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Backup Documents 07/08/2025 Item #16D 2 I 6D 2. ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 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. Tracey Smith Community and Human TS 07/03/2025 Services 2. County Attorney Office County Attorney Office 104n4 7/i 3. BCC Office Board of County Commissioners 71g 4. Minutes and Records Clerk of Court's Office 2405— PRIMARY CONTACT INFORMATION Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is n eded in the event one of the addressees above,may need to contact staff for additional or missing information. Name of Primary Staff Tracey Smith,Grants Coordinator 252-1428 Contact/ Department Agenda Date Item was 07/08/2025 Agenda Item Number --ma's Approved by the BCC / Type of Document CDBG, HOME, ESG SF424S, Number of Original 2 COPIES OF EACH Attached CERTIFICATIONS, ASSURANCES, AND Documents Attached RESOLUTION 4 jay zo .c PO number or account Anni.utt Ac+i'orn number if document is 1�r1 r� to be recorded ✓U // �� ' INSTRUCTIONS & CHECKLIST Initial the Yes column or mark"N/A"in the Not Applicable column,whicheve Yes N/A(Not appropriate. (Initial) Applicable) 1. Does the document require the chairman's original signa e; (YES-STAMP IS FINE) 2. Does the document need to be sent to another agency for adds s? If , N/A 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 Yes 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 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 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 Yes signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip N/A 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 on above date and all changes made during the meeting have been incorporated in the attached document. The County 44 Attorney's Office has reviewed the changes,if applicable. 9. Initials of attorney verifying that the attached document is the version approved by the BCC,all changes directed by the BCC have been made,and the document is ready for the 54lb Chairman's signature. 1 6D 2 RESOLUTION NO. 2025 -13 4 A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA, TO APPROVE AND AUTHORIZE THE SUBMISSION OF THE REQUIRED ANNUAL PLANNING DOCUMENTS FOR THE PY 2025 ONE-YEAR ACTION PLAN TO THE U.S. DEPARTMENT OF HOUSING & URBAN DEVELOPMENT (HUD) TO CONTINUE RECEIVING COMMUNITY DEVELOPMENT BLOCK GRANT, HOME INVESTMENT PARTNERSHIPS AND EMERGENCY SOLUTIONS GRANT PROGRAM'S ENTITLEMENT FUNDS, INCLUDING REPROGRAMMING OF PRIOR YEAR FUNDS AND ESTIMATED PROGRAM INCOME; AUTHORIZE THE REQUIRED BUDGET AMENDMENTS IN THE AMOUNT OF S3,831,052.01 FOR THE HUD PY 2025-2026 BUDGET;AUTHORIZE THE CHAIRMAN TO SIGN THE REQUIRED SF 424'S APPLICATIONS FOR FEDERAL ASSISTANCE, CERTIFICATIONS AND ASSURANCES UPON ARRIVAL; AUTHORIZE THE COUNTY MANAGER TO EXECUTE ANY ASSOCIATED SF 425'S AND ANY OTHER DOCUMENTS REQUIRED FOR GRANT CLOSEOUT; AUTHORIZE TRANSMITTAL OF THE PY2025 ANNUAL ACTION PLAN AND PLANNING DOCUMENTS TO HUD. 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 2021-2025 and an updated Citizen Participation Plan were adopted by the Board of County Commissioners on June 22, 2021; and WHEREAS, the PY2025 One-Year Action Plan will serve as a planning document for Page 1 of 3 ova 1 6D 2 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 PY2025 One- Year Action Plan for the CDBG, HOME,and ESG Programs, which are 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,assurances,SF 424 documents pertaining to the Action Plan on behalf of the County. 3. The One-Year Action Plan sets forth the dollar amounts, project and activity descriptions funded by the CDBG, HOME, and ESG Programs. A description of the proposed activities within each project and associated recommended funding is included in the PY2025 Annual Action Plan and incorporated herein by reference. 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 day of 1,1i , 2025, after motion, second and majority vote favoring same. Page 2 of 3 1 6D 2 SIGNATURE PAGE TO FOLLOW ATTEST,,-0 qn,t CRY SiiAL KI Z CLERK BOARD OF COUNTY COMMISSIONERS .t t. OF COLLIER COUNTY, FLORIDA • By: �.. Y © uttlerk By:Att' tass tort a"abinan's lig.,..."4044040.414.- L. Saunders, Chairman sig�i�tu only Approv:• 4.)• .Ind Legality: IL Jeffrey A. I:tzko , ty Attorney Page 3 of 3 CaO 1 60 2 OMB Number:4040-0004 Expiration Date:11/30/2025 Application for Federal Assistance SF-424 f"1.Type of Submission: I 2 Type of Application 'If Revision,select appropriate letter(s) Preapplication Q New El Application Continuation •Other(Specify): Ei Changed/Corrected Application Revision •3 Date Received 4 Applicant Identifier: 05/14/2025 5a Federal Entity Identifier: 5b Federal Award Identifier: HUD M-25-UC-12-0217 State Use Only: 6.Date Received by State: 7.State Application Identifier 8.APPLICANT INFORMATION: •a.Legal Name: Colter County Board of County Commissioners b Employer/Taxpayer Identification Number(EINITIN): 'c UEI 59-8000558 J WKJ KYRPLLU6 d.Address: Streetl: 3339 Tam:am.Tral East