HomeMy WebLinkAbout20241536.tiffRESOLUTION
RE: APPROVE APPLICATION FOR FEDERAL ASSISTANCE (FORM SF -424),
APPLICANT AND RECIPIENT ASSURANCES AND CERTIFICATIONS, AND
DISCLOSURE OF LOBBYING ACTIVITIES FOR COMMUNITY DEVELOPMENT
BLOCK GRANT (CDBG) PROGRAM 2024 ANNUAL ACTION PLAN, 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
(Form SF -424), Applicant and Recipient Assurances and Certifications, and Disclosure of
Lobbying Activities for the Community Development Block Grant (CDBG) Program 2024 Annual
Action Plan from the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, to the U.S. Department of Housing and Urban Development,
Office of Community Planning and Development, with terms and conditions being as stated in
said application, certifications, and disclosure, and
WHEREAS, after review, the Board deems it advisable to approve said application,
certifications, and disclosure, copies of which are attached hereto and incorporated herein by
reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, that the Application for Federal Assistance (Form SF -424), Applicant and
Recipient Assurances and Certifications, and Disclosure of Lobbying Activities for the Community
Development Block Grant (CDBG) Program 2024 Annual Action Plan from the County of Weld,
State of Colorado, by and through the Board of County Commissioners of Weld County, to the
U.S. Department of Housing and Urban Development, Office of Community Planning and
Development, be, and hereby are, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to sign said application, certifications, and disclosure.
cc: CDBG(ER/cR)
0(0/131 SCI
2024-1536
FI0080
APPLICATION FOR FEDERAL ASSISTANCE (FORM SF -424), APPLICANT AND RECIPIENT
ASSURANCES AND CERTIFICATIONS, AND DISCLOSURE OF LOBBYING ACTIVITIES FOR
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM 2024 ANNUAL ACTION
PLAN
PAGE 2
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 12th day of June, A.D., 2024.
BOARD OF COUNTY COMMISSIONERS
WELD COU O
ATTEST: .44et.44 J u 4 ;(ii
Weld County Clerk to the Board
BY: OffitCH14 • 1/601A(01 ik,
Deputy Clerk to the Board
OVEO FORM:
ount '"torney (
Date of signature: 17,Z4
Kevin D. Ross..Chair
(,P. k
Perry L. Buck, Pro-Tem
aine
2024-1536
F10080
BOARD OF COUNTY COMMISSIONERS
PASS -AROUND REVIEW
PASS -AROUND TITLE: CDBG Program Year (PY) 2024 Federal Form Requirements (Form SF -424,
Assurances & Certifications)
DEPARTMENT: CDBG DATE: 6/3/24
PERSON REQUESTING: Elizabeth Relford and Cynthia Martin
Brief description of the problem/issue:
Each CDBG Program Year (PY) Weld County receives an allocation of funds from HUD for that fiscal year.
And each year, the County is required to apply for use of these funds in conjunction with the submission of that
year's annual action plan. The 2024 Annual Action Plan is currently in process and will be eligible for
submission to HUD after the end of the public comment period and a public hearing set for June 10, 2024.
We are requesting approval of the attached standard federal forms for the 2024 program including the
application for federal assistance (Form SF -424), applicable assurances, certifications, and disclosure of
lobbying activities. These forms will be submitted to HUD along with the 2024 Annual Action Plan. Upon their
approval by HUD, Weld County will receive a 2024 grant agreement from HUD for execution.
What options exist for the Board?
1. Approval to put the federal standard forms on the Board's agenda for submission to HUD.
2. Schedule a work session to further review these documents prior to authorizing the Chair's
signature for their submission to HUD.
Consequences: The County must submit an application for the use of federal funds, in this case
2024 CDBG funds, and the other federal forms listed above along with the 2024 Annual Action Plan
to HUD to request the use of those funds for the activities stated in the annual action plan. This is a
required step to move forward with the process of the County receiving a 2024 grant agreement for
execution and ultimately being able to use the 2024 funding allocated it by HUD.
