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HomeMy WebLinkAbout980466.tiff RESOLUTION RE: APPROVE APPLICATION FOR FEDERAL ASSISTANCE FOR HOUSING PRESERVATION GRANT AND AUTHORIZE CHAIR TO SIGN WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with an Application for Federal Assistance for Housing Preservation Grant between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Weld County Housing Authority, and the Office of Rural Development, commencing July 1, 1998, and ending March 31, 1999, with further terms and conditions being as stated in said application, and WHEREAS, after review, the Board deems it advisable to approve said application, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, ex-officio Housing Authority Board, that the Application for Federal Assistance for Housing Preservation Grant between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Weld County Housing Authority, and the Office of Rural Development be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said application. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 23rd day of March, A.D., 1998. BOARD OF COUNTY COMMISSIONERS WW,, COUNTY, COLORADO {ATTEST: ��1" � AjA Constance/�� L./Harb rt, Chair 1 Weld Co y it 1/�,""� -YV/'� / 1ki 2 lj ,x 7l 9 O 4 t�� W. H. bster, Pro-T� BY: rZ ' % ���� Deputy Clerk- t' T+�ard • orge . Baxter (AP 'RO ED AS ORM: Dale K. Hall ounty Att ey EXCUSED DATE OF SIGNING (AYE) Barbara J. Kirkmeyer 6c.. 5/. / ��. 980 HA0018 8 U.S. DEPARTMENT OF AGRICuLTUKE Certification Regarding Debarment, Suspension, and Other Responsibility Matters - Primary Covered Transactions This certification is required by the regulations implementing Executive Order 12549, Debarment and Suspension, 7 CFR Part 3017, Section 3017.510, Participants, responsibilities. The regulations were published as Part IV of the January 30, 1989, federal Register (pages 4722-4733). Copies of the regulations may be obtained by contacting the Department of Agriculture agency offering the proposed covered transaction. (BEFORE COMPLETING CERTIFICATION, READ INSTRUCTIONS OM REVERSE ) (1) The prospective primary participant certifies to the best of its knowledge and belief, that It and its principals: (a) are not p ly debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any Federal department or agency; (b) have not within a three-year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State or local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; (c) are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State or local) with commission of any of the offenses enumerated in paragraph (1)(b) of this certification; and (d). have not within a three-year period preceding this application/proposal had one or more public transactions (Federal, State or local) terminated for cause or default. (2) Where the prospective primary participant is unable to certify to any of the statements in this certification, such prospective participant shall attach an explanation to this proposal. Weld County Housing Authority Organization Name PR/Award Number or Project Name Constance, L Harbert. Chair_ Weld County Board of Commissioners Mame and Title of Authorized Representative /`'/ 4ignature Date 1 Form AD-1047 (2/89) WELD COUNTY HOUSING AUTHORITY'S HOUSING PRESERVATION GRANT APPLICATION I• Statement of Activities: a. Types of, and Conditions for Financial Assistance: The Weld County Housing Authority (WCHA, as administrator of the Office of Rural Development Housing Preservation Grant Program (HPG) for the County of Weld, proposes to moderately rehabilitate FIVE(S) owner-occupied dwelling units of very low income persons within nine months after the Housing Preservation Grant contract is executed. Rehabilitation activities will address Weld County's Uniform Building Code (UBC) violations, health and safety code violations, handicapped accessibility and over-crowding. Structural changes may be provided to alleviate overcrowding. This program will leverage HPG funds with the WCHA's existing CDBG Housing Rehabilitation Program, and the Weld County Revolving fund program. HPG funds will not duplicate funds provided through the CDBG program. Funds will be used to restore substandard dwellings to a condition meeting Weld County's Uniform Building Code(UBC) , the WCHA's Section 8 and Minimum Property Rehabilitation Standards and Thermal Performance Construction Standards. Each applicant for the housing rehabilitation program must meet the income and other eligibility criteria as outlined in the management plan for the program (See attachement A) . All homeowners assisted by HPG funds must prove that they have occupied the unit at least twelve months prior to the time of the assistance and must, during the full term of the Promissory Note continue to occupy the unit. Ownership must be verfied through the Weld County Assessors Office or by documentation provided by the applicant which clearly verifies ownership of the property. HPG funds will be used to leverage existing funds previously awarded the County. HPG funds will make it possible to rehabilitate properties which may not be feasible without leveraged funds due to the extensiveness of the rehabilitation. Under our housing rehabilitation program, no more than fifty percent of the total project costs will be allocated to FmHA HPG. During 1997, the average total project cost is approximately 23, 000. Funding requested from the Office of Rural Development would represent thirty five per cent of the anticippated cost of rehabilitation per project. Loans will be amortized at an interest rate ranging from zero (-0-) per cent to five(5) per cent based on the income of the household, over a term which will conform with the ability of the homeowner to repay. A promissory note and deed of trust will be required to be signed by the approved family. A lien will be placed on the property for the term of the deed of trust. b. Selection Process and Determination of Housing Needs: The WCHA will solicit applications through broad media publicity, local community outreach, contracts with local leaders, public notices and hearings, and door-to-door contacts with citizens of the program target area. Applicants will be evaluated based on the WCHA's existing applicant ranking system. Points will be awarded to each applicant according to their personal and household characteristics, such as income, housing conditions, age, disability or handicap, and overcrowded conditions (requiring more than two 1 q (a(a persons to OCCUPY a bedroom) . Applicants showing the greatest need will be assisted first. Each dwelling will be inspected by the under the auspices of WCHA. and the Weld County Building Inspection Department. Inspections will assess the number and degree of code violations and health and safety hazards as they relate to the various standards mentioned above. As part of the application and evaluation procedure, each dwelling will be evaluated based on its geographical proximity to a 100-year floodplain. Any dwelling located within a 100-year floodplain will not be eligible for rehabilitation assistance. Also, any dwelling proposed for rehabilitation which is 50 years in age or older will be evaluated by the WCHA and and if determined eligible for Historic Preservation designation, submitted to the State Historic Preservation Office for their review. If the State Historic Preservation Office determines that mitigation concerning the rehabilitation of the structure will be necessary, the WCHA will comply fully with their instructions. Based on the inspection of each unit scheduled for rehabilitation, a work description itemizing the size, type and quality of all necessary repairs will be put out for bid to qualified general contractors. Overcrowded units will be addressed through the rehabilitation program through the addition of living space/bedrooms when feasible. All bidding procedures will be supervised by WCHA, and low bids will be recommended to each applicant for selection. Once a contract and proceed order are signed between owner and contractor, the WCHA, in conjunction with the County Building Inspection Department, will conduct periodic on-site inspections prior to any payment requests by the contractor. When B0% of the contract work