Dade County, d o the Community Development, 70.1 NW 1� m DeP�ent of Public Housing and Court 14 Floor Miami FL 33 136 Certificate (s) of Insurance which indicates that insurance coverage has been obtained which meets the requirements q is as outlined below: A. Worker's Compensation Insurance for all employees of the Contractor as r Florida Statute 440. required by B. Commercial General Liability ty Insurance on a comprehensive basis in.an amount not than $300 000 combined e sin g 1 property.dame e limit per occurrence for bodily injury and g Miami-Dade County must be shown as an additional insured with respect to this coverage. C. Automobile Liability ty Insurance covering all owned, used in connection with the wor non-owned and hired vehicles single limit k, in an amount not less than $300,000 combined per occurrence for bodily injury and property damage. All insurance policies required above shall be issued by coin of the State of Florida, Punier authorized to do business under the laws da with.the.following qualifications: The company must be rated no less than "B" financial siren y as to management, and.no less than "Class V" as to gth, b y A.M. Best Company, Oldwick,.New Jersey, or its equivalent, subject to the approval of the County Risk Management Division. or The company must hold a valid Florida Certificate of Authority as shown in the latest "List Insurance Companies Authorized or Approved to Do Business in Florida" issued by the State De of All Department of Financial Services and are members of the Florida Guaranty Fund to of NOTE: CERTIFICATE HOLDER MUST READ: MIAMI-DADS COUNTY 111 NW 1St STREET SUITE 2340 MIAMI,FL 33128 ATTACHMENT B-2 Community Development Block Grant(CDBG) Program A. Schedule of Units — For Awardees undertaking the development of for-sale ownership or rental housing, the description of the proposed units to be completed is as follows (to be completed by Awardee): Schedule of Units Unit Total Number Total Number Square Sales Price/ Description of Units Set-Aside Units Feet Net Rent Amount %of AMI Efficiency/Studio $ 1 Bedroom/1 Bath $ 2 Bedroom/1 Bath $ 2 Bedroom/1.5 Bath $ 2 Bedroom/2 Bath $ 3 Bedroom/1 Bath 3 Bedroom/1.5 Bath $ 3 Bedroom/2 Bath $ 4 Bedroom/2 Bath $ 4 Bedroom/2.5 Bath $ o� Other. $ % For Awardees undertaking rental housing, the Awardee agrees with respect to the Development for the period beginning on the date of recordation of the Mortgage and Security Agreement securing the PHCD Loan,that: a. The Awardee shall designate and set-aside units moderate income families in the configuration as described in very the e Schedule of Units referenced herein. b. At the very minimum, the Awardee shall be required to equip each unit with the following: refrigerator, oven, carpeting/tile, and central air conditioning. c. Each unit shall meet the energy efficiency standards promulgated by the HUD Secretary. d. The Awardee must verify that all households assisted have annual incomes that do not exceed.80% of the Area Median Income (AMI). The awardee must report to PHCD the number of set-aside housing units completed and occupied, including demographic information on each head of household. 1 B. AWARDEE OBLIGATIONS AND DUTIES 1. The Awardee shall begin construction no later than twelve (12) months after execution of the 2013 RFA Funding Agreement. All construction shall be completed within twenty-four (24) months of execution of the Agreement. Construction is completed when a Certificate of Occupancy(CO) is issued. 2. The Awardee shall submit to PHCD, in writing, all requests for project construction start-up and completion extensions, including a revised timetable for completion of the project. Such written requests must be submitted to PHCD at least sixty (60) days prior to the expiration date of the contract or amendment. If the extension request is not timely submitted, the funding award shall be automatically forfeited by the Awardee. 3. The Awardee shall obtain-prior written approval from PHCD before undertaking any and all changes to the project, including, but not limited to changes in the proposed unit sales prices or rents (as applicable), start-up and completion date extension request, unit set-aside, floor plans and amounts to be contributed towards closing. The Awardee shall send PHCD notice of such changes within thirty (30) days of any such increase. 4. The Awardee shall execute a Regulatory Agreement, Note, and Mortgage delineating a set-aside of units that is proportionate to the level of funding received pursuant to the funding sources. • 5. The Awardee shall forward to PHCD within fifteen [15) days of execution of this contract an Affirmative Marketing Program to attract and identify prospective renters or homebuyers(as applicable), regardless of sex,of all minority and majority to the Project, particularly J , ty groups, y groups that are not likely to be aware of the Project. The Marketing Plan should include efforts designed to make such persons/groups aware of the available housing, including, but not limited to the following activities: Submit proof of advertising in The Miami Herald, Diaro Las Americas and Miami Times, in an effort to afford all ethnic groups the opportunity to obtain affordable housing. The Awardee shall provide proof of other special marketing efforts including advertising Multiple Listings Service (MLS) through a licensed real estate professional. 6. The Awardee shall provide PHCD with a complete set of permitted plans, approved. specifications, and permits for each building or unit model, as applicable, upon approval by the appropriate controlling municipality prior to commencing construction. 7. The Awardee shall provide to PHCD for approval prior to awarding the construction contract for the Development,the name of the General`Contractor. 8. Prior to the commencement of construction, the Awardee shall provide to PHCD the General Contractor's Payment& Performance Bond (P&PB). At PHCD's discretion, based on the Awardee's organizational capacity, track record, and experience, an irrevocable Stand-by Letter of Credit may be accepted in lieu of the P&PB. In such event, the Letter of Credit must be issued by a Florida chartered bank or national 2 bank operating in Florida in the amount of ten percent (10%) of the construction contract amount, in US funds, with Miami-Dade County listed as the beneficiary. 9. The Awardee shall schedule a Pre-Construction Conference with PHCDat least sixty days prior to the commencement of construction. Y 10. The Awardee shall provide PHCD with a written commitment for construction financing from a financial institution(s) at the time of construction loan closing. 11. The Awardee agrees to notify PHCD in writing within fourteen (14) days of any key personnel or location changes in the management company. 