HomeMy WebLinkAbout2024-128 Agrmt OHRASUBRECIPIENT AGREEMENT COVER SHEET
WRITTEN AGREEMENT FOR PUBLIC IMPROVEMENT PROJECTS
FUNDED WITH COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) FUNDS
Project Title: OHRA-OHRA Center Kitchen Project
SUBRECIPIENT Name: Opportunities for Housing, Resources, and Assistance.
SUBRECIPIENT Contact: Dan Cano, Executive Director
Telephone Number: (541) 631-2235
E-Mail Address: dan@ohrahelps.org
Address:
2350 Ashland Street
Ashland, OR 97520
Mailing Address:
P.O. Box 1133
Ashland, OR 97520
Agreement Amount: $141,235
Description: Purchase of Electric commercial kitchen equipment and electrical service upgrade
to serve the kitchen equipment, plus permits, and fees related to the project. The kitchen
equipment will be used to prepare and serve meals to OHRA Center shelter occupants.
City Contact: Linda R. Reid Telephone Number: (541) 552.2043
TABLE OF CONTENTS
CDBG Agreement for
Program Year 2023
Page 9
SUBRECIPIENT AGREEMENT
1.
Parties
2.
Term of Agreement
3.
Payment Limit
4.
Subrecipient's Obligations
5.
City's Obligations
6.
General and Special Conditions
7.
Other Attachments
8.
Information and Reports
9.
Integration
10.
Attorney Fees
11.
Severability
12,
Notices
EXHIBIT A: SCOPE OF SERVICES
EXHIBIT A-1: PROGRAM DESCRIPTION
EXHIBIT B: EXPENDITURE, PAYMENT AND BUDGE PROVISIONS
1. Program Expenditures
2. Budget Revisions
3. Unexpended Funds
4. Payment Provisions
5. Invoice Documentation
6. Program Income
EXHIBIT B-1: LINE ITEM BUDGET
EXHIBIT C: SPECIAL CONDITIONS
1.
Program Administration
2.
Designated Staff
3.
Reporting
4.
Client Confidentiality
5.
Bilingual Assistance
EXHIBIT D: GENERAL CONDITIONS
1.
Termination for Cause
2.
Termination for Convenience
3.
Enforcement and Remedies
4.
Disputes
5.
Agreement Changes
6.
Agreement Non -Renewal
7.
Further Specifications for Operating Procedures
8.
Non -Discrimination and Affirmative Action
9.
Access to Records
10.
Maintenance of Records
11.
Audit Requirements
12.
Monitoring
13.
Indemnity and Hold Harmless
14.
Insurance Requirements
15,
National Flood Insurance Program
16.
Minimum Scope of Insurance
17.
Subcontracting and Assignment
18.
Independent Contractor Status
CDBG Agreement for
Program Year 2023
Page 2
19_ Compliance with Laws
20. Conflicts of Interest
21. Agreement Administration
22. Procurement and Property Management
23. Expiration/Reversion of Assets
24. Oregon Law and Forum
25. Availability of Funds
26. Minimizing Displacement/Relocation
27. Program Access by the Disabled
28. Publicity and Signage
29. Lobbying
30. Church -State
31. Non -substitution for Local Funding
32. Copyrights and Rights in Data
33. Nonparticipation in Political Activities
34. Real Property Acquisition
35. Environmental Review
36. Debarred, Suspended or Ineligible Contractors, Subrecipients or Officers
37, Labor Standards
38. Lead Based Paint
39. Non -Profit Grant Agreements
40. Architectural Barriers Act and Americans with Disabilities Act
41. Suspension and Terminations Provisions
EXHIBIT E: INVOICE FOR SERVICES
EXHIBIT F: STATISTICAL REPORT
EXHIBIT F-1: CDBG CLIENT/HOUSEHOLD INFORMATION FORM
CDBG Agreement for
Program Year 2023
Page 3
CITY OF ASHLAND
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG)
SUBRECIPIENT AGREEMENT FOR PUBLIC IMPROVEMENT PROJECTS
FUNDED WITH COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) FUNDS
The parties to this Agreement agree as follows:
1. Parties. The parties to this Agreement are the CITY OF ASHLAND, OREGON (City) and the
below -named Subrecipient. (Subrecipient): Maslow Project.
2. Term of Agreement. The effective date of this Agreement is July 1,_ 2023 and it terminates
December 31, 2024 unless sooner terminated as provided in this agreement.
3. Payment Limit. City's total payments under this Agreement shall not exceed 141 235.00
4. Subrecipient's Obligations. Subrecipient shall provide those services and carry out that
work described in the Scope of Work attached as Exhibits A and A-1.
5, City's Obligations. City shall make to the Subrecipient those payments described in the
Payment Provisions and Budget attached as Exhibit B.
6, General Conditions and Special Conditions. This Agreement is subject to the Special
Conditions attached as Exhibit C and the General Conditions attached as Exhibit D.
7. Other Attachments. This Agreement includes the Invoice for Services attached as Exhibit E.
the Statistical Report attached as Exhibit F, and the CDBG Client/Household Information Form,
attached as Exhibit F-1.
8. Information and Reports. The Agreement shall, at such time and in such form as the City
may require, furnish such periodic reports concerning the status of this Agreement, such
statements, certificates, approvals and copies of the proposed and executed plans and claims,
and other information relative to this Agreement as may be requested by the City. The
Subrecipient shall furnish the City, upon request, with copies of all documents and other
materials prepared or developed in relation with or as part of this Agreement.
9. Integration. This Agreement, including the attached exhibits, contains the entire agreement
between the parties regarding use of Community Development Block Grant Funds on the
project and supersedes all prior written or oral discussions or agreements.
10. Attorney Fees. In the event a lawsuit of any kind is instituted on behalf of the City to obtain
performance of any kind under this Agreement, Subrecipient agrees to pay such additional
sums as the court may adjudge for reasonable attorney fees ant to pay all costs and
disbursements incurred.
11. Severability. The parities agree that if any term or provision of this Agreement is declared
by a court to be illegal or in conflict with any law, the validity of the remaining terms and
provisions shall not be affected.
