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HomeMy WebLinkAboutRes 2014-10-18 Agreement TX Dept of Agriculture - Contract No. 7214339.pdfCITY OF ANNA, TEXAS RESOLUTION NO. 2014-10-18 A RESOLUTION OF THE CITY OF ANNA, TEXAS APPROVING AN AGREEMENT BETWEEN THE TEXAS DEPARTMENT OF AGRICULTURE AND THE CITY OF ANNA, TEXAS, CONTRACT NO. 7214349 FOR THE COMMUNITY DEVELOPMENT FUND. WHEREAS, the City of Anna, Texas (the "City") has submitted an application for a grant from the Texas Department of Agriculture to fund improvements to the city's sewer collection system; and WHEREAS, the project to be funded by the grant consists of the replacement of certain sewer lines on Geneva, Cunningham, South Interurban, South Riggins, and Edwards Streets (the "Project"); and WHEREAS, in August of 2014, the City was notified that it has been awarded a grant in the amount of $275,000 for the Project; and WHEREAS, in order to accept the grant award, the City is required to approve an agreement with the Texas Department of Agriculture that governs the administration of the grant funds; NOW THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF ANNA, TEXAS, THAT: Section 1. Recitals Incorporated. The recitals above are incorporated herein as if set forth in full for all purposes. Section 2. Approval of Agreement With The Texas Department of Agriculture. The City Council of the City of Anna, Texas hereby approves the Agreement between the Texas Department of Agriculture and the City of Anna, Texas, Contract No. 7214349 for the Community Development Fund, attached hereto as Exhibit 1, and authorizes, ratifies and approves the City Manager's execution of same. The City Manager is hereby authorized to execute all documents and to take all other actions necessary to finalize, act under, and enforce the Agreement. PASSED AND APPROVED by the City Council of the City of Anna, Texas, on this the 28th day of October, 2014. ATTEST: APPR D: f � Na a Wilkison, City Secretary o`` � ..... %ayor, Mike Crist `,c � 41 RES. TDA Contract# 7214349 Community Develop ,,u�d �'•.••` PA1 OF 1 10-28-14 l I IItY1����� EXHIBIT A PERFORMANCE STATEMENT CITY OF ANNA All activities funded with TxCDBG funds must meet one of the CDBG program's National Objectives: benefit low - and moderate -income persons, aid in the prevention or elimination of slums or blight, or meet community development needs having a particular urgency. Contractor shall carry out the following activities in the target area identified in the Application. The Contractor shall ensure that the amount of funds expended for each activity described does not exceed the amount specified for such activity in the Budget. CURRENT NEED The City of Anna has sewer lines that are aged and deteriorated, resulting in frequent maintenance issues and disruptions in service. The Contractor certifies that the activity (ies) carried out under this contract will meet the National Objective of benefitting low- and moderate -income persons with at least 51% of the beneficiaries qualifying as low- to moderate - income. ACTIVITIES Sewer Improvements Contractor shall replace sewer lines to prevent frequent maintenance issues and disruptions in service. Contractor shall install approximately seven thousand sixteen linear feet (7,0161.f.) of four -inch (4") to eight - inch (8") sewer line, eight (8) manholes, service reconnections, driveway and pavement repair, and all associated appurtenances. Construction shall take place in the following locations: STREET FROM TO Geneva End End Cunningham End End South Interurban End End South Riggins End End Edwards End End These activities shall benefit one hundred ninety-five (195) persons, of which one hundred forty-eight (148) persons or seventy-six percent (76%) are of low- to moderate -income. Acquisition Contractor shall acquire the easements needed for the sewer improvement project site. Contractor shall carry out all acquisition of needed real property, easements, and/or rights-of-way in compliance with the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 (42 U.S.C. Sec. 4601 et. seq.) and HUD implementing regulations (24 C.F.R. Part 42). Engineering Contractor shall ensure that the amount of Department funds expended for all eligible project -related engineering services, including preliminary and final design plans and specifications, all interim and final inspections, and all special services does not exceed the amount specified for engineering in the Budget. Form Rev. 10/2/13 Page 1 of 2 Contract No. 7214349 General Administration Contractor shall ensure that the amount of Department funds expended for all eligible project -related administration activities, including the required annual program compliance and fiscal audit does not exceed the amount specified for administration in the Budget. Form Rev. 10/2/13 Page 2 of 2 Contract No. 7214349 EXHIBIT B BUDGET CITY OF ANNA Proiect Activities Contract Funds Other Funds 03J_S Sewer Improvements - Total $275,000 $114,220 Sewer Improvements -Construction $270,000 $36,9901 Sewer Improvements -Engineering $5,000 $54,9001 Sewer Improvements -Acquisition $0 $22,3301 21A General Program Administration - Total $0 $35,0001 TOTALS $275,000 $149,220 Source of Other Funds: 1— City of Anna, General Fund Total Funds $389,220 $306,990 $59,900 $22,330 $35,000 $424,220 Form Rev. 10/2/13 Page 1 of 1 Contract No. 7214349 AGREEMENT BETWEEN THE TEXAS DEPARTMENT OF AGRICULTURE AND THE CITY OF ANNA CONTRACT NO. 7214349 FOR THE COMMUNITY DEVELOPMENT FUND SECTION 1. PARTIES TO CONTRACT This contract and agreement is made and entered into by and between the Texas Department of Agriculture (herein referred to as the "Department"), an agency of the State of Texas, and the City of Anna (herein referred to as the "Contractor"). The Department and the Contractor are collectively referred to hereinafter as the "Parties." The Parties have severally and collectively agreed and by the execution hereof are bound to the mutual obligations and to the performance and accomplishment of the tasks described herein. SECTION 2. CONTRACT PERIOD This contract and agreement shall commence on October 15, 2014, and shall terminate on October 14, 2016, unless otherwise specifically provided by the terns of this contract. SECTION 3. PURPOSE The Department has been designated as the state agency to administer, and the United States Government has awarded the Department funds for, the Texas Community Development Block Grant ("TxCDBG") Program under Title I of the Housing and Community Development Act of 1974, as amended (42 U.S.C. 5301 et seq.), herein referred to as the "HCD Act." The Contractor has submitted, and the Department has approved, Contractor's application (herein referred to as the "Application") which will undertake community development activities (herein referred to as the "Project") and which is incorporated as pant of this contract. SECTION 4. CONTRACTOR PERFORMANCE A. The Contractor shall conduct the Project in a non -entitlement area in a manner satisfactory to the Department and consistent with any standards required as a condition of providing these fiends. The authorized use of TxCDBG funds is premised upon, and conditioned on, the Contractor fulfilling a CDBG national objective as a result of the TxCDBG-assisted activities. The Contractor shall perform all activities in accordance with the terms of the Performance Statement (Exhibit A); the Budget, (Exhibit B); the Project Implementation Schedule (Exhibit C); the Special Conditions (Exhibit D); the Applicable Laws and Regulations (Exhibit E); the Certifications (Exhibit F); the assurances, certifications, and all other statements made by the Contractor in the Application; and with all other terms, provisions, and requirements set forth in this contract. B. The Contractor shall ensure that the persons to benefit from the activities described in the Performance Statement are receiving the service or a benefit from the use of the new or improved facilities and activities for the contract obligations to be fulfilled and before submitting the Project Completion Report to the Department. If the persons to benefit from the activities described in the Performance Statement are not receiving the service or a benefit, the Contractor is liable to repay to the Department any associated disallowed costs within the timeframe specified by the Department. C. The Contractor shall adhere to the Project Implementation Schedule timelines for key project activities. As described in the TxCDBG Project Implementation Manual and policy directives, the Department may require the Contractor to submit written justification and take remedial action for any contract activity that is not completed by the date specified on the Project Implementation Schedule. Form Rev. 8/26/14 Page 1 of 17 Contract No. 7214349 SECTION 5. DEPARTMENT OBLIGATIONS A. Payment for Allowable Costs In consideration of full and satisfactory performance of the activities referred to in Section 4 of this contract, the Department shall be liable for actual and reasonable costs incurred by the Contractor during the contract period for performances rendered under this contract, subject to the limitations set forth in this Section. 1. It is expressly understood and agreed by the Parties that the Department's obligations under this contract are contingent upon the actual receipt of adequate state or federal funds to meet the Department's liabilities under this contract. If adequate funds are not available to make payments under this contract, the Department shall notify the Contractor in writing within a reasonable time after such fact is determined. The Department shall terminate this contract and will not be liable for failure to make payments to the Contractor under this contract. 2. The Department shall not be liable to the Contractor for any costs incurred by the Contractor, or any portion thereof, which has been paid or is subject to payment to the Contractor, or has been reimbursed or is subject to reimbursement to the Contractor by any source other than the Department or the Contractor. 3. The Department shall not be liable to the Contractor for any costs incurred by the Contractor which are not allowable costs, as set forth in Section 7 of this contract. 4. The Department shall not be liable to the Contractor for any costs incurred by the Contractor or for any performances rendered by the Contractor which are not strictly in accordance with the terms of this contract. 5. The Department shall not be liable for costs incurred or performances rendered by the Contractor before commencement of this contract or after termination of this contract. The Department may reimburse allowable administrative and engineering costs incurred by the Contractor prior to this contract's execution date, if prior to the award the Contractor requested and received written approval from the Department, and the Contractor complied with all requirements for the release of such fiends. 