HomeMy WebLinkAboutCatholic Family Wheelchair Ramps C-20140409 HUD IDIS 3325COMMUN=DEVELOPMENT DEPARTMENT 509-545-3441 /FAX 509-545-3499
P.V. J5VA 2Y3, T25 NVK'I'H THIRD AVENUE, PASCO, WASHINGTON 99301
December 9, 2015
John L Young
Catholic Family & Child Services
5301-C Tieton Drive
Yakima WA 98908
Subject: Transmittal of Fully Executed Contract C-2014-4-9
Wheelchair Ramps, IDIS/HUD 4325
Dear Mr. Young:
Attached for your records is one (1) fully executed copy of the subject contract.
Please contact Krystle Shanks at (509) 545-3441 or slianksk@pasco-wa.gov ov for an electronic copy of the
Quarterly Report Forms. The quarterly reports for Q1 -Q3 2015 are due immediately for the period
January through September 2015 and should include projected schedule for next quarter activities.
(Please use the new 2015 forms included in this packet).
Please do not hesitate to contact me at 543-5739 or pitmana.@pasco-wa.gov if you have any questions or
comments regarding the contract.
Sincerely,
avf /.�Ott
Angela R. Pitman, CDBG Administrator
Community & Economic Development
Cc: C-2014-4-9 Volunteer Chore Services Pasco Ramps (Original)
Jackie Martinez, Catholic Family & Child Services (Copy)
ARP/Ib
Enclosures (1)
N N i N
CONTRACT FACE SHEET
Subrecipient
Contract Number
Contract Amount
Catholic Family & Child Services -Pasco
C-2014-4-9
$ 3,129
5301-C Tieton Drive
Yakima, WA 98908
IDIS #325
Subrecipient Representative
Start Date
End Date
Mr. John L. Young, Executive Director
January 1, 2014
December 31, 2016
Catholic Family & Child Services -Pasco
(509) 966-9750
jyoung@cfcsyakima.org
Federal Funding Authority
U. S. Department of Housing and Urban Development (HUD)
Federal Funds CFDA Number
14.214
Service Area
County
Page Number
Elderly/Disabled Households
Franklin County
1
Tax ID Number
Number of Pages
91-6001264
Contract Purpose
CDBG funds provide minor accessibility remodels, minor repairs and construction of wheelchair ramps for very low to low income
households. This population includes elderly and disabled (City-wide).
IN WITNESS WHEREOF, City of Pasco and Contractor acknowledge and accept the terms of this agreement and attachments hereto
and have executed this agreement as of the date and year written below. The rights and obligations of both parties to this agreement are
governed by:
Contract Cover Page
This Face Sheet
Contract Document
Attachment A: Statement of Work and Budget, Letter to Incur Costs
Attachment B: State and Federal Requirements and Assurances
Attachment C: Reports and Forms
Attachment D: Special Terms and Conditions
City Representative: City of Pasco
�r /i3�¢sss
'Mck We, lXrector Date
Community & Economic Development
Subrecipient: Catholic Family & Child Services -Pasco
/
7,!! I t�A! IS'
John Voung, Exec flv D1'Didctor Date
CITY OF PASCO
2014 COMMUNITY DEVELOPMENT BLOCK GRANT
SUBRECIPIENT AGREEMENT
C -2014-4-9
Table of Contents
1.
SCOPE OF WORK..........................................................................................................................................3
A. Activities...................................................................................................................................................3
B. National Objectives..................................................................................................................................3
C Levels of Accomplishment — Goals and Performance Measures..............................................................3
D. Performance Monitoring..........................................................................................................................4
2.
BUDGET...........................................................................................................................................................4
A. Drawdowns..............................................................................................................................................5
3.
COMPENSATION...........................................................................................................................................5
A. Date to Incur Costs..................................................................................................................................5
B. ReguestsforReimbursement....................................................................................................................5
4.
PERIOD OF PERFORMANCE......................................................................................................................5
5.
NOTICES..........................................................................................................................................................6
6.
SPECIAL CONDITIONS................................................................................................................................6
7.
GENERAL TERMS AND CONDITIONS.....................................................................................................6
A. General Compliance................................................................................................................................6
B. Relationship.............................................................................................................................................6
C. Hold Harmless.........................................................................................................................................6
D. Workers' Compensation...........................................................................................................................7
E. Insurance and Bonding............................................................................................................................7
F. City Recognition.......................................................................................................................................7
G. Modifications and Amendments...............................................................................................................7
H. Suspension or Termination.......................................................................................................................7
8.
ADMINISTRATIVE REQUIREMENTS.......................................................................................................8
A. Financial Management ............................................................................................................................8
B. Documentation and Recordkeeping.........................................................................................................9
C Reporting and Payment Procedures.......................................................................................................10
D. Procurement...........................................................................................................................................11
9. RELOCATION, REAL PROPERTY ACQUISITION AND ONE-FOR-ONE HOUSING
REPLACEMENT...........................................................................................................................................12
10.
PERSONNEL AND PARTICIPANT CONDITIONS.................................................................................13
A. Civil Rights.............................................................................................................................................13
B. Affirmative Action ..................................................................................................................................14
CEmployment Restrictions........................................................................................................................15
D. Section 3 Clause.....................................................................................................................................15
E. Assignability...........................................................................................................................................17
F. Subcontracts...........................................................................................................................................17
G. Debarred or Ineligible Contractors.......................................................................................................18
H. Hatch Act................................................................................................................................................19
IConflict ofInterest..................................................................................................................................19
JLobbying.................................................................................................................................................19
KCopyright...............................................................................................................................................20
L. Religious Activities.................................................................................................................................20
Catholic
Family Volunteer Chore Services
MDrug -Free Workplace Act of 1988.........................................................................................................21
11. ENVIRONMENTAL CONDITIONS...........................................................................................................21
A. Air and Water.........................................................................................................................................21
A-1
B. Flood Disaster Protection......................................................................................................................21
C. Lead Based Paint...................................................................................................................................22
D. Historic Preservation.......................................................................................................
22
12. WAIVER.........................................................................................................................................................22
13. SEVERABILITY............................................................................................................................................22
14. SECTION HEADINGS AND SUBHEADINGS...........................................................................................22
15. ENTIRE AGREEMENT................................................................................................................................22
EXHIBITA GRANT APPLICATION....................................................................................................................
A-1
EXHIBITB FINAL PROJECT SUMMARY............................................................................................................B-1
EXHIBITCREPORTFORMS..............................................................................................................................0-1
EXHIBITD SPECIAL CONDITIONS...................................................................................................................
D-1
A. PROGRAMINCOME..........................................................................................................................
D-1
B. DAVIS-BACON WAGE RECORDS....................................................................................................
D-1
Catholic Family Volunteer Chore Services
CITY OF PASCO
2014 COMMUNITY DEVELOPMENT BLOCK GRANT
SUBRECIPIENT AGREEMENT
C -2014-4-9
WHEREAS, the City of Pasco, hereinafter referred to as City has received funds from the United States
Government under Title I of the Housing and Community Development Act of 1974 (Public Law 93-383) through
the Community Development Block Grant (CDBG) program of the U.S. Department of Housing and Urban
Development (HUD) for Fiscal Year 2014, CFDA 14.218; and
WHEREAS, the City wishes to engage Catholic Family & Child Services -Pasco, hereinafter referred to
as Subrecipient, to assist the City in using such funds in the amount of $3,129 from the City of Pasco 2014 CDBG
Allocation (B -2014 -MC -53-0009) for Catholic Family Volunteer Chore Services.
NOW, THEREFORE, the purpose of this Agreement is to provide for cooperation between the City and
the Subrecipient in implementing CDBG funded activities. The parties thus agree to:
1. Comply with the requirements of Title 24 of the Code of Federal Regulations, Part 570, the Housing and
Urban Development regulations concerning Community Development Block Grants (CDBG).
2. Comply with all other applicable federal, state and local laws, regulations and policies governing the funds
provided under this Agreement.
1. SCOPE OF WORK
A. Activities
The intent of this Agreement is as follows: CDBG funds provide minor ADA accessibility remodels minor
repairs and construction of wheelchair ramps for very low to low income households This population
includes elderly and disabled (City-wide).
B. National Objectives
This is an eligible CDBG activity based upon HUD Matrix Code 14A, Rehab; Single -Unit Residential, 24
CFR 570.202 and fulfills the National Objective of 24 CFR 570.208(a)(3).
C. Levels of Accomplishment— Goals and Performance Measures
Levels of accomplishment may include such measures as persons or households assisted, jobs created or
retained, facilities, etc. and also should include time frames for performance.
Activity
Annual
Units
Performance Indicator
Catholic Family Volunteer Chore Services
7
Elderly Households
To complete this proposal, the Subrecipient will:
1. Plan, administer and implement the project as described in the Subrecipient's
original grant application included in this Agreement as EXHIBIT A, which includes a description of
the work to be performed, a schedule with benchmarks for achievement, and detailed budget. Any
change(s) in the project scope, budget, location, or in the number of beneficiaries served must be proposed
Catholic Family Volunteer Chore Services
and submitted in writing to the City prior to incurring any costs. Such changes will be considered a request
to modify or amend this Agreement and are subject to Section 7.G.
2. Prepare, complete and submit reports and other information as required by the City to
demonstrate compliance with applicable regulations, eligibility of activities and costs, and project
performance standards as described in this document. Failure to prepare and submit required reports and
documents may constitute a breach of the Agreement and could lead to suspension and/or termination of
the contract as specified in Section TH.
3. Submit progress reports, project benefit, and project financial reports within the schedule
presented below. Reimbursement for project costs incurred will be contingent upon the submission of
required reports. Reports will be submitted in the formats provided by the City that are attached to this
agreement as EXHIBIT C.
Progress reports will be submitted on a quarterly basis, by the 15th of the month (April, July, October and
January) following the end of the preceding quarter (January -March, April -June, July -September and
October -December). Subrecipient will submit a final report at completion of the project in January.
Reports provide the basis for monitoring activities, determining eligibility and establishing compliance with
performance standards. Such reports will provide the basis for the annual report that the City is required to
submit to HUD to document performance in compliance with the Consolidated Plan. Unsuccessful
performance of an activity or failure to document necessary information may affect future Block Grant
funding decisions.
D. Performance Monitoring
The City will monitor the performance of the Subrecipient against goals and performance standards as
stated in EXHIBIT A. Substandard performance as determined by the City will constitute noncompliance
with this Agreement. If action to correct such substandard performance is not taken by the Subrecipient
within a reasonable period of time after being notified by the City, contract suspension or termination
procedures will be initiated.
The City will provide administrative and financial oversight and direction to Subrecipient to assure
compliance with federal program requirements throughout the project period. The City will monitor the
performance of services and evaluate accomplishments and compliance with the terms of the Agreement
throughout the project period, including at least one visit to the project site or to the Subrecipient
organization. Site visits will be timed to coincide with major project milestones (e.g., completion of a
phase of a construction project).
The Subrecipient hereby agrees to and shall comply with the single audit requirements set forth in OMB
Circular A-133, `Audits of State and Local Governments and Non -Profit Organizations. " OMB Circular
A-133 generally requires an audit where the total level of recipient funding from federal sources in any year
exceeds five hundred thousand dollars ($500,000). A copy of the audit report and explanation of any
questioned costs must be sent to the City by the Subrecipient. The Subrecipient will be obligated to
resolve such findings as are applicable to the use of CDBG funds.
2. BUDGET
A complete detailed budget for the project is attached in EXHIBIT A and incorporated herein by reference.
The Subrecipient understands that only those budget line items appearing in EXHIBIT A will be approved
for payment. Any change to the Scope of Work, Services or Budget line items must be submitted, in
writing, to the City and approved before reimbursement for costs will be authorized.
Catholic Family Volunteer Chore Services
A. Drawdowns
Drawdowns for the payment of eligible expenses shall be made against the line item budgets specified in
Section 2 herein and in accordance with performance. Expenses for general administration shall also be
paid against the line item budgets specified in Section 2 and in accordance with performance.
Any indirect costs charged must be consistent with the conditions of Section 8 of this Agreement. The City
may require detailed breakdown than the budget contained in EXHIBIT A which includes a schedule of
values, the Subrecipient shall provide such supplementary budget information in a timely fashion in the
form and content prescribed by the City. Any amendments to the budget must be approved in writing by
both the City and the Subrecipient.
3. COMPENSATION
It is expressly agreed and understood that the total amount to be paid by the City under this Agreement
shall not exceed THREE THOUSAND ONE HUNDRED TWENTY-NINE DOLLARS AND N0/100
($3,129) to perform the Scope of Services described above and included in EXHIBIT A and EXHIBIT B.
A. Date to Incur Costs
Expenses that are eligible costs may be reimbursed if incurred during the program year, specifically, from
January 1 through December 31 of each year so long as all requirements of this agreement have been met.
Costs incurred prior to the effective date or after the completion date will not be reimbursed without a
written amendment to this Agreement.
B. Requests for Reimbursement
The Subrecipient will submit regular requests for reimbursement to the City including documentation of
cost eligibility. CDBG funds may not be used for ineligible or unallowable costs. The City shall have no
obligation to make any payment to the Subrecipient, unless and until the City has verified all invoiced
expenses and has in the City's sole discretion determined that all invoiced expenses are reasonable. Failure
to submit timely requests for reimbursement with all required documentation for the expenses claimed may
result in termination of the contract.
At a minimum, the Subrecipient will submit, with the fust request for funds, documentation and
descriptions of project costs including formulas for allocated prorated portions of operating costs,
procurement costs or other costs not wholly supported by CDBG funds. Documentation will include time
studies or employee time sheets, job descriptions or contracts, indirect cost allocation plans or other
requested documentation helpful to the City in determining the eligibility of costs. Each successive request
for funds will include, at a minimum, back up documentation for costs incurred.
Payments may be contingent upon certification of the Subrecipient's financial management system in
accordance with the standards specified in 24 CFR 85.20 OR 84.21.
4. PERIOD OF PERFORMANCE
The term of this Agreement and the provisions herein shall be extended to cover any additional time period
during which the Subrecipient remains in control of CDBG funds or other CDBG assets, including
program income.
The Agreement will be effective as of January 1, 2014, and the project work will be completed no later than
December 31, 2016. Projected dates for completion of significant items shall be outlined in EXHIBIT B,
Final Project Summary. A Subrecipient who desires an extension of time must request an amendment to
the Agreement in writing at least forty-five (45) days in advance of the completion date with reasons for the
extension request.
Catholic Family Volunteer Chore Services
5.
6.
7.
The Subrecipient will have thirty (30) days after the completion date to request reimbursement for costs
incurred. CDBG funds that are not expended by the completion date will be returned to the City for
reallocation.
NOTICES
Notices required by this Agreement shall be in writing and delivered via mail, personal delivery or sent by
facsimile or other electronic means. Any notice delivered or sent as aforesaid shall be effective on the date
of delivery or sending. All notices and other written communications under this Agreement shall be
addressed to the individuals in the capacities indicated below, unless otherwise modified by subsequent
written notice.
Communication and details concerning this contract shall be directed to the following contract
representatives:
C�
City of Pasco -Community & Economic
Development Department
Rick White, Director
525 N Third Avenue
Pasco, WA 99301
(509)545-3441 Phone
(509)545-3499 Fax
whiter@pasco-wa.gov
SPECIAL CONDITIONS
Subrecipient
Catholic Family & Child Services -Pasco
John L. Young, Executive Director
5301-C Tieton Drive
Yakima, WA 98908
(509)966-9750 Phone
Other conditions may be required for specific proposals. Additional conditions, if applicable, will be
attached as EXHIBIT D and incorporated by reference into this Agreement.
