HomeMy WebLinkAbout1975-04-08 ResolutionDEPARTMENT OF MOUSING AND URBAN DEVC lNT Perm Approved
OMB No. 67-RId11
ASSURANCES
(INSTRUCTIONS: The applicant must provide assurances and/or certify to all of the following items: The
only exception is Item No. 10 for which the applicant must cartlly as to either (a) or (b), or to both.)'
The applicant hereby assures and certifies that. he has complied withtheregulations,guidelines and
. policies,. :.
requirements of OMB Circular No. A-95, and that he will comply with the regulutions, policies, guidelines end
requirements of Federal Management Circulars 74-4 and 74-7, as they relate tothe application, acceptance
and use of Federalfundsfor this federally -assisted program. Also,. the applicant gives assurance and certifies
withrespecl to -the grant that: -- --
1: -1t possesses legal authority to apply for the grant, and to execute the proposed program; that a resole-_
_ tion,motion or similar action hos been duly adopted or passed as an official act of the applicant's gov
erning body, authorizing the filing of the application, including all understandings and assurances con
-
g
executive officer the authorized
twined therein, and directing and designating the applicant's ch e such additional
representative of the applicant to act in connection with the application. and to providde
information as may. be. required.
2.- it will comply with:
`(a) Title VI of the. Civil Rights Act of 1964 (P.L. 88-352) and in accordance with TiL- Viofthat Act; :
- -
nopersonin the. United States shall. on the groundof race, color, or national origin, be excluded._
from participation in, be denied the benefits of, or be otherwise subjected to discrimination under
-any-program oractivity -.for which the Applicant receivesFederal financial ass
end will imme-
dietely take any measures necessary to effectuate -this agreement. _ if any real property or structure
thereon is provided or improved with the aid of Federal financial assistance, extended to the Appli-
cant, -this assurance shall obligate .the :.Applicant, or In the case of any transfer of such property,
any transferee, for the period during which the real property or structure is used for a purpose for
which the Federal financial assistance is extended or for another purpose involving the provision of
similar services or benefits.
(b) Title VIII of the Civil Rights Act of 1968, (P.L. 90-284) as amended, and will administer all programs
and activities relating to housing and community development in a manner to affirmatively further fair
housing.
(c) Section 109 of the Housing and Community Development Act of 1974 and in conformance with all re-
quirements imposedby or pursuant_to the Regulations of the Department (24 CFR Pert 570.601) issued
tion, no. person in the United States shall,
on
pursuant to that Section; and in accordance with that See
theground of race, color, national origin or sex,-be:excluded froctivit funded in, he denied partbene-
the
with
fits of, or be subjected to discrimination under, any program or activity funded in whole or in part with
the community development funds. -
(d) Executive Order 11063 on equal opportunity in housing.
(e) Section 3 of the Housing and Urban Development Act of 1968, as amended, requiring that to the greatest - --
extent feasible opportunities for training and employment be given lower :income residents of the project
Brea and contracts -for work in connection with the project be awarded to, eligible business concerns
whicharelocated in,or owned in substantial pert by, persons residing in the area of the project. -
3. Prior to the submission of its application, the applicant has:
_ (a) Provided citizens with adequate Information concerning - b
the amount of funds avee undertaken.
n eproposed
rt
"
community ..development and housing activities, the range of activities that may be undertaken„and
other important program requirements; - - - -
' obtain the views of citizens on community development and
(b) Held al least two public hearings to
housing needs; and
-_(c) Provided citizens an adequate opportunity to. participate in the development of the application and in
the development of any revisions, changes, or amendments.
