HomeMy WebLinkAboutCAG2021-522 - Original - Institute for Community Leadership - CDBG-CV3 Funded Education Assistance Project - 11/01/2021OK to sign 12/9/2021, TW.
12/9/21
CAG2021-522
12/14/2021
CDBG-CV3 AGREEMENT
BETWEEN THE CITY OF KENT
AND
INSTITUTE FOR COMMUNITY LEADERSHIP
EDUCATION ASSISTANCE PROJECT
This Agreement entered into this 1st day of November 2021, between the City of Kent, a
Washington municipal corporation (hereinafter the "City") and Institute for Community Leadership
(hereinafter the "Agency").
RECITALS
WHEREAS, the City is an entitlement City applicant for Community Development Block Grant
(CDBG ) funds (Catalogue of Federal Domestic Assistance-CFDA 14.218 and Federal Award
Identity Numbers (FAIN B-20-MW-53-001) under the Housing and Community Development
Act of 1974 , as amended, Pub. L. No. 93-383, 88 Stat. 633 (1974), and anticipates
receiving CDBG-
CV and to carry out eligible community development and housing activities under the Act and
under regulations promulgated by the Department of Housing and Urban Development (HUD ),
at 24 CFR § 570, et seq.; and
WHEREAS, the City desires to contract with the Agency for the performance of certain eligible
activities described within this Agreement; and
WHEREAS, it is appropriate and mutually desirable that the Agency be designated by the City to
undertake the aforementioned eligible activities, so long as the requirements of the Act, HUD
regulations, and state and local laws are adhered to, as provided for herein; and
WHEREAS, the purpose of this Agreement is to provide for cooperation between the City and the
Agency, as the parties to this Agreement, in the provision of such eligible activities; and
WHEREAS, the parties are authorized and empowered to enter into this Agreement pursuant to the
Act, RCW 35.21.730 to .735, and/or by the Constitution and the enabling laws of the State of
Washington; NOW THEREFORE,
For and in consideration of the terms and conditions provided in this Agreement, the parties mutually
covenant and agree as follows:
INDEX TO AGREEMENT
PART I - GENERAL CONDITIONS
1.Scope Of Agreement
2.Scope Of Project
3.Purpose and primary objective 42 U.S.C. § 530(c), 24 C.F.R. § 570.200(a)(3).
4.Commencement And Termination Of Project(s)
5.Administration
6.Compensation And Method Of Payment
7.Eligible Costs
8.Operating Budget
9.Funding Alternatives, Future Support, and Limited Release
10.Amendments
11.Assignment And Subcontracting
12.Hold Harmless And Indemnification
13.Project Close-Out
14.Insurance
15.Conflict Of Interest
16.Suspension And Termination Of Agreement
17.Safeguarding Of Client Information
PART II - FEDERAL, STATE, AND LOCAL PROGRAM REQUIREMENTS
1.Nondiscrimination
2.Section 504 And Americans With Disabilities Act
3.Financial Management And Procurement Standards
4.Uniform Administrative Requirements And Cost Principles And Recordkeeping 2 CFR Part
200, 24 CFR §§ 570.502, and 570.610.
5. Data Universal Numbering System
6.Lobbying
7.Program Income 24 CFR § 570.504.
8.Public Information
9.Other Federal And State Requirements
10.Local Requirements
Public service programs must comply with sections 10 and 11:
11.Non-Substitution For Local Funding
12.Faith-based activities 24 CFR § 570.200(j).
Acquisition or improvement of real property projects must comply with sections 12 through 19:
13.Accessibility
14.Environmental Review
15.Labor Standards 24 CFR § 570.603
16.Volunteers 24 CFR § 70
17.Acquisition And Relocation
18.Public Ownership
19.Reversion Of Assets 24 CFR § 570.505.
20.Property Management Standards
21.Additional Local Requirements
PART III - MONITORING & REPORTING REQUIREMENTS
1.Monitoring
2.Program Reporting
3.Fiscal Reporting Responsibilities
4.Audits
PART IV RECORDKEEPING REQUIREMENTS
1.Program Records and Inspections
2.Program Benefit Records 24 CFR § 570.506(b).
3.Financial Records
4.Records Of Program Operations, Management And Evaluation
5.Property Records
6.Nondiscrimination And Equal-Opportunity Records 24 CFR § 570.506(g).
7.Conflict Of Interest
8.Verification Of Subc 24 CFR § 5.
9.Additional Requirements for Acquisition or Improvement of Real PROPERTY PROJECTS
PART I - GENERAL CONDITIONS
1. SCOPE OF AGREEMENT
The agreement between the parties shall consist of this Agreement and its signature page;
the recitals page; the general conditions and any special conditions; the federal, state and
local program requirements; the monitoring and reporting requirements; the recordkeeping
requirements; each and every project exhibit, appendix, and attachment incorporated into
the Agreement; all matters and laws incorporated by reference herein; and any written
amendments made according to the general conditions. This Agreement supersedes any and
all former agreements applicable to projects attached as Exhibits to this Agreement. It is the
intent of the parties that all applicable federal regulations and requirements are incorporated
herein, including, but not limited to, 24 CFR § 570, 2 CFR § 200, 24 CFR § 570, and
supplemental regulations provided for in the Notice of Program Rules, Waivers, and
Alternative Requirements under the CARES Act for CDBG-CV Response Grants, Fiscal Year
effective as of August 7, 2020 under Docket No. FR-6218-N-01 -CV Rules, Waivers,
.
2. SCOPE OF PROJECT
A. The Agency shall use the funds provided herein only to perform the activities authorized by
this Agreement and as set forth in the CDBG/CDBG-CV Project Scope of Services, which is
attached as Exhibit A and incorporated by this reference. In the case of multiple projects,
each project shall correspond to a separate Exhibit. This Agreement may be amended from
time to time, in accordance with the general conditions, for the purpose of adding new
projects, amending the scope of work, or for any other lawful purpose.
B. Agencies funded by the City to carry out neighborhood revitalization, community economic
development, or energy conservation projects shall meet the qualifications of a Community
Based Development Organization (CBDO) pursuant to 24 C.F.R. §
contract with an entity other than the City, or through the provision of financial assistance for
C.F.R. § 570.204(a)(4).
3. PURPOSE AND PRIMARY OBJECTIVE 42 U.S.C. § 530(C), 24 C.F.R. § 570.200(a)(3).
CDBG-CV funds are allocated to prevent, prepare for and respond to coronavirus. The
program rules, statutory and regulatory waivers, and alternate requirements are also
applicable to annual formula CDBG grants awarded in fiscal years 2019 and 2020.
Summary,
The primary objective of this chapter and of the community development program of each
grantee under this chapter is the development of viable urban communities, by providing
decent housing and a suitable living environment and expanding economic opportunities,
principally for persons of low/moderate-income. Consistent with this primary objective, not
less than 70 percent of the aggregate of the Federal assistance provided to States and units
of general local government [of CDBG expenditures] under section 5306 of this title and, if
applicable, the funds received as a result of a guarantee or a grant under section 5308 of
this title, shall be used for the support of activities that benefit persons of low/moderate-
income § 5301(c), 24 C.F.R. § 570.200(c). These requirements remain in
place for CDBG-CV expenditures, subject to the alternative requirements provided for in
Section III.B.5.(d)(iv) of the CDBG-CV Rules, Waivers, and Alternative Requirements.
Income limits for persons eligible to be served by these activities are outlined in Exhibit B,
which is attached and incorporated by this reference. The income guidelines attached as
Exhibit B at the time this Agreement is executed shall be in draft form if federal income
guidelines for the contract year have not been released and posted to The Department of
or to the execution of this Agreement. If
federal income guidelines are in draft form, the City will forward to Agency a final Exhibit B,
including any adjustments imposed by the federal government once it is generated by the
federal government at the time it finalizes its appropriations, and that final Exhibit B shall
relate back to and be incorporated into this Agreement.
The following requirements apply:
A. The Agency shall ascertain household income of persons applying for and receiving assistance
to assure compliance with the income limits defined in Exhibit B; and shall maintain records
pursuant to Part IV of this Agreement, Section 2(B); or
B. If the activity exclusively serves a clientele, which by federal regulation is "presumed" to be
low/moderate-income, individual income verification is not required. Persons eligible for this
presumption are specified in Part IV of this Agreement, Section 2(C). In this case, the Agency
shall maintain appropriate data to validate the presumption, as provided in Part IV, Section
2(C); or
C. If the activity is such that it is not feasible to identify and record beneficiaries, the total
population of the area from which the beneficiaries are drawn must be predominantly
low/moderate-income. In this case, the Agency shall maintain substantiation data as required
by Part IV of this Agreement, Section 2(D).
D. The benefit to low/moderate-income beneficiaries must be in the form of a free or reduced
cost service. If beneficiaries are charged for services, the charges to low/moderate-income
beneficiaries, and to all other beneficiaries, shall be as specified in the Exhibit(s), if applicable.
Changes to the structure of charges during the term of this Agreement (and, in the case of a
facility project, for five years thereafter) must preserve an identical discount for
low/moderate-income beneficiaries, and the change must be approved by the City.
E. The low/moderate-income limits in effect at the time of execution of this Agreement are
specified in Exhibit B. These limits are revised periodically by HUD. It is the Agency's
responsibility to use any revised limits when they take effect. Revisions will be announced by
and can be obtained from the City.
4. COMMENCEMENT AND TERMINATION OF PROJECT(S)
A. The City shall furnish the Agency with a written notice to proceed. No work on a project shall
occur without prior written approval from the City. Agency shall take all necessary
precautions and shall be responsible for the safety of its employees, agents, and
subcontractors in the performance of the contract work and shall utilize all protection
necessary for that purpose. Termination dates for individual projects shall be specified in the
appropriate Exhibits. Costs incurred prior to the date written notice to proceed was given or
after the termination date will not be reimbursed. The termination date may be changed
through an amendment of this Agreement.
B. Although the term of this Agreement shall run from November 1, 2021 through November
30, 2022, this Agreement, however, is contingent upon the availability of funds to be allocated
be
made available through anticipated federal appropriations, this Agreement shall immediately
terminate without risk or liability to the City and without obligation to disburse funds or to
reimburse Agency any funds expended in anticipation of funding availability. All work shall
onsible for all losses associated with
services provided before the City issues its written notice to proceed. All acts consistent with
the authority of the Agreement and prior to the date of the execution are hereby
ratified and affirmed, and the terms of this Agreement shall be deemed to have applied.
5. ADMINISTRATION
A. The Agency shall appoint a liaison person who shall be responsible for overall administration
of CDBG funded project(s) and coordination with the City's Parks, Recreation, and Community
Services Department. The person appointed shall be designated in Exhibit C, which is
attached and incorporated by this reference. The Agency shall also designate one or more
representatives who shall be authorized to submit the Billing Voucher and Service Report, and
Final Service Report, which are attached as Exhibit D and D-1, respectively. The name of
the liaison person and representative shall be specified in the Exhibit.
B. The Agency shall provide ten (10) days written notice to the City of any changes in program
personnel or Board membership.
C. The agency shall provide the City with a current list of its Board of Directors, general or limited
partners, as applicable.
6. COMPENSATION AND METHOD OF PAYMENT
A. The City shall reimburse the Agency only for eligible costs allowed pursuant to this Agreement,
which are part of the activities specified in the Exhibit(s), and in an amount not to exceed the
amount specified in Exhibit A, plus any miscellaneous surplus office equipment, as available,
related to the provision of services under this Agreement, and according to the procedures
developed by the City of Kent. Reimbursement shall be based on a Billing Voucher and Service
Report, which shall be submitted to the City by the Agency's authorized representative.
B. The City of Kent uses a variety of measures as indicators of satisfactory contract performance.
The Agency will be expected to meet 100% of the performance measures as defined in Exhibit
A rol impact
their ability to meet their units of service and the Agency has shown reasonable effort to
Services Manager.
C. If the Agency does not meet performance goals, payment for services rendered under the
agreement will be reduced by the rate calculated for each service unit. For example if an
Agency contracted to provide 100 bed-nights a quarter for $5,000.00 and only provide 75
bed-nights, payment would be $3,750.00 instead of $5,000.00.
D. The Agency shall submit a Billing Voucher and Service Report on a quarterly basis. Billing
Vouchers and Service Reports are due in accordance with the schedule and budget
incorporated as Exhibit A and in accordance with Section 7 below. If the due date falls on a
Saturday or Sunday, Billing Vouchers and Service Reports are due on the prior Friday. If the
due date falls on a City holiday, Billing Vouchers and Service Reports are due the next working
day following the holiday. The Final Service Report is due in accordance with the schedule
listed in Exhibit A.
