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Backup Documents 06/23/2020 Item #11IORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later than Monday preceding the Board meeting. **NEW** ROUTING SLIP Complete routing lines # 1 through #2 as appropriate for additional signatures, dates, and/or information needed. If the document is already complete with the exception of the Chairman's signature, draw a line through routing lines # I through #2, complete the checklist, and forward to the County Attorney Office. Route to Addressees (List in routing order) Office Initials Date 1. Susan Golden Community and Human Services 6/17/20 2. Jennifer Belpedio County Attorney Office CI a3L 3. BCC Office Board of County Commissioners 101 4. Minutes and Records Clerk of Court's Office I PRIMARY CONTACT INFORMATION Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the addressees above, may need to contact staff for additional or missing information. Name of Primary Staff Susan Golden/CHS Phone Number 252-2336 Contact / Department Agenda Date Item was 06/23/2020 Agenda Item Number 16. Approved by the BCC �}o Type of Document Resolution, SF 424s, Assurances & Number of Original r Attached Certifications for HUD Annual Action Aan Documents Attached FY2020-21 PO number or account number if document is to be recorded t INSTRUCTIONS & CHECKLIST Initial the Yes column or mark "N/A" in the Not Applicable column, whichever is N/A (Not appropriate. tal Applicable) 1. Does the document require the chairman's original signature? SG 2. Does the document need to be sent to another agency for additional signatures? If yes, NA rovide the Contact Information(Name; Agency; Address; Phone on an attached sheet. 3. Original document has been signed/initialed for legal sufficiency. (All documents to be SG signed by the Chairman, with the exception of most letters, must be reviewed and signed by the Office of the County Attorney. 4. All handwritten strike -through and revisions have been initialed by the County Attorney's NA Office and all other parties except the BCC Chairman and the Clerk to the Board 5. The Chairman's signature line date has been entered as the date of BCC approval of the SG document or the final negotiated contract date whichever is applicable. 6. "Sign here" tabs are placed on the appropriate pages indicating where the Chairman's SG signature and initials are required. 7. In most cases (some contracts are an exception), the original document and this routing slip NA should be provided to the County Attorney Office at the time the item is input into SIRE. Some documents are time sensitive and require forwarding to Tallahassee within a certain time frame or the BCC's actions are nullified. Be aware of your deadlines! 8. The document was approved by the BCC 06/23/2020 and all changes made during the /A is not meeting have been incorporated in the attached document. The County Attorneys an option for Office has reviewed the changes, if applicable. is line. 9. Initials of attorney verifying that the attached document is the version approved by the /A is not BCC, all changes directed by the BCC have been made, and the document is ready for the option for Chairman's signature. this line. 84- 1: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05; Revised 11/30/12 '�K� ill MEMORANDUM Date: June 25, 2020 To: Susan Golden, Community & Human Services From: Terresa Cannon, Sr. Deputy Clerk Minutes & Records Department Re: Resolution 2020-109: SF 424s, Assurance & Certifications for HUD Annual Action Plan FY2020-21 Enclosed please find a certified resolutions along with the originals of the document referenced above (Agenda Item #11I), approved by the Board of County Commissioners on Tuesday, June 23, 2020. The Minutes & Records Department has retained the original as part of the Board's Official Records. If you have any questions, please contact me at 252-8411. Thank you. Enclosure Enclosures All RESOLUTION NO.2020 - 10 9 A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA, APPROVING: A ONE-YEAR ACTION PLAN FOR COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG), HOME INVESTMENT PARTNERSHIPS (HOME) AND EMERGENCY SOLUTIONS GRANT (ESG) PROGRAMS FY 2020-2021; AUTHORIZING THE CHAIR TO EXECUTE REQUIRED HUD CERTIFICATIONS AND FUNDING DOCUMENTS; AND AUTHORIZING TRANSMITTAL OF THE PLAN TO THE UNITED STATES DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT (HUD); AND PROVIDING FOR AN EFFECTIVE DATE. WHEREAS, the United States Department of Housing and Urban Development (HUD) requires a Five -Year Consolidated Plan and One -Year Action Plan be developed and submitted as an application for planning and funding of Community Development Block Grant (CDBG), HOME Investment Partnerships (HOME), and Emergency Solutions Grant (ESG) Programs; and WHEREAS, the overall goal of the community planning and development programs covered by this plan is to develop viable communities by providing decent, affordable housing, a suitable living environment and expanding economic opportunities for low and moderate -income persons; and WHEREAS, the Five -Year Consolidated Plan for FY 2016-2021 and an updated Citizen Participation Plan were adopted by the Board of County Commissioners on June 28, 2016; and WHEREAS, the FY 2020-2021 One -Year Action Plan will serve as a planning document for Collier County; an application for federal funds under the HUD formula grant programs; a strategy to be followed in carrying out the HUD programs; and an action plan that provides a basis for assessing performances. NOW, THEREFORE BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA, that: The Board of County Commissioners of Collier County approves the FY2020- Page 1 of 3 6'r-D 2021 One -Year Action Plan for the CDBG, HOME, and ESG Programs, which is attached and incorporated herein by reference, and authorizes the Community and Human Services Division to transmit the Plan to the proper funding authority and take all necessary actions for implementation of the CDBG, HOME, and ESG programs. 2. The Chairman of the Board of County Commissioners is authorized to execute certifications, SF 424 documents, and Funding Approval Agreements pertaining to the Action Plan on behalf of the County. 3. The One -Year Action Plan sets forth the dollar amounts and project descriptions for each activity to be funded by the CDBG, HOME, and ESG Programs. A description of the proposed projects and associated recommended funding is included in the Executive Summary and incorporated by reference. Accordingly, the Subrecipient Agreements for all CDBG, HOME and ESG projects will be subsequently entered into on behalf of Collier County and each such Agreement is hereby acknowledged as providing for a valid public and worthwhile County purpose. 4. SEVERABILITY. If any section, sentence, clause or phrase of this Resolution is held to be invalid or unconstitutional by any court of competent jurisdiction, then said holding shall in no way affect the validity of the remaining portions of this Resolution. 5. EFFECTIVE DATE. This Resolution shall become effective upon adoption by a majority vote of the Board of County Commissioners. ,_A_ This Resolution adopted this v2 day of June 2020, after motion, second and majority vote favoring same. SIGNATURE PAGE TO FOLLOW f) Page 2 of 3 > ATTEST: CRYSTAL K. KINZEL, CLERK y � i eputy Clerk o�fbairman's oi rr br�;i�f ly. r �1 Approved as to form and legality: "�\\r"'R� 05 pa0 Jenm r A. Belpedio C\Aa' Assistant County Attorney III BOARD OF COUNTY COMMISSIONERS OF/COLL ER COUNTY, FLORIDA By Burt L. Saunders, Chairman fern # �. Agenda (p•'c�ia-' Date Date Redd — Page 3 of 3 Deputy Clerk\ ", �11 OMB Number: 4040-0004 Expiration Date: 12/31/2019 Application for Federal Assistance SF-424 * 1. Type of Submission: Preapplication ® Application ❑ Changed/Corrected Application 2. Type of Application: If Revision, select appropriate letter(s): New ® Continuation other (Specify): Revision 3. Date Received: 4. Applicant Identifier: �— j B-19-UC-120016 5a. Federal Entity Identifier: 5b. Federal Award Identifier: CDBG State Use Only: 6. Date Received by State: �� 7. State Application Identifier: 8. APPLICANT INFORMATION: a. Legal Name: Collier County Board of County Commissioners ` b. Employer/Taxpayer Identification Number (EIN/TIN): * c. Organizational DUNS: 0769977900000 596000558 d. Address: *Street1: 3339 Tamiami Trail East Street2: Public Services Division Suite 211 City: Naples County/Parish: Collier County State: FL: Florida Province: Country: USA: UNITED STATES Zip / Postal Code: 34112-5361 e. Organizational Unit: Department Name. Division Name: Community and Human Services Public Services f. Name and contact information of person to be contacted on matters involving this application: Prefix: Ms First Name: Middle Name: Kristi * Last Name: Sonntag Suffix: Title: Director, Community and Human Services Organizational Affiliation: `Telephone Number: 239-252-2486 Fax Number: 239-252-2638 'Email: Kristi.Sonntag@colliercountyfl.gov (9 III Application for Federal Assistance SF-424 * 9. Type of Applicant 1: Select Applicant Type: B: County Government Type of Applicant 2: Select Applicant Type: J Type of Applicant 3: Select Applicant Type: 1 Other (specify): - 10. Name of Federal Agency: U.S. Department of Housing & Urban Development 1 11. Catalog of Federal Domestic Assistance Number: 14.218 CFDA Title: Entitlement Grant - CDBG 12. Funding Opportunity Number: Title. 13. Competition Identification Number: Title: 14. Areas Affected by Project (Cities, Counties, States, etc.): Add Attachment Delete Attachment View Attachment 15. Descriptive Title of Applicant's Project: CDBG Program and Administrative Activities Countywide Attach supporting documents as specified in agency instructions. Add Attachments Delete Attachments I View Attachments III Application for Federal Assistance SF-424 16. Congressional Districts Of: a. Applicant 14 , 25 b. Program/Project Attach an additional list of Program/Project Congressional Districts if needed. Add Attachment :. 17. Proposed Project: a Start Date, 10/G'_/2C2C b End Date C9/30/2C2i 18. Estimated Funding ($): a. Federal 2, 736, 898 .00 b. Applicant i c State^� d Local e. Other f. Program Income 20, 000.00 "g TOTAL 2,756,898.00 * 19. Is Application Subject to Review By State Under Executive Order 12372 Process? ® a. This application was made available to the State under the Executive Order 12372 Process for review on b. Program is subject to E.O. 12372 but has not been selected by the State for review. ❑ c. Program is not covered by E.O. 12372. * 20. Is the Applicant Delinquent On Any Federal Debt? (If "Yes," provide explanation in attachment.) ❑ Yes ® No If "Yes", provide explanation and attach 21. *By signing this application, I certify (1) to the statements contained in the list of certifications"" and (2) that the statements herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances" and agree to comply with any resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may subject me to criminal, civil, or administrative penalties. (U.S. Code, Title 218, Section 1001) ® ""IAGREE *" The list of certifications and assurances, or an internet site where you may obtain this list. is contained in the announcement or agency specific instructions. Authorized Representative: Prefix mr, ' First Name: Burt Middle Name: L. " Last Name: Saunders Suffix: Title: Chairman Telephone Number 239-252-8603 Fax Number: Email: Burt. Saunders@collierceuntyfl.gov ' * Signature of Authorized Representative. Date Signed: ATTEST. Approved as to form and leV ality avaU Assv ant County Attt�ro� CY' a , Ili Application for Federal Assistance SF-424 * 9. Type of Applicant 1: Select Applicant Type: B: County Government Type of Applicant 2: Select Applicant Type: Type of Applicant 3: Select Applicant Type: Other (specify): * 10. Name of Federal Agency: J.S. Department of Housing & Urban Development 11. Catalog of Federal Domestic Assistance Number: 14.239 CFDA Title: Entitlement Grant - HOME * 12. Funding Opportunity Number: Title. 13. Competition Identification Number: Title: 14. Areas Affected by Project (Cities, Counties, States, etc.): Add Attachment Delete Attachment View Attachment * 15. Descriptive Title of Applicant's Project: HOME Program and Administrative Activities Countywide Attach supporting documents as specified in agency instructions. Add Attachments Delete Attachments View Attachments 7� Ili Application for Federal Assistance SF-424 16. Congressional Districts Of: ' a. Applicant 1q 25 ' b Program/Project Attach an additional list of Program/Project Congressional Districts if needed --------------------- Add Attachment 17. Proposed Project: a. Start Date: ;0/01/2020 b. End Date: 09/30/2021 18. Estimated Funding ($): a Federal 731, 1 3.00 b. Applicant �— c State d. Local t e Other f. Program Income 28 , 414 .0 g TOTAL 759,527.00 " 19. Is Application Subject to Review By State Under Executive Order 12372 Process? ® a. This application was made available to the State under the Executive Order 12372 Process for review on n b. Program is subject to E.O. 12372 but has not been selected by the State for review. c. Program is not covered by E.O. 12372. * 20. Is the Applicant Delinquent On Any Federal Debt? (If "Yes," provide explanation in attachment.) Yes ® No If "Yes", provide explanation and attach 21. 'By signing this application, I certify (1) to the statements contained in the list of certifications— and (2) that the statements herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances— and agree to comply with any resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may subject me to criminal, civil, or administrative penalties. (U.S. Code, Title 218, Section 1001) ® " I AGREE " The list of certifications and assurances, or an internet site where you may obtain this list, is contained in the announcement or agency specific instructions. Authorized Representative: Prefix: Mr. . First Name: Burt - Middle Name: L. ' Last Name Saunders Suffix I Title: Chairman "Telephone Number. 239-252-8603 Fax Number Email: Hurt.Saunders@colliercountyfl.gov Signature of Authorized Representative Date Signed: --�� 1 Approved as to form and lebalit ----� ATTEST sistant County F It n�5) 3 C1I �OaU a&��es�nalrhiah cg� III OMB Number: 4040-0004 Expiration Date: 12/3112019 Application for Federal Assistance SF-424 ` 1. Type of Submission: Preapplication ® Application ❑ Changed/Corrected Application " 2. Type of Application: If Revision, select appropriate letter(s): New ® Continuation Other (Specify): Revision ' 3. Date Received: 4. Applicant Identifier: �— _--� B-19-UC-120016 5a. Federal Entity Identifier: 5b. Federal Award Identifier: ESG State Use Only: 6. Date Received by State: 7. State Application Identifier: 8. APPLICANT INFORMATION: `a. Legal Name: Collier County Board of County Commissioners ` b. Employer/Taxpayer Identification Number (EIN/TIN): " c. Organizational DUNS: 0769977900000 596000558 d. Address: `Street': 3339 Tamiami Trail East Street2: Public Services Division Suite 211 "City: Naples County/Parish: Collier County ' State: FL: Florida Province: "Country: USA: UNITED STATES * Zip / Postal Code: 34112- 5361 e. Organizational Unit: Department Name: Division Name: Community and Human Services Public Services f. Name and contact information of person to be contacted on matters involving this application: Prefix: Ms * First Name: Middle Name: Kristi ' Last Name: Sonntag j Suffix: I Title: Director, Community and Human Services Organizational Affiliation: Telephone Number: 239-252-2486 Fax Number: 239-252-2638 Email: Kristi.Sonntag@colliercountyfl.gov r,J'`i ill Application for Federal Assistance SF-424 * 9. Type of Applicant 1: Select Applicant Type: 13 County Government Type of Applicant 2: Select Applicant Type: Type of Applicant 3: Select Applicant Type: Other (specify): 10. Name of Federal Agency: U.S. Department of Housing & Urban Development 11. Catalog of Federal Domestic Assistance Number: 14.231 CFDA Title: Entitlement Grant - ESG * 12. Funding Opportunity Number: Title: 13. Competition Identification Number: Title: 14. Areas Affected by Project (Cities, Counties, States, etc.): Add Attachment Delete Attachment View A.ttarhment ' 15. Descriptive Title of Applicant's Project: ESG Program and Administrative Activities Countywide Attach supporting documents as specified in agency instructions. Add Attachments Delete Attachments I View Attachments III OMB Number: 4040-0004 Expiration Date: 12/31/2019 Application for Federal Assistance SF-424 " 1. Type of Submission: Preapplication ® Application Changed/Corrected Application " 2. Type of Application: If Revision, select appropriate letter(s): F New ® Continuation Other (Specify): Revision ' 3. Date Received: 4. Applicant Identifier: B-19-UC-120016 5a. Federal Entity Identifier: 5b. Federal Award Identifier: HOME State Use Only: 6. Date Received by State: 7. State Application Identifier: 8. APPLICANT INFORMATION: 'a. Legal Name: Collier County Board of County Commissioners * b. Employer/Taxpayer Identification Number (EIN/TIN): * c. Organizational DUNS: 0769977900000 596000558 d. Address: Street1: 3339 Tamiami Trail East Street2: Public Services Division Suite 211 City: Naples County/Parish: Collier County * State: FL: Florida 1 Province: Country: USA: UNITED STATES Zip / Postal Code: 34112 - 53 61 e. Organizational Unit: Department Name: Division Name: Community and Human Services Public Services f. Name and contact information of person to be contacted on matters involving this application: Prefix: Ms First Name. Kristi Middle Name: ' Last Name: Sonntag Suffix: Title: Director, Community and Human Services Organizational Affiliation: Telephone Number: 23 9 - 252 - 24 8 6 Fax Number: 2 3 9 - 2 52 - 263 8 Email: Kristi.Sonntag@colliercountyfl.gov Application for Federal Assistance SF-424 16. Congressional Districts Of: * a. Applicant 1q 25 b Program/Project iq 25 Attach an additional list of Program/Project Congressional Districts if needed. Add Attachment i 17. Proposed Project: * a Start Date: ; ;/O1/2020 * b. End Date: 09/30/2021 18. Estimated Funding ($): *a Federal 205, 067. 