Impacts: Without this step, the County could not access the 2024 CDBG funding allocated to it.
Costs (Current Fiscal Year / Ongoing or Subsequent Fiscal Years): The County's 2024 grant
allocation of CDBG funds from HUD is $1,211,310.
Recommendation:
Staff recommends option 1.
Support Recommendation Schedule
Place on BOCC Agenda Work Session Other/Comments:
Perry L. Buck, Pro-Tem
Mike Freeman, Chair
Scott K. James
Kevin D. Ross
Lori Seine
WI Z
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2024-1536
F I OM
OMB Number: 4040-0004
Expiration Date: 11/30/2025
Application
for
Federal
Assistance
SF
-424
* 1. Type of Submission:
* 2. Type of Application: *
If Revision, select appropriate letter(s):
X
New
Preapplication
Continuation * Other
(Specify):
X
Application
Revision
Changed/Corrected
Application
* 3. Date Received: 4. Applicant Identifier:
5a. Federal Entity Identifier:
5b. Federal Award Identifier:
State Use Only:
7. State Application Identifier:
6. Date Received by State:
8. APPLICANT INFORMATION:
* a. Legal Name:
Weld County
* b. Employer/Taxpayer Identification Number
(EIN/TIN):
* c. UEI:
tvIKKXT9U9MTV5
84-600081:
d. Address:
* Street1:
1150 O Street
Street2:
* City:
Greeley
County/Parish:
* State:
CO: Colorado
Province:
* Country:
USA: UNITED STATES
* Zip / Postal Code:
80632-0758
e. Organizational Unit:
Department Name:
Division Name:
Weld County CDBG Program
f. Name and contact information of person
to be contacted on matters involving this application:
Prefix:
* First Name:
Elizabeth
Middle Name:
* Last Name:
Relford
f o rd
Suffix:
Title:
CDBG Manager
Organizational Affiliation:
* Telephone Number:
(970) 400-3748
Fax Number:
* Email:
erelford@weld.gov
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:
US Department
of
Housing and Urban Development
11. Catalog of Federal Domestic
Assistance Number:
14.218
CFDA DA Title:
Community Development
Block Grants/Entitlement Grants
* 12. Funding Opportunity Number:
14.'18
*Title:
Community Development Block Grants/Entitlement Grants
13. Competition Identification Number:
Title:
14. Areas Affected by Project (Cities, Counties, States, etc.):
Add
Attachment
Delete Attachment
I
View Attachment I
k
* 15. Descriptive Title of Applicant's Project:
Weld County Community
Development
Block Grant Program
Attach supporting documents
as specified in agency instructions.
Add
Attachments
I
Delete Attachments
View Attachments
1
Application
for
Federal
Assistance
SF
-424
,
16. Congressional
Districts Of:
* a. Applicant
CO -004
* b Program/Project
CO -004
Attach an additional list of Program/Project Congressional Districts if needed.
Add Attachment
Delete Attachment
I
View Attachment
17. Proposed Project:
* a. Start Date:
04/01/2024
* b. End Date:
03/31/2025
18. Estimated Funding ($):
* a Federal
1,211,310.00
* b. Applicant
0.00
* c. State
0.00
* d. Local
0.00
*e. Other
0.00
* f Program Income
0.00
*g. TOTAL
1,211,310.00
* 19. Is Application Subject to Review By State Under Executive
Order 12372 Process?
a. This application was made available
to the
State under
the
Executive Order 12372 Process for review on
b. Program is subject
to E.O. 12372 but
has not been selected
by the State for review.
X
c. Program is not covered by E.O. 12372.
* 20. Is the Applicant Delinquent On Any Federal Debt? (If
"Yes," provide explanation in attachment.)