Agency shall submit a CDBG Public Services Project Time Sheet (attached as Exhibit G if
applicable) with the Billing Voucher and Service Report. The City will make payment to the
Agency not more than forty-five (45) days after said Billing Voucher and Service Report is
received and approved by the City's Parks, Recreation, and Community Services Department.
The City will issue a statement of correction in the event the Billing Voucher and Service
Report is erroneous. Payment by the City shall not constitute approval of the services for
which payment is requested. The City does not, by making such payment, waive any rights
it may have pursuant to this Agreement to require satisfactory performance of the services
promised herein. The City reserves the right to demand and recover reimbursements made
for ineligible costs.
7. ELIGIBLE COSTS
A. All costs incurred must be reasonable and of a nature which clearly relate to the specific
purposes and end product of the Agreement under which the services are being performed.
Care must be taken by all concerned in incurring costs to assure that expenditures conform
to these general standards and the following criteria for eligibility of costs.
B. To be eligible for reimbursement, costs must:
(1) Be necessary and reasonable for proper and efficient execution of the contractual
requirements and in accordance with an approved budget.
(2) Be no more liberal than policies, procedures, and practices applied uniformly to other
activities of the Agency.
(3) Be accorded consistent treatment through application of account policy and procedures
approved and/or prescribed herein.
(4) Not be allowable under or included as costs of any other federal, state, local or other
agency-financed programs in either prior or current periods.
(5) Be net of all applicable credits such as purchase discounts, rebates or allowances, sales of
publication or materials, or other income or refunds.
(6) Be fully documented.
8. OPERATING BUDGET
The Agency shall apply the funds received from the City under this Agreement in accordance
with the Budget Summary found in Exhibit A. No line-item expense therein shall cause
expenditure in excess of ten (10) percent or more of the budget line-item amount over the
life of the Agreement without the prior written consent of the City. Any request for a line-
item expense which exceeds ten (10) percent of the budgeted amount shall specifically state
the reasons for the requested increase and a justification for the corresponding decrease in
other line-item(s).
9. FUNDING ALTERNATIVES, FUTURE SUPPORT, AND LIMITED RELEASE
A. The City makes no commitment to future support and assumes no obligation for future
support of the activities contracted for herein, except as may be expressly set forth in this
Agreement.
B. Payment for the services provided herein is based on the expectation that future revenues
will be available to the City for such purposes. Should anticipated sources of revenue not
become available or become unavailable to the City for use in the CDBG program, the City
shall immediately notify the Agency in writing of such unavailability and in that event, Agency
fully releases City from any claims, damages, or liability, related to lack of funding, the
amount funded, or uncertainty for that portion of the Agreement originally intended to be
paid with such funds.
10. AMENDMENTS
Either party may request modifications in the scope of permissible activities, terms, or
conditions of this Agreement. Proposed modifications which are mutually agreed upon shall
be incorporated by a written amendment to this Agreement.
11. ASSIGNMENT AND SUBCONTRACTING
A. The Agency shall not assign any portion of this Agreement without the written consent of the
City, and it is further agreed that said consent must be sought by the Agency not less than
fifteen (15) days prior to the date of any proposed assignment.
B. Any work or services assigned or subcontracted hereunder shall be subject to each provision
of this Agreement and proper bidding procedures to the extent herein. The Agency agrees
that it is as fully responsible to the City for the acts and omissions of its subcontractors and
their employees and agents, as it is for the acts and omissions of its own employees and
agents, as defined in paragraph Part I, Section 12(B).
12. HOLD HARMLESS AND INDEMNIFICATION
A. The Agency agrees that it is financially responsible and liable to the City for any audit
exception or other financial loss to the City which occurs due to the Agency's negligence or
failure to comply with the terms of this Agreement.
B. The Agency further agrees to defend, indemnify, and hold the City, its elected and appointed
officials, agents, and employees, while acting within the scope of their duties as such,
harmless from and against all claims, demands, and causes of action of any kind or character,
including the cost of defense thereof, arising in favor of any person(s), including Agency's
employees or third parties on account of personal injuries, death, or damage to property
arising out of services performed or omissions of services or in any way resulting from the
acts or omissions of the Agency and/or its agents, employees, volunteers, subcontractors, or
representatives under this Agreement.
13. PROJECT CLOSE-OUT
The Agency acknowledges and agrees that the amounts set forth in the Exhibit(s) shall be
used only to reimburse the Agency for eligible costs incurred by the Agency during the period
set forth in said Exhibit(s) and that upon expiration of such period, or upon earlier termination
pursuant to this Agreement, the Agency shall have no interest in any said amount which is
not required to reimburse the Agency for eligible costs incurred before such expiration or
earlier termination.
14. INSURANCE
Agency shall maintain insurance in the types and amounts set forth in Exhibit E, which is
attached and incorporated by this reference.
15. CONFLICT OF INTEREST
A. Interest of Officers, Employees, or Agents The Agency shall abide by and enforce the conflict
of interest requirement set forth in 24 CFR 570.611, 2 CFR 200.112, and 2 CFR 200.318. No
employee, agent, consultant, officer, or elected official or appointed official of the City, or of
any designated public agencies, or of sub-recipients that are receiving CDBG funds shall have
any personal financial interest, direct or indirect, in the Agreement, and the City and Agency
shall take appropriate steps to assure compliance. 24 CFR 570.611
B. Interest of Subcontractor and Their Employees - The Agency agrees that it will incorporate
into every contract or subcontract, which is required to be in writing and made pursuant to
this Agreement, the following provisions:
The Contractor covenants that no person who presently exercises any
functions or responsibilities in connection with the City CDBG program
has any personal financial interest, direct or indirect, in this Agreement.
The Contractor further covenants that he/she presently has no interest
and shall not acquire any interest, direct or indirect, which would conflict
in any manner or degree with the performance of his/her services
hereunder. The Contractor further covenants that in the performance
of this Agreement, no person having any conflict of interest shall be
employed. Any actual or potential conflict of interest on the part of the
Contractor or his/her employees must be disclosed to the Agency and
the City.
16. SUSPENSION AND TERMINATION OF AGREEMENT
A. Suspension for Failure to Perform - In the event of a failure to comply with any terms or
conditions of this Agreement or failure to provide in any manner the activities or other
performance as agreed to herein, the City reserves the right to withhold all or any part of
payment, suspend all or any part of the Agreement, or prohibit the Agency from incurring
additional obligations of funds until the City is satisfied that corrective action has been taken
or completed as more specifically outlined in the Exhibit(s) to this Agreement. The option to
withhold funds is, in addition to and not in lieu of, the City's right to terminate the Agreement
pursuant to Paragraph (B) of this Section 16.
B. Termination of Agreement by City - This Agreement is subject to termination upon thirty (30)
days written notice by the City to the Agency in the event that:
(1) The Agency mismanages or makes improper or unlawful use of CDBG funds;
(2) The Agency fails to comply with any term or condition expressed herein or any applicable
federal, state, or local regulations or ordinances;
(3) CDBG funds no longer become available from the federal government or through the City;
(4) The Agency fails to carry out activities required by this Agreement; or
(5) The Agency fails to submit reports or submits incomplete or inaccurate reports in any
material respect.
C. Termination of Agreement by the Agency- This Agreement is subject to termination upon
thirty (30) days written notice by the Agency to the City in the event that:
(1) The City fails in its commitment under this Agreement to provide funding for services
rendered, as herein provided; or
(2) CDBG funds no longer become available from the federal government or through the City.
D. Unless otherwise terminated pursuant to Paragraphs (B) and (C) of this Section 16, this
Agreement shall terminate on the termination date specified on the Exhibit(s) and shall be
subject to extension only by mutual agreement and amendment in accordance with Part I,
Section 10 of this Agreement.
E. Upon termination of this Agreement, any unexpended balance of Agreement funds shall
remain in the City CDBG fund.
F. In the event termination occurs under Paragraph (B) of this Section 16, the Agency shall
return to the City all funds that were expended in violation of the terms of this Agreement
including, but not limited to, any unexpended CDBG funds distributed to the Agency under
this Agreement, any accounts receivable, or any assets or interests therein of any type and
in any form acquired, leased, or rehabilitated with CDBG monies.
17. SAFEGUARDING OF CLIENT INFORMATION
The use or disclosure by any party of any confidential information concerning a recipient or
client for any purpose not directly connected with the City's or the Agency's responsibilities
with respect to services provided under this Agreement is prohibited, except upon written
consent of the recipient or client, his/her attorney, his/her responsible parent or guardian, or
as otherwise provided by law.
PART II - FEDERAL, STATE, AND LOCAL PROGRAM REQUIREMENTS
1. NONDISCRIMINATION
A. General The Agency shall comply with all federal, state, and local laws prohibiting
discrimination on the basis of age, sex, marital status, race, creed, religion, color, national
origin, or the presence of any sensory, mental, or physical handicap. These requirements are
specified in Chapter 49.60 RCW; Section 109 of the Housing and Community Development
Act of 1974, Pub. L. No. 93-383 as amended and codified as 42 U.S.C. § 5309; Title VI of the
Civil Rights Act of 1964, 42 U.S.C. §§ 2000d, et seq.; Title VIII of the Civil Rights Act of 1968,
42 U.S.C. §§ 3601, et seq.; Executive Order 11063; Executive Order 11246, as amended by
Executive Orders 11375, 11478, 12086 and 12107; Section 3 of the Housing and Urban
Development Act of 1968, 12 U.S.C.§ 1701(u), and implementing regulations at 24 CFR § 75;
Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. § 794, et seq.; and the Age
Discrimination Act of 1975, 42 U.S.C. § 6101, et seq. Specifically, the Agency is prohibited
from taking any discriminatory actions defined in the HUD regulations at 24 C.F.R. § 570.602
and shall take such affirmative and corrective actions as are required by the regulations at 24
C.F.R. § 570.602.
B. Specific Discriminatory Actions Prohibited:
(1) The Agency shall not, under any program or activity to which this Agreement may apply,
directly or through contractual or other arrangements, on the grounds of age, sex, marital
status, race, creed, religion, color, national origin, or the presence of any sensory, mental,
or physical handicap:
i. Deny any person facilities, services, financial aid, or other benefits provided under the
program or activity.
ii. Provide any person with facilities, services, financial aid, or other benefits which are
different, or are provided in a form different, from that provided to others under the
program or activity.
iii. Subject any person to segregated or separate treatment in any facility or in any matter
or process related to receipt of any service or benefit under the program or activity.
iv. Restrict in any way access to or enjoyment of any advantage or privilege enjoyed by
others in connection with facilities, services, financial aid, or other benefits under the
program or activity.
v. Treat any person differently from others in determining whether the person satisfies
any admission, enrollment, eligibility, membership, or other requirement or condition
which individuals must meet in order to be provided facilities, services, or other
benefits provided under the program or activity.
vi. Deny any person any opportunity to participate in a program or activity as an
employee.
(2) The Agency shall not utilize criteria or methods of administration which have the effect of
subjecting individuals to unlawful discrimination on the basis of race, color, national origin,
sex, age, marital status, creed, religion, or presence of any sensory, mental, or physical
handicap, or which have the effect of defeating or substantially impairing accomplishment
of the objectives of the program or activity by unlawfully discriminating against individuals
of a particular race, color, national origin, sex, age, marital status, creed, religion, or
presence of any sensory, mental, or physical handicap.
(3) The Agency, in determining the site or location of housing or facilities provided in whole
or in part with funds under this Agreement, may not make selections of such site or
location which have the effect of excluding individuals from, denying them the benefits of,
or subjecting them to unlawful discrimination on the grounds of race, color, national origin,
sex, age, marital status, creed, religion, or presence of any sensory, mental, or physical
handicap; or which have the purpose or effect of defeating or substantially impairing the
accomplishment of the objectives of the Act or of HUD regulations.
C. Fair Housing The Agency shall take necessary and appropriate actions to prevent
discrimination in federally-assisted housing and lending practices related to loans insured or
guaranteed by the federal government (The Fair Housing Act (42 U.S.C. 3601-19) and
implementing regulations at 24 CFR part 100 et seq.; Executive Order 11063, as amended by
Executive Order 12259 (3 CFR, 1959-1963 Comp., p. 652 and 3 CFR, 1980 Comp., p. 307)
(Equal Opportunity in Housing Programs) and implementing regulations at 24 CFR part 107.
The Agency shall also administer programs related to housing and urban development in a
manner to affirmatively further fair housing. 24 CFR Parts 5, 91, 92, 570, 574, 576, and 903.
D. Employment :
(1) In all solicitations under this Agreement, the Agency shall state that all qualified applicants
will be considered for employment. The words "equal opportunity employer" in
advertisements shall constitute compliance with this section.