00 b. Applicant I IIII c State d Local * e Other f Program Income 0 .00 *g,TOTAL 205,067.0o * 19. Is Application Subject to Review By State Under Executive Order 12372 Process?( ® a. This application was made available to the State under the Executive Order 12372 Process for review on,.. b. Program is subject to E.O. 12372 but has not been selected by the State for review. c. Program is not covered by E.O. 12372. * 20. Is the Applicant Delinquent On Any Federal Debt? (If "Yes," provide explanation in attachment.) ❑ Yes Z No If "Yes", provide explanation and attach 21. *By signing this application, I certify (1) to the statements contained in the list of certifications** and (2) that the statements herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to comply with any resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may subject me to criminal, civil, or administrative penalties. (U.S. Code, Title 218, Section 1001) ® ** I AGREE *" The list of certifications and assurances, or an internet site where you may obtain this list, is contained in the announcement or agency specific instructions. Authorized Representative: Prefix: Mr. First Name: Burt Middle Name: L. " Last Name: Saunders Suffix: Jr. Title: chairman Telephone Number: 2 3 9- 2 5 2- 8 6 0 3 Fax Number: Email: Burt.-Saunders@coiiiercountyf I. go ignature of Authorized Representative: Date Signed: E,�,si"['EST Apej roved as to fo and legality �f CRY AC_ K. KINIZU, (-,LtKL;, yl �.�.��...' "wit' C ) /s sistant County III ASSURANCES - CONSTRUCTION PROGRAMS OMB Number: 4040-0009 Uate: 02/28/2022 Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0042), Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. NOTE: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the Awarding Agency. Further, certain Federal assistance awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant:, I certify that the applicant: 1. Has the legal authority to apply for Federal assistance, and the institutional, managerial and financial capability (including funds sufficient to pay the non -Federal share of project costs) to ensure proper planning, management and completion of project described in this application. Will give the awarding agency, the Comptroller General of the United States and, if appropriate, the State, the right to examine all records, books, papers, or documents related to the assistance; and will establish a proper accounting system in accordance with generally accepted accounting standards or agency directives. 3. Will not dispose of, modify the use of, or change the terms of the real property title or other interest in the site and facilities without permission and instructions from the awarding agency. Will record the Federal awarding agency directives and will include a covenant in the title of real property acquired in whole or in part with Federal assistance funds to assure non- discrimination during the useful life of the project. 4. Will comply with the requirements of the assistance awarding agency with regard to the drafting, review and approval of construction plans and specifications. 5. Will provide and maintain competent and adequate engineering supervision at the construction site to ensure that the complete work conforms with the approved plans and specifications and will furnish progressive reports and such other information as may be required by the assistance awarding agency or State. 6. Will initiate and complete the work within the applicable time frame after receipt of approval of the awarding agency 7. Will establish safeguards to prohibit employees from using their positions for a purpose that constitutes or presents the appearance of personal or organizational conflict of interest, or personal gain. Previous Edition Usable cn� � 8. Will comply with the Intergovernmental Personnel Act of 1970 (42 U.S.C. §§4728-4763) relating to prescribed standards of merit systems for programs funded under one of the 19 statutes or regulations specified in Appendix A of OPM's Standards for a Merit System of Personnel Administration (5 C.F.R. 900, Subpart F). 9. Will comply with the Lead -Based Paint Poisoning Prevention Act (42 U.S.C. §§4801 et seq.) which prohibits the use of lead -based paint in construction or rehabilitation of residence structures. 10. Will comply with all Federal statutes relating to non- discrimination. These include but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the basis of race, color or national origin; (b) Title IX of the Education Amendments of 1972, as amended (20 U.S.C. §§1681 1683, and 1685-1686), which prohibits discrimination on the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended (29) U.S.C. §794), which prohibits discrimination on the basis of handicaps; (d) the Age Discrimination Act of 1975, as amended (42 U.S.C. §§6101-6107), which prohibits discrimination on the basis of age; (e) the Drug Abuse Office and Treatment Act of 1972 (P.L. 92-255), as amended relating to nondiscrimination on the basis of drug abuse; (0 the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L . 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; (g) §§523 and 527 of the Public Health Service Act of 1912 (42 U.S.C. §§290 dd-3 and 290 ee 3), as amended, relating to confidentiality of alcohol and drug abuse patient records; (h) Title VIII of the Civil Rights Act of 1968 (42 U.S.C. §§3601 et seq.), as amended, relating to nondiscrimination in the sale, rental or financing of housing; (i) any other nondiscrimination provisions in the specific statue(s) under which application for Federal assistance is being made; and 0) the requirements of any other nondiscrimination statue(s) which may apply to the application. Authorized for Local Reproduction Standard Form 424D (Rev. 7-97) Prescribed by OMB Circular A-102 III 11. Will comply, or has already complied, with the requirements of Titles II and III of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 (P.L. 91-646) which provide for fair and equitable treatment of persons displaced or whose property is acquired as a result of Federal and federally -assisted programs. These requirements apply to all interests in real property acquired for project purposes regardless of Federal participation in purchases. 12. Will comply with the provisions of the Hatch Act (5 U.S.C. §§1501-1508 and 7324-7328) which limit the political activities of employees whose principal employment activities are funded in whole or in part with Federal funds. 13. Will comply, as applicable, with the provisions of the Davis - Bacon Act (40 U.S.C. §§276a to 276a-7), the Copeland Act (40 U.S.C. §276c and 18 U.S.C. §874), and the Contract Work Hours and Safety Standards Act (40 U.S.C. §§327- 333) regarding labor standards for federally -assisted construction subagreements. 14. Will comply with flood insurance purchase requirements of Section 102(a) of the Flood Disaster Protection Act of 1973 (P.L. 93-234) which requires recipients in a special flood hazard area to participate in the program and to purchase flood insurance if the total cost of insurable construction and acquisition is $10,000 or more. 15. Will comply with environmental standards which may be prescribed pursuant to the following: (a) institution of environmental quality control measures under the National Environmental Policy Act of 1969 (P.L. 91- 190) and Executive Order (EO) 11514; (b) notification of violating facilities pursuant to EO 11738; (c) protection of wetlands pursuant to EO 11990; (d) evaluation of flood hazards in floodplains in accordance with EO 11988; (e) assurance of project consistency with the approved State management program developed under the Coastal Zone Management Act of 1972 (16 U.S.C. §§1451 et seq.); (f) conformity of Federal actions to State (Clean Air) implementation Plans under Section 176(c) of the Clean Air Act of 1955, as amended (42 U.S.C. §§7401 et seq.); (g) protection of underground sources of drinking water under the Safe Drinking Water Act of 1974, as amended (P.L. 93-523); and, (h) protection of endangered species under the Endangered Species Act of 1973, as amended (P.L. 93-205). 16. Will comply with the Wild and Scenic Rivers Act of 1968 (16 U.S.C. §§1271 et seq.) related to protecting components or potential components of the national wild and scenic rivers system. 17. Will assist the awarding agency in assuring compliance with Section 106 of the National Historic Preservation Act of 1966, as amended (16 U.S.C. §470), EO 11593 (identification and protection of historic properties), and the Archaeological and Historic Preservation Act of 1974 (16 U.S.C. §§469a-1 et seq). 18. Will cause to be performed the required financial and compliance audits in accordance with the Single Audit Act Amendments of 1996 and OMB Circular No. A-133, "Audits of States, Local Governments, and Non -Profit Organizations." 19. Will comply with all applicable requirements of all other Federal laws, executive orders, regulations, and policies governing this program. 20. Will comply with the requirements of Section 106(g) of the Trafficking Victims Protection Act (TVPA) of 2000, as amended (22 U.S.C. 7104) which prohibits grant award recipients or a sub -recipient from (1) Engaging in severe forms of trafficking in persons during the period of time that the award is in effect (2) Procuring a commercial sex act during the period of time that the award is in effect or (3) Using forced labor in the performance of the award or subawards under the award. SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL TITLE Chairman APPLICANT ORGANIZATION DATE SUBMITTED Collier County Board of County Commissioners - Q— I „ ATTEST CRYSTAL K. MZEL, CLERK Q2., ;Q� Attest as to Chairman's signature only, C��G, SF-424D (Rev. 7-97) Back Approved as to form and legality Assistant County t t 4hp ey 1:�CYQ' r)}�0�� S(a ill ASSURANCES - CONSTRUCTION PROGRAMS OMB Number: 4040-0009 Cv —ii— rl., ... n�inein nnn Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0042), Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. NOTE. Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the Awarding Agency. Further, certain Federal assistance awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant:, I certify that the applicant: 1. Has the legal authority to apply for Federal assistance, and the institutional, managerial and financial capability (including funds sufficient to pay the non -Federal share of project costs) to ensure proper planning, management and completion of project described in this application. 2. Will give the awarding agency, the Comptroller General of the United States and, if appropriate, the State, the right to examine all records, books, papers, or documents related to the assistance; and will establish a proper accounting system in accordance with generally accepted accounting standards or agency directives. 3. Will not dispose of, modify the use of, or change the terms of the real property title or other interest in the site and facilities without permission and instructions from the awarding agency. Will record the Federal awarding agency directives and will include a covenant in the title of real property acquired in whole or in part with Federal assistance funds to assure non- discrimination during the useful life of the project. 4. Will comply with the requirements of the assistance awarding agency with regard to the drafting, review and approval of construction plans and specifications. 5. Will provide and maintain competent and adequate engineering supervision at the construction site to ensure that the complete work conforms with the approved plans and specifications and will furnish progressive reports and such other information as may be required by the assistance awarding agency or State. 6. Will initiate and complete the work within the applicable time frame after receipt of approval of the awarding agency 7. Will establish safeguards to prohibit employees from using their positions for a purpose that constitutes or presents the appearance of personal or organizational conflict of interest, or personal gain. Previous Edition Usable 8. Will comply with the Intergovernmental Personnel Act of 1970 (42 U.S.C. §§4728-4763) relating to prescribed standards of merit systems for programs funded under one of the 19 statutes or regulations specified in Appendix A of OPM's Standards for a Merit System of Personnel Administration (5 C.F.R. 900, Subpart F). 9. Will comply with the Lead -Based Paint Poisoning Prevention Act (42 U.S.C. §§4801 et seq.) which prohibits the use of lead -based paint in construction or rehabilitation of residence structures. 10. Will comply with all Federal statutes relating to non- discrimination. These include but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the basis of race, color or national origin; (b) Title IX of the Education Amendments of 1972, as amended (20 U.S.C. §§1681 1683, and 1685-1686), which prohibits discrimination on the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended (29) U.S.C. §794), which prohibits discrimination on the basis of handicaps; (d) the Age Discrimination Act of 1975, as amended (42 U.S.C. §§6101-6107), which prohibits discrimination on the basis of age; (e) the Drug Abuse Office and Treatment Act of 1972 (P.L. 92-255), as amended relating to nondiscrimination on the basis of drug abuse; (f) the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L . 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; (g) §§523 and 527 of the Public Health Service Act of 1912 (42 U.S.C. §§290 dd-3 and 290 ee 3), as amended, relating to confidentiality of alcohol and drug abuse patient records; (h) Title VIII of the Civil Rights Act of 1968 (42 U.S.C. §§3601 et seq.), as amended, relating to nondiscrimination in the sale, rental or financing of housing; (i) any other nondiscrimination provisions in the specific statue(s) under which application for Federal assistance is being made; and 0) the requirements of any other nondiscrimination statue(s) which may apply to the application. Authorized for Local Reproduction Standard Form 424D (Rev. 7-97) Prescribed by OMB Circular A-102 III 11. Will comply, or has already complied, with the requirements of Titles II and III of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 (P.L. 91-646) which provide for fair and equitable treatment of persons displaced or whose property is acquired as a result of Federal and federally -assisted programs. These requirements apply to all interests in real property acquired for project purposes regardless of Federal participation in purchases. 