Street2: Community&Human Services Division.Suite 213 •City: Naples County/Parish: Collier •State: FL Florida Province: `Country: '.: : 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' Mrs. •First Name: Krjsti Middle Name: *Last Name: Sonntag Suffix: Title: Director,Community&Human Services Organizational Affiliation: •Telephone Number: 239-252-2486 Fax Number: 239-252-2638 •Email: I kristi.sonntag©colliercountyfl.gov CAO 16D2 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 Grant(HOME) 12.Funding Opportunity Number: 14.239 *Title: Entitlement Grant-HOME Investment Partnerships Grant(HOME) 13.Competition Identification Number: [— Title: 14.Areas Affected by Project(Cities,Counties,States,etc.): rAdd Attachment Delete Attachment l r View Attachment-1 15.Descriptive Title of Applicant's Project: HOME Investment Partnerships and Administrative Activities-County-wide,as outlined in the PY2025 Annual Action Plan. Attach supporting documents as specified in agency instructions Add Attachments Delete Attachments View Attachments 1 6D 2 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. _.__ I Add Attachment Delete Attachment View Attachment 17.Proposed Project: •a.Start Date: 10/01/2025 •b End Date: 09/30/2026 18.Estimated Funding(5): a Federal 759,078.58 •b.Applicant 0.00 •c State 0.00 •d Local 0.00 •e.Other 0.00 "f. Program income 31,5/1.43 g TOTAL 790,650.01 !•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 3 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.) 1 Yes Q No If"Yes",provide explanation and attach r Add Attachment ( Delete Attachment l [View Attachment 1 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 18,Section 1001) (�•'I AGREE ▪ The list of certifications and assurances, or an intemet site where you may obtain this list, is contained in the announcement or agency specific instructions Authorized Representative: Prefix: t.4r. "First Name: Burt Middle Name: 'Last Name: Saunders Suffix: •Title: Chairman ▪Telephone Number: !(239)252-8603 Fax Number: •Email: Buft-Saunders3CcYierCourtyFL.gov• �y-r� Signature of Authorized Representative: .+ ��._lfl�ate Signed: 7/g(ZS AT .r Attest as to Chalrmai C .1 w: sign9ture only CA 4 lwwu y Clerk 1 6D 2 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; ATTEST: BOARD OF COUNTY COMMISSIONERS CRYSTAL . E ,CLERK COLLIER COUNTY,FL By: Attest as to, a an`s Deputy Clerk By: L signature only RT L.SALTC ERS,CHAIRMAN Date: 7/3 I Z S Approve' : o p. .nd Legality Jeffrey A. .1 tz' County Attorney CAO 1 6D 2 Applicant and Recipient U.S.Department of Housing OMB Number:2501-0044 Assurances and Certifications and Urban Development Expiration Date:2/28/2027 Instructions for the HUD 424-B Assurances and Certifications As part of your application for HUD funding,you,as the official authorized to sign on behalf of your organization or as an individual,must provide the following assurances and certifications.The Responsible Civil Rights Official has specified this form for use for purposes of general compliance with 24 CFR§§1.5,3.115,8.50,and 146.25,as applicable.The Responsible Civil Rights Official may require specific civil rights assurances to be furnished consistent with those authorities and will specify the form on which such assurances must be made.A failure to furnish or comply with the civil rights assurances contained in this form may result in the procedures to effect compliance at 24 CFR§§1.8,3.115,8.57,or 146.39. By submitting this form,you are stating that all assertions made in this form are true,accurate,and correct. As the duty representative of the applicant,I certify that the will comply with the nondiscrimination requirements within the applicant:[Insert below the Name and title of the Authorized designated population. Representative,name of Organization and the date of signature]: 'Authorized Representative Name: 5. Will comply with all applicable Federal nondiscrimination Burt L.Saunders requirements,including those listed at 24 CFR§§5.105(a)and 'Title: Chairman 5.106 as applicable. *Applicant/Recipient Organization: Collier County,FL 6. Will not use Federal funding to promote diversity,equity,and 1. Has the legal authority to apply for Federal assistance,has inclusion(DEI)mandates,policies,programs,or activities that the institutional,managerial and financial capability(including violate any applicable Federal anti-discrimination laws. funds to pay the non-Federal share of program costs)to plan, manage and complete the program as described in the 7. Will comply with the acquisition and relocation requirements application and the governing body has duly authorized the of the Uniform Relocation Assistance and Real Property submission of the application,including these assurances and Acquisition Policies Act of 1970,as amended(42 U.S.C.4601) as certifications,and authorized me as the official representative of app implementingble,Section 1 4(d)of theat Housing4 CFR part 4 and, applicable, 104(d)of and Community the application to act in connection with the