6. The Department shall not be liable to the Contractor for any costs incurred by the Contractor in the performance of this contract which have not been submitted to the Department by the Contractor within 60 days following termination of this contract, with the exception of administrative costs for preparation of a Single Audit. Administration fiends reserved on the Certificate of Expenditures for audit costs and eligible for reimbursement shall be billed to the Department within nine (9) months after the end of the Contractor's fiscal year that follows the termination date of this contract. The Department shall deobligate all funds not requested under this paragraph. B. Excess Pa rents The Contractor shall refund to the Department any sun of money which has been paid to the Contractor by the Department which the Department determines has resulted in overpayment to the Contractor, or which the Department determines has not been spent by the Contractor in accordance with the terms of this contract. Such refired shall be made by the Contractor to the Department within 30 calendar days after such refund is requested by the Department. C. Limit of Liability Notwithstanding any other provision of this contract, it is expressly agreed and understood that the total amount to be paid by the Department to Contractor for allowable expenses incurred under this contract shall not exceed Two Hundred Seventy-five Thousand and No/100 Dollars ($275,000). Form Rev. 8/26/14 Page 2 of 17 Contract No. 7214349 SECTION 6. GENERAL CONDITIONS A. General Compliance The Contractor agrees to comply with the requirements of Title 24 of the Code of Federal Regulations (CFR) Part 570 (the U.S. Housing and Urban Development [HUD] regulations concerning CDBG), in particular Subparts I - K. The Contractor also agrees to comply with all other applicable Federal, state and local laws, regulations, and policies governing the funds provided under this contract, including those specified in the Applicable Laws and Regulations attached to this contract. The Contractor further agrees to utilize funds available under this contract to supplement rather than supplant funds otherwise available. B. "Independent Contractor" Nothing contained in this contract is intended to, or shall be construed in any manner, as creating or establishing the relationship of employer/employee between the parties. The Contractor shall at all times remain an "independent contractor" with respect to the services to be performed under this contract. C. Indemnification The Contractor agrees, to the extent allowed by law, to hold harmless, defend and indemnify the Department from any and all claims, actions, suits, charges and judgments whatsoever that arise out of the Contractor's performance or nonperformance of the activities, services or subject matter called for in this contract. D. Department Reco nig tion 1. Public buildings, facilities, and centers, including infrastructure visible to the general public, constructed with fiends provided under this contract shall have permanent signage placed in a prominent visible public area with the wording provided below. 2. Other construction projects, e.g., water transmission lines, sewer collection lines, drainage, roadways, housing rehabilitation, etc., utilizing fiends provided under this contract shall have temporary signage erected in a prominent location at the construction project site or along a major thoroughfare within the locality as directed by the owner. 3. Size and Formatting. The signage must be legible from a distance of at least three feet and comply with the size and formatting requirements set forth in the TxCDBG Project Implementation Manual. 4. Project Sign Wording: "This project is funded by the Office of Rural Affairs of the Texas Department of Agriculture with fiends allocated by the United States Department of Housing and Urban Development through the Community Development Block Grant Program." E. Changes and Amendments 1. Except as specifically provided otherwise in this contract, any alterations, additions, or deletions to the terms of this contract shall be by amendment in writing and executed by both parties to this contract or as otherwise provided in the TxCDBG Project Implementation Manual. Such amendments shall not invalidate this contract, nor relieve or release the Department or the Contractor from its obligations under this contract. 2. A request for an extension must be supported by documentation of extenuating circumstances beyond Contractor's control which prevented completion of the project within the contract period. 3. A request to extend the contract period should be submitted in writing to the Department as soon as a delay is foreseen. Contract extension requests must be submitted to the Department approximately 60 days but no later than 30 days prior to the expiration of the contract and include a revised implementation schedule showing when Form Rev. 8/26/14 Page 3 of 17 Contract No. 7214349 major milestones will be completed for each activity. A request for an exception to the requirements specified in this paragraph will be evaluated in accordance with the applicable section of the TxCDBG Project Implementation Manual. 4. It is understood and agreed by the parties that performances under this contract must be rendered in accordance with the HCD Act; the policies, procedures and regulations of the Department; assurances and certifications made to the Department by the Contractor; and the assurances and certifications made to HUD by the State of Texas with regard to the operation of the TxCDBG Program. Based on these considerations, and in order to ensure the legal and effective performance of this contract by both parties, it is agreed by the parties that the performances under this contract are amended by the provisions of the TxCDBG Project Implementation Manual and any amendments thereto and may further be amended in the following manner: The Department may from time to time during the period of performance of this contract issue policy directives which serve to establish, interpret, or clarify performance requirements under this contract. Such policy directives shall be promulgated by the Department in the form of TxCDBG issuances, shall have the effect of qualifying the terms of this contract and shall be binding upon the Contractor, as if written herein, provided however that the policy directives and any amendments to the TxCDBG Project Implementation Manual shall not alter the terms of this contract so as to release the Department from any obligation specified in Section 5 of this contract to reimburse costs incurred by the Contractor prior to the effective date of the amendments or policy directives. 5. Any alterations, additions, or deletions to the terms of this contract which are required by changes in Federal or State law or regulations are automatically incorporated into this contract without written amendment and shall become effective on the date designated by such law or regulation. F. Remedies for Noncompliance 1. Suspension or Termination a. The Department may suspend or terminate this contract, in whole or in part, if the Contractor materially fails to comply with any term of this contract, including but not limited to: (1) Failure to comply with any of the rules, regulations or provisions referred to herein, or such statutes, regulations, executive orders, and HUD guidelines, policies or directives as may become applicable at any time; (2) Failure, for any reason, of the Contractor to fulfill its obligations under this contract within the timeframes and manner as specified by the Department; (3) Failure to complete activities in accordance with the Project Implementation Schedule; (4) Failure to submit to the Department, within the timeframes and manner as specified by the Department, any report required by this contract; (5) Submission by the Contractor to the Department reports that are incorrect or incomplete in any material respect; or (6) Misuse or improper use of fiends provided under this contract. b. Knowingly malting false statements or providing false information on a grant application, certification, or report submitted to the Department is grounds for termination of the contract award. Form Rev. 8/26/14 Page 4 of 17 Contract No. 7214349 c. The contract may also be terminated for convenience, in whole or in part, only as follows: (1) by the Department with the consent of the Contractor in which case the two parties shall agree upon the termination conditions, including the effective date and in the case of partial termination, the portion to be terminated; or (2) by the Contractor upon written notification to the Department, setting forth the reasons for such termination, the effective date, and in the case of partial termination, the portion to be terminated. However, if, in the case of a partial termination, the Department determines that the remaining portion of the award will not accomplish the purposes for which the award was made, the Department may terminate the award in its entirety. d. Upon termination or receipt of notice to terminate, whichever occurs first, the Contractor shall cancel, withdraw, or otherwise terminate any outstanding orders or subcontracts related to the performance of this contract or the portion of this contract to be terminated, as applicable, and shall cease to incur costs thereunder. The Department shall not be liable to the Contractor for costs incurred after termination of this contract. e. Notwithstanding any exercise by the Department of its right of suspension or termination as provided in this Section, the Contractor shall not be relieved of any liability to the Department for damages due to the Department by virtue of any breach of this contract by the Contractor. The Department may withhold payments to the Contractor until such time as the exact amount of damages due to the Department from the Contractor is agreed upon or is otherwise determined. 2. If the Contractor materially fails to comply with any term of the award, whether stated in a federal or state statute or regulation, an assurance, in a state plan or application, a notice of award, or elsewhere, the Department, until it is satisfied that there is no longer any such failure to comply, will take one or more of the following actions, or impose other sanctions, as appropriate in the circumstances: a. Terminate payments to the Contractor under this contract; b. Temporarily withhold payments pending correction of the deficiency by the Contractor; c. Reduce the grant award or disallow all or part of the cost of the activity or action not in compliance; d. Wholly or partly suspend or terminate the current award; e. Witlihold finrther awards for the program; or f. Take other remedies that may be legally available. 