Fillable FY 2022 Application CDBG And HOME Final (City of Norfolk, VA)

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FY 2022 Application CDBG And HOME Final (City of Norfolk, VA)

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1
City of Norfolk, Virginia
Office of Budget and Strategic Planning
FY 2022 APPLICATION FOR HUD ENTITLEMENT PROGRAMS (CDBG AND HOME)
Issued: November 23, 2020
APPLICATION HIGHLIGHTS
•
This is a competitive process. Award recipients are not guaranteed funding year to year. If you are a
•
Applications must be received by the Norfolk Office of Budget and Strategic Planning no later than 5:00 p.m.
December 14, 2020. Late applications will not be accepted.
•
Applications should be saved as a Word or PDF document and emailed to:
Norfolk Office of Budget and Strategic Planning
Megan Erwin, HUD Compliance Manager
HUDENTITLEMENT@norfolk.gov
•
The FY 2022 contract period will be July 1, 2021 through June 30, 2022
•
The U.S. Department of Housing and Urban Development (HUD) has not yet determined the City of Norfolk’s
allocation for the grant programs for the coming year, but it is anticipated ~$2,000,000 in FY 2022 HUD
Entitlement Funds and HUD CDBG Coronavirus (CV) funds may be available. If applying for services activities
to prepare, prevent and respond to the COVID 19 pandemic applicants must be sure to demonstrate how the
project achieves those goals and that they are directly related to COVID 19.
Questions Concerning This Request for Applications
•
Applicants may submit inquiries concerning this RFP via email to: HUDENTITLEMENT@norfolk.gov until 12:00 PM
(noon) on Friday December 4, 2020.
•
Responses to all questions that are received by the due date and time will be posted by 5:00 PM on Monday
December 7, 2020 on the city website www.norfolk.gov/HUDEntitlement
•
Complete proposals will be reviewed, evaluated, and awarded by March 2021.
APPLICANT ELIGIBILITY
The lead organization applying for the grant must have an IRS designation of 501(c)(3) or be a City of Norfolk
department. The organization should completely fill out the application and submit all required attachments.
APPLICATION EVALUATION CRITERIA
•
Conformity with CDBG or HOME regulations, and submitted on time. A ctivities and agency must be eligibile
CDBG activities must meet a Broad National Objective.
•
Consistency with preliminary 2022-2026 Five Year Consolidated Community Development Plan (The City’s
priorities from this plan are included in Attachment A).
•
Capability of agency and staff to undertake and complete the proposed project in a timely manner.
•
Clarity of proposals.
•
Cost effectiveness.
•
Ability to provide matching funds as applicable (HOME).
This year, there is an award minimum of $20,000.
•
2
City of Norfolk, Virginia
Office of Budget and Strategic Planning
FY 2022 APPLICATION FOR HUD ENTITLEMENT PROGRAMS (CDBG AND HOME)
APPLICANT INFORMATION
Applicant/Organization Legal Name: _________________________________________________________________
DBA or Trade Name: _________________________________________________________________________
Applicant Mailing Address: __________________________________________________________________________
Street Address if different: ___________________________________________________________________________
Website: ________________________________________________________
Executive Contact Name and Title: ____________________________________________________________________
Telephone: __________________________ E-mail: _______________________________________________
Program Contact (Person for questions about this application): ______________________________________
Telephone: __________________________ E-mail: ____________________________________________
Federal Tax Identification Number (EIN): __________________________________
DUNS (UEI) Number _____________________________________
(By April 2022, this number will be retitled as Unique Entity Identifier. This number is provided at no charge and is
required for federal funding recipients. This number can be obtained at www.dnb.com)
Tax Status:
501(c)(3) or other non-profit status: ☐ Yes ☐ No If yes, date received ____________________
Legal Status:
☐ Private Non-Profit Corporation
☐ Government Agency
☐ Other: ____________________________
Faith-Based Organization? ☐ Yes ☐ No
If yes, briefly describe how your agency will demonstrate compliance with 24 CFR 570.200(j) and 24 CRF § 5.109
which requires separation of direct federal funding from inherently religious activities
3
City of Norfolk, Virginia
Office of Budget and Strategic Planning
FY 2022 APPLICATION FOR HUD ENTITLEMENT PROGRAMS (CDBG AND HOME)
What is your agency’s mission statement?