12. During the Design Stage, the Awardee shall obtain Professional Liability Insurance in the name of the Awardee or the licensed design professional employed by the Awardee in an amount of not less than $250,000, and shall furnish to PHCD the relevant Certificates of Insurance evidencing the prescribed insurance coverage in accordance with ATTACHMENT B-1 of this contract. C. PHCD OBLIGATIONS AND DUTIES 1. PHCD shall manage its own disbursements and act as the disbursement agent for construction loan funding draws. 9 or 2. PHCD will monitor the project for adherence to plans, unit layout and deadlines for project completion in accordance with the Contract and the Scope of Services. 3. PHCD shall forward to the County's Risk Management all required and a licable Certificate(s)of Insurance. PP 4. PHCD shall disburse the awarded funding only after the Awardee closes on the construction loan, all required loan documents have been recorded, and the Awardee has timely submitted funding draw requests and relevant invoices in the prescribed manner and as satisfactory to PHCD. 5. PHCD shall notify the Awardee of any address/location changes to PHCD's contact information within forty-five (45) days of its occurrence. D. NATIONAL OBJECTIVE In accordance with 24 CFR Section.570.208 of the federal regulations,the Awardee shall be required to achieve the national objective of Benefit to Low and Moderate Income Persons or Households(LW). For activities designed to meet the LMI national objective, the Awardee shall ensure and maintain documentation, acceptable to PHCD in its sole discretion that conclusively demonstrates that each activity assisted in whole or in part with CDBG funds is an activity that provides benefit to persons where no less than 51%of those benefitted are low- and moderate-income persons with household incomes at or below 80% of Area Median Income(AMI), as further defined in the chart below: • 3 Miami-Dade County: I HUD 2013 (NOTE: Income Limits subject to change annually.) 23,600 26,950 30,350 33,700 36,400 39,100 41,800 44,500 37,800 4,420 49,700 55,200 59,650 64,050 68,450 72,900 Source: http✓/www.huduser.org/publications/commdevl/nsp.html The Awardee may achieve the LMI national objective by undertaking activities that fall under one of four(4) primary LMI cagegories: 1. To benefit Low Mod Area (LMA) For activities designed to meet the LMI national objective category of Low Moderate Area Benefit (LMA), the Awardee shall ensure and maintain documentation, acceptable to PHCD in its sole discretion that conclusively demonstrates that each activity assisted in whole or in part with CDBG funds is an activity that provides benefit to residents in a particular area, where at least 51% of the residents are LMI persons. The service area of the activity must be primarily residential and the activity must meet the identified needs of LMI persons. A service area is considered to meet the test of being LMI if at least 51% of the persons residing in the service area are low- to moderate-income, as determined by: a. the most recently available decennial Census information, together with the Section 8 income limits that would have applied at the time the income information was collected by the Census Bureau; or b. a current survey of residents of the service area. If the proposed activity's service area is generally the same as a census tract or block group, then the Census data may be used to justify the income characteristics of the area served. 2. To benefit Low Mod Limited Clientele (LMC) For activities designed to meet the LMI national objective category of Low Moderate Limited Clientele (LMC), the Awardee shall ensure and maintain documentation, acceptable to PHCD in its sole discretion that conclusively demonstrates that each activity assisted in whole or in part with CDBG funds is an activity in which no less than 51% of the beneficiaries of the activity are LMI persons. Activities in this category provide benefits to a specific group of persons rather than everyone in an area. It may benefit particular persons without regard to their residence, or it may be 4 an activity that provides a benefit to only particular persons within a specific area. With respect to determining the beneficiaries of activities as LMI and qualifying under the limited clientele category, activities must meet one of the following tests: a. Benefit a clientele that is generally presumed to be principally LMI. This presumption covers abused children, battered spouses, elderly persons, severely disabled adults, homeless persons, illiterate adults, persons living with AIDS and migrant farm workers; or b. Require documentation on family size and income in order to show that at least 51% of the clientele are LMI;or c. Have income eligibility requirements limiting the activity to LMI persons only; or d. Be of such a nature and in such a location that it can be concluded that clients are primarily LMI. 3. Low Mod Job Creation or Retention Activities (LMJ) The job creation and retention Low Moderate Job (LMJ) benefit national objective category addresses activities designed to create or retain permanent jobs, at least 51% of which, computed on a full-time equivalent basis, will be made available to, or held by, LMI persons. For Awardees undertaking activities to create jobs, there must be documentation indicating that at least 51% of the jobs will be held by, or made available to LMI persons. For Awardees undertaking activities that retain jobs, there must be sufficient information documenting that the jobs would have been lost without the CDBG assistance and that one or both of the following applies to at least 51% of the jobs: a. The job is held by a LMI person; or b. The job can reasonably be expected to turn over within the following two years and steps will be taken to ensure that the job will be filled by, or made available to, a LMI person. For the purpose of determining if the preceding requirements are met, a person may be presumed to be LMI if: I. He/she resides in a Census tract/block numbering area that has a 20%_ poverty rate (30% poverty rate if the area includes the central business district); and the area evidences pervasive poverty and general distress; or IL He/she lives in an area that is part of a Federally-designated Empowerment Zone (EZ) or Enterprise Community(EC); or Ill. He/she resides in a Census Tract/block numbering area where at least 70% of the residents are LMI. 4. Low Mod Housing Activities (LMH) The housing category of LMH benefit national objective qualifies activities that are undertaken for the purpose of providing or improving residential structures which, upon completion, will be occupied by LMI households. In order to meet the housing LMI national objective, structures with one unit must be occupied by a LMI household. If the structure contains two units, at least one unit must be LMI occupied. Structures with three or more units must have at least 51% occupied by LMI households. a. Rental buildings under common ownership and management that are located on the same or contiguous properties may be considered as a single structure. 