Yes
No
If "Yes". provide explanation
and attach
Add
Attachment
Delete Attachment
View Attachment
21. *By signing this application, I certify (1)
herein are true, complete and accurate
comply with any resulting terms if I accept
subject me to criminal, civil, or administrative
to the statements contained in the list of certifications** and (2) that the statements
to the best of my knowledge. I also provide the required assurances** and agree to
an award. I am aware that any false, fictitious, or fraudulent statements or claims may
penalties. (U.S. Code, Title 18, Section 1001)
**I AGREE
** The list of certifications and assurances, or an Internet site where you may obtain this list, is contained in the announcement or agency
specific instructions
Authorized Representative:
Prefix:
Mr .
* First Name:
Kevin
Middle Name:
C
* Last Name:
Ross
Suffix:
*Title:
Chair,
Board of County Commissioners
* Telephone Number
(970) 400-4200
Fax Number:
* Email.
bocc-contracts@weldgov.com
* Signature of Authorized Representative:
Kevin
D.
Ross
* Date Signed: JUN
12 2021f
Applicant and Recipient
Assurances and Certifications
U.S. Department of Housing OMB Number 2501-0017
and Urban Development Expiration Date: 01/31/2026
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, which replace any requirement to submit an SF -424-B or SF -424-D. 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 fumish or comply with the doll 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 applicant:
*Authorized Representative Name:
Prefix:
Middle Name:
*Last Name:
Suffix:
*Title:
*Applicant Organization:
Mr.
*First Name:
Kevin
Ross
Chair, Board of County Commissioners
Weld County
1. Has the legal authority to apply for Federal assistance,
has the institutional, managerial and financial capability
including funds to pay the non -Federal share of program
costs) to plan, manage and complete the program as
described in the application and the governing body has duly
authorized the submission of the application, including these
assurances and certifications, and authorized me as the
official representative of the application to act in connection
with the application and to provide any additional information
as may be required.
2. Will administer the grant in compliance with Title VI of
the Civil Rights Act of 1964 (42 U.S.C 2000(d)) and
implementing regulations (24 CFR part 1), which provide that
no person in the United States shall, on the grounds of race,
color or national origin, be excluded from participation in, be
denied the benefits of, or otherwise be subject to
discrimination under any program or activity that receives
Federal financial assistance OR if the applicant is a
Federally recognized Indian tribe or its tribally designated
housing entity, is subject to the Indian Civil Rights Act (25
U.S.C. 1301-1303).
3. Will administer the grant in compliance with Section 504
of the Rehabilitation Act of 1973 (29 U.S.C. 794), as
amended, and implementing regulations at 24 CFR part 8,
the American Disabilities Act (42 U.S.C. §§ 12101 et.seq.),
and implementing regulations at 28 CFR part 35 or 36, as
applicable, and the Age Discrimination Act of 1975 (42
U.S.C. 6101-07) as amended, and implementing regulations
at 24 CFR part 146 which together provide that no person in
the United States shall, on the grounds of disability or age,
be excluded from participation in, be denied the benefits of,
or otherwise be subjected to discrimination under any
program or activity that receives Federal financial
assistance; except if the grant program authorizes or limits
participation to designated populations, then the applicant
will comply with the nondiscrimination requirements within
the designated population.
4. Will comply with the Fair Housing Act (42 U.S.C. 3601-19),
as amended, and the implementing regulations at 24
CFR part 100, which prohibit discrimination in housing on the
basis of race, color, religion sex (including gender identity
and sexual orientation), disability, familial status, or national
origin and will affirmatively further fair housing; except an
applicant which is an Indian tribe or its instrumentality which
is excluded by statute from coverage does not make this
certification; and further except if the grant program
authorizes or limits participation to designated populations,
then the applicant will comply with the nondiscrimination
requirements within the designated population.
5. Will comply with all applicable Federal
nondiscrimination requirements, including those listed at 24
CFR §§ 5.105(a) and 5.106 as applicable.