has been satisfactorily completed and inspected, and all lien waivers from general contractors, subcontractors and suppliers have been received, a payment for 501 of the original contract amount will be issued. When 100% of the contract work has been completed and inspected, a payment for an additional 30% of the contract amount will be issued. A payment for the remaining 20% of the contract amount will be issued not later than thirty days from the date of the final inspection. Any change order payments will be issued as a fourth payment. A Certificate of project completion must be signed by the homeowner before the before the final payment will be issued. This will assure homeowner satisfaction with the work performed. c. Development Standards for Housing Preservation Work: The WCHA will use the Farmers Home Administration's adopted Minimum Property Rehabilitation Standards and Thermal Performance Construction Standards as promulgated by the Farmers Home Administration. d. Time Schedule for Completion of HPG Program: All units will be completed within nine months after execution of the Housing Preservation Contract. e. HPG Program Staff: The director of the Weld County Housing Authority will be responsible for the over-all administration of the Housing Preservation Grant program. We employ a part time staff person who is responsible for eligibility determinations of applicants. Work write ups are developed through a contract with Greeley Urban Renewal Authority. All projects are monitored by the Housing Authority director. f. Estimated Number and Type of HPG Beneficiaries: One Hundred percent of the families assisted through the Housing Preservation Grant program shall be very low income persons. In previous housing rehabilitation programs, an average of 43% of the beneficiaries were members 2 of minority groups, while 57% were members of non-minority groups. The WCHA expects approximately the same number of minority and non-minority beneficiaries from the HPG program. We are projecting that a total of sixteen (16) very low income persons will be assisted through the Housing Preservation Grants Program. g. Proposed Target Area: The area targeted for HPG funds will encompass Census Tracts 17 and 18, 19.01, 19.02, 20 and 21, 22.01, 22.02 and 25.01. Housing Preservation Grant funds will only be used in rural areas of the county outside MSAs. All FmHA- exempted service areas will be excluded from use of these funds. h. Estimated HPG Program Budget: The annual budget for the HPG program was arrived at as follows: ADMINISTRATION COSTS Salaries Community Services Technician 1,500 Employee Benefits FICA and Medicare 120 Office Supplies 100 Postage 50 Advertising/legal notices 30 Telephone 100 Travel 206 mi./month for 9 mons. 500 Subtotal 900 Contracted costs for Work Write-ups. Greeley Urban Renewal @ $900.00 per unit. 4,500 TOTAL ADMINISTRATIVE COSTS 6,900 TOTAL REHABILITATION COSTS charged to HPG five units @ $8,000 per unit =$40,000 TOTAL PROJECT COSTS = $46,900 The project utilizes no more than 15t of total funds for administration. i. Description of Accounting System The WCHA proposes to draw down program funds per rehabilitation contract. Administration funds will be drawn down for actual and anticipated costs. Fiscal administration will be conducted by the WCHA and the Weld County Finance Department. All program funds will be deposited with the Weld County Treasurer in a separate account of the WCHA. The Weld County Finance Department utilizes a fund accounting approach which 3 91641(4°(° allows for separate accountability of funds. There are no outstanding or unresolved audit or investigative funding which will impair our abilility to carry out our objectives. j. Method of Evaluation to Determine Program Effectiveness: The WCHA will evaluate rehabilitation activities weekly by on-site inspections, as well as inspections by the Weld County Building Inspections Department. The Weld County Inspection Department is an entity of Weld County government, organizationally under the Weld County Planning Department, while the Housing Authority is organizationally under the Department of Social Services. The WCHA will contract all rehabilitation work to qualified general contractors who supervise all construction activity. The WCHA's Director will inspect each unit which is rehabbed to assure that work is carrie dout in compliance with the work write-up and program standards. Quarterly interim and final program reports will be prepared and submitted to the Office of Rural Development k. Sources and Amounts of Other Financial Resources PROJECT TOTAL WCHA HPG ACTIVITY FUNDS FUNDS Administration $6, 900 6,900 Housing Rehabilitation $40,000 50, 000 CDBG and Revolving Loan funds Total $46,900 $56, 900 CDBG funds through the Colorado Division of Housing have been awarded to Weld County to be utilized for housing rehabilitation of owner occupied housing. If awarded, HPG funds will only be utilized for the rehabilitation of owner occupied housing. 1. Use of Program Income: All program income will be recycled into the WCHA's revolv- ing and on-going housing rehabilitation program. m. Plan for Disposition of Security Instruments: Upon the dissolution of the WCHA, all security instruments held by the WCHA as a result of HPG activities will be delegated to the Weld County Commissioners and the County Attorney's Office for disposition. II WCHA'S Experience and Management Capability: a. Projects Completed or In-Progress: Name of Project Year Completed Total Cost Source Section 8 Existing on-going $612,290 HUD CDBG-Gill Rehab. 1983 1985 $288,000 DOLA DOH-East Eaton Rehab. 1985 $ 62, 912 DOH 4 CDBG-Kersey Rehab. 1984 1986 $295, 000 DOLA Rental Rehabilitation 1986 $ 21,000 DOH Section 8 Voucher on-going $351,000 HUD CDBG Rehab. 1986 1987 $350, 000 DOLA DOH-Emergency Rehab. 1987 $ 25,000 DOH CDBG Rehab. 1987 1988 $200,000 DOLA Rental Rehabilitation 1987 $100, 000 DOH FmHA Housing Preservation 1990 $100,000 FmHA CDBG 1988 1989 $230,000 DOLA Rental Rehabilitation 1989 $100, 000 DOH CDBG 1989 1990 $230,000 DOLA Rental Rehabilitation 1992 $75, 000 DOH CDBG 1990 1992 $230, 000 DOLA CDBG 1991 1993 $184,000 DOLA DOH-Guadalupe 1994 $41,000 DOH FmHA Housing Preservation 1994 $90,000 FmHA HOME 1993 1995 $180,000 DOLA HOME Rental Rehab 1995 $130,400 DOLA HOME Replacement 1995 $20,000 DOLA HOME 1995 Program 1996 $71, 556 DOLA CDBG 1996 Program 1997 $190, 000 DOLA b. Management Capability: The WCHA has previously administered housing rehabilitation programs since 1983. we are currently administering a housing rehab program in the target areas of CT 17 and 18, 19.01, 19.02, 20 and 21, 22.01, 22.02 and 25.01. Although our target area encompasses communities which are not in the Office of Rural Development designated areas, no Office of Rural Development funds will be used in a non Office of Rural Development area. Our housing rehabilitation program applies a deferred payment loan/straight loan strategy to addressing the rehabilitation needs of the low and moderate homeowners. As a result, the staff and management team are already organized and in operation. The staff is organized as follows: Jim Sheehan, Director, WCHA; twenty-two years experience in an administrative capacity concerning state and federally funded programs: Section 8 Existing; CDBG Housing Rehabilitation; DOH Grant Programs; Rental Rehabilitation; Low Energy Assistance Program (LEAP) ; and replacement housing, etc. Reports to the Director of Social Services. Jeanetter Dalton-Office Technician II thirty seven years at Weld County Department of Social Services. Five years with Weld County Housing Authority. Ms. Dalton has responsibility for determining eligibility for assistance and managing loan accounts. Reports to the Housing Authority director. Weld County Housing Autority contracts the housing rehabilitation work write up function to the Greeley Urban Renewal Authority. Greeley Urban Renewal Authority has administered successfull housing rehabilitation programs for twenty years within the City of Greeley. Management responsibility of the Housing Preservation Program will continue to rest with Weld County. Per Office of Rural Development Instruction 1944-N, Section 1944.679(3) , staff of the Housing Authority