REQUEST INFORMATION
Program Funding Request: ☐ CDBG ☐ HOME ☐ CDBG-CV (COVID FUNDS)
Project/Program Name: ____________________________________________________________________________
Please provide a brief (one sentence) description of the project/program:
____________________________________________________________________________________________________
Amount of Funds Requested: __________________________ Minimum $20,000
Is the proposed activity:
☐ A new activity
☐ A continuation of an existing CDBG activity ☐ A continuation of an existing non-CDBG activity
☐ An expansion of an existing CDBG activity ☐ An expansion of an existing non-CDBG activity
Public Service Projects: Please note that CDBG regulations require that public service projects that are newly funded or
request funding in excess of prior year CDBG funding, to support a new service or a quantifiable expansion of service
from the current year contract.
If your program falls within this category, please describe how the program will specifically meet this requirement.
4
City of Norfolk, Virginia
Office of Budget and Strategic Planning
FY 2022 APPLICATION FOR HUD ENTITLEMENT PROGRAMS (CDBG AND HOME)
PROGRAM ELIGIBILITY
Broad National Objective(s) to be addressed, choose ONE: (For CDBG-funded activities)
☐ (1) Area benefit: At least 51% of residents within the targeted activity area are low to moderate income (LMI).
☐ (2) Limited clientele (select subpart below):
☐ (a) At least 51% of clientele to be served will be documented as LMI.
☐ (b) Special needs group (select primary benefit group from the list below):
☐ Abused children
☐ Elderly persons 62 years or older
☐ Battered spouses
☐ Illiterate adults
☐ Persons living with HIV/AIDS ☐ Migrant farm workers
☐ Homeless persons
☐ Severely disabled adults (Census definition)
☐ (3) Housing (Select subpart below):
☐ Single family (must be 100% LMI)
☐ Multi-unit (must be 51% LMI)
☐ (4) Job creation and or retention: At least 51% of jobs for LMI persons.
CDBG Eligible Activity that best matches your proposed project/program
Represents only those activities that are eligible in Norfolk for this grant period.
☐ Improvement or development of neighborhood or public facility
☐ Infrastructure improvements (streets, sidewalks, etc.)
☐ Initiatives to increase affordable housing or special needs housing opportunities
☐ Economic Development (Job training or expansion of job opportunities for low/mod individuals)
☐ Public Services (i.e. childcare, services to persons with disabilities, job training, health care, etc.)
☐ Rehabilitation of existing owner-occupied housing for low- and moderate-income households
For HOME-funded activities; eligible program component(s) that best matches your proposed project/program.
☐ Down Payment Assistance
☐ Tenant Base Rental Assistance
☐ New Construction (CHDO only)
☐ Other
☐ Rehabilitation
☐ Planning and Administration (Note: Has no Broad National Objective Requirement)
5
City of Norfolk, Virginia
Office of Budget and Strategic Planning
FY 2022 APPLICATION FOR HUD ENTITLEMENT PROGRAMS (CDBG AND HOME)
Check the box of the CDBG-CV Eligible Activity that best matches your proposed project/program
The purpose of these funds is to expeditiously prevent, prepare for, and respond to the coronavirus. As a result, the City is
limiting the eligible activity categories to those below.