12. Notices. Any notices, bills, invoices, or reports required by this Agreement shall be sent by
the parties in the United States mail, postage paid, or personally delivered to the addresses
below:
CDBG Agreement for
Program Year 2023
Page 4
City of Ashland Contact
Linda Reid, Housing Program Specialist
Department of Community Development
Planning Division
City of Ashland
20 East Main Street
Ashland, OR 97520
Subrecipient Contact
Dan Cano, Executive Director
2350 Ashland Street
Ashland, OR 97520
SUBRECIPIENT:
By:1L.21-InC
Title: 1d
Date:✓ -
CITY OF ASHLA
By:
Title: City Manager
Date:
CDBG Agreement for
Program Year 2023
Page 5
EXHIBIT A
SCOPE OF SERVICES
Subrecipient shall provide services described in the Project Description, Exhibit A-1.
Project Description, Exhibit A-1 shall include the Subrecipient name, address, telephone
number, name of contact, name of signatory officer with title and position, and a
statement of work. The statement of work shall include a description of the work to be
provided, the purpose and nature of the services to be provided, including where they
will be offered, the specific tasks to be performed, the level of service that will be
provided (must be quantifiable level of service, e.g., installation of an accessible
bathroom within a public facility), and the time schedule for the performance of work with
target levels of service indicated at specific points in time.
2. Subrecipient shall submit reports as required in Special Conditions, Exhibit C and
General Conditions, Exhibit D.
3. National Objective
The population (clients) benefiting from the CDBG-assisted activities must be comprised
of at least 51 % or more low to moderate -income persons as classified by the U.S.
Department of Housing and Urban Development (HUD) in the table below. A low- to
moderate -income person is defined by the HUD as a member of a family having an
income equal to or less than the low- to moderate -income limits established by HUD in
the table below.
If an activity benefits a clientele who are generally presumed to be principally low- and
moderate -income persons, it is considered a presumed benefit activity. Activities that
exclusively serve a group of persons in any one or a combination of the following
categories may be presumed to benefit persons, 51 percent of whom are low and
moderate income: abused children, battered spouses, elderly persons, adults meeting
the Bureau of the Census' Current Population Reports definition of "severely disabled,"
homeless persons, illiterate adults, persons living with AIDS, and migrant farm workers.
An activity, the benefits of which are available to all the residents in a particular area,
where at least 51 percent of the residents are low- and moderate -income persons. Such
an area need not be coterminous with census tracts or other officially recognized
boundaries but must be the entire area served by the activity. An activity that serves an
area that is not primarily residential in character shall not qualify under this criterion.
An activity that serves to remove material or architectural barriers to the mobility or
accessibility of elderly persons or of adults meeting the Bureau of the Census' Current
Population Reports definition of "severely disabled" will be presumed to qualify under
this criterion if it is restricted, to the extent practicable, to the removal of such barriers by
assisting the reconstruction of a public facility or improvement.
Public facilities and improvements; Acquisition, construction, reconstruction,
rehabilitation or installation of public facilities and improvements, except as provided in
570.207(a), of the Community Development Block Grant Entitlement Program
Regulations 24 CFR 570, carried out by the recipient or other public or private nonprofit
entities. Activities under this paragraph may be directed to the removal of material and
architectural barriers that restrict the mobility and accessibility of elderly or severely
disabled persons to public facilities and improvements, including those provided for in
570.207(a)(1).) In undertaking such activities, design features and improvements which
promote energy efficiency may be included. Such activities may also include the
execution of architectural design features, and similar treatments intended to enhance
the aesthetic quality of facilities and improvements receiving CDBG assistance, such as
decorative pavements, railings, sculptures, pools of water and fountains, and other
CDBG Agreement for
Program Year 2023
Page 6
works of art.
EXHIBIT A-1
PROGRAM DESCRIPTION
Subrecipient Name: OHRA
Address: 2350 Ashland Street, Ashland, OR 97520
Telephone Number: (541) 631-2235
Contact Person: Dan Cano, Executive Director
Signatory Officer: Dan Cano, Executive Director
Statement of Work: Purchase of Electric commercial kitchen equipment and electrical
service upgrade to serve the kitchen equipment, plus permits, and fees related to the project.
The kitchen equipment will be used to prepare and serve meals to OHRA Center shelter
occupants.
Condition of award: OHRA will make available use of the commercial kitchen to the City in
instances of a community wide emergency declaration, the term of use will be only darning
times when the City declares a community wide emergency. The term of use will be in place for
a period no longer than the term of the CDBG program requirements, which is 10 years from the
date of contract.
Project Schedule: July 1, 2023-December 31, 2025
CDBG Agreement for
Program Year 2023
Page 7
EXHIBIT B
EXPENDITURE, PAYMENT AND BUDGET PROVISIONS
Program Expenditures
Subrecipient shall expend up to the Agreement amount in accordance with the
Subrecipient Agreement, Item 3 and the Line -Item Budget, Exhibit B-1.
2. Budget Revisions
Subrecipient has the flexibility to spend 10 percent above or below budgeted line items
without a budget adjustment as long as total amount does not exceed the Agreement
amount. Once the Line -Item Budget, Exhibit B-1, has been approved through the
execution of this Agreement, there can be no more than four requests for adjustments to
budget line -item amounts during the Agreement period, including any final adjustments
done at the end of the Contract term, December 31, 2025.
Budget adjustments (i.e., those adjustments which do not alter (1) the basic scope of
services or other performance to be provided under this Agreement, or (2) the total
amount of money allocated hereunder) may be made upon mutual agreement between
the parties and shall only be valid when reduced to writing and approved and signed by
the Subrecipient and the Director of the Department of Community Development.
3. Unexpended Funds
Any unexpended or unobligated funds remaining as of December 31, 2025 shall be
resumed to City unless approval to extend Agreement is authorized by City prior May 1,
2025 in accordance with General Conditions, Exhibit D, Item 5.
4. Payment Provisions
Payment will be made by the City up to the amount of the Agreement upon receipt of a
properly executed Invoice for Services Provided form, Exhibit E. Invoices and reports
shall be signed by Subrecipient's authorized representatives. Invoices will be
submitted to the City CDBG Contact, Department of Community
DevelopmentlPlanning Division, City of Ashland, 51 Winburn Way, Ashland, OR
97520.
Invoices and reports shall be submitted quarterly or upon completion of work, no later
than 15 days after the end of each claim quarter commencing Invoices and reports shall
be submitted quarterly, no later than 15 days after the end of each claim quarter
commencing July 1.2023 and concluding in December 31,_2025. Final invoice will be
submitted to the City within 30 days of the end of the Agreement, December 31,_ 2025.