4. The applicant will: - - - - 202,
istance in accordance with Sections
(a) Provide fair and reasonable relocation. payments and assReal t ropeay Acquisition Policies Act
203, and 204 of life,. Uniform Relocnlion Assistance and
W.L. 91-646) and oppllcrible IIUD ieguinllona, to of (of (amillas,'InAlviduuls, partnerships, corp
- Orations or asnociations displaced on a result of ally acquisillon Of Will Wol"'lty lot 110 uC11V11y -.-
assisted under the program;
HUD -7015.17(12-7d) _ - -
esSrs-in Section
of
(b) Provide relocation B�sr"ls, individuals, partnerships, corporationsSe ciations2n5the m nner-1146
to such displaced femille
provided under applicable HUD regulations-, -
(c) --Assure that, within a reasonable time prior to displscement,.decent, safe, end sanitary replacement
AssuiethAt,w be-evaliable to such displaced families and individuals in accordance with Section
dwel
ings
205(c)(3) of P.L. 91-646;
(d) Inform affected persons of the benefits, policies, and procedures provided for under HUD regulntl°^+:
and ith
(e). corny out the
tent seteloc ttendpassure that replacementrocess in such a rhousing an to rwillbefavailable in the some uniform
of
and
- choicea with respect to such housing to all displaced persons regardless of face, color, religion. or
national origin. -
5. The applicant will: - --
(a)- in acquiring reel. property inconnoclionwith the community development block grant program, be
acquisition policies set out under
law, bPolicies Act and the
guided to the exlenlpermitted under State , y the real property
Section 301 of the Uniform Relocation Assistance.and Real Property Acquisition
provisions of Section 302 thereof; ---_.-
erty owners for necessary expenses as specified in Sections 303 and 304 of the
(b) Pay or reimburse prop
Act; and`
(c) Inform affected persons of the benefits, policies, and procedures provided for under HL1D regulations.
6. It will give HUD and the Comptroller Genets
t°o� documents related to the granttetive access to end the
right to. examine all records, books, papers, --- olitical activity of
i. The applicant will comply with the provisions of the Hatch Act which limit the p
employees.relating to evaluation of flood hazards.
ff•
It will comply with the, provisions of Executive Order 11296,
9. The applicant's certifying officer.
(s) Consents to assume thestatusof a responsible Federal official under othto Nhis PartEnend omenta)
Policy Act of 1969 insofar as the provisions of such act apply p
(b) Is authorized and consents on behalf of the applicant and himself to accept the jurisdiction of the
'--- ---- _ --Federal-courts for -the .. purpose of enforcement of his responsibilities as such an official
10. The Community Development Program:-
[J (e) tivities which will benefit low— of moderate—income families
Gives maximum feasible priority to ac
or aid in the prevention or elimination of slums or blight;
ity
Q (b) Contains act specifically siders identified and described ier n the applicant's lneeds -community dehav velopmentlplanrsum-y
which are spec'Y
mary and community development program. positions for a purpose that is or gives the
establish safeguards to prohibit employees from using Po
appearance li befog motivated by -a desire for private gain for themselves or others, particularly those
11. It will estab
ther rtes.
with whom they HUD concerningD have family, business, or ospecial requirements of law, program.
12. It will comply with dl requirements imposed by roved In accordance with Federal Management
requirements, and other administrative requirements app
Circular 74-7. at- aw
tk State in
Le al Certification: As counsel certify applicant
the feats and repress tat ons contained_ nraAssuranceNo. 1 above -
w is the app icant is located,
ate true. and in accordance with .State and local law..
Iparrj._
(J'ypr nr P/int Name nJ applicant's Caun"') _
(Signature of Applicant', Caunsrl) _ - -
MUD -7015.12 117-71) - _ -
1. Srne U.o•{nv'-d .�Id.nrrb.. --'.
?REAPPLICATION FOR FEDERAL ASMSTANCE
PART I
I
A. AP>iicenr Nd+. _
�. C.g+•. dionel Un.r
mnn i
D+nd r_D�r{.
s"..' AAAr...- P.O. Bo•
ir..r Add,.,. - P.O. Og. c _
Cl" _ - Coo..ry
_ _
i C:o Cad.
City i+m.
-5•d. in Cae- _ _
5. J-wNa+ir. Na-. ei +h. P.el-cr(feief to P3ft ri tsf 9P19rea narrdti V--state-eft - -
5. Fed -.>I C>roluv Na.
7. F..•i-.d Fulling N..A.d
1
•' Tr
Srne-, _Conry,+r.----Olh-.. ($P-eify)
r of ,. -
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'!�.> Je• an 0.. o! / ni . e P+er-•
11. L.ngr. of ?.ei,-r
la
It
1 a
U.il.grnn!nv Dor.