(2) The Agency shall not unlawfully discriminate against any employee or applicant for
employment in connection with the Agreement because of age, sex, marital status, race,
creed, religion, color, national origin, or the presence of any sensory, mental, or physical
handicap, except when there is a bona fide occupational limitation. Such action shall
include, but not be limited to the following: employment, upgrading, demotion or transfer,
recruitment or recruitment advertising, layoff or termination, rates of pay or other forms
of compensation, and selection for training (Chapter 49.46 RCW, Executive Order 11246,
as amended).
(3) To the greatest extent feasible and consistent with existing Federal, state, and local laws
and regulations, recipients covered by this subpart shall ensure that employment and
training opportunities arising in connection with Section 3 projects are provided to Section
3 workers within the metropolitan area (or nonmetropolitan county) in which the project
is located. (Part 75-Economic Opportunities for Low-and Very Low-Income Persons,
Subpart C, § 75.19 (a).
E. Contractors and Suppliers:
(1) No contractor, subcontractor, union, or vendor engaged in any activity under this
Agreement shall engage in any unlawful discrimination as defined in any federal, state, or
local law.
(2) All firms and organizations, as required under applicable HUD regulations, shall be
required to submit to the Agency certificates of compliance demonstrating that it has, in
fact, complied with the immediately foregoing provision; provided, that certificates of
compliance shall not be required from firms and organizations with fewer than 25
employees, with yearly sales of less than $10,000, or on contracts less than $10,000.
(3) To the greatest extent feasible, the Agency shall purchase supplies and services for
activities under this Agreement from vendors and contractors whose businesses are
located in the area served by CDBG-funded activities or owned in substantial part by
project area residents (Section 3, Housing and Urban Development Act of 1968, 12 U.S.C.
§ 1701u, as amended).
(4) CDBG funds shall not be used directly or indirectly to employ, award contracts to, or
otherwise engage the services of, or fund any contractor or sub-recipient during any period
of debarment, suspension, or placement in ineligibility status under the provisions of 2
CFR § 2424. The Agency shall certify that it and all sub-consultants and subcontractors
are not listed on the government-wide Excluded Parties List System in the System for
Award Management (SAM), in accordance with OMB guidelines at 2 CFR 180 that
at 2 CFR 2424. Additional policies concerning debarment and suspension are found at 2
CFR Part 180 and 2 CFR Part 2424.
F. Notice:
(1) The Agency shall include the provisions of the appropriate subsections A, B, C, D, and E
of this Part II, Section 1 in every contract or purchase order for goods and services under
this Agreement, and shall send to each labor union or representative of workers with which
it has a collective bargaining agreement or other contract or understanding, a notice
advising the said labor union or worker's representative of the commitments made in
these subsections.
(2) In advertising for employees, goods, or services for the activities under this Agreement,
the Agency shall utilize minority publications in addition to publications of general
circulation.
2. SECTION 504 AND AMERICANS WITH DISABILITIES ACT
If the Agency is a nonprofit corporation, the Agency warrants and represents that it has
completed a Disability Self-Evaluation Questionnaire for all programs and services offered by
the Agency (including any services not subject to this Agreement) and has evaluated its
services, programs, and employment practices for compliance with Section 504 of the
Rehabilitation Act of 1973, 29 U.S.C. § 794,
Disabilities Act of 1990, 42 U.S.C. §§ 12101, et seq., The Agency warrants and
represents that it has completed a 504/ADA Disability Assurance of Compliance, which is
attached as Exhibit H and incorporated by this reference, and shall submit it to the City.
3. FINANCIAL MANAGEMENT AND PROCUREMENT STANDARDS
The Agency shall comply with, and shall require any sub-contractor funded in whole or in part
with CDBG funds to comply with the following financial and program management and
procurement standards, as amended by Section III.B.5.(b) of the CDBG-CV Rules, Waivers,
and Alternative Requirements:
A.Agency shall adhere to the principles and standards governing federal grant distribution
set forth in the Uniform Administrative Requirements, Cost Principles, and Audit
Requirements for Federal Awards (2 CFR Part 200).
B.Agency shall comply with all applicable requirements of local and state law for awarding
contracts, including but not limited to procedures for competitive bidding, contractor's
bonds, and retained percentages (Ch. 60.28 RCW, Ch. 39.12 RCW, and Ch. 39.04 RCW).
In addition, the Agency shall comply with the requirements of 2 CFR § 200.318 (General
procurement standards) through 200.326 (Contract provisions).Where federal standards
differ from local or state standards, the stricter standards shall apply.
C.Agency shall comply with 24 CFR Part 570 and 2 CFR Part 200 regarding the management
and disposition of cash and real and personal property acquired with CDBG funds.
D.Agency shall comply with 24 CFR 570.489, Program and Administrative Requirements.
E.Agency shall comply with 24 CFR 570.490.
4. UNIFORM ADMINISTRATIVE REQUIREMENTS AND COST PRINCIPLES AND RECORDKEEPING 2 CFR Part
200, 24 CFR §§ 570.502, and 570.610.
A. Agency shall comply with 2 CFR P
(1)
property rehabilitation activities, in accordance with § 570.513.
(2)
(3)
by § 570.504.
(4)
(5) ovided in §
570.200(j). Real property is governed by § 570.505.
(6)
proceeds shall be program income. Equipment not needed by the sub-recipient for
CDBG activities shall be transferred to the recipient for the CDBG program or shall be
retained after compensating the recipient.
Records to be maintained include:
(i)Contract and Amendments - A complete copy of this Agreement
and all amendments thereto and notices there under.
(ii)Records of City Approvals - Copies of all requests for amendments
or revisions to this Agreement and
or denial of such requests as are required under this Agreement.
(iii)Subcontracts and Agreements - Complete copies of all contracts,
subcontracts, and agreements with third parties into which the
Agency enters in the performance under this Agreement; and all
correspondence, reports, and other documentation pertaining to
such contracts, subcontracts, and agreements.
(iv) Records identifying the assisted activity - A complete description of each activity assisted,
in whole or in part, with CDBG funds under this Agreement, including:
(a) Location(s), organization, operating hours, qualifications for service or participation, etc.;
(b) Fees or charges for services, fee waivers, or fee scales for CDBG-assisted participants.
, as amended by the CDBG-CV Rules, Waivers, and Alternative
Requirements, applies to closeout of sub-recipients.
Additional Contract Requirements - The Agency shall submit to the City a copy of the most
5. DATA UNIVERSAL NUMBERING SYSTEM
Pursuant to 2 C.F.R. §25.100(a), the City is required to establish a Dun and Bradstreet (D &
B) Data Universal Numbering System (DUNS) as a universal identifier in order to receive
federal financial assistance. In addition, programs or sub-recipients receiving sub-awards
from the City shall establish a DUNS. 2 C.F.R. § 25.200(c)(1). The Agency shall provide its
DUNS to the City.
6. LOBBYING
In accordance with 2 CFR 200.450, the Agency shall not use CDBG funds for lobbying
purposes.
7. PROGRAM INCOME 24 CFR § 570.504.
A. All income directly generated from the use of CDBG funds, as defined in 24 CFR § 570.500(a),
is Program Income and shall be recorded, reported, and treated as funds subject to all the
requirements of this Agreement, including the clarifications provided for in Section III.B.6.(a)
of the CDBG-CV Rules, Waivers, and Alternative Requirements.
B. Unless otherwise specifically provided by the special conditions herein, Program Income
received during the term of this Agreement may be retained and used by the Agency to extend
the service or other activity for which the CDBG funds are provided, subject to the regulations
of 24 CFR § 570.01, et seq., and all the same terms and conditions of this Agreement. Any
retained Program Income shall be disbursed to pay for eligible expenses under this Agreement
before additional funds are requisitioned from the City.
C. Any Program Income not permitted to be retained for eligible activities as defined above, shall
be refunded to the City, together with any interest earned thereon, at quarterly intervals.
D. Program Income on hand at the end of the term of this Agreement shall, unless otherwise
provided, be used for activities envisioned under this Agreement until it is expended. Program
Income generated from the use of CDBG funds under this Agreement but received after the
term of this Agreement shall, unless otherwise provided, be governed by any succeeding
CDBG funding agreement or, if there is no succeeding agreement, shall be used for activities
eligible under 24 CFR § 570.504(c) until it is expended.
E. Rules on Program Income are established in the CDBG regulations (24 CFR § 570.504); 2 CFR
§ 200.307 Program Income. Proceeds from the sale of real property, equipment, or supplies
are not program income; such proceeds will be handled in accordance with the requirements
of Subpart D--Post Federal Award Requirements of 2 CFR § 200, Property Standards §§
200.311 Real property, 200.313 Equipment, and 200.314 Supplies, or as specifically identified
in Federal statutes, regulations, or the terms and conditions of the Federal award. 2 CFR §
200.307(d).
8. PUBLIC INFORMATION
A. In all news releases and other public notices related to projects funded under this Agreement,
the Agency shall include information identifying the source of funds as the City of Kent CDBG
program.
B. The Agency acknowledges that this Agreement and any other information provided by it to
the City and/or relevant to the project(s) described in the Exhibit(s), are subject to the
Washington State Public Disclosure Act, Chapter 42.56 RCW, except to the extent specifically
exempted from disclosure therein.
9. OTHER FEDERAL AND STATE REQUIREMENTS
The absence of mention in this Agreement of any other federal or state requirements, which
apply to the award and expenditure of federal funds made available by this Agreement, is not
intended to indicate that those federal or state requirements are not applicable to Agency
activities. The Agency shall comply with all other federal and state requirements relating to
the expenditure of federal funds, including but not limited to the Hatch Act (5 U.S.C. § 15)
regarding political activities and the Architectural Barrier Act of 1968 (42 U.S.C. § 4151, et
seq.).
10. LOCAL REQUIREMENTS
The activities performed under this Agreement are for the purposes of serving City residents
and the Agency shall, to the extent reasonably possible, not use said funds to provide services
outside the corporate boundary of the City, or for any other purpose, except as specifically
authorized by this Agreement.
Public service programs must comply with sections 11-12:
11. NON-SUBSTITUTION FOR LOCAL FUNDING
The CDBG funding made available under this Agreement shall not be utilized by the Agency
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.
12. FAITH-BASED ACTIVITIES 24 CFR § 570.200(j).
A. Organizations that are religious or faith-based are eligible, on the same basis as any other
organization, to participate in the CDBG program. Neither the Federal government nor a
State or local government receiving funds under CDBG programs shall discriminate against
an organization on the basis of the organization's religious character or affiliation.
B. Organizations that are directly funded under the CDBG program may not engage in
inherently religious activities, such as worship, religious instruction, or proselytism, as part
of the programs or services funded under this part. If an organization conducts such
activities, the activities must be offered separately, in time or location, from the programs
or services funded under this part, and participation must be voluntary for the beneficiaries
of the HUD-funded programs or services.
C. A religious organization that participates in the CDBG program will retain its independence
from Federal, State, and local governments, and may continue to carry out its mission,
including the definition, practice, and expression of its religious beliefs, provided that it does
not use direct CDBG funds to support any inherently religious activities, such as worship,
religious instruction, or proselytism. Among other things, faith-based organizations may
use space in their facilities to provide CDBG-funded services, without removing religious art,
icons, scriptures, or other religious symbols. In addition, a CDBG-funded religious
organization retains its authority over its internal governance, and it may retain religious
terms in its organization's name, select its board members on a religious basis, and include
religious references in its organization's mission statements and other governing
documents.
D. An organization that participates in the CDBG program shall not, in providing program
assistance, discriminate against a program beneficiary or prospective program beneficiary
on the basis of religion or religious belief.
E. CDBG funds may not be used for the acquisition, construction, or rehabilitation of structures
to the extent that those structures are used for inherently religious activities. CDBG funds
may be used for the acquisition, construction, or rehabilitation of structures only to the
extent that those structures are used for conducting eligible activities under this part.
Where a structure is used for both eligible and inherently religious activities, CDBG funds
may not exceed the cost of those portions of the acquisition, construction, or rehabilitation
that are attributable to eligible activities in accordance with the cost accounting
requirements applicable to CDBG funds in this part. Sanctuaries, chapels, or other rooms
that a CDBG-funded religious congregation uses as its principal place of worship, however,
are ineligible for CDBG-funded improvements. Disposition of real property after the term of
the grant, or any change in use of the property during the term of the grant, is subject to
government-wide regulations governing real property disposition (see 24 CFR 84 and 85).
F. If the City voluntarily contributes its own funds to supplement the federally funded activity,
the City has the option to segregate the Federal funds or commingle them. However, if the
funds are commingled, this section applies to all of the commingled funds.