3. Reduction of Payments. In addition to, or in lieu of, any other right or remedy specified in this contract, as determined by the Department, in its sole discretion, violations or breaches by the Contractor of certain contractual and TxCDBG program requirements will result in the reduction of Administration fiends awarded under this contract in accordance with the following table: Violation Amount of Reduction ■ Acquisition 10% ■ Environmental Clearance 15% ■ Equal Employment Opportunity/Fair Housing 10% ■ Labor Standards 15% ■ Inaccurate or incomplete reporting 10% o Progress Reports o Project Completion Report o "Section 3" Reports 4. Withholding of Payments. In addition to the limitations on liability otherwise specified in this contract, if the Contractor fails to submit to the Department in a timely and satisfactory manner any report required by this contract, the Department shall, at its sole option and in its sole discretion, withhold any or all payments otherwise Form Rev. 8/26/14 Page 5 of 17 Contract No. 7214349 due or requested by the Contractor. If the Department withholds such payments, it shall notify the Contractor in writing of its decision and the reasons therefore. Payments withheld pursuant to this section may be held by the Department until such time as the delinquent obligations for which fiends are withheld are fulfilled by the Contractor. 5, hleli ig bility Period a. Delinquent audit. If the Contractor fails to comply with the single audit requirements specified in this contract and fails to submit an acceptable audit report within 90 days after the receipt of notice by the Department that the audit is past due, the Contractor shall be ineligible to receive other TxCDBG grant funding opportunities for a period of one year after the 90 -day period. b. Delinquent debt. If the Department requests or requires the Contractor to repay fitnds to the Department as a result of the Contractor's noncompliance with contractual or TxCDBG program requirements and the Contractor fails to repay the fiends by such date as specified by the Department, the Contractor shall be ineligible to receive any future TxCDBG grant finding until the Contractor has repaid the entire obligation to the Department. 6. Opportunity to cure. The Department shall give the Contractor an opportunity to cure a breach of contract as follows: a. Department shall provide written notice to the Contractor, detailing all elements of the breach or noncompliance. b. Contractor must commence cure within 30 days of the Department's notice. c. Contractor must notify the Department in writing within 30 days that cure has begun and provide detailed explanation of the steps being made to cure the breach or noncompliance. d. Contractor must complete the cure within 90 days of the Department's notice. e. Failure to commence cure within 30 days, or failure to complete cure within 90 days, will result in the Department's right to immediately terminate the contract or take other remedial action that may be legally available. SECTION 7. ADMINISTRATIVE REQUIREMENTS A. Financial Management 1. Uniform Administrative Requirements. Except as specifically modified by law or the provisions of this contract, the Contractor shall comply with applicable uniform administrative requirements, as described in 24 CFR 570.502 and 24 CFR Part 85, "Administrative Requirements for Grants and Cooperative Agreements to State, Local and Federally Recognized Indian Tribal Governments," as supplemented by the rules promulgated by the Office of the Comptroller under the Uniform Grant and Contract Management Act (Tex. Gov't. Code Chapter 783, referred to as "UGCMS"). 2. Accounting Standards. The Contractor agrees to comply with 24 CFR 85.20-26 and agrees to adhere to the accounting principles and procedures required therein, utilize adequate internal controls, and maintain necessary source documentation for all costs incurred. 3. Cost Principles. The Contractor shall comply with the requirements and standards of the Department and HUD on the allowability of costs and the use of TxCDBG fiends. The allowability of costs incurred for performances rendered raider this contract shall be determined in accordance with applicable federal regulations and cost principles, as supplemented by UGCMS and this contract. Form Rev. 8/26/14 Page 6 of 17 Contract No. 7214349 B. Documentation and Record Keepinr 1. Records to be Maintained. The Contractor shall maintain all records required by the Federal regulations specified in 24 CFR 570.490 and 570.506 that are pertinent to the activities to be fielded under this contract. Such records shall include but are not limited to: a. Records providing a full description of each activity undertaken; b. Records demonstrating that each activity undertaken meets one of the National Objectives of the CDBG program; c. Records required to determine the eligibility of activities; d. Records required to document the acquisition, improvement, use or disposition of real property acquired or improved with TxCDBG assistance; e. Records documenting compliance with the fair housing and equal opportunity components of the CDBG program (Such records must include data on the racial, ethnic, and gender characteristics of persons who are applicants for, participants in, or beneficiaries of the fiends provided under this contract); f. Financial records as required by 24 CFR 570.502; g. Records documenting compliance with labor standards and environmental review; and h. Other records necessary to document compliance with Subpart K of 24 CFR Part 570. 2. Audits & hlspections/Access to Records a. The Contractor shall give HUD, the Inspector General, the General Accounting Office, the Auditor of the State of Texas, an office or agency of the State of Texas, and the Department, or any of their duly authorized representatives, access to all books, accounts, records, reports, files, and other papers or property pertaining to the administration, receipt and use of TxCDBG fiends as may be necessary to facilitate their review and audit of the Contractor's administration and use of TxCDBG fiends received under this contract. Such rights to access shall continue as long as the records are retained by the Contractor. The Contractor agrees to maintain such records in an accessible location and to provide citizens reasonable access to such records consistent with the Texas Public Information Act (Tex. Gov't. Code, Chapter 552). The Contractor shall include the substance of this clause concerning the authority to audit funds and the requirement to cooperate in all subcontracts it awards. b. Any deficiencies noted in audit reports must be fully cleared by the Contractor within 30 days after receipt by the Contractor. Failure of the Contractor to comply with the audit requirements will constitute a violation of this contract and will result in the Contractor's ineligibility to receive other TxCDBG finding opportunities for a period of one year as provided in Section 6 of this contract. c. The Contractor understands and agrees that it shall be liable to the Department for any costs disallowed pursuant to financial and compliance audit(s) of funds received under this contract. The Contractor further understands and agrees that reimbursement to the Department of such disallowed costs shall be paid by the Contractor from fiends which were not provided or otherwise made available to the Contractor under this contract. 3. Records Retention. The Contractor shall retain all financial and programmatic records, supporting documents, statistical records, and all other records required to be maintained by 24 CFR 570.490 and 570.506, 24 CFR 85.42, and this contract for therg eater of: (i) three years after close-out of the grant from HUD to the State of Texas (not the closeout of this contract); or (ii) other record retention obligations specific to the Contractor's contract or project. Contractor may be required to meet record retention requirements greater than those specified in this Section until audit issues are resolved to the Department's satisfaction, the requirements of 24 CFR 570.487 and 570.488 are met, or the requirements of other applicable law or regulations are met. The Department posts a list on its website of contracts that HUD has closed out with the State of Texas. These contracts are listed by closed Program Year, updated once a year or as needed. In the event Contractor has a question regarding the record retention requirements under this contract, it should contact the Department. The Contractor shall include the substance of this clause in all subcontracts it awards. Form Rev. 8/26/14 Page 7 of 17 Contract No. 7214349 4. Close-outs. The Contractor's obligation to the Department shall not end until all close-out requirements are completed. Activities during this close-out period shall include but are not limited to: malting final payments, disposing of program assets (including the return of all unspent fiends, program income balances, and accounts receivable to the Department), and determining the custodianship of records. The Contractor shall submit all required close-out reports to the Department, in a format prescribed by the Department, no later than 60 days after the contract termination date or at the conclusion of all contract activities as determined by the Department. Notwithstanding the foregoing, the terms of this contract shall remain in effect during any period that the Contractor has control over TxCDBG funds, including program income. C. Reporting and Payment Procedures 1. Program Income. In the same manner as required for all other fiends tinder this contract, the Contractor shall maintain records of the receipt, accrual, and disposition of all program income (as defined at 24 CFR 570.489(e)) generated by activities carried out with TxCDBG fonds made available tinder this contract. The use of program income by the Contractor shall comply with the requirements set forth at 24 CFR 570.489(e) and 570.504. By way of further limitations, the Contractor shall use such income during the contract period for activities permitted under this contact prior to requesting additional fiends from the Department. The Contractor shall provide reports of program income to the Department with each payment request form submitted by the Contractor in accordance with the payment procedures described herein, and at the termination of this contract. All unexpended program income shall be returned to the Department at the end of the contract period, unless otherwise specifically provided within this contract. 