6. 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) and implementing regulators at 49 CFR part
24 and, as applicable, Section 104(d) of the Housing and
Community Development Act of 1974 (42 U.S.C. 5304(d))
and implementing regulations at 24 CFR part 42, subpart A.
7. Will comply with the environmental requirements of the
National Environmental Policy Act (42 U.S.C. 4321 et.seq.)
and related Federal authorities prior to the commitment or
expenditure of funds for property.
8. That no Federal appropriated funds have been paid, or
will be paid, by or on behalf of the applicant, to any person
for influencing or attempting to influence an officer or
employee of any agency, a Member of Congress, and officer
or employee of Congress, or an employee of a Member of
Congress, in connection with the awarding of this Federal
grantor its extension, renewal, amendment or modification.
If funds other than Federal appropriated funds have or will
be paid for influencing or attempting to influence the persons
listed above, I shall complete and submit Standard Form-
LLL, Disclosure Form to Report Lobbying. I certify that I shall
require all subawards at all tiers (including sub -grants and
contracts) to similarly certify and disclose accordingly.
Federally recognized Indian Tribes and tribally designated
housing entities (TDHEs) established by Federally -
recognized Indian tribes as a result of the exercise of the
tribe's sovereign power are excluded from coverage by the
Byrd Amendment, but State -recognized Indian tribes and
TDHs established under State law are not excluded from the
statute's coverage.
I/We, the undersigned, certify under penalty of perjury that the information provided above is true and correct.
WARNING: Anyone who knowingly submits a false claim or makes a false statement is subject to criminal and/or civil penalties,
including confinement for up to 5 years, fines, and civil and administrative penalties. (18 U.S.C. §§287, 1001, 1010, 1012, 1014;
31 U.S.C. §3729, 3802).
*Signature:
*Date:
Form HUD -424-B (02/23)
ASSURANCES - CONSTRUCTION PROGRAMS
OMB Number 4040-0009
Expiration Date: 02/28/2025
Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for
reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0042), Washington, DC 20503.
PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT
AND BUDGET. SEND ITtO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY.
NOTE: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the
Awarding Agency. Further, certain Federal assistance awarding agencies may require applicants to certify to additional
assurances. If such is the case, you will be notified.
As the duly authorized representative of the applicant:, I certify that the applicant:
1. Has the legal authority to apply for Federal assistance,
and the institutional, managerial and financial capability
(including funds sufficient to pay the non -Federal share
of project costs) to ensure proper planning,
management and completion of project described in
this application.
2. Will give the awarding agency, the Comptroller General
of the United States and, if appropriate, the State,
the right to examine all records, books, papers, or
documents related to the assistance; and will establish
a proper accounting system in accordance with
generally accepted accounting standards or agency
directives.
3. Will not dispose of, modify the use of, or change the
terms of the real property title or other interest in the
site and facilities without permission and instructions
from the awarding agency. Will record the Federal
awarding agency directives and will include a covenant
in the title of real property acquired in whole or in part
with Federal assistance funds to assure non-
discrimination during the useful life of the project.
4. Will comply with the requirements of the assistance
awarding agency with regard to the drafting, review and
approval of construction plans and specifications.
5. Will provide and maintain competent and adequate
engineering supervision at the construction site to
ensure that the complete work conforms with the
approved plans and specifications and will furnish
progressive reports and such other information as may be
required by the assistance awarding agency or State.
6. Will initiate and complete the work within the applicable
time frame after receipt of approval of the awarding agency.
7. Will establish safeguards to prohibit employees from
using their positions for a purpose that constitutes or
presents the appearance of personal or organizational
conflict of interest, or personal gain.
Previous Edition Usable
8. Will comply with the Intergovernmental Personnel Act
of 1970 (42 U.S.C. §§4728-4763) relating to prescribed
standards of merit systems for programs funded
under one of the 19 statutes or regulations specified in
Appendix A of OPM's Standards for a Merit System of
Personnel Administration (5 C.F.R. 900, Subpart F).
