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INSTRUCTIONS - St. Johns County FY2021-2022 CDBG Application
1
ST. JOHNS COUNTY
COMMUNITY DEVELOPMENT BLOCK GRANT
(CDBG) FISCAL YEAR 2021 - 2022
App
lication Instructions
Background: HUD awards grants to communities to carry out a wide range of community development activities
directed toward revitalizing neighborhoods, economic development, and providing improved community facilities and
services. Individual communities develop their own programs and funding priorities, with public input. Communities
are required to give maximum feasible priority to activities that benefit low-income and moderate-income persons.
Activities may also aid in the prevention or elimination of slums or blight, or in certain circumstances, meet other
community development needs having a particular urgency. These three categories of activities are referred to as the
“CDBG National Objectives.” The County provides a portion of its CDBG funds, on a competitive basis, to eligible
agencies for specific eligible activities that meet one or more of the above CDBG National Objectives.
CDBG Resources:
Additional information about HUD’s CDBG program can be found at:
https://www.hudexchange.info/programs/cdbg-entitlement/
https://www.hudexchange.info/programs/cdbg/cdbg-ta-products/#all-products
Information about National Objectives and eligible activities can be found at:
https://www.hudexchange.info/resources/documents/CDBG_Guide_National_Objectives_Eligible_Activities.pdf
St. Johns County CDBG Information can be found at:
http://www.sjcfl.us/Housing/CDBG.aspx
Purpose of the Application Process: St. Johns County is soliciting proposals from organizations for “shovel
ready” projects to be funded under its FY 2021-2022 Community Development Block Grant program.
FY 2021-2022 Allocation: HUD has allocated $1,015,191 for St. Johns County.
General Instructions: All projects must meet the general eligibility requirements listed below:
1. Organizations must be located in St. Johns County or provide services within St. Johns County. However,
projects located in the City of St. Augustine and projects serving the residents of the City are not eligible for
funding.
2. Appli
cants must be public organizations, non-profit organizations, or one with an IRS 501(C)3 designation. The
organization’s Board of Directors must formally authorize the submission of the application through a Board
resolution.
3. Pro
posed projects must meet one of the three CDBG National Objectives:
Low-Mod Income
Slum & Blight
Urgent Need
Area Benefit
Area Basis
Based on risk and/or immediate threat to
health or welfare of the community
Limited Clientele
Spot Basis
Housing
4. Proposed projects must be “shovel ready” – meaning that prior to submitting an application, the project has
been fully planned to the point that it can be implemented as soon as funding is approved.
INSTRUCTIONS - St. Johns County FY2021-2022 CDBG Application
2
5.
"Low-income and moderate-income" refers to households whose income does not exceed 80% of the median
family income set for St. Johns County by HUD. In 2020, median family income for a family of four was
$73,500. Based on 2019 income figures, the scale below is a guide to how income is adjusted for family size:
Gross Income
Family Size
80%
2
3
4
5
8
$42,000 $48,000 $54,000 $60,000 $64,800 $69,600 $74,400
$79,200
HUD is expected to announce new income figures in June 2021, which will be applicable to all projects
funded in 2021.
6. Applic
ations must support one of St. Johns County priority goals listed below:
Rehabilitation of Existing Housing
Public Facilities and Infrastructure
Affordable Housing
Public Services
Homeless Services and Prevention
7. A repr
esentative of each applicant organization must attend one of the two CDBG Technical Assistance
Workshops and note their attendance on the application. Dates, times, and details of the workshops can be
obtained by calling 904-827-6897, or can be found on the CDBG webpage of the St. Johns County website:
http://www.sjcfl.us/Housing/CDBG.aspx.
8. Applicants requiring information regarding the regulations governing the CDBG program, or additional
technical assistance with this application should contact St. Johns County Housing and Community
Development at 904-827-6897. This application, and application instructions are available on the St. Johns
County website at http://www.sjcfl.us/Housing/CDBG.aspx.
9. Applications must be typed (not handwritten). Incomplete applications or applications submitted after 4:00
PM on May 7, 2021 will not be considered for funding. Once submitted, no proposal shall be amended,
unless the amendment has been requested by the County. The County reserves the right to contact the applicant
if additional information is required. If additional space is needed, to fully answer questions, up to ten
additional pages may be submitted as Exhibit G.