have considerably more than two years of successful experience in managing: housing rehabilitation programs and housing assistance programs which benefit low and very low income families. III. Evidence of Applicant's Legal Existence: Weld County County Housing Authority is a quasi-political entities under Title 5 Five section 29-4-501 of the Colorado Revised Statutes. The County Commissioners of Weld County serve as ex-officio members of the Weld County Housing Authority Board. Members of the Weld County Housing Authority Board: Constance Harbert, Chair W.H. Webster, Pro Tem George E Baxter, Dale Hall, Barbare Kirkmeyer IV. Financial Statement: Not applicable per Office of Rural Development instruction 1944-N; 1944.676 (b) (5) . V. Narrative Statement of Area Housing Needs: The statistics that follow reflect the percentages of low and very low income housholds in the proposed HPG target area. Using an average for the entire target area, 24% of all households have annual incomes below $10, 000; approximately 38% of households of Spanish origin have annual incomes below $10, 000. These figures, coupled with the fact that a high percentage of the area's housing stock was built in the first half of the century, indicate that a moderate housing rehabilitation program would be a welcome benefit to those persons lacking the financial resources to repair their dwellings. Finally, the HPG Program will serve to continue the efforts of the Weld County Housing Authority in preserving existing housing stock from continued deterioration. a. Target Area Statistics: (based on 1990 Census) Census Tract 15 PERSONS OF ALL PERSONS SPANISH ORIGIN TOTAL PERSONS 4, 137 647 HOUSEHOLDS 1,484 174 MEDIAN INCOME $29, 930 $17,252 HOUSEHOLDS BELOW $15,000 PER YEAR 604 or 41% 116 or 55% HOUSEHOLDS BELOW $10,000 PER YEAR 318 or 21% 64 or 37% TOTAL FAMILIES 1,152 107 FAMILIES BELOW POVERTY LEVEL 44 or 3.8% 8 or 18% OCCUPIED HOUSING UNITS 1,491 253 OCCUPIED HOUSING UNITS LACKING COMPLETE PLUMBING FOR EXCLUSIVE USE 34 or 2% 1 or 3% 41% OF THE DWELLINGS IN THIS AREA WERE BUILT BEFORE 1939; 908 BEFORE 1970. Census Tract 17 PERSONS OF ALL PERSONS SPANISH ORIGIN TOTAL PERSONS 4,355 1,291 HOUSEHOLDS 1,414 315 MEDIAN INCOME $27,428 $21,393 HOUSEHOLDS BELOW $15,000 6 PER YEAR 540 or38% 163 or 52% HOUSEHOLDS BELOW $10,000 PER YEAR 320 or 231 82 or 26% TOTAL FAMILIES 1,166 280 FAMILIES BELOW POVERTY LEVEL 104 or 8.9% 19 or 18% OCCUPIED HOUSING UNITS 1,431 243 OCCUPIED HOUSING UNITS LACKING COMPLETE PLUMBING FOR EXCLUSIVE USE 34 or 2% 5 or 2% 22% OF THE DWELLINGS IN THIS AREA WERE BUILT BEFORE 1939; 92% BEFORE 1970. Census Tract 16 PERSONS OF ALL PERSONS SPANISH ORIGIN TOTAL PERSONS 2,923 709 TOTAL HOUSEHOLDS 988 171 MEDIAN INCOME $27,850 $14,330 HOUSEHOLDS BELOW $15,000 PER YEAR 433 or 44% 38 or 22% HOUSEHOLDS BELOW $10, 000 PER YEAR 232 or 24% 26 or 15% TOTAL FAMILIES 870 153 FAMILIES BELOW POVERTY LEVEL 62 or 8% 30 or 18% OCCUPIED HOUSING UNITS 1,003 160 OCCUPIED HOUSING UNITS LACKING COMPLETE PLUMBING FOR EXCLUSIVE USE 16 or 2% 2 or 1* 28% OF THE DWELLINGS IN THIS AREA WERE BUILT BEFORE 1939; 47$ BEFORE 1970. Census Tract 19.01 PERSONS OF ALL PERSONS SPANISH ORIGIN TOTAL PERSONS 8,764 3,426 TOTAL HOUSEHOLDS 2,851 684 MEDIAN INCOME 26,5425 21,562 HOUSEHOLDS BELOW $15,000 PER YEAR 692 or24% 441 or 64% HOUSEHOLDS BELOW $10, 000 PER YEAR 437 OR159% 212 or 31% TOTAL FAMILIES 2,296 612 FAMILIES BELOW POVERTY LEVEL 322 OR 9% 18 or 196 OCCUPIED HOUSING UNITS 2,855 645 OCCUPIED HOUSING UNITS LACKING COMPLETE PLUMBING FOR EXCLUSIVE USE 26 20 VALUE LESS THAN $35,000 227 or 13% 100 or 16% 42% OF THE DWELLINGS IN THIS AREA WERE BUILT BEFORE 1939; 91% BEFORE 1970 Census Tract 20 PERSONS OF ALL PERSONS SPANISH ORIGIN TOTAL PERSONS 9,620 1,748 TOTAL HOUSEHOLDS 3,406 430 MEDIAN INCOME 31,090 16,333 7 `rgzvcCC HOUSEHOLDS BELOW $15, 000 PER YEAR 589 OR 17% 400 or 93% HOUSEHOLDS BELOW $10,000 PER YEAR 315 OR 92 138 or 32% TOTAL FAMILIES 2,651 368 FAMILIES BELOW POVERTY LEVEL 770 58or 16% OCCUPIED HOUSING UNITS 3,413 425 OCCUPIED HOUSING UNITS LACKING COMPLETE PLUMBING FOR EXCLUSIVE USE 30 5 VALUE LESS THAN $35,000 267 or 11% 73 or 172 32 OF THE DWELLINGS IN THIS AREA WERE BUILT BEFORE 1939; 592 BEFORE 1970 Census Tract 21 PERSONS OF ALL PERSONS SPANISH ORIGIN TOTAL PERSONS 7,159 1,665 TOTAL HOUSEHOLDS 2,582 441 MEDIAN INCOME $28, 922 $21,113 HOUSEHOLDS BELOW $15,000 PER YEAR 565 or 402 230 or 52% HOUSEHOLDS BELOW $10,000 PER YEAR 332 or 252 163 or 372 TOTAL FAMILIES 1, 976 364 FAMILIES BELOW POVERTY LEVEL 182 or 8% 64 or 18% OCCUPIED HOUSING UNITS 2,417 371 OCCUPIED HOUSING UNITS LACKING COMPLETE PLUMBING FOR EXCLUSIVE USE 8 or 1% 8 or 22 33% OF THE DWELLINGS IN THIS AREA WERE BUILT BEFORE 1939; 642 BEFORE 1970. The WCHA does not anticipate the use of HPG resources for historic properties. Current policies of the Board require special review and approval; however, if an approved applicant's dwelling is determined eligible for inclusion in the National Register of Historic Places, the WCHA will contact the State Historic Preservation Office and mitigate rehabilitation activities per the Historic Preservation Act of 1966 and the Executive Order 11593, "Protection Enhancement of the Cultural Environment." In addition to the methods of evaluation for determining program effectiveness as outlined in paragraph (b) (1) (x) , program reports will be submitted to the Office of Rural Development as they relate to the HPG Time Schedule included in the Statement of Activities. Also, interim and final program reports will include statistics such as: the number and type of beneficiaries (i.e. : elderly, handicapped, female head of household) ; number of minority and/or women-headed business enterprises awarded contracts; etc. VI. Listing of the WCHA's Current Activities: Weld County and the WCHA are currently administering a HOME Housing Rehabilitation Program in the proposed HPG target area, and in nearby communities exclusive of the HPG target area. The funds granted are sufficient to assure the continued operation of Weld County's current activities during the period of the HPG grant agreement. HOME funds, will also serve as the match for the HPG Program. VII. Description of Process for 8 IC/SOVW Identified Historic Properties: 1) The WCHA will file Historic Building Inventory Record Forms with the State Historic Preservation Office for any dwelling fifty years of age or older. No rehabilitation activities will be undertaken until a response detailing the dwelling's historical significance is received from the SHPO. 2) If the dwelling is determined to possess significant historical and cultural value, the WCHA will coordinate rehabilitation with the SHPO. All descriptions of work and specifications concerning the historical dwelling will be submitted for the SHPO's review. The WCHA will comply fully with the intent of the Historic Preservation Act and Executive Order 11593; Protection and Enhancement of the Cultural Environment. VIII. Consultation with Local Government Officials: See attached letters from incorporated communities in the proposed target area. A copy of the WCHA's Statement of Activities concerning the HPG Program was provided to the Colorado Division of Local Government their review. IX. Public Comment Period / Statement of Activities: Public Notice of the availability of the WCHA's Statement of Activities was published March 8, 1996 in the Greeley Tribune (please see Affidavit of Publication) . The required fifteen-day comment period began the day of publication, ending March 21, 1997. 