Fillable City of Dayton 2019 CDBG Competitive Process Funding (City of Dayton)

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City of Dayton 2019 CDBG Competitive Process Funding (City of Dayton)

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City of Dayton
2019 CDBG Competitive Process Funding Request Application
Title:
Phone:
Email:
General Information
Project Title:
Applicant Information
Organization Name:
Organization Type:
Organization DUNS:
Preparer/Staff Contact Name:
City:
State:
Zip:
Has the organization or any staff/representatives ever been Federally excluded or debarred from accessing
Federal awards?
Implementing Organization Information
Organization Name:
Organization Type:
Organization DUNS:
Is the applicant going to implement the proposed project?
City:
State:
Zip:
Has the organization, any staff, or representatives ever been Federally excluded or debar from accessing
Federal awards?
Local Address:
Does the implementing organization have experience with CDBG funding? If yes, please describe the
project(s), funding totals, and outcomes:
Does the implementing organization have experience working with other HUD funding (HOME, ESG, and/or any
other HUD-funded programs)? If yes, please detail this experience below.
If submitting MORE THAN ONE application: This application is ranked of .
Local Address:
Non-Profit 501(c)(3)
Government/Public Agency For-Profit Organization
Yes
No
Yes
No
If yes, the implementing organization
information does not need to be completed.
Non-Profit 501(c)(3)
Government/Public Agency For-Profit Organization
Yes
No
Yes
Yes
No
No
All applicants should complete the following questions
Project Description
Project Title:
Project Cost
2019 Annual Competitive Process Funding Requested:
2019 Discretionary Process Funding Requested:
Total City of Dayton CDBG Funding Requested:
Total Funding Currently Secured for the Proposed Project:
Total Funding Needed for Project Completion:
What is your contingency plan if your organization does not receive the requested CDBG funding?
What is your contingency plan if your organization does not receive the full amount of CDBG funding requested?
1. Please provide a detailed description of the proposed project.
Total Funding Applied for but Not Yet Awarded:
$ 0
$ 0
2. What is the location of the project? Where is the service area?
Be as specific as possible.
3. Project Site
We have site control - we own or are leasing the real property on which the proposed project will be
located; or a legally binding agreement/option to buy/lease the real property has been executed.
We have identified the real proper
ty on which the proposed project will be located AND we have
s
ecured a verbal or binding agreement to buy/lease the real property (ie. Memorandum of
Understanding).
We do not know where the proposed project will be located.
4. Provide a detailed description of the scope of the project.
5. List in detail the key staff positions in the proposed project and indicate their roles, specific responsibilities,
and qualifications. Positions should be consistently titled and described across the application.
Low and Moderate Income Areas/Persons/Housing/Jobs
Slum and Blight
Urgent Need
7. Eligible CDBG Activity - Please select the CDBG Eligible Activity that best describes the proposed project.
Acquisition or Disposition of Real Property
Public Facilities and Improvements
Infrastructure Construction and Improvements
Public Services
Construction of New Housing (limited to CBDOs only)
Rehabilitation of Residential and Commercial Structures
Removal of Architectural Barriers to Accessibility
Homeownership Assistance
Interim Assistance
Neighborhood Safety Measures
Demolition of Abandoned Structures
Infrastructure Improvements
Targeted Code Enforcement Efforts
Expand, Maintain, and Improve Affordable Housing
Economic Development Incentives
Workforce Training and Development
Youth & Senior Services
Reduce Homelessness and At-Risk Homelessness
10. Dayton City Commission Priority Areas
- Please select the Commission Priority Area that the project will
address, if applicable.
Apprenticeship Opportunities
Demolition Opportunities
Workforce Development Opportunities
6. National Objective - Please select the CDBG National Objective that the proposed project meets.
Relocation
Clearance/Demolition of V
acant & Abandoned Property
Code Enforcement
Special Economic Development Activities
Workforce Training and Development
Microenterprise Assistance
Planning and Capacity Building
Historic Preservation
8. If this proposed project is a Public Service Activity, will this project provide a new service or be an increase in the
level of service provided?
9. Consolidated Plan Goal Areas - Please select the Consolidated Plan Goal Area(s) that the project will address.
Yes
No
Project Justification
11. What need will this project
directly address?
12. What is the target population for this proposed project? Be as specific as possible.
13. What studies, plans, or other information were used to determine the need for this
project (including Commission-approved neighborhood plans and feasibility studies)?