GENERAL TERMS AND CONDITIONS
A. General Compliance
The Subrecipient agrees to comply with the requirements of Title 24 of the Code of Federal Regulations,
Part 570 [the U.S. Housing and Urban Development regulations concerning Community Development
Block Grants (CDBG)] including subpart K of these regulations, except that (1) the subrecipient does not
assume the recipient's responsibilities described in 24 CFR 570.604, and (2) the Subrecipient does not
assume the recipient's, responsibility for initiating the review process under the provisions of 24 CFR Part
52. The Subrecipient also agrees to comply with all other federal, state and local laws, regulations, and
policies governing the funds provided under this contract. The Subrecipient further agrees to utilize funds
available under this Agreement to supplement rather than supplant funds otherwise available.
B. Relationship
Nothing contained in this Agreement is intended to, or shall be construed in any manner as creating or
establishing an employer/employee relationship between parties. The relationship of the Subrecipient to
the City is that of an independent agency. The Subrecipient shall have no authority to execute contracts or
make agreements or commitments on behalf of the City and nothing herein shall be deemed to create the
relationship of employer/employee or principal/agent between parties.
C. Hold Harmless
The Subrecipient, and its contractors and consultants, agree to defend, indemnify and hold harmless the
City, its appointed and elective officers and its employees from and against any and all suits, claims,
actions, losses, costs, penalties and damages of whatsoever kind and nature, including attorney fees and
Catholic Family Volunteer Chore Services 6
costs by reason of any and all claims and demands on it, its officers and employees, arising out of, and in
connection with, or incident to the work covered by the Agreement, except that caused by the sole
negligence of the City of Pasco.
D. Workers' Compensation
The Subrecipient shall provide Workers' Compensation Insurance coverage for all its employees involved
in the performance of this agreement.
E. Insurance and Bonding
The Subrecipient shall comply with the bonding and insurance requirement of 24 CFR 85.36(h) OR 84.31
and 84.48.
The Subrecipient and its employees, volunteers, contractors or consultants shall carry throughout the life
of this Agreement, General Liability Insurance, Comprehensive Automobile Liability Insurance and other
such coverage as may be appropriate or required by state or federal law, for the services to be performed.
Properties improved, acquired or rehabilitated with CDBG funds will be insured until such time that the
final disposition of the property occurs. Copies of insurance documents will be forwarded to the City upon
request.
F. City Recognition
The Subrecipient shall ensure recognition of the role of the City in providing services through this
Agreement. All activities, facilities and items utilized pursuant to this agreement shall be prominently
labeled as to funding source. In addition, the Subrecipient will include a reference to the support provided
herein in all news releases and other public notices related to projects funded under this Agreement and will
identify the source of funds as the City of Pasco Community Development Block Grant Program (CDBG)
funded by federal funds from the Department of Housing and Urban Development.
G. Modifications and Amendments
The City or Subrecipient may amend this Agreement at any time provided that such amendments make
specific reference to this Agreement subject to the following limitations:
I. All modifications and amendments to this Agreement shall be in writing.
2. Authorized representatives of both organizations must sign any modification or amendment.
3. No modification or amendment will take effect until specifically approved by the City in writing.
Such amendments shall not invalidate this Agreement, nor relieve or release the City or Subrecipient from
its obligations under this Agreement.
The City may, at its discretion, amend this Agreement to conform with federal, state or local governmental
guidelines, policies and available funding amounts, or for other reasons. If such amendments result in a
change in the funding, the scope of services, or schedule of the activities to be undertaken as part of this
Agreement, such modifications will be incorporated only by written amendment signed by both City and
Subrecipient.
H. Suspension or Termination
The Agreement can be suspended or terminated by three methods:
1. By fulfillment. The Agreement will be considered terminated upon fulfillment of its terms and
conditions.
Catholic Family Volunteer Chore Services
2. By mutual consent. The Agreement may be terminated or suspended; in whole or in part, at any time,
if both parties consent to such termination or suspension. The conditions of suspension or termination
shall be documented in a written amendment to the Agreement.
3. For cause. The City may suspend or terminate this Agreement in whole or in part, for cause, when the
Subrecipient has failed in whole or in part to meet its commitments and obligations under the
Agreement and when the City deems continuation to be detrimental to its interest. Cause includes (but
is not limited to):
a. 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 be come
applicable at any time;
b. Failure, for any reason, of the Subrecipient to fulfill in a timely and proper manner its obligations
under this Agreement;
c. Ineffective or improper use of funds provided under this agreement;
d. Submission by the Subrecipient to the City reports that are incorrect or incomplete in any
material respect; or
e. Any illegal act.
In the event of suspension, the City will notify the Subrecipient in writing of the corrective action
required. Payment may be withheld until the Subrecipient takes corrective action or the City decides to
terminate the Agreement.
In the event of termination, the City will notify the Subrecipient in writing of its determination to
terminate, the reason for such termination, and the effective date for the termination. Payments made to the
Subrecipient or recoveries by the City will be in accordance with the legal rights and liabilities of the
parties. Recoveries include CDBG funds on hand at the time of contract termination and any accounts
receivable attributable to the use of CDBG funds.
Actions by either party under this Agreement shall not constitute a waiver of any claim by either party
arising from conditions or situations leading to suspension or termination.
8. ADMINISTRATIVE REQUIREMENTS
A. Financial Management
Accountine Standards
The Subrecipient agrees to comply with 24 CFR 85.20 OR 84.21-28 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.
Transactions are also subject to 24 CFR 85.20 OR 84.21, which describes financial management
system requirements as they relate to acceptance and use of federal funds. Interest or other
income earned on CDBG advances must be repaid to the U.S. Department of Housing and Urban
Development.
Cost Principles
All financial transactions involving CDBG funds are subject to the regulations, policies,
guidelines, and requirements contained in the Office of Management and Budget (OMB) Circular
A-87, "Cast Principles for State and Local Governments, " or the OMB Circular A-122, "Cost
Catholic Family Volunteer Chore Services
Principles for Non -Profit Organizations," which describe eligible costs. These principals shall be
applied for all costs incurred whether charged on a direct or indirect basis.
B. Documentation and Recordkeeping
City and duly authorized officials of state and federal government will have the right of access to,
and the right to examine, exempt or transcribe any records, books, papers and documents relating
to the project. The City and HUD retain a nonexclusive, royalty free, and irrevocable right to
duplicate, use for their own purposes, disseminate, disclose or authorize others to utilize the
copyright in any work developed or purchased with CDBG funds.
Records to be Maintained
The subrecipient shall maintain all records required by the federal regulations specified in 24 CFR
570.506, that are pertinent to the activities to be funded under this Agreement. Such records shall
include, but not be limited to:
1. Records providing a full description the activity undertaken;
2. Records demonstrating that each activity undertaken meets one of the National
Objectives of the CDBG program;
3. Records required to determine the eligibility of activities;
4. Records required to document the acquisition, improvement, use or disposition of real
property acquired or improved with CDBG assistance;
5. Records documenting compliance with the fair housing and equal opportunity
components of the CDBG program;
6. Financial records as required by 24 CFR 570.502, and 24 CFR 84.21-28; and
7. Other records necessary to document compliance with Subpart K of 24 CFR Part 570.
Records Retention
The Subrecipient shall maintain all financial records, supporting documents, statistical records
and other records pertinent to the Agreement for a period of five (5) years. The retention period
begins on the date of the submission of the City's Consolidated Annual Performance Evaluation
Report (CAPER) to HUD in which the activities assisted under the Agreement on for the final
time. Notwithstanding the above, if there is litigation, claims, audits negotiations or other actions
that involve any of the records cited and that have started before the expiration of the five-year
period, whichever occurs later.
Client Data
The Subrecipient shall maintain client data demonstrating client eligibility for services provided.
Such data shall include, but not be limited to, client name, address, income level or other basis for
determining eligibility, and description of service provided. Such information shall be made
available to City monitors or their designees for review upon request.
Disclosure
The Subrecipient understands that client information collected under this contract is private and
the use or disclosure of such information, when not directly connected with the administration of
the City's or Subrecipient's responsibilities with respect to services provided under this contract,
is prohibited unless written consent is obtained from such person receiving service and, in the case
of a minor, that of a responsible parent/guardian.
Public Records
Records will include evidence of benefit to low and moderate income persons, description of the
work, financial resources (source and use of funds, authorization to expend funds, obligations, un -
Catholic Family Volunteer Chore services 9
obligated balance, assets, liabilities, outlays and income), property acquisition, fair housing, equal
opportunity, property disposition, etc. The public shall be granted reasonable access to all "public
records."
Proiect Close -Out
The Subrecipient's obligation to the City 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 unused materials,
equipment, unspent cash advances, program income balances, and accounts receivable to the
City), and determining the custodianship of records. Notwithstanding the foregoing, the terms of
this Agreement shall remain in effect during any period that the Subrecipient has control over
CDBG funds, including program income.
Special provisions discussed at Section 3.ii, Use and Reversion of Assets, may apply to property
acquired or improved by the Subrecipient.
Audits and Inspections
All subrecipient records with respect to any matters covered by this Agreement shall be made
available to the City, grantor agency, and the comptroller general of the United States or any of
their authorized representatives, at any time during normal business hours, as often as deemed
necessary, to audit, examine, and make excerpts or transcripts of all relevant data. Any
deficiencies noted in the audit reports must be fully cleared by the Subrecipient with thirty (30)
days after receipt by the Subrecipient. Failure of the Subrecipient to comply with the above audit
requirements will constitute a violation of this contract and may result in the withholding of future
payments. The Subrecipient hereby agrees to have an annual agency audit conducted in
accordance with current City policy concerning Subrecipient audits and OMB Circular A-133.
C. Reporting and Payment Procedures
Program Income
The Subrecipient shall report quarterly all program income (as defined at 24 CFR 570.500(a))
generated by activities carried out with CDBG funds made available under this contract. The use
of program income by the Subrecipient shall comply with the requirements set forth at 24 CFR
570.505. By way of further limitations, the Subrecipient may use such income during the contract
period for activities permitted under this contract and shall reduce request for additional funds by
the amount of any such program income balances on hand. All unexpended program income shall
be returned to the City at the end of the contract period. Any interest earned on cash advances
from the U.S. Treasury and from funds held in a revolving fund account is not program income
and shall be remitted promptly to the City.
Indirect Costs
If indirect costs are charged, the Subrecipient will develop an indirect cost allocation plan for
determining the appropriate Subrecipient's share of administrative costs and shall submit such
plan to the City for approval, in a form specified by the City.
Payment Procedures
The City will pay to the Subrecipient funds available under this Agreement based upon
information submitted by the Subrecipient and consistent with any approved budget and City
policy concerning payments. with the exception of certain advances, payments will be made for
eligible expenses actually incurred by the Subrecipient, and not to exceed actual cash
requirements. Payments will be adjusted by the City in accordance with advance fund and
program income balances available in Subrecipient accounts. In addition, the City reserves the
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right to liquidate funds available under this contract for costs incurred by the City on behalf of the
Subrecipient.
Progress Reports
Reports provide the basis for monitoring activities, determining eligibility and establishing
compliance with performance standards. Such reports provide the basis for the annual report that
the City is required to submit to HUD. The Subrecipient shall submit regular progress reports to
the City in the form, content, and frequency as required by the City below:
The Subrecipient will submit quarterly progress reports and financial reports within the
schedule provided. Reimbursement for project costs incurred will be contingent upon the
submission of required reports. Reports will be submitted in the formats provided by the
City, which are attached to this agreement as EXHIBIT C.
Progress reports will be submitted quarterly, by the 15th of the month following the end of the
preceding quarter. Subrecipient will submit a final report upon project completion.
D. Procurement
Compliance
The Subrecipient shall comply with current City Administrative Order #562, Procurement for
Block Grant Funds. Procurement policies for the purchase of equipment require prior approval of
the City and inventory records of all non -expendable personal property as defined by such policy
that may be procured with funds provided herein. All program assets (unexpended program
income, property, equipment, etc.) shall revert to the City upon termination of this Agreement.
OMB Standards
If the Subrecipient is a governmental or quasi -governmental agency, the applicable sections of 24
CFR Part 85, "Uniform Administrative Requirements for Grants and Cooperative Agreements to
State and Local Governments," and OMB Circular A-87, "Cost Principles for State, Local, and
Indian Tribal Governments, " which describe eligible costs. These principals shall be applied for
all costs incurred whether charged on a direct or indirect basis. Unless specified otherwise within
this agreement, the Subrecipient shall procure all materials, property, or services in accordance
with the requirements of 24 CFR 85.36.
If the Subrecipient is a non-profit agency, the applicable sections of 24 CFR Part 84, "Uniform
Administrative Requirements for Grants and Agreements with Institutions of Higher Education
and Non-profit Organizations," and OMB Circular A-122, "Cost Principles for Non -Profit
Organizations, " which describe eligible costs for non profits . These principals shall be applied
for all costs incurred whether charged on a direct or indirect basis. Unless specified otherwise
within this agreement, the Subrecipient shall procure all materials, property, or services in
accordance with the requirements of 24 CFR 84.40-48.
OMB Circular A-133, 'Audits of State and Local Governments and Non -Profit Organizations. "
requires an audit where the total level of recipient funding from all federal sources in any year
exceeds five hundred thousand dollars ($500,000).
Travel
The Subrecipient shall obtain written approval from the City for any travel outside the
metropolitan area with funds provided under this Agreement.
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Use and Reversion of Assets
Under the HUD regulations at 24 CFR Part 570.503 (b) (7) Reversion of Assets, any property
under the Subrecipient control that is acquired or improved with CDBG funds in excess of
$25,000 must be used for a purpose which meets a national objective for a period of five (5) years
from the expiration of this agreement. Disposition of any property acquired or improved with
CDBG funds during the five-year period will require repayment of the CDBG funds to the City.
Such property disposition will be reported to the City within thirty (30) days of the intent to
dispose of such property. The City of Pasco will be named as loss payee on the property
insurance policy with coverage in an amount equal to or greater than the grant amount; evidence
of the insurance coverage will be supplied to the City of Pasco.
The use and disposition of real property and equipment under this Agreement shall be in
compliance with the requirements of 24 CFR Part 84 and 24 CFR 570.502, 570.503, and 570.504,
as applicable, which include but are not limited to the following:
i. The Subrecipient shall transfer to the City any CDBG funds on hand and any accounts
receivable attributable to the use of funds under this Agreement at the time of expiration,
cancellation, or termination.
ii. Real property under the Subrecipient control that was acquired or improved, in whole or in
part, with funds under this Agreement in excess of $25,000 shall be used to meet one of the
CDBG National Objectives pursuant to 24 CFR 570.208 until five (5) years after expiration
of this Agreement . If the Subrecipient fails to use CDBG-assisted real property in a
manner that meets a CDBG National Objective for the prescribed period of time, the
Subrecipient shall pay the City an amount equal to the current fair market value of the
property less any portion of the value attributable to expenditures of non-CDBG funds for
acquisition of, or improvement to, the property. Such payment shall constitute program
income to the City. The Subrecipient may retain real property acquired or improved under
this Agreement after the expiration of the five-year period [or such longer period of time as
the City deems appropriate].
iii. In all cases in which equipment acquired, in whole or in part, with funds under this
Agreement is sold, the proceeds shall be program income (prorated to reflect the extent to
that funds received under this Agreement were used to acquire the equipment). Equipment
not needed by the Subrecipient for activities under this Agreement shall be (a) transferred
to the City for the CDBG program or (b) retained after compensating the City [an amount
equal to the current fair market value of the equipment less the percentage of non-CDBG
funds used to acquire the equipment].