9 WELD COUNTY HOUSING AUTHORITY'S PROPOSED HOUSING PRESERVATION GRANT PROGRAM TIME SCHEDULE ACTIVITY MONTH 1 2 3 4 5 6 7 8 9 10 11 12 INITIAL X X X OUTREACH APPLICATION X XXXXXX PROCESSING • Two Units X COMPLETED Five Units XI COMPLETED OMB APPROVAL NO. 9000- 0101 U . S. DEPARTMENT OF AGRICULTURE CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS (GRANTS) ALTERNATIVE I - FOR GRANTEES OTHER THAN INDIVIDUALS This certification is required by the regulations implementing Sections 5151-5160 of the Drug- Free Workplace Act of 1988 (Pub. L. 100-690, Title V, Subtitle D; 41 U.S.C. 701 et seq.), 7 CFR Part 3017, Subpart F, Section 3017.600, Purpose. The regulations were published as Part II of the January 31, 1989 Federal Register (pages 4947-4952). Copies of the regulations may be obtained by contacting the Department of Agriculture agency offering the grant. (BEFORE COMPLETING CERTIFICATION, READ INSTRUCTIONS ON REVERSE) Alternative I (A) The grantee certifies that it will provide a drug-free workplace by: (a) Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession or use of a controlled substance is prohibited in the grantee's workplace and specifying the actions that will be taken against employees for violation of such prohibition; (b) Establishing a drug-free awareness program to inform employees about -- (1) The dangers of drug abuse in the workplace; (2) The grantee's policy of maintaining a drug-free workplace; (3) Any available drug counseling, rehabilitation, and employee assistance programs; and (4) The penalties that may be imposed upon employees for drug abuse violations occurring the workplace; (c) Making it a requirement that each employee to be engaged in the performance of the grant be given a copy of the statement required by paragraph (a); (d) Notifying the employee in the statement required by paragraph (a) that, as a condition of employment under the grant, the employee will -- (1) Abide by the terms of the statement; and Form AD-1049 (2/89) NA00/S- (2) Notify the employer of any criminal drug statute conviction for a violation occurring in the workplace no later than five days after such conviction; (e) Notifying the agency within ten days after receiving notice under subparagraph (d)(2) from an employee or otherwise receiving actual notice of such conviction; (f) Taking one of the following actions, within 30 days of receiving notice under subparagraph (d)(2), with respect to any employee who is so convicted -- (1) Taking appropriate personnel action against such an employee, up to and including termination; or (2) Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal, State, or local health, law enforcement, or other appropriate agency; (g) Making a good faith effort to continue to maintain a drug-free workplace through implementation of paragraphs (a), (b), (c), (d), (e) and (f). B. The grantee shall insert in the space provided below the site(s) for the performance of work done in connection with the specific grant. Place of Performance (Street address, city, county, State, zip code) --- Wald roilnty,-Colasa o —__ Weld County Housing Authority Organization Name PR/Award Number or Project Name Name..nd Title of Authorized Reprjsentative Signature Constance L. Harbert, Chair Date INSTRUCTIONS FOR CERTIFICATION 1. By signing and submitting this form, the grantee is providing the certification set out on pages 1 and 2. 2. The certification set out on pages 1 and 2 is a material representation of fact upon which reliance was placed when the agency determined to award the grant. If it is later determined that the grantee knowingly rendered a false certification, or otherwise violates the requirements of the Drug-Free Workplace Act, the agency, in addition to any other remedies available to the Federal Government, may take action authorized under the Drug-Free Workplace Act. 2 F AD-1049 (2/89) 'U.S. GPO: 1989-654-006/815.. APPLICATION FOR _ olasApproval f6o.o34soos3 2.DATE SUBMITTED Applic. Identifier FEDERAL ASSISTANCE 1. TYPE OF SUBMISSION: 3.DATE RECEIVED BY STATE State Application Identifier Application Preapplication ❑ Construction ❑ Construction 4.DATE RECEIVED BY FEDERAL AGENCY Federal Identifier E Non-Construction ❑ Non-Construction 5. APPLICANT INFORMATION Legal Name. Organizational Unit: Weld County Housing Authority Address(give city, county, state, and zip code): Name and telephone number of the person to be contacted on matters involving this application (give area code) P.O. Box A Greeley, CO 80632 James M. Sheehan (970) 356-4000 ext. 4401 6. EMPLOYER IDENTIFICATION NUMBER(EIN): 7. TYPE OF APPLICANT: (enter appropriate letter in box) 14-1 8 4 — 6 0 0 0 8 1 3 A State H. Independent School Dist. B. County I. State Controlled Institution of Higher Learning I. TYPE OF APPLICATION: C. Municipal J. Private University D. Township K. Indian Tribe J❑ New ❑ Continuation ❑ Revision E. Interstate L. Individual ❑ ❑ F Intermunicipal M Profit Organization If Revision, enter appropriate letter(s)in box(es) G Special District N. Other s fyl. Housing Authority y A Increase Award 8. Decrease Award C Increase Duration D Decrease Duration Other(specify): 9. NAME OF FEDERAL AGENCY: Office of Rural Development te. CATALOG OF FEDERAL DOMESTIC 11. DESCRIPTIVE TITLE OF APPLICANT'S PROJECT: ASSISTANCE NUMBER: 1 0 • 4 3 3 TITLE Housing Preservation Grant Program funding will provide for the moderate rehabilitation 12. AREAS AFFECTED BY PROJECT(cities, counties,slates,etc.)' Of Five (5) single family owner-occupied Weld County Census Tracts 17,18,19.01,20,21 dwelling units. The program will benefit & 23 including the communities of Eaton, 16 vefynldwaincome individuals. Pierce, Ft. Lupton, Milliken and Platteville 13. PROPOSED PROJECT: II. CONGRESSIONAL DISTRICTS OF: Start Date Ending Date a. Applicant b. Project July 1,199E March 31,1999 Fourth .T, 7.; ) Fourth IS ESTIMATED FUNDING: 16.IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE ORDER 12372 PROCESS? a Federal $ 46,900 .00 a YES. THIS PREAPPLICATION/APPLICATION WAS MADE AVAILABLE TO THE STATE EXECUTIVE ORDER 12372 PROCESS FOR REVIEW ON: b Applicant $ Do DATE February 23, 1998 17,500 c State $ .00 57,500 b NO ❑ PROGRAM IS NOT COVERED BY E.O. 12372 d Local $ .00 -^ - ❑ OR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR REVIEW e Other $ .00 I Program Income S .00 it. IS THE APPLICANT DELINOUENT ON ANY FEDERAL DEBT? g TOTAL $ ❑ Yes If "Yes.'attach an explanation. El No 00 It TO THE BEST OF MV KNOWLEDGE AND BELIEF.ALL DATA IN THIS APPLICATION PREAPPLICATI0N ARE TRUE AND CORRECT,THE DOCUMENT HAS BEEN DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED a Typed Name of Authorized Representative b Title c Telephone number Constance L. Harbert Chair _356-4000 ext 4700 d Signs re of Authorized Representative e Date Signed Y Representative 03/aV/yP Previous Editions of sa le Standard Form 424 REV 4'88) Prescribed by OMB i,nidiar A-IU2 Authorized for Local Reproduction �J/86U //_/� `7((JLF� • • ,NSTRUCTIONS FOR THE SF 424 This is a standard form used by applicants as a required facesheet for preapplications and applications submitted for Federal assistance. it will be used by Federai agencies to obtain applicant certification that States which have estab fished a review and comment procedure in response to Executive Order 12372 and have selected the program to be included in their process, have been given an opportunity to review the applicant's submission. hens: Entry. Item. Entry: 1. Self-explanatory. 12. List only the largest g political entities affected 2. Date application submitted to Federal agency (or (e.g., State,counties,cities). State if applicable) & applicant's control number (if applicable). 13. Self-explanatory. 3. State use only(if applic_ahiei. 14. List the applicant's Congressional District and 4. if this application is to continue or revise an any District(s)affected by the program or project. existing award, enter present Federal identifier 15. Amount requested or to be contributed during number. If for a new project, leave blank. the first funding budget period by each 5. Legal name of applicant., name of primary contributor. Value of in-kind contributions organizational unit which will undertake the should be included on appropriate lines as assistance activity, complete address of the applicable. If the action will result in a dollar applicant,a,id name and telephone number of the change to an existing award, indicate only the person to contact on matters related to this amount of the change. For decreases, enclose the application. amounts in parentheses. If both basic and S. Enter Employer identification Number (FAN) as supplemental amounts are included, show assigned oy the Internal Rev Se breakdown on an attached sheet. For multiple t nue ,r vier. program funding, use totals and show breakdown 7. Enter the appropriate letter in the space using same categories as item 15. provided. • i6. Applicants should contact the State Single Point 8. Check appropriate box and enter appropriate of Contact (SPOC) for•Federal Executive Order rtter(s) in the spaces`provided 12372 to determine whether the application is --"New" means a new assistance award. subject to the State intergovernmental review —"Continuation.' means an extension for an process. additional fundinglbi,.dget.period for a project with a projected eompletu;n date 17. This question applies to the applicant organi.