application and to Development Act of 1974(42 U.S.C.5304(d))and implementing provide any additional information as may be required. regulations at 24 CFR part 42,subpart A. 2. Will administer the grant in compliance with Title VI of the 8. Will comply with the environmental requirements of the Civil Rights Act of 1964(42 U S.0 2000(d))and implementing National Environmental Policy Act(42 U.S.0 4321 et.seq.)and regulations(24 CFR part 1),which provide that no person in the related Federal authorities prior to the commitment or United States shall,on the grounds of race,color or national expenditure of funds for property. origin,be excluded from participation in,be denied the benefits of,or otherwise be subject to discrimination under any program 9. That no Federal appropriated funds have been paid,or will or activity that receives Federal financial assistance OR if the be paid,by or on behalf of the applicant,to any person for applicant is a Federally recognized Indian tribe or its tribally influencing or attempting to influence an officer or employee of designated housing entity,is subject to the Indian Civil Rights any agency,a Member of Congress,and officer or employee of Act(25 U.S.C.1301-1303) Congress,or an employee of a Member of Congress,in connection with the awarding of this Federal grant or its extension,renewal,amendment or modification.If funds other 3. Will administer the grant in compliance with Section 504 of than Federal appropriated funds have or will be paid for the Rehabilitation Act of 1973(29 U.S C 794),as amended,and influencing or attempting to influence the persons listed above,I implementing regulations at 24 CFR part 8,the American shall complete and submit Standard Form-LLL,Disclosure Form Disabilities Act(42 U.S.C.§§12101 et.seq.),and implementing to Report Lobbying.I certify that I shall require all subawards at regulations at 28 CFR part 35 or 36,as applicable,and the Age all tiers(including sub-grants and contracts)to similarly certify Discrimination Act of 1975(42 U.S.C.6101-07)as amended, and disclose accordingly.Federally recognized Indian Tribes and and implementing regulations at 24 CFR part 146 which together tribally designated housing entities(TDHEs)established by provide that no person in the United States shall,on the grounds Federally-recognized Indian tribes as a result of the exercise of of disability or age,be excluded from participation in,be denied the tribe's sovereign power are excluded from coverage by the the benefits of,or otherwise be subjected to discrimination under Byrd Amendment,but State-recognized Indian tribes and TDHEs any program or activity that receives Federal financial established under State law are not excluded from the statute's assistance;except if the grant program authorizes or limits coverage. participation to designated populations,then the applicant will I/We,the undersigned,certify under penalty of perjury that comply with the nondiscrimination requirements within the the information provided above is true,accurate,and designated population. correct.WARNING:Anyone who knowingly submits a false claim or makes a false statement is subject to criminal 4. Will comply with the Fair Housing Act(42 U.S.C.3601-19), and/or civil penalties,including confinement for up to 5 as amended,and the implementing regulations at 24 CFR part years,fines,and civil and administrative penalties.(18 100,which prohibit discrimination in housing on the basis of U.S.C.§§287,1001,1010,1012,1014;31 U.S.C.§3729,3802; race,color,religion,sex,disability,familial status,or national 24 CFR§28.10(b)(1)(iii)). origin and will affirmatively further fair housing;except an applicant wtltettis art Indian tribe or its instrumentality which is "S n ure: excludeclfiy statute front Overage does not make this datealMal4.. certifigation;anc 4ur#tfgr,excerit if the grant program authorizes r Date:(mm/dd/yyyy): limitsparticipatfon to dc5tgnetedpopulations,then the applicant CQV� PP and legalit • ga1it AI r .:ail For; HUD 424-B( 3) y t • C . "�`e Attest as to Chairman's ei6y signature only CatinlyMom CAO 1 6D 2 Public Reporting Burden Statement:The public reporting burden for this collection of information is estimated to average 0.5 hours per response,including the time for reviewing instructions,searching existing data sources,gathering,and maintaining the data needed,and completing and reviewing the collection of information. Comments regarding the accuracy of this burden estimate and any suggestions for reducing this burden can be sent to:U.S.Department of Housing and Urban Development,Office of the Chief Data Officer,R,451 7'h St SW,Room 4176,Washington,DC 20410-5000. Do not send completed HUD 424-B forms to this address.This agency may not conduct or sponsor,and a person is not required to respond to,a collection of information unless the collection displays a valid OMB control number. The Department of Housing and Urban Development is authorized to collect this information under the authority cited in the Notice of Funding Opportunity for this grant program. The information collected provides assurances and certifications for legal requirements related to the administration of this grant program. HUD will use this information to ensure compliance of its grantees. This information is required to obtain the benefit sought in the grant program. This information will not be held confidential and may be made available to the public in accordance with the Freedom of Information Act(5 U.S.C.