9. Will comply with the Lead -Based Paint Poisoning
Prevention Act (42 U.S.C. §§4801 et seq.) which
prohibits the use of lead -based paint in construction or
rehabilitation of residence structures.
10. Will comply with all Federal statutes relating to non-
discrimination. These include but are not limited to: (a)
Title VI of the Civil Rights Act of 1964 (P.L. 88-352)
which prohibits discrimination on the basis of race,
color or national origin; (b) Title IX of the Education
Amendments of 1972, as amended (20 U.S.C. §§1681
1683, and 1685-1686), which prohibits discrimination
on the basis of sex; (c) Section 504 of the
Rehabilitation Act of 1973, as amended (29) U.S.C.
§794), which prohibits discrimination on the basis of
handicaps; (d) the Age Discrimination Act of 1975, as
amended (42 U.S.C. §§6101-6107), which prohibits
discrimination on the basis of age; (e) the Drug Abuse
Office and Treatment Act of 1972 (P.L. 92-255), as
amended relating to nondiscrimination on the basis of
drug abuse; (f) the Comprehensive Alcohol Abuse and
Alcoholism Prevention, Treatment and Rehabilitation
Act of 1970 (P.L. 91-616), as amended, relating to
nondiscrimination on the basis of alcohol abuse or
alcoholism; (g) §§523 and 527 of the Public Health
Service Act of 1912 (42 U.S.C. §§290 dd-3 and 290 ee
3), as amended, relating to confidentiality of alcohol
and drug abuse patient records; (h) Title VIII of the
Civil Rights Act of 1968 (42 U.S.C. §§3601 et seq.), as
amended, relating to nondiscrimination in the sale,
rental or financing of housing; (i) any other
nondiscrimination provisions in the specific statue(s)
under which application for Federal assistance is being
made; and (j) the requirements of any other
nondiscrimination statue(s) which may apply to the
application.
Authorized for Local Reproduction Standard Form 424D (Rev. 7-97)
Prescribed by OMB Circular A-102
11. Will comply, or has already complied, with the
requirements of Titles II and III of the Uniform Relocation
Assistance and Real Property Acquisition Policies Act of
1970 (P.L. 91-646) which provide for fair and equitable
treatment of persons displaced or whose property is
acquired as a result of Federal and federally -assisted
programs. These requirements apply to all interests in real
property acquired for project purposes regardless of
Federal participation in purchases.
12. Will comply with the provisions of the Hatch Act (5 U.S.C.
§§1501-1508 and 7324-7328) which limit the political
activities of employees whose principal employment
activities are funded in whole or in part with Federal funds.
13. Will comply, as applicable, with the provisions of the Davis -
Bacon Act (40 U.S.C. §§276a to 276a-7), the Copeland Act
(40 U.S.C. §276c and 18 U.S.C. §874). and the Contract
Work Hours and Safety Standards Act (40 U.S.C. §§327-
333) regarding labor standards for federally -assisted
construction subagreements.
14. Will comply with flood insurance purchase requirements of
Section 102(a) of the Flood Disaster Protection Act of 1973
(P.L. 93-234) which requires recipients in a special flood
hazard area to participate in the program and to purchase
flood insurance if the total cost of insurable construction
and acquisition is $10,000 or more.
15. Will comply with environmental standards which may be
prescribed pursuant to the following: (a) institution of
environmental quality control measures under the National
Environmental Policy Act of 1969 (P L. 91-
190) and Executive Order (EO) 11514; (b) notification
of violating facilities pursuant to EO 11738; (c)
protection of wetlands pursuant to EO 11990; (d)
evaluation of flood hazards in floodplains in accordance
with EO 11988; (e) assurance of project consistency
with the approved State management program
developed under the Coastal Zone Management Act of
1972 (16 U.S.C. §§1451 et seq.); (f) conformity of
Federal actions to State (Clean Air) implementation
Plans under Section 176(c) of the Clean Air Act of
1955, as amended (42 U.S.C. §§7401 et seq.); (g)
protection of underground sources of drinking water
under the Safe Drinking Water Act of 1974, as
amended (P.L. 93-523); and, (h) protection of
endangered species under the Endangered Species
Act of 1973, as amended (P.L. 93-205).