- --"Revision" means any change in the Federal nation, not the person who signs as the Government's =nancial obligation or authorized representative. Categories of debt contingent liability from .an existing include delinquent audit disallowances, loans obligation. and taxes. 9. ame of Federal agency frain which a:sistance is 18. To be signed by the authorized representative of t► ing requested with this application. 10. i se the Catalog of Federal Domestic Assistance the applicant. A copy of the governing body's authorization for you to sign this application as number and title of the program under which official representative must be on file in the assistance is requested. applicant's office. (Certain Federal agencies may 11. ".ester a rief descriptive title of the project if require that this authorization be submitted as more than one program is involved, you should dart.of the application.) •_tapend an faxpianation or, a sepaaeale sheet. If appropriate (e.g. . construction or real property projects), attach a map showing :Jrt3iect. location Far preapplications, use. a separate sheet to 'ovide a SUM i?7i. .icfit ri tliin of i SF 424 tRr-y a.R8t m X; 9 vQ 4 c o c A� N e Cu O p in U Z f F Em To 0 0 a C a. E a. o < m m M N ! N N N fO p 2 v 5 m 'a 3 4v a g o = N EZ N N O N M N ra O lc A C V v j O Y o W Q V O Zo c H 3.C in N W Z N M N ••• C VV V 2 F O W _ W F 13 6. � = Ti I m y� TTTTC m 0 O 0 0co 00 0 0 0 I J 2 N Z I in .-r �/1 0 0 0 O Z m O^ 1 O G w ZO '"4 .7 V G a M M .�.. N N N N Wb N Q N j N • O 9 L 0 al E 4 W 0 0 O 0 O Z 0 uL O, a • O O • I 0 0 0 0 W ;, 0 0 d I I^ , s �7 O O 1 N M N N N D CO 9 A C Uz 2 , 8 to y< a ft cc+l %o a E G ,13 .CArgOIC d .eY O0m a. 0 a d rejj c O F t r ' °� N c m u H $ d v E 2 on 6 tics 00H s ) a c c N y d < C c< C H d c ? W . o o` r G C p E Ea W d co N F Y a S I-• N v v O I- E r. '" agi V O0 Le " P4 O A 4 v 9 d .r ch L ._ Y a ea lel d N b ^ I i , s I ) 1 i I ! i F j • N ! • II I I ' ; ! I ! i ca �I ! ! Is i ; I ! xl I . ! i < � a • IOf I f I t j it { -� 1 1 I I M 1 1 1 `" I N � y ( N 1 I w I 7 i I I I IN ( z 1 I ! , a1 I IL. a I 1 , Q ( ' I _ ( i +I I o 8 I , N N N w O. ai.0 w 1 w I I 1I z ! H o E i 0 Ir S i ti 1 y1 ! 2 LLaa al I I 1 LasC -J 1 1J 24 0 111 V I CZ f _ o• '^ M W 1 1 w w o I I j ~ E ! ( N ' I - o j w w a l n An II 1 � N J C v —22 c a ii 0 W Z A `l : gat .'^., cu Q . Q Fi C� w f iNi • i €L W I g Ni I N I ` J_ d UJ ! -� i J I ra m C f ri N LL i I ! � L IWy_ C w .^ I w rJ- i w 1 Z I a V !! I f 1 —i Id! 1 1 w F. N I I z ! I 1 ti I v ....NO I ° ° I 'mayI MI h I Q 4 tat V w O 1 I ' ' ( 1 - 1 j Lu I %i 1 w I N Q 1 E i w I 1 z 1 i PI0 I 1 m i LLI . a I I 1 N c as F 1 I - I I ro la c c pt I 'a al co a i E c ia E I I I N ro E E a 1 I Q 13 d i -, U x c r` T+ I ro I i o I 'c i � .____Lt., S 0 ( w r - 1 4i O �;I I L j ,y 1 n Position 3 USDA-FmHA FORM APPROVED Form FmHA 400-4 OMB. No.0575-0018 (Rev. 10-94) ASSURANCE AGREEMENT (Under Title VI,Civil Rights Act of 1964) The Weld County Housing Authority (name of recipient) P.O. Box A, Greeley, CO 80632 (address) ("Recipient" herein)hereby assures the U. S. Department of Agriculture that Recipient is in compliance with and will continue to comply with Title VI of the Civil Rights Act of 1964 (42 USC 2000d et. seq.),7 CFR Part 15,and Farmers Home Administration regulations promulgated thereunder,7 C.F.R.§1901.202.In accordance with that Act and the regulations referred to above,Recipient agrees that in connection with any program or activity for which Recipient receives Federal financial assistance (as such term is defined in 7 C.F.R. §14.2) no person in the United States shall, on the ground of race, color,or national origin, be excluded from participation in,be denied the benefits of,or be otherwise subjected to discrimination. I. Recipient agrees that any transfer of any aided facility, other than personal property, by sale, lease or other conveyance of contract, shall be, and shall be made expressly, subject to the obligations of this agreement and transferee's assumption thereof. 2. Recipient shall: (a) Keep such records and submit to the Government such timely, complete, and accurate information as the Government may determine to be necessary to ascertain our/my compliance with this agreement and the regulations. (b) Permit access by authorized employees of the Farmers Home Administration or the U.S. Department of Agriculture during normal business hours to such books, records, accounts and other sources of information and its facilities as may be pertinent to ascertaining such compliance. (c) Make available to users,participants,beneficiaries and other interested persons such information regarding the provisions of this agreement and the regulations, and in such manner as the Farmers Home Administration or the U.S. Department of Agriculture finds necessary to inform such persons of the protection assured them against discrimination. 3. The obligations of this agreement shall continue: (a) As to any real property,including any structure,acquired or improved with the aid of the Federal financial assistance,so long as such real property is used for the purpose for which the Federal financial assistance is made or for another purpose which affords similar services or benefits, or for as long as the Recipient retains ownership or possession of the property, whichever is longer. (b) As to any personal property acquired or improved with the aid of the Federal financial assistance, so long as Recipient retains ownership or possession of the property. (c) As to any other aided facility or activity, until the last advance of funds under the loan or grant has been made. 4. Upon any breach or violation of this agreement the Government may,at its option: (a) Terminate or refuse to render or continue financial assistance for the aid of the property, facility, project, service or activity. (b) Enforce this agreement by suit for specific performance or by any other available remedy under the laws of the United States or the State in which the breach or violation occurs. Rights and remedies provided for under this agreement shall be cumulative. In witness whereof, Weld County Housing Authority on this (name of recipient) date has caused this agreement to be executed by its duly authorized officers and its seal affixed hereto,or, if a natural person, has hereunto executed this agreement. 4ti(1.,‘ • '�� Recipient y (S E A L)I 1861 1 - - c �a?3�9� $ � Date Attest: :�M • �T,. _._ �w!t1'. Chair T're Title Public reporting harden/6 vr' mated to rate l5 minutes espns including the/ reie and maintaining the data cu 1 /1 t1 t tetra searching of the hd/a sources.gathering PJ yt 'h r ),the 11 /r /information.r Send !, Gr ea'f Washington,hinge rsn.C. o' ed r aspectie roa roimn f and Budget aper/rnt l,t ai /' / m y. ./ [meta ton.C 2. C/ care 0Olue,.O/RM AG his 76n toe-0erO.C.ldreGea cn the Office of IA Management and Budget. Pupnu' 4R dunhn Pr il<e! (OMR � 756 ��) W.hr lernn OL?0504 Ptruer DO NOT �RETURN ,,+J ,frrnunurhe t/rhe re adder.uses Forward FmltA only. 9 N/ q *u S GOVERNMENT PRINTING OFFICE 1994 J-656-241 OMB Approval No.0348-0040 ASSURANCES - NON-CONSTRUCTION PROGRAMS 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 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 (e)the Drug Abuse Office and Treatment Act of assistance, and the institutional, managerial and 1972 (P.L. 92-255), as amended, relating to financial capability (including funds sufficient to nondiscrimination on the basis of drug abuse, (f) pay the non-Federal share of project costs) to the Comprehensive Alcohol Abuse and Alcoholism ensure proper planning, management and com- Prevention, Treatment and Rehabilitation Act of pletion of the project described in this application. 