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Backup Document 06/28/2022 Item #16D 4 (Application) ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 160 4 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. ** 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. Julie Chardon Community and Human 06/24/2022 Services 2. Derek Perry County Attorney Office ,Q I Z$(ZZ 3. BCC Office Board of County 1 I Commissioners (,i'1 it/73's/ 7/4/a Z 4. Minutes and Records Clerk of Court's Office 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 Kristi Sonntag,CHS Director Phone Number 239-252-2486 Contact/Depattntent Agenda Date Item was June 28`h,2022 Agenda Item Number 16.D.4 Approved by the BCC Type of Document(s) 2022-2023 Agreements; g.e- c t„..* 01 Number of Original / p12F' Attached fl pet,ceaLcf,S ASS&r64(e.s Cor 1‘c 4 04S Documents Attached PO number or account 11 f1 JD s13 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(instead of stamp)? N/A 2. Does the document need to be sent to another agency for additional signatures? If yes, N/A provide the Contact Information(Name;Agency;Address;Phone)on an attached sheet. 3. Original document has been signed/initialed for legality. (All documents to be signed by JC 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 N/A 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 JC 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 JC signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip JC should be provided to the County Attorney Office at the time the item is uploaded to the agenda. 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 on_June 28th,2022 and all changes N/A is not made during the meeting have been incorporated in the attached document. The P an option for County Attorney 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 (\e an option for Chairman's signature. 1� this line. I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04;Revised 1.26.05;2.24.05;11/30/12;4/22/16;9/10/21 169 4 BirdMadison From: SonntagKristi Sent: Wednesday, July 6, 2022 9:35 AM To: BirdMadison Cc: ChardonJulie; LaRowJacob Subject: Re: Agenda Item 16D4, 2022-23 Agreements, Applications, Assurances, Certifications and Resolution Madison: All copies should be returned to us Kristi From: BirdMadison Sent: Wednesday,July 6, 2022 9:09 AM To: SonntagKristi Cc: ChardonJulie Subject: Agenda Item 16D4, 2022-23 Agreements, Applications, Assurances, Certifications and Resolution Good morning, I am currently processing the Item 16D4 from the June 28th meeting and I have a query. I received all the agreements in triplicate but there are no instructions on the pink slip or an attached memo dictating where the extra copies are going. I may just be out of the loop. Is this something Minutes already knows to process a certain way? 0 Madison Bird Legal Assistant, Notary Office of the County Attorney 239-252-2939 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. 1 160 4 RESOLUTION NO. 2022 - 1 1 0 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 PY 2022; AUTHORIZING THE CHAIRMAN TO EXECUTE REQUIRED HUD CERTIFICATIONS AND FUNDING DOCUMENTS; 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 Grants (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 PY 2021-2025 and an updated Citizen Participation Plan were adopted by the Board of County Commissioners on June 22, 2021; and WHEREAS, the PY 2022 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: 1. The Board of County Commissioners of Collier County approves the PY 2022 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. [Space Intentionally Left Blank] [22-SOC-00911/1723495/1] Page 1 of 2 CAO l60 4 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. This Resolution adopted this 2.8 72 dayof June 2022, after motion, second and majority vote favoring same. ATTEST: ps,,s, BOARD OF COUNTY COMMISSIONERS CRYSTAL K. KINZEP CLERK COLLIER C0,1 - •RIDA ce); 1110, By: By: _.. „' uty Wil,am L. McDaniel, Jr., Chairman Attest as to Chaim:es signature only, A oved as to Form and Legality: .V Derek D. Perry \�, Assistant County Attorney GG 147` [22-SOC-00911/1723495/1] Page 2 of 2 0`q0 160 4 View Burden Statement 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): Q Preapplication ®New Q Application 0 Continuation *Other(Specify): Q Changed/Corrected Application Q Revision *3.Date Received: 4.Applicant Identifier: E-22-UC-12-0016 5a.Federal Entity Identifier: 5b.Federal Award Identifier: U.S. Department of HUD 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.UEI: 59-6000558 