15. ' irh.dn.>d h- fl•b.. , ...
-......c>nl:<m:en h., h_ d..ly owndie-d bl r:....•..1n, 4.4v of rh. rppt:ennr,-(Ibis iublic ,r"ice project supprrts tn. Lsa>u91 t7.
P1,14 P•- dl;/^•j,r, a: de(inad uoeor i.11a I of lce floc%irq aml- Cnennnl lr OgeeloD,egt ,•cL)
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Jffl<•r1-: LI•nho N db-.
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�G .r..•ei ..d r_e +. Y. (fnief b.4Vt1r•JfrtRf)
t..r f.Ay�l lli. llnlr
c.44C 74-7
Septernbe_ 13, 1971
,%ttachment &I
INSTRUCTIONS
Item 7 - Enter: the approximate amount that is requested -
-
This farm shall be used for all Federal assistance projects
from the Federal government. This amount should include
f^,r construction, land acquisition or land development in __
application
the total funds requesmou
.excess of S100 Federal funding. It is not applicable to
excess
agree the total amted ounts shownis in Part IUaL ne 6.
,.
alter the initial grana has been awarded,
nwith _ _
Column le).
or to requests for suool_ments or-revisions to existing
the
,
If the_ grantee is other -
grants or loans. However, the .applicant may submit
by--
.Item 8- Check one grantee type.
specify the type -
-than
preapplitation. form For otherassistancerequests, and
require the preapplicabon form
_ State, county, orcitygovernni+nt,
on the Other line. Examples of other ryoes of
-Federal grantor agency. may
of grantee
of governments,, interstate
--
--fqr other-ssistance requests
grantees are council ,organiza•
Subm t the oricinal and two copies of all required forms. I f
- tions, or special units. - - -
I
an nem cannot be answered or does not appear to be re
-'NA•'
Item 9 —Check the type of assistance-. requested. If the
;
-
_ Ialed or relevant to -,he assistance requested, write
- assistance involves more than one type, check two or more
I -- •' _-
for not applicable. - -" -
blocks and explain in Pa;t.IV.-
Item 1 -Enter the State clearinghouse identifier. This isthe
bytheclearinghouse to appli•
- Item 10 - Enter the number of persons directly benefiting
code or number assigned
State clearinghouse coordination for pro-
_ from this project. For example, if the project is a neighbor-
- "-`cations -requiring
grams list ad in Attachment D. _Office of Management and
hood health center, enter the estimated number of residents
.,._
Sudger Circuler No. A-95. --
-lo the neighborhood that will use the center.
Item 2 - Enter the aoolicant's preapplication number or:
- Item 11 -.
other identifier.
a. Enter the congressional district in'which theapolicant is-
-, item 3 - Enter the name of the Federal grantor agency, toe
-
located h -
district(s). in which most of the
'-nsme of the organizational unit to which the appli-
_--b.Enter the,congressinnal
will he accomplished. If ffie.--
_nation is addressed, the name of theadministrative office
the`
-*having
actual work on the project
-, be accomplished city-wide or,: Star_-wide.--
•having direct op rational -responsibility for managing
of the grantor
work will
covering- several coneressional districts, write "City-
graprogram, rd the complete adr!ress
.ayaM,/.
wide" or --State-wide".
Item 4— Enter the name of the applicant, the name of the
item 12 — Enter me member of months that will be needed
Gryanizaticeal unit which vdll undertake the grant
- - -
to complete the project after Federal funds are made aveil-
pnmar•/
atppnrted activity and the com Ple[e. address of the apPli•..
able.
cant.-
Item 13 -Enter the approximate date the project is ex-
Itsm 5 - Enter the descriptive name of this project.
- - - :: �
.petted to begin.
Item 6 - Enter the aporooriate catalog number as shown in
Domestic Assistance.; If.the assis_
1:>m14 -Enter the date this application is submitted.