5. Invoice Documentation
All invoices shall be supported with signed and dated documentation such as
bills, receipts, invoices, payroll records and time sheets. Documentation shall
adequately identify the source and application of funds for activities within this
Agreement in accordance with the provisions of 24 CFR 85.20 and shall contain
information pertaining to grant awards and authorizations, obligations, unobligated
balances, assets, liabilities, outlays and income. All documentation shall be maintained
in Subrecipient's files for not less than five years.
CDBG Agreement for
Program Year 2023
Page 8
6. Program Income
For CDBG funded projects, the Subrecipient shall comply with provisions of 24 CFR
570.504(c) and 570.500 regarding program income. Program income is defined by HUD
as the gross income received by a subrecipient directly generated from the use of CDBG
funds.
Program income includes, but is not limited to, the following: 1) proceeds from the
disposition by sale or long-term lease of real property purchased or improved with CDBG
funds; 2) proceeds from the disposition of equipment purchased with CDBG funds; 3)
gross income from the use or rental of real or personal property acquired by a
subrecipient with CDBG funds, less costs incidental to generation of the income; 4)
gross income from the use or rental of real property owned by a subrecipient that was
constructed or improved with CDBG funds, less costs incidental to generation of income;
5) payments of principal and interest on loans made using CDBG funds; 6) proceeds
from the sale of loans made with CDBG funds; 7) proceeds from sale of obligations
secured by loans made with CDBG funds; 8) interest earned on program income
pending its disposition; and 9) funds collected through special assessment made against
properties owned and occupied by households not of low and moderate income, where
the assessments are used to recover all or part of the CDBG portion of a public
improvement.
The Subrecipient shall record the receipt and expenditure of program income. The
Subrecipient shall submit program income reports with invoices and statistical reports
quarterly, no later than 15 days after the end of each claim quarter commencing October
1, 2024 and concluding in December31, 2025.
Program income shall be retained by the Subrecipient provided that it shall be used
exclusively for eligible activities as defined in the CDBG Regulations (24 CFR Part 570).
CDBG Agreement for
Program Year 2023
Page 9
EXHIBIT C
SPECIAL CONDITIONS
Program Administration
The Subrecipient is solely responsible for the conduct of the contracted program. Its
employees and agents shall not be deemed employees or agents of the City unless
regular employees of the City of Ashland complete the actual work performed. The
Subrecipient will perform all necessary and customary functions in the management and
supervision of Subrecipient personnel for all work performed under the Agreement.
Project activities will be completed in compliance with the terms of this Agreement and
the regulations applicable to this program. Specific project activities, which trigger formal
procedural regulation, include the following: Subcontracting, Conflict of Interest,
Procurement, Nondiscrimination and Public Information.
2. Designated Staff
The Subrecipient shall designate an individual responsible for carrying out the
contracted program, including coordination with City CDBG Administration Staff.
Subrecipient shall further designate one or more individuals authorized to sign payment
requests under this Agreement. The names and signatures of these individuals shall be
provided to City and maintained in City's program files.
City shall designate an individual as City Contact to be responsible for administration of
this Agreement. The name of such designated individual shall be provided to the
Subrecipient.
3, Reporting
Statistical Reports will be submitted to the City no later than 15 days after the end of
each claim quarter commencing October 7 2023 with subsequent reports due 15 days
after the end of each claim quarter commencing October 9, 2023, and concluding
December 31, 2025. A final report describing program achievements, a comparison to
objectives and discussion of problems and solutions, shall be submitted within 30 days
of the end of the Agreement, December 31, 2025. Reports shall include statistical
reports covering the program period, to date. The sub -recipient is responsible to provide
to the City all contractor and subcontractor wage scale reporting to determine
compliance with applicable labor standards per Exhibit D part 37 of this agreement.
4. Client Confidentiality
Subject to the requirements of Oregon Public Records Law, ORS 192.410 to 192.505, all
client information, including lists of persons receiving services obtained by the
Subrecipient in the performance of Agreement, shall be considered confidential and not
divulged for any purpose not directly connected with the administration of the Agreement
or monitoring and evaluation by City. City shall be allowed to review a sampling of case
work history information to determine the adequacy of record keeping and quality of
services performed. Nothing, however, prohibits the disclosure of information
summaries, statistical, or other forms, which do not identify particular individuals.
5. Bilingual Assistance
Subrecipient will provide bilingual assistance, as needed, to serve its clients. Bilingual
assistance will be provided by bilingual staff to the extent possible. Bilingual means
capable of using both English and Spanish languages with nearly equal facility.
CDBG Agreement for
Program Year 2023
Page 10
EXHIBIT D
GENERAL CONDITIONS
These General Conditions cover the use of Community Development Block Grant (CDBG)
funds awarded under this Agreement to the Subrecipient by the City of Ashland.
Termination for Cause
In accordance with 24 CFR 85.43, if, through any cause, the Subrecipient shall fail to
fulfill in a timely and proper manner his/her obligations under this Agreement, or if the
Subrecipient shall violate any of the covenants, agreements, or stipulations of this
Agreement, the City may avail itself of such remedies as cited in 24 CFR 85.43 including
termination of this Agreement, by giving written notice to the Subrecipient of such action
and specifying the effective date thereof. In such event, all finished or unfinished
documents, data, studies, and reports prepared by the Subrecipient under this
Agreement shall, at the option of the City, become the property of the City and the
Subrecipient shall be entitled to receive just and equitable compensation for any
satisfactory work completed on such documents, not to exceed the Agreement amount.
Notwithstanding the above, the Subrecipient shall not be relieved of liability to the City
for damages sustained by the City by virtue of any breach of the Agreement by the
Subrecipient, and the City may withhold any payments to the Subrecipient for the
purpose of set off until such time as the exact amount of damages due the City from the
Subrecipient is determined.
2. Termination for Convenience
In accordance with 24 CFR 85.44, the City and Subrecipient may terminate this
Agreement at any time by mutual written agreement. If the Agreement is terminated by
the City as provided herein, the Subrecipient will be paid an amount which bears the
same ratio to the total compensation as the services actually performed bear to the total
services of the Subrecipient covered by this Agreement less payments of compensation
previously made.
3. Enforcement Remedies
In the event of termination under Section A hereof by the City due to a breach by the
Subrecipient, then the City may complete the work either itself or by agreement with
another contractor, or by a combination thereof. In the event the cost of completing the
work exceeds the amount actually paid to the Subrecipient hereunder plus the remaining
unpaid balance of the compensation provided herein, then the Subrecipient shall pay to
the City the amount of excess. Allowable costs shall be determined in accordance with
24 CFR 85.43(c).
The remedies provided to the City under Sections 'I and 3 hereof for a breach by the
Subrecipient shall not be exclusive. The City also shall be entitled to any other equitable
and legal remedies that are available.