Acquisition or improvement of real property projects must comply with sections 13
through 20:
13. ACCESSIBILITY
Any buildings or other facilities designed, constructed, or altered with federal funds pursuant
to this Agreement are subject to the requirements of the Architectural Barriers Act of 1968
(42 U.S.C. § 4151, et seq.) and shall comply with the Uniform Federal Accessibility Standards
(Appendix A to 24 CFR § 40.1, et seq. for residential structures, and Appendix A to 41 CFR §
101-19, et seq. for general type buildings). When applicable, certain multifamily housing
units designed and constructed for first occupancy after March 13, 1991, with assistance
provided under this Agreement, must comply with the Fair Housing Accessibility Guidelines,
24 CFR § 100.1, et seq., as amended.
14. ENVIRONMENTAL REVIEW
A. National Environmental Policy Act - The City retains environmental review responsibility for
purposes of fulfilling requirements of the National Environmental Policy Act as implemented
by HUD Environmental Review Procedures (24 CFR § 58.1, et seq.). The City may require
the Agency to furnish data, information, and assistance for the City's review and assessment
in determining whether an Environmental Impact Statement must be prepared. The Agency
shall be solely responsible for the cost of compliance with all such federal laws and authorities
including the cost of preparing plans, studies, reports, and the publication of notices that may
be required.
B. Other Federal Environmental Laws -
(1) Historic Preservation - Activities affecting property listed in or found to be eligible for
inclusion in the National Register of Historic Places will be subject to requirements set
forth in HUD Environmental Review Procedures at 24 CFR § 58.1, et seq. The Agency
shall meet the historic preservation requirements of Pub. L. No. 89-665 (16 U.S.C. §
470(i)), and the Archaeological and Historic Preservation Act of 1974, Pub. L. No. 93-291
(16 U.S.C. § 469a-1), and Executive Order 11593, including the procedures prescribed by
the Advisory Council on Historic Preservation in the regulations at 36 CFR § 801, et seq.
(2) Architectural Barriers - Any facility constructed pursuant to this Agreement shall comply
with design requirements of the Architectural Barriers Act of 1968 (42 U.S.C. §§ 4151, et
seq.), and the Uniform Federal Accessibility Standards (US Government Printing Office,
1985-494-187).
(3) National Flood Insurance - When applicable, the use of CDBG funds for acquisition or
construction purposes in identified special flood hazard areas shall be subject to Agency
mandatory purchase of flood insurance as required by Section 102(a) of the Flood Disaster
Protection Act of 1973 (Pub. L. No. 93-237, 42 U.S.C. § 2414 and 42 U.S.C. §§ 4001-
4128).
(4) Lead-Based Paint Whenever funds under this Agreement are used directly or indirectly
for construction, rehabilitation, or modernization of residential structures, the Agency shall
comply, at its sole expense, with the HUD Lead-Based Paint regulations (24 CFR § 35)
issued pursuant to the Lead-Based Paint Poisoning Prevention Act, as amended (42 U.S.C.
§§ 4801, et seq.) and the Residential Lead-Based Paint Hazard Reduction Act of 1992 (42
U.S.C. §§ 4851, et seq.), with regard to lead-based paint, and with any and all applicable
federal, state, and local laws, regulations, or standards hereafter enacted or issued with
regard to lead-based paint. Without limiting the foregoing, the Agency shall remove or
cover, prior to the date for completion of the work funded hereunder and in compliance
with all applicable, laws, regulations, and in conformity with guidelines issued by HUD, all
lead-based paint with lead content above the threshold established by HUD on surfaces
affected by the work funded under this Agreement. The Agency shall defend, indemnify,
and hold harmless the City from any liability, loss, damage, or expense, including costs
-based paint at the property or the
abatement or disposal thereof. This provision shall survive expiration and satisfaction of
this Agreement, whether by payment, forgiveness, foreclosure, or otherwise.
(5) Other - Clean Air Act as amended, 42 U.S.C. § 7401, et seq.; Water Pollution Control Act,
33 U.S.C. §§ 1367, et seq., as amended; Environmental Protection Agency regulations,
40 CFR §§ 1.1, et seq.
C. State Environmental Policy Act - Agencies which are branches of government under RCW
43.21C.030 retain responsibility for fulfilling the requirements of the State Environmental
Policy Act, Chapter 43.21C RCW and the regulations and ordinances adopted there under. If
the Agency is not a branch of government under RCW 43.21C.030, the City may require the
Agency to furnish data, information, and assistance, as necessary, to enable the City to
comply with the State Environmental Policy Act.
D. Satisfaction of Environmental Requirements
(1) Limitations on Activities Pending Clearance Per 24 CFR § 58.22(a). The Agency shall not
commit assistance under this Agreement until HUD has approved
Release of Funds (RROF) and the related certification from the City. In addition, until the
RROF has been approved by HUD, neither the City nor the Agency may commit non-HUD
funds on or undertake an activity or project under a program listed in § 58.1(b) if the activity
or project would have an adverse environmental impact or limit the choice of reasonable
alternatives. Provided; however, that an option agreement, self-Help Homeownership
Opportunity Program funds, and relocation assistance may be excluded from the limitation
above per 24 CFR § 58.22(d), (e) and (f) respectively.
(2) Notice to Proceed - Project execution under this Agreement, by either the City or the
Agency, shall not proceed until satisfaction of all applicable requirements of the national and
state environmental policy acts. A written notice to proceed will not be issued by the City
until all such requirements are complied with.
15. LABOR STANDARDS 24 CFR § 570.603
A. The Agency shall require that project construction contractors and subcontractors pay their
laborers and mechanics at wage rates in accordance with the Davis-Bacon Act, as amended
(40 U.S.C. §§ 3141 and 3142), and that they comply with the Copeland Act (18 U.S.C. §
874), and the Contract Work Hours and Safety Standards Act (40 U.S.C. §§ 3701, et seq.);
provided that this section shall not apply to rehabilitation of residential property only if such
property contains not less than eight (8) units. In addition to complying with these federal
labor standards, the Agency shall further require that all project construction contractors
comply with all applicable state and local public works bidding and contracting regulations,
specifically including, without limitation, the prevailing wage provisions set forth in Ch. 39.12
RCW and all regulations adopted by the State of Washington Department of Labor and
Industries.
B. The Agency shall require that project construction contractors and subcontractors comply with
Federal Labor Standards Provisions (HUD form 4010) and the Davis-Bacon wage
determinations (attached as Exhibits I and J, respectively if applicable). For construction
contracts, a copy of the Federal Labor Standards Provisions (HUD form 4010) and the current
Davis-Bacon wage determinations must be included in all construction bid specs and/or
contracts over $2,000.
16. VOLUNTEERS 24 CFR § 70
If the Agency or the Contractor/Subcontractor uses volunteers to perform services on a
federally-assisted construction project, it shall ensure that work is performed without promise,
expectation or receipt of compensation for services rendered. Volunteer files shall include:
(1) the name and address of the agency sponsoring the project; (2) a description of the
project; and (3) the number of volunteers and the hours donated to the project.
17. ACQUISITION AND RELOCATION
A. Any acquisition of real property for any activity assisted under this Agreement shall comply
with the Federal Uniform Relocation Assistance and Real Property Acquisition Policies Act of
1970, 42 U.S.C. §§ 4601, et seq. (hereinafter the Uniform Act and the government-wide
regulations applicable to all federally-assisted projects, effective April 2, 1989, at 49 CFR §§
34.1, et seq.
B. Implementation of any project provided for in this Agreement will be undertaken so as to
minimize involuntary displacement of persons, businesses, nonprofit organizations, or farms
to the greatest extent feasible.
C. Any displacement of persons, businesses, nonprofit organizations, or farms occurring as the
result of acquisition of real property assisted under this Agreement shall comply with the
Uniform Act, and the regulations at 49 CFR §§ 24.1, et seq., required by federal CDBG
regulations at 24 CFR § 570.606. The Agency shall comply with the regulations pertaining to
costs of relocation and written policies, as specified by the City of Kent's Displacement Policy.
18. PUBLIC OWNERSHIP
For Agencies which are not municipal corporations organized under the laws of the State of
Washington, it may become necessary to grant the City a property interest where the subject
project calls for the acquisition, construction, reconstruction, rehabilitation, or installation of
publicly-owned facilities and improvements.
19. REVERSION OF ASSETS 24 CFR § 570.505.
Any real property under the Agency's control that was acquired or improved in whole or in
part with CDBG funds in excess of $25,000 must be either:
A. Used to meet one of the national objectives set forth in 24 CFR § 570.208 of the CDBG
regulations until five (5) years after expiration of the Agreement, or such longer period of
time as determined by the City. For Acquisition or improvement of real property projects, the
Agency and the City shall execute a Community Facility Covenant Agreement.
B. Disposed of in a manner those results in the City being reimbursed in the amount of the
current fair market value of the property, less any portion attributable to expenditures of non-
CDBG funds for acquisition of, and improvements to, the property. Such reimbursement is
not required after the period of time specified in Paragraph (A) above.
20. PROPERTY MANAGEMENT STANDARDS
A. The Agency shall meet the following procedural requirements for all property acquired in
whole or in part with CDBG funds, and consistent with the guidance provided for by Section
III.B.5.(d) of the CDBG-CV Rules, Waivers, and Alternative Requirements:
(1) Property records shall be maintained accurately and provide for a description of the
property; manufacturer's serial number or other identification number; acquisition date
and cost; source of the property; percentage of CDBG funds used in the purchase of
property; and location, use, and condition of the property.
(2) A physical inventory of property taken and the results of that inventory are reconciled with
the property records at least once every two (2) years to verify the existence, current
utilization, and continued need for the property.
(3) A control system shall be in effect to ensure adequate safeguards to prevent loss, damage,
or theft of the property which shall be investigated and fully documented.
B. The disposition of real property acquired in whole or in part with CDBG funds shall be at no
less than its current appraised fair market value (or for a lease, at the current market value),
except that such property may be disposed of for a lesser value, including by donation, if the
disposition at the lesser value is for a use which qualifies under one of the criteria set forth in
24 CFR § 570.208 for meeting the national objectives under the guidance provided for by
Section III.B.5.(d) of the CDBG-CV Rules, Waivers, and Alternative Requirements, and is
permissible under state and local law. Where the disposition is for a lesser value, the recipient
shall maintain documentation that the use meets one of the national objectives pursuant to
24 CFR § 570.208 and the guidance of Section III.B.5.(d) of the CDBG-CV Rules, Waivers,
and Alternative Requirements.
21. ADDITIONAL LOCAL REQUIREMENTS
A. Mortgage or Leasehold Agreement In acquisition, rehabilitation, and construction projects,
the City shall enter into a deed of trust or leasehold agreement with the Agency to secure and
protect the City's and the public's interest in the property.
B. Adequate Value In acquisition projects, the City shall require evidence through a property
appraisal, title search, or other means to ensure that there is adequate value so as to secure
the City's financial interest.
C. City Ordinance, Codes, and Regulations In acquisition and construction projects, the Agency
shall comply with all applicable City ordinances, codes, and regulations.
D. Additional Public Information For all construction projects, the Agency shall erect a sign to
City specifications at the construction site, which identifies the source of funds, except that
this requirement may be waived for construction projects of $5,000 or less.
PART III - MONITORING & REPORTING REQUIREMENTS
1. MONITORING
Agency understands and agrees that it will be monitored by the City and HUD from time to
time to assure compliance with all terms and conditions of this Agreement and all applicable
local, state, and federal laws, regulations, and promulgated policies. Monitoring by the City
under this Agreement shall include, but not be limited to: (1) on-site inspections by City
staff, (2) quarterly performance reviews, and (3) an annual evaluation.
2. PROGRAM REPORTING
A. For public service programs A Billing Voucher and Service Report shall be submitted at least
quarterly, even if no reimbursement is requested. The report is due on in accordance
with the schedule listed in Exhibit A. If the due date falls on a Saturday or Sunday, the Billing
Voucher and Service Report is due on the prior Friday. If the due date falls on a City holiday,
the Billing Voucher and Service Report is due the next working day following the holiday. The
report shall detail information on service units or steps/milestones accomplished during the
months/quarters as outlined in Exhibit A. The Final Service Report Form is provided by the
City and is attached as Exhibit D-1 to this Agreement; it is also due in accordance with the
schedule listed in Exhibit A.
B. For acquisition or improvement of real property projects Projects qualifying to meet the
national objective to serve low- and moderate-income persons (under Part I, Section 3) shall
submit a demographic report providing income, race, and head of household information for
the beneficiaries of the CDBG Project, which shall cover a one year period extending back
from the date of the report. If the facility is and remains occupied during the project, this
report is due thirty (30) days after the date the project was closed. If the facility is first
occupied or reoccupied after the close of the project, the report is due one year from the date
of the last project closing.