12. Will comply with the provisions of the Hatch Act (5 U.S.C. §§1501-1508 and 7324-7328) which limit the political activities of employees whose principal employment activities are funded in whole or in part with Federal funds. 13, Will comply, as applicable, with the provisions of the Davis - Bacon Act (40 U.S.C. §§276a to 276a-7), the Copeland Act (40 U.S.C. §276c and 18 U.S.C. §874), and the Contract Work Hours and Safety Standards Act (40 U.S.C. §§327- 333) regarding labor standards for federally -assisted construction subagreements. 14. Will comply with flood insurance purchase requirements of Section 102(a) of the Flood Disaster Protection Act of 1973 (P.L. 93-234) which requires recipients in a special flood hazard area to participate in the program and to purchase flood insurance if the total cost of insurable construction and acquisition is $10,000 or more. 15. Will comply with environmental standards which may be prescribed pursuant to the following: (a) institution of environmental quality control measures under the National Environmental Policy Act of 1969 (P.L. 91- 190) and Executive Order (EO) 11514; (b) notification of violating facilities pursuant to EO 11738; (c) protection of wetlands pursuant to EO 11990; (d) evaluation of flood hazards in floodplains in accordance with EO 11988; (e) assurance of project consistency with the approved State management program developed under the Coastal Zone Management Act of 1972 (16 U.S.C. §§1451 et seq.); (f) conformity of Federal actions to State (Clean Air) implementation Plans under Section 176(c) of the Clean Air Act of 1955, as amended (42 U.S.C. §§7401 et seq.); (g) protection of underground sources of drinking water under the Safe Drinking Water Act of 1974, as amended (P.L. 93-523); and, (h) protection of endangered species under the Endangered Species Act of 1973, as amended (P.L. 93-205). 16. Will comply with the Wild and Scenic Rivers Act of 1968 (16 U.S.C. §§1271 et seq.) related to protecting components or potential components of the national wild and scenic rivers system. 17. Will assist the awarding agency in assuring compliance with Section 106 of the National Historic Preservation Act of 1966, as amended (16 U.S.C. §470), EO 11593 (identification and protection of historic properties), and the Archaeological and Historic Preservation Act of 1974 (16 U.S.C. §§469a-1 et seq). 18. Will cause to be performed the required financial and compliance audits in accordance with the Single Audit Act Amendments of 1996 and OMB Circular No. A-133, "Audits of States, Local Governments, and Non -Profit Organizations." 19. Will comply with all applicable requirements of all other Federal laws, executive orders, regulations, and policies governing this program. 20. Will comply with the requirements of Section 106(g) of the Trafficking Victims Protection Act (TVPA) of 2000, as amended (22 U.S.C. 7104) which prohibits grant award recipients or a sub -recipient from (1) Engaging in severe forms of trafficking in persons during the period of time that the award is in effect (2) Procuring a commercial sex act during the period of time that the award is in effect or (3) Using forced labor in the performance of the award or subawards under the award. SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL TITLE Chairmap levll APPLICANT ORGANIZATION 15AT SUBMITTED Collier County Board of County Commissioners ATTEST CRY TALK KIND-, CLERK est as "to Chairman's signature only, kcI �1L SF-424D (Rev. 7-97) Back Approved as to form and legality Assistant County Alturncy aoila� S� ASSURANCES - CONSTRUCTION PROGRAMS OMB Number: 4040-0009 cpiration Date: 02/28/2022 Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0042), Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. NOTE: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the Awarding Agency. Further, certain Federal assistance awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant:, I certify that the applicant: 1. Has the legal authority to apply for Federal assistance, and the institutional, managerial and financial capability (including funds sufficient to pay the non -Federal share of project costs) to ensure proper planning, management and completion of project described in this application. Will give the awarding agency, the Comptroller General of the United States and, if appropriate, the State, the right to examine all records, books, papers, or documents related to the assistance; and will establish a proper accounting system in accordance with generally accepted accounting standards or agency directives. 3. Will not dispose of, modify the use of, or change the terms of the real property title or other interest in the site and facilities without permission and instructions from the awarding agency. Will record the Federal awarding agency directives and will include a covenant in the title of real property acquired in whole or in part with Federal assistance funds to assure non- discrimination during the useful life of the project. 4. Will comply with the requirements of the assistance awarding agency with regard to the drafting, review and approval of construction plans and specifications. 5. Will provide and maintain competent and adequate engineering supervision at the construction site to ensure that the complete work conforms with the approved plans and specifications and will furnish progressive reports and such other information as may be required by the assistance awarding agency or State. 6. Will initiate and complete the work within the applicable time frame after receipt of approval of the awarding agency. 7. Will establish safeguards to prohibit employees from using their positions for a purpose that constitutes or presents the appearance of personal or organizational conflict of interest, or personal gain. Previous Edition Usable 8. Will comply with the Intergovernmental Personnel Act of 1970 (42 U.S.C. §§4728-4763) relating to prescribed standards of merit systems for programs funded under one of the 19 statutes or regulations specified in Appendix A of OPM's Standards for a Merit System of Personnel Administration (5 C.F.R. 900, Subpart F). 9. Will comply with the Lead -Based Paint Poisoning Prevention Act (42 U.S.C. §§4801 et seq.) which prohibits the use of lead -based paint in construction or rehabilitation of residence structures. 10. Will comply with all Federal statutes relating to non- discrimination. These include but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the basis of race, color or national origin; (b) Title IX of the Education Amendments of 1972, as amended (20 U.S.C. §§1681 1683, and 1685-1686), which prohibits discrimination on the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended (29) U.S.C. §794), which prohibits discrimination on the basis of handicaps; (d) the Age Discrimination Act of 1975, as amended (42 U.S.C. §§6101-6107), which prohibits discrimination on the basis of age; (e) the Drug Abuse Office and Treatment Act of 1972 (P. L. 92-255), as amended relating to nondiscrimination on the basis of drug abuse; (f) the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L . 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; (9) §§523 and 527 of the Public Health Service Act of 1912 (42 U.S.C. §§290 dd-3 and 290 ee 3), as amended, relating to confidentiality of alcohol and drug abuse patient records; (h) Title Vill of the Civil Rights Act of 1968 (42 U.S.C. §§3601 et seq.), as amended, relating to nondiscrimination in the sale, rental or financing of housing; (i) any other nondiscrimination provisions in the specific statue(s) under which application for Federal assistance is being made; and (j) the requirements of any other nondiscrimination statue(s) which may apply to the application. Authorized for Local Reproduction Standard Form 424D (Rev. 7-97) Prescribed by OMB Circular A-102 Ill 11. Will comply, or has already complied, with the requirements of Titles II and III of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 (P.L. 91-646) which provide for fair and equitable treatment of persons displaced or whose property is acquired as a result of Federal and federally -assisted programs. These requirements apply to all interests in real property acquired for project purposes regardless of Federal participation in purchases. 12. Will comply with the provisions of the Hatch Act (5 U.S.C. §§1501-1508 and 7324-7328) which limit the political activities of employees whose principal employment activities are funded in whole or in part with Federal funds. 13. Will comply, as applicable, with the provisions of the Davis - Bacon Act (40 U.S.C. §§276a to 276a-7), the Copeland Act (40 U.S.C. §276c and 18 U.S.C. §874), and the Contract Work Hours and Safety Standards Act (40 U.S.C. §§327- 333) regarding labor standards for federally -assisted construction subagreements. 14. Will comply with flood insurance purchase requirements of Section 102(a) of the Flood Disaster Protection Act of 1973 (P.L. 93-234) which requires recipients in a special flood hazard area to participate in the program and to purchase flood insurance if the total cost of insurable construction and acquisition is $10,000 or more. 15. Will comply with environmental standards which may be prescribed pursuant to the following: (a) institution of environmental quality control measures under the National Environmental Policy Act of 1969 (P.L. 91- 190) and Executive Order (EO) 11514; (b) notification of violating facilities pursuant to EO 11738; (c) protection of wetlands pursuant to EO 11990; (d) evaluation of flood hazards in floodplains in accordance with EO 11988; (e) assurance of project consistency with the approved State management program developed under the Coastal Zone Management Act of 1972 (16 U.S.C. §§1451 et seq.); (f) conformity of Federal actions to State (Clean Air) implementation Plans under Section 176(c) of the Clean Air Act of 1955, as amended (42 U.S.C. §§7401 et seq.); (g) protection of underground sources of drinking water under the Safe Drinking Water Act of 1974, as amended (P.L. 93-523); and, (h) protection of endangered species under the Endangered Species Act of 1973, as amended (P.L. 93-205). 16. Will comply with the Wild and Scenic Rivers Act of 1968 (16 U.S.C. §§1271 et seq.) related to protecting components or potential components of the national wild and scenic rivers system. 17. Will assist the awarding agency in assuring compliance with Section 106 of the National Historic Preservation Act of 1966, as amended (16 U.S.C. §470), EO 11593 (identification and protection of historic properties), and the Archaeological and Historic Preservation Act of 1974 (16 U.S.C. §§469a-1 et seq). 18. Will cause to be performed the required financial and compliance audits in accordance with the Single Audit Act Amendments of 1996 and OMB Circular No. A-133, "Audits of States, Local Governments, and Non -Profit Organizations." 19. Will comply with all applicable requirements of all other Federal laws, executive orders, regulations, and policies governing this program. 20. Will comply with the requirements of Section 106(g) of the Trafficking Victims Protection Act (TVPA) of 2000, as amended (22 U.S.C. 7104) which prohibits grant award recipients or a sub -recipient from (1) Engaging in severe forms of trafficking in persons during the period of time that the award is in effect (2) Procuring a commercial sex act during the period of time that the award is in effect or (3) Using forced labor in the performance of the award or subawards under the award. SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL TITLE Chairman APPLICANT ORGANIZATION DATE SUBMITTED Collier County Hoard of County Commissioners ATTEST RY L K.KINZEL, CLERK 'Attest as to Chairman's i signature oniv. SF-424D (Rev. 7-97) Back Approved as to form and legality 4Assts ant County Atto y Sla li CERTIFICATIONS In accordance with the applicable statutes and the regulations governing the consolidated plan regulations, the jurisdiction certifies that: Affirmatively Further Fair Housing --The jurisdiction will affirmatively further fair housing. Uniform Relocation Act and Anti -displacement and Relocation Plan -- It will comply with the acquisition and relocation requirements of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, as amended, (42 U.S.C. 4601-4655) and implementing regulations at 49 CFR Part 24. it has in effect and is following a residential anti -displacement and relocation assistance plan required under 24 CFR Part 42 in connection with any activity assisted with funding under the Community Development Block Grant or HOME programs. Anti -Lobbying --To the best of the jurisdiction's knowledge and belief: 1. No Federal appropriated finds have been paid or will be paid, by or on behalf of it, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement; 2. If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, it will complete and submit Standard Form-LIA , "Disclosure Form to Report Lobbying," in accordance with its instructions; and 3. It will require that the language of paragraph 1 and 2 of this anti -lobbying certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. Authority of Jurisdiction --The consolidated plan is authorized under State and local law (as applicable) and the jurisdiction possesses the legal authority to carry out the programs for which it is seeking funding, in accordance with applicable HUD regulations. Consistency with plan --The housing activities to be undertaken with Community Development Block Grant, HOME, Emergency Solutions Grant, and Housing Opportunities for Persons With AIDS funds are consistent with the strategic plan in the jurisdiction's consolidated plan. Section 3 -- It will comply with section 3 of the Housing and Urban Development Act of 1968 (12 U.S.C. 1701 u) an implementing regulations at 24 CFR Part 135. R X_� S(o Signature of Auth tzed Official Date � tON&O Title - ATTEST ' URYSTAL K. I{1N , CLERK ,st as to Chairman's Appr as to form and legality a� Asses ant County Attu C. � 5� all Specific Community Development Block Grant Certifications The Entitlement Community certifies that: Citizen Participation -- It is in full compliance and following a detailed citizen participation plan that satisfies the requirements of 24 CFR 91.105. Community Development Plan -- Its consolidated plan identifies community development and housing needs and specifies both short-term and long-term community development objectives that that have been developed in accordance with the primary objective of the CDBG program (i.e., the development of viable urban communities, by providing decent housing and expanding economic opportunities, primarily for persons of low and moderate income) and requirements of 24 CFR Parts 91 and 570. Following a Plan -- It is following a current consolidated plan that has been approved by HUD. Use of Funds -- It has complied with the following criteria: 1. Maximum Feasible Priority. With respect to activities expected to be assisted with CDBG funds, it has developed its Action Plan so as to give maximum feasible priority to activities which benefit low- and moderate -income families or aid in the prevention or elimination of slums or blight. The Action Plan may also include CDBG-assisted activities which the grantee certifies are designed to meet other community development needs having particular urgency because existing conditions pose a serious and immediate threat to the health or welfare of the community, and other financial resources are not available (see Optional CDBG Certification). 2. Overall Benefit. The aggregate use of CDBG funds, including Section 108 guaranteed loans, during program year(s) [a period specified by the grantee of one, two, or three specific consecutive program years], shall principally benefit persons of low and moderate income in a manner that ensures that at least 70 percent of the amount is expended for activities that benefit such persons during the designated period. 