5 b. For rental housing, occupancy by LMI households must be at affordable rents as established annually by the U.S. Department of Housing and Urban Development (HUD) and consistent with standards adopted and publicized by PHCD. The Awardee shall comply with all applicable provisions of 24 CFR Part 570 and shall carry out each activity in compliance with all applicable federal laws and regulations described therein. If the Awardee is a primarily religious entity, it shall comply with all provisions of 24 CFR 570.200 Q). For Housing, Rehabilitation, and Construction activities, all conditions in this section will apply throughout the regulatory period identified in the national objective. Throughout that period, the Awardee will be required to submit an annual report regarding its compliance with the national objective, and PHCD will have the right to monitor the activity. The Awardee shall comply with all applicable uniform administrative requirements as described in 24 CFR 570.502. 6 Haw PUBLIC HOUSING AND COMMUNITY DEVELOPMENT QUARTERLY EXPENDITURE AND PROGRESS REPORT FY 20 10.4w: Oaca , , . e i r n tl 'i 2iRY ...�,...... ,._, c_ ,., f'-;+�s 4=:' .!��. s...� _�..... ti -its:'°,g:4r.? 1. :-:::-`-.1. :..:. Recipient Name(Organization): Contact Person (Name&Title): Telephone Number: Activity Name(Project Title): Activity Address: Activity Description: IDIS#: Index Code: Funding Source: 9 Funded Amount: $ Activity Category: ❑Administration 0 Capital Improvement ❑Economic Development 0 Historic Preservation ❑ Housing 0 Public Service g 0 Homebuyer Assistance ❑Tenant-Based Rental Assistance(TBRA) ❑Homeless Housing Objective:Q Create suitable living environments 0 Provide,decent affordable housing 0 Create economic opportunities Outcome: ❑Availability/Accessibility ❑Affordability Q Sustainability. [ 4j ;��f ;I;113 �er tey Z wr. �.:{ 7a t t� t-y xe _y `� -i --Sa :L t.- .Pr,'7� O4*u 1�.. $.-f _ �at �C' 0�L ! ar z� r � � te A� .','C S �' T y � _- 0Vi y v �s� r�� 05� .� © rf A B C D E F G Actual H Cat o T Reimbursed Projected Approved. Expenditures Cumulative . Projected Cumulative eg ry Cumulative Budget . wed Cumulative Perdenta e [This Quarter] {Through end of tTh�g9h end of g Expenditures J iB-&D Quetta] . This quarter) �� rter J J I Q [By ended Contract Personnel 1$ 1$ 1$ 1$ I %1$ $ Contractual $ Operating $ �$ % $ $ Costs $ $ $ Vs % $ $ Commodities I$ $ 1$ 1$ `! Capital t€ Outlay $ $ $ $ % $ $ TOTAL $ $ $ $ % $ $ 1 Program Income The disposition of Program Income not specifically listed in the approved Program Income budget requires prior written approval from PHCD. 1. Does this activity generate Program Income? ❑Yes ❑ No 2. If yes, indicate the amount generated this quarter. $ 3. If yes,was written approval granted by PHCD to use the Program Income generated from this activity? 0 Yes 0 No 0 N/A _ 4. If yes, 8 attach copy of approval letter and related documents. If no, a written request for approval to use the - Program Income must be submitted to PHCD. 1 of 3 C D/14151712 &titer PUBLIC HOUSING AND COMMUNITY DEVELOPMENT .... 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",... .45,-17..="461:-",*.''....,.,,k". -.R..--7:74".,,,,:...;;;: ---- 0 -:v `,.°. •tifj.14-itr4 ca:3:f,i:s..r.,.: :41.7:.1 -,-.. .0.,,,-.c.it,,,,...... .6,:.1----„Al...-va4tirIA-:?:`..$--4-1k;-*,.r., - .---.. 1,.7=- ,..1-. -.z. - --- -..---...a,,,A- R-- ..w.a: ,,,,,-, ,---.- • ..- ,-, ,--.z..--,------,t.., - -',._, - ---. ...,:i''„,,,,,weAR.::*. c,"ah-wt.: '-,:-.1„-Fimp.,,r,- -t4 -1- :trgiii.„F.,.f:-8x=6,0 K! ,iii.i)n1P e 417:01 0 CIL4VC■1..thi'1';''-5-G)'6'1..1'''''Cilrieligq441:W.A k.:'4 ,54.4. --:j''''.'_VItirl..---r ''WV-1.7.Za.*;'-' •,'-- 7:Tr' 21„,_'.4-1. -.2.- -'-'0:-.,',V,,_.I.:,-;:02',....,'",-z.aw.,, ral".;Z..er'_-----i,-4-V2,:_b,„'"'° :,,,!.-,:' .,z,-..i..-0- '..ct,-rs: : .?;:, Accomplishment Type: 0 People[01] 0 Households[04] 0 Businesses[08] 0 Organizations[09] CI Housing Units[10] 0 Public Facifities111] 0 Jobs[13] National Objective: 0 Area Wide Benefit[e.g. LMA,LMAFI, LMASA SBA] -or- 0 Direct Benefit[e.g. LMC,LMH, LMJ] ,wee,,:-.„..:----e,-,.1.10,---„,..-,,,t„,:..-;.• , -,./. ,--- .....,„,......,-,---,,..--,.........,..,--„ ,.,..„...... ---..,w.-------. ,p-------,,..--:- . , — - —_. 13 to, _- wehtes 1 t.41,_ ,. i...., .pc,,..,'V\-Wir:Ft.'_r t...„,,,„,_w,„., ,-,..„- .....,....4* . ,,,,.,, t .44. „0:....,..:,..... 4r. .,?;r: .-•,.„.. i,..,:-..:o- f,,;'-2..11..!:-,.:T"', "-r:`,....-..V:Vz"=". 07:1,k,-PrvII,';„.x, t.,- .E.ixt, -*-ta. ,e,,,,,-.. 4 z.,.. ii, ',5,-,,:ls,,,,,,- ate, ,, ,__,;,,,rz,--,1/29,;.,,•`..j.,:.,;.:isa,-ix.1.. .±pc-:=Y:0-,17,t1.:,,_ .4-f.hz'::f'5,1:.: 4,', 1 . _ . . , Peo.le Households(LMH activities only) Total People Low!Mod Total Households Low/Mod Female Headed Projected Goal IIIIIIIIIIIIIIIIIIIIMIIIINMIIIIIIIIIIIIImmmmm.__IMIIIMIIIII Actual This Quarter 11111111111...........m.1111111111.111111111111111111111=1111111.1111 Actual Cumulative 111111 1111.111111111.11111111111111111111111111111111111111111111111111111 Supplemental Report Attached Y/N - Performance& Benefit Data: 0 Housing,or— 0 Public Service.&Administration-or-- 0 Capital Improvement&Public Facilities 2 of 3 CD/14/51712 caestM m PUBLIC HOUSING AND COMMUNITY DEVELOPMENT QUARTERLY EXPENDITURE AND PROGRESS REPORT FY 20 :: �eNs!r.i 't,L.aa-�.0 t .+�-�„u sy�See°.d:`;:1 _..2x'"yk? xgkt -i tti - .F'i g _ Owner Rental Buyer Total Projected Goal Actual This Quarter Actual Cumulative Supplemental Report Attached Y I N ❑ Performance& Benefit Data: Housing L. ew��lr?;9�}`$---:.Y',.1 gl 1E{,,�-I5L E� ,ie �� f fit.tiegg i ,7 R t 'c'0 ` 4 YhF 3f .. iF ""! y� :++�3 fi?r¢j`�. '3 t _ !m+L.:,.";-r�"Ct4r<.7� ..Gr.3� Tx .1•' ..rvaµ Total Job Count Total Weekly Hours Percent Jobs Created Full-Time (FT) FT Low/Mod Part Time(PT) PT Low/Mod Low/Mod Jobs Projected Goal Actual This Quarter Actual Cumulative Assistance to Businesses Projected Goal Actual This Quarter* Actual Cumulative New Businesses Existing Businesses Total Supplemental Report Attached Y I N [l.Performance& Benefit Data: Economic Development PERFORMANCE CERTIFICATION: n This certifies that No Accomplishments occurred during this Quarter. Initials NOTE: Submittal of Supplemental Form — Performance & Benefit Data is not required at this time based on the certification that no accomplishments occurred during this quarter. CERTIFICATION This is to certify that the data and other information provided in this Report is correct, based on official accounting system and records, and that expenditures and obligations shown have been made for the purpose of and in accordance with applicable Terms and Conditions of the Contract and Funding Requirements. Report Prepared by: Title: Print Name Date: Signature of Certifying Official: Title: Date: 24V F Activity lDIS Number. Report ❑is/❑is not complete • Report ❑ is/❑is not accurate Initial review for completeness and accuracy completed by—Name: Name: Date: Project Manager Supervisor • Warning;Title 18, US Code Section 1001,states that a person who knowingly and willingly makes false or fraudulent statements to any Department or Agency of the United States is guilty of a felony. State law may also provide penalties for false or fraudulent statements. 