Economic Development (Select the activity that best applies)
☐ Direct Financial Assistance to For-Profit Business
☐ Technical Assistance to Businesses
☐ Microenterprise Assistance
Public Services (Select the activity that best applies)
☐ Subsistence/Emergency Payments (up to 3 mo’s)
☐ Health Services
☐ Homeless/Aids Patients Programs
☐ Services for Abused and Neglected Children
☐ Senior Citizens
☐ Mental Health Services
☐ Services for Persons with Disabilities
☐ Security Deposits
☐ Legal Services
☐ Housing Counseling
☐ Youth Services
☐ Food Banks
☐ Transportation Services
☐ Direct Financial Assistance to For-Profit Business
☐ Substance Abuse Services
☐ Housing Information and Referral Services
☐ Services for victims of domestic violence,
(including general budget/financial counseling)
dating violence, sexual assault or stalking
☐ Fair Housing Activities
☐ Employment Training
☐ Tenant/Landlord Counseling
☐ Child Care Services
☐ Other: __________________________
6
City of Norfolk, Virginia
Office of Budget and Strategic Planning
FY 2022 APPLICATION FOR HUD ENTITLEMENT PROGRAMS (CDBG AND HOME)
PROGRAM DESCRIPTION AND SCOPE
Please describe the project or activities to be implemented using CDBG or HOME funds. If your agency is applying for
funds for more than one project, a separate application is required. Please provide activity objectives, purposes, and
scope of activity. (Be specific about the days/times of services and the frequency and duration of services received by
the average client or participant.)
If applying for CDBG-CV funding, explain how your program specifically prepares, prevents, or responds to COVID-19
areas or concerns in the community. Describe the COVID-19 related components the proposed program will address.
Approximately how many unduplicated persons, households, or businesses does your agency expect to serve with this
project/program? Report by persons for non-housing Public Services, Job, and Area benefit activities; report by
Households for housing (TBRA, or unit-based) activities; report by Businesses for Economic Development Activities.
Persons:_______________
OR Households:______________
OR Businesses:______________
7
City of Norfolk, Virginia
Office of Budget and Strategic Planning
FY 2022 APPLICATION FOR HUD ENTITLEMENT PROGRAMS (CDBG AND HOME)
Describe the steps your agency will take to document that clients served meet eligibility requirements. (For CDBG-CV
funding, explain how your agency will document that the client was impacted by COVID-19)
STATEMENT OF NEED AND OUTCOMES
Please describe the need that your program addresses in Norfolk, and how it ties into the Consolidated Plan priorities as
presented in the Appendix A. Be specific and include relevant data and statistics that support your claim.
8
City of Norfolk, Virginia
Office of Budget and Strategic Planning
FY 2022 APPLICATION FOR HUD ENTITLEMENT PROGRAMS (CDBG AND HOME)
Please explain how, specifically, your project/program will address the identified problem.
Please describe this program’s measurable goals and objectives.
(For additional space, use the supplemental outcomes form in Appendix B)
Example Outcome:
Households remain housed for at least 6 months after financial intervention.
Indicator:
Households do not return within 6 months after last date of assistance.
Target:
85% of households do not return to agency within 6 mos. of last date of assistance
Data Source:
Tracking spreadsheet.
Data Collection Method:
Data collection in Excel spreadsheet and HMIS. Recidivism tracked.
Outcome 1:
Indicator:
Target:
Data Source:
Data Collection Method:
Outcome 2:
Indicator:
Target:
Data Source:
Data Collection Method:
9
City of Norfolk, Virginia
Office of Budget and Strategic Planning
FY 2022 APPLICATION FOR HUD ENTITLEMENT PROGRAMS (CDBG AND HOME)
PROGRAM BUDGET AND LEVERAGE
Please provide a budget for this project/program. Indicate all funding sources that will be used to carry out the
program, specifying any other federal funds including HUD funds. Be sure to indicate how the funds are to be spent,
providing budget line items with sufficient specificity. Include any revenues expected from the proposed project.
Where other sources of funds are identified, please provide details indicating the status and source of those funds
(committed, to be applied for, etc.) For this section you will need to complete the Budget Supplemental Form in the
Excel file attachment.
If your agency is applying for HOME program funds, please describe how you will meet the HOME program match
requirements pursuant to 24 CFR § 92.220 and § 92.221. For this section you will need to complete the Match
Supplemental Form in Appendix C.
Please use this section to provide a narrative explanation for your budget request and line items. Each line item should
be explained and justified to how it is necessary for the proposed project. If requesting indirect costs, the percentage
must reflect an approved cost allocation plan or the de Minimus rate. Projects must be a minimum of $20,000.
How does your organization leverage resources by coordinating services with other community organizations?
