HomeMy WebLinkAboutGRA2019-017 - Original - US Dept of Housing and Urban Development - COK CDBG Program: 2019 Application of Federal Assistance - 01/01/2019 Records Managernent
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KENT Document
W A S H I N G T O N
CONTRACT COVER SHEET
This is to be completed by the Contract Manager prior to submission
to City Clerks Office. All portions are to be completed.
If you have questions, please contact City Clerk's Office.
Vendor Name: HUD
Vendor Number: 57232
JD Edwards Number
Contract Number: 0 YZR ZQ 11 - y !
This is assigned by City Clerk's Office
Project Name: COK CDBG Program-2019 Application for Federal Assistance
Description: ❑ Interlocal Agreement ❑ Change Order ❑ Amendment ® Contract
❑ Other:
Contract Effective Date: 1/1/19 Termination Date: 12/31/19
Contract Renewal Notice (Days): N/A
Number of days required notice for termination or renewal or amendment
Contract Manager: Dinah Wilson Department: Parks-Human Services
Contract Amount: $1,111,021.00
Approval Authority: (CIRCLE ONE) Department Director Mao City Council
Detail: (i.e. address, location, parcel number, tax id, etc.):
This contract will be issued when HUD approvals the Citv's 2019 CDBG Annual Action
Plan. Funds will be distributed to sub-recipients to provide human services on behalf of
the City, and a portion will be used in-house for the Home Repair Program and plannin
administrative services.
tp 34/7/15
OFFICE OF THE MAYOR
4^4�� Dana Ralph, Mayor
2204th Avenue South
KENT Kent, WA 98032
WASHINGTON Fax: 253-856-6700
PHONE: 253-856-5700
May 8, 2019
Ms. Maggie Keller
U. S. Department of Housing and Urban Development
Seattle Federal Office Building
Office Community Planning and Development
909 First Avenue, Suite 300
Seattle, WA 98104-1000
Dear Ms. Keller:
This letter is to authorize the online submission of the City of Kent's 2019
Annual Action Plan via HUD's nationwide database, the Integrated
Disbursement and Information System (IDIS).
CDBG Coordinator, Dinah Wilson, will send you electronic and hard copies of
the following documents:
• 2019 Application for Federal Assistance (sf424);
• Assurances-Construction Programs (sf424D); and
2019 CDBG Certifications.
If you have questions regarding the report, please contact CDBG
Coordinator, Dinah Wilson, at 253.856.5076 or drwilson@kentwa.gov.
Sincerely,
D a;,,�)_ \,
Dana Ralph
Mayor
C: Julie Parascondola, Parks Director
Merina Hanson, Housing and Human Services Manager
Dinah Wilson, Sr. CDBG Coordinator
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a Mayor Dana Ralph
OMB Number:4040-0004
Expiration Date: 12/31/2019
Application for Federal Assistance SF-424
1.Type of Submission: `2.Type of Application: `If Revision,select appropriate letter(s):
Preapplication New
®Application ®Continuation `Other(Specify):
Changed/Corrected Application Revision
'3. Date Received: 4.Applicant Identifier:
O1/01/2019
5a.Federal Entity Identifier: 5b.Federal Award Identifier:
State Use Only:
6.Date Received by State �� 7.State Application Identifier:
8.APPLICANT INFORMATION:
`a.Legal Name: City of Kent
b.Employer/Taxpayer Identification Number(EIN/TIN): 'c.Organizational DUNS.
91-6001254 0202536130000
d.Address:
`Streetl: 220 4th Ave South
Street2:
'City: Kent
County/Parish.
`State: WA: Washington
Province:
'Country: USA: UNITED STATES
`Zip/Postal Code: 98032-5638
e.Organizational Unit:
Department Name: Division Name:
Parks, Rec & Community Svs Housing & Human Services
f.Name and contact information of person to be contacted on matters involving this application:
Prefix: `First Name: Dinah
Middle Name:
`Last Name: Wilson
Suffix:
Title Senior CDBG Coordinator
Organizational Affiliation:
City of Kent
`Telephone Number: 253-856-5070 Fax Number 253-856-6070
`Email: drwilson@kentwa.gov
Application for Federal Assistance SF-424
*9.Type of Applicant 1:Select Applicant Type:
C: City or Township Government
Type of Applicant 2:Select Applicant Type:
Type of Applicant 3:Select Applicant Type:
Other(specify):
*10.Name of Federal Agency:
HUD
11.Catalog of Federal Domestic Assistance Number:
14.21E
CFDA Title:
CDBG Entitlement Grant
*12.Funding Opportunity Number:
N/A
*Title:
N/A
13.Competition Identification Number:
Title:
14.Areas Affected by Project(Cities,Counties,States,etc.):
Add Attachment delete Attachment View Attachment
*15.Descriptive Title of Applicant's Project:
CDBG Entitlement Grant to assist low/moderate-income residents.