9. RELOCATION, REAL PROPERTY ACQUISITION AND ONE-FOR-ONE HOUSING
REPLACEMENT
The Subrecipient shall provide relocation assistance to displaced persons as defined by 24 CFR
570.606(b)(2) that are displaced as a direct result of acquisition, rehabilitation, demolition or conversion for
a CDBG-assisted project. The Subrecipient agrees to comply with (a) the Uniform Relocation Assistance
and Real Property Acquisition Policies Act of 1970, as amended (URA), and implementing regulations at
49 CFR Part 24 and 24 CFR 570.606(b); (b) the requirements of 24 CFR 570.606(c) governing the
Residential Anti -displacement and Relocation Assistance Plan under section 104(d) of the HCD Act; and
(c) the requirements in 24 CFR 570.606(d) governing optional relocation policies. The Subrecipient also
agrees to comply with applicable City ordinances, resolutions and policies concerning the displacement of
persons from their residences.
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10. PERSONNEL AND PARTICIPANT CONDITIONS
A. Civil Rights
Compliance
Title VI of the Civil Rights Act of 1964, as amended (42 U.S.C. 2000d et seq.) provides that no
person in the United States shall, on the ground of race, color, or national origin, be excluded from
participation in, be denied the benefits of, or be subjected to discrimination under any program or
activity receiving federal financial assistance. Regulations implementing the requirements of Title
VI with respect to HUD programs are contained in 28 CFR Part 1.
The Subrecipient agrees to comply with Title VI of the Civil Rights Act of 1964 as amended,
Title VIII of the Civil Rights Act of 1968 as amended, Section 104(b) and Section 109 of Title I of
the Housing and Community Development Act of 1974 as amended, Section 504 of the
Rehabilitation Act of 1973, the Americans with Disabilities Act of 1990, the Age Discrimination
Act of 1975, Executive Order 11063, and Executive Order 11246 as amended by Executive Orders
11375, 11478.12107 and 12086.
Nondiscrimination
The Subrecipient agrees to comply with the non-discrimination in employment and contracting
opportunities laws, regulations, and executive orders referenced in 24 CFR 570.607, as revised by
Executive Order 13279. The applicable non-discrimination provisions in Section 109 of the
HCDA are still applicable.
Land Covenants
This contract is subject to the requirements of Title VI of the Civil Rights Act of 1964 (P. L. 88-
352) and 24 CFR 570.601 and 570.602. In regard to the sale, lease, or other transfer of land
acquired, cleared or improved with assistance provided under this contract, the Subrecipient shall
cause or require a covenant running with the land to be inserted in the deed or lease for such
transfer, prohibiting discrimination as herein defined, in the sale, lease or rental, or in the use or
occupancy of such land, or in any improvements erected or to be erected thereon, providing that
the City and the United States are beneficiaries of and entitled to enforce such covenants. The
Subrecipient, in undertaking its obligation to cavy out the program assisted hereunder, agrees to
take such measures as are necessary to enforce such covenant, and will not itself so discriminate.
Section 504
Section 504 of the Rehabilitation Act of 1973 prohibits discrimination on the basis of handicap in
federally assisted programs. The Subrecipient agrees to comply with all federal regulations issued
pursuant to compliance with Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. 794), which
prohibits discrimination against the individuals with disabilities or handicaps in any federally
assisted program. The City shall provide the Subrecipient with any guidelines necessary for
compliance with that portion of the regulations in force during the term of this Agreement.
Architectural Barriers Act of 1968, as amended (42 U.S.C. 4151-4157) requires that certain
federally -funded building or facilities be designed, constructed or altered to ensure accessibility to,
and use by, physically handicapped persons. Some buildings and facilities that include CDBG
funds are subject to the Architectural Barriers Act and must comply with the Uniform Federal
Accessibility Standards (24 CFR Part 40 appendix A for residential structures and 41 CFR Part
101-19 Appendix A for general buildings).
Americans with Disabilities Act (42 U.S.C. 12131; 47 U.S.C. 155,201,218 and 225).
Discrimination against disabled persons includes the failure to design and construct facilities (first
occupied after January 26, 1993) that are accessible to and usable by persons with disabilities.
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The ADA also requires the removal of architectural and communication barriers that are structural
in nature in existing facilities.
Fair Housine
Title VIII of the Civil Rights Act of 1968 (Public Law 90-284) (42 U.S.C. 3601 et. seq.)
pertaining to affirmatively furthering fair housing. The law states that it is the policy of the United
States to provide, within constitutional limitation, for fair housing throughout the United States
and prohibits any person from discriminating in the sale or rental of housing, the financing of
housing or the provisions of brokerage services, including in any way making unavailable or
denying a dwelling to any person, because of race, color, religion, sex, familial status or national
origin. The Sub -recipient must also administer programs and activities relating to housing and
urban development in a manner that affirmatively promotes fair housing and furthers the purposes
of Title VIII. Regulations implementing the requirements with respect to HUD programs are
contained in 24 CFR Part 100-115.
Executive Order 11063, as amended by Executive Order 12259 (24 CFR Part 107) pertaining to
nondiscrimination and equal opportunity in housing. The Subrecipient must take all action
necessary and appropriate to prevent discrimination because of race, color, religion, creed, sex or
national origin; in the sale, leasing rental and other disposition of residential property and related
facilities (including land to be developed for residential use); or in the use or occupancy thereof if
such property and related facilities are, among other things, provided in whole or in part with the
aid of loans, advances, grants, or contributions from the federal government.
B. Affirmative Action
Approved Plan
The Subrecipient agrees that it shall be committed to carry out pursuant to the City's
specifications an Affirmative Action Program in keeping with the principles as provided in
President's Executive Order 11246 of September 24, 1966. The City shall provide Affirmative
Action guidelines to the Subrecipient to assist in the formulation of such program. The
Subrecipient shall submit a plan for an Affirmative Action Program for approval prior to the
award of funds.
Women and Minority Owned Businesses
The Subrecipient will use its best efforts to afford small businesses, minority business enterprises,
and women's business enterprises the maximum practicable opportunity to participate in the
performance of this contract. As used in this contract, the terms "small business" means a business
that meets the criteria set forth in Section 3(a) of the Small Business Act, as amended (15 U.S.C.
632), and "minority and women's business enterprise" means a business at least fifty-one percent
(51%) owned and controlled by minority group members or women. For the purpose of this
definition, "minority group members" are Afro-Americans, Spanish speaking, Spanish surnamed
or Spanish -heritage Americans, Asian Americans, and American Indians. The Subrecipient may
rely on written representations by businesses regarding their status as minority and female
business enterprises in lieu of an independent investigation.
Access to Records
The Subrecipient shall furnish and cause each of its own contractors or subcontractors to furnish
all information and reports required hereunder and will permit access to its books, records and
accounts by the City, HUD or its agent, or other authorized federal officials for purposes of
investigation to ascertain compliance with the rules, regulations and provisions stated herein.
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Notifications
The Subrecipient will send to each labor union or representative of workers with which it has a
collective bargaining agreement or other contract or understanding, a notice, to be provided by the
agency contracting officer, advising the labor union or worker's representative of the
Subrecipient's commitments hereunder, and shall post copies of the notice in conspicuous places
available to employees and applicants for employment.
Equal Employment Opportunity and Affirmative Action (EEO/AAl Statement
The Subrecipient will, in all solicitations or advertisements for employees placed by or on behalf
of the Subrecipient, state that it is an Equal Opportunity or Affirmative Action employer.
Subcontract Provisions
The Subrecipient will include the provisions of Paragraphs 10.A, Civil Rights in every
subcontract or purchase order, specifically or by reference, so that such provisions will be binding
upon each of its own contractors or subcontractors.
C. Employment Restrictions
Prohibited Activi
The Subrecipient is prohibited from using funds provided herein or personnel employed in the
administration of the program for: political activities; inherently religious activities; lobbying;
political patronage; and nepotism activities.
Labor Standards
The Subrecipient agrees to comply with the requirements of the Secretary of Labor in accordance
with the Davis Bacon Act as amended, the provisions of Contract Work Hours and Safety
Standards Act (40 U.S.C. 327 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
Agreement. The Subrecipient 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 Subrecipient shall maintain documentation that demonstrates compliance with hour
and wage requirements of this part. Such documentation shall be made available to the City for
review upon request. The Subrecipient agrees that, except with respect to the rehabilitation or
construction of residential property containing less than eight (8) units, all contractors engaged
under contracts in excess of $2,000.00 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 City pertaining to such contracts and with the applicable
requirements of the regulations of the Department of Labor, under 29 CFR Parts 1, 3, 5 and 7
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 Subrecipient of its obligation, if any, to
require payment of the higher wage. The Subrecipient shall cause or require to be inserted in full,
in all such contracts subject to such regulations, provisions meeting the requirements of this
paragraph.
D. Section 3 Clause
All Section 3 covered contracts shall include the following clause verbatim (referred to as the
Section 3 clause):
A. 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). The
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purpose of Section 3 is to ensure that employment and other economic opportunities
generated by HUD assistance or HUD assisted projects covered by Section 3, shall, to the
greatest extent feasible, be directed to low and very low-income persons, particularly persons
who are recipients of HUD assistance for housing.
B. The parties to this contract agree to comply with HUD's regulations in 24 CFR part 135,
which implement Section 3. As evidenced by their execution of this contract, the parties to
this contract certify that they are under no contractual or other impediment that would prevent
them from complying with the part 135 regulations.
C. The contractor agrees to send to each labor organization or representative of workers with
which the contractor has a collective bargaining agreement or other understanding, if any, a
notice advising the labor organization or workers' representative of the contractor's
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, shall set forth
minimum number and job titles subject to hire, availability of apprenticeship and training
positions, the qualifications for each; and the name and location of the person(s) taking
applications for each of the positions; and the anticipated date the work shall begin.
D. The contractor agrees to include this Section 3 clause in every subcontract subject to
compliance with regulations in 24 CFR part 135, 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 subcontractor where the contractor has notice or
knowledge that the subcontractor has been found in violation of the regulations in 24 CFR
Part 135.
E. 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.
F. 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.
G. 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).
Compliance with Section 3
Compliance with the provisions of Section 3 of the HUD Act Of 1968, as amended, and as
implemented by the regulations set forth in 24 CFR 135, and all applicable rules and orders issued
hereunder prior to the execution of this contract, shall be a condition of the federal financial
assistance provided under this Contract and equally binding upon the City, the Subrecipient and
any of the Subrecipient's contractors, subcontractors, suppliers and lower -tier subcontractors and
suppliers. Failure to fulfill these requirements shall subject the City, the Subrecipient and any of
the Subrecipient's contractors and subcontractors, their successors and assigns, to those sanctions
specified by the Agreement through which federal assistance is provided. The Subrecipient
certifies and agrees that no contractual or other disability exists that would prevent compliance
with these requirements.
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The Subrecipient further agrees to ensure that opportunities for training and employment arising
in connection with a housing rehabilitation (including reduction and abatement of lead based paint
hazards), housing construction, or other public construction project are given to low and very low-
income persons residing within the metropolitan area in which the CDBG funded project is
located; where feasible, priority should be given to low and very low-income persons within the
service area of the project or the neighborhood in which the project is located, and to low and very
low-income participants in other HUD programs; and award contracts for work undertaken in
connection with a housing rehabilitation (including reduction and abatement of lead based paint
hazards), housing construction, or other public construction project to business concerns that
provide economic opportunities for low and very low-income persons residing within the
metropolitan area in which the CDBG funded project is located; where feasible, priority should be
given to business concerns 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. The Subrecipient certifies and agrees
that no contractual or other legal incapacity exists that would prevent compliance with these
requirements.
Notifications
The Subrecipient 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 said labor organization or worker's representative of its commitments under this Section 3
clause and shall post copies of the notice in conspicuous places available to employees and
applicants for employment or training.
Subcontract Flowdown Clause
The Subrecipient will include this Section 3 clause in every subcontract and will take appropriate
action pursuant to the subcontract upon a finding that, the subcontractor is in violation of
regulations issued by the grantor agency. The Subrecipient will not subcontract with any entity
where it has notice or knowledge that the latter has been found in violation of regulations under 24
CFR Part 135 and will not let any subcontract unless the entity has first provided it with a
preliminary statement of ability to comply with the requirements of these regulations.
E. Assignability
The Subrecipient shall not assign any interest in this Agreement and shall not transfer any interest
in the Agreement to any party (whether by assignment or novation) without the City's prior
written consent.
The Subrecipient shall not assign or transfer any interest in this Agreement without the prior
written consent of the City thereto; provided, however, that claims for money due or to become
due to the Subrecipient from the City under this contract may be assigned to a bank, trust
company, or other financial institution without such approval. Notice of any such assignment or
transfer shall be furnished promptly to the City.
F. Subcontracts
Approval
The Subrecipient may, upon the City's specific written approval of the contract instrument, enter
into any subcontract or procurement action authorized as necessary for the successful completion
of this Agreement. All procurement actions and subcontracts shall be in accordance with
applicable federal and state law relating to contracting by public agencies.
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Flowdown
The Subrecipient 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 Agreement.
Procurement
If the Contractor is a nonprofit corporation, it agrees to comply with federal procurement
requirements specified in 24 CFR Part 84.40 through .48 or as otherwise provided in the Special
Conditions. The regulations at 24 CFR Part 85.36 (b) through (g) and 24 CFR Part 84.40 through
.48, require that all goods and services, irrespective of cost, be procured using a competitive
process per Section 8.D, Procurement.
Selection
The Subrecipient shall undertake to ensure that all subcontracts let in the performance of this
Agreement shall be awarded on a fair and open competition basis in accordance with applicable
procurement requirements. Executed copies of all subcontracts shall be forwarded to the City
along with documentation concerning the selection process.
G. Debarred or Ineligible Contractors.
The Subrecipient may not award or permit award of a contract to a party that is debarred,
suspended or ineligible to participate in a federal program. The Subrecipient shall include and
require that such language be included in bid and award documents for all awards and subawards
(including contracts, subcontracts, subgrants, loans, and cooperative agreements), and that all
contractors and subcontractors shall require the same, certify and disclose accordingly.
Prior to prospective lower tier participant entering into a covered transaction with another person
at the next lower tier, the prospective lower tier participant agrees by signing this agreement that it
will verify that the person with whom it intends to do business is not excluded or disqualified. The
prospective lower tier participant will do this by:
(a) Providing evidence obtained by checking the federal System for Award
Management (SAM); and
(b) Adding a clause or condition to the covered transaction with that person.
Prior to signing any contracts, the Subrecipient prospective lower tier participant must submit to
the City, the name of contractors and subcontractors, and printouts from the System for Award
Management (SAM) to ensure compliance with 24 CFR Part 24, 'Debarment and Suspension."
If it is later determined that the Subrecipient or any prospective lower tier participant knowingly
rendered erroneous certifications or entered into contracts without first verifying eligibility, the
department or agency with which this transaction originated, may pursue available remedies,
including suspension and/or debarment in addition to other remedies available to the federal
government.
Sample Debarment, Suspension, Inelipibilitr, Voluntary Exclusion Contract Provision:
Debarment Certifcadon. The Contractor certifies that the Contractor is not presently debarred,
suspended, proposed for debarment, declared ineligible, or voluntarily excluded from
participating in this Contract by any Federal department or agency. The Contractor shall
complete a Certification Regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion
form. Any such form completed by the Contractorfor this Contract shall be incorporated into this
Contract by reference.