10
City of Norfolk, Virginia
Office of Budget and Strategic Planning
FY 2022 APPLICATION FOR HUD ENTITLEMENT PROGRAMS (CDBG AND HOME)
ADMINISTRATIVE AND FINANCIAL CAPACITY
Identify the name and title of the person(s) responsible for ensuring all federal regulations and guidelines pertaining
to the use of CDBG or HOME funds are met. Describe their experience/expertise in federal program compliance.
Provide the name and title of the person responsible for planning, implementation, follow-up, and seeing that the
project/program is completed as planned:
Name: __________________________________________________
Title: __________________________________________________
Email: __________________________________________________
Did your organization spend more than $750,000 in Federal awards during its most recent fiscal year?
☐ Yes ☐ No If yes, the organization must have a single audit conducted for that year.
Describe the organization’s prior federal award, audit, and monitoring experience and explain any negative audit
findings.
11
City of Norfolk, Virginia
Office of Budget and Strategic Planning
FY 2022 APPLICATION FOR HUD ENTITLEMENT PROGRAMS (CDBG AND HOME)
CERTIFICATIONS AND AUTHORIZATION TO REQUEST FUNDS
The undersigned certifies that the individual named below:
He/she is legally authorized to request and accept funding from the City of Norfolk; and to the best of his/her
knowledge, all representations that are part of this application are true and correct and
That all official documents and commitments of the applicant that are part of this application have been duly
authorized by the governing body of the applicant; and
Should the requested funding be provided, that in execution of this project/program, the applicant will comply
with all assurances required by federal laws which govern the Community Development Block Grant (CDBG) or
Home Investment Partnerships (HOME) Programs, (whichever may apply) and any others stipulated by the
U.S. Department of Housing and Urban Development (HUD), and all assurances set forth in the Subrecipient
Agreement signed with the City of Norfolk.
Name of Authorized Official: _____________________________________________________
Title of Authorized Official: _____________________________________________________
Signature: ______________________________________________
Date Signed: __________________________________
12
City of Norfolk, Virginia
Office of Budget and Strategic Planning
FY 2022 APPLICATION FOR HUD ENTITLEMENT PROGRAMS (CDBG AND HOME)
CONFLICT OF INTEREST DISCLOSURE STATEMENT
Conflict of Interest Regulations: U.S. HUD’S Conflict of Interest provisions are set forth at 24 CFR 570.611, 24 CRF
92.356, and 24 CFR 576.404.
(a) Applicability. (1) In the procurement of supplies, equipment, construction, and services by recipients and by
subrecipients, the conflict of interest provisions in 2 CFR Part 200, shall apply.
(b) Conflicts prohibited. The general rule is that no persons described in paragraph (c) of this section who exercise or
have exercised any functions or responsibilities with respect to HUD activities assisted under this part, or who
are in a position to participate in a decision-making process or gain inside information with regard to such
activities, may obtain a financial interest or benefit from a HUD-assisted activity, or have a financial interest in
any contract, subcontract, or agreement with respect to a HUD-assisted activity, or with respect to the proceeds
of the HUD-assisted activity, either for themselves or those with whom they have business or immediate family
ties, during their tenure or for one year thereafter.
(c) Persons covered. The conflict of interest provisions of paragraph (b) of this section apply to any person who is an
employee, agent, consultant, officer, or elected official or appointed official of the recipient, or of any
designated public agencies, or of sub recipients that are receiving funds under this part.
Please Confirm:
I have read and understand the Conflict of Interest Disclosure Form. I have disclosed all information required by this
disclosure, if any, in an attached statement. I agree to comply with any conditions or restrictions imposed by the federal
regulations under the HUD grant program to reduce or eliminate actual and/or potential conflicts of interest. I will update
this disclosure form promptly if relevant circumstances change. I understand that this Disclosure is not a confidential
document.
Name of Authorized Official
________________________________________
Title
________________________________________
Signature
________________________________________
Date
________________________________________
1.
There are no persons involved with this potential HUD project who have family or business ties with
any of the local government elected officials or local government staff.
2.
There are no persons involved with this potential HUD project that requested or received an opinion
about a potential conflict of interest from an attorney.