§552). Form HUD 424-B(1/27/2023) 1 6 D 2 OMB Number:4040-0004 Expiration Date:11/30/2025 Application for Federal Assistance SF-424 L1 Type of Submission'I I'2.Type of Application: I •If Revision,select appropriate letter(s) Preapplication [3 New Q Application El Continuation 'Other(Specify): 11 Changed/Corrected Application Revision• 3.Date Received 4.Applicant Identifier 05/14/2025 I I 5a.Federal Entity Identifier: 5b Federal Award Identifier HUD I I B-25-UC-12-0016 State Use Only: 6 Date Received by State:I I 17.State Application Identifier. 8.APPLICANT INFORMATION: a Legal Name: I Collier County Board of County Commissioners b.Employer/Taxpayer Identification Number(EIN/TIN): "c.UEI 159.6000558 I I JWKJKYRPLLU6 d.Address: •Streetl: 3339 Tamiami Trail East Street2: Community&Human Services Division.Suite 213 City: Naples County/Parish: Collier State: FL:Florida Province: I I 'Country: USA: UNITED STATES *Zip/Postal Code: 39112-5361 I e.Organizational Unit: Department Name: Division Name: Public Services I Community&Human Services f.Name and contact Information of person to be contacted on matters Involving this application: Prefix: Mrs. *First Name: Kristi Middle Name: I Last Name: I Sonntag Suffix: Title: Director,Community&Human Services Organizational Affiliation: •Telephone Number: 1239-252-2486 Fax Number 239-252-2638 Email: I knsti.sonntag@colliercountyfi.gov 1 6D 2 Application for Federal Assistance SF-024 *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: IU.S.Department of Housing and Urban Development 11.Catalog of Federal Domestic Assistance Number: 14.218 CFDA Title: Entitlement Grant-Community Development Block Grant(CDBG) '12.Funding Opportunity Number: 114.218 'Title: Entitlement Grant-Community Development Block Grant(CDBG) 13.Competition Identification Number: Title: 14.Areas Affected by Project(Cities,Counties,States,etc.): Add Attachment f Delete Attachment View Attachment 1 *15.Descriptive Title of Applicant's Project: Community Development Block Grant Program and Administrative Activities-County-wide,as outlined in the PY2025 Annual Action Plan Attach supporting documents as specified in agency instructions Add Attachments I r Delete Attachments View Attachments 1 NO 16D2 Application for Federal Assistance SF-424 16.Congressional Districts Of: •a Applicant 14,25 •b Program/Project f 14,25 Attach an additional list of Program/Project Congressional Districts if needed. Add Attachment I I Delete Attachment I View Attachment I 17.Proposed Project: 'a Start Date: 10/01/2025 •b End Date: 09/30/2026 18.Estimated Funding(b): •a.Federal 2,677,254.00 •b.Applicant ` 0.00 'c State 0.00 'd.Local l 0.00 *e Other ( 0.00 •f. Program Income 0.00 •g TOTAL 2,677,254.00 *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 lj 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. l•20.Is the Applicant Delinquent On Any Federal Debt? (If"Yes,"provide explanation in attachment) Yes El No If"Yes",provide explanation and attach Add Attachment Delete Attachment View Attachment I 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 18,Section 1001) [xxi••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; f Saunders Suffix: `Title: ,Chairman •Telephone Number: (t239)252-8603 Fax Number: :email: Burt.Saunders@CollierCountyFL.gov P'.Signature otAutho4,edRepresentative: igned: 7/g f AS A7 t=i r G Attest as to Chairman's • „HD iU y Clerk signature only I\0 16D2 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 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.C. 1701u)and jaaplernenting regulations at 24 CFR Part 75. • • =S< ,41171 ATTEST:.': :' BOARD OF COUNTY COMMISSIONERS CRYSTAL-k 1 L,CL RK COLLI COUNTY, FL By • By: i Attest as to Chai an% Deputy Clerk T L. SA E S,CHAIRMAN signatu e . y Approv,4,-t• orm and Legality Date: 7 g I25 II�k Jeffrey A 'I. zkow,County Attorney �� 1 6D 2 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: I. 