0 :'�. This material is available in an accessible format upon request CC114/51712 3 of 3 PUBLIC HOUSING AND COMMUNITY DEVELOPMENT PERFORMANCE&BENEFIT DATA:CAPITAL IMPROVEMENTS&PUBLIC FACILITIES Supplement to Quarterly Expenditure & Progress Report FY 20 Recipient Name: Activity Name: 1st Quarter[Jan-Mar] ❑ Activity ID# : Activity Category: 2"°Quarter[Apr-Jun] ❑ HUD Activity Matrix Code: Accomplishment Type: �`� carter[Oct-Dec]Sept] ❑ HUD Matrix Code Description: 4 Quarter[Oct- / El Report PROJECT TYPE: ACCOMPLISHMENT UNITS MEASURES: COMPLETED: ❑ Acquisition/Disposition ❑ Structures • ❑ Parcels #of Structures ❑ Clearance/Demolition ❑ Structures • ❑ Parcels #of Parcels ❑ Street Improvements Persons Served • Low/Mod Income #of Facilities ❑ Public Facility/Type: Persons Served• Low/Mod Income #of Persons Served ❑ Building/Type: Facilities• Persons Served • Low/Mod Income #of Low/Mod Income ❑ Other Capital Improvement/Type: Persons Served • Low/Mod Income [indicate below] PERFORMANCE MEASUREMENT& ACCOMPLISHMENT INFORMATION Instructions &Applicability: National Objectives include LMA& LMC activities with any 03 matrix code except 3T. 1.Total Persons Assisted for program year: 2.Counts by Households (H)or Persons(P): 3.Of the Total Persons, enter the number: Number of Persons With New Access to this service or benefit _ _ ,r.-. 1 .- +E.`" r� A "a r -:;j0ri r=a�<�:"'�uc-.e_+^€-s' `t 1 sS-,� +'S-�w�wG-ah-.f'< .'+..-:�,F-�"r With access to a service or benefit that is No Longer Substandard Note: This field must equal the number in Total Persons Assisted. Total .' t �ti1 via fie.§x.„e zs3 ti .3 �y� . ah '°s0 --aT .._.�rp . l _ ...,.�'^'f dC'-,2 lG �r}� _.+' Ye •,. With Improved Access to this -r : €r type of Public Facility or Infrastructure Improvement � �. -,i E 11 s 3 F>eY . -t ell .� F fir- ti Note: This field must equal the number in Total Persons Assisted. Total x _ 'Hdm , st ” a-�V�5 � * r L n `p er Frei €rr� "- - ��, Number of beds created in overnight shelter or other emergency housing NEIGHBORHOOD REVITALIZATION STRATEGEY AREA (NRSA) INFORMATION- Is this activity located in a NRSA? ❑Yes ❑No If yes, the NRSA must be identified, as applicable, using the maps provided via Miami-Dade County's website—Services Near You:http://gisims2.miamidade.qov/CServices/CSReport asp.A copy of the printout must be included with this report. Provide the following information: NRSA #of Clients Served NRSA #of Clients Served 1 of 3 CD/15/51712 �'11AP'fFi�q(� PUBLIC HOUSING AND COMMUNITY DEVELOPMENT PERFORMANCE&BENEFIT DATA: CAPITAL IMPROVEMENTS&PUBLIC FACILITIES Supplement to Quarterly Expenditure & Progress Report FY 20 NRSA #of Clients Served NRSA #of Clients Served Location/ Project Address: Street/City/Zip Code—or- Folio Number is there is no street address Location/ Project Address: Street/City/Zip Code—or- Folio Number is there is no street address - DIRECT BENEFIT DATA:- .0 PERSONS—OR--0 HOUSEHOLDS : - RACE& ETHNICITY CATEGORY Instructions: (1) Indicate the total number of persons or households served in each Racial Category for this reporting period and the cumulative total. (2) From the total number depicted in each Racial Category, indicate the numbers that are of Hispanic Ethnicity for this reporting period and the cumulative total. Report Period Totals �` :: Race Ethnicity - tiffftV Racial Categories Total Number #Hispanic N , �ti � �- _ w White[11] -`� . Black/African American[12] � � Asian[13] � �� -4 ,:.American Indian/Alaskan Native[14] Native Hawaiian/Other Pacific Islander[15] American Indian/Alaskan Native &White[16] Asian&White[17] Black/African American &White[18] American Indian or Alaskan Native& Black/ 72 African American [19] Other/Multi Racial[20] Totals OTHER DIRECT BENEFIT INFORMATION Income Levels Report Period Totals Total Number Extremely Low(30%or less) Low(31%-50%) Moderate(51%-81%) Non Low/Mod (81%or greater Totals . Reporting based on household units only. 33T s 1 I Number of Female male Headed Households AREA BENEFIT INFORMATION Census(C)or Survey(S) Data Used: If(S), enter#of Low/Mod&Total Population: Total#of Low/Mod in Service Area: Total Low/Mod Universe Population in Service Area: Percent of Low/Mod in Service Area: Census Tract: Block Groups: Census Tract: Block Groups: Census Tract: Block Groups: 2of3 CD/15/51712 ritArittire Mil PUBLIC HOUSING AND COMMUNITY DEVELOPMENT PERFORMANCE&BENEFIT DATA: CAPITAL IMPROVEMENTS&PUBLIC FACILITIES Supplement to Quarterly Expenditure & Progress Report FY 20 PART 3 -. LEVERAGING OF FUNDS [Other Funding Sources] $ 1. CDBG Funds $ $ 5. Other Federal Funds 2. HOME Funds $ . $ 6. State/Local Funds 3. ESG Funds $ $ 7. Private Funds 4. Section 108 Loan Guarantee $ 8. Other: Name of Funding Source , Total Funds pf e use E 74sJ.,A.�F°t€� :r G -v -i ,,44 C,glb� 9.. ,,„..,%- f„j!, .� r ate f.ez- -i r Grfre G y -'�•OI 9 ro� F co 1-Vri $ ,. 'o � 0 ci Te'^- ' _.z,.�' `-Alc F am.1, ,0��1or e •c�* a3 °`.'1-� r�-� G� °F�� F� v G .fn i �y*<.'..`"5.-it..r. :t —1�4c S:l l' i } r,..`1 ,. ->r IZtcA,h Pr*. g ':(—4,49 te,c ` a,, z' s gi�-��' F- �{ �. 1?: Report Prepared by: Title: Date: Print Name Signature of Certifying Official: Title: Date: • • Warning:Title 18, US Code Section 1001,states that a person who knowingly and willingly makes false or fraudulent statements to an y Department or Agency of the United States is guilty of a felony. State law may also provide penalties for false or fraudulent statements. This material is available in an accessible format upon request. CD/15/51712 3 of 3 MIAM , _ -I PUBLIC HOUSING AND COMMUNITY DEVELOPMENT Ov`rrr GENERAL CDBG INTAKE ELIGIBILITY FORM LMI LIMITED CLIENTELE(LMC)I JOBS(LMJ)I HOUSING (LMH) NAME: PHONE: DATE: ADDRESS: ZIP: Head of Household: ❑ Male/❑ Female Race/Ethnicity: Do you consider yourself to be Hispanic? ❑ Yes/❑ No Please check the race category which applies to you: ❑ Native Hawaiian or Pacific Islander ❑ Asian &White ❑ American Indian or Alaskan Native El or ❑ American Indian or Alaskan Native&White ❑ Black or African American ❑ Asian ❑ American Indian or Alaskan Native& Black or Afri❑cann Black American American &White ❑ Other ca� List Yourself and all Other Persons Occupying Home Relationship Sex Age Employed (Yes/No) 1. Yourself 2. 3. 4. • 5. 6. 7_ 8. iNcIE' 1x _ The assistance you receive is determined in part by the size of your household and your income All income and assets will �a✓i..+Yi...i .tom. z. require verification before eligibility will be granted. Income includes all money coming into the household from all persons over 18 years old.Wages,salaries,tips,commissions;Self-employment Social Security or Railroad retirement; Supplemental Security Incoome,'Aid rto amiliesewiitthSDependent DChidr np(AFDC), Temporary Assistance to Needy Families (TANF), Food Stamps, or other public assistance, or public welfare programs; Interest, dividends, net rental income, or income from estates or trusts;and any other sources of income received regularly, including Veterans'(VA)payments, unemployment compensation,alimon ,and child su Household Member y pport must be disclosed. 