14. What statistical data was used to demonstrate the need or demand for the project?
16. Describe how the proposed project addresses the specific Consolidated Plan goals identified above.
15. How will the proposed project address the needs identified or build upon the assets of the target areas or
populations to be served?
17. Describe how the proposed project addresses the s
pecific Commission Priorities identified above.
Project Implementation Please complete Attachment A - Work Plan & Implementation
Schedule.
18. What is the current status of the project?
19. What is the implementing agency's capacity to manage the planning and administration of projects of this
nature? Please include the name and title of
the project manager, and describe the internal controls possessed
by this agency to adequately implement the project.
20. Please list any partners that have or will participate in the development, management, and/or
implementation of the proposed project
Partner
Partner
Partner
Partner
Partner
Role
Role
Role
Role
Role
21. What are the intended outcomes of this proposed project? (Who are the intended beneficiaries? What does
completion of the project look like?) Be as specific as possible.
22. How will the implementing organization measure the project’s outcomes related to the CDBG activity,
Consolidated Plan Goals, and Dayton City Commission Priority Areas identified above? (What indicators will be
used to determine the outcome was completed? What tools will measure outcomes?) Be as specific as possible.
23. How will the applicant collect and maintain required beneficiary data, including but not limited to, race and
ethnicity, family size and head of household, income, and service or benefit received?
Project Budget and Funding
Please complete Attachment B – Proposed Project Budget.
24. Has this proposed project been submitted through any other City, State, Federal, or private funding process?
25. Please provide an explanation of any in-kind support committ
ed to the proposed project.
26. For capital improvement projects, please provide the annual costs associated with the maintenance of the
improvement
over the next eight years. Please describe how the applicant and/or implementing agency will fund
the improvement’s ongoing maintenance during this timeframe. NOTE: All capital improvement projects
must submit site plans, sketches, or photographs to support the project on 8 ½ x 11 paper.
Accounting Records
Subrecipients are required to have accounting records that adequately identify the source and application of
CDBG funds provided to them. The general standard is that all accounting records must be supported by source
documentation. Supporting documentation is necessary to show that the costs charged against CDBG funds
were incurred during the effective period of the subrecipient’s agreement with the grantee, were actually paid out
(or properly accrued), were expended on allowable items, and had been approved by the responsible official(s)
in the subrecipient organization. New subrecipients may be required to submit source documentation with
payment requests until it is determined that proper accounting systems are in place.
Subrecipients must adhere to all regulations pertaining to financial management detailed in 2 CFR 200.
31. Does the implementing agency have an accounting system that includes the source documentation
detailed above?
28. Will the project generate revenue?
27. For projects requesting CDBG funding for operating expenses, please describe how the program will
continue once the CDBG funding is exhausted.
Yes
No
Yes
No
29. If yes, what is the anticipated date the project is expected to begin generating revenue?
30. Please explain how the project will generate revenue.
Consultation Certifications
project.
The
hereby certifies that is has consulted with the Department of Planning and Community Dev
elopment before and
dur
ing the development
of
the
The applicant certifies that, if instructed, the
was consulted during the development of the proposed project.
Further, the applicant certifies that the proposed project is an eligible expense under the CDBG program and
does not conflict with any adopted or approved City plan or departmental policy.
Signature of Applicant’s Director or Chair Date
Representative, Consulted City Department
Date
Implementation and Project Management Certification
The applicant certifies that it is a government entity/agency, non-profit 501 (c) (3), or private company with
experience in project management, and is in good standing with the State of Ohio. The applicant certifies that a
Certificate of Good Standing from the State of Ohio has been included with the completed application.
The applicant agrees to accept the responsibility of providing project management, implementation, and
administration in the event that the proposed project is funded.
The applicant understands that if funding is awarded to the applicant, an agreement between the applicant and
City of Dayton will be necessary to commit and/or disburse any funding awarded. Any costs
incurred prior to the
execution of an agreement between the applicant and the City will not be eligible for reimbursement through the
City’s CDBG program.