JWKJKYRPLLU6 d.Address: *Streetl: 3339 Tamiami Trail East Street2: IComtnunity & Human 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 & 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 & Human Services Organizational Affiliation: *Telephone Number: 239-252-2486 Fax Number: 239-252-2638 *Email: kristi.sonntag@colliercountyfl.gov r/1 I O 4 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 and Urban Development 11.Catalog of Federal Domestic Assistance Number: 14.231 CFDA Title: Entitlement Grant - Emergency Solutions Grants *12.Funding Opportunity Number: 14.231 *Title: 13.Competition Identification Number: Title: 14.Areas Affected by Project(Cities,Counties,States,etc.): Add Attachment .. *15.Descriptive Title of Applicant's Project: Emergency Solutions Grants and Administrative Activities - County-wide Attach supporting documents as specified in agency instructions. View Attachments ��Q 1 60 4 Application for Federal Assistance SF-424 16.Congressional Districts Of: *a.Applicant 19, 25 *b.Program/Project 19, 25 Attach an additional list of Program/Project Congressional Districts if needed. Add Attachment 17.Proposed Project: "a.Start Date: 10/01/2022 *b.End Date: 09/30/2023 18.Estimated Funding($): *a.Federal 221,482.00 b.Applicant c.State • *d.Local *e.Other *f. Program Income *g.TOTAL 221,482.00 *19.Is Application Subject to Review By State Under Executive Order 12372 Process? O a.This application was made available to the State under the Executive Order 12372 Process for review on • O 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.) 0Yes ® 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) n **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: William Middle Name: L *Last Name: McDaniel, Jr. Suffix: *Title: Chairman *Telephone Number: 239-252-8605 Fax Number: 'Email: bill.mcdaniel@colliercou;ty�_�l�.gw Signature of Authorized Representative: �./� C* *Date Signed: 'Z OE 28120221 Wi_11i L. McDaniel, Jr., Chair an Attest: CRYSTAL KINZEL,CLERK A proved as to Form and Legality: Z, v Bv: L O. C ^ e5 as ' e y Cle Derek D. Perry,Assistant unty Attorney 16Q # View Burden Statement ASSURANCES - CONSTRUCTION PROGRAMS OMB Number:4040-0009 Expiration Date:02/28/2025 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 directives. non-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 §794),which prohibits discrimination on the basis of non-discrimination during the useful life of the project. handicaps; (d)the Age Discrimination Act of 1975, as amended(42 U.S.C. §§6101-6107), which prohibits 4. Will comply with the requirements of the assistance discrimination on the basis of age; (e)the Drug Abuse awarding agency with regard to the drafting, review and Office and Treatment Act of 1972 (P.L. 92-255), as approval of construction plans and specifications. amended relating to nondiscrimination on the basis of drug abuse; (f)the Comprehensive Alcohol Abuse and 5. Will provide and maintain competent and adequate Alcoholism Prevention, Treatment and Rehabilitation engineering supervision at the construction site to Act of 1970(P.L. 91-616), as amended, relating to ensure that the complete work conforms with the nondiscrimination on the basis of alcohol abuse or approved plans and specifications and will furnish alcoholism; (g)§§523 and 527 of the Public Health progressive reports and such other information as may be Service Act of 1912 (42 U.S.C. §§290 dd-3 and 290 ee required by the assistance awarding agency or State. 3), as amended, relating to confidentiality of alcohol and drug abuse patient records; (h)Title VIII of the 6. Will initiate and complete the work within the applicable Civil Rights Act of 1968(42 U.S.C.§§3601 et seq.), as time frame after receipt of approval of the awarding agency. amended, relating to nondiscrimination in the sale, 7. Will establish safeguards to prohibit employees from rental or financing of housing; (i)any other nondiscrimination provisions in the specific statue(s) using their positions for a purpose that constitutes or under which application for Federal assistance is being presents the appearance of personal or organizational made;and (j)the requirements of any other conflict of interest, or personal gain. nondiscrimination statue(s)which may apply to the appiication. Previous Edition Usable Authorized for Local Reproduction Standard Form 424D(Rev.7-97) Prescribed by OMB Circular A-102 CAO 160 4 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. 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 SlGGNA�T/uy_R' O!