1970 (P.L. 91-616), as amended, relating to 2. Will give the awarding agency, the Comptroller nondiscrimination on the basis of alcohol abuse or General of the United States, and if appropriate, alcoholism; (g) §§ 523 and 527 of the Public Health the State, through any authorized representative, Service Act of 1912 (42 U.S.C. 290 dd-3 and 290 ee- access to and the right to examine all records, 3), as amended, relating to confidentiality of books, papers, or documents related to the award; alcohol and drug abuse patient records; (h) Title and will establish a proper accounting system in VIII of the Civil Rights Act of 1968 (42 U S C § dance with generally accepted accounting 3601 et seq.), as amended, relating to non- discrimination in the sale, rental or financing of housing; (i) any other nondiscrimination 3. Will establish safeguards to prohibit employees provisions in the specific statute(s) under which from using their positions for a purpose that application for Federal assistance is being made; constitutes or presents the appearance of personal and (j) the requirements of any other or organizational conflict of interest, or personal nondiscrimination statute(s) which may apply to gain. the application. 4. Will initiate and complete the work within the 7. Will comply, or has already complied, with the applicable time frame after receipt of approval of requirements of Titles II and III of the Uniform the awarding agency. Relocation Assistance and Real Property 5. Will comply with the Intergovernmental Acquisition Policies Act of 1970 (P.L. 91-646) Personnel Act of 1970 (42 U.S.C. §§ 4728-4763) which provide for fair and equitable treatment of relating to prescribed standards for merit systems persons displaced or whose property is acquired as for programs funded under one of the nineteen a result of Federal or federally assisted programs statutes or regulations specified in Appendix A of These requirements apply to all interests in real OPM's Standards for a Merit System of Personnel property acquired for project purposes regardless Administration(5 C.F.R. 900,Subpart F). of Federal participation in purchases. 6. Will comply with all Federal statutes relating to 8. Will comply with the provisions of the Hatch Act nondiscrimination. These include but are not (5 U.S.C. §§ 1501-1508 and 7324-7328) which limit limited to: (a) Title VI of the Civil Rights Act of the political activities of employees whose 1964 (P.L. 88-352) which prohibits discrimination principal employment activities are funded in on the basis of race, color or national origin; (b) whole or in part with Federal funds. Title IX of the Education Amendments of 1972, as 9. Will comply, as applicable, with the provisions of amended (20 U.S.C. §§ 1681-1683, and 1685-1686), the Davis-Bacon Act (40 U.S.C. §§ 276a to 276a- which prohibits discrimination on the basis of sex; 7), the Copeland Act (40 U.S.C. § 276c and 18 (c)Section 504 of the Rehabilitation Act of 1973, as U.S.C. §§ 874), and the Contract Work Hours and amended (29 U.S.C. § 794), which prohibits dis- Safety Standards Act (40 U.S.C §§ 327-333), crimination on the basis of handicaps; (d) the Age regarding labor standards for federally assisted Discrimination Act of 1975, as amended (42 construction subagreements. C.S.C.§§ 6101-6107), which prohibits discrim- ination on the basis of age; Standard Form 4248 l4 88; Prescribed by OMB Circular A 1112 Authorized for Local Reproduction boy 10. Will comply, if applicable, with flood insurance 13. Will assist the awarding agency in assuring purchase requirements of Section 102(a) of the compliance with Section 106 of the National Flood Disaster Protection Act of 1973 (P.L. 93-234) Historic Preservation Act of 1966, as amended (16 which requires recipients in a special flood hazard U.S.C. 470), EO 11593 (identification and area to participate in the program andto purchase protection of historic properties), and the flood insurance if the total cost of insurable Archaeological and Historic Preservation Act of construction and acquisition is$10,000 or more. 1974(16 U.S.C. 469a-1 et seq.). 11. Will comply with environmental standards which 14. Will comply with P.L. 93-348 regarding the may be prescribed pursuant to the following: (a) protection of human subjects involved in research, institution of environmental quality control development, and related activities supported by measures under the National Environmental this award of assistance. Policy Act of 1969 (P.L. 91-190) and Executive 15. Will comply with the Laboratory Animal Welfare Order (ED) 11514; (b) notification of violating facilities pursuant to ED 11738; (c) protection of Act of 1966 (P.L. 89-544, as amended, 7 U.S.C. wetlands pursuant to ED 11990; (d) evaluation of 2131 et seq.) pertaining to the care, handling, and flood hazards in floodplains in accordance with EO treatment of warm blooded animals held for research,teaching,or other activities supported by 11988; (e)assurance of project consistency with the approved State management program this award of assistance. developed under the Coastal Zone Management 16. Will comply with the Lead-Based Paint Poisoning Act of 1972 (16 U.S.C. §§ 1451 et seq.); (f) Prevention Act (42 U.S.C. §§ 4801 et seq.) which conformity of Federal actions to State (Clear Air) prohibits the use of lead based paint in Implementation Plans under Section 176(c) of the construction or rehabilitation of residence Clear Air Act of 1955, as amended (42 U.S.C. § structures. 7401 et seq.); (g)protection of underground sources 17. Will cause to be performed the required financial of drinking water under the Safe Drinking Water Act of 1974, as amended, (P.L. 93-523); and (h) and compliance audits in accordance with the protection of endangered species under the Single Audit Act of 1984. Endangered Species Act of 1973,as amended,(P.L. 18. Will comply with all applicable requirements of all 93-205). other Federal laws, executive orders, regulations 12. Will comply with the Wild and Scenic Rivers Act and policies governing this program. of 1968 (16 U.S.C. §§ 1271 et seq.) related to protecting components or potential components of the national wild and scenic rivers system. SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL TITLE Chair gfrnaretae-2A"(41-6, APPLICANT ORGANIZATION DATE SUBMITTED Weld County Housing Authority /*R3/9p *U.S. Government Printing office: 1990-755-azo SF 4248 (4.881 Back csoyGace, 7SDA-AEC.;) Form FmHA 1940-1 (Rev.3-95) .r VEST FOR OBLIGATION OF FBI 3 INSTRUCTIONS-TYPE IN CAPITALIZED ELITE TYPE IN SPACES MARKED(1 I 1 I) Complete Items 1 through 30 and applicable Items 31 through 43.See FMI. 1.CASE NUMBER LOAN NUMBER FISCAL YEAR ST CO BORROWER ID 0r5I0r6r2I0I814r6'0101018r113I r I • 9r81 _ 2.BORROWER NAME 3.NUMBER NAME FIELDS WIEILIDL 1C101U1NITIYI IHIA1 I I I I I 1I (l,2,or9from Item 2) 4.STATE NAME 1 1 1_ 1 1_ 1 1 1 1_ 1 1 1 1 1 1 1. I I I CI0ILI0IRIAIDI0J I I I I I I I I 5.COUNTY NAME 1 1 i i ii Li i I 1 1 i I i i 1 i I_ W.1E 1L ID I I I I I I I 1 I I I I GENERAL BORROWER/LOAN INFORMATION 6.RACEIETHNIO 7.TYPE OF 4-PUBLOraw 8.COLLATERAL CODE 9.EMPLOYEE CLASSIFICATION APPLICANT 5-Associa, 1'REAL ESTATE 4-MACHNERYONLY RELATIONSHIP CODE I-WHITE 4-HISPANICSECURED -LIVESTECK ONLY 3-ORM OF 2-R ESTATE 6-CROPS ONLY1 F.MPWyEF. .. 