Signature of Authorized Certifying Official/Representative Date
Name and Title of Authorized Certifying Official/Representative
Name of Applicant Organization:
CDBG Project Name:
Conflict of Interest and Procurement Certification
The applicant certifies that it is not in violation of, or has not participated, and will not participate, in the violation
of the following
Conflict of Interest and Procurement Policies:
24 CFR 570.611 and 24 CFR 576.57 (d) - Conflict of Interest
No person who is an employee, agent, consultant, officer, or elected or appointed official of the grantee,
nonprofit recipient that received CDBG, HOME or ESG amounts and who exercises or has exercised any
functions or responsibilities with respect to assisted activities, or who is in a position to participate in a decision
making process or gain inside information with regard to such activities, may obtain a personal or financial
interest or benefit from the activity, or have an interest in any contract, subcontract, or agreement with respect to
thereto, or the proceeds thereunder, either for him or herself or for those with whom he or she has family or
business ties, during his or her tenure, or for one year thereafter. HUD may grant an exception to this exclusion
as provided in 24 CFR 570.611 (d) and (e).
2 CFR 200.318 – 320 – Procurement and Codes of Conduct
All procurement must be conducted in a manner of full and open competition. The applicant must maintain
procurement policies and procedures, and must follow one of the following methods of procurement detailed in 2
CFR 200.320: micro-purchase, small purchase procedures, sealed bids, competitive proposals, and
noncompetitive proposals.
The Subrecipient shall maintain written standards of conduct governing the performance of its employees
engaged in the award and administration of contracts. No employee, officer, or agent shall participate in the
selection, award, or administration of a contract supported by Federal funds if a real or apparent conflict of
interest would be involved. Such a conflict would arise when the employee, officer, or agent, any member of his
or her immediate family, his or her partner, or an organization, which employs or is about to employ any of the
parties indicated therein, has a financial or other interest in the firm selected for an award.
The officers, employees, and agents of the Subrecipient shall neither solicit nor accept gratuities, favors, or
anything of monetary value from contractors, or parties to subagreements. However, subrecipients may set
standards for situations in which the financial interest is not substantial or the gift is an unsolicited item of
nominal value. The standard of conduct shall provide for disciplinary actions to be applied for violations of such
standards by officers, employees, or agents of the Subrecipient.
Signatur
e of Authorized Certifying Official/Representative Date
Name and Ti
tle of Authorized Certifying Official/Representative
Name of Appl
icant Organization:
CDBG Project Name:
Lobbying Certification
By signing and submitting this certification, the applicant certifies to the best of its knowledge and belief that it
and its principals
shall be in compliance with the following:
(1) Contractor shall not use, and require its subcontractors not to use, any of the funds, personnel, or
materials received in connection with any agreement (contracts, grants, cooperative agreements)
awarded by OHCD to influence or attempt to influence any governmental decision or election in any
manner whatsoever. This prohibition shall apply to any decision of any kind to be made by any
electorate, legislative body, agency, bureau, board, commission, district, or any other instrument of
federal, state, or
local government. The term “influence or attempt to influence” shall mean the making,
with the intent to influence, any communication to or appearance before any officer, employee, or
appointee of any governmental entity, as well as any communication made to any electorate, regarding
any ballot measure or candidate election.
(2) Contractor acknowledges that federal funds received from OHCD for individual program(s) have been
provided pursuant to a federal grant, and shall comply with the laws set forth at 31 USC section 1352
(1989) and 24 CFR 87.
(3) Contractor shall disclose any funds from any other source, which have been paid, by Contractor or its
principals and agents within the last year to influence or attempt to influence decisions of the federal
government by completing, signing, and submitting Standard Form LLL, “Disclosure of Lobbying
Activities”. (OMB Circular 2 CFR part 200) Contractor understands that the duty to disclose lobbying
activities is a continuing requirement, and therefore shall make such disclosures at the end of each
calendar quarter in which there occurs any event requiring disclosure.
(4) Contractor shall require the language of this certification be included in the award documents for all
sub-awards at all tiers (including sub-agreements, subcontracts, sub-grants, and cooperative
agreements exceeding $100,000) and that all Subrecipient’s shall certify and disclose accordingly.
This certification submitted to the City of Dayton Department of Planning and Community Development (P&CD)
is a material representation of fact upon which reliance was placed when entering into a contract agreement. If it
is later determined that the Subrecipient knowingly rendered an erroneous certification, in addition to other
remedies available, P&CD may terminate the contract for default and the Subrecipient will be responsible for
any repayment
resulting from this erroneous certification.