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H. Hatch Act
The Subrecipient agrees that no funds provided, nor personnel employed under this Agreement
shall be in any way or to any extent engaged in the conduct of political activities in violation of
Chapter 15 of Title V of the U.S.C.
I. Conflict of Interest
No officer, employee, or agent of the City or of the Subrecipient who exercises any functions or
responsibilities in connection with planning or carrying out CDBG activities, including contract
administration and procurement, shall have any personal financial interest, direct or indirect, in
this Agreement or any contract or subcontract associated with this Agreement. The City and
Subrecipient will take appropriate steps to assure compliance with this provision.
The Subrecipient agrees to abide by the provisions of 24 CFR 85(b)(3) or 84.42 and 570.611,
which include, but are not limited to, the following:
1. The Subrecipient 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 federal funds.
2. No employee, officer or agent of the Subrecipient shall participate in the selection, or in
the award, or administration of, a contract supported by federal funds 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 CDBG 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 CDBG assisted activity, or with respect to the proceeds
from the CDBG assisted activity, either for themselves or those with whom they have
business or immediate family ties, during their tenure or for a period of one (1) year
thereafter. For purposes of this paragraph, a "covered person" includes any person who is
an employee, agent, consultant, officer, or elected or appointed official of the City, the
Subrecipient, or any designated public agency.
J. Lobbying
No portion of funds provided through this Agreement shall be used for any partisan political
activity or to further the election or defeat of any candidate for public office or influence or defeat
of any ballot issue. No member or delegate to United States of America Congress, nor any other
federal official shall be admitted to any share or part of the federal funds provided by this
Agreement.
The Subrecipient will comply with requirements of Section 1352, Title 31, U.S. Code prohibiting
the use of federally appropriated funds to influence or attempt 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.
The Subrecipient shall require that the language of the certification prohibiting political activity
and lobbying be included in the award documents for all sub -awards (including subcontracts,
subgrants, loans, and cooperative agreements) and that all subcontractors shall certify and disclose
accordingly.
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K.
L.
The Subrecipient hereby certifies that:
a. 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;
b. 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
C. It will require that the language of paragraph (d) 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:
d. Lobbvina 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.C. 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.
Copyright
If this contract results in any copyrightable material or inventions, the City and/or grantor agency
reserves the right to royalty -free, non-exclusive and irrevocable license to reproduce, publish or
otherwise use and to authorize others to use, the work or materials for governmental purposes.
Religious Activities
The Subrecipient agrees that funds provided under this Agreement will not be utilized for
inherently religious activities prohibited by 24 CFR 570.2000), such as worship, religious
instruction, or proselytization.
In accordance with the First Amendment of the United States Constitution, Article 1, Section 11 of
the Washington State Constitution, and separation of church and state principles, as a general rule,
funds received under this Agreement may not be used for religious activities. Except where
otherwise allowed by federal law, the following restrictions and limitations apply to the use of
CDBG funds:
A Subrecipient may not engage in inherently religious activities, such as worship, religious
instruction or proselytization, as part of the assistance funded under this Agreement If the
Subrecipient conducts religious activities, the activities must be offered separately, in time and
location, from the assistance funded under this Agreement, and participation must be voluntary for
the beneficiaries of the assistance.
In performing under this Agreement, the Subrecipient shall not discriminate a program
beneficiary or prospective program beneficiary on the basis of religion or religious belief.
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M. Drug -Free Workplace Act of 1988
The Subrecipient will comply with the Drug -Free Workplace Act of 1988, and shall certify that
they will maintain a drug-free work place, develop and adopt a written policy and implement
organizational policies and procedures as required by the Drug -Free Workplace Act of 1988,
related laws and regulations.
The Subrecipient will remain fully obligated under the provisions of this Agreement
notwithstanding its designation of any third party to undertake all or any part of the project.
The Subrecipient will monitor all subcontracted services on a regular basis to assure contract
compliance. Results of monitoring efforts shall be summarized in written reports and supported
with documented evidence of follow-up actions taken to correct areas of noncompliance.
Failure by the Subrecipient to require compliance with the above terms and conditions in subcontracts is
default and shall constitute a breach of this Agreement.
11. ENVIRONMENTAL CONDITIONS
All projects must obtain an overall environmental clearance before any funds are obligated. The
Subrecipient must comply with the provisions of the National Environmental Policy Act of 1969 (42
U.S.C. Section 4321, et seq.) and 24 CFR Part 58. The purpose of this Act is to attain the widest use of the
environment without degradation, risk to health or safety or other undesirable and unintended
consequences. An overall environmental review, which includes completion of a statutory checklist,
determination of significant impact, and publication of a finding of significant impact or finding of no
significant impact for each project by site address, is required. Such environment review will be completed
by the City.
The Subrecipient will supply the City any and all information required to make final determination of
environmental impact once an individual site address has been identified. The Subrecipient must submit
environmental checklists and documentation to the City prior to committing any funds to a project or
requesting that funds be released for the project. The City must certify that the proposed project will not
significantly impact the environment and that the Subrecipient has complied with environmental
regulations prior to release of funds.
The Subrecipient agrees to notify City immediately of any changes to the project address, or scope of
work and refrain from making any expenditures until a new environmental clearance has been completed.
Funds will not be disbursed for reimbursement of expenditures on any project that fails to meet these
conditions.
A. Air and Water
The Subrecipient agrees to comply with the following requirements insofar as they apply to the
performance of this Agreement: Clean Air Act, 42 U.S.C., 7401, et seq.; Federal Water Pollution Control
Act, as amended, 33 U.S.C., 1251, et seq., as amended, 1318 relating to inspection, monitoring, entry,
reports, and information, as well as other requirements specified in said Section 114 and Section 308, and
all regulations and guidelines issued thereunder; Environmental Protection Agency (EPA) regulations
pursuant to 40 CFR Part 50, as amended.
B. Flood Disaster Protection
In accordance with the requirements of the Flood Disaster Protection Act of 1973 (42 U.S.C. 4001), the
Subrecipient shall assure that for activities located in an area identified by the Federal Emergency
Management Agency (FEMA) as having special flood hazards, flood insurance under the National Flood
Insurance Program is obtained and maintained as a condition of financial assistance for acquisition or
construction purposes (including rehabilitation).
Catholic Family volunteer Clore services 21
C. Lead Based Paint
Subpart B of 24 CFR Part 35 and Section 401(b) of the Lead Based Paint Poisoning Prevention Act apply
to CDBG assisted rehab and construction requiring that lead based paint hazards must be eliminated to the
extent practicable. The Subrecipient agrees that any construction or rehabilitation of residential structures
with assistance provided under this Agreement shall be subject to HUD Lead Based Paint Regulations at 24
CFR 570.608, and 24 CFR Part 35, Subpart B. Such regulations pertain to all CDBG assisted housing and
require that all owners, prospective owners, and tenants of properties constructed prior to 1978 be properly
notified that such properties may include lead based paint. Such notification shall point out the hazards of
lead based paint and explain the symptoms, treatment and precautions that should be taken when dealing
with lead based paint poisoning and the advisability and availability of blood lead level screening for
children under seven. The notice should also point out that if lead based paint is found on the property,
abatement measures may be undertaken. The regulations further require that, depending on the amount of
federal funds applied to a property, paint testing, risk assessment, treatment and/or abatement may be
conducted.
D. Historic Preservation
The Subrecipient agrees to comply with the Historic Preservation requirements set forth in the National
Historic Preservation Act of 1966, as amended (16 U.S.C. 470) and the procedures set forth in 36 CFR Part
800, Advisory Council on Historic Preservation Procedures for Protection of Historic Properties, insofar as
they apply to the performance of this agreement. In general, this requires concurrence from the State
Historic Preservation Officer for all rehabilitation and demolition of historic properties that are fifty years
old or older or that are included on a federal, state, or local historic property list.
12. WAIVER
The City's failure to act with respect to a breach by the Subrecipient does not waive its right to act with
respect to subsequent or similar breaches. The failure of the City to exercise or enforce any right or
provision shall not constitute a waiver of such right or provision.
13. SEVERABILITY
If any provision of this Agreement is held invalid, the remainder of the Agreement shall not be affected
thereby and all other parts of this Agreement shall nevertheless be in full force and effect.
14. SECTION HEADINGS AND SUBHEADINGS
The section headings and subheadings contained in this Agreement are included for convenience only and
shall not limit or otherwise affect the terms of this Agreement.
15. ENTIRE AGREEMENT
This agreement constitutes the entire agreement between the City and the Subrecipient for the use of funds
received under this Agreement and it supersedes all prior or contemporaneous communications and
proposals, whether electronic, oral, or written between the City and the Subrecipient with respect to this
Agreement.
IN WITNESS WHEREOF, the Parties have executed this contract as of the date first written above.
Catholic Family Volunteer Chore Services 22
EXHIBIT A
Statement of Work and Budget
Grant Application
Letter to Incur Costs
A-1
ATTACHMENT A
COMMUNITY DEVELOPMENT BLOCK GRANT
CONTRACT DATA SHEET
Non -Profit Agency:
Contract Number:
Contract Signed:
LINE
NATIONAL
Contract Start: 1/1/2014
Catholic Family & Child Services-
C-2014-4-9
Contract End: 12/31/2016
Pasco
ITEM
Amendment:
Mr. John L. Young, Executive Director
AMOUNT
NUMBER
Catholic Charities, dba Catholic Family
Child Ser
5301-C Tieton Drive
325
3
Yakima, WA 98908
LMH
Rehab; Single -Unit
BRIEF PROJECT SUMMARY
CDBG funds provide minor ADA accessibility remodels, minor repairs and construction of wheelchair ramps for very low to low
income households. This population includes elderly and disabled (City-wide).
CONTRACT LINE ITEM DETAIL
HUD IDIS
HUD IDIS
EST
LINE
NATIONAL
ACTIVITY TITLE
DOLLAR
PROJECT
ACTIVITY
UNITS
ITEM
OBJECTIVE
Email ................
AMOUNT
NUMBER
NUMBER
2014-4
325
3
14A
LMH
Rehab; Single -Unit
$3,129.00
Residential
Total Contract Amount
$3,129.00
PERFORMANCE INDICATOR:
LOCATION/SERVICE AREA:
Household Housing Unit
Elderly/Disabled Households
CDBG CONTACT
Listed below is your CDBG Block Grant Administrator with phone number and email address. Please contact your grant
administrator directly for technical assistance.
Angie Pitman, (509) 543-5739, pitmana@pasco-wa.gov
PROJECT CONTACT
This is the contact person identified for Contract/Project Administration. All information requests relating to your
contract/project will be sent to this person. If this person has changed or changes during the course of your contract please
inform Angie Pitman at (509) 543-5739 or by email at: pitmana(a),pasco-wa. gov or note changes on this sheet and mail a copy
so we can keep our database updated.
Current Database
First ...................
Information
Jackie
Last ..................Martinez
Address ............2139
VanGiesen
City ...................Richland
State .................WA
Postal ...............99354
Email ................
martinez@ccyakima.org
Phone ..............(509)946-4645
CrYY OF
PASCO
2014 APPLICATION FOR CITY OF PASCO
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) FUND
AGENCY: Catholic Family & Child Service
PROJECT TITLE: Volunteer Chore
ADDRESS: 2110 West Henry Pasco, WA 99301
PROPOSED PROJECT LOCATION: City of Pasco, WA
AUTHORIZED OFFICIAL Darlene Darnell rnf2ltAUfJITY 8 EC01'01'" 1)=
E-MAIL: ddamell@ccyakima.org
PHONE:
509-965-7100 FAX: 509-966-9750
AMOUNT OF CDBG FUNDS REQUESTED: $
AMOUNT OF NON-CDBG MATCH:$
1. DESCRIBE THE PROBLEM OR NEED (AS RELATED TO THE STRATEGIC ACTION PLAN ATTACHED):
As people age they often experience obstacles that make it more difficult for them to continue living independently. Adults
with disabilities, including those often associated with aging, may encounter a barrier to accessibility to their own homes.
Limited mobility and the subsequent use of a walker or wheelchair can make safe and easy ingress and egress from the home
an overwhelming challenge to their continued independence. Rising home repair costs, the inability to physically be able to
make needed repairs themselves, and a lack of familiarity with local resources and building codes make it difficult for elders
and adults with disabilities with a low to moderate income to maintain and modify their living areas to meet their special needs.
The primary goal of Volunteer Chore Services is to help individuals with limited monetary resources and who often have a
limited support system to continue living independently and safely and to prevent premature placement in congregate living
facilities. The construction of a wheelchair ramp or the installation of grab bars are frequent requests made to VCS.
2. EXPLANATION OF PROPOSAL - Give a complete detailed description of your proposal including a description of the clientele
you will be serving:
Volunteer Chore Services serves low-income elders over 60 and adults with disabilities in the City of Pasco. These
individuals, with an income of no more than $1000 per month or $1500 per month for a couple, are in danger of being
displaced or losing their independence due to obstacles that can be cost-effectively overcome. Volunteer Chore Services
recruits community volunteers to serve eligible clients, and they are dispatched to clients' homes throughout the City of Pasco.
Services to be provided with this grant will include projects that reduce physical barriers and enhance the safety of physically
impaired individuals, such as the installation of hand rails or grab bars, construction of wheelchair ramps or special -sized steps
to accommodate a walker, and other appropriate minor home repairs or modifications at the clients' homes. Volunteers are
screened and receive appropriate training, including building code requirements, prior to beginning their volunteer service. All
clients served with CDBG funds will meet the eligibility requirements of Volunteer Chore Services and CDBG.
3. CONSOLIDATED PLAN: The City of Pasco is required to adopt a long-range community action plan to determine where the
use of Block Grant funds should be focused. List the identified objective(s) listed in the Tri -Cities 5 -Year Consolidated Plan that
the proposal addresses and explain how your proposal meets that need. (See STRATEGIC ACTION PLAN GOALS attached)
Goal II: Improve Community Infrastructure; Strategy 1: Expand or improve basic community infrastructure in lower-income
neighborhoods: Obiective I.l: Provide assistance to lower-income households (reducing Dhvsical barriers in clients' homes)
Volunteer Chore Services will improve the infrastructure and safety of individual homes so that accessibility is improved for
low to moderate income Dhvsically impaired adults.
4. ALLOCATION POLICY: Projects will be ranked according to the attached Allocation Policy. Identify the priority (A, B, C or
D) that matches your project (see Section II in Allocation Policy):
2014 CDBG Application Page 1
Priority: tKA ❑B ❑C ❑D and explain how your proposal satisfies that priority:
This is a High Priority project as all services rendered under this grant (construction of wheelchair ramps or larger steps for
walkers, installation of grab bars and railings, or other minor home modifications) will help reduce barriers for physically
impaired individuals.