Attach supporting documents as specified in agency instructions.
Add Attachments Delete Attachments I View Attachments
I
Application for Federal Assistance SF-424
16.Congressional Districts Of:
*a.Applicant 9th *b. Program/Project 9th
Attach an additional list of Program/Project Congressional Districts if needed.
Add Attachment Delete Attachment View Attachment
17.Proposed Project:
*a.Start Date: O1/01/2019 *b. End Date: 12/31/2019
18. Estimated Funding($):
*a. Federal 1,111,021.00
*b.Applicant —�
*c.State E —�
*d. Local
*e.Other
*f. Program Income
*g.TOTAL 1,111,021.00
*19.Is Application Subject to Review By State Under Executive Order 12372 Process?
El a.This application was made available to the State under the Executive Order 12372 Process for review on
b.Program is subject to E.O. 12372 but has not been selected by the State for review.
® c.Program is not covered by E.O. 12372.
*20.Is the Applicant Delinquent On Any Federal Debt? (If"Yes,"provide explanation in attachment.)
0 Yes ®No
If"Yes",provide explanation and attach
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21.*By signing this application, I certify(1)to the statements contained in the list of certifications**and(2)that the statements
herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to
comply with any resulting terms if I accept an award.I am aware that any false,fictitious,or fraudulent statements or claims may
subject me to criminal,civil,or administrative penalties.(U.S.Code,Title 218,Section 1001)
® **IAGREE
**The list of certifications and assurances, or an internet site where you may obtain this list, is contained in the announcement or agency
specific instructions.
Authorized Representative:
Prefix: *First Name: Dana
Middle Name:
*Last Name: Ralph
Suffix: I
*Title: Mayor
*Telephone Number: 253-856-5700 Fax Number:
*Email: dralph@kentwa.qov
Eignature of Authorized Representative f *Date Signed:
OMB Number:4040-0007
Expiration Date:01/31/2019
ASSURANCES - NON-CONSTRUCTION PROGRAMS
Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for
reducing this burden,to the Office of Management and Budget, Paperwork Reduction Project(0348-0040), Washington, DC 20503.
PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND
IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY.
NOTE: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the
awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances.
If such is the case, you will be notified.
As the duly authorized representative of the applicant, I certify that the applicant:
1. Has the legal authority to apply for Federal assistance Act of 1973, as amended(29 U.S.C. §794),which
and the institutional, managerial and financial capability prohibits discrimination on the basis of handicaps; (d)
(including funds sufficient to pay the non-Federal share the Age Discrimination Act of 1975, as amended(42 U.
of project cost)to ensure proper planning, management S.C. §§6101-6107),which prohibits discrimination on
and completion of the project described in this the basis of age; (e)the Drug Abuse Office and
application. Treatment Act of 1972(P.L. 92-255), as amended,
relating to nondiscrimination on the basis of drug
2. Will give the awarding agency,the Comptroller General abuse, (f)the Comprehensive Alcohol Abuse and
of the United States and, if appropriate, the State, Alcoholism Prevention, Treatment and Rehabilitation
through any authorized representative, access to and Act of 1970(P.L. 91-616), as amended, relating to
the right to examine all records, books, papers, or nondiscrimination on the basis of alcohol abuse or
documents related to the award; and will establish a alcoholism; (g)§§523 and 527 of the Public Health
proper accounting system in accordance with generally Service Act of 1912(42 U.S.C. §§290 dd-3 and 290
accepted accounting standards or agency directives. ee-3), as amended, relating to confidentiality of alcohol
and drug abuse patient records; (h)Title VIII of the Civil
3. Will establish safeguards to prohibit employees from Rights Act of 1968(42 U.S.C. §§3601 et seq.), as
using their positions for a purpose that constitutes or amended, relating to nondiscrimination in the sale,
presents the appearance of personal or organizational rental or financing of housing; (i)any other
conflict of interest, or personal gain. nondiscrimination provisions in the specific statute(s)
under which application for Federal assistance is being
4. Will initiate and complete the work within the applicable made; and, 0)the requirements of any other
time frame after receipt of approval of the awarding nondiscrimination statute(s)which may apply to the
agency. application.