In the event of breach of this Agreement by the City, then the Subrecipient's remedy
shall be limited to termination of the Agreement and receipt of payment as provided in
Section 2 hereof.
In the event of termination under Section 1, the City shall provide the Subrecipient an
opportunity for an administrative appeal_
CDBG Agreement for
Program Year 2023
Page 94
4. Disputes
Disagreements between the City and Subrecipient concerning the meaning,
requirements, or performance of this Agreement shall be subject to final determination in
writing by the City Administrator or in accordance with the applicable procedures (if any)
required by the State or Federal Government.
5. Agreement Changes
The City or Subrecipient may, from time to time, request changes in writing in the scope
of services or terms and conditions hereunder. Major changes, including the scope of
work, performance measures or any increase or decrease in the amount of the
Subrecipient's compensation, shall be incorporated in written amendments to this
Agreement, approved by the City Council and signed by the City Administrator on behalf
of the City. Minor changes to the scope of work, budget line items, timing, reporting, or
performance measures may be approved by the City Administrator on behalf of the City.
6. Agreement Non -renewal
Sub -recipient understands and agrees that there is no representation, implication, or
understanding that the services provided by Subrecipient under this Agreement will be
purchased by the City under a new Agreement following expiration or termination of this
Agreement and waives all rights or claims to notice or heading respecting any failure to
continue purchase of all or any such services from Subrecipient.
7. Further Specifications for Operating Procedures
Detailed specifications of operating procedures and budgets required by this Agreement,
including but not limited to: monitoring, auditing, billing, reporting, or regulatory changes,
may be developed and set forth in written Informal Agreements between the City and
Subrecipient. Such Informal Agreements shall be designated as such and shall not be
amendments to this Agreement except to the extent that they further detail or clarify that
which is already required hereunder, Such Informal agreements may not enlarge in any
manner the scope of this Agreement, including any sums of money to be paid the
Subrecipient as provided herein. Informal Agreements may be approved and signed by
the Director of the Community Development Department on behalf of City.
8. Non -Discrimination and Affirmative Action
During the performance of this Agreement, the Subrecipient shall not discriminate based
on race, religion, color, sex, age, national origin, marital status, political affiliation or
handicap condition and the Subrecipient shall, to the maximum feasible extent, ensure
all interested persons can reasonably obtain information about, and access to,
HUD -funded activities. The Subrecipient agrees to comply with the following:
A. The requirements of the Fair Housing Act (42 U.S.C. 3601-20) and implementing
regulations at 24 CFR part 100; Executive Order 11063, as amended by
Executive Order 12259 (3 CFR, 1958-1963 Comp., p. 652 and 3 CFR, 1980
Comp., p. 307) (Equal Opportunity in Housing) and implementing regulations at
24 CFR part 107; and title VI of the Civil Rights Act of 1964 (42 U.S.C. 2000d)
(Nondiscrimination in Federally Assisted Programs) and implementing
regulations issued at 24 CFR part 1;
B, The prohibitions against discrimination on the basis of age under the Age
Discrimination Act of 1975 (42 U.S.C. 6101-07) and implementing regulations at
24 CFR part 146, and the prohibitions against discrimination against
handicapped individuals under section 504 of the Rehabilitation Act of 1973 (29
U.S.C. 794) and implementing regulations at 24 CFR part 8;
CDBG Agreement for
Program Year 2023
Page 12
C. The requirements of Executive Order 11246 (3 CER 1964-65, Comp., p. 339)
(Equal Employment Opportunity) and the implementing regulations issued at 41
CFR chapter 60;
D. The requirements of Section 3 of the Housing and Urban Development Act of
1968 (12 U.S.C. 1701) providing:
(i) To the greatest extent feasible, opportunities for training and employment be
given to low- income persons residing within the unit of general local government
or the metropolitan area; and
(ii) To the greatest extent feasible, contracts for work to be performed in connection
with any such project be awarded to business concerns which are located in or
owned in substantial part by persons residing in the same metropolitan area as
the project; and
E. The requirements of Executive Orders 11625 and 12432 (concerning Minority
Business Enterprise), and 12138 (concerning Women's Business Enterprise).
9. Access to Records
The City, HUD, the Comptroller General of the United States, or any of their duly
authorized representatives, shall have access to any books, general organizational and
administrative information, documents, papers, and records of the Subrecipient which
are directly pertinent to this Agreement, for the purpose of making audit or monitoring,
examination, excerpts, and transcriptions. All required records must be maintained by
the Subrecipient for five years after the City makes final payments and all other pending
matters are closed.
10. Maintenance of Records
The Subrecipient shall maintain fiscal records on a current basis to support its billings to
the City. The Subrecipient shall retain fiscal as well as all records relating to program
and client eligibility for inspection, audit, and copying for five years from the date of
completion or termination of this Agreement. The City or its authorized representative
shall have the authority to inspect, audit, and copy on reasonable notice and from time to
time any records of the Subrecipient regarding its billings or its work hereunder.
11. Audit Requirements
Subrecipient shall arrange for annual, agency -wide audits conducted by an independent
certified public accountant and carried out within six months from the end of each
Agreement Year, If Subrecipient's fiscal year ends during the term of this Agreement, the
audits may cover the Subrecipient's fiscal year provided the audit period includes at least
six months of this Agreement period. Said audits shall be performed according to federal
and state law and rules, specifically, the audits shall comply with OMB Circular A-133
(nonprofit and institutions of higher education) or A-128 (local governments).
A copy of the audit and accompanying management letter shall be submitted annually to
the City within two weeks of the date of the audit report. The audit shall include, at a
minimum, assurances that: 1) financial statements present fairly the financial position of
the Subrecipient; 2) costs charged to City are appropriate; and 3) Subrecipient is
complying with conditions of the Agreement.
The Subrecipient is responsible for either including subcontractors within its own annual
audit or assuring that separate independent audits are conducted and submitted to City
for each subcontractor.
GDBG Agreement for
Program Year 2023
Page 13
The City, either directly or through a designated representative, may audit the records of
the Subrecipient at any time during the period established by Section 10 above.