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) 2025 [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. CAO 16D2 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. ATTESTh BOARD OF COUNTY COMMISSIONERS CRYSTAL EL,CLERK COLLIER COUNTY,FL By: Deputy Clerk �� Attest d- Chairman's By: signat only, T L. A RS,CHAIRMAN Date: 7 j�/ ZS Approve : o ' nd Legality Jeffrey A. 1 tz illi ounty Attorney CAO 1 6D 2 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$100,000 for each such failure. ATTEST: BOARD OF COUNTY COMMISSIONERS CRYSTAL K. ',,"; CLERK COLLIER COUNTY,FL By:. A 1 Arid t .uty Clerk By Atte f •t. • ..it-rn URT L.SAUNDERS,CHAIRMAN • Sigriat4eonly Date: 7/2jZ$ I Approve. s I F;..i : eaality ...ai, Jeffrey A.11( zko'��R"tv Attorney CO 1 6D 2 Applicant and Recipient U.S.Department of Housing OMB Number 2501-0044 Assurances and Certifications and Urban Development Expiration Date:2/28/2027 Instructions for the HUD 424-B Assurances and Certifications As part of your application for HUD funding,you,as the official authorized to sign on behalf of your organization or as an individual,must provide the following assurances and certifications.The Responsible Civil Rights Official has specified this form for use for purposes of general compliance with 24 CFR§§1.5,3.115,8.50,and 146 25,as applicable.The Responsible Civil Rights Official may require specific civil rights assurances to be furnished consistent with those authorities and will specify the form on which such assurances must be made.A failure to furnish or comply with the civil rights assurances contained in this form may result in the procedures to effect compliance at 24 CFR§§1.8,3.115,8.57,or 146.39. By submitting this form,you are stating that all assertions made in this form are true,accurate,and correct. As the duly representative of the applicant,I certify that the will comply with the nondiscrimination requirements within the applicant:[Insert below the Name and title of the Authorized designated population. Representative,name of Organization and the date of signature]. 'Authorized Representative Name: 5. Will comply with all applicable Federal nondiscrimination Burt L.Saunders requirements,including those listed at 24 CFR§§5.105(a)and 'Title: Chairman 5.106 as applicable. *Applicant/Recipient Organization: Collier County,FL 6. Will not use Federal funding to promote diversity,equity,and 1. Has the legal authority to apply for Federal assistance,has inclusion(DEI)mandates,policies,programs,or activities that the institutional,managerial and financial capability(including violate any applicable Federal anti-discrimination laws. funds to pay the non-Federal share of program costs)to plan, manage and complete the program as described in the 7. Will comply with the acquisition and relocation requirements application and the governing body has duly authorized the of the Uniform Relocation Assistance and Real Property submission of the application,including these assurances and Acquisition Policies Act of 1970,as amended(42 U.S.C.4601) and implementing regulations at 49 CFR part 24 and,as certifications,and authorized me as the official representative of applicable,Section 104(d)of the Housing and Community the application to act in connection with the application and to Development Act of 1974(42 U S.C.5304(d))and implementing provide any additional information as may be required. regulations at 24 CFR part 42,subpart A. 2. Will administer the grant in compliance with Title VI of the 8. Will comply with the environmental requirements of the Civil Rights Act of 1964(42 U.S.0 2000(d))and implementing National Environmental Policy Act(42 U.S.C.4321 et.seq.)and regulations(24 CFR part 1),which provide that no person in the related Federal authorities prior to the commitment or United States shall,on the grounds of race,color or national expenditure of funds for property. origin,be excluded from participation in,be denied the benefits of,or otherwise be subject to discrimination under any program 9. That no Federal appropriated funds have been paid,or will or activity that receives Federal financial assistance OR if the be paid,by or on behalf of the applicant,to any person for applicant is a Federally recognized Indian tribe or its tribally influencing or attempting to influence an officer or employee of designated housing entity,is subject to the Indian Civil Rights any agency,a Member of Congress,and officer or employee of Congress,or an employee of a Member of Congress,in Act(25 U.S C.1301-1303). connection with the awarding of this Federal grant or its extension,renewal,amendment or modification.If funds other 3. Will administer the grant in compliance with Section 504 of than Federal appropriated funds have or will be paid for the Rehabilitation Act of 1973(29 U.S.C.794),as amended,and influencing or attempting to influence the persons listed above,I implementing regulations at 24 CFR part 8,the American shall complete and submit Standard Form-LLL,Disclosure Form Disabilities Act(42 U.S.C.