2-MACK 4-NR 1-NDIVIXML FARMERS 2-PARTNERSHIP AND CHATTEL 7-Perm w)BY 2-MEMBER OF RVALY I 3-MAN I 3-CORPORATION T.OTHER I3 NOTE ONYNL�Y BONDS 3- 3 FAMILY UNITU I CLOSE RELATIVE 4-AS40C. 10.SEX CODE - ,MALEovMEn 11.MARITAL STATUS 12.VETERAN CODE 13.CREDIT REPORT 11-MALE B-ORGAN FEMALE OWNED 1-MARRIED 3-UNMARRIED(NCUOES I-YEB 2-FEMALE B-PUBLIC BODY 12-SEPARATED WIDOREDoNORCED) 1 2-NO 2 I 1-IEB VIC 14.DIRECT PAYMENT 15.TYPE OF PAYMENT 16.FEE INSPECTION 17.INTEREST CREDIT NTH I (See FAO/ t-MOMHLY 3-SEMI-ANNUALLY 1- O 2-N IFGRSFN OILYI 2-ANNUALLY 4-QUARTERLY 2 1 2-NO 1 2-NO 18.COMMUNITY SIZE 19.DWELLING TYPE/USE OF FUNDS CODE,, » ;:::"),T013:SS (FORA SFIIAND 21 ER HPDONLY) I I (See FAR.. . COMPLETE FOR OBLIGATION OF FUNDS 20.TYPE OF- 21:PURPOSE CODE ' 22-SOURCE OF FUNDS 23.TYPE OFACTION ASSISTANCE r5tlflal 1-CBIBATIDN ONLY 0 11 19 1 1 21 2.OBLRATIONCNECK REQUEST 1 3-CORRECTOR GF OBLIGATOR 24.TYPE OF SUBMISSION 25.AMOUNT OF LOAN 26.AMOUNT OF GRANT I-INITIAL 1 I 2-SUBSEQUENT Hill 101010 I I I4 6191Or01010I 27.AMOUNT OF IMMEDIATE - 28.DATE OF 29.INTEREST RATE 30.REPAYMENT TERMS ADVANCE APPROVAL - MO DA YR 1 ! I i l 1 1010101 11-1 11-I i I 1 1 1 1 i i I iI COMPLETE FOR SINGLE FAMILY HOUSING ONLY 31.INCOME CATEGORY CODES 32.LOW INCOME 33.ADJUSTED FAMILY INCOME LIMIT-MAX.I-VERY LOW 3-MODERATE x-Low .. ABOVE MODERATE I 1 1 1 1 10101 I I I 1010101 34.R.E.INSURANCE 35.R.E.TAXES 36.R.E.TAXES 37.NOTE INSTALLMENT INELIGIBLE 1st year 2nd year ` i i -.]0I0I ( I I 10101 I I I 10101 I I I 10101 38.TYPE OF UNIT 1•FARM TRACT 2-NONFARM TRACT I COMPLETE FOR COMMUNITY PROGRAM AND CERTAIN MULTIPLE-FAMILY HOUSING LOANS 39.PROFIT TYPE 2-LIMITED PROFIT 1 1-FULL PROFIT 3-NONPROFIT COMPLETE FOR EM LOANS ONLY COMPLETE FOR CREDIT SALE-ASSUMPTION 40.DISASTER DESIGNATION NUMBER 41.TYPE OF SALE fseePV/ 2-ASSUMPTIONONLY L 4-SUBSEQUENT LOAN FINANCE OFFICE USE ONLY COMPLETE FOR FP LOANS ONLY 42.OBLIGATION DATE 43.BEGINNING FARMER/RANCHER MO DA YR • 1 i-1 1 i—i II - I /see FMB If the decision contained above in this form results in denial,redaction or cancellation of USDA assistance.you may appeal this decision and have a hearing or you may request a review in lieu of a hearing.Please use the form we have included for this purpose. '/�/ Position 1���1C' ORIGINAL-Borrower's Case Folder COPY 1 -Finance Office L"/.Office COPY 2-Applicant/Lender COPY 3-State Office / CERTIFICATION APPROVAL For All Farmers Programs EM,OL,FO,and SW Loans This loan is approved subject to the availability of funds.If this loan does not close for any reason within 90 days from the date of approval on this document,the approval official will request updated eligibility information.The undersigned loan appli- cant agrees that the approval official will have 14 working days to review any updated information prior to submitting this document for obligation of funds.If there have been significant changes that may affect eligibility,a decision as to eligibility and feasibility will be made within 30 days from the time the applicant provides the necessary information. If this is a loan approval for which a lien and/or title search is necessary,the undersigned applicant agrees that the 15-working- day loan closing requirement may be exceeded for the purposes of the applicant's legal representative completing title work and completing loan closing. 44. COMMENTS AND REQUIREMENTS OF CERTIFYING OFFICIAL Letter of Conditions dated: • 45. I HEREBY CERTIFY that I am unable to obtain sufficient credit elsewhere to finance my actual needs at reasonable rates and terms, taking into consideration prevailing private and cooperative rates and terms in or near my community for loans for similar purposes and periods of time.I agree to use the sum specified herein, subject to and in accordance with regulations applicable to the type of assistance indicated above,and request payment of such sum.I agree to report to USDA any material adverse changes,financial or otherwise,that occur prior to loan closing.I certify that no part of the sum specified herein has been received.I have reviewed the loan approval requirements and comments associated with this loan request and agree to comply with these provisions. • (For SFH&FP loans at eligible terms only)If this loan is approved,I elect the interest rate to be charged on my loan to be the lower of the interest rate in effect at the time of loan approval or loan closing.If I check"NO",the interest rate charged on my loan will be the rate specified in Item 29 of this form. YES NO WARNING: Whoever,in any matter within the jurisdiction of any department or agency of the United States knowingly and willfully falsifies,conceals or covers up by any trick,scheme,or device a material fact, or makes any false, fictitious of fraudulent Statements or representations;'or makes or uses any false writing or document knowing the same to contain any false,fictitious orfraudulent statement or entry, shall be fined under this title or Imprisoned not more than five years, or both." WELD COUNTY HOUSING THORITY Date , 19 BY��?y ? es•Aenc tl.i (Signature of Applicant) Date , 19 BY:. (Signature of Co-Applicant) 46. I HEREBY CERTIFY that all of the committee and administrative determinations and certifications required by regulations prerequisite to providing assistance of the type indicated above have been made and that evidence thereof is in the docket,and that all requirements of pertinent regulations have been complied with.I hereby approve the above-described assistance in the amount set forth above, and by this document,subject to the availability of funds,the Government agrees to advance such amount to the applicant for the purpose of and subject to the availability prescribed by regulations applicable to this type of assistance. (Signature of Approving Official) RUTH A. RODRIGUEZ - STATE DIRECTOR Date Approved: Title: 47. TO THE APPLICANT:As of this date ,this is notice that your application for financial assistance from the USDA has been approved,as indicated above,subject to the availability of funds and other conditions required by the USDA. If you have any questions contact the County Supervisor or District Director. •u.s.Gn,„mein Pitting once: 1995—957410 . r option USDA-FmHA M APPROVED OMB NO.0575-0084 Form FmHA 1940-20 REQUEST FOR ENVIRONMENTAL INFORMATION (Rev. 1-92) Q Name of Project Housing Rvhahi l i rue on Location Weld County Item la. Has a Federal, State, or Local Environmental Impact Statement or Analysis been prepared for this project? ❑ Yes g No O Copy attached as EXHIBIT I-A. lb. If"No," provide the information requested in Instructions as EXHIBIT I. Item 2. The State Historic Preservation Officer(SHOP)has been provided a detailed project description and has been requested to submit comments to the appropriate FmHA Office. DcYes O No Date description submitted to SHPO 3-9-98 Item 3. Are any of the following land uses or environmental resources either to be affected by the proposal or located within or adjacent to the project site(s)? (Check appropriate box for every item of the following checklist). Yes No Unknown Yes No Unknown I. Industrial O fc7 O 18. Beaches O 17 O 2. Commercial O fl O 19. Dunes O NI O 3. Residential O f7 O 20. Estuary , O 12 O 4. Agricultural O El O 21. Wetlands O I2 O 5. Grazing O C O 22. Floodplain O E O 6. Mining, Quarrying O LI O 23. Wilderness O ® O (designated or proposed under the Wilderness 7. Forests O *2 O Act) 24. Wild or Scenic River O 7 O 8. Recreational O C O (proposed or designated under the Wild and Scenic Rivers Act) 9. Transportation O ® ❑ 25. Historical, Archeological Sites O E O (Listed on the Notional Register of Historic 10. Parks O ® O Places or which may be eligible for listing) I I. Hospitals ❑ gl ❑ 26. Critical Habitats O 7 O (endangered/threatened species) 12. Schools O ® O 27. Wildlife O iO O 3. Open spaces O ® O 28. Air Quality O 8D ❑ 29. Solid Waste Management O x7 O I4. Aquifer Recharge Area ❑ ❑ 30. Energy Supplies O IE7 O 5. Steep Slopes O n O 31. Natural Landmark O L$ O 6. Wildlife Refuge ❑ n ❑ (Listed on National Registry of Natural Landmarks) 7. Shoreline O n O 32. Coastal Barrier Resources System O ll O tem 4. Are any facilities under your ownership, lease,or supervision to be utilized in the accomplishement of this project, either listed or under consideration for listing on the Environmental Protection Agency's List of Violating Facilities? O Ye IX No a /90 ti -4)416-tee-1--'‘K Signed. li'7 (Date) (Applicant) Chair (Title) la Public reporting burden for this collection of information is estimated to average 10 to 40 hours per response, Including the time for reviewing in- structions, searching existing data sources, gathering and maintaining the data needed,and comppletin and reviewing the collection of Information.Send comments se arding this burden estimate ar any other aspect of this collection o/information,including suggestions for reducing this burden, to Depart- ment of Agriculture Clearance Officer, OIRM, Room 404-W Washington, D.C. 20250;and to the Office o/Management and Budget, Paperwork Re- duction Project (OMB No. 05750094). Washington, D.C.20d03. Please DO NOT RETURN this form to either of these addresses. Forward to FmHA only. • Form RD 400-1 FORM APPROVED (Rev.9-96) UNITED STATES DEPARTMENT OF AGRICULTURE OMB No.0575-0019 EQUAL OPPORTUNITY AGREEMENT This agreement,dated March' 16 1998 - between Weld County Housing Authority (herein called "Recipient" whether one or more) and United States Department of Agriculture (USDA), pursuant to the rules and regulations of the Secretary of Labor(herein called the 'Secretary') issued under the authority of Executive Order 11246 as amended, witnesseth: In consideration of financial assistance(whether by a loan,grant,loan guaranty,or other form of financial assistance)made or to be made by the USDA to Recipient,Recipient hereby agrees,if the cash cost of construction work performed by Recipient or a construction contract financed with such financial assistance exceeds$10,000—unless exempted by rules,regulations or orders of the Secretary of Labor issued persuant to Section 204 of Executive Order 11246 of September 24, 1965. 