3. Special Assessments. It will not attempt to recover any capital costs of public improvements assisted with CDBG funds, including Section 108 loan guaranteed funds, by assessing any amount against properties owned and occupied by persons of low and moderate income, including any fee charged or assessment made as a condition of obtaining access to such public improvements. However, if CDBG funds are used to pay the proportion of a fee or assessment that relates to the capital costs of public improvements (assisted in part with CDBG funds) financed from other revenue sources, an assessment or charge may be made against the property with respect to the public improvements financed by a source other than CDBG funds. In addition, in the case of properties owned and occupied by moderate -income (not low-income) families, an assessment or charge may be made against the property for public improvements financed by a source other than CDBG funds if the jurisdiction certifies that it lacks CDBG funds to cover the assessment. Excessive Force -- It has adopted and is enforcing: 1. A policy prohibiting the use of excessive force by law enforcement agencies within its jurisdiction against any individuals engaged in non-violent civil rights demonstrations; and 2. A policy of enforcing applicable State and local laws against physically barring entrance to or exit from a facility or location which is the subject of such non-violent civil rights demonstrations within its jurisdiction. III Compliance with Anti -discrimination laws -- The grant will be conducted and administered in conformity with title VI of the Civil Rights Act of 1964 (42 U.S.C. 2000d) and the Fair Housing Act (42 U.S.C. 3601-3619) and implementing regulations. Lead -Based Paint -- Its activities concerning lead -based paint will comply with the requirements of 24 CFR Part 35, Subparts A, B, J, K and R. Compliance with Laws -- It will comply with applicable laws. Sign ture of Autho ized Official Date Title ATTEST CRYSTAL K. KINZEL, CLERK 13 Atest as 4o.Chairman's Approved as to form and legality Assistant County A o my (� 1�1�10 III OPTIONAL, Community Development Block Grant Certification Submit the following certification only when one or more of the activities in the action plan are designed to meet other community development needs having particular urgency as specified in 24 CFR 570.208(c): The grantee hereby certifies that the Annual Plan includes one or more specifically identified CDBG- assisted activities which are designed to meet other community development needs having particular urgency because existing conditions pose a serious and immediate threat to the health or welfare of the community and other financial resources are not available to meet such needs. Sf nature of Authorized Official Date Title ATTESI 6XT, K. KINZ ,CLERK Attest as to Chairman's signature t)nl�� Approved as to form and legality Assistant County Att►►r► y III Specific HOME Certifications The HOME participating jurisdiction certifies that: Tenant Based Rental Assistance -- If it plans to provide tenant -based rental assistance, the tenant -based rental assistance is an essential element of its consolidated plan. Eligible Activities and Costs -- It is using and will use HOME funds for eligible activities and costs, as described in 24 CFR §§92.205 through 92.209 and that it is not using and will not use HOME funds for prohibited activities, as described in §92.214. Subsidy layering -- Before committing any funds to a project, it will evaluate the project in accordance with the guidelines that it adopts for this purpose and will not invest any more HOME funds in combination with other Federal assistance than is necessary to provide affordable housing; ignature of Authorized Official Date Title ,N 1" PEST CRY "LK,N7 CLERI' Attest as to Chairman% ;mature only,. Approved as to form and legality Assistant County Atto, y S� III Emergency Solutions Grants Certifications The Emergency Solutions Grants Program recipient certifies that: Major rehabilitation/conversion/renovation — If an emergency shelter's rehabilitation costs exceed 75 percent of the value of the building before rehabilitation, the recipient will maintain the building as a shelter for homeless individuals and families for a minimum of 10 years after the date the building is first occupied by a homeless individual or family after the completed rehabilitation. If the cost to convert a building into an emergency shelter exceeds 75 percent of the value of the building after conversion, the recipient will maintain the building as a shelter for homeless individuals and families for a minimum of 10 years after the date the building is first occupied by a homeless individual or family after the completed conversion. In all other cases where ESG funds are used for renovation, the recipient will maintain the building as a shelter for homeless individuals and families for a minimum of 3 years after the date the building is first occupied by a homeless individual or family after the completed renovation. Essential Services and Operating Costs — In the case of assistance involving shelter operations or essential services related to street outreach or emergency shelter, the recipient will provide services or shelter to homeless individuals and families for the period during which the ESG assistance is provided, without regard to a particular site or structure, so long the recipient serves the same type of persons (e.g., families with children, unaccompanied youth, disabled individuals, or victims of domestic violence) or persons in the same geographic area. Renovation — Any renovation carried out with ESG assistance shall be sufficient to ensure that the building involved is safe and sanitary. Supportive Services — The recipient will assist homeless individuals in obtaining permanent housing, appropriate supportive services (including medical and mental health treatment, victim services, counseling, supervision, and other services essential for achieving independent living), and other Federal State, local, and private assistance available for these individuals. Matching Funds — The recipient will obtain matching amounts required under 24 CFR 576.201. Confidentiality — The recipient has established and is implementing procedures to ensure the confidentiality of records pertaining to any individual provided family violence prevention or treatment services under any project assisted under the ESG program, including protection against the release of the address or location of any family violence shelter project, except with the written authorization of the person responsible for the operation of that shelter. Homeless Persons Involvement — To the maximum extent practicable, the recipient will involve, through employment, volunteer services, or otherwise, homeless individuals and families in constructing, renovating, maintaining, and operating facilities assisted under the ESG program, in providing services assisted under the ESG program, and in providing services for occupants of facilities assisted under the program. Consolidated Plan — All activities the recipient undertakes with assistance under ESG are consistent with its consolidated plan. all Discharge Policy — The recipient will establish and implement, to the maximum extent practicable and where appropriate, policies and protocols for the discharge of persons from publicly funded institutions or systems of care (such as health care facilities, mental health facilities, foster care or other youth facilities, or correction programs and institutions) in order to prevent this discharge from immediately resulting in homelessness for these persons. Stgtlature of Authorized Official D to \j Title ATTEST CR AL K. KINZ , CLERK Y. A :est as to Chairman's cY1���1!►� nn�U Approved as to form and legality `�\ CA -,,� � � As Cant County At u, icy QC'���� III Housing Opportunities for Persons With AIDS Certifications The HOPWA grantee certifies that Activities -- Activities funded under the program will meet urgent needs that are not being met by available public and private sources. Building -- Any building or structure assisted under that program shall be operated for the purpose specified in the consolidated plan: 1. For a period of not less than 10 years in the case of assistance involving new construction, substantial rehabilitation, or acquisition of a facility, 2. For a period of not less than 3 years in the case of assistance involving non -substantial rehabilitation or repair of a building or structure. Sign4ture of Authorized Official "Title ATTEST CRYSTAL K. KIN , C LF.RK Date Approved as to forni and legality -�z �- Assistant County Attu Q'CP \� III APPENDIX TO CERTIFICATIONS INSTRUCTIONS CONCERNING LOBBYING CERTIFICATION: Lobbying Certification This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 ' TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later than Monday preceding the Board meeting. **NEW** ROUTING SLIP Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete with the exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the County Attorney Office. Route to Addressee(s) (List in routing order) Office Initials Date 1. Susan Golden Community and Human 8/11/20 Services 2. Jennifer Belpedio County Attorney Office aca3 ao 3. BCC Office Board of County Commissioners J 7' 13 . ) 4. Minutes and Records Clerk of Court's Office n . tet ,-)JD PRIMARY CONTACT INFORMATION Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the addressees above,may need to contact staff for additional or missing information. Name of Primary Staff Susan Golden/CHS Phone Number 252-2336 Contact/ Department Agenda Date Item was 6/23/2020 Agenda Item Number 11.I Approved by the BCC Type of Document HUD SF424&424D/Assurances Number of Original Attached 2020 entitlement funding-CDBG,HOME Documents Attached 6 &ESG PO number or account number if document is to be recorded INSTRUCTIONS & CHECKLIST Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not appropriate._ (Initial) Applicable) 1. Does the document require the chairman's original signature? r9 Q K NA 2. Does the document need to be sent to another agency for additional signature§? If yes, NA provide the Contact Information(Name;Agency;Address;Phone)on an attached sheet. 3. Original document has been signed/initialed for legal sufficiency. (All documents to be SG signed by the Chairman,with the exception of most letters,must be reviewed and signed by the Office of the County Attorney. 4. All handwritten strike-through and revisions have been initialed by the County Attorney's NA Office and all other parties except the BCC Chairman and the Clerk to the Board 5. The Chairman's signature line date has been entered as the date of BCC approval of the SG document or the final negotiated contract date whichever is applicable. 6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's SG signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip NA should be provided to the County Attorney Office at the time the item is input into SIRE. Some documents are time sensitive and require forwarding to Tallahassee within a certain time frame or the BCC's actions are nullified. Be aware of your deadlines! 8. The document was approved by the BCC 6/23/2020 and all changes made during the t meeting have been incorporated in the attached document. The County Attorney's %,CiA3an option for Office has reviewed the changes,if applicable. this line. 9. Initials of attorney verifying that the attached document is the version approved by the N/A is not BCC,all changes directed by the BCC have been made,and the document is ready for the Ik• an option for Chairman's signature. this lig -H.11b vpda4ecl - nrvt and c aneed ecp;ra-1; w. - p r'1,0Ysl" a noi = ,d' r•O'kr• ?lacernee\-4' o4 C4,ct'trcl,tair .n Q pp"Pif.1 e pIcice . "1-11 ar-t~ PIO-1-- rna-IeY"Q I I.Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12 Cln et,„9eS at.•al. aS Sac1-' doe ho+ rrflsit(t . - v-ILec Boa ae fro✓41 . Ta AC+) 111 Ann P. Jennejohn From: Ann P.Jennejohn Sent: Thursday, August 13, 2020 10:45 AM To: GoldenSusan Subject: June 23, 2020 BCC Meeting Item #111 (Updated Forms) Attachments: Item #111 June 23, 2020 BCC Meeting (Updated Forms).pdf Susavt, Executed copies of the docuvvtevtts referenced above are attached for your records. Thank you. Ann Jenne,jolin 13MR Sevtior Deputy Clerk ` ,.tT{Yk.,,, Clerk to the Value Adjustwtevtt Board 4:5 4`.�£ Office: 239-252.-8406 ° Fax: 239-252-8408 (if applicable) Ann.Jennjjohn@CollierClerk.cowt rrk.,` Office of the Clerk of the Circuit Court & Comptroller of Collier Couvtty 3299 Tawtiavv'i Trail, Suite #4O1 Naples, FL 34112-5324 hi Ann P. Jennejohn From: GoldenSusan <Susan.Golden@colliercountyfl.gov> Sent: Thursday, August 13, 2020 12:23 PM To: Ann P.Jennejohn Subject: RE:June 23, 2020 BCC Meeting Item #111 (Updated Forms) Thanks Ann. Saw both of your emails. I will stop over some time on Friday to pick up originals. In mtgs all day today. Respectfully, Susan Golden,AICP To improve our services and technical assistance to our clients,vendors or subrecipients,we ask that you provide us feedback on our services to your organization by completing the short survey contained at the following links: Affordable Housing: How was my service? Click here to take a survey Internal Partners,Vendors and Subrecipients: How was my service? Click here to take a survey Susan Golden, AICP Senior Grants & Housing Coordinator Community and Human Services 3339 Tamiami Trail E Suite 211 Naples, Fl 34112 239-252-2336 Susan.Golden@colliercountyfl.gov Co er Co>rrr<ty Making Our Community Stronger:One life,one home,one project at a time. From:Ann P.Jennejohn <Ann.Jennejohn@collierclerk.com> Sent:Thursday,August 13, 2020 10:45 AM To: GoldenSusan <Susan.Golden@colliercountyfl.gov> Subject:June 23, 2020 BCC Meeting Item#111 (Updated Forms) EXTERNAL EMAIL:This email is from an external source. Confirm this is a trusted sender and use extreme caution when opening attachments or clicking links. Susavt, Executed copies of the documents referenced above are attacked for your records. Thank you. 1 it MEMORANDUM Date: August 13, 2020 To: Susan Golden, Senior Grants & Housing Coordinator Community & Human Services From: Ann Jennejohn, Deputy Clerk Minutes & Records Department Re: Updated Forms: HUD SF424 & 424D/Assurances 2020 Entitlement Funding — CDBG, HOME & ESG Attached, please find original copies of the documents referenced above, approved by the Board of County Commissioners (Item #11I) on June 23, 2020. Copies will be held in the Minutes and Records Department for the Board's Official Record. If you have any questions, please contact me at 252-8406. Thank you. Attachment 1 1 I OMB Number:4040-0004 Expiration Date:12/31/2022 Application for Federal Assistance SF-424 *1.Type of Submission: •2.Type of Application: *If Revision,select appropriate letter(s): ❑Preapplication ❑New ®Application ®Continuation •Other(Specify): ❑Changed/Corrected Application ❑Revision •3.Date Received: 4.Applicant Identifier: M-20-UC-12-0217 5a.Federal Entity Identifier: 5b.Federal Award Identifier: HOME-Entitlement State Use Only: 6.Date Received by State: 7.State Application Identifier: 8.APPLICANT INFORMATION: a.Legal Name: Collier County Board of County Commissioners •b.Employer/Taxpayer Identification Number(EINITIN): •c.Organizational DUNS: 596000558 0769977900000 d.Address: 'Streetl: 3339 Tamiami Trail East Street2: Public Services Division Suite 211 `City: Naples County/Parish: Collier •State: FL: Florida Province: •Country: USA: UNITED STATES Zip/Postal Code: 34112-5361 e.Organizational Unit: Department Name: Division Name: Public Services Community and Human Services f.Name and contact Information of person to be contacted on matters involving this application: Prefix: Ms. *First Name: Krist.i Middle Name: *Last Name: Sonntag Suffix: Title: Director, Community and Human Services Organizational ATflliation: 'Telephone Number: 239-252-2486 Fax Number: 239-252-2638 'Email: ciisLi.Sonntag@colliercountyfl.gov Y,�j� Ill Application for Federal Assistance SF-424 *9.Type of Applicant 1:Select Applicant Type: H: County Government Type of Applicant 2:Select Applicant Type: Type of Applicant 3:Select Applicant Type: Other(specify): *10.Name of Federal Agency: U.S. Department of Housing & Urban Development 11.Catalog of Federal Domestic Assistance Number: 14.239 CFDA Title: Entitlement Crant - HOME *12.Funding Opportunity Number: *Title: 13.Competition Identification Number: Title: 14.Areas Affected by Project(Cities,Counties,States,etc.): SF424 Attachment #14 Areas Affected by Proj Add Attachment Delete Attachment View Attachment *15.Descriptive Title of Applicant's Project: HOME Program and Administrative Activities Countywide Attach supporting documents as specified in agency instructions. Add Attachments Delete Attachments View Attachments �6J 1 1 I Application for Federal Assistance SF-424 16.Congressional Districts Of: "a.Applicant 14, 25 *b.Program/Project 14, 25 Attach an additional list of Program/Project Congressional Districts if needed Add Attachment Delete Attachment View Attachment 17.Proposed Project: *a.Start Date: 10/01/2020 *b.End Date: 09/30/2021 18.Estimated Funding($): *a.Federal /31,113.03 *b.Applicant ( I "c.State J I *d.Local e.Other *f. Program Income 28,419.00 'g.TOTAL 759,527.00 *19.Is Application Subject to Review By State Under Executive Order 12372 Process? • a.This application was made available to the State under the Executive Order 12372 Process for review on ❑ b.Program is subject to E.O.12372 but has not been selected by the State for review. ® c.Program is not covered by E.O. 12372. *20.Is the Applicant Delinquent On Any Federal Debt? (If"Yes,"provide explanation In attachment.) Yes ®No If"Yes",provide explanation and attach Add Attachment Delete Attachment View Attachment 21.