5. GENERAL SCHEDULE FOR PROJECT COMPLETION: December 31, 2014
6. SPECIFY EXACTLY WHAT CDBG FUNDS WOULD BE USED FOR: Materials for the construction of wheelchair ramps,
"super steps", handrails, Prab bars, or other appropriate minor home modifications: volunteer mileage reimbursement for
approved projects: required building permits
7. DOES YOUR PROJECT CREATE INDIVIDUAL/BUSINESS DISPLACEMENT OR RELOCATION? ❑ YES 9 NO
8. ELIBIBILITY: How does your proposal meet Eligibility criteria of 24 CFR 570 below? (SELECT ONLY ONE)
❑ Public Accuisition of Property 24 CFR 570.201(a):
❑ Public Facilities (new construction or capital improvements) 24 CFR 570.201(c):
❑ Public Services 24 CFR 570.201(e):
❑ Economic Development 24 CFR 570.201(o)/24 CFR 570.203:
® Housing rehabilitation and preservation 24 CFR 570.202:
❑ Code Enforcement 24 CFR 570.202(c):
❑ Planning 24 CFR 570.205:
❑ Other (describe):
9. NATIONAL OBJECTIVE: How does your proposal meet the National Objective of benefiting low and moderate -income
persons below? (SELECT ONLY ONE)
1)❑
2)❑
_4
4)❑
5)❑
You receive household/family income and size data from each participant in the program (LMH) (LMC)
Your project serves a limited area that is proven by census tract or survey to be a low-income area (LMA):
❑ Downtown Revitalization Zone ❑ Census Tract #
Your project serves ONLY the following clientele (check appropriate box) (LMC):
® Elderly person's ❑ Homeless persons
Severely disabled adults
❑ Abused children
❑ Battered spouses
❑ At Risk Youth
❑ Illiterate persons
❑ Persons living with AIDS
❑ Migrant farm workers
❑ Other:
Your project will create or save jobs for low/moderate income employees (LMJ)
Your project addresses a slum/blight condition (SBA/SBS)
LMA — Low -moderate income area (Census Tract or Survey Area)
LMC — Low -moderate income clientele
LMH — Low -moderate income household/family
LMJ — Low -moderate income job creation/retention
SBA/SBS — Slum & Blight Area/Spot (as designed by local government)
10. LENGTH OF SERVICE
Is this the first year for the program? ❑Yes ®No Year program began? 1999 or 2000
If you receive funding for 2013, how will your program be funded in 2014?
VCS State contract, community donations
2014 CDBG Application Page 2
11. PUBLIC SERVICE AGENCIES
To be eligible for CDBG assistance, a public service must be continuation of a service that is currently CDBG-funded, a new
service, or a quantifiable increase in the level of an existing service that is not currently CDBG-funded.
Explain how your application qualifies: Continuation of Services ❑ New Service ❑ Increase in Service
12. WHAT AMOUNT OF BLOCK GRANT FUNDING FROM ALL SOURCES HAS YOUR AGENCY OR DEPARTMENT
RECEIVED IN THE PAST THREE YEARS?
2014 CDBG Application
2011
6000
0
6000
[I]
Page 3
2013
2012
Pasco
$
3986
$
4000
$
Richland
$
0
$
0
$
Kennewick
$
0
$
0
$
Other Federal
Source(s)
$
0
$
0
$
To what other agencies have you applied for funding and what commitments have
you obtained for this proposal?
2014 CDBG Application
2011
6000
0
6000
[I]
Page 3
13. PROVIDE A MAP SHOWING THE LOCATION OF THE PROJECT OR SERVICE AREA:
City of Pasco, WA
2014 CDBG Application Page 4
14. PROJECT TIMELINE - Establish milestones or goals of accomplishments by calendar quarter from the start of the project until
completion:
Dates or Date Range
Milestone/Goal (include numerical performance progress if an
2 Id Quarter:
A ril I —June 30, 2014
1 project — to reduce physical barriers and enhance the safety of physically impaired
individuals, as outlined in #2 above
3` Quarter:
Jul 1—Se tember 30, 2014
3 projects — to reduce physical barriers and enhance the safety of physically impaired
individuals, as outlined in #2 above
4 Quarter:
October I — Dec 31, 2014
3 projects — to reduce physical barriers and enhance the safety of physically impaired
individuals, as outlined in 92 above
OTHERFUNDS
PERSONNEL:
Salaries
15. BUDGET - Give a detailed breakdown of the total budget for this project including major expense line items (salaries,
rent/supplies, office equipment, capital expenses, new construction/vehicles etc.). Show how the CDBG funds will be applied
toward expenses and the amount and source of any other revenue you will be using. Total expenses should equal the total of
CDBG plus Other Revenue. Be prepared to explain the budget and provide a copy of full agency budget upon request.
EXPENSES
REVENUES
LINE ITEM
$ TOTAL BUDGET
$ CDBG FUNDS
$ OTHER FUNDS
SOURCE OF
OTHERFUNDS
PERSONNEL:
Salaries
29,093
Benefits
10,434
OPERATIONS:
Rent/Lease
1500
Utilities
1150
Supplies
148
CONSTRUCTION:
Architectural
Engineering
Materials
Labor/Contracts
PROPERTY:
Purchase price
Closing cost
OTHER: (describe)
Volunteer expenses, agency
27,175
admin, professional fees,
travel, client assistance
TOTAL
$69,500
$
$
$
Additional explanation of the above budget:
If you do not receive the requested funds or receive only a portion of what you request, how will the goals of your project be
adjusted? What portion of your project will be abandoned, will fewer persons be served, etc.?
The number of clients served may be reduced if no other funding for materials is available
2014 CDBG Application Page 5
16. PROJECT BENEFICIARIES - List the client data of persons whom you ESTIMATE you will serve with this project. Is your
count by: ®Person, or by ❑Household (family)?
Number of clients below 30% median
Number of clients below 50% median
Number of clients below 80% median
Number of elderly clients
Number of minority clients
Total Number of Pasco residents served
What is the data source for the information provided above?
(Should = total # above)
For Information Only, 2014 Income Limits will apply.
17. ECONOMIC DEVELOPMENT PROJECTS ONLY -Show the number of new/permanent jobs to be created through block grant
funding and the number of jobs to be staffed by or made available to low -moderate income individuals this program year.
Total to Date
Number of new jobs expected to be
created/retained
Number of new jobs expected to be filled or
offered to low- or moderate -income persons
(Must be at least 51%)
Position Titles Expected to be Created this
program year (Use EDA Classifications)
18. CONTACT INFORMATION
This Program Year
Authorized Official Contract Administrator Project Manager
Name/Title Darlene Darnell, Vice President Catholic Charities Dorothy Morales, Regional Director Lauren Mathis. Coordinator
Mailing Address
5301 Tieton Drive, Ste C
2013 14UD income Limit
Guidelines for Kennewick -
Pasco -Richland
City/State
1 Person
2 People
3 People
4 People
5 People
6 People
7 People
8 People
30%
$14,250
$16,300
$18,350
$20,350
$22,000
$23,650
$25,250
$26,900
50%
$23,750
$27,150
$30,550
$33,900
$36,650
$39,350
$42,050
$44,750
80%
$38,000
$43,400
$48,850
$54,250
$58,600
$62,950
$67,300
$71,650
Median
$47,500
$54,300
$61,100
$67,800
$73,300
$78,700
$84,100
$89,500
For Information Only, 2014 Income Limits will apply.
17. ECONOMIC DEVELOPMENT PROJECTS ONLY -Show the number of new/permanent jobs to be created through block grant
funding and the number of jobs to be staffed by or made available to low -moderate income individuals this program year.
Total to Date
Number of new jobs expected to be
created/retained
Number of new jobs expected to be filled or
offered to low- or moderate -income persons
(Must be at least 51%)
Position Titles Expected to be Created this
program year (Use EDA Classifications)
18. CONTACT INFORMATION
This Program Year
Authorized Official Contract Administrator Project Manager
Name/Title Darlene Darnell, Vice President Catholic Charities Dorothy Morales, Regional Director Lauren Mathis. Coordinator
Mailing Address
5301 Tieton Drive, Ste C
5301 Tieton Drive, Ste C
2110 West Henry
City/State
Yakima, WA
Yakima, WA
Pasco WA
Phone/Fax
(509)965-7100 /(509)966-9750
(509)965-7100/(509)972-0167
(509)545-6145/(509)542-0219
Email
ddamell@ccvakima.org
dmorales@ccyakima.org
lmathis@ccyakima ore
SUBMITTED BY:
Ma12 8.2013
Date
2014 CDBG Application Page 6
COMMUNITT DEVELOPMENT DEPARTMENT 509-545-3441 /FAX 509-545-3499
P.O. BOX 293,525 NORTH THIRD AVENUE, PASCO, WASHINGTON 99301
August 4, 2014
Mr. John L. Young, Executive Director
Catholic Family & Child Services -Pasco
5301-C Tieton Drive
Pasco, WA 99301
Subject: C-2014-4-9 CDBG Subrecipient Agreement for Catholic Family Volunteer Chore Services (IDIS
#325
Dear Mr. Young:
I am pleased to inform you that the subject activity has been selected by the Pasco City Council (Resolution 3502) to
receive up to $ 3,129 in 2014 Community Development Block Grant (CDBG) funds. This award is contingent upon
receipt of Community Development Block Grant entitlement award from the U. S. Department of Housing and
Urban Development (HUD); and, is based on your 2014 CDBG Grant application. Any departure from the
information in the application, such as changes to the scope of work, budget or schedule may lead to the rescission
of the award. Please notify this department immediately in writing of potential changes of this nature.
This letter allows your organization to incur costs in an amount not to exceed ten percent of your award for the
following activities not requiring an environmental review, which may be needed to begin your project:
• Preliminary environmental studies and review of 24 CFR 58.5 laws and authorities including Section 106 of the
National Historic Preservation Act of 1996;
• Preliminary engineering feasibility studies to the extent needed for the environmental assessment;
• Project related administration costs including staffing, advertisements and other administrative and planning
expenses;
When work is started on the basis of this letter, AO 562, CDBG procurement procedures, terms, and requirements
must be met for development of contracts and agreements for any of the above activities. Project costs (construction
or other) cannot be incurred for activities requiring an environmental review, nor can HUD or non -HUD funds be
committed (Refer to 24 CFR 58.22), until specific procedures required by the State Environmental Policy Act
(SEPA) and the National Environmental Policy Act (NEPA) have been completed and the time period for public
review, if applicable, has expired. Eligible costs will only be reimbursed after a subrecipient agreement has been
formally executed with you and an environmental review is complete. All costs to be reimbursed must be
You may contact me directly at (509) 543-5739 or via email at pitmana(cr7jpasco-wa.gov or by contacting Krystle
Shanks at (509)545-3441 or via email at shanksk@pasco-wa.gov to schedule an appointment for contract
preparation and signing. We look forward to working with you on this project.
Sincerely,
0�w10*0V"
Angela R. Pitman, CDBG Administrator
Community & Economic Development
Enclosures: Subrecipient Agreement
Allowable and Unallowable Costs Under OMB A-87 and A-122
Summary of OMB Circular A-122, Cost Principles for Non -Profits
EXHIBIT B
State and Federal Requirements and Assurances and General
Terms & Conditions
RN
Attachment B
STATE AND FEDERAL
REQUIREMENTS AND ASSURANCES
In addition to laws listed in the general terms and conditions of this Agreement, the Grantee
assures compliance with the following regulations as they pertain to the local project.
Contact the City if you want assistance in obtaining a copy of these regulations.
A. HOUSING AND COMMUNITY DEVELOPMENT
1. Public Law 90-284, Title VIII of the Civil Rights Act of 1968 (42 U.S.C. 3601 et seq.),
commonly referred to as the Federal Fair Housing Act, as amended by the Fair Housing
Amendments Act of 1988 (P.L. 100-430)
2. Executive Order 11063, as amended by Executive Order 12259 (24 CFR Part 107)
3. The Housing and Community Development Act of 1974, as amended through 1992:
Sections 109; 104 (b) 4; 104 (d); and 104 (1), which prohibit discrimination and require
identification of housing and community development needs; a 'residential anti -
displacement and relocation assistance plan"; and adoption and enforcement of policies
prohibiting the use of excessive force.
4. Title II and III of the Uniform Relocation Assistance and Real Property Acquisition
Policies Act of 1970 (42 U.S.C. 4630) as amended in 1989)
5. Title IV of the Lead -Based Paint Poisoning Prevention Act (42 U.S.C. 4831 b)
6. Public Law 110-289, section 3, "Emergency Assistance for the Redevelopment of
Abandoned and Foreclosed Homes" (also referred to as the Neighborhood Stabilization
Program), of the Housing and Economic Recovery Act, 2008 (Docket No. FR -5255-1-
01)
7. The American Recovery and Reinvestment Act of 2009
B. LABOR
1. Davis -Bacon Act, as amended (40 U.S.C. 3141 et seq.)
2. Prohibition of Use of CDBG for Job -Pirating Activities, 24 CFR Part 570.482(f), revised
June 2006
C. ENVIRONMENTAL AND CULTURAL
1. The National Environmental Policy Act of 1969 (NEPA) (42 U.S.C. Section 4321 et seq.,
and 24 CFR Part 51)
2. The Clean Air Act, as amended (42 U.S.C. 7401 et seq.)
3. HUD Environmental Criteria and Standards (24 CFR Part 58)
4. Executive Order 11990, May 24, 1977, as amended by Executive Order 11990:
Protection of Wetlands (42 FR 26961 et seq.)
5. The Wild and Scenic Rivers Act of 1968, as amended (16 U.S.C. 1271 et seq.)
6. Executive Order 11988, May 24, 1977: Floodplain Management and Wetland Protection
(42 FR 26951 et seq.)
7. Coastal Zone Management Act of 1972, as amended (16 U.S.C. 1451 et seq.)
8. The Endangered Species Act of 1973, as amended (16 U.S.C. 1531 et seq.)
9. The Reservoir Salvage Act of 1960, as amended by the Archaeological and Historic
Preservation Act of 1974 (16 U.S.C. 469 et seq.)
10. The Safe Drinking Water Act of 1974, as amended (42 U.S.C. 300f et seq., 21 U.S.C.
349, as amended, and 40 CFR Part 149 (Environmental Protection Agency));
11. The Federal Water Pollution Control Act of 1972, as amended, including the Clean
Water Act of 1977, Public Law 92-212 (33 U.S.C. Section 1251 et seq.)
12. The Solid Waste Disposal Act, as amended by the Resource Conservation and
Recovery Act of 1976 (42 U.S.C. Section 6901 et seq.)
13. The Fish and Wildlife Coordination Act of 1958, as amended (16 U.S.C. Section 661 et
seq.)
14. The National Historic Preservation Act of 1966 (16 U.S.C. 470)
15. The Archaeological and Historical Data Preservation Act of 1974 (16 U.S.C. 469a-1 et
seq.)
16. Executive Order 11593, Protection and Enhancement of the Cultural Environment, May
13, 1971
17. Farmland Protection Policy Act of 1981 (7 U.S.C. 4201 et seq. and 7 CFR Part 658)
18. Environmental Justice (Executive Order 12898), as amended by Executive Order 12948
19. Explosive and Flammable Operations (Section 2 of the Housing Act of 1949, as
amended (42 U.S.C. 1441), Section 7(d) of the Dept HUD Act of 1965 (42 U.S.C.
3535(d)), Section 2 of the Housing and Urban Development Act of 1969 (42 U.S.C.