1. To incorporate or cause to be incorporated into any contract for construction work,or modification thereof,subject to the relevant rules,regulations,and orders of the Secretary or of any prior authority that remain in effect,which is paid for in whole or in part with the aid of such financial assistance,the following"Equal Opportunity Clause": During the performance of this contract,the contractor agrees as follows: (a) The contractor will not discriminate against any employee or applicant for employment because of race,color,religion,sex or national origin. The contractor will take affirmative action to ensure that applicants are employed, and that employees are treated during employment,without regard to their race,color,religion,sex or national origin. Such action shall include,but not be limited,to the following:employment,upgrading,demotion or transfer;recruitment or recruitment advertising;layoff or termination;rates of pay or other forms of compensation;and selection for training,including apprenticeship.The contractor agrees to post in conspicuous places, available to employees and applicants for employment,notices to be provided by the USDA setting forth the provisions of this nondiscrimination clause. (b) The contractor will,in all solicitations or advertisements for employees placed by or on behalf of the contractor,state that all qualified applicants will receive consideration for employment without regard to race,color,religion,sex or national origin. (c) The contractor will send to each labor union or representative of workers with which he has a collective bargaining agreement or other contract or understanding,a notice,to be provided by the USDA,advising the said labor union or workers'representative of the contractor's commitments under this agreement as required pursuant to section 202(3)-of Executive Order 11246 of September 24, 1965, and shall post copies of the notice in conspicuous places available to employees and applicants for employment. (d) The contractor will comply with all provisions of Executive Order 11246 of September 24, 1965,and of all rules,regulations and relevant orders of the Secretary of Labor and of any prior authority which remain in effect. (e) The contractor will furnish all information and reports required by Executive Order 11246 of September 24, 1965, rules, regulations, and orders,or pursuant thereto, and will permit access to his books, records, and accounts by the USDA Civil Rights Office of Director, and the Secretary of Labor for purposes of investigation to ascertain compliance with such rules, regulations,and orders. (1) In the event of the contractor's noncompliance with the Equal Opportunity(Federally Assisted Construction)clause or with any of the said rules,regulations,or orders,this contract may be cancelled,terminated,or suspended in whole or in part and the contractor may be declared ineligible for further Government Contracts or Federally Assisted construction contracts in accordance with procedures authorized in Executive Order No. 11246 of September 24, 1965,and such other sanctions may be imposed and remedies invoked as provided in Executive Order No. 11246 of September 24, 1965,or by rule,regulation or order of the Secretary of labor,or as provided by Law. (g) The contractor will include the provisions of this Equal Opportunity(Federally Assisted Construction)clause in every subcontract or purchase order,unless exempted by the rules,regulations,or orders of the Secretary of Labor issued pursuant to Section 204 of Executive Order No. 11246 of September 24, 1965,so that such provisions will be binding upon each such subcontractor or vendor.The contractor will take such action with respect to any subcontract or purchase order as the USDA may direct as a means of enforcing such provisions,including sanctions for noncompliance:Provided,however,that in the event the contractor becomes involved in,or is threatened with,litigation with a subcontractor or vendor as a result of such direction by the USDA, the contractor may request the United States to enter into such litigation to protect the interest of the United States. Public reporting burden for this collection of information is estimated to average 10 minutes 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.Send comments regarding this burden estimate or any other aspect of this collection of information,including suggestions for reducing this burden.to Department of Agriculture.Clearance Officer.OIRM,AG Box 7630,Washington.Dr.20250.Please DO NOT RETURN this form to this address.Forward to the local USDA office only.You are not required to respond to this collection of information unless it displays a currently valid OMB control number. RD 400-1 (Rev.9-96) Position 6 qS141rnr we so uounty nous].ng autnority (CORPORATE SEAL) Name of Corporate Recipient Attest: By��itte• .1 ine Chair tiesidexx Secretary •U.S.oP0:1990.555-048120147 TO: Constance L. Harbert, Chair, Board of ' County Commissioners C FROM: Judy Griego, Director, Department of Social , ismdkalt(d • Services COLORADO SUBJECT: Housing Preservation Grant Application DATE: March 18, 1998 As discussed at the Housing Authority Work Session of March 16, 1998, Weld County Housing Authority is requesting funds in the amount of$46,900, through the Housing Preservation Grant Program (HPG), Office of Rural Development, for the rehabilitation of five (5) owner occupied single family units in the rural areas of Weld County. The amount requested of$40,000 is for rehabilitation program costs and of$6,900 for administration of the program. Management policies for the HPG program are identical to our currently funded program, with the exception that HPG funds may only be used in rural areas of Weld County and that the family owns the property for at least one year prior to assistance. The Housing Preservation Grant program requires matching funds. The matching funds for this application consist of Community Development Block Grant (CDBG) funds provided by the State and Revolving Loan funds provided from the revenues of previous housing rehabilitation loans that are being paid back to the Housing Authority. If approved by the Office of Rural Development, the funds will supplement the cost of our current housing rehabilitation program. Staff is recommending approval of the 1998 Housing Preservation Grant Application. If you have any questions, please telephone me at 352-1551 ext. 6200. 980466 ircittw DEPARTMENT OF SOCIAL SERVICES P.O. BOX A NIDGREELEY, COLORADO80632 Administration and Public Assistance (970) 352-1551 CChild S ices (970) 352-6933 1 Protective and Youth Services (970) 352-1923 Food Stamps(970) 356-3850 COLORADO Fax (970) 353-5215 MEMORANDUM TO: Constance L. Harbert, Chair Date: May 11, 1998 Board of County Commissioners FR: Judy A. Griego, Director, Social Services( a RE: Final Housing Preservation Grant Application Enclosed for Board approval is a final application of a two-step process required by the Office of Rural Development. On March 23, 1998, the Weld County Housing Authority Board approved an initial grant application in the amount of$46,000,through the Housing Preservation Program (HPG) of the Office of Rural Development. The Office of Rural Development has approved the full amount of $46,900 to rehabilitate five(5) owner-occupied single family units in rural Weld County. If you have any questions,please telephone me at extension 6510. HAoolY //goy , Hello