*By signing this application,I certify(1)to the statements contained in the list of certifications**and(2)that the statements herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to comply with any resulting terms if I accept an award.I am aware that any false,fictitious,or fraudulent statements or claims may subject me to criminal,civil,or administrative penalties.(U.S.Code,Title 218,Section 1001) ® **I AGREE **The list of certifications and assurances, or an internet site where you may obtain this list, is contained in the announcement or agency specific instructions. Authorized Representative: Prefix: M=. *First Name: Burt Middle Name: L. 'Last Name: Saunders Suffix: 'Title: Chairman Telephone Number. 235-252-8803 Fax Number: Email: Burt.Sa_tidreers@co_liercountyfl.gov *Signature of Authorized f epresentatt e', *Date Signed: ' CO .31c1(W6 ATTEST' Annroved as to form and legality CRYSTAC<K.KIN7.L.;'Ci.� ll BY:_ . ._4.. C Assis ant County Ant •y OMB Number:4040-0004 Expiration Date:12/31/2022 Application for Federal Assistance SF-424 1.Type of Submission: •2.Type of Application: `If Revision,select appropriate letter(s): Preapplication ❑New ®Application ®Continuation •Other(Specify): ❑ Changed/Corrected Application Ei Revision 3.Date Received: 4.Applicant Identifier B-20 UC 120016 5a.Federal Entity Identifier: 5b.Federal Award Identifier: CDB3-Ent itlement State Use Only: 6.Date Received by State: 7.State Application Identifier: 8.APPLICANT INFORMATION: •a.Legal Name: Collier CounLy Board of County Commissioners b.Employer/Taxpayer Identification Number(EIN/TIN): •c.Organizational DUNS: 596000558 0769977900000 d.Address: •Streetl: 3339 Tamiami Trail East Street2: Public Services Division Suite 211 •City: Naples County/Parish: Collier State: FL: Florida Province: 'Country: USA: UNITED STATES •Zip/Postal Code: 34112-53 61 e.Organizational Unit: Department Name: Division Name: Public Services Community and Human Services f.Name and contact information of person to be contacted on matters involving this application: Prefix: Ms •First Name: Kristi 1 Middle Name: "Last Name: Sonntag Suffix: Title: Director, Community and Human Services Organizational Affiliation: •Telephone Number: 239-252-2486 Fax Number: 239-252-2638 "Email: Kristi.Sonntag®col liercountyf 1.gov O�� 111 Application for Federal Assistance SF-424 *9.Type of Applicant 1:Select Applicant Type: B: County Government Type of Applicant 2:Select Applicant Type Type of Applicant 3:Select Applicant Type *Other(specify): •10.Name of Federal Agency: U.S. Department of Housing & Urban Development 11.Catalog of Federal Domestic Assistance Number: 14.218 CFDA Title. Entitlement Grant - CD3G *12.Funding Opportunity Number: •Title: 13.Competition Identification Number: Title: 14.Areas Affected by Project(Cities,Counties,States,etc.): SF424 Attachment 414 Areas Affected by Prcj Add Attachment Delete Attachment View Attachment "16.Descriptive Title of Applicant's Project: CDBG Program and Administrative Activities - Countywide Attach supporting documents as specified in agency instructions. Add Attachments Delete Attachments View Attachments 1 Ill Application for Federal Assistance SF-424 16.Congressional Districts Of: 'a.Applicant 14, 25 *b.Program/Project 14, 25 Attach an additional list of Program/Project Congressional Districts if needed. Add Attachment Delete Attachment View Attachment 17.Proposed Project: *a.Start Date: 10/01/2020 *b.End Date' 09/30/202: 18.Estimated Funding($): a.Federal 2,736,898.00 *b.Applicant c.State d.Local e.Other *f. Program Income 20,000.00 *g.TOTAL 2,756,898.00 *19.Is Application Subject to Review By State Under Executive Order 12372 Process? a.This application was made available to the State under the Executive Order 12372 Process for review on ❑ b.Program is subject to E.O.12372 but has not been selected by the State for review. ® c.Program is not covered by E.O. 12372. *20.Is the Applicant Delinquent On Any Federal Debt? (If"Yes,"provide explanation In attachment.) Yes ®No If"Yes",provide explanation and attach Add Attachment Delete Attachment View Attachment 21.*By.signing this application,I certify(1)to the statements contained in the list of certifications"and(2)that the statements herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to comply with any resulting terms if I accept an award.I am aware that any false,fictitious,or fraudulent statements or claims may subject me to criminal,civil,or administrative penalties.(U.S.Code,Title 218,Section 1001) "I AGREE The list of certifications and assurances, or an Internet site where you may obtain this list, is contained in the announcement or agency specific instructions. Authorized Representative: Prefix: Mr. 'First Name: Burt Middle Name: L. *Last Name: Saunders Suffix: 'Title: Chairman •Telephone Number. 239-252-8603 Fax Number. "Email: Burt.Saudners@colliercountyfl.gov *Signature of AutftorizecisRepresentative,• *Date Signed: 'u( 1 a 0 V • ATTEST 'iL',. Appmved sic to fnral and IC►all ty CRYSTAL j �K NZ • 1 , BY: A` ant Count y Afton a.�nwe#rrre nn ill OMB Number:4040-0004 Expiration Date:12/31/2022 Application for Federal Assistance SF-424 •1.Type of Submission: "2.Type of Application. 'If Revision,select appropriate letter(s): Preapplication New ®Application ®Continuation 'Other(Specify): Changed/Corrected Application Revision '3.Date Received: 4.Applicant Identifier IB 20 UC 120016 5a.Federal Entity Identifier: 5b.Federal Award Identifier: ESG-Entitlement State Use Only: 6.Date Received by State: 7.State Application Identifier: 8.APPLICANT INFORMATION: "a.Legal Name: Collier County Board of County Commissioners 'b.Employer/Taxpayer Identification Number(EIN/TIN): 'c.Organizational DUNS: 596000556 0769977900000 d.Address: "Streetl 3339 Tamiami Trail East Street2: Public Services Division Suite 211 *City: Naples County/Parish: Collier 'State. FL: Florida Province: 'Country: USA: UNITED STATES 'Zip/Postal Code: 34 112-53 6 1 e.Organizational Unit: Department Name. Division Name: Public Services Community and Human Services f.Name and contact information of person to be contacted on matters involving this application: Prefix: Ms. *First Name: Kristi Middle Name: Last Name. sonntag Suffix: Title: Director, Community and Human Services Organizational Affiliation: 'Telephone Number: 239-252-2486 Fax Number: 239-252-2638 'Email: Kristi.Sonntag©colliercour.tyf1.Sov awuw..• • ill Application for Federal Assistance SF-424 9.Type of Applicant 1:Select Applicant Type: R: County Government Type of Applicant 2:Select Applicant Type: Type of Applicant 3:Select Applicant Type: Other(specify): 10.Name of Federal Agency: U.S. Department of Housing & Urban Development 11.Catalog of Federal Domestic Assistance Number: 14.231 CFDA Title: Entitlement Grant - ESG *12.Funding Opportunity Number: Title: 13.Competition Identification Number: Title: 14.Areas Affected by Project(Cities,Counties,States,etc.): SF424 Attachment it14 Areas Affected by Proj Add Attachment Delete Attachment View Attachment *15.Descriptive Title of Applicant's Project: ESG Program and Administrative Activities Countywide Attach supporting documents as specified in agency instructions. Add Attachments Delete Attachments View Attachments Ill Application for Federal Assistance SF-424 16.Congressional Districts Of: •a.Applicant 14, 25 *b.Program/Project 14, 25 Attach an additional list of Program/Project Congressional Districts if needed. Add Attachment Delete Attachment View Attachment 17.Proposed Project: •a.StartDate: in/a1/202o •b.End Date: 09/30/202: 18.Estimated Funding($): a.Federal 205,067.00 b.Applicant *c.State •d.Local •e.Other f. Program Income "g.TOTAL 205,067.00 "19.Is Application Subject to Review By State Under Executive Order 12372 Process? El a.This application was made available to the State under the Executive Order 12372 Process for review on ❑ b.Program is subject to E.O.12372 but has not been selected by the State for review. Z c.Program is not covered by E.O. 12372. "20.Is the Applicant Delinquent On Any Federal Debt? (If"Yes,"provide explanation in attachment) Yes ®No If"Yes",provide explanation and attach Add Attachment Delete Attachment View Attachment 21."By signing this application,I certify(1)to the statements contained in the list of certifications"and(2)that the statements herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to comply with any resulting terms if I accept an award.I am aware that any false,fictitious,or fraudulent statements or claims may subject me to criminal,civil,or administrative penalties.(U.S.Code,Title 218,Section 1001) "•I AGREE •" The list of certifications and assurances, or an internet site where you may obtain this list, is contained in the announcement or agency specific instructions. Authorized Representative: Prefix: Mr. *First Name: Burt Middle Name: . *Last Name: Saunders Suffix: •Title: Chairman *Telephone Number: 239 252-e603 Fax Number: *Email: Burt.Saudners@colliercolintyf1.go "Signature of Awthorized.Representative: •Date Signed: I ( 3 " ATTEST ;,, • Approved as to form and legality CRYSTAL K.K ZE1 selERK '\ BY451 • 1111 ;� �,. . ,.�, :u:��� Assistant County A ley ill ASSURANCES - CONSTRUCTION PROGRAMS OMB Number:4040-0009 Expiration Date:02/28/2022 Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing instructions,searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden,to the Office of Management and Budget, Paperwork Reduction Project(0348-0042),Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. NOTE: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the Awarding Agency. Further, certain Federal assistance awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant:, I certify that the applicant: 1. Has the legal authority to apply for Federal assistance, 8. Will comply with the Intergovernmental Personnel Act and the institutional, managerial and financial capability of 1970(42 U.S.C. §§4728-4763)relating to prescribed (including funds sufficient to pay the non-Federal share standards of merit systems for programs funded of project costs)to ensure proper planning, under one of the 19 statutes or regulations specified in management and completion of project described in Appendix A of OPM's Standards for a Merit System of this application. Personnel Administration(5 C.F.R.900, Subpart F). 2. Will give the awarding agency,the Comptroller General 9. Will comply with the Lead-Based Paint Poisoning of the United States and, if appropriate,the State, Prevention Act(42 U.S.C. §§4801 et seq.)which the right to examine all records, books, papers, or prohibits the use of lead-based paint in construction or documents related to the assistance: and will establish rehabilitation of residence structures. a proper accounting system in accordance with generally accepted accounting standards or agency 10. Will comply with all Federal statutes relating to non- directives. discrimination.These include but are not limited to: (a) Title VI of the Civil Rights Act of 1964(P.L.88-352) 3. Will not dispose of, modify the use of,or change the which prohibits discrimination on the basis of race, terms of the real property title or other interest in the color or national origin; (b)Title IX of the Education site and facilities without permission and instructions Amendments of 1972,as amended(20 U.S.C. §§1681 from the awarding agency.Will record the Federal 1683,and 1685-1686),which prohibits discrimination awarding agency directives and will include a covenant on the basis of sex; (c)Section 504 of the in the title of real property acquired in whole or in part Rehabilitation Act of 1973,as amended(29)U.S.C. with Federal assistance funds to assure non- §794),which prohibits discrimination on the basis of discrimination during the useful life of the project. handicaps; (d)the Age Discrimination Act of 1975,as 4. Will comply with the requirements of the assistance amended (42 U.S.C. §§6101-6107),which prohibits awarding agency with regard to the drafting, review and discrimination on the basis of age; (e)the Drug Abuse approval of construction plans and specifications. Office and Treatment Act of 1972(P.L.92 255), as amended relating to nondiscrimination on the basis of 5. Will provide and maintain competent and adequate drug abuse; (f)the Comprehensive Alcohol Abuse and engineering supervision at the construction site to Alcoholism Prevention,Treatment and Rehabilitation ensure that the complete work conforms with the Act of 1970(P.L . 91-616), as amended, relating to approved plans and specifications and will furnish nondiscrimination on the basis of alcohol abuse or progressive reports and such other information as may be alcoholism; (g)§§523 and 527 of the Public Health required by the assistance awarding agency or State. Service Act of 1912(42 U.S.C.§§290 dd-3 and 290 ee 3),as amended, relating to confidentiality of alcohol 6. Will initiate and complete the work within the applicable and drug abuse patient records; (h)Title VIII of the time frame after receipt of approval of the awarding agency. Civil Rights Act of 1968(42 U.S.C. §§3601 et seq.),as amended, relating to nondiscrimination in the sale, 7. Will establish safeguards to prohibit employees from rental or financing of housing;(i)any other using their positions for a purpose that constitutes or nondiscrimination provisions in the specific statue(s) presents the appearance of personal or organizational under which application for Federal assistance is being conflict of interest,or personal gain. made; and(j)the requirements of any other nondiscrimination statue(s)which may apply to the application. Previous Edition Usable Authorized for Local Reproduction Standard Form 424D(Rev.7-97) Prescribed by OMB Circular A-102 gtil ��y,... I11 11. Will comply, or has already complied,with the Federal actions to State(Clean Air)implementation requirements of Titles II and III of the Uniform Relocation Plans under Section 176(c)of the Clean Air Act of Assistance and Real Property Acquisition Policies Act of 1955, as amended(42 U.S.C. §§7401 et seq.);(g) 1970(P.L. 91-646)which provide for fair and equitable protection of underground sources of drinking water treatment of persons displaced or whose property ls under the Safe Drinking Water Act of 1974, as acquired as a result of Federal and federally-assisted amended(P.L. 93-523); and, (h)protection of programs.These requirements apply to all interests in real endangered species under the Endangered Species property acquired for project purposes regardless of Act of 1973, as amended(P.L. 93-205). Federal participation in purchases. 