` HORIZED E' • FICIAL TITLE 1 i( /• , h • Chat rr.an ,+T• L. Mctanre , Jr. APPLICANT ORGANIZATION DATE SUBMITTED Board of County Commissioners, Collier County, Florida TUNE Z8 ZOLZ Attest: . SF-424D(Rev. 7-97)Back CRYSTAL K. KINZEL;CLERK Attest as to Charrmu p t Cl s' alture Only. A r ved as o Form and egality: rY Derek D. Perry `tv Assistant County Attorney \'►7� 160 4 View Burden Statement 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): 0 Preapplication 0 New 0 Application 0 Continuation *Other(Specify): 0 Changed/Corrected Application 0 Revision *3.Date Received: 4.Applicant Identifier: M-22-UC-12-0217 5a.Federal Entity Identifier: 5b.Federal Award Identifier: U.S. Department of HUD 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(EIN/TIN): *c.UEI: 59-6000558 JWKJKYRPLLU6 d.Address: *Street): 3339 Tamiami Trail East Street2: Community & Human Services Division Suite 211 *City: Naples County/Parish: Collier 1*State: FL: Florida Province: *Country: USA: UNITED STATES *Zip/Postal Code: 34112-5361 e.Organizational Unit: Department Name: Division Name: Public Services Community & 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 & Human Services Organizational Affiliation: *Telephone Number: 239-252-2486 Fax Number: 239-252-2638 *Email: kristi.sonntag@colliercountyf1.gov CAO 160 4 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 and Urban Development 11.Catalog of Federal Domestic Assistance Number: 14.239 CFDA Title: Entitlement Grant - HOME Investment Partnerships *12.Funding Opportunity Number: 14.239 *Title: 13.Competition Identification Number: Title: 14.Areas Affected by Project(Cities,Counties,States,etc.): Add Attachment rent *15.Descriptive Title of Applicant's Project: HOME Investment Partnerships and Administrative Activities - County-wide Attach supporting documents as specified in agency instructions. View Attachments clo i 6 0 4 Application for Federal Assistance SF-424 16.Congressional Districts Of: *a.Applicant 19, 25 *b.Program/Project 14, 25 Attach an additional list of Program/Project Congressional Districts if needed. Add Attachment 17.Proposed Project: 'a.Start Date: 10/01/2022 'b.End Date: 09/30/2023 18.Estimated Funding($): *a.Federal 842,319.00 'b.Applicant *c.State 'd.Local 'e.Other *f. Program Income 31,571.00 *g.TOTAL 8'73,890.00 *19.Is Application Subject to Review By State Under Executive Order 12372 Process? O a.This application was made available to the State under the Executive Order 12372 Process for review on O 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.) 0 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, I ** 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: William Middle Name: L *Last Name: Mc2ar.iel, Jr. Suffix: *Title: Chairman *Telephone Number: 239-252-8605 Fax Number: *Email: bill.mcdaniel@colliercountyfl.goov i *Signature of Authori2ed Representative: C./t . f C• *Date Signed: !Tugs—it 2A2 1 Willia,'L. McDanie , Jr., Chair an / Attest: CRYSTAL K. KINZEL, CLERK / pp oved as to Fon nd Legalityq.: � . rj 1/, ,oQ - vBy:. Wit.4,.4,. 'St14i�A� 1 .�' �c \\ti De. ty Cler,1/ Derek D. Perry,Assistant ounty Attorne{5\ `, cinnaktwo only., O I D 4 View Burden Statement ASSURANCES - CONSTRUCTION PROGRAMS OMB Number:4040-0009 Expiration Date:02/28/2025 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 directives. non-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 §794), which prohibits discrimination on the basis of non-discrimination during the useful life of the project. handicaps; (d)the Age Discrimination Act of 1975, as amended (42 U.S.C. §§6101-6107), which prohibits 4. Will comply with the requirements of the assistance discrimination on the basis of age; (e)the Drug Abuse awarding agency with regard to the drafting, review and Office and Treatment Act of 1972(P.L. 92-255), as approval of construction plans and specifications. amended relating to nondiscrimination on the basis of drug abuse; (f)the Comprehensive Alcohol Abuse and 5. Will provide and maintain competent and adequate Alcoholism Prevention,Treatment and Rehabilitation engineering supervision at the construction site to Act of 1970 (P.L. 91-616), as amended, relating to ensure that the complete work conforms with the nondiscrimination on the basis of alcohol abuse or approved plans and specifications and will furnish alcoholism; (g)§§523 and 527 of the Public Health progressive reports and such other information as may be Service Act of 1912 (42 U.S.C. §§290 dd-3 and 290 ee required by the assistance awarding agency or State. 