Signature of Authorized Certifying Official/Representative Date
Name and Ti
tle of Authorized Certifying Official/Representative
Name of Applicant Organization:
CDBG Project Name:
Debarment, Suspension, Proposed Debarment, Ineligibility and Other
Responsibility Matters Certification
(1) By signing and submitting this certification, the undersigned certifies to the best of its knowledge and belief, that i
t and
its principals:
a. Are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award of
contracts by any Federal agency;
b. Have not within a three-year period preceding this award, have been convicted of or had a civil judgment
rendered against them for: commission of fraud or criminal offense in connection with obtaining, attempting to
obtain, or performing a public (Federal, State, local) contract or subcontract; violation of Federal or State
antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery,
falsification or destruction of records, making false statements, tax evasion, or receiving stolen property;
c. Are not presently indicted for or otherwise criminally or civilly charged by a government entity (Federal, State, or
local) with commission of any of the offenses enumerated in #2 of the certification;
d. Have not within a three-year period preceding this award, had one or more contracts
(Federal, State, or local) terminated for cause or default;
e. Will not knowingly enter into any subcontract with a person who is, or organization that is, debarred, suspended,
proposed for debarment, or declared ineligible from award of contracts by any Federal agency; and
f. Will require that the language of this certification to be included in the award documents for all sub-awards at all
tiers (including subcontracts, sub-grants, and contracts under grants, loans, and cooperative agreements) and
that all Subrecipient’s shall certify and disclose accordingly.
(2) “Principals”, for the purposes of this certification, means officers; directors; owners; partners; and, persons having
primary management or supervisory responsibilities within a business entity.
(3) Where the undersigned is unable to certify to the statements listed in section (1) in this certification, an explanation shall
be attached. The Contractor shall provide immediate written notice if, at any time prior to or during the negotiated
contract period, the Contractor learns that its certification was erroneous when submitted or has become erroneous by
reason of changed circumstances.
(4) 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 paragraph (1) of this provision. The knowledge and information of Contractor is
not required to exceed that which is normally possessed by a prudent person in the ordinary course of business
dealings.
This certification submitted to the City of Dayton Department of Planning and Community Development (P&CD) is a material
representation of fact upon which reliance was placed when entering into a contract agreement. If it is later determined that
the Subrecipient knowingly rendered an erroneous certification, in addition to other remedies available, P&CD may
terminate the contract for default and the Subrecipient will be responsible for any repayment resulting from this erroneous
certification.
Date
Signature of Authorized Certifying Official/Representative
Name and Title of Authorized Certifying Official/Representative
Name of Applic
ant Organization:
CDBG
P
roject
Name:
Civil Rights Act and Americans with Disabilities Act Compliance Certification
The applicant/implementing organization certifies that it complies with and prohibits discrimination in accordance
with Title VI of the
Civil Rights Act of 1964. Written documents outlining this organization's non-discrimination
policy are on file and available for review.
The applicant certifies it has reviewed its projects, programs, and services for compliance with all applicable
regulations contained in the Americans with Disabilities Act of 1990. Written documentation concerning this
review and corrective actions taken
(if any) are on file and available for review.
Date
Signature of Authorized Certifying Official/Representative
Name and Title of Authorized Certifying Official/Representative
Name of Applicant Organization:
CDBG
Project Name:
Local Policies and Procedures Certification
The applicant certifies that it operates under current policies and procedures that, at a minimum, govern: local
operation of the proposed project, management of beneficiary documentation, recordkeeping and retention,
marketing and program information dissemination, confidentiality, grievances, procurement, and financial
management. Additionally, the applicant certifies that it maintains rehabilitation standards, Lead Hazards
compliance, Section 3 compliance, Davis-Bacon Compliance, relocation standards, and environmental review
processes when applicable.
This certification submitted to the City of Dayton Department of Planning and Community Development (P&CD)
is a material representation of fact upon which reliance was placed when entering into a contract agreement. If it
is later determined that the Subrecipient knowingly rendered an erroneous certification, in addition to other
remedies available, P&CD may terminate the contract for default and the Subrecipient will be responsible for any
repayment resulting from this erroneous certification.
Date
Signature of Authorized Certifying Official/Representative
Name and Title of Authorized Certifying Official/Representative
Name of Applicant Organization:
CDBG Project Name:
Accuracy of Information and Costs
The applicant certifies that is has reviewed the enclosed CDBG discretionary capital project funding application
for accuracy, correctness, and completeness. it further certifies that diligence was taken to ensure that the cost
estimates and budget are comprehensive and based on sound estimates from reliable sources.
Date
Signature of Authorized Certifying Official/Representative
Name and Title of Authorized Certifying Official/Representative
Name of Applicant Organization:
CDBG Project Name:
Cancellation of Funding
The applicant understands that should the proposed project not be initiated within 3 months after receiving
written notice to proceed, the project will be reevaluated with the possibility that funds allocated to the project
may be recaptured. Any costs incurred
as a part of the project may become the responsibility of the
implementing agency.