1441(a)), and 24 CFR Part 51 Subpart C)
20. Airport Clear Zones and Accident Potential Zones (Section 2 of the Housing Act of 1949
as amended (42 U.S.C. 1441), affirmed by Section 2 of the Housing and Urban
Development Act of 1969, P.L. No 90-448, Section 7(d) of the Dept HUD Act of 1965
(42 U.S.C. 3535(d)), and 24 CFR Part 51 Subpart D)
21. Toxic Chemicals and Radioactive Materials (Comprehensive Environmental Response,
Compensation, and Liability Act of 1980 as amended by Superfund Amendments and
Reauthorization Act and 24 CFR 58.5(1))
22. Determining Conformity of Federal Actions to State or Federal Implementation Plans
(Environmental Protection Agency — 40 CFR Parts 6, 51, and 93)
STATE
1. Relocation Assistance and Real Property Acquisition Policy, Chapter 8.26 RCW
2. Prevailing Wages on Public Works, Chapter 39.12 RCW
3. State Environmental Policy Act (SEPA), Chapter 43.21 C RCW
4. State Building Code, Chapter 19.27 RCW; Energy Related Building Standards, Chapter
19.27A RCW; and Provisions in Buildings for Aged and Handicapped Persons, Chapter
70.92 RCW
5. Interlocal Cooperation Act, Chapter 39.34 RCW
6. State Environmental Policy Act (SEPA), Chapter 43.21(C) RCW
7. Noise Control, Chapter 70.107 RCW
8. Shoreline Management Act of 1971, Chapter 90.58 RCW
9. Governor's Executive Order 89-10, December 11, 1989: Protection of Wetlands, and
Governor's Executive Order 90-04, April 21, 1990: Protection of Wetlands
GENERAL TERMS AND CONDITIONS
As used throughout this Contract, the following terms shall have the meaning set forth below:
A. "Authorized Representative" shall mean the Director and/or the designee authorized in writing to
act on the Director's behalf.
B. "Subrecipient" shall mean the entity identified on the face sheet performing service(s) under this
Contract, and shall include all employees and agents of the Subrecipient.
C. "City" shall mean the City of Pasco, Community & Economic Development Department or its
successor agency.
D. "Personal Information" shall mean information identifiable to any person, including, but not limited
to, information that relates to a person's name, health, finances, education, business, use or
receipt of governmental services or other activities, addresses, telephone numbers, social
security numbers, driver license numbers, other identifying numbers, and any financial identifiers.
E. "State" shall mean the state of Washington.
F. "Subcontractor" shall mean one not in the employment of the Subrecipient, who is performing all
or part of those services under a separate contract with the Subrecipient. The terms
..subcontractor' and "subcontractors" mean subcontractor(s) in any tier.
2. ALL WRITINGS CONTAINED HEREIN
3.
4.
This Agreement contains all the terms and conditions agreed upon by the parties. No other
understandings, oral or otherwise, regarding the subject matter of this Agreement shall be deemed to
exist or to bind any of the parties hereto.
This Agreement may be amended by mutual agreement of the parties. Such amendments shall not
be binding unless they are in writing and signed by personnel authorized to bind each of the parties.
Neither this Agreement, nor any claim arising under this Agreement, shall be transferred or assigned
by the Subrecipient without prior written consent of City.
5. ATTORNEYS'FEES
Unless expressly permitted under another provision of the Contract, in the event of litigation or other
action brought to enforce Contract terms, each party agrees to bear its own attorneys fees and costs.
6. AUDIT
A. General Requirements
Subrecipients are to procure audit services based on the following guidelines.
The Subrecipient shall maintain its records and accounts so as to facilitate the audit requirement
and shall ensure that Contractors also maintain auditable records.
The Subrecipient is responsible for any audit exceptions incurred by its own organization or that
of its Contractors.
City reserves the right to recover from the Subrecipient all disallowed costs resulting from the
audit.
Subrecipient Agreement for Federal Funds
GENERAL TERMS AND CONDITIONS
As applicable, Subrecipients required to have an audit must ensure the audits are performed in
accordance with Generally Accepted Auditing Standards (GARS); Government Auditing
Standards (the Revised Yellow Book) developed by the Comptroller General.
Responses to any unresolved management findings and disallowed or questioned costs shall be
included with the audit report. The Subrecipient must respond to City requests for information or
corrective action concerning audit issues within thirty (30) days of the date of request.
B. Federal Funds Requirements - OMB Circular A-133 Audits of States. Local Governments
and Non -Profit Organizations
Subrecipients expending $500,000 or more in a fiscal year in federal funds from all sources,
direct and indirect, are required to have an audit conducted in accordance with Office of
Management and Budget (OMB) Revised Circular A-133 "Audits of States, Local Governments,
and Non -Profit Organizations." Revised OMB A-133 requires the Subrecipient to provide the
auditor with a schedule of Federal Expenditure for the fiscal year(s) being audited. The Schedule
of State Financial Assistance must be included. Both schedules include:
Grantor agency name
Federal agency
Federal program name
Other identifying agreement numbers
Catalog of Federal Domestic Assistance (CFDA) number
Grantor agreement number
Total award amount including amendments (total grant award)
Beginning balance
Current year revenues
Current year expenditures
Ending balance
Program total
If the Subrecipient is a state or local government entity, the Office of the State Auditor shall
conduct the audit. Audits of non-profit organizations are to be conducted by a certified public
accountant selected by the Subrecipient in accordance with OMB Circular A-110 "Uniform
Administrative Requirements for Grants and Agreements with Institutions of Higher Education,
Hospitals, and Other Non -Profit Organizations."
The Subrecipient shall include the above audit requirements in any subcontracts.
In any case, the Subrecipient's financial records must be available for review by City.
C. Documentation Requirements
The Subrecipient must send a copy of any required audit Reporting Package as described in
OMB Circular A-133, Part C, Section 320(c) no later than nine (9) months after the end of the
Subrecipient's fiscal year(s) to:
City of Pasco
Community & Economic Development Department
525 N Third Avenue
Pasco, WA 99301
• Corrective action plan for audit findings within three (3) months of the audit being
received by City.
• Copy of the Management Letter
Subrecipient Agreement for Federal Funds
7.
GENERAL TERMS AND CONDITIONS
A. Subrecipient, defined as the primary participant and it principals, certifies by signing these
General Terms and Conditions that to the best of its knowledge and belief that they:
1. Are not presently debarred, suspended, proposed for debarment, declared ineligible, or
voluntarily excluded from covered transactions by any Federal department or agency.
2. Have not within a three-year period preceding this Agreement, been convicted of or had a
civil judgment rendered against them for commission of fraud or a criminal offense in
connection with obtaining, attempting to obtain, or performing a public or private agreement
or transaction, violation of Federal or State antitrust statutes or commission of embezzlement,
theft, forgery, bribery, falsification or destruction of records, making false statements, tax
evasion, receiving stolen property, making false claims, or obstruction of justice;
3. Are not presently indicted for or otherwise criminally or civilly charged by a governmental
entity (Federal, State, or local) with commission of any of the offenses enumerated in
paragraph (1)(b) of this section; and
4. Have not within a three-year period preceding the signing of this Agreement had one or more
public transactions (Federal, State, or local) terminated for cause of default.
B. Where the Subrecipient is unable to certify to any of the statements in this Agreement, the
Subrecipient shall attach an explanation to this Agreement.
C. The Subrecipient agrees by signing this Agreement that it shall not knowingly enter into any lower
tier covered transaction with a person who is debarred, suspended, declared ineligible, or
voluntarily excluded from participation in this covered transaction, unless authorized by City.
D. The Subrecipient further agrees by signing this Agreement that it will include the clause titled
"Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion -
Lower Tier Covered Transaction," as is below, without modification, in all lower tier covered
transactions and in all solicitations for lower tier covered transactions:
CERTIFICATION REGARDING DEBARMENT, SUSPENSION OR INELIGIBILITY AND
VOLUNTARY EXCLUSION — LOWER TIER COVERED TRANSACTIONS
a) The lower tier contractor certifies, by signing this Agreement that neither it nor its principals is
presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily
excluded from participation in this transaction by any Federal department or agency.
b) Where the lower tier contractor is unable to certify to any of the statements in this Agreement,
such contractor shall attach an explanation to this Agreement.
E. The terms covered transaction, debarred, suspended, ineligible, lower tier covered
transaction, person, primary covered transaction, principal, and voluntarily excluded, as
used in this section, have the meanings set out in the Definitions and Coverage sections of the
rules implementing Executive Order 12549. You may contact City for assistance in obtaining a
copy of these regulations.
8. CONFIDENTIALITY/SAFEGUARDING OF INFORMATION
A. "Confidential Information" as used in this section includes:
1. All material provided to the Subrecipient by City that is designated as "confidential' by City;
2. All material produced by the Subrecipient that is designated as "confidential' by City; and
Subrecipient Agreement for Federal Funds
9.
GENERAL TERMS AND CONDITIONS
3. All Personal Information in the possession of the Subrecipient that may not be disclosed
under state or federal law. "Personal Information" includes but is not limited to information
related to a person's name, health, finances, education, business, use of government
services, addresses, telephone numbers, social security number, driver's license number and
other identifying numbers, and "Protected Health Information" under the federal Health
Insurance Portability and Accountability Act of 1996 (HIPAA).
B. The Subrecipient shall comply with all state and federal laws related to the use, sharing, transfer,
sale, or disclosure of Confidential Information. The Subrecipient shall use Confidential Information
solely for the purposes of this Agreement and shall not use, share, transfer, sell or disclose any
Confidential Information to any third party except with the prior written consent of City or as may
be required by law. The Subrecipient shall take all necessary steps to assure that Confidential
Information is safeguarded to prevent unauthorized use, sharing, transfer, sale or disclosure of
Confidential Information or violation of any state or federal laws related thereto. Upon request,
the Subrecipient shall provide City with its policies and procedures on confidentiality. City may
require changes to such policies and procedures as they apply to this Agreement whenever City
reasonably determines that changes are necessary to prevent unauthorized disclosures. The
Subrecipient shall make the changes within the time period specified by City. Upon request, the
Subrecipient shall immediately return to City any Confidential Information that City reasonably
determines has not been adequately protected by the Subrecipient against unauthorized
disclosure.
C. Unauthorized Use or Disclosure. The Subrecipient shall notify City within five (5) working days of
any unauthorized use or disclosure of any confidential information, and shall take necessary
steps to mitigate the harmful effects of such use or disclosure.
If any provision of this contract violates any statute or rule of law of the state of Washington, it is
considered modified to conform to that statute or rule of law.
10. COPYRIGHT PROVISIONS
Unless otherwise provided, all Materials produced under this Agreement shall be considered "works
for hire" as defined by the U.S. Copyright Act and shall be owned by City. City shall be considered
the author of such Materials. In the event the Materials are not considered "works for hire" under the
U.S. Copyright laws, the Subrecipient hereby irrevocably assigns all right, title, and interest in all
Materials, including all intellectual property rights, moral rights, and rights of publicity to City effective
from the moment of creation of such Materials.
"Materials" means all items in any format and includes, but is not limited to, data, reports, documents,
pamphlets, advertisements, books, magazines, surveys, studies, computer programs, films, tapes,
and/or sound reproductions. "Ownership" includes the right to copyright, patent, register and the
ability to transfer these rights.
For Materials that are delivered under the Agreement, but that incorporate pre-existing materials not
produced under the Agreement, the Subrecipient hereby grants to City a nonexclusive, royalty -free,
irrevocable license (with rights to sublicense to others) in such Materials to translate, reproduce,
distribute, prepare derivative works, publicly perform, and publicly display. The Subrecipient warrants
and represents that the Subrecipient has all rights and permissions, including intellectual property
rights, moral rights and rights of publicity, necessary to grant such a license to City.
The Subrecipient shall exert all reasonable effort to advise City, at the time of delivery of Materials
furnished under this Agreement, of all known or potential invasions of privacy contained therein and
of any portion of such document which was not produced in the performance of this Agreement. The
Subrecipient shall provide City with prompt written notice of each notice or claim of infringement
received by the Subrecipient with respect to any Materials delivered under this Agreement. City shall
have the right to modify or remove any restrictive markings placed upon the Materials by the
Subrecipient.
Subrecipient Agreement for Federal Funds
GENERAL TERMS AND CONDITIONS
11. DISALLOWED COSTS
The Subrecipient is responsible for any audit exceptions or disallowed costs incurred by its own
organization or that of its Contractors.
12. DISPUTES
Except as otherwise provided in this Agreement, when a dispute arises between the parties and it
cannot be resolved by direct negotiation, either party may request a dispute hearing with the Director
of City, who may designate a neutral person to decide the dispute.
The request for a dispute hearing must:
• be in writing;
• state the disputed issues;
• state the relative positions of the parties;
• state the Subrecipient's name, address, and Agreement number; and
• be mailed to the Director and the other party's (respondent's) Agreement Representative
within three (3) working days after the parties agree that they cannot resolve the dispute.
The respondent shall send a written answer to the requestor's statement to both the Director or the
Director's designee and the requestor within five (5) working days.
The Director or designee shall review the written statements and reply in writing to both parties within
ten (10) working days. The Director or designee may extend this period if necessary by notifying the
parties.
The decision shall not be admissible in any succeeding judicial or quasi-judicial proceeding.
The parties agree that this dispute process shall precede any action in a judicial or quasi-judicial
tribunal.
Nothing in this Agreement shall be construed to limit the parties' choice of a mutually acceptable
alternate dispute resolution (ADR) method in addition to the dispute hearing procedure outlined
above.
13. DUPLICATE PAYMENT
The Subrecipient certifies that work to be performed under this contract does not duplicate any work
to be charged against any other contract, subcontract, or other source.
14. ETHICS/CONFLICTS OF INTEREST
In performing under this Agreement, the Subrecipient shall assure compliance with the Ethics in
Public Service Act (Chapter 42.52 RCW ) and any other applicable state or federal law related to
ethics or conflicts of interest.
15. GOVERNING LAW AND VENUE
16.
This Agreement shall be construed and interpreted in accordance with the laws of the state of
Washington, and the venue of any action brought hereunder shall be in the Superior Court for
Franklin County.
To the fullest extent permitted by law, the Subrecipient shall indemnify, defend, and hold harmless the
state of Washington, City, all other agencies of the State and all officers, agents and employees of
the State, from and against all claims or damages for injuries to persons or property or death arising
out of or incident to the performance or failure to perform the Agreement. The Subrecipient's
obligation to indemnify, defend, and hold harmless includes any claim by the Subrecipient's agents,
employees, representatives, or any Subcontractor or its agents, employees, or representatives.
Subrecipient Agreement for Federal Funds
GENERAL TERMS AND CONDITIONS
The Subrecipient's obligation to indemnify, defend, and hold harmless shall not be eliminated or
reduced by any actual or alleged concurrent negligence of the State or its agents, agencies,
employees and officers.
Subcontracts shall include a comprehensive indemnification clause holding harmless the
Subrecipient, City, the state of Washington, its officers, employees and authorized agents.
The Subrecipient waives its immunity under Title 51 RCW to the extent it is required to indemnify,
defend and hold harmless the State and its agencies, officers, agents or employees.
17. INDEPENDENT CAPACITY OF THE CONTRACTOR
The parties intend that an independent contractor relationship will be created by this Contract. The
Subrecipient and its employees or agents performing under this Contract are not employees or
agents of the state of Washington or City. The Subrecipient will not hold itself out as or claim to be an
officer or employee of City or of the state of Washington by reason hereof, nor will the Subrecipient
make any claim of right, privilege or benefit which would accrue to such officer or employee under
law. Conduct and control of the work will be solely with the Subrecipient.
18. INDUSTRIAL INSURANCE COVERAGE
The Subrecipient shall comply with all applicable provisions of Title 51 RCW, Industrial Insurance. If
the Subrecipient fails to provide industrial insurance coverage or fails to pay premiums or penalties on
behalf of its employees as may be required by law, City may collect from the Subrecipient the full
amount payable to the Industrial Insurance Accident Fund. City may deduct the amount owed by the
Subrecipient to the accident fund from the amount payable to the Subrecipient by City under this
Contract, and transmit the deducted amount to the Department of Labor and Industries, (L&I) Division
of Insurance Services. This provision does not waive any of L&I's rights to collect from the
Subrecipient.