If an audit discloses that payments to the Subrecipient were in excess of the amount to
which the Subrecipient was entitled, then the Subrecipient shall repay the amount of the
excess to the City.
12, Monitoring
The City, through the Department of Community Development, may monitor at least
once each year, that portion of the Subrecipient's project funded with CDBG funds. Such
monitoring shall ensure that the operation of the project conforms to the provisions of
this Agreement.
13. Indemnity and Hold Harmless
Subrecipient shall indemnify, defend and hold harmless the City, its officers, officials,
boards, commissions, employees, volunteers, and agents from and against all claims,
damages, suits, costs, judgments, losses, expenses, and attorney's fees arising directly
or indirectly out of the performance of or the failure to perform the work described herein,
caused in whole or in part by any negligent act or omission of the Subrecipient, any
subcontractor, anyone directly or indirectly employed by any of them or anyone for
whose acts any of them may be liable, regardless of the negligence of the City, except
Subrecipient shall not be responsible when such liability arises from the sole negligence
or willful misconduct of the City. Subrecipient shall promptly pay city for any costs that
City incurs in enforcing this clause.
14. Insurance Requirements
For the duration of this Agreement, Subrecipient shall procure and maintain insurance
against claims for personal injury, bodily injury or property damage which may arise from
or in connection with the work hereunder by the Subrecipient, his agents,
representatives, and employees. Evidence of insurance acceptable to the City must be
provided by the Subrecipient to the City before Subrecipient will be authorized to start
work.
15. National Flood Insurance Program
This Agreement is subject to the requirements of the Flood Disaster Protection Act of
1973 (P.L. 93-234) No portion of the assistance provided under this agreement is
approved for acquisition for construction purposes as defined under Section 3(a) of said
Act, for use in an area identified by the Secretary as having special flood hazards which
is located in a community not then in compliance with the requirements for participation I
n the national flood insurance program pursuant to Section 201 (d) of said Act; and the
use of any assistance provided under this agreement for such acquisition or construction
In such identified areas in communities then participation in the national flood insurance
program shall be subject to the mandatory purchase of flood insurance requirements of
Section 102 (a) of said Act.
16, Minimum Scope of Insurance
A. Workers' Compensation and Employer's Liability insurance as required by state
law.
B. Commercial General Liability coverage at least as broad as an ISO form
CG0001. Limits no less than $500,000 per occurrence for bodily injury and
personal injury. Limits no less than $50,000 for property damage liability.
CDBG Agreement for
Program Year 2023
Page 14
C. Automobile Liability coverage covering any auto, at least as broad as ISO form
CA0001. Limits no less than $500,000 for bodily injury and personal injury. Limits
no less than $50,000 for property damage liability.
D. Each policy required by this Agreement shall be endorsed to state that coverage
shall not be suspended, voided, canceled by either party, reduced in coverage or
in limits except after thirty days prior written notice by certified mail, return receipt
requested, has been given to the City.
The general liability and automobile liability policies are to contain, or be
endorsed to contain, the following provisions:
The City, its officers, officials, agents, volunteers, and employees are to be
covered as insureds for liability arising out of activities performed by or on
behalf of the Subrecipient; products and completed operations of the
Subrecipient; premises owned, occupied, or used by the Subrecipient; and
automobiles owned, leased, hired or borrowed by the Subrecipient. The
coverage shall contain no special limitations on the scope of protection
afforded to the City, its officers, officials, agents, volunteers, or employees.
• For any claims related to this project the Consultant's insurance coverage
shall be primary insurance as respects the City, its officers, officials, agents,
volunteers, and employees. Any insurance or self-insurance maintained by
the City, its officers, officials, agents, volunteers, and employees shall be
excess of Subrecipient's insurance and shall not contribute with it.
• Any failure to comply with reporting or other provisions of the Subrecipient's
insurance policies including breaches of warranties shall not affect the
coverage provided to the City, its officers, officials, agents, volunteers, and
employees.
• The Subrecipient's insurance shall apply separately to each insured against
whom claim is made or suit is brought, except with respect to the limits of
insurer's liability.
E. Acceptability of Insurers
Insurance that is placed with insurers having a current A.M. Best rating of no less
than B+:VII will be considered acceptable without the approval of the City. All
other insurers are subject to the approval of the City.
F. Verification of Coverage
Subrecipient shall furnish the City with certificates and original endorsements
affecting the coverage herein required. Certified copies of policies must be
furnished upon the request of the City. Endorsements must be signed by a
person authorized by that insurer to bind coverage on its behalf. The form of
endorsement is subject to the City's approval.
G. Deductibles and Self -insured Retentions
Any deductibles or self -insured retentions must be declared to the City and are
subject to the City's approval. At the option of the City, either the insurer shall
reduce or eliminate such deductibles or self -insured retentions with respect to the
City; or the Subrecipient may be required by the City to procure a bond
guaranteeing payment of losses, claims adjusting expenses, and defense costs
below the deductible or self -insured retention.
CDBG Agreement for
Program Year 2023
Page 15
H. Subcontractors
Subrecipient's insurance shall provide coverage for all subcontractors, or
Subrecipient shall furnish to the City separate certificates and endorsements
showing coverage for each subcontractor. The insurance requirements described
herein shall apply to all subcontractors.
17. Subcontracting and Assignment
The Subrecipient shall not assign this in whole or in part or any right or obligation
hereunder, without prior written approval of the City, which approval shall not
unreasonably be withheld. The subcontractor shall be responsible for adhering to all
regulations cited within this Agreement.
18, Independent Contractor Status
The Subrecipient is engaged as an independent contractor and will be responsible for
any federal, state, or local taxes and fees applicable to payments hereunder.
The Subrecipient and its subcontractors and employees are not employees of the City
and are not eligible for any benefits through the City, including without limitation, federal
social security, health benefits, workers' compensation, unemployment compensation,
and retirement benefits.
19. Compliance with Laws
In connection with its activities under this Agreement, the Subrecipient shall comply with
all applicable federal, state and local laws and regulations. For CDBG-funded projects,
the Subrecipient shall carry out its activities in compliance with 24 CFR 570. In
particular, (but not to the exclusion of other sections) Subrecipient shall comply with
applicable uniform administrative requirements, as described in 24 CFR 570.502.
Should Federal or State regulations touching upon the subject of this Agreement be
adopted or revised during the term hereof, this Agreement may be amended to assure
conformance with such Federal or State requirements.