3. FISCAL REPORTING RESPONSIBILITIES
The Agency shall provide fiscal statements or reports as may be required from time to time
by the City, which statements or reports, or both, must indicate the status of all accounts and
funds being used to perform under this Agreement. The Agency shall maintain proper
documentation and records of all expenditures incurred pursuant to the terms of this
Agreement in a manner as will facilitate auditing by either HUD or the City.
4. AUDITS
A. If the Agency is a nonprofit corporation and expends a total of $750,000 or more in federal
financial assistance and has received federal financial assistance from the City during its fiscal
year, it shall have an independent audit conducted of its financial statement and conditions,
which shall comply with the requirements of 2 CFR Part 200, Uniform Administrative
Requirements, Cost Principles, and Audit Requirements for Federal Awards.
The Agency shall provide a copy of the audit report no later than thirty (30) days after the
whichever date is sooner. The Agency shall provide to the City its response and corrective
action plan for all findings and reportable conditions contained in its audit. When reference
is made in its
the Agency shall provide copies of those
corrective actions plan.
B. The Catalog of Federal Domestic Assistance (CFDA) number for the CDBG program is 14.218.
PART IV RECORDKEEPING REQUIREMENTS
1. PROGRAM RECORDS AND INSPECTIONS
The Agency shall make, maintain, and preserve books and records, of whatever form,
detailing all CDBG-related expenditures and costs incurred by the Agency. All such books and
records shall be made available to representatives of the City or HUD, or both, for formal
inspection and, where necessary, copying. Intentional noncompliance with this provision shall
constitute a material breach of this Agreement.
Throughout the term of this Agreement, the Agency shall establish and maintain current the
records described in this Section. These records shall conform to the requirements and
specifications of their individual source authorities, which are cited herein. Be advised that
the listing in this Section is intended only to assist the Agency in identifying the required
records and their respective authorities, and is not all inclusive.
A. Time for Retention of Records - Except where otherwise specifically provided, all records as
of the end of the term of this Agreement shall be kept in an accessible file for four (4) years
thereafter (24 CFR § 570.502(b)(3)(ix)). Exceptions to the four (4) year retention period are as
follows: (1) Records that are the subject of litigation, claim, or audit findings shall be retained for
ten (10) years after the date all issues have been resolved and final action taken; and (2) Records
for real property and equipment shall be retained for three (3) years after its final disposition,
with the retention period starting from the date of the disposition, replacement, or transfer at the
direction of the City (24 CFR § 570.84(b)).
B. Contract and Amendments - A complete copy of this Agreement and all amendments thereto
and notices there under.
C. Records of City Approvals - Copies of all requests for amendments or revisions to this
Agreement and th
under this Agreement.
D. Subcontracts and Agreements - Complete copies of all contracts, subcontracts, and
agreements with third parties into which the Agency enters in the performance under this
Agreement; and all correspondence, reports, and other documentation pertaining to such
contracts, subcontracts, and agreements.
E. Records identifying the assisted activity - A complete description of each activity assisted, in
whole or in part, with CDBG funds under this Agreement, including:
(1) Location(s), organization, operating hours, qualifications for service or participation, etc.;
(2) Fees or charges for services, fee waivers, or fee scales for CDBG-assisted participants.
F. Additional Contract Requirements - The Agency shall submit to the City a copy of the most
2. PROGRAM BENEFIT RECORDS 24 CFR § 570.506(b).
As applicable, and consistent with the guidance provided by Section III.B.5.(d) of the CDBG-
CV Rules, Waivers, and Alternative Requirements, the following categories of records shall be
maintained, for the discrete activities which are assisted in whole or in part with funding under
this Agreement (or for all the Agency's activities if funding under this Agreement is not
specifically allocated to particular activities) for the purpose of documenting that a majority
of the beneficiaries are persons of low- or moderate-income.
A. Records specifying by dollar amount, family size, and household income limits used to
determine income level;
B. For service activities serving individual clients without regard to their residence location within
the City/County, records documenting: (a) manner in which each client's income is
determined in all cases; (b) determination that each individual client's income is or is not
within low- or moderate-income limits; (c) date determination was made; and (d) tabulation
of the individual determinations.
C. For a service or facility which exclusively serves a class of beneficiaries, the members of which
are presumed to be low- or moderate-income eligible absent general evidence to the contrary
Curre
persons, persons living with AIDS and migrant farm workers), records documenting: (1) that
the facility exclusively serves the eligible class; and (2) there is no generally available data
indicating specific population served is not predominantly low- or moderate-income.
D. For a service or facility which offers benefits uniformly without regard to income to all persons
residing within a delineated area, records establishing: (1) boundaries of the service area;
(2) the income characteristics of families and unrelated individuals in the service area; and
(3) if the percent of low- and moderate-income persons in the service area is less than fifty-
one (51) percent, data showing that the area qualifies under the exception criteria set forth
at 24 CFR § 570.208(a)(1)(ii).
3. FINANCIAL RECORDS
Agency shall maintain a financial management system in accordance with 2 CFR § 200.302 and
. Agency shall maintain all accounting records that accurately record the
source and application of all funds. The records must contain information pertaining to Federal
awards, authorizations, obligations, unobligated balances, assets, expenditures, income and
interest and be supported by source documentation.
Agency shall maintain evidence to support how the CDBG funds provided to such entities are
expended. Such documentation must include, to the extent applicable, invoices, schedules
containing comparisons of budgeted amounts and actual expenditures, construction progress
schedules signed by appropriate parties (e.g., general contractor and/or a project architect),
and/or other documentation appropriate to the nature of the activity. Agency records pertaining
to obligations, expenditures, and drawdowns must be able to relate financial transactions to
either a specific origin year grant or to program income received during a specific program
year.
Financial records, supporting documents, statistical records, and all other records pertinent to a
Federal award shall be retained for a period of three years from the date of submission of the
final expenditure report or, for Federal awards that are renewed quarterly or annually, from the
date of the submission of the quarterly or annual financial report, respectively, as authorized by
the Federal awarding agency. The only exceptions are the following:
A.If any litigation, claim, or audit is started before the expiration of the three-year period, the
records shall be retained until all litigation, claims, or audit findings involving the records
have been resolved and final action taken.
B.Records for real property and equipment acquired with Federal funds shall be retained for
three years after final disposition.
C.When records are transferred to or maintained by the Federal awarding agency, the three-
year retention requirement is not applicable to the recipient.
D.This section does not apply to records maintained by contractors or subcontractors.
2 CFR § 200.333.
4. RECORDS OF PROGRAM OPERATIONS, MANAGEMENT AND EVALUATION
Agency shall maintain all records of:
A. Operating policies and procedures;
B. Employee qualifications, training, and evaluation;
C. Principal operations data: work units completed; clients served, classified by client and
service characteristics; staff hours utilized; etc.
D. Self-evaluation of services, programs, and employment practices for compliance with 504 and
ADA requirements.
5. PROPERTY RECORDS
Agency shall maintain all records identifying any real and personal property acquired or improved
in whole or in part with funds under this Agreement as follows:
A. Itemized inventory of real property recording legal and common descriptions and address,
date of acquisition and/or improvements, cost of acquisition and/or improvements, and
CDBG-funded share of cost;
B. Itemized inventory of all non-expendable personal property recording full identification,
current location, date and cost of acquisition, and CDBG-funded share of cost;
C. Complete records of any authorized disposition of real or non-expendable personal property
including how and to whom disposed, date, amount of disposition proceeds, market value at
time of disposition and how determined, intended use, and any conditions governing use
following disposition;
D. At the termination of this Agreement, a record of the total purchase cost of all remaining
unused expendable personal property.
E. Agency shall submit reports at least annually on the status of real property in which the Federal
government retains an interest, unless the Federal interest in the real property extends 15
years or longer (2 CFR 200.329).
6. NONDISCRIMINATION AND EQUAL-OPPORTUNITY RECORDS 24 CFR § 570.506(g).
Agency shall maintain:
A. A recordation and tabulation of the racial classification of all individual persons or households
receiving program benefits, and of whether these benefited persons are single head of
household.
B. A tabulation of all Agency employees classified by race, position, and salary in the format of
the U.S. Equal Employment Opportunity Commission Form EEO-4.
C. Data identical to that required under A. and B. above for any subcontractor or agent employed
in the performance under this Agreement.
D. Documentation of all substantive actions taken to assure that no prohibited discrimination
occurs in the conduct of any of the Agency's operations.
E. Documentation of all actions taken to make minority residents aware of the Agency's services
and provide them with equal access to benefits.
F. Record of the racial classification and gender of the majority owners of each private for-profit
business with which the Agency contracts with any funds provided under this Agreement.
7. CONFLICT OF INTEREST
A. Records documenting that all Agency board members, officers, employees and consultants
have been informed of the conflict of interest provisions of 24 CFR § 570.611 and have
acknowledged understanding those provisions.
B. Complete records of all requests for exceptions submitted under 24 CFR § 570.611(d).
8. VERIFICATION OF SUBCONTRACTOR S ELIGIBILITY 24 CFR § 5.
The Agency shall maintain records documenting that the Agency, all subcontractors, and
consultants have been determined not to be currently debarred, suspended, denied
participation or declared ineligible to participate in federal government funded programs.
Verification of eligibility shall be accomplished by signing the Certification Regarding
Debarment and Suspension, which is attached and incorporated as Exhibit F .
9. ADDITIONAL REQUIREMENTS FOR ACQUISITION OR IMPROVEMENT OF REAL PROPERTY
PROJECTS
A. For construction contracts over $100,000, records documenting compliance with the bonding
requirements of 24 CFR § 85.36 (h).
B. Flood Insurance, Flood Disaster Protection Act of 1973; and Federal Insurance Administration
Notice in Federal Register Vol. 24, No. 133, July 13, 1989.
(1) Record of determination whether the assisted project is located within a designated flood
plain or flood hazard area.
(2) If the project is within such area: (1) Evidence of current participation in the National
Flood Insurance Program; and (2) Evidence of flood insurance coverage in force on all
significant project structures.
C. Lead-Based Paint Records required to document compliance with the Lead-Based Paint
Poisoning Prevention Act (42 U.S.C. §§ 4801, et seq.), as amended and the Residential Lead-
Based Paint Hazard Reduction Act of 1992 (42 U.S.C. §§ 4851, et seq.), and the implementing
regulations 24 CFR § 35.
D. Labor Standards Records required to document compliance with all requirements of Davis-
Bacon and Related Acts (40 U.S.C. §§ 3141 and 3142); Contract Work Hours and Safety
Standards Act (40 U.S.C. § 3701, et seq.); Copeland Act (18 U.S.C. § 874); US Secretary of
Labor Regulations (29 CFR §§ 3, 5, 6, and 7).
E. Real Property Acquisition and Relocation Records required to document compliance with the
Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, 42 U.S.C.
§§ 4601, et seq., as amended; and the implementing regulations 49 CFR § 24. The agency
shall consult the City for complete instruction prior to undertaking any action which may result
in displacement of persons as defined at 49 CFR § 24.2(g).
F. Miscellaneous Records The Agency shall maintain such other records as may be required by
HUD or the City.
INSTITUTE FOR COMMUNITY LEADERSHIP:
Sign in blue or black ink only
By: _____
(signature)
Print Name: _____________________________
Its: __________________
DATE: _____
CITY OF KENT:
By: _____
(signature)
Print Name: Dana Ralph _____
Its: Mayor_______________________
DATE: _____
NOTICES TO BE SENT TO:
INSTITUTE FOR COMMUNITY LEADERSHIP:
Nyla Rosen, Ed.D
Chief Operating Officer
24833 180th Ave SE
Kent, WA 98042
Phone: 253.508.3250
Email: Nyla@icleadership.org
NOTICES TO BE SENT TO:
CITY OF KENT:
Dinah Wilson, Sr. CDBG Coordinator
City of Kent
220 Fourth Avenue South
Kent, WA 98032
Phone: 253.856.5076
Email: drwilson@kentwa.gov
ATTEST:
Kent City Clerk
APPROVED AS TO FORM:
Kent Law Department
12/14/2021
EXHIBIT A
CDBG-CV3 PROJECT SCOPE OF SERVICES
Institute for Community Leadership
Project Title: Education Assistance Start Date: 11/1/2021
Project No.: BGCV26-Ro3-2122 End Date: 11/30/2022
City of Kent Federal Award Identity Numbers (FAIN) B-20-MW-53-001
Funding will provide education assistance, support, and non-
violence classes to Kent high school students.