5. Will comply with the Intergovernmental Personnel Act of 7. Will comply, or has already complied,with the
1970(42 U.S.C. §§4728-4763)relating to prescribed requirements of Titles II and III of the Uniform
standards for merit systems for programs funded under Relocation Assistance and Real Property Acquisition
one of the 19 statutes or regulations specified in Policies Act of 1970(P.L. 91-646)which provide for
Appendix A of OPM's Standards for a Merit System of
fair and equitable treatment of persons displaced or
Personnel Administration(5 C.F.R. 900, Subpart F). whose property is acquired as a result of Federal or
federally-assisted programs. These requirements
apply to all interests in real property acquired for
6. Will comply with all Federal statutes relating to project purposes regardless of Federal participation in
nondiscrimination. These include but are not limited to: purchases.
(a)Title VI of the Civil Rights Act of 1964(P.L. 88-352)
which prohibits discrimination on the basis of race, color 8. Will comply, as applicable, with provisions of the
or national origin, (b)Title IX of the Education Hatch Act(5 U.S.C. §§1501-1508 and 7324-7328)
Amendments of 1972, as amended (20 U.S.C.§§1681- which limit the political activities of employees whose
1683, and 1685-1686), which prohibits discrimination on principal employment activities are funded in whole
the basis of sex, (c)Section 504 of the Rehabilitation or in part with Federal funds.
Previous Edition Usable Standard Form 424B(Rev.7-97)
Authorized for Local Reproduction Prescribed by OMB Circular A-102
9. Will comply, as applicable,with the provisions of the Davis- 13. Will assist the awarding agency in assuring compliance
Bacon Act(40 U.S.C. §§276a to 276a-7), the Copeland Act with Section 106 of the National Historic Preservation
(40 U.S.C. §276c and 18 U.S.C. §874), and the Contract Act of 1966, as amended (16 U.S.C. §470), EO 11593
Work Hours and Safety Standards Act(40 U.S.C. §§327- (identification and protection of historic properties), and
333), regarding labor standards for federally-assisted the Archaeological and Historic Preservation Act of
construction subagreements. 1974(16 U.S.C. §§469a-1 et seq.).
10. Will comply, if applicable,with flood insurance purchase 14. Will comply with P.L. 93-348 regarding the protection of
requirements of Section 102(a)of the Flood Disaster human subjects involved in research, development, and
Protection Act of 1973(P.L. 93-234)which requires related activities supported by this award of assistance.
recipients in a special flood hazard area to participate in the
program and to purchase flood insurance if the total cost of 15. Will comply with the Laboratory Animal Welfare Act of
insurable construction and acquisition is$10,000 or more. 1966(P.L. 89-544, as amended, 7 U.S.C. §§2131 et
seq.)pertaining to the care, handling, and treatment of
11. Will comply with environmental standards which may be warm blooded animals held for research, teaching, or
prescribed pursuant to the following: (a)institution of other activities supported by this award of assistance.
environmental quality control measures under the National
Environmental Policy Act of 1969(P.L. 91-190)and 16. Will comply with the Lead-Based Paint Poisoning
Executive Order(EO) 11514; (b)notification of violating Prevention Act(42 U.S.C. §§4801 et seq.)which
facilities pursuant to EO 11738; (c)protection of wetlands prohibits the use of lead-based paint in construction or
pursuant to EO 11990; (d)evaluation of flood hazards in rehabilitation of residence structures.
floodplains in accordance with EO 11988; (e)assurance of 17. Will cause to be performed the required financial and
project consistency with the approved State management compliance audits in accordance with the Single Audit
program developed under the Coastal Zone Management Act Amendments of 1996 and OMB Circular No.A-133,
Act of 1972(16 U.S.C. §§1451 et seq.); (f)conformity of "Audits of States, Local Governments, and Non-Profit
Federal actions to State(Clean Air) Implementation Plans Organizations."