20. Conflicts of Interest
No City officer or employee, during his or her tenure or for one year thereafter, shall
have any interest, direct or indirect, in this Agreement or the proceeds thereof, as
required in 24 CFR 85.36.
No board or director member or employee of the Subrecipient, during his or her tenure
or for one year thereafter, shall have any interest, direct or indirect, in this Agreement or
the proceeds, as required in 24 CFR 85.36. Use of Agreement funds to pay personnel
costs itemized in Agreement is exempted from this requirement.
For CDBG-funded projects, the Subrecipient shall further comply with the conflict of
interest provisions cited in 24 CFR 570.611.
21. Agreement Administration
Non-profit contractors shall comply with the applicable provisions of OMB Circular No's.
A-122, and A-110 Attachments B, F, H paragraph 2, and O, as described by 24 CFR
92.505,
22. Procurement and Property Management
The Subrecipient shall comply with current Grantee policy concerning the purchase of
equipment and shall maintain inventory records of all non -expendable person property
as defined by such policy as may be procured with funds provided herein. All program
CC]BG Agreement for
Program Year 2023
Page 16
assets (unexpended program income, property, equipment, etc.) shall revert to the
Grantee upon termination of this agreement.
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.
The Subrecipient agrees that any real property, equipment or supplies purchased wholly
or in part with program funds will be managed under the same guidelines applicable to
the City in accordance with 24 CFR 570.505 (real property), 24 CFR Part 85.32
(equipment), and 24 CFR Part 85.33 (supplies).
23. ExpirationfReversion of Assets
For CDBG-funded projects, the Subrecipient shall comply with the Reversion of Assets
provision of 24 CFR 570.503(b)(8). Upon expiration of this agreement, the Subrecipient
shall transfer to the recipient any CDBG funds on hand at the time of expiration and any
accounts receivable attributable to the use of CDBG funds.
The CDBG benefit of acquisition or improvement to real property with CDBG funds will
be realized only after ten years of public service to extremely low-, low- and moderate -
income Ashland residents at a level of 51 % of all clients served at the property. The
Subrecipient shall use real property acquired or improved with CDBG funds to provide
eligible CDBG client services to a population of at least 51 % or more extremely low-,
low- and moderate -income persons as classified by the U.S. Department of Housing and
Urban Development until 10 years after expiration of this agreement. It is the City's
intention that the full public benefit of this project inure to the Subrecipient's clients or in
the alternative, that City recover the monetary equivalent of an unrealized public benefit
as follows:
A. If the Subrecipient should sell property acquired or improved with CDBG funds, or for
any reason discontinue using the property to provide eligible CDBG client services to a
population of at least 51 % or more extremely low-, low- and moderate -income persons
as classified by the U.S. Department of Housing and Urban Development, prior to five
years from the completion date, the Subrecipient will be obligated to repay CDBG grant
funds in the full amount to City. If the Subrecipient should sell property acquired or
improved with CDBG funds, or for any reason discontinue using the property to provide
eligible CDBG client services to a population of at least 51 % or more extremely low-,
low- and moderate -income persons as classified by the U.S. Department of Housing and
Urban Development, after five full years of use and prior to ten years from the
completion date, the Subrecipient will be obligated to repay CDBG grant funds to City,
upon demand, that percentage of the grant equal to the percentage of time then
remaining until the expiration of ten years from the completion of the work. (For
example, if the Subrecipient discontinues service and the property is sold after six years,
the Subrecipient shall repay 40% of the grant funds to City. Payment shall be made by
the Subrecipient within 90 days of the date the Subrecipient sells the property or
otherwise discontinues its use for the approved, eligible public services.
B. If within the 10-year period, the Subrecipient moves to anew location where it continues
to deliver client services similar to those it now provides, City may, at its sole option, find
the replacement facility a satisfactory replacement and waive the reimbursement
payment required by paragraph 23.A.
C. The Subrecipient may not change the use or planned use of real property acquired or
improved with CDBG funds unless the Subrecipient receives approval from the City, and
either:
CDBG Agreement for
Program Year 2023
Page 17
The new use of such property qualifies as meeting one of the CDBG national
objectives and is an eligible use of CDBG funds or;
ii. If the City determines, after consultation with affected citizens, that is necessary
or appropriate to change the use of the property to a use which does not qualify
under paragraph 23.c.i, it may retain or dispose of the property for such use if
City is reimbursed in the amount of the current fair market value of the property
less any portion attributable to expenditures of non -grant funds for acquisition of,
and improvement to, the property.
24. Oregon Law and Forum
This Agreement shall be construed according to the law of the State of Oregon.
Any litigation between the City and the Subrecipient arising under this Agreement or out
of work performed under this Agreement shall occur, if in the state courts, in the Jackson
County court having jurisdiction thereof, and if in the federal courts, in the United States
District Court for the State of Oregon.
25. Availability of Funds
It is understood by all parties to this Agreement that the funds used to pay for services
provided herein are provided to the City through a grant from the U.S. Department of
Housing and Urban Development. In the event that funding is reduced, recaptured, or
otherwise made unavailable to the City as a result of federal action, the City reserves the
right to terminate the Agreement as provided under Section 2 hereof, or change the
scope of services as provided under Section 5 hereof.
Should Federal or State regulations touching upon the subject of this Agreement be
adopted or revised during the term hereof, this Agreement may be amended to assure
conformance with such Federal or State requirements.
26. Minimizing Displacement/Relocation
The Subrecipient assures that it will take all reasonable steps to minimize the
displacement of persons as a result of this Agreement and shall comply with the
applicable provisions of 24 CFR 570.606,
27. Program Access by the Disabled
The Subrecipient shall, to the maximum feasible extent, ensure interested persons can
reasonably obtain information about, and access to, HUD -funded activities.
28. Publicity and 5ignage
Publicity, including signage at any construction/building site, regarding the project shall
note participation of the City of Ashland Department of Community Development and the
U.S. Department of Housing and Urban Development.
All construction projects receiving $50,000 or more in CDBG grant funds shall place a
sign on the project site acknowledging the financial assistance from the Department of
Housing and Urban Development. The sign shall be installed prior to construction and
shall be maintained for the duration of the construction period. The sign shall be a
minimum of 4 feet by 4 feet. The background of the sign shall consist of three equal
horizontal bands: the top red, center white, and the bottom blue. Lettering shall be
black. The top section shall contain the name of the project and any other relevant
information, e.g., the name of the project sponsor, purpose of the project, etc. The lower
section may contain other information as desired, e.g., the name of the local chief
executive, other financial contributors, architect, engineer, etc. The center section shall
contain the following language, "This project is funded in whole or in part with funds
CDBG Agreement for
Program Year 2023
Page 18
provided by the U,S. Department of Housing and Urban Development (HUD)." The
words U,S. Department of Housing and Urban Development shall be in 4-inch block
letters. Subrecipients may use the design and pattern of previously developed project
signs, provided that the sign is amended to acknowledge the contribution by the U.S.