16 Will comply with the Wild and Scenic Rivers Act of
1968 (16 U.S.C. §§1271 et seq.) related to protecting
components or potential components of the national
wild and scenic rivers system.
17. Will assist the awarding agency in assuring compliance
with Section 106 of the National Historic Preservation
Act of 1966, as amended (16 U.S.C. §470), EO 11593
(identification and protection of historic properties), and
the Archaeological and Historic Preservation Act of
1974 (16 U.S.C. §§469a-1 et seq).
18. Will cause to be performed the required financial and
compliance audits in accordance with the Single Audit
Act Amendments of 1996 and OMB Circular No. A-133,
"Audits of States, Local Governments, and Non -Profit
Organizations."
19_ Will comply with all applicable requirements of all other
Federal laws, executive orders, regulations, and policies
governing this program.
20. Will comply with the requirements of Section 106(g) of
the Trafficking Victims Protection Act (TVPA) of 2000, as
amended (22 U.S.C. 7104) which prohibits grant award
recipients or a sub -recipient from (1) Engaging in severe
forms of trafficking in persons during the period of time
that the award is in effect (2) Procuring a commercial
sex act during the period of time that the award is in
effect or (3) Using forced labor in the performance of the
award or subawards under the award.
SIGNATURE
OF AUTHORIZED
CERTIFYING
OFFICIAL
TITLE
.�
Chair, Board of County Commissioners
fC
APPLICANT
ORGANIZATION
DATE
SUBMITTED
I
1,
LG
)
2
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(Weld
County 1
SF -424D (Rev. 7-97) Back
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) an imp e.-�---ing regulations at 24 CFR Part 75.
Signature of Authorized Official
WI Zb/
Date
C(IGif nccA , b,k,d JI (.OamI s.t vn6S
Title
Specific Community Development Block Grant Certifications
The Entitlement Community certifies that:
Citizen Participation -- It is in full compliance and following a detailed citizen participation plan that
satisfies the requirements of 24 CFR 91.105.
Community Development Plan -- Its consolidated plan identifies community development and housing
needs and specifies both short-term and long-term community development objectives that that have been
developed in accordance with the primary objective of the CDBG program (i.e., the development of viable
urban communities, by providing decent housing and expanding economic opportunities, primarily for
persons of low and moderate income) and requirements of 24 CFR Parts 91 and 570.
Following a Plan -- It is following a current consolidated plan that has been approved by HUD.
Use of Funds -- It has complied with the following criteria:
1. Maximum Feasible Priority. With respect to activities expected to be assisted with CDBG
funds, it has developed its Action Plan so as to give maximum feasible priority to activities
which benefit low- and moderate -income families or aid in the prevention or elimination of
slums or blight. The Action Plan may also include CDBG-assisted activities which the grantee
certifies are designed to meet other community development needs having particular urgency
because existing conditions pose a serious and immediate threat to the health or welfare of the
community, and other financial resources are not available (see Optional CDBG Certification).
2. Overall Benefit. The aggregate use of CDBG funds, including Section 108 guaranteed loans,
during program year(s) [a period specified by the grantee of one,
two, or three specific consecutive program years], shall principally benefit persons of low and
moderate income in a manner that ensures that at least 70 percent of the amount is expended for
activities that benefit such persons during the designated period.
3. Special Assessments. It will not attempt to recover any capital costs of public improvements
assisted with CDBG funds, including Section 108 loan guaranteed funds, by assessing any
amount against properties owned and occupied by persons of low and moderate income,
including any fee charged or assessment made as a condition of obtaining access to such
public improvements.