Grant
Amount:
$40,000.00
Funding
Budget
CDBG-CV3
Total City
of Kent
Funds:
$40,000.00
Project Manager: Nyla Rosen, Chief Operating Officer
Telephone: 253.508.3250 E-mail: Nyla@icleadership.org
City Contact: Dinah Wilson, Senior CDBG Coordinator
Telephone: 253.856.5076 Fax: 253.856.6070 E-mail: drwilson@kentwa.gov
Institute for Community Leadership (hereinafter referred to as "the Agency") shall
utilize City of Kent CARES Act funds (hereinafter referred to as CDBG-CV3) to perform the
activities specified below. Such services shall be provided in a manner which fully complies
with all applicable federal, state, and local laws, statutes, rules and regulations, as are now
in effect or may be hereafter amended.
1) Project Budget
The Agency shall apply the following funds to the project in accordance with the Line-Item
Budget Summary:
LINE-ITEM BUDGET BUDGET AMOUNT
Personnel (attach timesheets) $28,000.00
Materials & Supplies $12,000.00
TOTAL $40,000.00
2) Performance Measures
A. Number Served
The Agency agrees to serve, at minimum, the following unduplicated number of persons
during the term of the CDBG-CV3 Agreement:
Reporting Periods 1st
Quarter
JAN
MARCH
2nd
Quarter
APRIL
JUNE
3rd
Quarter
JULY
SEPT
4th
Quarter
OCT
DEC
Total
Number of unduplicated
persons assisted
25
25
25
25
100
B. Units of Service
The Agency agrees to provide, at minimum, the following units of service by quarter:
Reporting Periods 1st
Quarter
JAN
MARCH
2nd
Quarter
APRIL
JUNE
3rd
Quarter
JULY
SEPT
4th
Quarter
OCT
DEC
Total
Per
Year
Classes
10
10
10
10
40
C. Definition of Services
Classes: Defined as facilitated learning instruction to improve outcomes for students who
need assistance adjusting to COVID-related education transitions. This service is measured
per each 1 hour of instruction.
Duplication of benefits (DOB) is prohibited.
Federal financial assistance is provided to a person or entity through a program to address
losses resulting from a Federally-declared emergency or disaster, and the person or entity
has received (or would receive, by acting reasonably to obtain available assistance) financial
assistance for the same costs from any other source (including insurance), and the total
3) Records
A. Project Files
The Agency shall maintain files for this project containing the following items (all Agency
files must contain items 1 7, however items 8 12 are required only if the costs
are paid for by the CDBG-CV budget. If clients are not presumed eligible; e.g.,
homeless, #16 client income must be documented):
1.Notice of Grant Award.
2.CDBG-CV Agreement and all contract exhibits.
3.Motions, resolutions, or minutes documenting Board or Council actions.
4.project.
5.Correspondence regarding budget revision requests.
6.Copies of all invoices and reports submitted to the City for this project.
7.Bills for payment.
8.Lease agreement with client name; Agency/Client/Landlord Assistance
Agreement with monthly rent, amount owed, amount paid, client signature,
landlord name/address and signature; assessment of whether the use of
CDBG-CV funds will duplicate financial assistance that is already received or is
likely to be received by evaluating the need and the resources available to
meet that need; and a client statement certifying that if duplicative assistance
was received it will be repaid.
9.Utility bill with client name; Agency/Client/Utility Company Agreement with
monthly charge, amount owed, amount paid, client signature, utility company
name/address and signature; assessment of whether the use of CDBG-CV
funds will duplicate financial assistance that is already received or is likely to be
received by evaluating the need and the resources available to meet that need;
and a client statement certifying that if duplicative assistance was received it
will be repaid.
10.Copies of approved invoices and warrants.
11.Payroll time sheets for actual salary and fringe benefit costs. Time sheets must
be signed by a supervisor and annotated to document percent of time charged
against this project if less than full time.
12.Documentation of office costs (e.g., log sheets of copy machine use, postage,
telephone use, costs of office supplies, etc.) when these costs are shared with
other programs and no invoice is available. As an alternative, annotated
invoices may be used to document charges as appropriate.
13.Documentation of mileage charges for private auto use must include: a)
odometer reading at beginning and end of trip, b) destination and starting
location, and c) purpose for trip.
14.Documentation of the solicitation process used to select vendors and
subcontractors with original purchase orders and subcontracts.
15.Documentation required by Part IV, Paragraph 5, if any funds provided under
this Scope are used to acquire equipment.
16.Documentation of client income. Unless clients are presumed eligible based on
CDBG regulations, the Agency shall screen all clients served with funds
provided under this Contract to ensure that at least 51% of the total number of
clients served do not have a gross annual family income in excess of the limits
specified in Exhibit B.
Adjusted gross income as defined by the Internal Revenue Service Form 1040
following
methods may be used to determine income eligibility:
a)IRS income tax return;
b)Client income certification on a form approved by the City; or
c)-
federal or state program at least as restrictive as CDBG with regard to
Income Guidelines.
Income guidelines may be adjusted periodically by HUD. The Agency agrees to
use updated Income Guidelines, which will be provided by the City.
B. Record Retention Period
All records required by this Scope shall be retained by the Agency for the period specified
in the Agreement - Part IV. The period shall commence on January 1 of the year
following the year in which the final invoice was paid.
4) Reports, Invoicing and Reporting Schedule
A. Reports
The Agency shall collect and report client information to the City quarterly on the Service
Units section of Exhibit D (Billing Voucher and Service Report) to be provided by the City.
Exhibits D and D-1 (including backup documents) shall be submitted electronically to
drwilson@kentwa.gov in accordance with the schedule outlined in Paragraph 4.B below.
Copies of supporting documents shall be emailed as well, or sent via the U.S.
Postal Services and postmarked within two days of the due dates listed below.1
B. Invoicing and Reporting Schedule
The Agency shall submit Billing Vouchers and Service Reports to the City in accordance with
the following schedule:
1st 2nd & 3rd Quarter Billing Voucher &
Service Report (Exhibit D)
15th day following each quarter
CDBG Public Services Project Time
Sheet
(Exhibit G, if applicable)
15th day following each quarter
4th Quarter Billing Voucher & Service
Report (2021)
December 10, 2021
Final Service Report for 2021 (Exhibit
D-1)
January 7, 2022
4th Quarter Billing Voucher & Service
Report (2022)
December 9, 2022
Final Service Report for 2022 (Exhibit
D-1)
January 6, 20232
1 If the due date falls on a Saturday or Sunday, Billing Vouchers and Service Reports are
due on the prior Friday. If the due date falls on a City holiday, Billing Vouchers and Service
Reports are due the next working day following the holiday.
2 These funds may be spent before the Agreement end date.
EXHIBIT B
2021 INCOME GUIDELINES
Effective 6/1/2021
*Median 50%
MEDIAN
80%
MEDIAN
FAMILY EXTREMELY VERY LOW
SIZE LOW
INCOME
LIMITS
LOW
INCOME
LIMITS
INCOME
LIMITS
1 $24,300 $40,500 $63,350
2 $27,800 $46,300 $72,400
3 $31,250 $52,100 $81,450
4 $34,700 $57,850 $90,500
5 $37,500 $62,500 $97,750
6 $40,300 $67,150 $105,000
7 $43,050 $71,750 $112,250
8 $45,850 $76,400 $119,500
NOTE: King County is part of the Seattle-Bellevue, WA HUD Metro FMR
Area, so all information presented here applies to all the Seattle-Bellevue,
WA HUD Metro FMR Area. HUD generally uses the Office of Management and
Budget (OMB) area definitions in the calculation of income limit program
parameters. However, to ensure that program parameters do not vary
significantly due to area definition changes, HUD has used custom geographic
definitions for the Seattle-Bellevue, WA HUD Metro FMR Area.
The Seattle-Bellevue, WA HUD Metro FMR Area contains the following
areas: King County, WA; and Snohomish County, WA.
*The FY 2014 Consolidated Appropriations Act changed the definition of extremely
low-income to be the greater of 30/50ths (60%) of the Section 8 very low-income
limit or the poverty guideline as established by the Department of Health and Human
Services (HHS), provided that this amount is not greater than the Section 8 50%
very low-income limit. Consequently, the extremely low-income limits may equal the
very low (50%) income limits.
Income Limit areas are based on FY 2021 Fair Market Rent (FMR) areas.
EXHIBIT C
APPOINTMENT OF LIAISON &
AUTHORIZATION TO SIGN BILLING VOUCHERS & SERVICE REPORTS
2021-2022 CDBG-CV3 AGREEMENT
Appointment of Liaison
The Agency appoints the following person as the liaison for the CDBG
Agreement between the City and the Agency; this person shall be responsible
for overall administration of the CDBG funded program:
Liaison:________________________________________________________________
(title)
Authorization to Sign Billing Vouchers & Service Reports
The Agency authorizes the following individual(s) to sign Billing Vouchers &
Service Reports for costs incurred and services provided pursuant to the
CDBG Agreement between the Agency and the City; billing vouchers shall
not be processed for payment unless they are signed by an authorized
individual(s):
Authorized
Individual(s):
__ ___________________________________________________________________________________
(Type Name) (title)
__ ___________________________________________________________________________________
(Signature)
Additional Authorized Individual (if applicable):
_____________________________________________________________________________________
(Type Name) (title)
__ ___________________________________________________________________________________
(Signature)
_____________________________________________________________________________________
(Date)
Exhibit D
INSTITUTE FOR COMMUNITY LEADERSHIP
Billing Voucher & Service Report
2021-2022
To: Dinah Wilson, Sr. CDBG Coordinator
Housing & Human Services
Parks, Recreation & Community Services
220 4th Ave. South, Kent, WA 98032
drwilson@kentwa.gov
Phone: 253.856.5076
From: Nyla Rosen, Chief Operating Officer
Agency: Institute for Community Leadership
Nyla@icleadership.org
Phone: 253.508.3250
Reporting
Period Program Amount
Requested
Education Assistance Project $
SEC. 1: BUDGET SUMMARY
For Department Use Only Total Contract Amount $ 40,000.00
Amount Requested This Qtr. $
Amount Requested YTD $
Amount Remaining (subtract
amount requested YTD from
total contract amount)
$
SEC.2: LINE ITEM BUDGET SUMMARY
COST CATEGORIES
ORIGINAL
BUDGET
TOTAL
REQUESTED
REVISED
BUDGET
CUMULATIVE
TO DATE
1
Personnel (attach
timesheets)
$28,000.00
2 Materials & Supplies $12,000.00
GRAND TOTAL
$40,000.00
SEC. 3: PERSONNEL FUNDED IN WHOLE OR IN PART BY CDBG GRANT
CDBG-CV3
SEC. 4: PERFORMANCE MEASURES 2021-2022 KENT FUNDED SERVICE UNITS
Note: Unduplicated client counts must be reported both quarterly and year-to-date
Service Unit Description Contracted to
Serve
Clients Actually
Served
Year to Date
Total
Service Unit/Performance
Measure 1st 2nd 3rd 4th
Total
Contracted
to Serve
1st 2nd 3rd 4th
Unduplicated # of Kent clients
(persons) served
25
25
25
25
100
Classes
10
10
10
10
40
Sec. 5: NARRATIVE
Provide a narrative explanation if you are behind in either progress toward meeting performance
measures or projected expenditure rate.
Sec. 6: DEMOGRAPHIC INFORMATION
Number of Households or Persons Assisted (please specify "H" or "P"):
Race Unduplicated
Quarter
(All)
Unduplicated
Quarter
(Hispanic)
Undup.
Year to
Date
(All)
Unduplicated
Year to Date
(Hispanic)
1 2 3 4 1 2 3 4
White
Black/African American
Asian
American Indian or Alaska Native
Native Hawaiian or Other Pacific Islander
American Indian or Alaska Native AND
White
Asian AND White
Black/African American AND White
American Indian /Alaska Native AND
Black/African American
Other Multi-Racial
GRAND TOTAL CLIENTS
Income Level Unduplicated Quarter Unduplicated
Year to Date
1 2 3 4
Extremely Low Income 0-30% of MFI
Low Income 31-50% of MFI
Moderate Income 51-80% of MFI
Above Moderate Income 81% + of MFI
GRAND TOTAL CLIENTS
Homeless * Complete only for individuals & families
who have been assisted with transitional and
permanent housing
Unduplicated Quarter Unduplicated
Year to Date
1 2 3 4
Individuals
Families
Total Homeless
By signing this report, I certify to the best of my knowledge and belief that the report is true, complete,
and accurate, and the expenditures, disbursements and cash receipts are for the purposes and objectives
set forth in the terms and conditions of the Federal award. I am aware that any false, fictitious, or
fraudulent information, or the omission of any material fact, may subject me to criminal, civil
or administrative penalties for fraud, false statements, false claims or otherwise. (U.S. Code Title
18, Section 1001 and Title 31, Sections 3729-3730 and 3801-3812).