Department of Housing and Urban Development, in lettering no smaller than that used to
acknowledge other contributors to the project.
29. Lobbying
No Federal appropriated funds have been paid or will be paid, by or on behalf of the
Subrecipient, 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
loan, the entering into of any cooperative agreement, and the extension, continuation,
renewal, amendment, or modification of any Federal Agreement, grant, loan, or
cooperative agreement.
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 Agreement, grant, loan, or cooperative
agreement, the Subrecipient shall complete and submit Standard Form-LLL, "Disclosure
Form to Report Lobbying," in accordance with its instructions.
The Subrecipient shall require that the language of this certification be included in the
award documents for all sub -awards at all tiers (including subcontracts, sub -grants, and
contracts under grants, loans and cooperative agreement) and that all Subcontractors
shall certify and disclose accordingly.
30. Church -State
The Subrecipient agrees to comply with the applicable provisions of 24 CFR 570.2000)
regarding the use of federal funds by religious organizations. No religious content or
materials will be disseminated in any part of the programs or services funded under this
Agreement.
31. Non -substitution for Local Funding
For CDBG-funded projects, the Subrecipient will not utilize grant funds to reduce
substantially the amount of local financial support for community development activities
below the level of such support prior to the availability of funds under this Agreement.
32. Copyrights and Rights in Data
Subrecipient shall not publish or transfer any materials produced or resulting from
activities supported by this Agreement without the express written consent of the City
Administrator. If any material is subject to copyright, the City reserves the right to
copyright such, and the Subrecipient agrees not to copyright such material. If the
material is copyrighted, the City reserves a royalty -free, nonexclusive, and irrevocable
license to reproduce, publish, and use such materials, in whole or in part, and to
authorize others to do so.
33. Nonparticipation in Political Activities
The Subrecipient shall comply with the provisions of the Hatch Act (5 USC, Chapter 15).
34. Real Property Acquisition
The Subrecipient shall comply with the applicable provisions of 49 CFR 24 regarding the
use of federal funds for acquisition of real property, and with the applicable provisions of
CDBG Agreement for Public Improvement Projects
Program Year 2023
Page 19
the Reversion of Assets provision of 24 CFR 570.503(b)(8) as described in D.23 of this
agreement.
35. Environmental Review
The Subrecipient shall comply with the 24 CRR 92.352, 24 CFR PART 58 and the
National Environmental Policy Act of 1969. The Subrecipient shall not enter into a
contract for, or otherwise commit CDBG funds for a project prior to the City's completion
of an environmental review in accordance with 24 CFR part 50. The Subrecipient shall
supply the City with the information necessary for the City to perform any applicable
environmental review when requested under CFR 583.225(a). The Subrecipient shall
carry out mitigating measures required by the City or ensure that alternate sites are
utilized according to 24 CFR 54.22.
36. Debarred, Suspended or Ineligible Contractors, Subrecipient or Officers
The Subrecipient agrees to comply with the applicable provisions of 24 CFR 570.609
regarding the Debarred, Suspended or Ineligible Contractors or Subrecipients. The
Subrecipient shall not use CDBG funds to employ directly or indirectly, award contracts
to, or other wise engage the services of, of fund any contractor or subrecipient during
any period of debarment, suspension, or placement in ineligibility status under the
provisions of 24 CFR part 24. The Subrecipient shall not have officers or board
members that are debarred, suspended or ineligible to work on projects using federal
funds.
37. Labor Standards
The Subrecipient agrees to comply with the applicable provisions of the Davis -Bacon
Act, the Contract Work Hours and Safety Standards Act (CWHSSA), the Copeland Act
and the Fair Labor Standards Act covered under the regulations in 29 CFR Parts 1,3,5,E
and 7. The Subrecipient shall pay all laborers and mechanics employed by contractor or
subcontractors on construction work financed in whole or in part with CDBG funds wage
rates not less than those prevailing on similar construction in the locality as determined
by the Secretary of Labor in accordance with the Davis -Bacon Act. The Contract Work
Hours and Safety Standards also apply. However, these requirements apply to the
rehabilitation of residential property only if such property contains not less than 8 units.
In addition to the provisions outlined above, the subrecipient also agrees to comply with
the City of Ashland Living Wage Ordinance (Chapter 3.12 of the Ashland Municipal
Code) which requires that a living wage be paid to employees, employees of contractors
to the city, and employees of recipients of city grants. All employers and grant recipients
covered under this chapter shall pay employees a "living wage" of wages and benefits
equal to or greater than $12.96 per hour (adjusted annually to reflect increases in the
Consumer Price Index). Benefits, which can be attributed to a living wage, are limited to
health care, retirement, 401 k and IRS eligible cafeteria plans including childcare.
38. Lead -Based Paint
The Subrecipient shall comply with the applicable provisions of 24 CFR 35,
Requirements for Notification, Evaluation and Reduction of Lead -Based Paint Hazards in
Federally Owned Residential Property and Housing Receiving Federal Assistance. The
purpose of the regulation is to protect young children from lead -based paint hazards in
housing that is either receiving assistance from the Federal government or is being sold
by the government.
39. Non -Profit Grant Agreements
The subrecipient shall comply with all applicable provisions of 24 CFR Part 84, Uniform
Administrative requirements for Grants and Agreements with Institutions of Higher
CDBG Agreement for Public Improvement Projects
Program Year 2023
Page 20
Education, Hospitals, and other Non -Profits. Non -profits receiving CDBG funds shall
establish written procurement procedures as per the requirements of 24 CFR 84.44.