Date
Signature of Authorized Certifying Official/Representative
Name and Title of Authorized Certifying Official/Representative
Name of Applicant Organization:
CDBG Project Name:
Faith-Based Organization Certification
The applicant understands that any faith-based and secular non-profit organization, in good standing and
meeting the critera outlined in this application and corresponding documentation, is able to compete on an equal
footing with other groups and organizations for HUD funding. The applicant understands that the following
information pertains to HUD funding and religious practices:
"Organizations that receive direct HUD funds may not engage in inherently religious activities, such as worship,
religious instruction, or proselytizing, as a part of the program or services funded by HUD. Inherently religious
activities must be offered separately, in time or location, from the programs, activities, or services supported by
direct HUD funds.
"Additionally, and this is very important, participation in religious activities must be voluntary for your HUD-
funded service beneficiaries. They should have no feeling or sense that their participation in inherently religious
activities that are separate in time and/or place from HUD-funded activities, or even participation in something
like prayer before a meal, is somehow required for them in order to receive HUD-funded services.
"Also, program beneficiaries must understand that they are free to participate or not, not only in your
organization's religious activities, but in your organization's religious affiliation itself. That is, your HUD-funded
services must be open to all who are eligible for them, whether they are members of your church,
denomination, or religion; or not."
The applicant acknowledges that the CDBG program prohibits discrimination on the basis of sex, race, national
origin, religion, age, and disability and certifies that the proposed project must uphold the nondiscrimination
policies of the CDBG program.
For more information, please visit: https://www.hud.gov/program_offices/faith_based/faq
Date
Signature of Authorized Certifying Official/Representative
Name and Title of Authorized Certifying Official/Representative
Name of Applicant Organization:
CDBG Project Name:
Section 3 Compliance Certification
The Section 3 contract threshold for contractors and subcontractors is $100,000. Projects subject to Section 3
requirements include, but are not limited to, housing rehabilitation (including lead-based paint hazard reduction
and abatement, but excluding routine repair and replacement), housing construction, and other public
construction.
Section 3 of the Housing and Community Development Act of 1968, as amended, 12 U.S.C. 1701, requires that, to the
greatest extent f
easible, opportunities for training and employment be given to low-and very low-income residents of the
project area, and contracts for work in connection with the project be awarded to business concerns that provide economic
opportunities for low-and very low-income persons residing in the metropolitan area in which the project is located.
The applicant agrees to comply with 24 CFR Part 135 and Section 3, when applicable. By entering into an agreement, the
applicant and implementing agency certifies there are no contractual or other impediments preventing compliance with Part
135 regulations. Noncompliance with 24 CFR Part 135 may result in sanctions, contract termination, and debarment or
suspension from future Federal contracts.
The applicant agrees to send to each labor organization or representative of workers with which there is a collective
bargaining agreement or other understanding, if any, a notice advising the labor organization or worker's representative of
the contractor's commitments under this Section 3 clause, and will post copies of the notice in conspicuous places at the
work site where both employees and applicants for training and employment positions can see the notice. The notice shall
describe the Section 3 preference, set forth the minimum number and job titles subject to hire, and detail available
apprenticeship and training positions. The notice shall include the qualifications for these positions, the name and location
of the person(s) taking applications for each position, and the anticipated date work shall begin.
The applicant agrees to include a Section 3 clause in every subcontract subject to compliance with 24 CFR Part 135, and
agrees to take appropriate action, as provided in an applicable subcontract provision or Section 3 clause, upon finding that
the subcontractor is in violation of 24 CFR Part 135. The applicant will not subcontract with any subcontractor that has been
found in violation of 24 CFR Part 135.
The applicant will certify that any vacant employment positions, including training positions, filled (i) after the applicant is
selected, but before the agreement is executed, and (ii) with persons other than those to whom the regulations of 24 CFR
Part 135 require employment opportunities to be directed, were not filled to circumvent the applicant’s obligations under 24
CFR Part 135.
Work performed in connection with Section 3 covered Indian housing assistance must also comply with Section 7(b) of the
Indian Self-Determination and Education Assistance Act (25 USC 450e). Section 7(b) requires that to the greatest feasible
(i) preference and opportunities for training and employment shall be given to Indians, and (ii) preference in the award of
contracts and subcontracts shall be given to Indian organizations and Indian-owned Economic Enterprises. The applicant
agrees to comply with Section 3 to the maximum extent feasible, but not in derogation of compliance with Section 7(b).