1. Source of Income Gross Monthly Amount Received 2. 3. 4. 5. Income Eligibility Acceptable Documentation: Copy of Pay Stubs,Aid to Families with Dependent Children (AFDC) or Temporary Assistance to Needy Families(TANF)Official Printout/letter,Food Stamp Official Printout/letter, Letter confirming amount of unemployment benefits received, proof of child support or alimony, proof of SSA/SSI or Veteran's Benefits, or proof of retirement income. I, the unde1'sIgned applicant, ilk hereby a oriz incl 4 gam; sions, ICJ rrty nts ra�understo '- iat t is' onza of y� sole p f of ce y _ )i if l�`ft r'fE 'Iiiih1a (d af,7� :far*e, V.th0ir: :tt�k, Y n - a 13. of BY MY SIGNATURE,I ACKNOWLEDGE THAT ALL INFORMATION I HAVE PROVIDED IS ., CORRECT TO al E_ BEST OF MY KNOWLEDGE I AM AWARE THAT IF I MAKE ANY WILLFUL FALSE STATEMENT INVTHIS CERTIFICATION OR ANY OTHER DOCUMENTATION THAT 1 PROVIDE FOR PROGRAM ELIGIBILITY, I MAY BE PUNISHED WITH FINES OR IMPRISONMENT OF UP TO 5 YEARS, OR BOTH, UNDER SECTION 1001 OF TITLE 18, UNITED STATES CODE, AND I ALSO MAY BE SUBJECT TO CIVIL AND/OR ADMINISTRATIVE PENALTIES AND SANCTIONS. Signature of Applicant Date 1 of 2 CD/17/051712 PUBLIC HOUSING AND COMMUNITY DEVELOPMENT 11110112 cothirr GENERAL CDBG INTAKE ELIGIBILITY FORM CDBG INCOME ELIGIBILITY 24 CFR 570.208 Activity classified under family size and income 24 CFR 570.208(a)(2)(i)(B) 24 CFR 570.506(b)(3)(iii) Activity is classified based on income eligibility 24 CFR 570.208(a)(2)(i)(C) 24 CFR 570.506(b)(3)(iii) requirements that restrict it exclusively to low- and moderate-income persons DEFINITIONS/24 CFR 570.3 Family means all persons living in the.same household who-are related by;birth, marriage or adoption. .. Household means all fie persons who occupy a. housia7. unit. The upents,may be a single family, one i P person lMng e, -.or. sore ; � ilies�.li ''��{ ,fir ' share b it a nge r w fed or mini l ftersori';who I I I� For :pu '~ i e` ier arum t `��y l subpart C if this g ay�ect a R ,� b1 xceptl'clet integrally 1� c f df a P �e 3p .j ei ' , �bel ;T a thethe *i;01 ft t n e, �.� ' k a #er 9 �. 1t. sTT f i :.l � f1) rea be fit a he fro pge es gat qualm Vier . s)►- en the ou a ,A�� ," .. � uteer 3�b:�08(a�(1)��): all -finder 57�: 1 : supplied to recipients I � � � y`+i'�� ��e in�me �`- by e �h ' 4.0 lam P ; ' I�f� aI aa�(�ss7••4 ` *~EA r b 't:tc� 4ie .-..y �n a P :t e Olt''1'4 o a CFR I 'F' K f�r� !. rJe �K t, ti� ...2,.`.:,_� e c t` ,s''''' ..-,q.,P �� I G �a, e Xa 1 - c � V.:1% o r t y S ( ' ,u .::.4 . _fa �l a f - eod e *e s®rea Aar f fre a of t o s ian i or indvidu ( To hold �jEly 1, x : 3 ;: . J s y r nv r •cs.tt EF r ar tiico � i E .' d �7'1PB, ,,:: s eI or as n t 7 I P` €t Ls , s ' a�Q n c",°0- -0A. 0 : lid:.annual r •Ate`^ �� r a �j.py�ti ai ' e e i si c .{1 P F F'�,:{l`- xC �. - r ::.?, '. y to o'1�.than the vies w iil i>i is i fi A 'p Low--and LI odes` co .J°E `$ - .e- �e t* a��a tt��: F oY R PA ti' fi :'S n'Ia:ow `awe a F :::;-f .3.r c E E; G I .P e f'`i 'tit `) ~` I sae`, T` -�'�'jt. (..$ ` eS`S 1 i�✓ in ~ IK, ; .:. 1 iY { !a •., -, p. '4 `ti '" �l�l�'l+r.j �.t. .� Rt >@ � 1 � � e f �$ '-L� .•',� o�S��!'ac ly (-'r-� �� x3 7�' r i,X "°-'x� i "fi'+: : ., .. .• i3•r -i•, .,, -3 f- 3"p'F:.... mi . ci,. 5 `6 t ..x x�€L. - r E [ 8 low Low-in co a pe a-ni o ` P,4,a ,A a i iS '`: r. 'g e� ` �oti� 3j�/ I low in a limit. s lis y P i, mate" indiiviclu"a'aifiiall- eyed as.on`e-perseti-faamilies for dais 3 1 Purpose- _ .. INSTRUCTIONS FOR IMPLEMENTING AGENCY You must first seek third party verification.This is a verification that is received directly from the source of income. The request can be by mail,fax,or email. It must be clearly evidenced that it was r eceEVed from the source. Warning Title 18, US Code Section 1001,states that a person who knowingly and willingly makes false or fraudulent statements to any.Department or Agency of the United States is guilty of a felony. State law may also provide penalties for false or fraudulent statements. :t":; This material is available in an accessible format upon request CD/17/051712 2of2 arm PUBLIC HOUSING AND COMMUNITY DEVELOPMENT COMMUNITY DEVELOPMENT BLOCK GRANT JOB CREATION VERIFICATION (NON-NRSA) Please circle the appropriate column for your family size and household income. Income Limits for Fiscal Year 2011-2012 effective 12-02-2011 y.. ._ i. '-? "��: 1 $13,800 $23,000 $36,750 2 $15,800 $26,250 $42,000 3 $17,750 $29,550 $47,250 4 $19,700 $32,800 $52,500 5 $21,300 $35,540 $56,700 6 $22,900 $38,050 $60,900 7 $24,450 $40,700 $65,100 8 $26,050 $43,700 $69,300 BY MY SIGNATURE, I ACKNOWLEDGE THAT ALL INFORMATION I HAVE PROVIDED IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE.I AM AWARE THAT IF I MAKE ANY WILFUL FALSE STATEMENT IN THIS CERTIFICATION OR ANY OTHER DOCUMENTATION THAT I PROVIDE FOR PROGRAM ELIGIBILITY, I MAY BE PUNISHED WITH FINES OR IMPRISONMENT OF UP TO 5 YEARS,OR BOTH,UNDER SECTION 1001 OF TITLE 18,UNITED STATES CODE,AND I ALSO MAY BE SUBJECT TO CIVIL AND/OR ADMINISTRATIVE PENALTIES AND SANCTIONS. Employee Signature Date Employee(Print/Type Name) Warning:Title 18,US Code Section 1001, states that a person who knowingly and willingly makes false or fraudulent statements to any Department or Agency of the United States is guilty of a felony.State law may also provide penalties for false or fraudulent statements. x This material is available in an accessible format upon request. CD/25/61512 2 of 2 m r K H m '� qp~ M :' 4 m a p o° n u N.00 119m q � M0 M. K ® H a W HO KTT Ha .4 v0 y 0 Pi 0 1 ✓. rt ✓' M, K I N K X K 0 01 0 O 14 K O y H M 10+01 NI O t 0 W Q. N O N M . H 1. F.P OP O NCI t. 4O W 0 W f': L.a µ H O F W H w p W I top O � � Y W 0 O 4- 'H j O 4.14 H- HH m n 2 H t 41; Zr O It h H O G of NY H O H O H O' Oa K H. H. n1 H N ~'7 ~rt I Y r R JO' 01.0 Ay. 01O 0. Ha r r Au) m07 of Al 01 In 2 0` A O A l 0 PA 0 0 CFI j� w ." 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FE:�✓..,.',J`'r�'?`F_..s 3>._,; `' -:4.�s.3, •:. RACE&ETHNICITY CATEGORY • Instructions: (1) Indicate the total number of rsons or households seholds served in each Racial Category for this reporting period and the cumulative total. (2) From the total number depicted in each Racial Category, indicate the numbers that are of Hispanic Ethnicity for this reporting period and the cumulative total. Report Period Totals Iu� �� . F s �r�-t J��t as=ter t z - Racial Cate.ories Race Ethnic White[11] Total# #His.anic M 'sue , Black/African American [12] Tm. ` Asian [13] � American.Indian/Alaskan Native[14]Hawaiian/Other Pacific Islander[15] American Indian/Alaskan Native&White[16] _-- _= .. Asian &White[17] Black/African American &White[18] American Indian or Alaskan Native & Black / African American 19 _ � - � _ Other/Multi Racial[20] - - Totals = c 1 of 3 CD/18/51712 mum PUBLIC HOUSING AND COMMUNITY DEVELOPMENT PERFORMANCE&BENEFIT DATA: PUBLIC SERVICES—OR-ADMINISTRATION Supplement to Quarterly Expenditure & Progress Report FY 20 OTHER DIRECT BENEFIT INFORMATION Res •rt Period Totals Income Levels Total Number = - Extremely Low(30%or less) Low(31% 50%) ti Moderate (51% -81%) __ m Non Low/Mod (81%or greater ���'r? Totals [Number of Female Headed Households ✓- .