2. Payment Procedures a. The Department shall pay to Contractor based upon information submitted by the Contractor, consistent with the approved budget and Department policy concerning payments. Payments shall be made for eligible expenses actually incurred by the Contractor, and not to exceed actual cash requirements. Payments will be adjusted by the Department in accordance with program income balances available in Contractor accounts. b. The Department shall not be liable to the Contractor for any costs incurred by the Contractor under this contract until the Contractor submits to the Department a properly completed Form A202, Depository/Authorized Signatories Designation Form, found in Chapter 2 of the TxCDBG Project Implementation Manual. c. The Contactor shall submit to the Department at its offices in Austin, Texas, a properly completed Request for Payment form as specified by the Department. Contractor must submit a request for payment under each budget line item, or a written justification for the delay in drawdown of fiends, within nine (9) months of the contract start date and every nine (9) months thereafter. Drawdowns for the payment of eligible expenses shall be made against the line item budgets specified in the Budget and in accordance with performance. Expenses for general administration shall also be paid against the line item budgets specified in the Budget and in accordance with performance. The Department shall determine the reasonableness of each amount requested and shall not make disbursement of any such payment until the Department has reviewed and approved such Request. d. Notwithstanding the provisions of clauses C.2.a to C.2.c of this Section, it is expressly understood and agreed by the Parties that payments under this contract are contingent upon the Contractor's full and satisfactory performance of its obligations under this contract. 3. Progress Reports. The Contractor shall submit regular Progress Reports to the Department in the form, content, and frequency as required by the Department. The Contractor shall comply with all reporting and submission requirements of the Federal Funding Accountability and Transparency Act (Public Law 109-282, as amended by section 6202(a) of Public Law 110-252; 31 U.S.C. § 6101 note), as well as the reporting and submission requirements of HUD as prescribed by the Department. Form Rev. 8/26/14 Page 8 of 17 Contract No. 7214349 The Contractor is required to immediately report to the Department any incident of misapplication of TxCDBG funds, or other instances of fraud affecting TxCDBG funds or related projects, associated with this contract. D. Procurement Unless specified otherwise within this contract, the Contractor shall procure all materials, property, or services in accordance with: (1) current Department policy concerning procurements, (2) the requirements of 24 CFR Part 85, as modified by 24 CFR 570.502(a), and (3) Chapter 252 or 262 of the Texas Local Government Code, as applicable. The Contractor shall ensure that all purchase orders and contracts include all applicable references to statutes, implementing regulations and executive orders. In addition, the Contractor shall maintain records of all materials, property, and services as may be procured with fiends provided herein. E. Use and Reversion of Assets The use and disposition of real property and equipment under this contract shall be in compliance with the requirements of 24 CFR Part 85 and 24 CFR 570.4890), 570.502, 570.503(b)(7), and 570.504, as applicable, which include but are not limited to the following: 1. The Contractor shall transfer to the Department any TxCDBG finds on hand and any accounts receivable attributable to the use of funds under this contract at the time of expiration, cancellation, or termination. 2. Real property under the Contractor's control that was acquired or improved, in whole or in part, with funds under this contract in excess of $25,000 shall be used to meet one of the CDBG National Objectives pursuant to 24 CFR 570.208 until five years after expiration of this contract. If the Contractor fails to use TxCDBG-assisted real property in a manner that meets a CDBG National Objective for the prescribed period of time, the Contractor shall pay the Department an amount equal to the current fair market value of the property less any portion of the value attributable to expenditures of non-TxCDBG fields for acquisition of, or improvement to, the property. Such payment shall constitute program income to the Department. The Contractor may retain real property acquired or improved under this contract after the expiration of the five-year period. SECTION 8. PERFORMANCE MONITORING A. The Department shall monitor the performance of the Contractor against the goals stated in the Performance Statement and the milestones listed in the Project hnplementation Schedule. The Department reserves the right to perforin periodic on-site monitoring of the Contractor's compliance with the terms and conditions of this contract, and of the adequacy and timeliness of the Contractor's performances under this contract. After each monitoring visit, the Department shall provide the Contractor with a written report of the monitor's findings. If the monitoring reports note deficiencies in the Contractor's performances under the terms of this contract, the monitoring report shall include requirements for the timely correction of such deficiencies by the Contractor. Failure by the Contractor to take action specified in the monitoring report may be cause for suspension or termination of this contract, as provided in Section 6 of this contract, or the Department may withhold other pending grant awards. B. If the contract ends without any project beneficiaries resulting from the use of contract funds, the Contractor shall reimburse to the Department all contract finds disbursed to the Contractor, including but not limited to finds disbursed for administration and engineering services. The Contractor shall be required to repay the funds within the timeframe specified by the Department after the receipt of notice by the Department that funds must be repaid. SECTION 9. SUBCONTRACTS A. Except for subcontracts to which the federal labor standards requirements apply, the Contractor may subcontract for performances described in this contract without obtaining the Department's prior written approval. The Contractor shall only subcontract for performances described in this contract to which the federal labor standards Form Rev. 8/26/14 Page 9 of 17 Contract No. 7214349 requirements apply after the Contractor has verified the subcontractor's eligibility under the federal System for Award Management and has followed the subcontracting requirements in the TxCDBG Project Implementation Manual. The Contractor, in subcontracting for any performances described in this contract, expressly understands that in entering into such subcontracts, the Department is in no way liable to the Contractor's subcontractor(s). B. Selection Process 1. The Contractor shall undertake to insure that all subcontracts let in the performance of this contract shall be awarded on a fair and open competition basis in accordance with applicable procurement requirements. 2. Documentation concerning the selection process, including evidence of competitive procurement as specified in the TxCDBG Project Implementation Manual, shall be submitted to the Department prior to drawdown of finds relating to the appropriate subcontract. 3. Executed copies of all subcontracts shall be forwarded to the Department upon request. C. The Contractor shall ensure that the applicable prevailing wage rate is included in the advertising and solicitation of bids in accordance with the TxCDBG Project Implementation Manual. D. Monitoring. The Contractor shall monitor all subcontracted services on a regular basis to assure contract compliance. In no event shall any provision of this Section be construed as relieving the Contractor of the responsibility for ensuring that the performances rendered under all subcontracts are rendered so as to comply with all of the terms of this contract, as if such performances rendered were rendered by the Contractor. The Department's approval under this Section does not constitute adoption, ratification, or acceptance of the Contractor's or subcontractor's performance. The Department maintains the right to insist upon the Contractor's full compliance with the terms of this contract, and by the act of approval under this Section, the Department does not waive any right of action which may exist or which may subsequently accrue to the Department under this contract. E. Content. The Contractor shall cause all of the provisions of this contract in its entirety to be included in and made a part of any subcontract executed in the performance of this contract. F. Bondin . The Contractor shall comply with the bonding requirements of Chapter 2253 of the Texas Government Code and 24 CFR 85.36(h), as applicable. G. The Contractor shall maintain a retainage in the amount of five percent (5%) of each construction or rehabilitation subcontract entered into by the Contractor until the Department determines that the Federal labor standards requirements applicable to each such subcontract have been satisfied. SECTION 10. LEGAL AUTHORITY A. The Contractor assures and guarantees that the Contractor possesses the legal authority to enter into this contract, receive fiends authorized by this contract, and to perform the services the Contractor has obligated itself to perform. B. The person or persons signing and executing this contract on behalf of the Contractor, or representing themselves as signing and executing this contract on behalf of the Contractor, do hereby warrant and guarantee that he, she or they have been duly authorized by the Contractor to execute this contract on behalf of the Contractor and to validly and legally bind the Contractor to all terms, performances, and provisions set forth. C. The Department shall have the right to suspend or terminate this contract if there is a dispute as to the legal authority of either the Contractor or the person signing this contract to enter into this contract or to render performances. The Contractor is liable to the Department for any money it has received from the Department for performance of the provisions of this contract, if the Department has suspended or terminated this contract for reasons enumerated in this Section. Form Rev. 8/26/14 Page 10 of 17 Contract No. 7214349 SECTION 11. LITIGATION AND CLAIMS The Contractor shall give the Department immediate notice in writing of (1) any action, including any proceeding before an administrative agency, filed against the Contractor arising out the performance of any subcontract; and (2) any claim against the Contractor, the cost and expense of which the Contractor may be entitled to be