16. Will comply with the Wild and Scenic Rivers Act of 12. Will comply with the provisions of the Hatch Act(5 U.S.C. 1968(16 U.S.C. §§1271 et seq.)related to protecting §§1501-1508 and 7324-7328)which limit the political components or potential components of the national activities of employees whose principal employment wild and scenic rivers system. activities are funded in whole or in part with Federal funds. 17. Will assist the awarding agency in assuring compliance 13. Will comply, as applicable,with the provisions of the Davis- with Section 106 of the National Historic Preservation Bacon Act(40 U.S.C.§§276a to 276a-7),the Copeland Act Act of 1966,as amended(16 U.S.C. §470), EO 11593 (40 U.S.C.§276c and 18 U.S.C. §874),and the Contract (identification and protection of historic properties),and Work Hours and Safety Standards Act(40 U.S.C. §§327- the Archaeological and Historic Preservation Act of 333) regarding labor standards for federally-assisted 1974(16 U.S.C. §§469a-1 et seq). construction subagreements. 18. Will cause to be performed the required financial and 14. Will comply with flood insurance purchase requirements of compliance audits in accordance with the Single Audit Section 102(a)of the Flood Disaster Protection Act of 1973 Act Amendments of 1996 and OMB Circular No. A-133, (P.L. 93-234)which requires recipients in a special flood "Audits of States, Local Governments, and Non-Profit hazard area to participate in the program and to purchase Organizations." flood insurance if the total cost of insurable construction and acquisition is$10,000 or more. 19. Will comply with all applicable requirements of all other Federal laws, executive orders, regulations, and policies 15. Will comply with environmental standards which may be governing this program. prescribed pursuant to the following:(a)institution of environmental quality control measures under the National 20. Will comply with the requirements of Section 106(g)of Environmental Policy Act of 1969(P.L.91- the Trafficking Victims Protection Act(TVPA)of 2000,as 190)and Executive Order(EO)11514; (b)notification amended(22 U.S.C.7104)which prohibits grant award of violating facilities pursuant to EO 11738, (c) recipients or a sub-recipient from(1)Engaging in severe protection of wetlands pursuant to EO 11990; (d) forms of trafficking in persons during the period of time evaluation of flood hazards in floodplains in accordance that the award is in effect(2)Procuring a commercial with EO 11988; (e)assurance of project consistency sex act during the period of time that the award is in with the approved State management program effect or(3) Using forced labor in the performance of the developed under the Coastal Zone Management Act of award or subawards under the award. 1972(16 U.S.C. §§1451 et seq.); (f)conformity of SIGNATURE 0 UTHORIZED CERTIFYING OFFICIAL TITLE �,� Chairman APPLICANT ORGANIZATION DATE SUBMITTED ;} Collier County Board of County Commissioners ( (p t a 3 1aoaO SF-424D(Rev.7-97)Back . ATTEST Approved as to form and legality CRYSTAL K•K N.ZEL,CLERK • BY: C As ant County Alto •r 'moody' lil ASSURANCES - CONSTRUCTION PROGRAMS OMB Number:4040-0009 Expiration Date:02/28/2022 Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing instructions,searching existing data sources,gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden,to the Office of Management and Budget, Paperwork Reduction Project(0348-0042), Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. NOTE: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the Awarding Agency. Further,certain Federal assistance awarding agencies may require applicants to certify to additional assurances. If such is the case,you will be notified. As the duly authorized representative of the applicant., I certify that the applicant: 1. Has the legal authority to apply for Federal assistance, 8. Will comply with the Intergovernmental Personnel Act and the institutional, managerial and financial capability of 1970(42 U.S.C. §§4728-4763)relating to prescribed (including funds sufficient to pay the non-Federal share standards of merit systems for programs funded of project costs)to ensure proper planning, under one of the 19 statutes or regulations specified in management and completion of project described in Appendix A of OPM's Standards for a Merit System of this application. Personnel Administration(5 C.F.R. 900, Subpart F). 2. Will give the awarding agency,the Comptroller General 9. Will comply with the Lead-Based Paint Poisoning of the United States and, if appropriate,the State, Prevention Act(42 U.S.C. §§4801 et seq.)which the right to examine all records, books, papers,or prohibits the use of lead-based paint in construction or documents related to the assistance; and will establish rehabilitation of residence structures. a proper accounting system in accordance with generally accepted accounting standards or agency 10. Will comply with all Federal statutes relating to non- directives. discrimination.These include but are not limited to: (a) Title VI of the Civil Rights Act of 1964(P.L. 88-352) 3. Will not dispose of, modify the use of,or change the which prohibits discrimination on the basis of race, terms of the real property title or other interest in the color or national origin; (b)Title IX of the Education site and facilities without permission and instructions Amendments of 1972, as amended(20 U.S.C. §§1681 from the awarding agency.Will record the Federal 1683, and 1685-1686),which prohibits discrimination awarding agency directives and will include a covenant on the basis of sex; (c)Section 504 of the in the title of real property acquired in whole or in part Rehabilitation Act of 1973,as amended(29)U.S.C. with Federal assistance funds to assure non- §794), which prohibits discrimination on the basis of discrimination during the useful life of the project. handicaps; (d)the Age Discrimination Act of 1975, as 4. Will comply with the requirements of the assistance amended (42 U.S.C. §§6101 6107),which prohibits awarding agency with regard to the drafting, review and discrimination on the basis of age; (e)the Drug Abuse approval of construction plans and specifications. Office and Treatment Act of 1972(P.L.92-255), as amended relating to nondiscrimination on the basis of 5. Will provide and maintain competent and adequate drug abuse; (f)the Comprehensive Alcohol Abuse and engineering supervision at the construction site to Alcoholism Prevention,Treatment and Rehabilitation ensure that the complete work conforms with the Act of 1970(P.L. 91-616), as amended, relating to approved plans and specifications and will furnish nondiscrimination on the basis of alcohol abuse or progressive reports and such other information as may be alcoholism; (g)§§523 and 527 of the Public Health required by the assistance awarding agency or State. Service Act of 1912(42 U.S.C. §§290 dd-3 and 290 ee 3), as amended, relating to confidentiality of alcohol 6. Will initiate and complete the work within the applicable and drug abuse patient records; (h)Title VIII of the time frame after receipt of approval of the awarding agency. Civil Rights Act of 1968(42 U.S.C. §§3601 et seq.), as amended, relating to nondiscrimination in the sale, 7. Will establish safeguards to prohibit employees from rental or financing of housing; (i)any other using their positions for a purpose that constitutes or nondiscrimination provisions in the specific statue(s) presents the appearance of personal or organizational under which application for Federal assistance is being conflict of interest,or personal gain. made; and (j)the requirements of any other nondiscrimination statue(s)which may apply to the application. Previous Edition Usable Authorized for Local Reproduction Standard Form 424D(Rev.7-97) Prescribed by OMB Circular A-102 D ! ll 11. Wll comply,or has already complied,with the Federal actions to State(Clean Air)implementation requirements of Titles II and III of the Uniform Relocation Plans under Section 176(c)of the Clean Air Act of Assistance and Real Property Acquisition Policies Act of 1955,as amended(42 U.S.C. §§7401 et seq.); (g) 1970(P.L. 91-646)which provide for fair and equitable protection of underground sources of drinking water treatment of persons displaced or whose property:s under the Safe Drinking Water Act of 1974, as acquired as a result of Federal and federally-assisted amended(P.L. 93-523); and, (h)protection of programs.These requirements apply to all interests in real endangered species under the Endangered Species property acquired for project purposes regardless of Act of 1973, as amended(P.L. 93-205). Federal participation in purchases. 16. Will comply with the Wild and Scenic Rivers Act of 12. Will comply with the provisions of the Hatch Act(5 U.S.C. 1968(16 U.S.C. §§1271 et seq.)related to protecting §§1501-1508 and 7324-7328)which limit the political components or potential components of the national activities of employees whose principal employment wild and scenic rivers system. activities are funded in whole or in part with Federal funds. 17. Will assist the awarding agency in assuring compliance 13. Will comply, as applicable,with the provisions of the Davis- with Section 106 of the National Historic Preservation Bacon Act(40 U.S.C. §§276a to 276a-7), the Copeland Act Act of 1966, as amended(16 U.S.C.§470), EO 11593 (40 U.S.C. §276c and 18 U.S.C. §874), and the Contract (identification and protection of historic properties),and Work Hours and Safety Standards Act(40 U.S.C. §§327- the Archaeological and Historic Preservation Act of 333)regarding labor standards for federally-assisted 1974(16 U.S.C. §§469a-1 et seq). construction subagreements. 18. Will cause to be performed the required financial and 14. Will comply with flood insurance purchase requirements of compliance audits in accordance with the Single Audit Section 102(a)of the Flood Disaster Protection Act of 1973 Act Amendments of 1996 and OMB Circular No.A-133, (P.L.93-234)which requires recipients in a special flood "Audits of States, Local Governments,and Non-Profit hazard area to participate in the program and to purchase Organizations." flood insurance if the total cost of insurable construction and acquisition is$10,000 or more. 19. Will comply with all applicable requirements of all other Federal laws, executive orders, regulations,and policies 15. Will comply with environmental standards which may be governing this program. prescribed pursuant to the following: (a) institution of environmental quality control measures under the National 20. Will comply with the requirements of Section 106(g)of Environmental Policy Act of 1969(P.L. 91- the Trafficking Victims Protection Act(TVPA)of 2000,as 190)and Executive Order(EO) 11514; (b)notification amended(22 U.S.C. 7104)which prohibits grant award of violating facilities pursuant to EO 11738; (c) recipients or a sub-recipient from(1)Engaging in severe protection of wetlands pursuant to EO 11990;(d) forms of trafficking in persons during the period of time evaluation of flood hazards in floodplains in accordance that the award is in effect(2) Procuring a commercial with EO 11988; (e)assurance of project consistency sex act during the period of time that the award is in with the approved State management program effect or(3)Using forced labor in the performance of the developed under the Coastal Zone Management Act of award or subawards under the award. 1972(16 U.S.C. §§1451 et seq.); (f)conformity of SIGNATURE 0 UTHORIZED CE FYING OFFICIAL TITLE • 00112im. Chairman APPLICANT ORGANIZATION DATE SUBMITTED Collier County Board of County Commissioners ta "4:)2CA SF-424D(Rev.7-97)Back ATTEST Approved as to form and legality r CRYSTAL K.TIZINIZEL,CLERK $Y. alma' . .r., s • • Assistant County Anon] AftesI aS • Wes% signature only. Q I 1 1 ASSURANCES - CONSTRUCTION PROGRAMS OMB Number:4040-0009 Expiration Date:02/28/2022 Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing instructions,searching existing data sources, gathering and maintaining the data needed. and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information,including suggestions for reducing this burden,to the Office of Management and Budget, Paperwork Reduction Project(0348-0042),Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. NOTE: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the Awarding Agency. Further,certain Federal assistance awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant:, I certify that the applicant: 1. Has the legal authority to apply for Federal assistance, 8. Will comply with the Intergovernmental Personnel Act and the institutional, managerial and financial capability of 1970(42 U.S.C.§§4728-4763)relating to prescribed (including funds sufficient to pay the non-Federal share standards of merit systems for programs funded of project costs)to ensure proper planning, under one of the 19 statutes or regulations specified in management and completion of project described in Appendix A of OPM's Standards for a Merit System of this application. Personnel Administration(5 C.F.R.900, Subpart F). 2. Will give the awarding agency,the Comptroller General 9. Will comply with the Lead-Based Paint Poisoning of the United States and, if appropriate,the State, Prevention Act(42 U.S.C. §§4801 et seq.)which the right to examine all records, books, papers, or prohibits the use of lead-based paint in construction or documents related to the assistance; and will establish rehabilitation of residence structures. a proper accounting system in accordance with generally accepted accounting standards or agency 10. Will comply with all Federal statutes relating to non directives. discrimination.These include but are not limited to: (a) Title VI of the Civil Rights Act of 1964(P.L. 88-352) 3. Will not dispose of, modify the use of,or change the which prohibits discrimination on the basis of race, terms of the real property title or other interest in the color or national origin; (b)Title IX of the Education site and facilities without permission and instructions Amendments of 1972, as amended(20 U.S.C. §§1681 from the awarding agency.Will record the Federal 1683, and 1685-1686),which prohibits discrimination awarding agency directives and will include a covenant on the basis of sex; (c)Section 504 of the in the title of real property acquired in whole or in part Rehabilitation Act of 1973, as amended(29)U.S.C. with Federal assistance funds to assure non- §794),which prohibits discrimination on the basis of discrimination during the useful life of the project. handicaps; (d)the Age Discrimination Act of 1975, as 4. Will comply with the requirements of the assistance amended (42 U.S.C. §§6101 6107),which prohibits awarding agency with regard to the drafting, review and discrimination on the basis of age; (e)the Drug Abuse approval of construction plans and specifications. Office and Treatment Act of 1972(P.L.92-255), as amended relating to nondiscrimination on the basis of 5. Will provide and maintain competent and adequate drug abuse;(f)the Comprehensive Alcohol Abuse and engineering supervision at the construction site to Alcoholism Prevention,Treatment and Rehabilitation ensure that the complete work conforms with the Act of 1970(P.L. 91-616),as amended, relating to approved plans and specifications and will furnish nondiscrimination on the basis of alcohol abuse or progressive reports and such other information as may be alcoholism;(g)§§523 and 527 of the Public Health required by the assistance awarding agency or State. Service Act of 1912(42 U.S.C. §§290 dd-3 and 290 ee 3),as amended, relating to confidentiality of alcohol 6. Will initiate and complete the work within the applicable and drug abuse patient records; (h)Title VIII of the time frame after receipt of approval of the awarding agency. Civil Rights Act of 1968(42 U.S.C. §§3601 et seq.),as 7. Will establish safeguards to prohibit employees from amended, relating to nondiscrimination in the sale, rental or financing of housing; (i)any other using their positions for a purpose that constitutes or nondiscrimination provisions in the specific statue(s) presents the appearance of personal or organizational under which application for Federal assistance is being conflict of interest, or personal gain. made; and (j)the requirements of any other nondiscrimination statue(s)which may apply to the application. Previous Edition Usable Authorized for Local Reproduction Standard Form 424D(Rev.7-97) Prescribed by OMB Circular A-102 ! 