3), as amended, relating to confidentiality of alcohol and drug abuse patient records; (h)Title VIII of the 6. Will initiate and complete the work within the applicable Civil Rights Act of 1968(42 U.S.C. §§3601 et seq.), as time frame after receipt of approval of the awarding agency. amended, relating to nondiscrimination in the sale, rental or financing of housing; (i)any other 7. Will establish safeguards to prohibit employees from nondiscrimination provisions in the specific statue(s) using their positions for a purpose that constitutes or under which application for Federal assistance is being presents the appearance of personal or organizational made; and (j)the requirements of any other conflict of interest, or personal gain. 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 CA 0 160 4 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. 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 SIGNAT Rr O,A HORIZED E. • FICIAL TITLE j , C. Chairman Willia L. McDan - , Jr. APPL CANT ORGANIZATION DATE SUBMITTED Board of County Commissioners, Collier County, Florida TOE ZS , 2 62-2_ Attest: • , ` SF-424D(Rev. 7-97)Back CRYSTAL K. KINZEL;.CLERK f Attest as to Chaim p . s' nature only . p ved as to Form . fi' Legality: C 0 r Derek D. Perry \-u Assistant County Attorney S`1` O 16D 4 View Burden Statement 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): Q Preapplication Q' New ® Application Q Continuation *Other(Specify): Q Changed/Corrected Application 0 Revision '3.Date Received: 4.Applicant Identifier: B-22-UC-120016 5a.Federal Entity Identifier: 5b.Federal Award Identifier: U.S. Department of HUD 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.UEI: 59-6000558 JWKJKYRPLLU6 d.Address: Street1: 3339 Tamiami Trail East Street2: Community & Human Services Division Suite 211 *City: Naples County/Parish: Collier *State: FL: Florida ,I Province: *Country: USA: UNITED STATES *Zip/Postal Code: 34112-5361 e.Organizational Unit: Department Name: Division Name: Public Services Community & 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: LDirector, Community & Human Services Organizational Affiliation: *Telephone Number: 239-252-2486 Fax Number: 239-252-2638 *Email: kristi.sonntag@colliercountyfl.gov CA0 160 4 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 and Urban Development 11.Catalog of Federal Domestic Assistance Number: 19.218 CFDA Title: Entitlement Grant - Community Development Block Grant *12.Funding Opportunity Number: 14.218 *Title: 13.Competition Identification Number: L Title: 14.Areas Affected by Project(Cities,Counties,States,etc.): Add Attachment *15.Descriptive Title of Applicant's Project: Community Development Block Grant Program and Administrative Activities - County-wide Attach supporting documents as specified in agency instructions. i b0 4 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 17.Proposed Project: *a.Start Date: 10/01/2 0 2 2 *b.End Date: 0 9/3 0/2 02 3 18.Estimated Funding($): *a.Federal 2,503,752.00 "b.Applicant 'c.State *d.Local 'e.Other *f. Program Income 29,000.00 'g.TOTAL 2,532,752.00 *19.Is Application Subject to Review By State Under Executive Order 12372 Process? O a.This application was made available to the State under the Executive Order 12372 Process for review on • O b.Program is subject to E.O. 12372 but has not been selected by the State for review. O c. Program is not covered by E.O. 12372. *20.Is the Applicant Delinquent On Any Federal Debt? (If"Yes,"provide explanation in attachment.) O Yes 0 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: William Middle Name: L *Last Name: McDaniel, Jr. Suffix: *Title: Chairman *Telephone Number: 239-252-8605 Fax Number: *Email: bill.mcdaniel@colliercountyfl. *Signature of Authorited Representative: gov ' r �1 ' C "1111111° I •Date Signed: IJut4 28)ZoZZ1 ✓`� Milli. L. McDan �r., Chair an / _Attest: CRYSTAL . . EL, CLER A roved as to Form and Legality: :it . P.A.,...-N/"..........:Nc),Q „..4.„1. 