reimbursed by the Department. Except as otherwise directed by the Department, the Contractor shall furnish immediately to the Department copies of all pertinent papers received by the Contractor with respect to such action or claim. The Contractor shall provide a notice to the Department within 30 days upon filing under any bankruptcy or financial insolvency provision of law. SECTION 12. AUDIT A. Notwithstanding the requirements in subsection B of this Section, the Contractor shall submit within 60 days after its fiscal year end an Audit Certification Form (ACF) or a similar statement. The Contractor shall submit an ACF to the Department annually as long as the Contractor has an open contract with the Department. The ACF or statement must include information indicating whether the Contractor has or has not met the $500,000 expenditure threshold that will require a Single Audit Report. If the Contractor did not exceed the threshold, the Contractor shall include with the ACF or statement a list of all open Federal or State contracts providing financial assistance and the corresponding activity (including all contracts with the Department and other funding agencies). Failure by the Contractor to submit a complete ACF or a similar statement as described in the audit requirements by the required due date will affect funding for all existing contracts, eligibility to apply under the TxCDBG Program, and the issuance of new contracts for funding awards. B. If Contractor expends $500,000 or more in Federal awards, including TxCDBG fiends or other Federal financial assistance received indirectly from pass-through entities, during a fiscal year, the Contractor shall be responsible for obtaining an audit in accordance with the Single Audit Act Amendments of 1996 (31 U.S.C. 7501-7507) and other applicable federal regulations. The audit shall be made by an independent auditor in accordance with generally accepted government auditing standards covering financial audits. C. If the Contractor has a single audit performed, the Contractor shall submit to the Department: ® One (1) copy of the Single Audit Report; ® One (1) copy of the Department's Single Audit Report Submission Check List (See Audit Certification Fou7n packet for check list); and ® One (1) copy of the CPA's Management Letter (if issued by CPA firm to Contractor), and Management's response to the Department. The Contractor shall submit the audit package to the Department within 30 days after completion of the audit, but no later than nine (9) months after the end of the Contractor's audit period (i.e., after the Contractor's fiscal year end). The Contractor shall ensure that the audit report is made available for public inspection within 30 days after completion of the audit. Audits performed under subsection A of this Section are subject to review and resolution by the Department or its authorized representative. The Contractor shall ensure the Audit Report submitted includes, either in the report or as part of the cover letter, auditor and contractor contact information, including contact person, mailing address, telephone number, fax number, and e-mail address. The Contractor shall ensure the Audit Report submitted also includes the submission of the CPA Management Letter if a Management Letter was issued to the Contractor by its CPA firm. Failure by the Contractor to submit a completed single audit package as described in the audit requirements by the required due date will affect funding for all existing contracts, eligibility to apply under the TxCDBG Program, and the issuance of new contracts for funding awards. D. The Contractor shall take such action to facilitate the performance of such audit or audits conducted pursuant to this Section and Section 7 as the Department may require of the Contractor. The Contractor shall establish written standard operating procedures and internal controls to include the timely procurement of a CPA firm to start and Form Rev. 8/26/14 Page 11 of 17 Contract No. 7214349 complete the year end single audit report if applicable, in order to comply with contractual and regulatory requirements. The Department shall not release any fields for any costs incurred by the Contractor under this contract until the Department has received a copy of any audit report required by this Section. SECTION 13. ENVIRONMENTAL REVIEW REQUIREMENTS A. As evidenced by the execution of this contract, the Contractor understands and agrees that the Contractor is responsible for environmental review, decision-making, and action under 42 U.S.C. 5304(g), the National Enviromnental Policy Act of 1969 (NEPA) [42 U.S.C. 4321 et seq.], and other provisions of law that further the purposes of NEPA, as specified in 24 CFR 58.5. The Contractor shall comply with the environmental review procedures set forth in 24 CFR Part 58, the TxCDBG Project hnplementation Manual, and all other applicable federal, state, and local laws insofar as they apply to the performance of this contract. The Contractor must certify that it has complied with the requirements that would apply under the laws and authorities cited in 24 CFR 58.5 and must consider the criteria, standards, policies and regulations of these laws and authorities. In addition, the Contractor must comply with the requirements specified in 24 CFR 58.6. The Contractor shall be responsible for ensuring compliance with all applicable requirements has been achieved; for issuing the public notification; for submitting the request for release of fiends and related certifications, when required; and for ensuring the Enviromnental Review Record is complete. B. Limitations on Activities Pending Clearance 1. Neither the Contractor nor any participant in the development process, or any of their contractors, may commit TxCDBG funds on an activity or project, or execute a legally binding agreement for property acquisition, rehabilitation, conversion, repair or construction pertaining to a specific site, until the Contractor has completed the 24 CFR Part 58 enviromnental review process and the Department has authorized the use of grant fields or approved the Contractor's request for release of finds and related certification. In addition, until the Contractor's request for release of funds and related certification have been approved, neither the Contractor nor any participant in the development process may commit non-TxCDBG fiends on or undertake an activity or project if the activity or project would have an adverse environmental impact or limit the choice of reasonable alternatives. 2. If an activity is exempt under 24 CFR 58.34, or is categorically excluded (except in extraordinary circumstances) under 24 CFR 58.35(b), a request for release of funds is not required but the Contractor must document its determination as required in 24 CFR 58.34(b) and 58.35(d). The Contractor shall comply with the requirements and procedures in the current TxCDBG Project Implementation Manual, and shall submit to the Department a Determination of Exemption or Determination of Categorical Exclusion, as applicable, and other required environmental compliance documentation as specified in the Implementation Manual. The Contractor shall also comply with other applicable requirements, as specified in 24 CFR 58.6, regardless of whether the activity is exempt under 24 CFR 5 8.3 4 or categorically excluded under 24 CFR 58.35(b). C. In accordance with 24 CFR 58.77(b), the Contractor shall handle inquiries and complaints from persons and agencies seeking redress in relation to enviromnental reviews covered by approved certifications. SECTION 14. CITIZEN PARTICIPATION REQUIREMENTS A. The Contractor shall provide for and encourage citizen participation, particularly by low and moderate income persons who reside in slum or blighted areas and areas in which the fields provided under this contract are used, in accordance with 24 CFR 570.486 and this contract. B. The Contractor shall hold a public hearing concerning any activities proposed to be added, deleted, or substantially changed, as determined by the Department, from the activities specified in the Application or the Performance Statement. Form Rev. 8/26/14 Page 12 of 17 Contract No. 7214349 C. Prior to the programmatic closure of this contract, the Contractor shall hold a public hearing to review its performance under this contract. D. For each public hearing scheduled and conducted by the Contractor under this Section, the Contractor shall comply with the TxCDBG Project Implementation Manual and the following requirements: 1. Notice of each hearing shall be published in the non -legal section of a newspaper having general circulation in the Contractor's jurisdiction at least seventy-two (72) hours prior to each scheduled hearing. The published notice shall include the date, time, and location of each hearing and the topics to be considered at each hearing. The published notice shall be printed in English and Spanish, if appropriate. The Department shall accept articles published in such newspapers which satisfy the content and timing requirements of this subsection. In addition, the Contractor shall prominently post such notices in public buildings and distributed to interested community groups. 2. If any substantial changes are being requested concerning the activities included in this contract, the public hearings shall be held after 5:00 p.m. on a weekday or on a Saturday or Sunday. The hearings must be conducted at a location convenient to potential or actual beneficiaries, with accommodation for persons with special needs. 