§§12101 et.seq.), and implementing to Report Lobbying.I certify that I shall require all subawards at regulations at 28 CFR part 35 or 36,as applicable,and the Age all tiers(including sub-grants and contracts)to similarly certify Discrimination Act of 1975(42 U.S.C.6101-07)as amended, and disclose accordingly.Federally recognized Indian Tribes and and implementing regulations at 24 CFR part 146 which together tribally designated housing entities(TDHEs)established by provide that no person in the United States shall,on the grounds Federally-recognized Indian tribes as a result of the exercise of of disability or age,be excluded from participation in,be denied the tribe's sovereign power are excluded from coverage by the the benefits of,or otherwise be subjected to discrimination under Byrd Amendment,but State recognized Indian tribes and TDHEs any program or activity that receives Federal financial established under State law are not excluded from the statute's assistance;except ifthe grant program authorizes or limits coverage. participation to designated populations,then the applicant will I/We,the undersigned,certify under penalty of perjury that comply with the nondiscrimination requirements within the the information provided above is true,accurate,and designated population. correct.WARNING:Anyone who knowingly submits a false claim or makes a false statement is subject to criminal 4. Will comply with the Fair Housing Act(42 U.S.C.3601-19), and/or civil penalties,including confineme•t for up to 5 as amended,and the implementing regulations at 24 CFR part years,fines,and civil and administrative • nal i 100,which prohibit discrimination in housing on the basis of U.S.C.§§287,1001,1010,1012,1014 1.•' * ',ttit M and legality ' �N race,color,religion,sex,disability,familial status,or national 24 CFR§28.10(b)(1)(iii)). origin and will affirmatively further fair housing;except an 'rriall applicant,�Ntijeh is.an Indian tribe or its instrumentality which is 'Sin re: excludedf by statute froin,coverage does not make this Jett'ey • Ki ir ow,County Attorney fr cerNflcatfon;and further exempt if the grant program authorizes 'Date:(mm/dd/yyyy): 11 limits.participattontti2lesignated populations,then the applicant _ 71g(ZS Form HUD 424-B(1/2 712 02 3) tl i .t. + 4 .a.., ^Laic (, _�Ifl = Attest as to Chairman's CA® signature only �' .it q ri�;r� 1 6D Public Reporting Burden Statement:The public reporting burden for this collection of information is estimated to average 0.5 hours per response,including the time for reviewing instructions,searching existing data sources,gathering,and maintaining the data needed,and completing and reviewing the collection of information. Comments regarding the accuracy of this burden estimate and any suggestions for reducing this burden can be sent to:U.S.Department of Housing and Urban Development,Office of the Chief Data Officer,R,451 7th St SW,Room 4176,Washington,DC 20410-5000.Do not send completed HUD 424-B forms to this address.This agency may not conduct or sponsor,and a person is not required to respond to,a collection of information unless the collection displays a valid OMB control number. The Department of Housing and Urban Development is authorized to collect this information under the authority cited in the Notice of Funding Opportunity for this grant program. The information collected provides assurances and certifications for legal requirements related to the administration of this grant program. HUD will use this information to ensure compliance of its grantees This information is required to obtain the benefit sought in the grant program. This information will not be held confidential and may be made available to the public in accordance with the Freedom of Information Act(5 U.S.C.§552). Form HUD 424-B(1/27/2023) CAd 6D 2 OMB Number.4040-0004 Expiration Date:11/30/2025 Application for Federal Assistance SF-24 '1 Type of Submission I ['2 Type of Application: 'If Revision,select appropriate letter(s): Preapplication x❑New ri Application Continuation •Other(Specify): Changed/Corrected Application ElRevision '3 Date Received: 4 Applicant Identifier: 05/14/2025 5a Federal Entity Identifier: 5b.Federal Award Identifier HUD E-25-UC-12-0016 1 State Use Only: 6.Date Received by State:( 1 J State Application Identifier [ 8.APPLICANT INFORMATION:• a Legal Name, I Collier County Board of County Commissioners 'b Employer/Taxpayer Identification Number(EIN/TIN): 'c UEI [ 59 8000558 JIMcJKYRPLLU6 d.Address: Streets: 3339 Tamiami Trail East Street2: [z`ommunity S'Human$ennces bivision,guite 213 •City: I Naples J County/Parish: Collier 'State: [ FL:Florida Province: [ Country: [USA: UNITED STATES 1 •Zip/Postal Code: l 34112-5361 1 J e.Organizational Unit: Department Name: Division Name: Public Services Community&Human Services f.Name and contact Information of person to be contacted on matters Involving this application: Prefix: [Mrs. I •First Name: [Kristi Middle Name: *Last Name: Sonntag Suffix: I I Title: Director,Community&Human Services Organizational Affiliation 'Telephone Number: [239-252-2486 J Fax Number 239-252-2638 Email (kristi.sonntag©cdlieroountyfl.gov J 1 1 6D 2 Application for Federal Assistance SF-424 •9.Type of Applicant 1:Select Applicant Type: 8:County Government Type of Applicant 2:Select Applicant Type. Type of Applicant 3.Select Applicant Type �--- 'Other(specify): �..