19. LAWS
The Subrecipient shall comply with all applicable laws, ordinances, codes, regulations, and policies of
local, state, and federal governments, as now or hereafter amended, including, but not limited to:
United States Laws. Reaulations and Circulars (Federal)
A. Audits
Office of Management and Budget (OMB) Revised Circular A-133 "Audits of States, Local
Governments, and Non -Profit Organizations."
B. Labor and Safety Standards
Convict Labor, 18 U.S.C. 751, 752, 4081, 4082.
Drug -Free Workplace Act of 1988, 41 USC 701 at seq.
Federal Fair Labor Standards Act, 29 U.S.C. 201 et seq.
Work Hours and Safety Act of 1962, 40 U.S.C. 327-330 and Department of Labor Regulations, 29
CFR Part 5.
C. Laws against Discrimination
Age Discrimination Act of 1975, Public Law 94-135, 42 U.S.C. 6101-07, 45 CFR Part 90
Nondiscrimination in Federally Assisted Programs.
Americans with Disabilities Act of 1990, Public Law 101-336
Equal Employment Opportunity, Executive Order 11246, as amended by Executive Order 11375
and supplemented in U.S. Department of Labor Regulations, 41 CFR Chapter 60.
Executive Order 11246, as amended by EO 11375, 11478, 12086 and 12102.
Subrecipient Agreement for Federal Funds
GENERAL TERMS AND CONDITIONS
Handicapped Employees of Government Subrecipients, Rehabilitation Act of 1973, Section 503,
29 U.S.C. 793.
Handicapped Recipients of Federal Financial Assistance, Rehabilitation Act of 1973, Section 504,
29 U.S.C. 794.
Minority Business Enterprises, Executive Order 11625, 15 U.S.C. 631.
Minority Business Enterprise Development, Executive Order 12432, 48 FR 32551.
Nondiscrimination and Equal Opportunity, 24 CFR 5.105(a).
Nondiscrimination in benefits, Title VI of the Civil Rights Act of 1964, Public Law 88-352, 42
U.S.C. 2002d et seq, 24 CFR Part 1.
Nondiscrimination in employment, Title VII of the Civil Rights Act of 1964, Public Law 88-352.
Nondiscrimination in Federally Assisted Construction Contracts, Executive Order 11246, 42
U.S.C. 2000e, as amended by Executive Order 11375, 41 CFR Chapter 60.
Section 3, Housing and Urban Development Act of 1968, 12 USC 1701 u (See 24 CFR
570.607(b)).
D. Office of Management and Budget Circulars
Cost Principles for State, Local and Indian Tribal Governments, OMB Circular A-87, 2 CFR, Part
225.
Cost Principles for Nonprofit Organizations, OMB Circular A-122 (if the Subrecipient is a nonprofit
organization).
Grants and Cooperative Agreements with State and Local Governments, OMB Circular A-102 (if
the Subrecipient is a local government or federally recognized Indian tribal government).
Uniform Administrative Requirements for Grants and Other Agreements with Institutions of Higher
Education, Hospitals and Other Nonprofit Organizations, OMB Circular A-110.
E. Other
Anti -Kickback Act, 18 U.S.C. 874; 40 U.S.C. 276b, 276c; 41 U.S.C. 51-54
Governmental Guidance for New Restrictions on Lobbying; Interim Final Guidance, Federal
Register 1, Vol. 54, No. 243\Wednesday, December 20, 1989.
Hatch Political Activity Act, 5 U.S.C. 1501-8.
Internal Revenue Service Rules, August 31, 1990.
Lobbying and Disclosure, 42 USC 3537a and 3545 and 31 USC 1352 (Byrd Anti -Lobbying
Amendment). 31 U.S.C. 1352 provides that contractors who apply or bid for an award of $100,000
or more must file the required certification. Each tier certifies to the tier above that it will not and
has not used Federal appropriated funds to pay any person or organization for influencing or
attempting to influence an officer or employee of any agency, a member of Congress, officer or
employee of Congress, or an employee of a member of Congress in connection with obtaining
any Federal contract, grant or other award covered by 31 U.S.C. 1352. Each tier must disclose
any lobbying with non -Federal funds that takes place in connection with obtaining any Federal
award. Such disclosures are forwarded from tier to tier up to the recipient.
Non -Supplanting Federal Funds.
Section 8 Housing Assistance Payments Program
F. Privacy
Privacy Act of 1974, 5 U.S.C. 552a
Subrecipient Agreement for Federal Funds
GENERAL TERMS AND CONDITIONS
Washington State Laws and Regulations
A. Affirmative action, RCW 41.06.020 (11).
B. Boards of directors or officers of non-profit corporations — Liability - Limitations, RCW 4.24.264.
C. Disclosure -campaign finances -lobbying, Chapter 42.17 RCW.
D. Discrimination -human rights commission, Chapter 49.60 RCW.
E. Ethics in public service, Chapter 42.52 RCW.
F. Office of minority and women's business enterprises, Chapter 39.19 RCW and Chapter 326-02
WAC.
G. Open public meetings act, Chapter 42.30 RCW.
H. Public records act, Chapter 42.56 RCW.
I. State budgeting, accounting, and reporting system, Chapter 43.88 RCW.
20. LICENSING, ACCREDITATION AND REGISTRATION
The Subrecipient shall comply with all applicable local, state, and federal licensing, accreditation and
registration requirements or standards necessary for the performance of this Contract.
21. LIMITATION OF AUTHORITY
Only the Authorized Representative or Authorized Representative's designee by writing (designation
to be made prior to action) shall have the express, implied, or apparent authority to alter, amend,
modify, or waive any clause or condition of this Contract.
22. NONCOMPLIANCE WITH NONDISCRIMINATION LAWS
During the performance of this Agreement, the Subrecipient shall comply with all federal, state, and
local nondiscrimination laws, regulations and policies. In the event of the Subrecipient's non-
compliance or refusal to comply with any nondiscrimination law, regulation or policy, this Agreement
may be rescinded, canceled or terminated in whole or in part, and the Subrecipient may be declared
ineligible for further Agreements with City. The Subrecipient shall, however, be given a reasonable
time in which to cure this noncompliance. Any dispute may be resolved in accordance with the
"Disputes" procedure set forth herein.
23. POLITICAL ACTIVITIES
Political activity of Subrecipient employees and officers are limited by the State Campaign Finances
and Lobbying provisions of Chapter 42.17 RCW and the Federal Hatch Act, 5 USC 1501 - 1508.
No funds may be used for working for or against ballot measures or for or against the candidacy of
any person for public office.
24. PREVAILING WAGE LAWS
All contractors and subcontractors performing work on a construction project funded through this
agreement shall comply with prevailing wage laws by paying the higher of state or federal prevailing
wages according to:
State Prevailing Wages on Public Works, Chapter 39.12 RCW, as applicable to the Project funded by
this agreement, including but not limited to the filing of the "Statement of Intent to Pay Prevailing
Wages" and "Affidavit of Wages Paid" as required by RCW 39.12.040. The Subrecipient shall
maintain records sufficient to evidence compliance with Chapter 39.12 RCW, and shall make such
records available for City's review upon request; or
The Davis Bacon Act, 40 U.S.C. 276a -276a-5 and related federal acts provide that all laborers and
mechanics employed by contractors or subcontractors in the performance shall be paid wages at
Subrecipient Agreement for Federal Funds
GENERAL TERMS AND CONDITIONS
rates not less than those prevailing on similar construction in the locality as determined by the
Secretary of Labor.
25. PROCUREMENT STANDARDS FOR FEDERALLY FUNDED PROGRAMS
A Subrecipient which is a local government or Indian Tribal government must establish procurement
policies and procedures in accordance with OMB Circulars A-102, Uniform Administrative
Requirements for Grants in Aid for State and Local Governments, for all purchases funded by this
Agreement.
A Subrecipient which is a nonprofit organization shall establish procurement policies in accordance
with OMB Circular A-110, Uniform Administrative Requirements for Grants and Agreements with
Nonprofit Agencies, for all purchases funded by this Agreement.
The Subrecipient's procurement system should include at least the following:
1. A written code or standard of conduct that shall govern the performance of its officers,
employees, or agents engaged in the awarding of contracts using federal funds.
2. Procedures that ensure all procurement transactions shall be conducted in a manner to
provide, to the maximum extent practical, open and free competition.
3. Minimum procedural requirements, as follows:
a. Follow a procedure to assure the avoidance of purchasing unnecessary or duplicative
items.
b. Solicitations shall be based upon a clear and accurate description of the technical
requirements of the procured items.
c. Positive efforts shall be made to use small and minority-owned businesses.
d. The type of procuring instrument (fixed price, cost reimbursement) shall be determined by
the Subrecipient, but must be appropriate for the particular procurement and for
promoting the best interest of the program involved.
e. Contracts shall be made only with reasonable subcontractors who possess the potential
ability to perform successfully under the terms and conditions of the proposed
procurement.
f. Some form of price or cost analysis should be performed in connection with every
procurement action.
g. Procurement records and files for purchases shall include all of the following:
1) Subrecipient selection or rejection.
2) The basis for the cost or price.
3) Justification for lack of competitive bids if offers are not obtained.
h. A system for Agreement administration to ensure Subrecipient conformance with terms,
conditions and specifications of this Agreement, and to ensure adequate and timely
follow-up of all purchases.
4. Subrecipient and Subcontractor must receive prior approval from City for using funds from
this Agreement to enter into a sole source Agreement or an Agreement where only one bid or
proposal is received when value of this Agreement is expected to exceed $5,000.
Prior approval requests shall include a copy of proposed contracts and any related
procurement documents and justification for non-competitive procurement, if applicable.
26. PROHIBITION AGAINST PAYMENT OF BONUS OR COMMISSION
The funds provided under this Contract shall not be used in payment of any bonus or commission for
the purpose of obtaining approval of the application for such funds or any other approval or
Subrecipient Agreement for Federal Funds
GENERAL TERMS AND CONDITIONS
concurrence under this Contract provided, however, that reasonable fees or bona fide technical
consultant, managerial, or other such services, other than actual solicitation, are not hereby
prohibited if otherwise eligible as project costs.
27. PUBLICITY
28.
The Subrecipient agrees not to publish or use any advertising or publicity materials in which the state
of Washington or City's name is mentioned, or language used from which the connection with the
state of Washington's or City's name may reasonably be inferred or implied, without the prior written
consent of City.
In the event that the Subrecipient fails to perform this Agreement in accordance with state laws,
federal laws, and/or the provisions of this Agreement, City reserves the right to recapture funds in an
amount to compensate City for the noncompliance in addition to any other remedies available at law
or in equity.
29. RECORDS MAINTENANCE
The Subrecipient shall maintain all books, records, documents, data and other evidence relating to
this Agreement and performance of the services described herein, including but not limited to
accounting procedures and practices which sufficiently and properly reflect all direct and indirect
costs of any nature expended in the performance of this Agreement. Subrecipient shall retain such
records for a period of six years following the date of final payment.
If any litigation, claim or audit is started before the expiration of the six (6) year period, the records
shall be retained until all litigation, claims, or audit findings involving the records have been finally
resolved.
30. REGISTRATION WITH DEPARTMENT OF REVENUE
If required by law, the Subrecipient shall complete registration with the Washington State Department
of Revenue.
31. SAVINGS
In the event funding from state, federal, or other sources is withdrawn, reduced, or limited in any way
after the effective date of this Agreement and prior to normal completion, City may terminate the
Agreement under the "Termination for Convenience" clause, without the ten calendar day notice
requirement. In lieu of termination, the Agreement may be amended to reflect the new funding
limitations and conditions.
32. SEVERABILITY
If any provision of this Agreement or any provision of any document incorporated by reference shall
be held invalid, such invalidity shall not affect the other provisions of this Agreement that can be given
effect without the invalid provision, if such remainder conforms to the requirements of law and the
fundamental purpose of this Agreement and to this end the provisions of this Agreement are declared
to be severable.
33. SUBCONTRACTING
The Subrecipient may only subcontract work contemplated under this Contract if it obtains the prior
written approval of City.
If City approves subcontracting, the Subrecipient shall maintain written procedures related to
subcontracting, as well as copies of all subcontracts and records related to subcontracts. For cause,
City in writing may: (a) require the Subrecipient to amend its subcontracting procedures as they relate
Subrecipient Agreement for Federal Funds 10
GENERAL TERMS AND CONDITIONS
to this Contract; (b) prohibit the Subrecipient from subcontracting with a particular person or entity; or
(c) require the Subrecipient to rescind or amend a subcontract.
Every subcontract shall bind the Subcontractor to follow all applicable terms of this Contract. The
Subrecipient is responsible to City if the Subcontractor fails to comply with any applicable term or
condition of this Contract. The Subrecipient shall appropriately monitor the activities of the
Subcontractor to assure fiscal conditions of this Contract. In no event shall the existence of a
subcontract operate to release or reduce the liability of the Subrecipient to City for any breach in the
performance of the Subrecipient's duties.
Every subcontract shall include a term that City and the State of Washington are not liable for claims
or damages arising from a Subcontractor's performance of the subcontract.
34. SURVIVAL
The terms, conditions, and warranties contained in this Agreement that by their sense and context are
intended to survive the completion of the performance, cancellation or termination of this Agreement
shall so survive.
35. TAXES
All payments accrued on account of payroll taxes, unemployment contributions, the Subrecipient's
income or gross receipts, any other taxes, insurance or expenses for the Subrecipient or its staff shall
be the sole responsibility of the Subrecipient.
36. TERMINATION FOR CAUSE / SUSPENSION
In event City determines that the Subrecipient failed to comply with any term or condition of this
Agreement, City may terminate the Agreement in whole or in part upon written notice to the
Subrecipient. Such termination shall be deemed "for cause." Termination shall take effect on the date
specified in the notice.
In the alternative, City upon written notice may allow the Subrecipient a specific period of time in
which to correct the non-compliance. During the corrective -action time period, City may suspend
further payment to the Subrecipient in whole or in part, or may restrict the Subrecipient's right to
perform duties under this Agreement. Failure by the Subrecipient to take timely corrective action
shall allow City to terminate the Agreement upon written notice to the Subrecipient.
"Termination for Cause" shall be deemed a "Termination for Convenience" when City determines that
the Subrecipient did not fail to comply with the terms of the Agreement or when City determines the
failure was not caused by the Subrecipient's actions or negligence.
If the Agreement is terminated for cause, the Subrecipient shall be liable for damages as authorized
by law, including, but not limited to, any cost difference between the original Agreement and the
replacement Agreement, as well as all costs associated with entering into the replacement
Agreement (i.e., competitive bidding, mailing, advertising, and staff time).
37. TERMINATION FOR CONVENIENCE
Except as otherwise provided in this Agreement, City may, by ten (10) business days written notice,
beginning on the second day after the mailing, terminate this Agreement, in whole or in part. If this
Agreement is so terminated, City shall be liable only for payment required under the terms of this
Agreement for services rendered or goods delivered prior to the effective date of termination.