3. When a significant number of non-English speaking residents can reasonably be expected to participate in a public hearing, the Contractor shall provide an interpreter to accommodate the needs of the non-English speaking residents. E. Notwithstanding the provisions of Section 7 of this contract, the Contractor shall retain documentation of the public hearing notices, a list of the attendees at each hearing, and minutes of each hearing held in accordance with this section for a period of three (3) years after the termination of this contract. The Contractor shall make such records available to the public in accordance with Texas Government Code, Chapter 552. F. Complaint Procedures. The Contractor shall maintain written citizen complaint procedures that provide a timely written response to complaints and grievances. Such procedures shall comply with the Department's requirements. The Contractor shall ensure that its citizens are aware of the location and hours at which they may obtain a copy of the written procedures and the address and phone number for submitting complaints. SECTION 15. DEBARMENT A. By signing this contract, the Contractor certifies that it is not debarred, suspended or otherwise excluded from or ineligible for participation in federal assistance programs under Executive Order 12549 and 24 CFR Part 24. Further, the Contractor is required to immediately report to the Department if it is debarred, suspended or otherwise excluded from or ineligible for participation in federal assistance programs under Executive Order 12549 and 24 CFR Part 24. B. By signing this contract, the Contractor certifies that it will not award any fluids provided under this contract to any party which is debarred, suspended or otherwise excluded from or ineligible for participation in federal assistance programs under Executive Order 12549 and 24 CFR Part 24. The Contractor shall verify the eligibility status of each proposed subcontractor under this contract and its principals and retain documentation in the local files. SECTION 16. PERSONNEL AND PARTICIPANT CONDITIONS A. Civil Rights 1. Compliance. The Contractor agrees to ensure that no person shall on the grounds of race, color, national origin, religion, sex, age, or disability be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any program or activity assisted in whole or in part with TxCDBG funds. Form Rev. 8/26/14 Page 13 of 17 Contract No. 7214349 The Contractor agrees to comply with all federal, state and local civil rights laws and ordinances, including but not limited to Title VI of the Civil Rights Act of 1964 (42 U.S.C. 20004 et seq.) as amended; Title VIII of the Civil Rights Act of 1968, commonly known as the Fair Housing Act (42 U.S.C. 3601 et seq.), as amended by the Fair Housing Amendments Act of 1988; Section 104(b) and Section 109 of Title I of the Housing and Community Development Act of 1974 (42 U.S.C. 5304(b) and 24 CFR Part 6, respectively) as amended; Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. 794); the Americans with Disabilities Act of 1990 (42 U.S.C. 12101 et seq.); the Architectural Barriers Act of 1968 (42 U.S.C. 4151 et seq.); the Age Discrimination Act of 1975 (42 U.S.C., 6101 et seq.); and Executive Order 11063 (Equal Opportunity in Housing) as amended by Executive Order 12259. 2. Nondiscrimination. The Contractor agrees to comply with the non-discrimination laws, regulations, and executive orders referenced in 24 CFR 570.607, as revised by Executive Order 13279, in employment and contracting opportunities. 3. Subcontract Provisions. The Contractor shall include these civil rights provisions in every subcontract or purchase order, specifically or by reference. B. Employment Restrictions 1. Prohibited Activity. The Contractor agrees that no funds provided, nor personnel employed, under this contract shall be used for: political activities or to further the election or defeat of any candidate for public office; lobbying; inherently religious activities; political patronage; and nepotism activities. 2. Labor Standards a. The Contractor agrees to comply with the requirements of the U.S. Secretary of Labor in accordance with the Davis -Bacon Act (40 U.S.C. 3141 et seq.) as amended, the provisions of Contract Work Hours and Safety Standards Act (40 U.S.C. 3701 et seq.), and all other applicable Federal, state and local laws and regulations pertaining to labor standards insofar as those acts apply to the performance of this contract. b. The Contractor agrees to comply with the Copeland Anti -Kick Back Act (18 U.S.C. 874 et seq.) and its implementing regulations of the U.S. Department of Labor at 29 CFR Part 5. The Contractor shall maintain documentation that demonstrates compliance with hour and wage requirements of this part. Such documentation shall be made available to the Department for review upon request. c. The Contractor agrees that, except with respect to the rehabilitation of residential property containing less than eight (8) units, all subcontractors engaged under contracts in excess of $2,000 for construction, renovation or repair work financed in whole or in part with assistance provided under this contract, shall comply with Federal requirements adopted by the Department pertaining to such contracts and with the applicable requirements of the regulations of the U.S. Department of Labor, under 29 CFR Parts 1, 3, and 5 governing the payment of wages and ratio of apprentices and trainees to journey workers; provided that, if wage rates higher than those required under the regulations are imposed by state or local law, nothing hereunder is intended to relieve the Contractor of its obligation, if any, to require payment of the higher wage. The Contractor shall cause or require to be inserted in full, in all such contracts subject to such regulations, provisions meeting the requirements of this paragraph. 3. "Section 3" Clause a. Compliance (1) The work to be performed under this contract is subject to the requirements of section 3 of the Housing and Urban Development Act of 1968, as amended, 12 U.S.C. 170lu (section 3). Form Rev. 8/26/14 Page 14 of 17 Contract No. 7214349 (2) The Contractor shall comply with HUD's regulations in 24 CFR Part 135, which implement section 3. As evidenced by the execution of this contract, the Contractor certifies that no contractual or other impediment exists that would prevent it from complying with the pant 135 regulations. (3) The Contractor shall ensure that opportunities for training, employment (including management and administrative jobs), contracting and other economic opportunities arising in connection with the construction, reconstruction, conversion or rehabilitation of housing (including reduction and abatement of lead-based paint hazards), and other public construction which includes buildings or improvements (regardless of ownership), assisted in whole or in part with TxCDBG fiends shall, to the greatest extent feasible, be given to low- and very low-income persons residing within the area in which the TxCDBG- funded project is located, and to low- and very low-income participants in other HUD programs. (4) The Contractor agrees to award contracts for work undertaken in connection with this contract to businesses that provide economic opportunities to low- and very low-income residents within the service area or the neighborhood in which the project is located, and to low- and very low-income participants in other HUD programs. (5) The Contractor will certify that any vacant employment positions, including training positions, that are filled (1) after the Contractor is selected but before the contract is executed, and (2) with persons other than those to whom the regulations of 24 CFR Part 135 require employment opportunities to be directed, were not filled to circumvent the Contractor's obligations under 24 CFR Part 135. (6) Noncompliance with HUD's regulations in 24 CFR Part 135 may result in sanctions, termination of this contract for default, and debarment or suspension from future HUD assisted contracts. (7) With respect to work performed in connection with section 3 covered Indian housing assistance, section 7(b) of the Indian Self -Determination and Education Assistance Act (25 U.S.C. 450e) also applies to the work to be performed under this contract. Section 7(b) requires that to the greatest extent feasible (i) preference and opportunities for training and employment shall be given to Indians, and (ii) preference in the award of contracts and subcontracts shall be given to Indian organizations and Indian - owned Economic Enterprises. Parties to this contract that are subject to the provisions of section 3 and section 7(b) agree to comply with section 3 to the maximum extent feasible, but not in derogation of compliance with section 7(b). b. Notifications. The Contractor agrees to send to each labor organization or representative of workers with which it has a collective bargaining agreement or other contract or understanding, if any, a notice advising the labor organization or workers' representative of its commitments under this section 3 clause, and will post copies of the notice in conspicuous places at the work site where both employees and applicants for training and employment positions can see the notice. The notice shall describe the section 3 preference, set forth minimum number and job titles subject to hire, availability of apprenticeship and training positions, the qualifications for each, the name and location of the person(s) taking applications for each of the positions, and the anticipated date the work shall begin. c. Subcontracts. The Contractor agrees to include this section 3 clause in all solicitations and subcontracts in excess of $100,000 executed under this contract, and agrees to take appropriate action, as provided in an applicable provision of the subcontract or in this section 3 clause, upon a finding that the subcontractor is in violation of the regulations in 24 CFR Part 135. The Contractor will not subcontract with any entity where it has notice or knowledge that the entity has been found in violation of the regulations in 24 CFR Part 135. C. Conflict of Interest. The Contractor agrees to abide by the provisions of Chapter 171, Texas Local Government Code, and 24 CFR 85.36, 570.489(h), and 570.611, which include but are not limited to the following: 1. The Contractor shall maintain a written code or standards of conduct that shall govern the performance of its officers, employees or agents engaged in the award and administration of contracts supported by TxCDBG finds. Form Rev. 8/26/14 Page 15 of 17 Contract No. 7214349 2. No employee, officer or agent of the Contractor shall participate in the selection, or in the award, or administration of, a contract supported by TxCDBG fiends if a conflict of interest, real or apparent, would be involved. 3. No covered persons who exercise or have exercised any functions or responsibilities with respect to TxCDBG-assisted activities, or who are in a position to participate in a decision-making process or gain inside information with regard to such activities, may obtain a financial interest in any contract, or have a financial interest in any contract, subcontract, or agreement with respect to the TxCDBG-assisted activity, or with respect to the proceeds from the TxCDBG-assisted activity, either for themselves or those with whom they have business or irmnediate family ties, during their tenure or for a period of one (1) year consultant, officer, oosesect d or of this paragraph, a "covered person" includes any person who is an employee, age nt,appointed official of the Department, the Contractor, or any designated public agency. 