` r-t Census(C)or Survey(S)Data Used: If(S), enter#of Low/Mod &Total Population: Total#of Low/Mod in Service Area: Total Low/Mod Universe Population in Service Area: Percent of Low/Mod in Service Area: Census Tract Block Groups: Census Tract Block Groups: Census Tract Block Groups: PART 3 -NEIGHBORHOOD REVITALIZATION STRATEGEY AREA(NRSA) INFORMATION Is this activity located in a NRSA? ❑Yes ❑ No If Yes,the NRSA must be identified, as applicable, using the maps provided via Miami-Dade County's website—Services Near You:httpl/gisims2:miamidade.goy/CServices/CSReportasp.A copy of the printout must be included with this report Provide the following information: NRSA #of Clients Served NRSA #of Clients Served Location/Project Address: Street/City/Zip Code Location/Project Address: Street!City/Zip Code Location/Project Address: Street I City/Zip Code PART 4 -LEVERAGING OF FUNDS [Other Funding Sources] $ 1. CDBG Funds $ 5.Other Federal Funds $ 2. HOME Funds $ 6.State/Local Funds $ 3. ESG Funds $ 7. Private Funds 4. Section 108 Loan Guarantee $ 8. Other Name of Funding Source $ Total Funds 2 of 3 CD18/51712 PUBLIC HOUSING AND COMMUNITY DEVELOPMENT PERFORMANCE&BENEFIT DATA: PUBLIC SERVICES-OR-ADMINISTRATION Supplement to Quarterly Expenditure & Progress Report FY 20 -ki _. p• EI c aT.a4-f=2- ' 1 C .-J s. ?-F��4xl�� Report Prepared by: Title: Date: Print Name Signature of Certifying Official: Title: Date: Warning: Title 18, US Code Section 1001,states that a person who knowingly and willingly makes false or fraudulent statements to any Department or Agency of the United States is guilty of a felony. State law may also provide penalties for false or fraudulent statements. p This material is available in an accessible format upon request. CD/18/51712 3 of 3 PUBLIC HOUSING AND COMMUNITY DEVELOPMENT PERFORMANCE&BENEFIT DATA: ECONOMIC DEVELOPMENT Supplement to Quarterly Expenditure & Progress Report FY 20 Recipient Name: Activity Name: 1S Quarter[Jan-Mar' f1 Activity ID#: Activity Category: 2" Quarter fApr-Jun' ❑ ty HUD Activity Matrix Code: Accomplishment Type: _J Quarter[Oct-D epf ❑ HUD Matrix Code Description: 4 Quarter(Oct Dec]/ _ Annual Report ❑ PART 1 —JOB CREATION 1. Indicate in the table below, the number of jobs created for this activity. Total Job Count Total Weekly Hours Jobs Created Full-Time(FT) Percent ( ) FT Low/Mod Part-Time (PT) PT Low/Mod Low/Mod Jobs Expected to Create Actual This Quarter Actual Cumulative/YTD *Note: Details of all Jobs Created must be included on the Supplement List of Persons (Job Created) /Busines! (Assisted)Form in electronic format, i.e. name and address of each beneficiary placed in a created job. 2. Indicate in the table below, the type of jobs created for this activity. TYPE OF JOB CREATED /'+CTM S UAA TOTA NUBER UAL OF THI QO JOBS RTER NUMBER OF TIVE LS JOBS Officials& Managers Professional Technicians Sales Office&Clerical Craft Workers(skilled) Operatives(semi-skilled) Laborers(unskilled) Service Workers Totals PART 2—ASSISTANCE TO BUSINESSES NOTE:Details of all assistance to businesses provided below must be reported on the Supplement List of Persons (Job Created)Business(Assisted)Form in electronic format. 1. Number of Businesses Assisted during this program year: a) Number of New Businesses Assisted b) Number of Existing Businesses Assisted Total 2."Of the Existing Businesses Assisted, enter the number of: a) Expanding Businesses b) Relocating Businesses Total 3. Number of Businesses Assisted with commercial façade treatment/business building rehab: 4. Number of Businesses Assisted that provide good or services to meet the needs of a services area,neighborhood community: 5.Specify DUNS Number for each Business Assisted on the Supplement List of.Persons(Job Created)/Business (Assisted)Form. ) s 1 of 3 CD/i 6/51712 raw PUBLIC HOUSING AND COMMUNITY DEVELOPMENT PERFORMANCE&BENEFIT DATA: ECONOMIC DEVELOPMENT Supplement to Quarterly Expenditure & Progress Report FY 20 PART 3--BENEFICIARY INFORMATION 1. Com.lete the Direct Benefit Information in the table below for the actual-obs created for this activi RACE& ETHNICITY CATEGORY Instructions: (1) Indicate the total number of persons or households served in each Racial Category for this reporting period and the cumulative total. (2) From the total number depicted in each Racial Category, indicate the numbers that are of Hispanic Ethnicity for this reporting period and the cumulative total. Report Period Totalsw�� Race Ethnicity Racial Categories . Total Number #Hispanic White[11] Black/African American[12] -^--�-�- Asian [13] 3 3T2 American Indian/Alaskan Native[14] '� r Native Hawaiian/Other Pacific Islander[15] American Indian/Alaskan Native&White[16] n r _ � Asian&White[17] Black/African American &White[18] American Indian or Alaskan Native&Black/African " American [19] 3 Other/Multi Racial[20] Totals OTHER DIRECT BENEFIT INFORMATION Report Period Totals Lam? - 7,Income Levels Total Number 4 , t r Extremely Low(30%or less) _ Low(31%-50%) _ �E Moderate(51% 81%) Non Low/Mod (81%or greater Totals M a - I Number of Female Headed Households 4. Of the actual jobs created, how many jobs have employer sponsored health care benefits? 5. Of the actual jobs created, how many were unemployed prior to taking the job created? 6. If employment levels are less than initially proposed,explain reductions or indicate when the proposed goals will be met. Census (C)or Survey(S)Data Used: If(S), enter#of Low/Mod &Total Population: Total#of Low/Mod in Service Area: Total Low/Mod Universe Population in Service Area: Percent of Low/Mod in Service Area: Census Tract: Block Groups: Census Tract: Block Groups: Census Tract: Block Groups: 2 of 3 CD/16/51712 PUBLIC HOUSING AND COMMUNITY DEVELOPMENT PERFORMANCE&BENEFIT DATA: ECONOMIC DEVELOPMENT Supplement to Quarterly Expenditure & Progress Report FY 20 PART 3 -NEIGHBORHOOD REVITALIZATION STRATEGEY AREA (NRSA) INFORMATION Is this activity located in a NRSA? ❑Yes ❑No If yes, the NRSA must be identified, as applicable, using the maps provided via Miami-Dade County's website—Services Neai You:hi tn://oisims2.miamidade.oov/CServices/CSReport asp. A copy of the printout must be included with this report. Provide the following information: NRSA #of Clients Served NRSA #of Clients Served Location/Project Address: Street/City/Zip Code—or- Folio Number is there is no street address Location/Project Address: Street/City/Zip Code—or- Folio Number is there is no street address Location/Project Address: Street/City/Zip Code—or- Folio Number is there is no street address PART 4 - LEVERAGING OF FUNDS [Other Funding Sources] $ 1. CDBG Funds $ 5. Other Federal Funds 2. HOME Funds $ 6. State/Local Funds $ 3. ESG Funds $ 7. Private Funds $ 4. Section 108 Loan Guarantee $ 8. Other. Name of Funding Source $ Total Funds ""i.e-�n Ta� a' t sf Itsg e G 0@`L`r"44rJ e t U. 6. *C *41: ZC• rt g- # : ' � re Report Prepared by: Title: Date: Print Name --Signature of Certifying Official: Title: Date: Warning:Title 18, US Code Section 1001,states that a person who knowingly and willingly makes false or fraudulent statements to any Department or Agency of the United States is guilty of a felony. State law may also provide penalties for false or fraudulent statements. 