-
--the Catalog of Federal
_
.cane reruest pertains to more than. one catalog _number,
Item 15 - Complete the certification before submitting the
teaw_ this space blank and list the calaidf numbers is Pari
..report. -_
_
--Ill
IV --PROGRAM NARRATIVE STATEMENT
PART 11 of ;alicable vben applying for public
.PART
.. (lnoc6p ,,.rtes. owl
sarnca,-,ra . T7i_sI of ffie Dousing and foaaunity
The program narrative statementshould be brief and de-
- p;.r slap❑en `,. r.Ct. -
scribe the need, objectives, method of accomplishment, the _
- - -'geographical
location of the project. 'and -the benefits ex-
--PART III = - Notaopticable vben applying for publlC
pecled to be obtainedfrom. the assistance. The statement
---
- -I--
r/r_s to rTitic I of the Nopstng and Coaaulnty
---should be typed on a separate sheet of paper and submitted s
�,..
_ with the. preapplication._ Also, attach any data that maybe
-the
needed by the grantor agency toestablish applicant's
eligibility .for -receiving assistance under the Federal pro-
INSTRUCTIONS 10 CONM,4ITi=.S BEC'!ESTP:G ASSISMICE FROM THE DEPART?Etif
OF HEALTH, ED'uGA7T04 r0 .+_L-� _FOR PUP C SE3+JiCES UNDER TITLE I 0
• TRE FOL'SLii A:.O CG'°utriiY DE'J Ln .:,...t ' r .T 0.r Ir a"
The attached Fon (M-1) may be used by any community participating under Title I of the Housing and Community
Developnent Act in securing certification frog NEW, 'or'any State or Local agency administering NEW funds„ of `the `
availability or non-availability of DREW funds to support public service activities proposed in support of their
community d^_vaiopment plan. This certification i; require) under DPW regulations (39CFFR 570.601) pert3 ging
-ta the Coaaumitr Development Block Grant Progran. This pre-application fon vas develupad undar GSA Federal -
't•,pagnent Circular 711-7 (formerly MIS Circular '.-122).
The eompleied form should ba submitted 'a the OHE'd Regional Oirector in your region or to the appropriate State
or Localagencyadministering NEW funds if the assistance you s "k is atahorized under State formula grants
or other DHEN fundi administered locally. The Regional Oftice can provide you additional information as to the
appropriate rcntapt points, as needed. The following descriptions correspond to the a`e shown in Pari 1
of the '-I fora:
1. (Optional) A-95 review not required orior to submission of this request for funds certification under '
39CFR 570.607. However, should the submission of a full -application ba-required-following: indicationthatfunds
are potentially available, then A-95 procedures Gould apply.
_ 2. (Optional) Enter applicant's pre-application number or other identifier. '
3. Enter name of Federal (e.g., CIIEA, Regioa _), Stale or Localgrantoragency to which this pre-application
i3rubaitted.
Ii. Enter rave of city, county or atherr:nvernnntal unit which will undertake the gr-_nt-supporied activity.
• 5. Enter the descriptive name of project. A nore complete narrative statement-should be attached as per
instruct?ens under Part IV. _ !
6. Enter appropriate program numbar(s) n shown in the 088 Catalog of Federal Domestic Assistance.
7. Enter total federal/State or local assistance being requested.
8. Clint ane grantee type.
9. Cheek the t,pe of assistance requested.
L. identity the target groups to he served by the proposed project. -
11. Enter (a) congressional district in which applicant is located and (b)thedistrict in which most
-of theactualwork on the protect will be accomplished. - --- _---- -
12. Enter the number of months that will be needed to conplele'the project after futi's are made availabie.
13. Enter the approxin3te date, the project is expected to begin.
14. Enter the date this application is :bmiitrd.
15. fhis pre-application should be signed by lfia Chief 1�nuti:e_Officer (as defined under Title i of the
Housing and Cmaanity Develup.aent Act) of the applinnt's-jurisdiction (e.g., the chief elected official -or -
city r,na,rr)
• Par'. lI at e_ lzcacL zn;n applying for .:istarce ucler (ltle I of the peuslr.g and C,...u;aEy f1.Nlopae: t `t
Part fit - !;of a,nlicable when applying for assistance under TitI 1 of the )causing and Community Development Act.
Part IV - Attach a brief program narrative statement as indicated in Instructions on the reverse silo of the M-1 forn.
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