__ ----------- I •10.Name of Federal Agency: U.S.Department of Housing and Urban Development 11.Catalog of Federal Domestic Assistance Number: 14,231 CFDA Title. Entitlement Grant-Emergency Solutions Grant(ESG) •12.Funding Opportunity Number: 114.231 •Title: Entitlement Grant-Emergency Solutions Grant(ESG) 13.Competition Identification Number: Title: 14.Areas Affected by Project(Cities,Counties,States,etc.): Add Attachment ) rDelete Attachment View Attachment •15.Descriptive Title of Applicant's Project: Emergency Solutions Grants and Administrative Activities-County-wide,as outlined in the PY2025 Annual Action Plan. Attach supporting documents as specified in agency instructions Add Attachments Delete Attachments J View Attachments F 1 6 D2 Application for Federal Assistance SF-24 16.Congressional Districts Of: *a.Applicant 114,25 •b Program/Project 14,25 Attach an additional list of Program/Project Congressional Districts if needed. Add Attachment I Delete Attachment I r View Attachment 17.Proposed Project: •a Start Date: 10/01/2025 'b End Date: 109/30/2026 18.Estimated Funding($): *a.Federal I 214,074.00 `b.Applicant I 0.00 •c State I 0.00 •d.Local 0.00 *e.Other 0.00 •f. Program Income U.UO 'g.TOTAL 214,074.00 I.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 El 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.) Ei Yes Q No If"Yes",provide explanation and attach Add Attachment 1 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 18,Section 1001) (n"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: I Burt Middle Name: Last Name: !Saunders Suffix: 'Title: Chairman •Telephone Number: ((239)252-8603 Fax Number: •Email;_ Burt.Saunders©CotliercountyFL.gov 'Signature ot,Ai.i4lized Representative: s / i/mate Signed: 7/g/4S '' L Attest as to Chairman's li ' signature only �,,NO ��, Clerk 1 6D 2 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. CAD 16D2 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. ATTEST1 BOARD OF COUNTY COMMISSIONERS CRYSTAL ZEL,CLERK COLLIER COUNTY,FL By: Clerk Attest.a to h4irtr►i By' signature only. T L.SA44ff ERS,CHAIRMAN Date: 7rg/ZS Approved=• to orm • s Legality Jeffrey A.741!7'tt``, ,County Attorney 1 CA-0 16D2 Applicant and Recipient U.S.Department of Housing OMB Number:2501-0044 Assurances and Certifications and Urban Development Expiration Date:2/28/2027 Instructions for the HUD 424-B Assurances and Certifications As part of your application for HUD funding,you,as the official authorized to sign on behalf of your organization or as an individual,must provide the following assurances and certifications.The Responsible Civil Rights Official has specified this form for use for purposes of general compliance with 24 CFR§§1.5,3.115,8.50,and 146.25,as applicable.The Responsible Civil Rights Official may require specific civil rights assurances to be furnished consistent with those authorities and will specify the form on which such assurances must be made.A failure to furnish or comply with the civil rights assurances contained in this form may result in the procedures to effect compliance at 24 CFR§§1.8,3.115,8 57,or 146.39. By submitting this form,you are stating that all assertions made in this form are true,accurate,and correct. As the duly representative of the applicant,I certify that the will comply with the nondiscrimination requirements within the applicant:[Insert below the Name and title of the Authorized designated population. Representative,name of Organization and the date of signature]: *Authorized Representative Name: 5. Will comply with all applicable Federal nondiscrimination Burt L Saunders requirements,including those listed at 24 CFR§§5.105(a)and *Title: Cnerman 5.106 as applicable. *ApplicantRecipient Organization: Collier County,FL 6. Will not use Federal funding to promote diversity,equity,and 1. Has the legal authority to apply for Federal assistance,has inclusion(DEI)mandates,policies,programs,or activities that the institutional,managerial and financial capability(including violate any applicable Federal anti-discrimination laws. funds to pay the non-Federal share of program costs)to plan, manage and complete the program as described in the 7. Will comply with the acquisition and relocation requirements application and the governing body has duly authorized the of the Uniform Relocation Assistance and Real Property submission of the application,including these assurances and Acquisition Policies Act of 1970,as amended(42 U.S.C.4601) and implementing regulations at 49 CFR part 24 and,as certifications,and authorized me as the official representative of applicable,Section 104(d)of the Housing and Community the application to act in connection with the application and to Development Act of 1974(42 U.S.C.5304(d))and implementing provide any additional information as may be required. regulations at 24 CFR part 42,subpart A. 2. Will administer the grant in compliance with Title VI of the 8. Will comply with the environmental requirements of the Civil Rights Act of 1964(42 U.S.0 2000(d))and implementing National Environmental Policy Act(42 U.S.C.4321 et.seq.)and regulations(24 CFR part 1),which provide that no person in the related Federal authorities prior to the commitment