3.
There are no persons involved with this potential HUD project who have an ownership interest in an
entity that is directly affected by activities proposed in the application.
4.
There won’t be any persons involved with this potential HUD project who will derive any income or
commission as a direct result of action taken by the local government elected board or its staff.
13
City of Norfolk, Virginia
Office of Budget and Strategic Planning
FY 2022 APPLICATION FOR HUD ENTITLEMENT PROGRAMS (CDBG AND HOME)
LOBBYING CERTIFICATION
The Subrecipient hereby certifies that:
No Federal appropriated funds have been paid or will be paid, by or on behalf of it, to any person for influencing or
attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of
Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making
of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension,
continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement;
If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or
attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of
Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative
agreement, it will complete and submit Standard Form-LLL, “Disclosure Form to Report Lobbying,” in accordance with
its instructions; and
It will require that the language of paragraph (d) of this certification be included in the award documents for all
subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative
agreements) and that all Subrecipients shall certify and disclose accordingly:
Lobbying Certification This certification is a material representation of fact upon which reliance was placed when this
transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this
transaction imposed by section 1352, title 31, U.S.C. Any person who fails to file the required certification shall be
subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.
Name of Authorized Official
___________________________________
Title
___________________________________
Signature
___________________________________
Date
___________________________________
14
Appendix A
City of Norfolk, Virginia
Office of Budget and Strategic Planning
FY 2022 APPLICATION FOR HUD ENTITLEMENT PROGRAMS (CDBG AND HOME)
Preliminary 2022 – 2026 Five Year Consolidated Community Development Plan Priorities and Goals:
•
Affordable housing preservation and development
•
Economic development
•
Mitigation and prevention of homelessness
•
Non-housing community development
•
Public Infrastructure
•
Planning and Administration
•
Public Service
15
Appendix B
City of Norfolk, Virginia
Office of Budget and Strategic Planning
FY 2022 APPLICATION FOR HUD ENTITLEMENT PROGRAMS (CDBG AND HOME)
Supplemental Outcomes
Outcome 3:
Indicator:
Target:
Data Source:
Data Collection Method:
Outcome 4:
Indicator:
Target:
Data Source:
Data Collection Method:
Outcome 5:
Indicator:
Target:
Data Source:
Data Collection Method:
Outcome 6:
Indicator:
Target:
Data Source:
Data Collection Method:
16
Appendix C
City of Norfolk, Virginia
Office of Budget and Strategic Planning
FY 2022 APPLICATION FOR HUD ENTITLEMENT PROGRAMS (CDBG AND HOME)
Match Supplemental Form (COMPLETE MATCH SECTION FOR HOME PROGRAMS YOUR AGENCY IS APPLYING)
HOME requires a 12.5% match. The applicant must make matching contributions to supplement the HOME
program in an amount that equals the 12.5% amount of HOME funds provided by the City of Norfolk. The
applicant must identify the source of match at the time of applying for HOME. Use of match funding will be
required in quarterly reports.
Matching contributions may be obtained from cash contributions from nonfederal sources including:
•
Program income from Housing Development Action Grant, Rental Rehabilitation Program, Urban
Development Action Grant after grant closeout,
•
Local or state general revenues,
•
Housing trust funds, foundations, donations, state appropriations,
•
Interest rate subsidy by the exemption of state or local taxes,
•
Present value of the interest subsidy for loans made at rates below market rate.
Please identify the sources and amounts of proposed matching funds:
If matching funds will be provided through in-kind services, please describe the source and amounts of proposed in-
kind matching funds below:
Description and value of Donated Building
Description and value of any Lease on Building
Salary paid to staff of the grantee or fees paid to a nonprofit recipient.
$
Time and Services contributed by volunteers to carry out the Program, must be determined at the rate consistent with
those ordinarily paid by other employers for similar work in the same labor market.