4. The Contractor shall include these conflict of interest provisions in all subcontracts. D. Lobbying No funds provided under this contract shall be used to pay any person for communicating with a member of the legislative branch of state government (which includes a member -elect, a candidate for, or an officer or employee of the legislature or a legislative committee), a member of the executive branch of state government (which includes an Dicer, an officer -elect, a candidate for, or an employee of any state agency, department, or office in gress or a federal ency, or an the executive branch),Member ofMember Congresse of Cfong hespuipose of or flue employee i go of attempting to influence leg slation o employee of a Me administrative action. E. Religious Activities and Faith -Based Organizations 1. The Contractor shall not discriminate against an organization on the basis of the organization's religious character or affiliation. The Contractor shall comply with the regulations promulgated by HUD on faith -based activities at 24 CFR 570.2000). 2. The Contractor agrees that fiends provided under this contract will not be utilized for inherently religious activities prohibited by 24 CFR 570.2000), such as worship, religious instruction, or proselytization. Funds made available raider this contract may not be used for the acquisition, construction, or rehabilitation of structures to the extent that those structures are used for il-A-lerently religious activities. Where a structure is used for both eligible and inherently religious activities, funds made available tinder this contract may not exceed the cost of those potions of the acquisition, construction, or rehabilitation that are attributable to eligible activities in accordance with the cost accounting requirements applicable to fiends provided under this contract. SECTION 17. FRAUD, ABUSE, AND MISMANAGEMENT The Contractor must take steps, as directed by the Department, to avoid or mitigate occurrences of fraud, abuse, and mismanagement especially with respect to the financial management of this contract and procurements made under this contract. Upon the discovery of such alleged or suspected fraud, the Contractor shall immediately notify the Department and appropriate law enforcement authorities, if necessary, of the theft of any assets provided for under this contract, malfeasance, abuse of power or authority, kickbacks, or the embezzlement or loss of any funds under this contract. SECTION 18. EFFECTIVE DATE This contract is not effective unless signed by the Commissioner of the Department or by his authorized designee. Form Rev. 8/26!14 Page 16 of 17 Contract No. 7214349 SECTION 19. WAIVER Any right or remedy provided for in this contract shall not preclude the exercise of any other right or remedy under this contract or under any provision of law, nor shall any action taken by the Department in the exercise of any right or remedy be deemed a waiver of any other rights or remedies. The Department's failure to act with respect to a breach by the Contractor does not waive its right to act with respect to subsequent or similar breaches. The failure of the Department to exercise or enforce any right or provision shall not constitute a waiver of such right or provision. SECTION 20. ORAL AND WRITTEN AGREEMENTS A. All oral and written agreements between the parties to this contract relating to the subject matter of this contract that were made prior to the execution of this contract have been reduced to writing and are contained in this contract. B. The attachments enumerated and denominated below are hereby made a part of this contract, and constitute promised performances by the Contractor in accordance with Section 4 of this contract: 1. Exhibit A, Performance Statement, 2 Pages 2. Exhibit B, Budget, 1 Page 3, Exhibit C, Project Implementation Schedule, 1 Page 4. Exhibit D, Special Conditions, 2 Pages 5. Exhibit E, Applicable Laws and Regulations, 2 Pages 6. Exhibit F, Certifications, 2 Pages SECTION 21. VENUE For purposes of litigation pursuant to this contract, venue shall lie in Travis County, Texas. City YDat Approved ccepted on behalf of the Texas Department of Agriculture. Drew DeBerry, Deputy Commissioner Date Texas Department of Agriculture Form Rev. 8/26/14 Page 17 of 17 Contract No. 7214349 EXHIBIT A PERFORMANCE STATEMENT CITY OF ANNA All activities funded with TxCDBG funds must meet one of the CDBG program's National Objectives: benefit low - and moderate -income persons, aid in the prevention or elimination of shuns or blight, or meet community development needs having a particular urgency. Contractor shall carry out the following activities in the target area identified in the Application. The Contractor shall ensure that the amount of funds expended for each activity described does not exceed the amount specified for such activity in the Budget. CURRENT NEED The City of Anna has sewer lines that are aged and deteriorated, resulting in frequent maintenance issues and disruptions in service. The Contractor certifies that the activity (ies) carried out under this contract will meet the National Objective of benefitting low- and moderate -income persons with at least 51% of the beneficiaries qualifying as low- to moderate - income. ACTIVITIES Sewer Improvements Contractor shall replace sewer lines to prevent frequent maintenance issues and disruptions in service. Contractor shall install approximately seven thousand sixteen linear feet (7,0161.£) of four -inch (4") to eight - inch (8") sewer line, eight (8) manholes, service reconnections, driveway and pavement repair, and all associated appurtenances. Construction shall take place in the following locations: STREET FROM TO End End Geneva End End Cunlingham End South Interurban End End South Riggin End End Edwards End These activities shall benefit one hundred ninety-five (195) persons, of which one hundred forty-eight (148) persons or seventy-six percent (76%) are of low- to moderate -income. Acquisition Contractor shall acquire the easements needed for the sewer improvement project site. Contractor shall carry out all acquisition of needed real property, easements, and/or rights-of-way in compliance with the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 (42 U.S.C. Sec. 4601 et, seq.) and HUD implementing regulations (24 C.F.R. Part 42). Engineering Contractor shall ensure that the amount of Department fiends expended for all eligible project -related engineering services, including preliminary and final design plans and specifications, all interim and final inspections, and all special services does not exceed the amount specified for engineering in the Budget. Form Rev. 10/2/13 Page 1 of 2 Contract No. 7214349 General Administration le ministration Contractor shall ensure that the amount of Department fiuidsandxfs al audit does onded for all f exceed the amount ated specified for activities, including the required annual program comphancc administration in the Budget. Form Rev, 10/2/13 Page 2 of 2 Contract No. 7214349 EXHIBIT B BUDGET CITY OF ANNA Pro iect Activities Contract Funds Other Funds 03J—S Sewer Improvements - Total $275,000 $114,220 Sewer Improvements -Construction $270,000 $36,990' Sewer Improvements -Engineering $5,000 $54,9001 Sewer Improvements -Acquisition $0 $22,3301 21A General Program Administration - Total $0 $35,0001 TOTALS $275,000 $149,220 Source of Other Funds: 1— City of Anna, General Fund Total Funds $389,220 $306,990 $59,900 $22,330 $35,000 $424,220 Form Rev. 10/2/13 Page 1 of i Contract No. 7214349 EXHIBIT C PROJECT IMPLEMENTATION SCHEDULE CITY OF ANNA CONTRACT START DATE October 15, 2014 CONTRACT END DATE October 14, 2016 If Contractor fails to meet milestones in accordance with is schedule, the Department will withhold payments to Contractor until such milestone has been completed. Page 1 of 1 Contract No. 7214349 Forth Rev. 8/26/14 Milestone Date Activity To Be Completed by Date Specified: Month 2 12/15/2014 Procurement of Professional Services Completed Call / Meeting Completed tt� Month 4 2/15/2015 4 -Month Conference Month 6 4/15/2015 Plans and Specifications Completed t) Month 6 4/15/2015 Plans and Specifications Submitted for Approval (as required Month 6 4/15/2015 Environmental Review Completed Month 8 6/15/2015 Clearance of Pre -Construction Special Conditions Month 8 6/15/2015 Wage Rate 10 -Day Confirmation Month 9 7/15/2015 Construction Contract Awarded &Executed Month 14 12/15/2015 Construction - 50% TxCDBG project complete Month 17 3/15/2016 Construction - 75% TxCDBG project complete Month 19 5/15/2016 Construction - 90% TxCDBG project complete Month 20 6/15/2016 Construction & Final Inspections Completed Month 24 10/14/2016 End Date of Contract submitted to Department (60 days after End Date) Month 26 12/13/2016 Close-out documents (t) See TxCDBG Project Implementation Manual Page 1 of 1 Contract No. 7214349 Forth Rev. 8/26/14 EXHIBIT D COMMUNITY DEVELOPMENT FUND SPECIAL CONDITIONS CITY OF ANNA A. Special Conditions for Release of Construction Funds tile til t1_1e Funds for construction activities under this contract will not be released tooid t o ns mus following special conditions fot be by satihe sfr satisfactorily repleted r release of fluids are met. These spa the than twelve (12) months after the contract start ds after eecommencement date specified nection 6 of the cSect on 2 if no late months a Department shall terminate this contract twelve (12) these special conditions are not met by such date. Contractor shall submit to the Department: amental review and lities for 1. Documentation evidencing Contract r5 required by Section 13 (Enviponetion of its resronment Review) of this contract, and decision-making pertaining to the project its compliance with NEPA and other provisions of law that further the purposes of NEPA, as specified in 24 CF 58.5. prior to beginning construction activities under this 2. Certification that Contractor has received all required pre -construction permits or approvals from the appropriate federal, state, or local entity or regulatory agency p contract. • documentation required by the Department for release of construction fiords as specified in Chapter 2 3. Other of the TxCDBG Project hnplementation Manual. B. Other Special Conditions 1. Pro ecu iv pin Desi n Information and Copyriit s engineering a. The Contractor shall receive and maintain a copy of the final project record drawing(s) g as constructed using funds under this contract. Thessi� to innfileall sonma dada readable redia, n digital format schematic(s), vector data) and the graphic containing the source map data (original lable to the as con act disc (CD), which are compatible with computer digital r s es ntatio n of the rengineer's eadily nseal but the such p rovided shall not include a Contractor, The digital copy p ' of the original sealed document, and that a printed version accompanying documentation from the engineer mall include a signed statement of when the rnapv�' P authorized, that the digital map is a true representatro acetate the data and maps shall be and with the seal has been provided to the Contractor• addition) osedeto documentationathe as a the content