under Section 176(c)of the Clean Air Act of 1955, as
amended (42 U.S.C. §§7401 et seq.); (g)protection of 18. Will comply with all applicable requirements of all other
underground sources of drinking water under the Safe Federal laws, executive orders, regulations, and policies
Drinking Water Act of 1974, as amended(P.L. 93-523), governing this program.
and, (h)protection of endangered species under the
Endangered Species Act of 1973, as amended (P.L. 93- 19. Will comply with the requirements of Section 106(g)of
205). the Trafficking Victims Protection Act(TVPA)of 2000, as
amended(22 U.S.C. 7104)which prohibits grant award
12. Will comply with the Wild and Scenic Rivers Act of recipients or a sub-recipient from (1) Engaging in severe
1968(16 U.S.C. §§1271 et seq.)related to protecting forms of trafficking in persons during the period of time
components or potential components of the national that the award is in effect(2) Procuring a commercial
wild and scenic rivers system. sex act during the period of time that the award is in
effect or(3) Using forced labor in the performance of the
award or subawards under the award.
SIGNATURE OF AUTHORIZED CERT I OFFICIAL TITLE
CMayor
i'
APPLICANT ORGANIZATION DATE SUBMITTED
City of Kent 05/08/2019
Standard Form 424E(Rev.7-97)Back
CERTIFICATIONS
In accordance with the applicable statutes and the regulations governing the consolidated plan regulations,
the jurisdiction certifies that:
Affirmatively Further Fair Housing--The jurisdiction will affirmatively further fair housing.
Uniform Relocation Act and Anti-displacement and Relocation Plan -- It will comply with the
acquisition and relocation requirements of the Uniform Relocation Assistance and Real Property
Acquisition Policies Act of 1970, as amended, (42 U.S.C. 4601-4655)and implementing regulations at 49
CFR Part 24. It has in effect and is following a residential anti-displacement and relocation assistance
plan required under 24 CFR Part 42 in connection with any activity assisted with funding under the
Community Development Block Grant or HOME programs.
Anti-Lobbying--To the best of the jurisdiction's knowledge and belief:
1. No Federal appropriated funds have been paid or will be paid,by or on behalf of it, to any person for
influencing or attempting to influence an officer or employee of any agency,a Member of Congress,an
officer or employee of Congress, or an employee of a Member of Congress in connection with the
awarding of any Federal contract,the making of any Federal grant,the making of any Federal loan,the
entering into of any cooperative agreement, and the extension,continuation,renewal,amendment, or
modification of any Federal contract,grant, loan, or cooperative agreement;
2. If any funds other than Federal appropriated funds have been paid or will be paid to any person for
influencing or attempting to influence an officer or employee of any agency, a Member of Congress,an
officer or employee of Congress, or an employee of a Member of Congress in connection with this
Federal contract, grant, loan, or cooperative agreement, it will complete and submit Standard Form-LLL,
"Disclosure Form to Report Lobbying," in accordance with its instructions; and
3. It will require that the language of paragraph 1 and 2 of this anti-lobbying certification be included in
the award documents for all subawards at all tiers(including subcontracts, subgrants, and contracts under
grants, loans, and cooperative agreements)and that all subrecipients shall certify and disclose
accordingly.
Authority of Jurisdiction --The consolidated plan is authorized under State and local law(as applicable)
and the jurisdiction possesses the legal authority to carry out the programs for which it is seeking funding,
in accordance with applicable HUD regulations.
Consistency with plan --The housing activities to be undertaken with Community Development Block
Grant, HOME, Emergency Solutions Grant,and Housing Opportunities for Persons With AIDS funds are
consistent with the strategic plan in the jurisdiction's consolidated plan.
Section 3 -- It will comply with section 3 of the Housing and Urban Development Act of 1968(12 U.S.C.
1701u)and implementin regulations at 24 CFR Part 135.
i
i
Signature of Authori t
O icial *Date
Title
Page 1 of 3 - Cerfifications
Specific Community Development Block Grant Certifications
The Entitlement Community certifies that:
Citizen Participation -- It is in full compliance and following a detailed citizen participation plan that
satisfies the requirements of 24 CFR 91.105.
Community Development Plan --Its consolidated plan identifies community development and housing
needs and specifies both short-term and long-term community development objectives that that have been
developed in accordance with the primary objective of the CDBG program(i.e.,the development of
viable urban communities,by providing decent housing and expanding economic opportunities,primarily
for persons of low and moderate income) and requirements of 24 CFR Parts 91 and 570.