However, if CDBG funds are used to pay the proportion of a fee or assessment that relates to the
capital costs of public improvements (assisted in part with CDBG funds) financed from other
revenue sources, an assessment or charge may be made against the property with respect to the
public improvements financed by a source other than CDBG funds.
In addition, in the case of properties owned and occupied by moderate -income (not low-income)
families, an assessment or charge may be made against the property for public improvements
financed by a source other than CDBG funds if the jurisdiction certifies that it lacks CDBG funds
to cover the assessment.
Excessive Force -- It has adopted and is enforcing:
1. A policy prohibiting the use of excessive force by law enforcement agencies within its
jurisdiction against any individuals engaged in non-violent civil rights demonstrations; and
2. A policy of enforcing applicable State and local laws against physically barring entrance to or
exit from a facility or location which is the subject of such non-violent civil rights
demonstrations within its jurisdiction.
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.
c,,Z(zY
Signature of Authorized Official Date
l/Werrh , J�r.Q v f «' w► 15, o n YS
Title
OPTIONAL Community Development Block Grant Certification
Submit the following certification only when one or more of the activities in the action plan are designed
to meet other community development needs having particular urgency as specified in 24 CFR
570.208(c):
The grantee hereby certifies that the Annual Plan includes one or more specifically identified CDBG-
assisted activities which are designed to meet other community development needs having particular
urgency because existing conditions pose a serious and immediate threat to the health or welfare of the
community and other financial resources are not available to meet such needs.
O _, rv// Z/Z
Signature of Authorized Official Date
Title
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.
DISCLOSURE OF LOBBYING ACTIVITIES
Complete this form to disclose lobbying activities pursuant to 31 U.S.C.1352
OMB Number 4040-0013
Expiration Date. 02/28/2025
1.* Type
of
Federal
Action:
2. * Status
of
Federal
Action:
3. * Report
Type:
/
a. bid/offer/application
a. contract
a. initial filing
b. grant
b. material change
b. initial award
c. cooperative agreement
c. post -award
d. loan
e. loan guarantee
f. loan insurance
4. Name
and
Address
of Reporting Entity:
Prime
SubAwardee
• Name
Weld County
' Street
1
1150 O Street
Street 2
PO Box 758
• City
Greeley
State
CO: Colorado
Zip
80632-0758
Congressional
District, if known:
2, 4, 8
5. If
Reporting
Entity
in No.4
is Subawardee,
Enter
Name
and Address
of
Prime:
6. * Federal
Department/Agency:
7.* Federal
Program
Name/Description:
Community Development Block Grants/Entitlement Grants
US Dept.of
Housing and
Urban Development
CFDA Number, if applicable:
14.218
8. Federal
Action
Number,
if known:
9. Award Amount,
if known:
$
1, 211, 310.00
10.
a.
Name
and
Address
of
Lobbying
Registrant:
Prefix
' First Name
I
Middle Name
r
' Last Name
NA
Suffix
'
• Street
1
Street 2
' City
State
Zip
b. Individual
Performing Services (including address if different from No 10a)
Prefix
* First Name
NA
Middle Name
• Last Name
NA
Suffix
' Street 1
Street 2
' City
State
Zip
11.
Information requested through this form is authorized by title 31 U.S.C. section 1352. This disclosure of lobbying activities is a material representation of fact upon which
reliance was placed by the tier above when the transaction was made or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. This information will be reported to
the Congress semi-annually and will be ava aba lic inspection. Any person who fails to file the required disclosure shall be subject to a civil penalty of not less than
$10,000 and not more than $100,0 r each such failure.
* Signature:I
r
- 0, ti,
---)I
*Name:
Prefix
L
• First Name
Kevin
Middle Name
D
' Last Name
Ross
Suffix
Title:
Chair, Board of County Commissioners
Telephone
No.:
970-400-4200
Date:
,! i
Z , z V 1
Authorized for Local Reproduction
Standard Form - LLL (Rev. 7-97)
Fe era! Use Only'. I
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