38. TERMINATION PROCEDURES
After receipt of a notice of termination, except as otherwise directed by City, the Subrecipient shall:
A. Stop work under the Agreement on the date, and to the extent specified, in the notice;
B. Place no further orders or subcontracts for materials, services, or facilities related to the
Agreement;
Subrecipient Agreement for Federal Funds 11
GENERAL TERMS AND CONDITIONS
C. Assign to City all of the rights, title, and interest of the Subrecipient under the orders and
subcontracts so terminated, in which case City has the right, at its discretion, to settle or pay any
or all claims arising out of the termination of such orders and subcontracts. Any attempt by the
Subrecipient to settle such claims must have the prior written approval of City, and
D. Preserve and transfer any materials, Agreement deliverables and/or City property in the
Subrecipient's possession as directed by City.
Upon termination of the Agreement, City shall pay the Subrecipient for any service provided by the
Subrecipient under the Agreement prior to the date of termination. City may withhold any amount due
as City reasonably determines is necessary to protect City against potential loss or liability resulting
from the termination. City shall pay any withheld amount to the Subrecipient if City later determines
that loss or liability will not occur.
The rights and remedies of City under this section are in addition to any other rights and remedies
provided under this Agreement or otherwise provided under law.
39. WAIVER
Waiver of any default or breach shall not be deemed to be a waiver of any subsequent default or
breach. Any waiver shall not be construed to be a modification of the terms of this Agreement unless
stated to be such in writing and signed by Authorized Representative of City.
Subrecipient Agreement for Federal Funds 12
EXHIBIT C
Reports and Forms
C-1
FFATA REPORTING CHECKLIST (FOR CONTRACTS $25,000 AND OVER)
To Be Filled Out By Subrecipient/Contractor
Contract Number
Congressional district
Subrecipient/Contractor.
Amount of award/contract
Address including Zip Code.
Award title descriptive of the funding action
Date:
Signature:
1) I have been awarded a contract or agreement from CDBG/HOME/NSP funds of $25,000 and over, LJ. Yes LJ No
2) I had a gross income, from all sources, over $300,000 in the previous tax year. ❑ Yes ❑ No
If you answered "NO" to question 1 AND 2, STOP, you do not meet reporting threshold requirements, return form to City.
If you answered "YES" to question 1, COMPLETE THE FOLLOWING AND RETURN WITHIN 5 DAYS.
Project Location
Address including Zip Code:
1.
Congressional district
WA04 993015320
Amount of award/contract
$
Award title descriptive of the funding action
'
REQUIRED: DUNS number
5.
REQUIRED: Central Contractors
Registration (SAM) number
SAM must be updated ever ear
Program source
3) More than 80% of my annual gross revenues come from the federal governments, and LJ Yes LJ No
4) My gross revenues are greater than $25 million annually, and ❑ Yes ❑ No
5) Compensation information for top five executives is not already available through reporting to the SEC. ❑ Yes ❑ No
If you answered "NO" to question 3, 4 OR 5, STOP. You do not meet the reporting threshold, return form City.
If you answered "YES" to ouestion 3.4 AND 5. COMPLETE THE FOLLOWING AND RETURN WITHIN 5 DAYS.
Total compensation and names of top five
executives.
(Complete if you answer yes to questions 3, 4
and 5 above
1.
2.
3.
4.
5.
To Be Filled Out By City Staff
Program source
CDBG Entitlement CDFA 14.218
❑NSP Entitlement CDFA 14.228
[]HOME Investment Partnership Program CDFA 14.239
Grant No.
How do you get a DUNS number?
The unique identifier used in reporting to FFATA is the entity's Dun & Bradstreet (D&B) Data Universal Numbering System (DUNS)
Number. It is necessary for registering in SAM. For subawardees, OMB has issued interim final guidance requiring recipients to
obtain a valid DUNS number.
DUNS number may be requested via the web for no charge at:
• http://fedgov.dnb.com/webforra/index.isp
• or by calling 1-866-705-5711
What is a SAM and how do you register?
SAM stands for System for Award Management, which is the primary registrant database for the U.S. Federal Government. SAM
collects, validates, stores and disseminates data to support federal acquisition missions. A SAM number is necessary for reporting in
FFATA.
Here are links to information needed to register and become familiar with SAM
0 SAM FAQS: https://"w.sam.eoy/portal/Dublic/SAM/
Most potential and existing US Government Contractors, Grantees and Loan Recipients are
required to obtain a DUNS Number for US Government registration purposes. The DUNS Number
verifies the legal name, physical address and tradestyle (DBA) of each location and is the key to
starting the CCR registration process.
Data Universal Numbering System (DUNS) Number: The DUNS Number is a unique nine -digit
identification number provided by Dun & Bradstreet (D&B). The DUNS Number is randomly issued,
never used twice and is site specific. Each distinct physical location of an entity is assigned its own
DUNS Number worldwide.
Obtaining a DUNS Number is a quick and easy process. It is the responsibility of the US
Government contractor, grantee or loan recipient to obtain their existing DUNS Number or to take the
steps required to request a new DUNS Number. To confirm your current status with D&B, all US
locations should contact the D&B Government Customer Response Center (GCRC) using the toll-free
number or the online webform process. International locations (non -US) are asked to use the online
internet link only. Obtaining a DUNS Number is absolutely FREE for all entities doing business with
the Federal Government. The process to request a DUNS Number takes about 15 minutes when
calling and responses to webform submittals online are returned within 1-2 business days. The
following information is requested to obtain a DUNS Number:
• Legal Company Name
• Headquarters Company Name and Address
• Tradestyle or DBA Company Name
Physical Address, City, State and Zip Code
• Mailing Address
• Telephone Number
• Contact Name and Title
• Number of Employees at your physical location
All DUNS requests should contact D&B by following the below instructions. Within 24 hours of
issuance, the DUNS Number is generally available for starting CCR registration.
All US locations
(including US Virgin Islands and Puerto Rico)
can call toll free at 566-705-5711
Federal contractors - Press Option 3
Grantees - Press Option 4
Loan recipients - Press Option 5
or use the online webform process at
(including Guam, Marianas Islands and American Samoa)
should use the online webform process at
http://fedqov.dnb.com/webform
Managing your DUNS Number: D&B will periodically contact DUNS Numbered locations to verify a
company's information for accuracy. Organizations with multiple DUNS Numbers may request a FREE
family tree listing from D&B to help determine which branch/division/subsidiary location has an
existing DUNS Number and if the information on file at D&B is current. D&B recommends
organizations with multiple DUNS Numbers have a single point of contact for controlling DUNS
Number requests to ensure the appropriate branches/divisions/subsidiaries have the accurate DUNS
Numbers for Federal purposes.
Exhibit C - Part One
CITY OF PASCO
COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM
QUARTERLY REPORT FORM
Housing and Housing Supportive Services
Please check the appropriate quarter - reports are due on April 15th, July 15th, October 15th, January 15th
Quarter: Jan -Mar Apr June July -Sept Oct -Dec
Subrecipient:
Project:
Your Name:
Your Job Title:
Phone Number:
Complete this section for all housingz activities in the current quarter
Total # of Houses Total # of Female Head of Household
Total # of Families Total # of Renter Households
Total # of Persons
Total # of Owner Households
I Complete this section to report on race & ethnicity for those listed above
E = Ethnicity (compile from household information) Not Hispanic Hispanic
R = Race (compile from household information) White Asian Asian & White
Native Hawaiian/Other Pacific Islander Black/African American American Indian/Alaskan Native _
American Indian/Alaskan Native & White American Indian/Alaska Native & Black/African American _
Black/African American & White Other
to report on
Enter the number of households (not individual persons) by percentage of median family income
Under 309b 31% to 50%
51% to 80%
81% and over
Exhibit C — Part Two
Com fete this section to re ort funds expended
Total CDBG Funds Expendedd During Current Quarter $
Other Funds Expended During Current Quarter (private, other agency, match, etc.)
Source
Amount
$
Total Other Funds Expended During Current Quarter
$
Project Locations Ph sical Address
1.
2.
3.
4.
5.
Signature of Authorized Official Print Name Date
Exhibit C — Part Three
City of Pasco
Housing Supportive Services Household Information
(Please fill out one per household)
HUD Community Development Block Grant Funds make it possible for us to grant City residents supportive
housing services. Funding is limited and awarded on a first-come, first-served basis.
Please return completed form with your application:
E
R
Household Member Full Name
Date of Birth
Age
D
C7
II
t7
m
a
E
0
K
p
0
The following information is requested to enable HUD to monitor compliance with Federal Fair Housing and
Equal Opportunity Acts. You are encouraged to provide this information. Should you choose not to, please
initial where indicated. I do not wish to provide this information (initials)
� E = Ethnicity (please choose one # per person) 1. Not Hispanic 2. Hisnanic II
R = Race (please choose one # per person)
4. Native Hawaiian/Other Pacific Islander
7. American Indian/Alaskan Native & White
9. Black/African American & White
Are you a sole female head of household?
1. White 2. Asian 3. Asian & White
5. Black/African American 6. American Indian/Alaskan Native
8. American Indian/Alaska Native & Black/African American
10. Other Multi -racial
Gross annual income for the household?
I certify the information provided is accurate and may be verified by the local or federal government.
Applicant:
Address:
Telephone #:
E -Mail Address:
Applicant Signature:
Cell #:
Message #:
EXHIBIT D
Special Terms and Conditions
This section of the Agreement includes special conditions specific to the particular
activity or subrecipient.
D-1
A. PROGRAM INCOME
Project will not be allowed for this project. If project income is allowed, all income
received from CDBG funded activities as return on investment, shall be considered
program income and subject to the requirement set forth under CDBG regulations
pertaining to revolving loan accounts.
The subrecipient will not be allowed to retain the program income. Program income
receipted may only be used for those purposes described in the general conditions, special
conditions, and subrecipient's application for CDBG funds.
All program income funds must be expended for eligible program expenses and must be
reported to the City prior to making the expenditure. Program income must also be
expended prior to additional CDBG funds being requested. Program income that is not
expended in a timely manner or that does not comply with CDBG regulations must be
returned to the City within thirty (30) days of written request from the City.
B. BENEFICIARY REPORTS
Reporting income eligibility for low -moderate income households, persons or jobs will
be applicable for this project. The Subrecipient will be required to provide a completion
report to the City, disclosing data and providing documentation for the activities carried
out with grant funds during the program year.
C. DAVIS-BACON
Davis -Bacon and State Prevailing Wage Law will apply for construction projects over
$2,000, except for housing rehabilitations. If Davis -Bacon Wage Standards apply, the
following required reports and recordkeeping must be undertaken prior to the final
commitment of CDBG funds.
1. The City will provide the Subrecipient with applicable HUD documents and the
Davis Bacon wage rate decisions for the project to be included in the bid packet
and contract documents.
2. The Subrecipient will provide the City with a copy of the construction project
bid packet prior to the execution of any component along with copies of all
contract documents.
3. The Subrecipient will obtain and submit records acquired from construction
contractors and subcontractors that document compliance with the Davis -Bacon
Act, as amended, the Copeland Act, the Contract Work Hours and Safety
Standards Act and Prevailing Wages Act.
4. The Subrecipient will conduct on-site interviews of employees of contractors and
subcontractors to determine compliance with applicable regulations relating to the
above acts.
5. The City will monitor the Subrecipient's compliance with the procurement and
labor compliance process.
D-2
Mandatory Bidder Responsibility Checklist
The following checklist shall be used for all small works and public works contracts, regardless of the dollar amount.
Print copy of each verification page shown below and attach to this sheet.
General Information
Project Name:
Contract Number:
Bidder's Business Name:
Bid Submittal Deadline:
Contractor Registration - (print) https://secure.Ini.wa.gov/verify/
License Number:
Status:
Active: Yes ❑ No ❑
Effective Date (must be effective on or before Bid Submittal Deadline):
Expiration Date:
Current UBI Number- (print) http://dor.wa.gov/mntrenttdoingbusiness/registermybusiness/brd/
UBI Number:
Account Closed"
O en ❑ Closed ❑
Industrial Insurance COVera e-(print)httpsJ/secure.ini.wa.gov/verify/
Account Number:
Account Current:
Yes ❑ No ❑
Employment Security Department Number - Must Get From Contractor
Employment Security Department Number:
• Has Bidder provided account number on the Bid Form? Yes ❑ No ❑
• And/or have you asked the Bidder for documentation from
Employment Security Department on account number? Yes ❑ No ❑
Dun & Bradstreet #- httpJ/fedgov.dnb.com/webform
http:]Avww.hud.gov/offlces/adm/grantaidunsnbrguide.doe
DUNSM
Account Closed:
Open ❑ Closed ❑
Not Disqualified from Bidding Washington State -(print)
htt://www.ini.wa. ovITradesLicensin PrevWa a/Awardin enciesIDebarredContractors/defauft.as
Is the Bidder listed on the "Contractors Not Allowed to Bid" list of the Department of Labor and Industries?
Yes ❑ No ❑
Not Disqualified from Bidding Federal (no need to create a log in)- (print)
Htt s:/lwww.saml ov/ ortaV ubfic/SAM/#1
Is the Bidder listed on the federal debarment and suspension database?
Yes ❑ No ❑
NOT LIMITED DENIAL OF PARTICIPATION — (print)
http:// ortal.hud. ov/hud ortaVHUD?src=Ito ics/limited denials of participation
Is the Bidder listed on the federal limited denial of participation list?
Yes ❑ No ❑
City of Pasco Business License
Business License Number:
Account Current:
Yes ❑ No ❑
Checked by:
Name:
Date:
Last Rev sed: May26, 2015
Mandatory Bidder Responsibility Checklist
The following checklist shall be used for all small works and public works contracts, regardless of the dollar amount.
Print copy of each verification page shown below and attach to this sheet.
General Information
Project Name:
Contract Number
Bidder's Business Name:
Bid Submittal Deadline:
Contractor Registration -(print) https.,//secure.Ini.wa.gov/verify/
License Number:
Status:
Active: Yes ❑ No ❑
Effective Date (must be effective on or before Bid Submittal Deadline):
Expiration Date:
Current LIBI Number -(print) http://dor.wa.gov/corArenttdoingbusiness/registemybusiness/brd/
UBI Number:
Account Closed:
"Open ❑ Closed ❑
Industrial Insurance Coverage - (pdnt) httpsJ/secure.ini.wa.gov/verify/
Account Number:
Account Current:
Yes ❑ No ❑
Employment Security Department Number - Must Get From Contractor
Employment Security Department Number:
• Has Bidder provided account number on the Bid Form? Yes ❑ No ❑
• And/or have you asked the Bidder for documentation from
Employment Security Department on account number? Yes ❑ No ❑
Dun & Bradstreet # - http:/Ifedgov.dnb.wm/webform
hftp://www.hud.goviotricesiadmigrantsidunsnbrguide.doc
DUNS#:
Account Closed:
Open ❑ Closed ❑
Not Disqualified from Bidding Washington State -(print)
htt://www.ini.wa. ov/TTadesLicensin /PrevWa a/Awardin enciesfDabarredContractors/default.as
Is the Bidder listed on the "Contractors Not Allowed to Bid" list of the Department of Labor and Industries?
Yes ❑ No ❑
Not Disqualified from Bidding Federal (no need to create a log in) -(print)
Htt://www.sam/ ov/ ortal/ ublic/SAMNI
Is the Bidder listed on the federal debarment and suspension database?
Yes ❑ No ❑
NOT LIMITED DENIAL OF PARTICIPATION — (print)
htt :// ortal.hud. ovthud ortal/HUD?src=/to fes/limited denials of participation
Is the Bidder listed on the federal limited denial of participation list?
Yes ❑ No ❑
City of Pasco Business License
Business License Number:
Account Current:
Yes ❑ No ❑
Checked by:
Name:
Date:
Last Revised: May25, 2015