Following a Plan --It is following a current consolidated plan that has been approved by HUD.
Use of Funds --It has complied with the following criteria:
1. Maximum Feasible Priority. With respect to activities expected to be assisted with CDBG
funds, it has developed its Action Plan so as to give maximum feasible priority to activities which
benefit low-and moderate-income families or aid in the prevention or elimination of slums or
blight. The Action Plan may also include CDBG-assisted activities which the grantee certifies
are designed to meet other community development needs having particular urgency because
existing conditions pose a serious and immediate threat to the health or welfare of the community,
and other financial resources are not available(see Optional CDBG Certification).
2. Overall Benefit. The aggregate use of CDBG funds,including Section 108 guaranteed loans,
during program year(s)2019, shall principally benefit persons of low and moderate income in a
manner that ensures that at least 70 percent of the amount is expended for activities that benefit
such persons during the designated period.
3. Special Assessments. It will not attempt to recover any capital costs of public improvements
assisted with CDBG funds,including Section 108 loan guaranteed funds,by assessing any
amount against properties owned and occupied by persons of low and moderate income,
including any fee charged or assessment made as a condition of obtaining access to such public
improvements.
However,if CDBG funds are used to pay the proportion of a fee or assessment that relates to the
capital costs of public improvements(assisted in part with CDBG funds) financed from other
revenue sources,an assessment or charge may be made against the property with respect to the
public improvements financed by a source other than CDBG funds.
In addition, in the case of properties owned and occupied by moderate-income(not low-income)
families, an assessment or charge may be made against the property for public improvements
financed by a source other than CDBG funds if the jurisdiction certifies that it lacks CDBG funds
to cover the assessment.
Excessive Force -- It has adopted and is enforcing:
1. A policy prohibiting the use of excessive force by law enforcement agencies within its
jurisdiction against any individuals engaged in non-violent civil rights demonstrations; and
Page 2 of 3 -Cerfifications
2. A policy of enforcing applicable State and local laws against physically barring entrance to or
exit from a facility or location which is the subject of such non-violent civil rights demonstrations
within its jurisdiction.
Compliance with Anti-discrimination laws --The grant will be conducted and administered in
conformity with title VI of the Civil Rights Act of 1964 (42 U.S.C. 2000d) and the Fair Housing Act(42
U.S.C. 3601-3619) and implementing regulations.
Lead-Based Paint-- Its activities concerning lead-based paint will comply with the requirements of 24
CFR Part 35, Subparts A, B, J, K and R.
Compliance with Laws -- It will comply with applicable laws.
Wigture of Authorize 00fl—al D e
Title
Page 3 of 3 -Cerfifications
�„� REQUEST FOR MAYOR'S SIGNATURE
KENT Print on Cherry-Colored Paper
Routing Information:
(ALL REQUESTS MUST FIRST BE ROUTED THROUGH THE LAW DEPARTMENT) j�/j
Approved by Director //1/(
Originator: Dinah Wilson Phone (Originator): 5076 ///
Date Sent: 5/6/2019 Date Required: ASAP
Return Signed Document to: Dinah Contract Termination Date: N/A
VENDOR NAME: Date Finance Notified:
NSA (Only required on contracts
20 000 and over or on any Grant
DATE OF COUNCIL APPROVAL: April 16th, 2019 Date Risk Manager Notified:
Re uired on Non-City Standard Contracts/Agreements)
Has this Document been Specifically Account Number:
Authorized in the Bud et? OYES ONO
Brief Explanation of Document:
As a requirement for receiving Community Development Block Grant funds, the City is
required to submit an Annual Action Plan to HUD. In addition, supporting documents
include Application for Federal Assistance, Assurances-Construction Programs, and
Certifications. These documents and the mayor's cover letter are attached.
VE,D
All Contracts Must Be Routed Through The Law Department Cf
(This area to be completed by the Law Department NT t Q A/ n�
`�✓ 1 N�/ (J P-r.
Law Dept.: •[LApproval
omments:, #
Date Forwarded to Ma' or:l
Sha real To Be Completed By Administration Staff
Received: ` --
�
Recommendations and Comments: RECEIVED
MAY ijb L U I
Disposition: City of Kent
Office of the Mayor
Date Returned
1 orms\ ocument rocessing\ equest for Mayor's gignafure.aoa