layout of the data files and the name of the softwarep data received, including the original vector data, and all received and maintained by Contractor in written form. The Contractor shall provide the Department upon request a copy of all the electronic files and other insure that the CD copy of all the electronic files and other documentation in electronic format, on a CD or 1 ear media in a file format determined by the Department. requested by the Department, the Contractor sial lab data provided to the Department ate properly identified. contents CD, the prepa eei's shall me and the name of the nave, the Department's assigrnnerate tl e ed nlapslumber on the CD. software packa e s used to g Here activities supported by this contract produce copyrightable material, the Contractor shall not assert CD - b. Where iout the at common law or in equity or establish any claimservesta royalty free, nonexclusive, and ial irrevocable any rights roval. The Department re Departments prior written app' license to copy, produce, publish, and use such material, and to authorize others to do so. Contract No. 7214349 Page 1 of 2 Form Rev. 8/26/14 es of t1lis e in oyluent contracts, c. Provisions appropriate to effectuate the purP°Sssand other co tractslor agreements ents in which consultant contracts, including engineering consultant contract funds received by the Contractor under this contract are involved. Form Rev. MUM Contract No. 7214349 Page 2 of 2 EXHIBIT E APPLICABLE LAWS AND REGULATIONS The Contractor shall comply with the HCD Act; federal regulations specified in this contract; and with all other federal, state, and local laws and regulations insofar as they apply to the performance of this contract, including but not limited to the laws and regulations specified in this Exhibit. I. LEAD-BASED PAINT The Contractor agrees that any construction or rehabilitation of residential structures with assistance provided tinder this contract shall be subject to the Lead -Based Paint Regulations at 24 CFR 570.608 and 24 CFR Part 35. II. ENVIRONMENTAL LAW AND AUTHORITIES A. The Council on Environmental Quality regulations contained in 40 CFR parts 1500 through 1508 B. Historic Properties 1. The National Historic Preservation Act of 1966 as amended (16 U.S.C. 470 et seq.), particularly sections 106 and 110 (16 U.S.C. 470 and 470h-2) 2. Executive Order 11593, Protection and Enhancement of the Cultural Environment, 36 FR 8921 (May 13, 1971) 3. Federal historic preservation regulations, at 36 CFR part 800 with respect to HUD programs 4. The Reservoir Salvage Act of 1960 as amended by the Archeological and Historic Preservation Act of 1974 (16 U.S.C. 469 et seq), particularly section 3 (16 U.S.C. 469a-1) C. Floodplain management and wetland protection 1. Executive Order 11988, Floodplain Management, 42 FR 26951 (May 24, 1977), as interpreted in HUD regulations at 24 CFR part 55, particularly section 2(a) of the order 2. Executive Order 11990, Protection of Wetlands, 42 FR 26961 (May 24, 1977) D. Coastal Zone Management. The Coastal Zone Management Act of 1972 (16 U.S.C. 1451 et seq.), as amended, particularly sections 307(c) and (d) (16 U.S.C. 1456(c) and (d)) E. Watersystems 1. The Safe Drinking Water Act of 1974 (42 U.S.C. 300f et seq.) as amended; particularly section 1424(e) (42 U.S.C. 300h -3(e)) 2. Sole Source Aquifers (Environmental Protection Agency -40 CFR part 149) F. Endangered species. The Endangered Species Act of 1973 (16 U.S.C. 1531 et seq.) as amended, particularly section 7 (16 U.S.C. 1536). G. Wild and scenic rivers. The Wild and Scenic Rivers Act of 1968 (16 U.S.C. 1271 et seq.) as amended, particularly sections 7(b) and (c) (16 U.S.C. 1278(b) and (c)). H. Air quality 1. The Clean Air Act (42 U.S.C. 7401 et seq.) as amended, particularly sections 176(c) and (d) (42 U.S.C. 7506(c) and (d)) 2. Determining Conformity of General Federal Actions to State or Federal Implementation Plans (Environmental Protection Agency -40 CFR parts 6, 51, and 93) Form Rev. 8/26/14 Page 1 of 2 Contract No. 7214349 I. Farmland protection 1. Farmland Protection Policy Act of 1981 (7 U.S.C. 4201 et seq.) particularly sections 1540(b) and 1541 (7 U.S.C. 4201(b) and 4202) 2. Farmland Protection Policy Act regulations (7 CFR part 658) J. HUD environmental standards 1. Applicable criteria and standards specified in HUD environmental regulations (24 CFR part 51) other than the runway clear zone and clear zone notification requirement in 24 CFR 51.303(a)(3) 2. It is HUD policy that all properties that are being proposed for use in HUD programs be free of hazardous materials, contamination, toxic chemicals and gases, and radioactive substances, where a hazard could affect the health and safety of occupants or conflict with the intended utilization of the property. 3. The enviromnental review of multifamily housing with five or more dwelling units (including leasing), or non-residential property, must include the evaluation of previous uses of the site or other evidence of contamination on or near the site, to ensure that the occupants of proposed sites are not adversely affected by any of the hazards listed in paragraph J.2 of this section. 4. Particular attention should be given to any proposed site on or in the general proximity of such areas as dumps, landfills, industrial sites, or other locations that contain, or may have contained, hazardous wastes. K. Environmental iustice for low income and minority populations. Executive Order 12898 of February 11, 1994 (59 FR 7629). III. ACQUISITION/RELOCATION The Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, 42 U.S.C. Sec. 4601 et seq., 24 CFR Part 42, and 24 CFR 570.606. Form Rev. 8/26/14 Page 2 of 2 Contract No. 7214349 EXHIBIT F CERTIFICATIONS WITH RESPECT TO THE EXPENDITURE OF FUNDS PROVIDED UNDER THIS CONTRACT BY THE CITY OF ANNA, THAT; (1) IT WILL MINIMIZE DISPLACEMENT OF PERSONS AS A RESULT OF ACTIVITIES ASSISTED WITH SUCH FUNDS; (2) THE PROGRAM WILL BE CONDUCTED AND ADMINISTERED IN CONFORMITY WITH THE CIVIL RIGHTS ACT OF 1964 (42 U.S.C. 1981 et seq.) AND THE FAIR HOUSING ACT (42 U.S.C. 3601 et seq.), AND THAT IT WILL AFFIRMATIVELY FURTHER FAIR HOUSING, AS SPECIFIED BY THE DEPARTMENT; (3) IT WILL PROVIDE FOR OPPORTUNITIES FOR CITIZEN PARTICIPATION, HEARINGS AND ACCESS TO INFORMATION WITH RESPECT TO ITS COMMUNITY DEVELOPMENT PROGRAMS, AS SPECIFIED BY THE DEPARTMENT; (4) IT WILL NOT ATTEMPT TO RECOVER ANY CAPITAL COSTS OF PUBLIC IMPROVEMENTS ASSISTED IN WHOLE OR IN PART WITH SUCH 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 UNLESS (A) SUCH FUNDS ARE USED TO PAY THE PROPORTION OF SUCH FEE OR ASSESSMENT THAT RELATED TO THE CAPITAL COSTS OF SUCH PUBLIC IMPROVEMENTS THAT ARE FINANCED FROM REVENUE SOURCES OTHER THAN SUCH FUNDS; OR (B) FOR PURPOSES OF ASSESSING ANY AMOUNT AGAINST PROPERTIES OWNED AND OCCUPIED BY PERSONS OF MODERATE INCOME, THE CONTRACTOR CERTIFIES THAT IT LACKS SUFFICIENT FUNDS UNDER THIS CONTRACT TO COMPLY WITH THE REQUIREMENTS OF CLAUSE (A). (5) IN THE EVENT THAT DISPLACEMENT OF RESIDENTIAL DWELLINGS WILL OCCUR IN CONNECTION WITH A PROJECT ASSISTED WITH TxCDBG FUNDS, IT WILL FOLLOW A RESIDENTIAL ANTI -DISPLACEMENT AND RELOCATION ASSISTANCE PLAN, AS SPECIFIED BY THE DEPARTMENT. (6) IT SHALL ADOPT AND ENFORCE A POLICY PROHIBITING THE USE OF EXCESSIVE FORCE BY LAW ENFORCEMENT AGENCIES WITHIN ITS JURISDICTION AGAINST ANY INDIVIDUAL ENGAGED IN NONVIOLENT CIVIL RIGHTS DEMONSTRATIONS AND 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 DEMONSTRATION WITHIN ITS JURISDICTION. Form Rev. 8/26/14 Page 1 of 2 Contract No. 7214349 CERTIFICATION REGARDING LOBBYING FOR CONTRACTS, GRANTS, LOANS, AND COOPERATIVE AGREEMENTS CITY OF ANNA CERTIFIES, TO THE BEST OF ITS KNOWLEDGE AND BELIEF, THAT: (1) NO FEDERAL APPROPRIATED FUNDS HAVE BEEN PAID OR WILL BE PAID, BY OR ON BEHALF OF THE UNDERSIGNED, TO ANY PERSON FOR INFLUENCING OR ATTEMPTING TO INFLUENCE AN OFFICER OR EMPLOYEE OF AN 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, THE UNDERSIGNED SHALL COMPLETE AND SUBMIT STANDARD FORM - LLL, "DISCLOSURE FORM TO REPORT LOBBYING," IN ACCORDANCE WITH ITS INSTRUCTIONS. (3) THE UNDERSIGNED SHALL REQUIRE THAT THE LANGUAGE OF THIS 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. THIS CERTIFICATION IS A MATERIAL REPRESENTATION OF FACT 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 31 U.S.C. 1352. 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. Form Rev. 8/26/14 Page 2 of 2 Contract No. 7214349 .4z oF4Q, REQUEST FOR PAYMENT FORM A203 ti 0, -10 G Grant Recipient:i� 1 �� t~ p� City of Anna o+,o,t_n:r\iir. �C �" Contract No.: 7214349 Request No: 1 Region: NCTCOG P'l'ExAs' Note:All shaded field headers are interactive buttons that contain helpful information to complete this form. Contract Period: From: Oct 15,2014 To: Oct 14,2016 Period Covered From: Oct 16,2014 To: Jan 23,2016 by this Report: Activity Number Budget This Request Total Drawn Balance %of Activity A B C D (B-C-D) Budget Drawn 03J-Sewer Improvements-Engineering $ 5,000.00 $ 0.00 $ 5,000.00 0% 03J-Sewer Improvement-Construction $270,000.00 $ 33,669.22 $ 0.00 $236,330.78 12% Total Grant Funds: $275,000.00 $ 33,669.22 $ 0.00 $241,330.78 Matching Funds: $ 149,220.00 $ 16,625.00 $ 0.00 $ 132,595.00 Note:Submit supporting documentation for all costs in Column C,including costs paid through matching funds. Total Grant Funds Requested To Date: Total Match Funds Expended To Date: percent match $ 33,669.22 $ 16,625.00 funds to grant 49.377 funds expended REMARKS:(if construction funds are drawn and$0 match is reported,provide explanation) ALL EXPENDITURES RELATED TO THIS CONTRACT MUST BE CONSISTENT WITH THE UNIFORM GRANT AND CONTRACT MANAGEMENT ACT,CHAPTER 783 OF THE TEXAS GOVERNMENT CODE AND 2 CFR PART 200,UNIFORM ADMINISTRATIVE REQUIREMENTS,COST PRINCIPLES AND AUDIT REQUIREMENTS FOR FEDERAL AWARDS,FINAL GUIDANCE. CERTIFICATION:By signing this report,I certify to the best of my knowledge and belief that the report is true,complete,and accurate, and the expenditures,disbursements and cash receipts are for the purposes and objectives set forth in the terms and conditions of the Federal award.I am aware that any false,fictitious,or fraudulent information,or the omission of any material fact,may subject me to criminal,civil or administrative penalties for fraud,false statements,false claims or otherwise.(U.S.Code Title 18,Section 1001 and Title 31, Sections 3729-3730 and 3801-3812)." { , a Philip Sanders City Manager ' ' e; be/ r„ Name of 1st Authorized Certi in Official Title ri n fy 9 S gnatt�r oAuthonzed Certifying Official Da // MikeCrist Mayor � �/ / Name of 2nd Authorized Certifying Official Title Signature'ofAuthori 'Certifying Official Dale Form must be signed and dated by authorized This form required as of October 15,2015. signatories. All previous versions no longer valid.