Agency Authorized Signature
____________________________________
Print Name
Date
Payment Authorization (this section to be completed by City of Kent only)
Contractual Obligations Met?
YES NO (Circle one)
Enter notes if Agency underperformed:
Authorized
By:
Date:
Instructions
Refer to: Accomplishments by Performance Measures in your CDBG Contract.
Sec. 1: BUDGET SUMMARY
Enter the amount requested this quarter, Year to Date (YTD) and the budget balance.
SEC. 2: LINE ITEM BUDGET SUMMARY:
Enter the amount requested by budget line item quarterly and YTD.
SEC. 3: PERSONNEL FUNDED IN WHOLE OR IN PART BY CDBG GRANT
Enter the names and titles of personnel being charged to the CDBG grant. Remember all hours charged to CDBG must
be tracked and a timesheet certifying the hours worked were to directly support the CDBG funded program must be
signed by the employee and supervisor and submitted to the City with the request for reimbursement.
SEC. 4: PERFORMANCE MEASURES
Unduplicated Count of Households/Persons Assisted
Projections: Circle either persons or households according to the method of counting clients specified in your CDBG
Contract Scope. Insert the projected number of clients to be served as specified in your CDBG Contract Scope.
Achievements: Insert the unduplicated number of clients served during the reporting period. Unduplicated number
means that a person or a household served by your agency may be counted only once during the calendar year. You
may report only those persons or households for which you maintain written records. This record must be established
at the time the person or household is first served by your agency.
Year to Date: Insert the total unduplicated number of clients served to date.
Service Units
Insert the service unit measures specified in your CDBG Contract Scope. Insert the projected number of service units
for the reporting period. Insert the actual number of service units provided during the Reporting Period. The actual
number of service units provided may be duplicated counts. Duplicated means that a client served by your agency
may receive service one or more times during the calendar year in one or more of the service unit categories.
SEC. 5: NARRATIVE EXPLANATION
You must provide a narrative explanation if your agency is behind in meeting either performance measures specified
in your CDBG Contract Scope or your expenditure rate. Your expenditure rate should equal approximately one quarter
of your HHS contract amount per quarter.
SEC. 6: DEMOGRAPHIC INFORMATION
Race: You are required to collect racial and ethnic information for the clients served. There are 10 race categories to
select from. Each client should select one of these categories. Clients identifying themselves as
Hispanic also need to select from the race categories.
Example: A client selects Hispanic as his ethnicity and white as his race. The grand total in the first column will not
match the grand total in the second column. You may only have a few clients who identify as Hispanic.
Female Head of Household: Insert the unduplicated number of single female head of households with dependents
served during the reporting period.
Income Only for Non-presumed Benefit Projects which require income screening: Insert the unduplicated
clients served who are Low Income (51 80%), Very Low-Income (31-50%) and Extremely Low-Income (0-
30%). You do not have to complete if your CDBG project directs services toward the following clients: abused
children, elderly persons, DV victims, homeless persons, those meeting the federal definition of severely disabled
persons, illiterate adults, persons living with aids, or migrant farm workers.
Homeless: For prog
Exhibit D-1
Final Service Report
INSTITUTE FOR COMMUNITY LEADERSHIP
2021-2022
To: Dinah Wilson, Sr. CDBG Coordinator
Housing & Human Services
Parks, Recreation & Community Services
220 4th Ave. South, Kent, WA 98032
drwilson@kentwa.gov
Phone: 253.856.5076
From: Nyla Rosen, Chief Operating Officer
Agency: Institute for Community Leadership
Nyla@icleadership.org
Phone: 253.508.3250
Reporting Period Program
Final Q4 2021/Final
2022 Report1 Education Assistance Project
SEC. 1: PERFORMANCE MEASURES 2021-2022 KENT FUNDED SERVICE UNITS
Note: Unduplicated client counts must be reported both quarterly and year-to-date
Service Unit Description Contracted to
Serve
Clients Actually
Served
Year to
Date
Total
Service Unit/Performance
Measure 1st 2nd 3rd 4th
Total
Contracted
to Serve
1st 2nd 3rd 4th
Unduplicated # of Kent clients
(persons) served
25
25
25
25
100
Classes
10
10
10
10
40
CDBG-CV3
Final Service Report Review (this section to be completed by City of Kent only)
Contractual Obligations Met?
YES NO (Circle one)
Agency Paid in Full?
YES NO (Circle one)
Enter explanation if Agency underperformed and paid in full:
Reviewed
By:
Date:
EXHIBIT E
INSTITUTE FOR COMMUNITY LEADERSHIP INSURANCE REQUIREMENTS FOR CDBG-CV AGREEMENT
Insurance
The Consultant shall procure and maintain for the duration of the Agreement,
insurance against claims for injuries to persons or damage to property which
may arise from or in connection with the performance of the work hereunder
by the Consultant, their agents, representatives, employees or
subcontractors.
A. Minimum Scope of Insurance
Consultant shall obtain insurance of the types described below:
1.Automobile Liability insurance covering all owned, non-owned, hired
and leased vehicles. Coverage shall be written on Insurance Services
Office (ISO) form CA 00 01 or a substitute form providing equivalent
liability coverage. If necessary, the policy shall be endorsed to provide
contractual liability coverage.
2.Commercial General Liability insurance shall be written on ISO
occurrence form CG 00 01 and shall cover liability arising from
premises, operations, independent contractors, products-completed
operations, personal injury and advertising injury, and liability
assumed under an insured contract. The Commercial General Liability
insurance shall be endorsed to provide the Aggregate Per Project
Endorsement ISO form CG 25 03 11 85. The City shall be named as
an insured under the Consultant
insurance policy with respect to the work performed for the City using
ISO additional insured endorsement CG 20 10 11 85 or a substitute
endorsement providing equivalent coverage.
3.coverage as required by the Industrial
Insurance laws of the State of Washington.
4.Professional Liability
profession.
B. Minimum Amounts of Insurance
Consultant shall maintain the following insurance limits:
EXHIBIT E (Continued)
1.Automobile Liability insurance with a minimum combined single limit
for bodily injury and property damage of $1,000,000 per accident.
2.Commercial General Liability insurance shall be written with limits no
less than $2,000,000 each occurrence, $2,000,000 general aggregate.
3.Professional Liability insurance shall be written with limits no less than
2,000,000 per claim.
C. Other Insurance Provisions
The insurance policies are to contain, or be endorsed to contain, the following
provisions for Automobile Liability and Commercial General Liability
insurance:
1.The Consultant
respect the City. Any Insurance, self-insurance, or insurance pool
coverage maintained by the City shall be excess of the Consultant
insurance and shall not contribute with it.
2.The Consultant
shall not be cancelled by either party, except after thirty (30) days
prior written notice by certified mail, return receipt requested, has
been given to the City.
3.The City of Kent shall be named as an additional insured on all policies
(except Professional Liability) as respects work performed by or on
behalf of the Consultant and a copy of the endorsement naming the
City as additional insured shall be attached to the Certificate of
Insurance. The City reserves the right to receive a certified copy of
all required insurance policies. The Consultant
Liability insurance shall also contain a clause stating that coverage
shall apply separately to each insured against whom claim is made or
liability.
D. Acceptability of Insurers
Insurance is to be placed with insurers with a current A.M. Best rating of not
less than A:VII.
E. Verification of Coverage
Consultant shall furnish the City with original certificates and a copy of the
amendatory endorsements, including but not necessarily limited to the
additional insured endorsement, evidencing the insurance requirements of
the Consultant before commencement of the work.
EXHIBIT E (Continued)
F. Subcontractors
Consultant shall include all subcontractors as insureds under its policies or
shall furnish separate certificates and endorsements for each subcontractor.
All coverages for subcontractors shall be subject to all of the same insurance
requirements as stated herein for the Consultant.
Issue Date 8/30/2021 Cert #:0000038419
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONVERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES
NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF COVERAGE DOES NOT CONSTITUE A CONTRACT
BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGRATION IS WAIVED, subject to the terms and conditions of
the policy, certain coverage may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER COMPANIES AFFORDING COVERAGE
Clear Risk Solutions
451 Diamond Drive
Ephrata, WA 98823
GENERAL LIABILITY
American Alternative Insurance Corporation, et al.
AUTOMOBILE LIABILITY
American Alternative Insurance Corporation, et al.
INSURED PROPERTY
American Alternative Insurance Corporation, et al.
Institute for Community Leadership
24833 180th Avenue SE
Kent, WA 98042
MISCELLANEOUS PROFESSIONAL LIABILITY
Princeton Excess and Surplus Lines Insurance Company
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE COVERAGE PERIOD
INDICATED, NOT WITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TYPE OF INSURANCE POLICY NUMBER POLICY EFF
DATE
POLICY EXP
DATE
DESCRIPTION LIMITS
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY N1-A2-RL-0000013-12 6/1/2021 6/1/2022 PER OCCURRENCE $2,000,000
OCCURRENCE FORM PER MEMBER AGGREGATE $4,000,000
INCLUDES STOP GAP PRODUCT-COMP/OP $2,000,000
PERSONAL & ADV. INJURY $2,000,000
(LIABILITY IS SUBJECT TO A $150,000 SIR PAYABLE FROM PROGRAM FUNDS) ANNUAL POOL AGGREGATE $50,000,000
AUTOMOBILE LIABILITY
ANY AUTO N1-A2-RL-0000013-12 6/1/2021 6/1/2022 COMBINED SINGLE LIMIT $2,000,000
(LIABILITY IS SUBJECT TO A $150,000 SIR PAYABLE FROM PROGRAM FUNDS) ANNUAL POOL AGGREGATE NONE
PROPERTY
N1-A2-RL-0000013-12 6/1/2021 6/1/2022 ALL RISK PER OCC EXCL EQ & FL $75,000,000
EARTHQUAKE PER OCC $1,000,000
FLOOD PER OCC $1,000,000
(PROPERTY IS SUBJECT TO A $150,000 SIR PAYABLE FROM PROGRAM FUNDS)ANNUAL POOL AGGREGATE NONE
MISCELLANEOUS PROFESSIONAL LIABILITY
N1-A3-RL-0000060-12 6/1/2021 6/1/2022 PER CLAIM $2,000,000
(LIABILITY IS SUBJECT TO A $150,000 SIR PAYABLE FROM PROGRAM FUNDS) ANNUAL POOL AGGREGATE $40,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / SPECIAL ITEMS
Regarding 2021-2022 CDBG-CV Grant. The City of Kent is named as Additional Insured regarding this grant only and is subject to policy terms, conditions, and exclusions.
Additional Insured endorsement is attached.
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE
WITH THE POLICY PROVISIONS.
CERTIFICATE HOLDER AUTHORIZED REPRESENTATIVE
Attn: Dinah Wilson
City of Kent
220 4th Ave. South
Kent, WA 98032
Non Profit Insurance Program
Certificate of Coverage
AMERICAN ALTERNATIVE
INSURANCE COMPANY
– ADDITIONAL INSURED DESIGNATED PERSON OR ORGANIZATION
(GENERAL LIABILITY)
Named Insured
Non Profit Insurance Program (NPIP)
Policy Number
N1-A2-RL-0000013-12
Endorsement Effective
6/1/2021
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
This endorsement modifies insurance provided under the following:
GENERAL LIABILIT Y COVERAGE PART
This endorsement changes the policy effective on the inception date of the policy unless another date is indicated above.
Schedule
Person or Organization (Additional Insured): As Per Schedule on file with Clear Risk Solutions, Underwriting Administrator
Attn: Dinah Wilson
City of Kent
220 4th Ave. South
Kent, WA 98032
Regarding 2021-2022 CDBG-CV Grant. The City of Kent is named as Additional Insured regarding this grant only and
is subject to policy terms, conditions, and exclusions. Additional Insured endorsement is attached.
A. With respects to the General Liability Coverage Part only, the definition of Insured in the Liability Conditions, Definitions and Exclusions
section of this policy is amended to include as an Insured the Person or Organization shown in the above Schedule. Such Person or
Organization is an Insured only with respect to liability for Bodily Injury, Property Damage, or Personal and Advertising Injury
caused in whole or in part by your acts or omissions or the acts or omissions of those acting on your behalf:
1. In performance of your ongoing operations; or
2. In connection with your premises owned or rented to you.
B. The Limits of Insurance applicable to the additional Insured are those specified in either the:
1. Written contract or written agreement; or
2. Declarations for this policy,
whichever is less. The se Limits of Insurance are inclusive and not in addition to the Limits Of Insurance shown in the Declarations.