0. A s as to-Chairmantlepu y 1 Derek D. Perry,Assistant County ANrn \ 't 160 View Burden Statement ASSURANCES - CONSTRUCTION PROGRAMS OMB Number:4040-0009 Expiration Date:02/28/2025 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 directives. non-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 §794),which prohibits discrimination on the basis of non-discrimination during the useful life of the project. handicaps; (d)the Age Discrimination Act of 1975, as amended (42 U.S.C. §§6101-6107),which prohibits 4. Will comply with the requirements of the assistance discrimination on the basis of age; (e)the Drug Abuse awarding agency with regard to the drafting, review and Office and Treatment Act of 1972(P.L. 92-255), as approval of construction plans and specifications. amended relating to nondiscrimination on the basis of drug abuse; (f)the Comprehensive Alcohol Abuse and 5. Will provide and maintain competent and adequate Alcoholism Prevention,Treatment and Rehabilitation engineering supervision at the construction site to Act of 1970(P.L. 91-616), as amended, relating to ensure that the complete work conforms with the nondiscrimination on the basis of alcohol abuse or approved plans and specifications and will furnish alcoholism; (g)§§523 and 527 of the Public Health progressive reports and such other information as may be Service Act of 1912 (42 U.S.C. §§290 dd-3 and 290 ee required by the assistance awarding agency or State. 3), as amended, relating to confidentiality of alcohol and drug abuse patient records; (h)Title VIII of the 6. Will initiate and complete the work within the applicable Civil Rights Act of 1968 (42 U.S.C. §§3601 et seq.), as time frame after receipt of approval of the awarding agency. amended, relating to nondiscrimination in the sale, rental or financing of housing; (i)any other 7. Will establish safeguards to prohibit employees from nondiscrimination provisions in the specific statue(s) using their positions for a purpose that constitutes or unde.r which application for Federal assistance is being presents the appearance of personal or organizational made; and (j)the requirements of any other conflict of interest,or personal gain. 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 • CAO 160 4 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. 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 SI NAT R' O HORIZED E' FICIAL TITLE ( • ' C• F' Chair-.an Willi. L. McDaniel, Jr., Chair:,.an APPLICANT ORGANIZATION DATE SUBMITTED Board of County Commissioners, Collier County, Flor_da 3-Me 28 2-61Z. Attest: SF-424D(Rev. 7-97)Back CRYSTAL K. KINZEL, CLERK • A s asto C��yyhai la►L u CI As' Allaas�1b'Forma Legality: Derek D. Perry Assistant County Attorney �� 1 •O 160 4 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 funds 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-LLL, "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.0 VI • • .leme ing regulations at 24 CFR Part 75. Attest: ftt CRYSTAL K. KIN L, CLERK 3-ale Ze z z- . r ignature of Authorized Of wcial Date . st as to 11I1 n eput lerk William L. McDaniel, Jr., Chairman, S.1 re only. Board of County Commissioners, Collier County, Florida Title ppriived as to rm Legality: CAJL , Derek D. Perry Assistant County Attorney © L CAO 160 4 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) 2022 [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. CA® Compliance with Anti-discrimination laws -- The grant will be conducted and administered in 1 6 0 4 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. Complia' ; • : • s -- It will comply with applicable laws. 1 �\ / -.sew'_ d �Ir J((tJC Zg) Z-0 Z 2- Si ature of Authorized Offici.l Date 1 William L. McDaniel, Jr., Chairman, Board of County Commissioners, Collier County, Florida Title Attest: CRYSTAL K. ZEL, CLERK hest as to Chi�irm�n.'aDe y Cl-yr; signature until. A •• oved as to Form and Legality: _____, it r LD if Derek D. Perry � Assistant County Attorney ` II 1 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 combinat', .' • < Federal assistance than is necessary to provide affordable housing; Si:.C62 ' "!ft-- ti"Afr 3UNc 2-8) Zz3.2_2- ature of Aut orized Officia Date William L. McDaniel, Jr., Chairman, Board of County Commissioners, Collier County, Florida Title Attest: ' CRYSTAL K. KINZEL, CLERK /1' . , A .d / L _ �I I st as to Chairman. •ep , C�►- signature only. A oved as to Form and Legality: L 0. v rek D. Perry �ti Assistant County Attorney t", n 16D 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. 0 where appropriate,policies and protocols for the discharge of persons from publicly funded institutionsi 6 0 4 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 ' . - -- s for these persons. SiCe) , OA ;., ature of Authorized Offici. Date I William L. McDaniel,Jr., Chairman, Board of County Commissioners, Collier County, Florida Title Attest: CRYSTAL ZEL, CLERK • iff". , .. ,s.Iimii r'Attest as to Chairman.. • ty (OP signature only. Ap ved as to Form and Legality: v Derek D. Perry O Assistant County Attorney c) \rtt 04? INSTRUCTIONS CONCERNING LOBBYING CERTIFICATION: t 6 9 4 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.