'tier; This material is available in an accessible format upon request. CD/16/51712 3 of 3 mbillinc,..!sr.( PUBLIC HOUSING AND COMMUNITY DEVELOPMENT Attachment C-1 AGREEMENT FOR FINANCIAL ASSISTANCE/TECHNICAL ASSISTANCE SERVICES FOR THE CREATION OF JOBS In order to receive the various forms of Financial/Technical Assistance available through businesses must enter into an Agreement to rake available" and to "document" the job creation for the benefit of low and moderate-income residents resulting from the technical assistance and/or financial assistance provided to your business. Through this Agreement,you are committing your business operating under the name of to: 1) Make40 51%of the resulting jobs to low-and moderate-income individuals. 2) Provide a list of the job titles of the permanent jobs expected to be created, which Wit.#0 ayalla low/moderate-income individuals and which jobs require special skills or education and which are part-time,if any; 3) Provide a description of steps to be taken by your business to en sure that low- and moderate- income individuals receive first consideration for the jobs created; 4) Maintain a list of permanent jobs filled, available to low- and moderate-income individuals, and a brief description of the hiring process;and 5) Complete an annual report of all jobs created with names, income status, position titles, healthcare benefits,if any, and whether persons hired were unemployed at the time of hiring. The applicant signing below understands the information in this Agreement, understands that will not provide all the assistance requested by your business until action is executed. (Agreed By) Signature of Applicant Date Duns Number—Required/Mandatory (To obtain a DUNS#, PLEASE CALL 1-866-705-5711) Intake Office(Name of Agency) Date Warning: Title 18, US Code Section 1001, states that a person who knowingly and willingly makes false or fraudulent statements to any Department or Agency of the United States is guilty of a felony.State law may also provide penalties for false or fraudulent statements. leThis material is available in an accessible format upon request AMCD/ /62112 1 of 1 PUBLIC HOUSING AND COMMUNITY DEVELOPMENT COMMUNITY DEVELOPMENT BLOCK GRANT JOB CREATION VERIFICATION (NRSA) Erb a�_I . C• To determine if your business is located in an NRSA, please go to: http.//qisims2.miamidade.gov/Cserwces/SReport.asp �x Name of NRSA: Name of Employer. Street Address: City: State: Zip Code: Phone Number: Name of Employee: Street Address: City: State: Zip Code: Phone Number: Date Hired: Were you unemployed prior to taking your job? Yes ❑ No❑ Does your employer offer employer sponsored health care benefit? Yes❑ No❑ Please check the box next to the job title that best describes your position: Officials and managers ❑ Sales Professional ❑ Operatives (semi-skilled) ❑ ❑ Office and clerical ❑ Laborer(unskilled) ❑ Technicians ❑ Craft works skilled ( ) ❑ Service workers [] Job Title: Full Time: Yes ❑ No❑ If part-time, number of hours: /wk DEMOGRAPHIC INFORMATION Racial Categ jy(select one below): Ethnici White tY: Hispanic-Yes❑ No❑ ❑ Black/African American ❑ American Indian/Alaskan Native [] Asian ❑ Black/African American& White Asian&White ❑ American Indian/Alaskan Native&White ❑ ❑ Native Hawaiian/Other Pacific Islander ❑ Other/Multi Racial ❑ American Indian or Alaskan Native&Black/African American TOTAL FAMILY SIZE(Please circle one): 1 2 3 4 5 6 7 8 TOTAL FAMILY SIZE INCOME: $ NOTE:COMPANY MUST INCLUDE A COPY OF THE ABOVE EMPLOYEE'S PAY STUB. Please see reverse side for family size and household income. BY MY SIGNATURE, I ACKNOWLEDGE THAT ALL INFORMATION I HAVE PROVIDED IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE.I AM AWARE THAT IF I MAKE ANY WILLFUL FALSE STATEMENT IN THIS CERTIFICATION OR ANY OTHER DOCUMENTATION THAT I PROVIDE FOR PROGRAM ELIGIBILITY,I MAY BE PUNISHED WITH FINES OR IMPRISONMENT OF UP TO 5 YEARS,OR BOTH, UNDER SECTION 1001 OF TITLE 18,UNITED STATES CODE,AND I ALSO MAY BE SUBJECT TO CIVIL AND/OR ADMINISTRATIVE PENALTIES AND SANCTIONS. Employee Signature Date Employee(Print/Type Name) Warning:Title 18, US Code Section 1001,states that a person who knowingly and willingly makes false or fraudulent statements to any Department or Agency of the United States is guilty of a felony State law may also provide penalties for false or fraudulent statements. This material is available in an accessible format upon request 1 off CD/24/61512 n�F�kfa1JRE7C PUBLIC HOUSING AND COMMUNITY DEVELOPMENT COMMUNITY DEVELOPMENT BLOCK GRANT JOB CREATION VERIFICATION (NON-NRSA) 1 E rte. r6 - Name of Employer: Street Address: City: State: Zip Code: Phone Number: Name of Employee: Street Address: City: State: Zip Code: Phone Number: Date Hired: Were you unemployed prior to taking your job? Yes❑ No ❑ Does your employer offer employer sponsored health care benefit? Yes❑ No Cl Please check the box next to the job title that best describes your position: Officials and managers ❑ Sales ❑ Operatives(semi-skilled) ❑ Professional ❑ Office and clerical ❑ Laborer(unskilled) El Technicians ❑ Craft works (skilled) ❑ Service workers El Job Title: Full Time: Yes ❑ No❑ If part-time, number of hours: /wk DEMOGRAPHIC INFORMATION Racial Category(select one below): Ethnicity: Hispanic-Yes ❑ No ❑ White ❑ Black/African American ❑ _ American Indian/Alaskan Native ❑ Asian ❑ Black/African American & White ❑ American Indian/Alaskan Native&White ❑ Asian&White ❑ Native Hawaiian/Other Pacific Islander El Other/Multi Racial ❑ American Indian or Alaskan Native&Black/African American ❑ TOTAL FAMILY SIZE(Please circle one): 1 2 3 4 5 6 7 8 TOTAL.FAMILY SIZE INCOME: $ NOTE: COMPANY MUST INCLUDE A COPY OF THE ABOVE EMPLOYEE'S PAY STUB. Please see reverse side for family size and household income. 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Ew co m,- .0 0_C Q 1 C m o J o c o E m d N 4 Ty mo0Nm . . 111111111 ] , z c N 0 L a • N cv m- t ;Q Ti d al O II w N = � G a Vo v a OD CO N o W ) c a U ,tO y m m m c (0 d 0 N m E e L _ r_40 m a Q c ,:: m t6 m .V - O=N C Z Z L V m m O Z mE Z ? d :20.< 0803° �5 co }at C Z - tl) m F- N N C m m.'N m - 3 H d T T C E - 0 C E a) >-.L..