11 11. Will comply,or has already complied,with the Federal actions to State(Clean Air) implementation requirements of Titles II and III of the Uniform Relocation Plans under Section 176(c)of the Clean Air Act of Assistance and Real Property Acquisition Policies Act of 1955, as amended(42 U.S.C. §§7401 et seq.); (g) 1970(P.L. 91-646)which provide for fair and equitable protection of underground sources of drinking water treatment of persons displaced or whose property is under the Safe Drinking Water Act of 1974,as acquired as a result of Federal and federally-assisted amended(P.L. 93-523); and, (h)protection of programs.These requirements apply to all interests in real endangered species under the Endangered Species property acquired for project purposes regardless of Act of 1973, as amended(P.L. 93-205). Federal participation in purchases. 16. Will comply with the Wild and Scenic Rivers Act of 12. Will comply with the provisions of the Hatch Act(5 U.S.C. 1968(16 U.S.C. §§1271 et seq.)related to protecting §§1501-1508 and 7324-7328)which limit the political components or potential components of the national activities of employees whose principal employment wild and scenic rivers system. activities are funded in whole or in part with Federal funds. 17. Will assist the awarding agency in assuring compliance 13. Will comply, as applicable,with the provisions of the Davis- with Section 106 of the National Historic Preservation Bacon Act(40 U.S.C.§§276a to 276a-7),the Copeland Act Act of 1966,as amended(16 U.S.C. §470), EO 11593 (40 U.S.C.§276c and 18 U.S.C. §874),and the Contract (identification and protection of historic properties), and Work Hours and Safety Standards Act(40 U.S.C. §§327- the Archaeological and Historic Preservation Act of 333)regarding labor standards for federally-assisted 1974(16 U.S.C. §§469a-1 et seq). construction subagreements. 18. Will cause to be performed the required financial and 14. Will comply with flood insurance purchase requirements of compliance audits in accordance with the Single Audit Section 102(a)of the Flood Disaster Protection Act of 1973 Act Amendments of 1996 and OMB Circular No.A-133, (P.L. 93-234)which requires recipients in a special flood "Audits of States, Local Governments,and Non-Profit hazard area to participate in the program and to purchase Organizations." flood insurance if the total cost of insurable construction and acquisition is$10,000 or more. 19. Will comply with all applicable requirements of all other Federal laws, executive orders, regulations, and policies 15. Wll comply with environmental standards which may be governing this program. prescribed pursuant to the following:(a) institution of environmental quality control measures under the National 20. Will comply with the requirements of Section 106(g)of Environmental Policy Act of 1969(P.L. 91- the Trafficking Victims Protection Act(TVPA)of 2000,as 190)and Executive Order(EO) 11514; (b)notification amended(22 U.S.C. 7104)which prohibits grant award of violating facilities pursuant to EO 11738: (c) recipients or a sub-recipient from(1)Engaging in severe protection of wetlands pursuant to EO 11990; (d) forms of trafficking in persons during the period of time evaluation of flood hazards in floodplains in accordance that the award is in effect(2)Procuring a commercial with EO 11988; (e)assurance of project consistency sex act during the period of time that the award is in with the approved State management program effect or(3) Using forced labor in the performance of the developed under the Coastal Zone Management Act of award or subawards under the award. 1972(16 U.S.C. §§1451 et seq.); (f)conformity of SIGNATURE OF HORIZED CERT OFFICIAL TITLE eg0. Chairman APPLICANT ORGANIZATION DATE SUBMITTED Collier County Board of County Commissioners ( CO \'a3 SF-424D(Rev.7-97)Back • ATTEST Approved as to form and legality CRYSTAL;K..gINZE1,CLERK BY. �--. � _04.4.-ZC- !scant County qhrncy %s1gli"aly. ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 1 I TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later than Monday preceding the Board meeting. **NEW** ROUTING SLIP Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete with the exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the County Attorney Office. Route to Addressee(s) (List in routing order) Office Initials Date 1. Susan Golden Community and Human 11/9/20 Services 2. Jennifer Belpedio County Attorney Office �� 2 I / \ac) 3. BCC Office Board of County Commissioners J J 1� LJ . 4. Minutes and Records Clerk of Court's Office 114/ il [ c)":64(hit PRIMARY CONTACT INFORMATION Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the addressees above,may need to contact staff for additional or missing information. _ Name of Primary Staff Susan Golden/CHS Phone Number 252-2336 Contact/ Depai trnent Agenda Date Item was 06/23/2020 Agenda Item Number 11.I. Approved by the BCC Type of Document Revised CDBG&HOME SF 424s HUD Number of Original 2 Attached Action Plan FY2020;HUD funding Documents Attached reduction— 10.22.20 letter to Chairman (attached) PO number or account number if document is to be recorded INSTRUCTIONS & CHECKLIST Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not appropriate. (Initial)Applicable) 1. Does the document require the chairman's original signature? SG .1z. f 2. Does the document need to be sent to another agency for additional signatures? If yes, NA provide the Contact Information(Name;Agency;Address;Phone)on an attached sheet. 3. Original document has been signed/initialed for legal sufficiency. (Ail documents to be SG signed by the Chairman,with the exception of most letters,must be reviewed and signed by the Office of the County Attorney. 4. All handwritten strike-through and revisions have been initialed by the County Attorney's NA Office and all other parties except the BCC Chairman and the Clerk to the Board 5. The Chairman's signature line date has been entered as the date of BCC approval of the SG document or the final negotiated contract date whichever is applicable. 6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's SG signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip NA should be provided to the County Attorney Office at the time the item is input into SIRE. Some documents are time sensitive and require forwarding to Tallahassee within a certain time frame or the BCC's actions are nullified. Be aware of your deadlines! 8. The document was approved by the BCC 06/23/2020 and all changes made during the N/A is not meeting have been incorporated in the attached document. The County Attorney's an option for Office has reviewed the changes,if applicable. this line. 9. Initials of attorney verifying that the attached document is the version approved by the F A is not BCC,all changes directed by the BCC have been made,and the document is ready for the (1h aj i option for Chairman's signature. p.w� I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12 ll MEMORANDUM Date: November 17, 2020 To: Susan Golden, Community & Human Services From: Martha Vergara, Sr. Deputy Clerk Minutes & Records Department Re: CDBE & HOME SF424s, HUD Action Plan for FY20, HUD Funding Reduction and a copy of the 10/22/20 Letter to Chairman Enclosed please find one (1) copy original documents referenced above (Agenda Item #11I, approved by the Board of County Commissioners on Tuesday, June 23, 2020. Please forward the fully executed original back to the Minutes & Records Department to be kept as part of the Board's Official Records. If you have any questions, please contact me at 252-7240. Thank you. Enclosures � 1i OMB Number:4040-0004 Expiration Date:12/31/2022 Application for Federal Assistance SF-424 *1.Type of Submission: *2.Type of Application: *If Revision,select appropriate letter(s): Preapplication ❑New ri Application ®Continuation *Other(Specify): Changed/Corrected Application Ell Revision *3.Date Received: 4.Applicant Identifier: IB-20-UC-120016 5a.Federal Entity Identifier: 5b.Federal Award Identifier: CDBG-Entitlement State Use Only: 6.Date Received by State: 7.State Application Identifier: 8.APPLICANT INFORMATION: a.Legal Name: Collier County Board of County Commissioners *b.Employer/Taxpayer Identification Number(EIN/TIN): *c.Organizational DUNS: 596000558 0769977900000 d.Address: *Streetl: 3339 Tamiami Trail East Street2: Public Services Division Suite 211 *City: Naples County/Parish: Collier *State: FL: Florida Province: *Country: USA: UNITED STATES -1 *Zip/Postal Code: 34112-5361 e.Organizational Unit: Department Name: Division Name: Public Services Community and Human Services f.Name and contact information of person to be contacted on matters involving this application: Prefix: Ms *First Name: Kristi Middle Name: *Last Name: Sonntag Suffix: Title: Director, Community and Human Services Organizational Affiliation: *Telephone Number: 239-252-2486 Fax Number: 239-252-2638 *Email: Kristi.Sonntag@colliercountyfl.gov it Application for Federal Assistance SF-424 *9.Type of Applicant 1:Select Applicant Type: B: County Government Type of Applicant 2:Select Applicant Type: Type of Applicant 3:Select Applicant Type: *Other(specify): *10.Name of Federal Agency: U.S. Department of Housing & Urban Development 11.Catalog of Federal Domestic Assistance Number: 14.218 CFDA Title: Entitlement Grant - CDEG *12.Funding Opportunity Number: *Title: 13.Competition Identification Number: Title: 14.Areas Affected by Project(Cities,Counties,States,etc.): SF424 Attachment #14 Areas Affected by Proj Add Attachment Delete Attachment View Attachment *15.Descriptive Title of Applicant's Project: CDBG Program and Administrative Activities - Countywide Attach supporting documents as specified in agency instructions. Add Attachments Delete Attachments View Attachments 1 i Application for Federal Assistance SF-424 16.Congressional Districts Of: *a.Applicant 14, 25 *b.Program/Project 14, 25 Attach an additional list of Program/Project Congressional Districts if needed. Add Attachment Delete Attachment View Attachment 17.Proposed Project: *a.Start Date: 10/01/2020 *b.End Date: 09/30/2021 18.Estimated Funding($): *a. Federal 2,736,494.00 *b.Applicant *c.State *d.Local *e.Other *f. Program Income 20,000.00 *g.TOTAL 2,756,494.00 *19.Is Application Subject to Review By State Under Executive Order 12372 Process? a.This application was made available to the State under the Executive Order 12372 Process for review on b.Program is subject to E.O. 12372 but has not been selected by the State for review. ® c.Program is not covered by E.O. 12372. *20.Is the Applicant Delinquent On Any Federal Debt? (If"Yes,"provide explanation in attachment.) Yes ®No If"Yes",provide explanation and attach Add Attachment Delete Attachment View Attachment 21.*By signing this application, I certify(1)to the statements contained in the list of certifications**and(2)that the statements herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to comply with any resulting terms if I accept an award.I am aware that any false,fictitious,or fraudulent statements or claims may subject me to criminal,civil,or administrative penalties.(U.S.Code,Title 218,Section 1001) **I AGREE **The list of certifications and assurances, or an internet site where you may obtain this list, is contained in the announcement or agency specific instructions. Authorized Representative: Prefix: Mr. *First Name: Burt Middle Name: L. *Last Name: Saunders Suffix: *Title: Chairman *Telephone Number: 23 9-252-8 603 Fax Number: *Email: Burt.Saudners@colliercountyfl.g Signature of Authorized Representative: *Date Signed: ate ) ATTEST - Approved as to torn and lega ity CRYSTAL K. KNZEL,CLERK tt i C a ALA.' }iii:'St* to Chairmnan s Ass nt County Au tjy y Ill OMB Number:4040-0004 Expiration Date:12/31/2022 Application for Federal Assistance SF-424 *1.Type of Submission *2.Type of Application: *If Revision,select appropriate letter(s): Preapplication El New ri Application ®Continuation *Other(Specify): Changed/Corrected Application 111 Revision *3.Date Received: 4.Applicant Identifier: I B-20-UC-120016 5a.Federal Entity Identifier: 5b.Federal Award Identifier: HOME-Entitlement State Use Only: 6.Date Received by State: 7.State Application Identifier: 8.APPLICANT INFORMATION: *a.Legal Name: Collier County Board of County Commissioners *b.Employer/Taxpayer Identification Number(EINfTIN): *c.Organizational DUNS: 596000558 0769977900000 d.Address: *Streetl: 3339 Tamiami Trail East Streetl: Public Services Division Suite 211 *City: Naples County/Parish: Collier *State: FL: Florida Province: *Country: USA: UNITED STATES *Zip/Postal Code: 34112-5361 e.Organizational Unit: Department Name: Division Name: Public Services Community and Human Services f.Name and contact information of person to be contacted on matters involving this application: Prefix: Ms. *First Name: Kristi Middle Name: *Last Name: Sonntag Suffix: Title: Director, Community and Human Services Organizational Affiliation: *Telephone Number: 239-252-2486 Fax Number: 239-252-2638 *Email: Kristi.Sonntag@colliercountyf1.gov 111 Application for Federal Assistance SF-424 9.Type of Applicant 1:Select Applicant Type: B: County Government Type of Applicant 2:Select Applicant Type: Type of Applicant 3:Select Applicant Type: *Other(specify): `10.Name of Federal Agency: U.S. Department of Housing & Urban Development 11.Catalog of Federal Domestic Assistance Number: 14.239 CFDA Title: Entitlement Grant - HOME 12.Funding Opportunity Number: Title: 13.Competition Identification Number: Title: 14.Areas Affected by Project(Cities,Counties,States,etc.): SF424 Attachment #14 Areas Affected by Proj Add Attachment Delete Attachment View Attachment 15.Descriptive Title of Applicant's Project: HOME Program and Administrative Activities Countywide Attach supporting documents as specified in agency instructions. Add Attachments Delete Attachments View Attachments 1 I 11 Application for Federal Assistance SF-424 16.Congressional Districts Of: a.Applicant 14, 25 *b.Program/Project 19, 25 Attach an additional list of Program/Project Congressional Districts if needed. Add Attachment Delete Attachment View Attachment 17.Proposed Project: *a.Start Date: 10/01/2020 *b.End Date: 09/30/2021 18.Estimated Funding($): *a. Federal 730,958.00 *b.Applicant *c.State *d.Local *e.Other *f. Program Income 28,414.00 'g.TOTAL 759,372.00 *19.Is Application Subject to Review By State Under Executive Order 12372 Process? a.This application was made available to the State under the Executive Order 12372 Process for review on 1 b.Program is subject to E.O. 12372 but has not been selected by the State for review. ® c. Program is not covered by E.O. 12372. *20.Is the Applicant Delinquent On Any Federal Debt? (If"Yes,"provide explanation in attachment.) LIYes ®No If"Yes", provide explanation and attach Add Attachment Delete Attachment View Attachment 21.*By signing this application,I certify(1)to the statements contained in the list of certifications**and(2)that the statements herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to comply with any resulting terms if I accept an award.I am aware that any false,fictitious,or fraudulent statements or claims may subject me to criminal,civil,or administrative penalties.