10. Applic
ation Submission Procedure - Organizations responding to this Request for Applications (RFA) must
complete the attached application and provide the following:
• One (1) original marked “Original”
• Five (5) paper copies of the completed application package and all attachments, exhibits, and
supplementary information
• One (1) digital copy on CD or USB Drive, or it may be emailed before the submission deadline as a
PDF attachment. If the digital copy is emailed, it is the applicant’s responsibility to verify the PDF
size can
be sent/received as an attachment to an email. Emails can be sent to: housing@sjcfl.us
11. Completed applications must be hand-delivered or sent via carrier to:
St. Johns County Housing and Community Development
200 San Sebastian View
Suite 2300
St. Augustine, FL 32084
ATTN: CDBG Program Specialist
INSTRUCTIONS - St. Johns County FY2021-2022 CDBG Application
3
General Requirements of the St. Johns County CDBG Program:
A. Operating Agreement - Non-profit agencies and organizations approved for funding will be required to sign an
agreement with the County in order to ensure compliance with the CDBG grant program. Funds may not be
obligated until the agreement is accepted and signed by all parties.
B. Indemnification - Non-profit agencies and organizations approved for funding must agree to defend,
indemnify, and hold harmless the County, its officers, agents and employees from and against all liability,
claims, demands, damages, losses and expenses, including attorneys’ fees, original and on appeal, arising out
of, or related in any way to the performance of the agreement.
C. Insurance - Agencies and organizations approved for funding will be required to obtain insurance coverage,
which shall contain a provision, which forbids any cancellation, changes or material alterations without prior
notice to the County at least thirty (30) days in advance. The insurance coverage shall be evidenced by an
original certificate of insurance provided to the County prior to the execution of the agreement. The required
insurance will be specified in the written agreement.
D. Program Monitoring - Applicants approved for funding will be required to maintain documentation of project
implementation and submit required information necessary to monitor program accountability and progress in
accordance with the terms and conditions of the agreement. Monitoring will include, at a minimum, monthly
monitoring reports, on-site monitoring and compliance reports and records as specified in the contractual
agreement. All records must be maintained for a period of no less than five (5) years after the completion of
the project.
E. Notification - All applicants will be notified with an award or denial notification. Receipt of an award letter is
not a guarantee of funding. Please be aware that past funding does not guarantee future funding or funding at
the same level as previous awards.
F. Failure to Perform - Should an applicant be awarded funds under an agreement and fail to perform the scope of
services in the agreement and/or comply with all program regulations, the awarded organization may be
subject to reimbursing the County for any or all funds disbursed to them.
Project Considerations: The following factors must be taken into consideration before preparing an application and
should be clearly demonstrated in the application.
1. Within a reasonable period of time, the proposed project will produce a substantial, long-term impact
on the community and will not be reliant on future federal funding to implement or maintain the
activity, program, or service.
2. The proposed project is economically feasible and can be implemented within one year and be completed
in a timely and cost-effective manner. The project has sufficient funds allocated to complete the project.
3.
After approval of grant awards, final approval to proceed with the project will be provided by letter and
will likely be several months after the beginning of the Federal fiscal year starting on October 1, 202
1.
4. The proposed activity complies with one of HUD’s national objectives. (See General Instructions).
5. The proposed activity or service will complement and not duplicate existing activities/services.
6. The proposed activity does not require displacement of individuals or produce any adverse effects to the
community or environment.
7. The applicant has the administrative capacity and experience to execute the proposed activity.
8. The proposed project is consistent with the priority goals for St. Johns County.
9. The County reserves the right to modify aspects of a proposed project if necessary to comply with HUD
regulations, County priorities, or unforeseen changes in circumstances related to the project.
INSTRUCTIONS - St. Johns County FY2021-2022 CDBG Application
4
Criteria for the Evaluation of Project Proposals: St. Johns County Housing and Community Development Division
utilizes evaluation forms with a set of specific criteria to evaluate all requests for competitive grant funding.