›' > UO I- m 7 0` m tl U mZ W }___ C C C C TQ ce�i MtAr fc PUBLIC HOUSING AND COMMUNITY DEVELOPMENT PERFORMANCE&BENEFIT DATA: HOUSING Supplement to Quarterly Expenditure & Progress Report FY 20 Recipient Name: Activity Name: 1s`Quarter[Jan Mar] C] Activity ID#: Activity Category: 2"d Quarter[Apr-Jun] [11 HUD Activity Matrix Code: 3rd Quarter[Jul-Sept] ❑ Y Accomplishment Type: 4'"Quarter[Oct-Dec]I Annual HUD Matrix Code Description: Report ❑ HOME FUNDED PROJECTS ONLY 0 [Instructions: Check the box that corresponds to the HOME tenure type, complete the appropriate.Form, & attach it to this:report.] . . _ . ❑ Rental-8 Rental Set Up&Completion Form ❑ Tenant-Based Rental Assistance-a Tenant Based Rental Assistance Set Up Form ❑ Homebuyer-)Homebuyer Set Up& ❑ Homeowner Rehab-t@ Homeowner Rehab Set Up& Completion Form Completion Form PROJECT TYPE 0 '[Instructions: Check the box that NUMBER OF UNITS COMPLETED FOR PROGRAM corresponds to the activity project type.] YEAR: Construction of Rental Units Total number of Rental Units: ❑ Rehabilitation of Rental Units Total number of Owner Units: ❑Acquisition I Construction New Homeowner Total number Homebuyer Households: ❑ Homeowner Rehab Units ❑ Direct Financial Assistance to Homebuyers CDBG MULTI UNIT ACTIVITY ® Activity Set-up& Completion Information [Multi-unit housing is defined as two or more units per structure] ;;q r:: Instructions:Indicate if this activity is limited to one of more of the items fisted below b •lacin• an`X yes for each that a•- Number of Units at ""7 ,1 Start ,� ' Number of Units Installing Security Devices Expected at Installing Smoke Detectors Completion Performing Emergency Housing Repairs Number of Units Providing Supplies and Equipment for Painting Actually Houses Completed Operating a Tool Lending Library DISPLACEMENT INFORMATION: Displaced From Remaining In Relocated To ' REPLACEMENT INFORMATION: :K94 .•S w✓ r�.. ,.3... ''HK G. 0 l z � w-. ., Number of Bedrooms t t t Agreement Execution Date Available Date 1 of 4 CD/10/51712 Mn.- PUBLIC HOUSING AND COMMUNITY DEVELOPMENT PERFORMANCE&BENEFIT DATA: HOUSING Supplement to Quarterly Expenditure&Progress Report FY 20 PERFORMANCE MEASUREMENT& ACCOMPI".iSHMEAT INFORMATION [Applicability: This section must be completed for all Rental and Homeowner activities] 1.Number of Affordable Units: a)Units occupied by elderly: b)Years of Affordability: c)Number of Bedrooms: d)Number of units subsidized with project-based rents assistance istance by another Federal,state or local program: e)Number of units designated for persons with HIV/AIDS,including units recreceiving Number of units for the chronically homeless:receiving assistance for operations: f) Permanent housing units designated for homeless persons & families, including units receiving assistance for operations: ■ Number of units for the chronically homeless: 2. Number of Section 504 Accessible Units: ;����_��� ������ rr,SS � ,�_;L� _ 3.Number of Units qualified as Energy Star: 4. Number of units brought from substandard condition (I-IQS or local code): YI 5.Number of units brought into compliance with lead safety rules(24 CFR Part 35): 610 u e -t o_7.a.:y.c-sar-Zafi �� 6.Number of units created through conversion of non-residential to residential buildings: ti 7.Number of households previously living in subsidized housing: DIRECT FINANCIAL ASSISTANCE-TO HOMEBLYERS 1.Number of first-time ers:homebu y a)Of those, number receiving housing counseling: • 2. Number receiving Down Payment Assistance/Closing Costs: DIRECT BENEFICIARY INFORMATION • NUMBER OF HOUSEHOLDS ASSISTED RACE&ETHNICITY CATEGORY Instructions: (1)Indicate the total number of rsons or hous etiolds served in each Racial Category for this reporting period and the cumulative total. (2) From the total number depicted in each Racial Category, indicate the numbers that are of Hispanic Ethnicity for this reporting period and the cumulative total. ReI.rt Period Totals t[[, Racial Cate•ones Race Ethnic White[11] Total# #His panic ,5r _ Black/African American[12] ' Asian[13] American Indian/Alaskan Native[14] I Native Hawaiian/Other Pacific Islander[15] American Indian/Alaskan Native&White[16] Asian&White[17] Black/African American &White[18]Indian or Alaskan Native & Black / African --- American 19 E Other/Multi Racial[20] Totals µ _ 2 of 4 CD/1 D/51712 MtA.hi PUBLIC HOUSING AND COMMUNITY DEVELOPMENT PERFORMANCE&BENEFIT DATA: HOUSING Supplement to Quarterly Expenditure& Progress Report FY 20 OTHER DIRECT BENEFIT INFORMATION Income Levels Re•Resort Period Totals =_ = n Extremely Low(30% or less) Total Number E_ x �.;,- a 1—�v Low(31%-50%) Moderate(51% -81%) = _ Non Low/Mod (81%or greater _ — �' E Totals _ ' Number of Female Headed Households NEIGHBORHOOD REVITIALZATION STRATEGY AREA.(NRSA)INFORMATION Is this activity located in a NRSA? Q Yes [] No If yes,the NRSA must be identified,as applicable,using the maps provided via Miami Dade Countys website— Ifye , / isims2.miamidade.ent i ov/CServices�SR rtaso.A copy of the brintout must be included with thSisryreno,t Near Provide the following information: NRSA #of Clients Served NRSA #of Clients Served Location/Project Address: Location/Project Address: Street/City/Zip Code Location/Project Address: Street/City/Zip Code Street/City/Zip Code FUNDING SOURCES . Leveraging of funds [Other Funding Sources] 1. CDBG Funds 5. Other Federal Funds 2. HOME Funds $ 6. State/Local Funds 3. ESG Funds $ 7. Private Funds 4. Section 108 Loan Guarantee $ 8. Other: $ Name of Funding Source COMMENTS Total Funds 3 of 4 CD/10/51712 M PUBLIC HOUSING AND COMMUNITY DEVELOPMENT PERFORMANCE&BENEFIT DATA: HOUSING Supplement to Quarterly Expenditure & Progress Report FY 20 '.'"iVii !! • , K' -L'- b Cjr EI Y t G r 'aSta 1s r hi J e o r ,� a r iui. ...� - ..,y, >.�J,. f °s ,� r. '�.1 ��� e/ e��@��` r r ?- ' .- --� t Vie-' t :lam 7. v ! •�^ ,Fl _ 4^' � ~� r y xvS �, �G .ivJ 1 L f �: (C F'I C t �'yam 1.s- .#''"! I �I for-:1 rn J r � e.eay fiv <�0 6 r. Report Prepared by: T>tae: Date:_ Print Name Signature of Certifying Official: • Ti1Je: Date: Warning: Titre 18,US Code Section 1001,states that a person who provide and willingly makes false or fraudulent statements to any Department or Agency of the United States is guilty of a felony. State law may also provide penalties for false or fraudulent statements. This material is available in an accessible format upon request 4 of 4 CD/10/51712 County Construction Sign Quantity required (Only areas circled are subject to change) Permanent signs ❑ Replacement or ❑ New sign A-Frame signs *#*losA.Ciinene z� ❑ A-Frame 1 Sided or❑ A-Frame 2 Sidi �Glayr .;. Department Rebeca:Sosa - --- :. GiraiwOman` _ Lynda Bell: '• ifiioe'Chair : -� Project Manager Jloman : COUNTY": 1 • ` i. s', Telephone Number • "` .F as Index code ,�0 - r 7� i:• t: u ,s` Project Name senator. - '- ...711-7.7i. ,• .,4T J Project Number E diet 49 (.. \5/'g - FED:` s- L zF"ir.Mt . , : . 47-"•41144:' 1- s. District Commissioner .,-,..:,-.•... Other Funding Sources(Max 3-logos This project supported and sponsored by: Commissioner Senator Javier D. Souto . Check if ARRA Funded U Yes ❑ No Must indicate Federal Department and/of _ {i . ._ t fi" , 71 State Department if applicable ***cr:.:;uv Te.ir I • SAMPLE PLACEMENT Sign location address Plus specific location of sign placement sign is 4'x8' 01-02-13 This Form to be Faxed to: 305-637-1746 or 305-375-1125 Attention:Michael 0.Smart