(U.S.Code,Title 218,Section 1001) **IAGREE ** The list of certifications and assurances, or an Internet site where you may obtain this list, is contained in the announcement or agency specific instructions. Authorized Representative: Prefix: Mr. *First Name: Burt Middle Name: L. *Last Name: Saunders Suffix: *Title: Chairman *Telephone Number: 239-252-8603 Fax Number: *Email: Burt.Saudners@colliercountyfl.gov � Y- �� 'Signature of Authorized Representative: *Date Signed: ATTEST' Approved as to form and legality 1�� CRYSTAL;r.KINZEL,CLERK • BY: ack 2s nOSt as to f,tfiitt(IIdtI S Assistant County A rrney i11 '^ZNENTp, *ovWl U.S.DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT aL 11111111 = WASHINGTON,DC 20410-7000 DEvoP ASSISTANT SECRETARY FOR COMMUNITY PLANNING AND DEVELOPMENT October 22,2020 CORRECTED NOTICE The Honorable Burt L Saunders Chairperson of Collier County 3299 Tamiami Trail E#303 Naples, FL 34112-5746 Dear Chairperson Burt L Saunders: I am pleased to inform you of your jurisdiction's Fiscal Year(FY)2020 allocations for the Office of Community Planning and Development's (CPD)formula programs,which provide funding for housing,community and economic development activities, and assistance for low- and moderate-income persons and special needs populations across the country. President Trump signed Public Law 116-94 on December 20th, 2019,which includes FY 2020 funding for these programs. Since issuing the original allocation announcement letters,HUD has discovered an error in the formula calculation for two CPD formula programs,the Community Development Block Grant (CDBG) and the HOME Investment Partnerships(HOME)programs, stemming from issues at HUD field offices in California which are currently being resolved. HUD informs you that the correction to the formula has resulted in a decrease in the allocations for your community, an amount representing 99.98%of your total CDBG and HOME grants for FY 2020. Collier County's original CDBG and HOME allocations were$2,736,898 and$731,113,respectively. Your jurisdiction's FY 2020 available allocations are now as follows: Community Development Block Grant(CDBG) $2,736,494 HOME Investment Partnerships (HOME) $730,958 This letter highlights several important points related to these programs. We remind grantees that CPD seeks to develop viable communities by promoting integrated approaches that provide decent housing and suitable living environments while expanding economic opportunities for low- and moderate-income and special needs populations, including people living with HIV/AIDS. The primary means towards this end is the development of partnerships among all levels of government and the private sector, including both for-profit and non-profit organizations. Based on your jurisdiction's CDBG allocation for this year,you also have$13,684,490 in available Section 108 borrowing authority. Since Section 108 loans are federally guaranteed,this program can leverage your jurisdiction's existing CDBG funding to access low-interest, long-term financing to invest in Opportunity Zones or other target areas in your jurisdiction. HUD continues to emphasize the importance of effective performance measurements in all of www.hud.gov espanol.hud.gov III its formula grant programs. Proper reporting in the Integrated Disbursement and Information System (IDIS) is critical to ensuring grantees are complying with program requirements and policies,providing demographic and income information about the persons that benefited from a community's activities, and allowing HUD to monitor grantees. Your ongoing attention to ensuring complete and accurate reporting of performance measurement data continues to be an invaluable resource with regard to the impact of these formula grant programs. The Office of Community Planning and Development is looking forward to working with you to promote simple steps that will enhance the performance of these critical programs and successfully meet the challenges that our communities face. If you or any member of your staff have questions,please contact your local CPD Office Director. Sincerely, John Gibbs Assistant Secretary(Acting) for Community Planning and Development U.S.Department of Housing and Urban Development 1 11 LopezMaggie From: SonntagKristi Sent: Monday, November 9, 2020 2:16 PM To: GiblinCormac; HalfordHilary Cc: LopezMaggie Subject: FW: Correction Notification Allocation letter Attachments: Collier County.pdf I can not send anything to Susan and I am not sure what is happening. Please see the attached, we need to make changes and take action per the email below. Respectfully, Kristi Sonntag, CPM Director Community and Human Services 3339 Tamiami Trail E Suite 211 Naples, Fl 34112 239-252-2486 Kristi.Sonntag@colliercountyfl.gov w G014'�ty Making Our Community Stronger:One life,one home,one project at a time. To improve our services and technical assistance to our clients,vendors or subrecipients,we ask that you provide us feedback on our services to your organization by completing the short survey contained at the following links: Affordable Housing - http://bit.ly/CollierCountyAffordableHousingSurvey Grants- http://bit.ly/CollierCountyCHSGrantssurvey RSVP - http://bit.ly/CollierCountyRSVPSurvey Senior&Social Services- http://bit.ly/CollierCountySeniorSocialServicesSurvey SHIP - http://bit.ly/CollierCountySHlPSurvey From: CPD_GeneralCorr-MIA<CPD_GeneralCorr-MIA@hud.gov> Sent: Monday, November 9, 2020 12:16 PM To: SaundersBurt<Burt.Saunders@colliercountyfl.gov> Cc: BrockMaryJo <MaryJo.Brock@colliercountyfl.gov>; SonntagKristi <Kristi.Sonntag@colliercountyfl.gov>; Bustamante, Fiordaliza <fiordaliza.bustamante@hud.gov>; Quade,John F<John.F.Quade@hud.gov> Subject: Correction Notification Allocation letter EXTERNAL EMAIL: This email is from an external source. Confirm this is a trusted sender and use extreme caution when opening attachments or clicking links. Dear Chairperson Saunders: 1 111 Since issuing the original Fiscal Year (FY) 2020 allocations letters, the Office of Community Planning and Development (CPD) has discovered an error in the formula calculations for two CPD formula programs, the Community Development Block Grant (CDBG) and HOME Investment Partnerships (HOME)programs. The attached letter highlights several important points related to these programs and how the correction to the formula impacts your jurisdiction's FY 2020 allocations. If HUD has obligated your FY 2020 grants You must submit new SF 424s for any programs whose allocations have changed since you submitted your 2020 action plan. This action can be included during the submission of your FY 2021 plans. You will also need to amend your 2020 action plan to reference the correct amounts of your CDBG and HOME allocations. Depending upon how"substantial amendment" is defined in your citizen participation plan, this /` , may be a substantial amendment. HUD will send you amended grant agreements that reflect the correct '`-- allocation amounts. HUD will also adjust your grant amounts in IDIS and LOCCS to ensure funds in excess of your revised allocation amounts are not disbursed from your line of credit. i'• If you have submitted an FY 2020 plan, but HUD has not obligated the grant In order for HUD to approve your 2020 annual action plan, you must immediately submit new SF 424s for any programs whose allocations have changed since you submitted your 2020 action plan. You will also need to revise your 2020 action plan to reference the correct amounts of your CDBG and HOME allocations. Upon approval of your plan, HUD will send grant agreements that reflect the correct allocation amounts. If you have not yet submitted an FY 2020 plan The correct allocation amounts must be reflected in your 2020 annual action plan submission and the SF 424s submitted with your plan. We are looking forward to working with you to complete all necessary action. If you or any member of your staff have questions, please contact us. Sincerely, Ann D. Chavis Director Community Planning& Development Division U.S. Department of HUD 909 SE 1st Avenue Miami, Fl 33131 Tel 305-520-5010 Email ann.d.chavis@hud.gov CPD_GeneralCorr-MIA@hud gov Under Florida Law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by telephone or in writing. 2 i ll 0-Lis4c,,,,,i____ 1.._\o )Nc .-\ \ , , ,6 4 \,\A Th-- _,,c--c3( ,, ,,,, , ,, Av'''' ,\....,_, ,,---„---) ,v) , 0 td A vs,„: , i__\.._ ,,,,-, Lt) oi,\IL Colfler ountt (1\01 MCC 2020 Annual Action Plan Collier County Community and Human Services Division 3339 East Tamiami Trail Health and Public Services Building H, Room 211 Naples, Florida 34112 Annual Action Plan 1 2020 OMB Control No:2506-0117(exp.06/30/2018) 1 11 Grantee SF-424's and Certification(s) CUR NL.ml..,•li:.0-rail • F .l-rtli.9n pale IG.31;Z013 Application For Federal Assistance SF-424 1-•r(ra)1 S11:11tCY t't'. ,'Z ):c CIARrr1:.7krn• •'(P.C.likn ai 4:/wlv....:wwiwlw)aty% -. I 1 Praerolc8Ilc1• hen. 1.1,61icaticn ;)<1ColltPt•£t01 •:)I+w1t$ara?p ---•- ) i:Clend99•tlerrectec 1cc icaliar U Rev ciar I •—•- -• -� ^.Oele I/r:ei.YJ: 4 AMdra t I 7•_4-nr.-120)15 t:,FCQery E 4lylccclllar GP FeGcr4i 4'.Kr'q Ilerlller Stale La Calla R.aa-Isce hf Awe:f — :.<;lale,',iaa-h l:laMIIA- B.APPLICANT VIFONMA 111N: •a tepal/tarp -- 1Co..11cr 9rnae•: uxr•1 of r.um y ,. ,r i;r i one:.; •b amp+7,A,':kfultRr lCf r•II'rrtlr MAW tr.;LIH91ft) c Cra;naYrrAl 011Nc ••� + • r • r nv.•fvabnna II.Address: •Snocl•• 1_7K -17'bni '.ro:l 3azt_ S1•pS2 Iegra7. :;N.•.i /. Ili.•i.••r•r • :r•Ite 2'1 _. _.____-_ u.4 - .. CAJTr•Pa'.a: CIi Sf.'•!_..__r } .r.rr — Fra'.Ive: �...... _...... I - e.CrgmricaWral JJIC Cepartrerl Nani_. ..� i tii•iti,Nam:. PJbl lc t:,:rl•.c.c' Icmcanl ty and I:Jrl+r t.n.r f.Narne and contact Intorrtulbn of onrann to ha rontarlgll oil Matter*ih•oNeip th c application: _- P'CIV, FT: .... .� •eYy,Nrw.'.p 1.1rOGe Na-na - — •:atl lamp The: cl.ee_or. :tnTuriy:n1 116r4 :r•`.•i::f.w -� tif •i2cchan_VJrtcr I.3^-'C:-::e 6--- Ire:I23?•2.a 2ti 38 t'Snre. IKr19t:.do.1CL.aJwr:.:l iu•_uur.Y f.../e.r ;•J Annual Action Plan 74 2020 OMB Control No:2506-0117(exp.06/30/2018) 1 11 Application for Federal Assistance SF-424 -a.Type of Applicant 7:Riled AppIIo nt TIP.: y Typo v'hppi co-12 achy ioph.1id T?pe: irx•crAnp4sirll 39er.ALitoil Iyo,i •o11Y: - • IU.Mama of Fork/a:A,Mcy: _•• ".-pnrrn:nt ut La:ur, r y 6 1.:J]_l _� :•.iur�� _ - - ..' 11.Catyloy e1 Fe:l•rsl Duin itc Assisi;rc.Numb-r: fCd 71r: r r rut'rl' 37.acc j '12.Funllini Opportunity Nul•t09r; rr,. 1�.Competelon rd9utlrrc411en Number: TII.. .... ... .._.—_ —. -1 14.Amos Anact,U by Project IClUes,Cnerelos,7lales.elc.0 - -�— .1 I Ira Tilt! l L.,cr-w '.hchq,;li /rrn,:acnnXat I •16.D CIT Irve Til'!of Apulicanl's ProJpr.t: �CnF3 PrCf;:37 3.1 /.6. .1 .1 ra:•re ACC:VS-1:a a:...rd y.•ir,r ..... _._.. .. ,Vtatl'4.1:1:W.:I Ja..trr•erls as sxcr ee l l a• -cS�n►r ul,�cna _ „_, _. -.. AilAna[I,rr_1Js $+ Errol ;3rbgv116 t•i:w:dr:,alnf�l!:. - _ Annual Action Plan 75 2020 OMB Control No:2506-0117(exp.06/30/2018) 1 11 Application for Federal Assistance SF-424 1E Congreaeiunnl Dietricta Or. a A,tI•li aul 25 •b P .anrr.ciy-1 •,Ilacf an o111bna lid al Pr,,,y.;vrxecl Canret:Ia ra Cisr els drew lel ; 1k11 AIlRCh O_lein,Alle.nrrr.rl I I V pNA'!afh fi.Yr./ 17,Propoeod Project 'a Slat:Dare: ,1? 3 �ppZ� 't. Date IC7 3312)21 18.Eafknated Funding)$f Fn"err I 1. � •I • e.•\pnI r/ I I State I I 'a.tn.:a •e Oka I 1 'f F:nartmWI e I 13.Is Application Subject to Review By Stalo undid Esecugve Order 12372 Process? e Iris eraChAiivn wan nade avaitatlr.'a Ile Sla'A ur(et ihd=r.ec.11i.r Order'2.1/2 Prnranss Itr r)VS•ROl I LI b Progratl is s.th)ect In F.')'2372 bul Ilse nu{Item soh:cl a by ten Slain!Cr fevUw c.Programs not rrvarni ty E 0'2372 •23.Is the Applicant Dallngwnt On Any Federal Debt?tII'Yes."provlda oxplanallat in attrehtnent.l l✓Yn6 N Na II YE$,lrcviJv rip enaIh t a•td atl:cl• — _. I I (•AI All::.mni ( I /i,/r.iashntxrc I I :era•.61Uc1rn'•tt 21.'By aignhig this application,1 candy II)to tno statements contained in the list of ccrtticatIons"and(2)that the statements nafoln aro tfne,complete and accurate to the test of try knowledge,I also provide the rcauked assuranraa"blri ag•aa to comply with any cavilling la•nre III accept an award.I am awa•rt that oily rakie,fictitious.or traudutont statcrnanla or elohna may suhlcct not to criminal,clvit or administrative penattica.W.S.Coda,l ila 218.Seel-on 1001) �I 1 t tik, 71re Is:o'cerhlcalo-t a1]als.anrco,et ar inlan'al ale e..n ern.may a01ar 71s Iltt,II,rlatna.l i',1 e ire ebriarnt',l o'ap:•t:, rxcac nr.uMans AUlhnrtled Repneentailve: Pats IN.. •Ftst hurt steal:Nara 1. - '_era flan: [3aun]ees --'- s,.ir, 'I thhp171:4rba: 23S :eau eaa•. Save J F. i F`sia Iwrrr:SpvV': cric_ lcu•c:ur cyfl in, - `•419nalrire CI A.B-tricalle_rewtrlall.n • A rrFy7'; Approved as to form and lei ility r � i / • ) 1 d5 l0 C�6 r • — Asro ant County ABor1A :Q 1 al•i'dt`�r) ,ww.l��.,. )1 Annual Action Plan 76 2020 OMB Control No:2506-0117(exp.06/30/2018) I 1 I .4.1.1•54'clna-ccei Ecicicirr 74rs• 12.71.2t10 Application ter Federal Assistance SF-424 •I.Vain:I!4....hallutian •A Tyr* ADD t-C1cCI Moit• tic •Opx.r(.5f.u.ry; 11 GhnryartX:r.nrr,:leyl A1pli.810,1 nvyklcri Pv•k-Ire‘. 4 A:c.lkant LI;c:•tla Fcccr.2 Fatly kirrrlfc: Lt.1,c•ctra A•noto clivOna.• .nt) State Ike CIO. C.tole licccim.:1ty slatc:r-- I 7 SIVA'A03•Cfift r IdenlAci E.A FPI...CANT INMVAA.TION: • L•r;e•I 'ter Cjrt Eo o: Cc..r.ty Cam!a,i• • Efrr.tvegrratrayPrL1itflgIJi t44104f •C.tlitanliclkii7 DtPC. 1.. •••••• AddrtsS: •:Rt.=I: I: !my*: :ubalc •t•s•nr i.••• r • . _ .....__ • iny . . •:.011.4r _ - •-- Pdr•fir.r• • - _- •CaLillty: IN.*, iN• .(.: t•11,71-5 • 4. ' •(-.01.107.....• •.41-it-•! Dt.1:4!741•10041 -4,1q,1-601.teiwe' Ckihto I•41 lavvricce I .!Ic7Letnt.ALL y %:“.1 accv1:.•nr. ._ Nall0 and COntAci inform2tion&frnrson to bc contactor:on motion]involving!big applIcatlueu _Pn4i.c 'Flzt NaTo Marna I - _ •Latt ftamc: jonn,,,c AMT. — I ' In• Co-rnunity ant i•!-.:nz..n ,Z or v_ 'Nutmeat caul Alit len cr: ickftenc NuM5C-: j --- •"' f Num Ler _. Lr-er. 'K.I t.,••••1 id y4 ...it.... _ . • t Annual Action Plan 84 2020 OMB Control No:2506-0117(exp.06/30/2018) 1 1 I Applicitlan(or Federal Asulstanco SF-424 9.Typa 0!Appiitall 1:SekrtApplicart Type: 6: Cowley ecrfr erre no• I YIX'e,Anri r.:‘, aalal kr,i1V,"1.TyPe. ri ._J ApptNr.: Rat•yi kri,arl I yor 0114'Novi, . •1' N111110 0(fvleral AcsaraY: t...r..".,t. L.: Iluu sinq s, -.."et•nit DCA•CICGriCt...• - II.Cotr.u%of koocral 0.prrtes.11r kutrynar. Czaa it It. Ure.rs: - '12.ruldirsis Opportunity Numbor: 13.Convortlell PhantlfiCatiOrt N‘sna)rr! 14.Mono Allooloif rrojecl(Cltirs,Cowates,States,etc.I' ! I All Atactirlartt• -11flele Alki..h too fo:-.1-orwol •1.t.Camerlpthos illlo of AOPfic41111.8 Prok'-1. EEOI( :,colron lr.t ,ir : A ;v.1••og Arch . emu 3pcurrrn1:. tpcellal r zvrc,hulf • 1 hari Alarnmenin •I I 1*.n.rlr LI:rinn:rAft.I L •..•• Annual Action Plan 85 2020 OMB Control No:2506-0117(exp.06/30/2018) 1 1I Applicaton For Federal Assistance SF424 16.Conynaaionfd Markle Of: - -- a Anhi_ant • F7arcr••,Prc{a:: Allan ar anonnnal RA of Fi)J•enrr'.vJ7d ecrprs cral Oald:•a r nrcran -- -- I I ACd_AILOTTI1H11 J .1 r:r w•.rchnr..tl I I •:mw al4t-stir li 17 arel:naan arOjecL•a SArt ri.l. Ere Cale: 25/3Ci:C 2: 13 Estimated Funt1me IS): •i °.'I.rol •a Ar¢Ira1: SIae •I .cce 'a Atha, 'ID.Ia A;rpticatlon Subject to Review-By Stato Under E.eentiwa Order 12372 Process? X a iris apcilcallor w11 uotde a aiaate lo Mr S:alr.Irrn•Inn F<fh.r46 O'Cer 12272 Fumes's ro're•.1rw en I _..b.Fro-ern s srklrrt rn I-(1 1237I tul taS set Smell:ers•a Or.:te:Rain 1nr rrrer.•x U c Progra n iz nrl err yed by E.C.12972. •20.In Wm Applicant L`olinquenl On Any Federal Orbt7(If"Yes,'provide aq:•anatlnn In attachment Yet yc i'Yes'.rravrc explara:cm ary et:ao'1 I _ Ath.Aile•.l,um.. JCle:c nil.r..arrc1 I I ';UwAllba.nMA 21 •Ry eidninp tide Apolicatatr.I cert'y{1)to Iha 1I I fr1Anta contained in the Ilet of syndications"and(21 Ihol the alatauleute Mraln♦re Pte.cotdplete and accurate to the best of my knowladya,I Mao provide the required assurances"ord agree le comply with any reaullint terms if t accept ar.award.I am aware that any false,Rcti lour.ur fraudulent statemerts or ctalm: tnay auhject nw In criminal civil,Or adman strat vn pananlcs. U.S.t, Coco.Title 21e,Section 1001) X"IAGREE •' 11a I:1 Cr ea1I1c (ans are cassia-ea* ,r a.•inie•I•el ate wi'tse lye may aa-zn this 1st,Is canlalwJ n 11•a erucuntrr-ert c ape•s.-y Authorised Reprasontattre: °r.'X • :It, rc L•7cr.I _.. r:ru:JS.(sere 'Last Ma-r. Soundeto -- . stern. I — — 1 •rot: ICna i r tar. — i •rcleovsa%;,rener.. }rt.�, -+.•,ru} sax Meter�',/j •L^rsl . •, y'1nnd •SgnplYecl�ltl'c.nc7tr(ce:CrlaIme a" _ �e-� �// "L/JY r• - 'nazi Signal Ari'E ST r Approved as to form laid legality CRY' L'tt,1OtNZ¢L.C.8RK sisl:ntl County Aktl•�tttcy S poi odU es a airman s .tn na6rrn nn11J Annual Action Plan 86 2020 OMB Control No:2506-0117(exp.06/30/2018)