All other terms and conditions remain unchanged.
Includes copyrighted material of the Insurance Services Office, Inc., with its permission
1 of 4
EXHIBIT F
City of Kent
Certification Regarding Debarment and Suspension
Institute for Community Leadership Education Assistance Project/
BGCV26-Ro3-2122
Agency Name of Project/Project Number
Certification A: Certification Regarding Debarment, Suspension, and Other
Responsibility Matters - Primary Covered Transactions1
1. The prospective primary participant certifies to the best of its knowledge
and belief that its principals;
a. Are not presently debarred, suspended, proposed for debarment, declared
ineligible, or voluntarily excluded from covered transactions by any Federal
debarment or agency;
b. Have not within a three-year period preceding this proposal, 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 (Federal, State, or local) transaction or contract under
a public transaction; violation of Federal or State antitrust statutes or
commission of embezzlement, theft, forgery, bribery, falsification, or
destruction of records, making false statements, or receiving stolen property;
c. 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 certification; and
d. Have not within a three-year period preceding this application/ proposal
had one or more public transactions (Federal, State, or local) terminated for
cause or default.
2. Where the prospective primary participant is unable to certify to any of the
statements in this certification, such prospective participant shall attach an
explanation to this proposal.
Instructions for Certification (A)
1. By signing and submitting this proposal, the prospective primary
participant is providing the certification set out below.
2. The inability of a person to provide the certification required below will not
necessarily result in denial of participation in this covered transaction. The
prospective participant shall submit an explanation of why it cannot provide
the certification set out below. The certification or explanation will be
considered
whether to enter this transaction. However, failure of the prospective
2 of 4
primary participant to furnish a certification or an explanation shall disqualify
such person from participation in this transaction.
3. The certification in this clause is a material representation of fact upon
which reliance was placed when the department or agency determined to
enter into this transaction. If it is later determined that the prospective
primary participant knowingly rendered an erroneous certification, in addition
to other remedies available to the Federal Government/City of Kent, the
department or agency may terminate this transaction for cause of default.
4. The prospective primary participant shall provide immediate written notice
to the department or agency to which this proposal is submitted if at any
time the prospective primary participant learns that its certification was
erroneous when submitted or has become erroneous by reason of changed
circumstances.
5. The terms covered transaction, debarred, suspended, ineligible,
lower tier covered transaction, participant, person, primary covered
transaction, principal, proposal, and voluntarily excluded, as used in
this clause, have the meanings set out in the Definitions and Coverage
sections of the rules implementing Executive Order 12549. You may contact
the department or agency to which this proposal is being submitted for
assistance in obtaining a copy of these regulations.
6. The prospective primary participant agrees by submitting this proposal
that, should the proposed covered transaction be entered into, 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 the department
or agency entering into this transaction.
7. The prospective primary participant further agrees by submitting this
proposal that it will include th
Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier
this covered transaction, without modification, in all lower tier covered
transactions and in all solicitations for lower tier covered transactions.
8. A participant in a covered transaction may rely upon a certification of a
prospective participant in a lower tier covered transaction that it is not
debarred, suspended, ineligible, or voluntarily excluded from the covered
transaction, unless it knows that the certification is erroneous. A participant
may decide the method and frequency by which it determines this eligibility
of its principals. Each participant may, but is not required to, check the Non-
procurement List.
9. Nothing contained in the foregoing shall be construed to require
establishment of a system of records in order to render in good faith the
certification required by this clause. The knowledge and information of a
participant is not required to exceed that which is normally possessed by a
prudent person in the ordinary course of business dealings.
10. Except for transactions authorized under paragraph (6) of these
instructions, if a participant in a covered transaction
knowingly enters into a lower tier covered transaction with a person who is
3 of 4
suspended, debarred, ineligible, or voluntarily excluded from participation in
this transaction, in addition to other remedies available to the Federal
Government/City of Kent, the department or agency may terminate this
transaction for cause of default.
Certification B: Certification Regarding Debarment, Suspension, Ineli-
gibility and Voluntary Exclusion - Lower Tier Covered Transactions
1. The prospective lower tier participant certifies, by submission of this
proposal, 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.
2. Where the prospective lower tier participant is unable to certify to any of
the statements in this certification, such prospective participant shall attach
an explanation to this proposal.
Instructions for Certification (B)
1. By signing and submitting this proposal, the prospective lower tier
participant is providing the certification set out below.
2. The certification in this clause is a material representation of fact upon
which reliance was placed when this transaction was entered into. If it is later
determined that the prospective lower tier participant knowingly rendered an
erroneous certification, in addition to other remedies available to the Federal
Government/City of Kent, the department or agency with which this
transaction originated may pursue available remedies, including suspension
and/or debarment.
3. The prospective lower tier participant shall provide immediate written
notice to the person to whom this proposal is submitted if at any time the
prospective lower tier participant learns that its certification was erroneous
when submitted or has become erroneous by reason of changed
circumstances.
4. The terms covered transaction, debarred, suspended, ineligible,
lower tier covered transaction, participant, person, primary covered
transaction, principal, proposal, and voluntarily excluded, as used in
this clause, have the meanings set out in the Definitions and Coverage
sections of rules implementing Executive Order 12549. You may contact the
person to which this proposal is submitted for assistance in obtaining a copy
of these regulations.
5. The prospective lower tier participant agrees by submitting this proposal
that, should the proposed covered transaction be entered into, 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 the department
or agency with which this transaction originated.
6. The prospective lower tier participant further agrees by submitting this
proposal t
Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier
4 of 4
transactions and in all solicitations for lower tier covered transactions.
7. A participant in a covered transaction may rely upon a certification of a
prospective participant in a lower tier covered transaction that it is not
debarred, suspended, ineligible, or voluntarily excluded from the covered
transaction, unless it knows that the certification is erroneous. A participant
may decide the method and frequency by which it determines the eligibility
of its principals. Each participant may, but is not required to, check the Non-
procurement List.
8. Nothing contained in the foregoing shall be construed to require
establishment of a system of records in order to render in good faith the
certification required by this clause. The knowledge and information of a
participant is not required to exceed that which is normally possessed by a
prudent person in the ordinary course of business dealings.
9. Except for transactions authorized under paragraph (5) of these
instructions, if a participant in a lower covered transaction knowingly enters
into a lower tier covered transaction with a person who is suspended,
debarred, ineligible, or voluntarily excluded from participation in this
transaction, in addition to other remedies available to the Federal
Government/City of Kent, the department or agency with which this trans-
action originated may pursue available remedies including suspension and/or
debarment.
Primary Contractor/Sub-Contractor
(Print Below)
Date
Authorized Signature of Primary
Contractor/Sub-Contractor
(Sign Below)
Title
N
N
N
MINIMUM
�
IIIIi
a
0
a
a
0
a)
L
En
0)
Q
Q
3
O
rz
T
E
O
y
N
N
w
O
a)
U
504/ADA Contract Form 9/17
Page 1
EXHIBIT H
504/ADA DISABILITY ASSURANCE OF COMPLIANCE
COMPLETE AND RETURN WITH SIGNED CONTRACT
Complying with Section 504 of the Rehabilitation Act of 1973, as amended, and the Americans With Disabilities
Act of 1990, two federal laws which prohibit discrimination against qualified people with disabilities.
I understand that federal and state laws prohibit discrimination in public accommodations and employment
based solely on disability. In addition, I recognize that Section 504 requires recipients of federal funds (either
directly or through contracting with a governmental entity receiving federal funds) to make their programs,
services, and activities, when viewed in their entirety, accessible to qualified and/or eligible people with
disabilities. I agree to comply with, and to require that all subcontractors comply with, the Section 504/ADA
requirements. I understand that reasonable accommodation is required in both program services and
employment, except where to do so would cause an undue hardship or burden.
I agree to cooperate in any compliance review and to provide reasonable access to the premises of all places
of business and employment and to records, files, information, and employees therein to the City of Kent for
reviewing compliance with Section 504 and ADA requirements.
I agree that any violation of the specific provisions and terms of the 504/ADA Disability Assurance of
Compliance and/or Corrective Action Plan required herein or Section 504 or the ADA, shall be deemed a
breach of a material provision of the Contract between the City of Kent and the Contractor. Such a breach shall
be grounds for cancellation, termination, or suspension, in whole or in part, of this Contract by the City of Kent.
According to the responses to the questions in the 504/ADA Self-Evaluation
Questionnaire, (company name)______________________________________
_______________________________________ is in compliance with 504/ADA.
If the above response is NO, the following corrective actions will be taken:
YES NO
Corrective Action Plan
The following Corrective Action Plan is submitted to comply with Section 504 and ADA requirements.
General Requirements
Actions To Be Taken Completion Date
Program Access
Actions To Be Taken Completion Date
504/ADA Contract Form 9/17
Page 2
504/ADA DISABILITY ASSURANCE OF COMPLIANCE (continued)
Employment and Reasonable Accommodation
Actions To Be Taken Completion Date
Physical Accessibility
Actions To Be Taken Completion Date
I Declare Under Penalty of Perjury under the Laws of the State of Washington that the
Foregoing is True and Correct.
Signature of authorized signatory
Type or print name of authorized signatory Title Telephone
Signature: Meri a�l/1 H(Nov 30, 202109:16 PST)
Email: mhanson@kentwa.gov
Signature: L9-
Email: rlashley@kentwa.gov
Signature:
Juli arascondola (Dec 8, 202114:60 PST)
Email: jparascondola@kentwa.gov
CDBG-CV3 - Institute for Community
Leadership -Education Assistance
Final Audit Report 2021-12-08
Created: 2021-11-30
By: KateLynn Jennings (kjennings@kentwa.gov)
Status: Signed
Transaction ID: CBJCHBCAABAADEfxUkoBPRdcgJ-bEfeXUX_2WeZk6KiA
"CDBG-CV3 - Institute for Community Leadership -Education Ass
istance" History
Document created by KateLynn Jennings (kjennings@kentwa.gov)
2021-11-30 - 4:32:05 PM GMT- IP address: 146.129.252.126
Document emailed to Merina Hanson (mhanson@kentwa.gov) for signature
2021-11-30 - 4:34:51 PM GMT
y.E Email viewed by Merina Hanson (mhanson@kentwa.gov)
2021-11-30 - 5:16:14 PM GMT- IP address: 104.28.116.133
a Document e-signed by Merina Hanson (mhanson@kentwa.gov)
Signature Date: 2021-11-30 - 5:16:41 PM GMT - Time Source: server- IP address: 174.204.67.179
Document emailed to Roy D. Wilson (roy@icleadership.org) for signature
2021-11-30 - 5:16:44 PM GMT
Email viewed by Roy D. Wilson (roy@icleadership.org)
2021-12-06 - 9:39:25 PM GMT- IP address: 73.169.179.95
!a Document e-signed by Roy D. Wilson (roy@icleadership.org)
Signature Date: 2021-12-07 - 6:15:46 AM GMT - Time Source: server- IP address: 73.169.179.95
Document emailed to Nyla J. Rosen (nyla@icleadership.org) for signature
2021-12-07 - 6:15:49 AM GMT
�'.• Email viewed by Nyla J. Rosen (nyla@icleadership.org)
2021-12-07 - 6:16:30 AM GMT- IP address: 73.169.179.95
a Document e-signed by Nyla J. Rosen (nyla@icleadership.org)
Signature Date: 2021-12-07 - 6:16:59 AM GMT - Time Source: server- IP address: 73.169.179.95
Adobe Sign
'. Document emailed to Ronald Lashley (rlashley@kentwa.gov) for signature
2021-12-07 - 6:17:02 AM GMT
Email viewed by Ronald Lashley (rlashley@kentwa.gov)
2021-12-08 - 10:18:59 PM GMT- IP address: 146.129.252.126
i�p Document e-signed by Ronald Lashley (rlashley@kentwa.gov)
Signature Date: 2021-12-08 - 10:27:50 PM GMT - Time Source: server- IP address: 146.129.252.126
�. Document emailed to Julie Parascondola (jparascondola@kentwa.gov) for signature
2021-12-08 - 10:27:52 PM GMT
5 Email viewed by Julie Parascondola (jparascondola@kentwa.gov)
2021-12-08 - 10:49:42 PM GMT- IP address: 146.129.252.126
d� Document e-signed by Julie Parascondola Qparascondola@kentwa.gov)
Signature Date: 2021-12-08 - 10:50:01 PM GMT - Time Source: server- IP address: 146.129.252.126
Q Agreement completed.
2021-12-08 - 10:50:01 PM GMT
a Adobe Sign