This certification submitted to the City of Dayton Department of Planning and Community Development (P&CD) is a
material representation of fact upon which reliance was placed when entering into a contract agreement. If it is later
determined that the Subrecipient knowingly rendered an erroneous certification, in addition to other remedies available,
P&CD may terminate the contract for default and the Subrecipient will be responsible for any repayment resulting from this
erroneous certification.
Date
Signature of Authorized Certifying Official/Representative
Name and Title of Authorized Certifying Official/Representative
Name of Applicant Organization:
CDBG Project Name:
Real Property Certification
The standards described in this certification apply to real property within the owner’s control, which was
acquired or improved in whole or in
part using CDBG funds in excess of $25,000. These standards shall apply
from the date
CDBG funds are first spent for the property until five years after closeout of an owner’s
participation in the entitlement CDBG program or, until five years after the closeout of the grant from which the
assistance to the property was provided per 24 CFR Part 270.505.
(1) An owner may not change the use or planned use of any such property (including the beneficiaries of such
use) from that for which the acquisition or improv
ement was made unless
t
he
C
ity
pr
ovides affected citizens
with reasonable notice of, and opportunity to comment on, any proposed change, and either:
a) The new use of such property qualifies as meeting one of the national objectives in § 570.208
(formerly § 570.901) and is not a building for the general conduct of government; or
b) The requirements in paragraph (b) of this certification are met.
(2) If the City determines, after consultation with affected citizens, that it is appropriate to change the use of the
property to a use which does not qualify under paragraph (1)(a) of this certification, it may retain or dispose
of the property for the changed use if the City’s CDBG program is reimbursed in the amount of the current
fair market value of the property, less any portion of the value attributable to expenditures of non-CDBG
funds for acquisition of, and improvements to, the property.
(3) If the change of use occurs after closeout, the provisions governing income from the disposition of the real
property in § 570.504(b)(4) or (5), as applicable, shall apply to the use of funds reimbursed.
(4) Following the reimbursement of the CDBG program in accordance with paragraph (2) of this certification,
the property no longer will be subject to any CDBG requirements.
This certification submitted to the City of Dayton Department of Planning and Community Development (P&CD)
is a material representation of fact upon which reliance was placed when entering into a contract agreement. If
it is later determined that the Subrecipient knowingly rendered an erroneous certification, in addition to other
remedies available, P&CD may terminate the contract for default and the Subrecipient will be responsible for
any repayment resulting from t
his erroneous certification.
Date Signature of Authorized Certifying Official/Representative
Name and Title of Authorized Certifying Official/Representative
Name of Applicant Organization:
CDBG Project Name:
Audit Requirement Certification
Subrecipient’s of Community Development Block Grant (CDBG), Home Investment Partnership Funds (HOME)
and Emergency Shelter Grant (ESG) funding that expend $750,000 or more in total Federal financial assistance
in a year are responsible for obtaining an independent audit in accordance with the Single Audit Act of 1984 and
OMB Circular 2 CFR part 200 Subpart F. The computation of the total of such assistance includes all
Federal funds received by the entire entity. For purposes of determining the amount of Federal assistance
expended, all Federal assistance should be considered, including that which is received directly from a Federal
agency, or passed through a state or local government, or through non-profit organizations, or any combination
thereof.
If a Subrecipient expends less than $750,000 per year in Federal financial assistance, it is exempt from Federal
audit requirements. However, the Subrecipient must still have annual audits and records available for review by
HUD or the County, and must comply with the CDBG Program audit requirements.
The undersigned attests that the listed applicant organization expended ___________ in the past fiscal year
(FY 2018 ) in Federal financial assistance as defined above, and therefore an audit in accordance with federal
audit requirements IS IS NOT required.
This certification submitted to the City of Dayton Department of Planning and Community Development (P&CD)
is a material representation of fact upon which reliance was placed when entering into a contract agreement. If it
is later determined that the Subrecipient knowingly rendered an erroneous certification, in addition to other
remedies available, P&CD may terminate the contract for default and the Subrecipient will be responsible for
any repayment resulting from this erroneous certification.
Date
Signature of Authorized Certifying Official/Representative
Name and Title of Authorized Certifying Official/Representative
Name of Applicant Organization:
CDBG
Project Name:
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