Total Match Amount $______________
Match Source
Amount
1
$
2
$
3
$
4
$
5
$
Total
$
$
$
17
Appendix D
City of Norfolk, Virginia
Office of Budget and Strategic Planning
FY 2022 APPLICATION FOR HUD ENTITLEMENT PROGRAMS (CDBG AND HOME)
CERTIFICATION OF DE MINIMIS INDIRECT COST RATE
An award recipient that proposes to use federal grant funds to pay for indirect costs but has never received
a federally negotiated indirect cost rate may elect to charge a de minimis rate of up to 10% of its modified
total direct costs (MTDC) which may be used indefinitely. (2 CFR § 200.414) In order to charge a de
minimis rate of up to 10% of its MTDC, the applicant must submit this certification form.
I certify that
(name of award recipient)
meets the following eligibility criteria to use the
% de minimis indirect cost rate:
1.
The award recipient has never received a Federally-negotiated indirect cost rate for any
federal awards.
2.
The award recipient has received less than $35 million in direct federal funding for the fiscal
year requested.
3.
The de minimis rate approved will be applied to Modified Total Direct Cost (MTDC). This
base includes all direct salaries and wages, applicable fringe benefits, materials and supplies,
services, travel, and up to the first $25,000 of each subaward (regardless of the period of
performance of the subawards under the award); excludes equipment, capital expenditures,
charges for patient care, rental costs, tuition remission, scholarships and fellowships,
participant support costs* and the portion of each subaward in excess of $25,000. Other
items may only be excluded when necessary to avoid a serious inequity in the distribution of
indirect costs, and with the approval of the cognizant agency for indirect costs.
4.
The project costs will be consistently charged as either indirect or direct and will not be
double charged or inconsistently charged as both.
5.
The proper use and application of the de minimis rate is the responsibility of the award
recipient. The City of Norfolk may perform a financial monitoring review to ensure
compliance with 2 CFR Part 200.
SUBMITTED BY:
Signature:
Date:
Name:
Title:
(Authorized Official Only)
*A participant support costs is a direct cost paid to or on behalf of participants or trainees for items such as stipends
or subsistence allowances, travel allowances, and registration in connection with conferences or training projects.
2 C.F.R. § 200.75; 45 C.F.R. § 75.2.
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18
City of Norfolk, Virginia
Office of Budget and Strategic Planning
FY 2022 APPLICATION FOR HUD ENTITLEMENT PROGRAMS (CDBG AND HOME)
CHECKLIST OF REQUIRED DOCUMENTS
Checklist of Required Documents to be included in this application:
☐ Current and previous fiscal year budget and 990 tax form
☐ Documentation of 501(c)(3) or other non-profit status
☐ Documentation of registration with Virginia State Corporation Commission
☐ Documentation of federal approved indirect cost rate plan or de minimus certification form (if applicable)
☐ Budget Supplemental Form
☐ Match Supplemental Form (HOME-funded activities)
Checklist of Required Documents to be included if awarded grant funding:
☐ List of Board members and executive officers
☐ Articles of Incorporation
☐ Agency bylaws
☐ Organizational chart that includes names and titles of staff involved in project or program
☐ Agency contingency and succession plan
☐ Resumes for official administrator and financial chief involved in the project/program, job description
☐ Certificates of Insurance, bonding (i.e. blanket fidelity bonds)
☐ Most recent financial audit
☐ Authorization of ACH form
☐ Standard Form-LLL, “Disclosure Form to Report Lobbying,”
Active SAM.Gov registration
Subrecipients who are awarded funding must also have on file and be ready to produce upon request a Policies and
Procedures Manual that includes the following policies:
☐ Non-Discrimination (§570.602 & 618)
☐ Code of Ethics (Principle 1)
☐ Conflict of Interest (§200.318 & §570.611)
☐ Procurement (§200.318(a))
☐ Grievance (Staff and Clients) §570.607(a)
☐ Termination (Staff and Clients) §570.607(a)
☐ Confidentiality (§200.303(e))
☐ Record Retention (§570.506)
☐ Information Technology (Principle 11)
☐ Whistleblower (Principle 14)
☐ Monitoring (§200.328)
If Housing Activities Involved:
☐ Fair Housing (§570.611)
Lead-Based Paint (§570.608)
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FY 2022 Application CDBG And HOME Final (City of Norfolk, VA)

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