40. Architectural Barriers Act and the Americans with Disabilities Act
The Architectural Barriers Act of 1968 (42 U.S,C. 4151-4157) requires certain Federal
and Federally funded buildings and other facilities to be designed, constructed, or
altered in accordance with standards that ensure accessibility to, and use by, physically
handicapped people. A building or facility designed, constructed, or altered with funds
allocated or reallocated under this part after Dec. 11tt', 1995, and that meets the
definition of "residential structure" as defined in 42 CFG 101-19.602(a) is subject to the
requirements of the Architectural Barriers Act of 1968 and shall comply with the Uniform
Federal Accessibility Standards (appendix A to 24 CFR part 40 for residential
structures, and appendix A to 41 CFR part 101-19. Sib [art 101-19.6, for general type
buildings). The Americans with Disabilities Act (42 U.S.C. 12131; 47 U.S.C. 155, 201,
218 and 225) (ADA) provides comprehensive civil rights to individuals with disabilities
in the areas of employment, public accommodations, State and local government
services, and telecommunications. It further provides that discrimination includes a
failure to design and construct facilities for first occupancy no later than January 26,
1993, that are readily accessible to and usable by individuals with disabilities. Further,
the ADA requires the removal of architectural barriers and communication barriers that
are structural in nature in existing facilities, where such removal is readily achievable --
that is, easily accomplishable and able to be carried out without much difficulty or
expense.
41. Suspension and Termination
In accordance with 24 CFR 85.43, suspension or termination may occur if the
subrecipient materially fails to comply with any term of the award, and that the award
may be terminated for convenience in accordance with 24 CFR 85.44.
CDBG Agreement for Public Emprovement Projects
Program Year 2023
Page 21
EXHIBIT E
INVOICE FOR SERVICES
TO: Linda Reid
FROM:
Date:
City of Ashland
Project Title:
Dept. of Community Development
Invoice No.:
Planning Division
Invoice Amount:
20 E. Main St.
Purchase Order No.
Ashland, OR 97520
For Month/Qtr. Of:
BUDGET
LINE ITEM
ANNUAL
BUDGET
CURRENT
EXPENDITURES
EXPENDED
TO DATE
UNEXPENDED
BUDGET
AMOUNT
TOTAL
TOTAL REIMBURSEMENT REQUEST:
Request is hereby made for reimbursement of current month/quarter expenditures. Reimbursement is
requested based on actual expenses incurred in providing services in accordance with the Agreement
with the City of Ashland.
I certify that this statement of expenditures is made herein to the best of my knowledge. All reported
expenditures are supported by documentation, attached and filed in Sub -recipient's files and are subject
to audit by City of Ashland and the Department t of Housing and Urban Development.
SIGNATURE: DATE:
TITLE: PHONE:
FOR CITY OFFICE USE
APPROVED FOR PAYMENT: DATE:
CDEIG Agreement for Public Improvement Projects
Program Year 2023
Page 22
EXHIBIT F
STATISTICAL REPORT OF SERVICES PROVIDED
(TABLE 1 NOT APPLICABLE TO LAND ACQUISITION - PROCEED TO TABLE 2and 3 and
Exhibit F-1)
Project Title:
Month(s) of:
Subrecipient Name:
TABLE 1
* Client data must be collected based on the client's family. A low-income person is
defined by HUD as a member of a family having an income equal to or less than the low-
income limits established by HUD in the table on page 7. A family is defined by HUD as
all persons living in the same household who are related by blood, marriage, or adoption.
An individual living in a housing unit that contains no other person(s) related to him/her
is considered to be a one person family for this purpose. Adult children who continue to
live at home with their parent(s) are considered to be part of the family for this purpose
and their income must be counted in determining the total family income. A dependent
child who is living outside of the home (e.g. students living in a dormitory or other
student housing) is considered for these purposes to be part of the family upon which
he/she is dependent, even though he/she is living in another housing unit.
CDBG Agreement for Public Improvement Projects
Program Year 2023
Page 23
FABLE 2
Income Limits by Family Size: $/year
"For the Medford -Ashland Statistical Area as determined by the Department of Housing and Urban Development
2024
Household
Size
1
2
3
4
5
6
7
8
30%AMI
$18,450
$21,100
$25,820
$31,200
$36,580
$41,960
$47,340
$52,720
50%AMI
$30,750
$35,150
$39,550
$43,900
$47,450
$50,950
$54,450
$57,950
80%AMI 1
$49,200
1 $56,200
1 $63,250
$70,250
$75,900
$81,500
$87,150
$92,750
TABLE 3
American Indian or Alaskan Native
Asian or Pacific Islander
Black/African American
Native Hawaiian/Pacific Islander
White
American Indian or Alaskan Native and White
Asian and White
Black or African American and White
American Indian or Alaskan Native and Black or
African American
Other Multi -racial
Hispanic or Latino
Non -Hispanic or Latino
Disabled Households
Female Headed Household
CDBG Agreement for Public Improvement Projects
Program Year 2023
Page 24
EXHIBIT F-1
CDBG CLIENT/FAMILY INFORMATION FORM
Client's Name: Address:
Total Number of Persons in Family (see definitions below):
List Names of Family Members Living In Household:
Head of Household:
Additional Members:
Total Monthly Income Sources for All Family Members Living In Household
Employment, Gross Income:
Other Resources
Social Security/SSI: Other Pension:
Unemployment Child Support:
Public Welfare: Alimony:
Veteran's Benefits:
Total Monthly Income:
Ethnicity and Race
Grantees are to ask respondents to identify their client's ethnicity prior to asking them to
identify their race. Hispanic will now be considered an ethnicity category rather than a
race category.
Please check one ethnicity about the client:
Hispanic or Latino
Not Hispanic or Latino
Please select one or more of the following as self identified by the client:
American Indian/Alaskan Native
Asian
Black/African American
Native Hawaiian/Pacific Islander
White
Please complete the following about the client.
Disabled yes no
Female Headed Household yes no
CDBG Agreement for Public Improvement Projects
Program Year 2023
Page 25
Low -Income Person: A low- to moderate -income person is defined by HUD as a
member of a family having an income equal to or less than the low- to moderate -
income limits established by HUD in the table on page 7. Family: A family is defined
by HUD as all persons living in the same household who are related by blood,
marriage, or adoption. An individual living in a housing unit that contains no other
person(s) related to him/her is considered to be a one -person family for this purpose.
Adult children who continue to live at home with their parent(s) are considered to be
part of the family for this purpose and their income must be counted in determining
the total family income. A dependent child who is living outside of the home (e.g.
students living in a dormitory or other student housing) is considered for these
purposes to be part of the family upon which he/she is dependent, even though
he/she is living in another housing unit.
Income information provided above subject to verification by local or Federal
government.
CDBG Agreement for Public Improvement Projects
Program Year 2023
Page 26