or United States shall,on the grounds of race,color or national expenditure of funds for property. origin,be excluded from participation in,be denied the benefits of,or otherwise be subject to discrimination under any program 9. That no Federal appropriated funds have been paid,or will or activity that receives Federal financial assistance OR if the be paid,by or on behalf of the applicant,to any person for applicant is a Federally recognized Indian tribe or its tribally influencing or attempting to influence an officer or employee of designated housing entity,is subject to the Indian Civil Rights any agency,a Member of Congress,and officer or employee of Act(25 U.S.C.1301-1303). Congress,or an employee of a Member of Congress,in connection with the awarding of this Federal grant or its extension,renewal,amendment or modification.If funds other 3. Will administer the grant in compliance with Section 504 of than Federal appropriated funds have or will be paid for the Rehabilitation Act of 1973(29 U.S.C.794),as amended,and influencing or attempting to influence the persons listed above,I implementing regulations at 24 CFR part 8,the American shall complete and submit Standard Form-LLL,Disclosure Form Disabilities Act(42 U.S.C. §§12101 et.seq.),and implementing to Report Lobbying.I certify that I shall require all subawards at regulations at 28 CFR part 35 or 36,as applicable,and the Age all tiers(including sub-grants and contracts)to similarly certify Discrimination Act of 1975(42 U.S.C.6101-07)as amended, and disclose accordingly.Federally recognized Indian Tribes and and implementing regulations at 24 CFR part 146 which together tribally designated housing entities(TDHEs)established by provide that no person in the United States shall,on the grounds Federally-recognized Indian tribes as a result of the exercise of of disability or age,be excluded from participation in,be denied the tribe's sovereign power are excluded from coverage by the the benefits of,or otherwise be subjected to discrimination under Byrd Amendment,but State-recognized Indian tribes and TDHE5 any program or activity that receives Federal financial established under State law are not excluded from the statute's assistance;except if the grant program authorizes or limits coverage. participation to designated populations,then the applicant will I/We,the undersigned,certify under penalty of perjury that comply with the nondiscrimination requirements within the the information provided above is true,accurate,and designated population. correct.WARNING:Anyone who knowingly submits a false claim or makes a false statement is subject to criminal 4. Will comply with the Fair Housing Act(42 U.S C.3601-19), and/or civil penalties,including confinement for up to 5 as amended,and the implementing regulations at 24 CFR part years,fines,and civil and administrative penalties.(18 100,which prohibit discrimination in housing on the basis of U.S.C.§§287,1001,1010,1012,1014;31 U.S.C.§3729,3802; race,color,religion,sex,disability,familial status,or national 24 CFR§28.10(b)(1)(iii)). origin and will affirmatively further fair housing;except an applicatit;whiotfia§AJrtdian tribe or its instrumentality whit s Sign exc ed by statute.frofn overage does not make this prove��a t t7,, and legality c ifrcatfon;act rfrjher e*oept if the grant program aut ri or " ate:(mm/dd/yyyy): I{ pagiclpaboqtEtdgsigh`ted populations,then the applicant ` 11111/ zr 7/g ZS Jeffre A.Kla:;? ounty Attorney Form UD •24-8(1/27/2023) /le ' Attest as to Chairman's CNC) � ;,jCierk signature only 1 6D 2 • Public Reporting Burden Statement:The public reporting burden for this collection of information is estimated to average 0.5 hours per response,including the time for reviewing instructions,searching existing data sources,gathering,and maintaining the data needed,and completing and reviewing the collection of information. Comments regarding the accuracy of this burden estimate and any suggestions for reducing this burden can be sent to:U.S.Department of Housing and Urban Development,Office of the Chief Data Officer,R,451 7th St SW,Room 4176,Washington,DC 20410-5000.Do not send completed HUD 424-B forms to this address.This agency may not conduct or sponsor,and a person is not required to respond to,a collection of information unless the collection displays a valid OMB control number. The Department of Housing and Urban Development is authorized to collect this information under the authority cited in the Notice of Funding Opportunity for this grant program. The information collected provides assurances and certifications for legal requirements related to the administration of this grant program. HUD will use this information to ensure compliance of its grantees. This information is required to obtain the benefit sought in the grant program. This information will not be held confidential and may be made available to the public in accordance with the Freedom of Information Act(5 U.S.C.§552). Form HUD 424-B(1/27/2023) CR0