In addition to the determination of eligibility per HUD regulations, the evaluation form includes the categories as listed
below. All applications for grant funding will be scored and ranked based upon the following criteria:
CRITERIA MAXIMUM POINTS
Scope of Work Demonstrated
Need/Proposed Outcomes
Organizational Capacity/Readiness to Implement
Evaluative Measures
Application Completeness
30
30
30
30
5
TOTAL 125
Evaluation Criteria Explanations
1. Scope of Work: (Maximum Points: 30)
The category will be evaluated in terms of how clearly and thoroughly the project was described and how well
the budget supports the activities of the project.
• Scope of Work provides a clear understanding of all specific aspects of the project and the project i
s
“sh
ovel ready”.
• Activities/tasks are listed in a logical order that demonstrate a feasible Scope of Work.
• Project goals are reasonable, clearly articulated, and relevant for the project described
.
• T
he project schedule demonstrates a thorough understanding of the steps needed to complete the
project and provides realistic timeframes for completing each step.
• The budget reflects an understanding of the required line items and costs to implement and maintai
n
each
aspect of the project.
• Need for equipment, supplies, contractual services, and other budget items are well justified in
terms of the project goal(s), objectives, and proposed activities.
• The project service area and client based is described with verifiable data, with sources cited.
• Applicant demonstrated an understanding of the obstacles that may be encountered in developing a
nd
implementing the project, and describes, in detail, the approaches that will be employed to overcome
such obstacles.
2. D
emonstrated Need/Proposed Outcomes: (Maximum Points: 30)
The category will be evaluated in terms of the documentation and justification of the need for the activity, as
well as the goals, objectives and activities planned to complete the activity.
• Project is aligned with a St. Johns County Priority Need and a National Objective.
• Applicant articulated the need that the project will address using verifiable data, surveys, or a market
analysis of the target population and/or community.
• Applicant explained how the project’s goals/objectives, activities, and outcomes will address local need.
• Applicant has determined local demand for the project; project is aligned with the results of
the community needs survey.
3. O
rganizational Capacity/Readiness to Implement: (Maximum Points: 30)
The category will be evaluated on the basis of the applicant’s experience, and experience in undertaking
projects of similar complexity as the one for which funds are being requested and the applicant’s ability to
commence and complete the project in a timely manner.
INSTRUCTIONS - St. Johns County FY2021-2022 CDBG Application
5
• Demonstrates capability, experience, and managerial and technical knowledge to complete the project.
• Staff, Board members, and partners responsible for implementation are identified and linked to
the activities they will execute.
• Ability to complete projects or tasks in a timely manner is demonstrated. Demonstrates success from
past performance with grant funding.
• Demonstrates an established accounting system with policies and audit controls. Demonstrates the
financial ability to fund the project until reimbursement can be provided.
• Resources are available and sufficient to implement proposed activity.
• Evidence of long-term commitment to the project by organizational directors, staff and outside
supporters (i.e. donors and/or community leaders).
• Demonstrates that future funding, planning, and staffing support is available for subsequent years to
continue the program without additional CDBG funds.
5. Ev
aluative Measures: (Maximum Points: 30)
The category will be evaluated on the applicant’s ability to collect data to measure the outcomes of the
activities and the project as a whole as well as complete the reporting requirements.
• Provides a clear evaluation plan with meaningful, quantifiable performance measures.
• Identifies effective strategies to collect data and analyze the project’s measures and overall impact
on the community.
• Demonstrates how performance measures will meet the project’s objectives and National Objectives.
• Evaluation plan demonstrates a long-term impact with “value-added” or “community value” to the
County.
• Articulated a sustainability plan demonstrating that the project will have a lasting impact on the
County.
6. Application Completeness: (Maximum Points: 5)
The category will be evaluated on the applicant’s thoroughness and adherence to instructions. Applications
that have not been signed by the appropriate person or not received, in full, by the deadline will not be
considered for funding.
• All required forms have been signed/initialed by the authorized representative.
• All questions have been answered and applicant followed written instructions.
• All necessary exhibits are attached to the application.
APPLICATIONS MUST BE RECEIVED BY 4:00 PM ON May 7, 2021
DO NOT INCLUDE INSTRUCTIONS
WITH APPLCIATION SUBMISSION
END OF INSTRUCTIONS
St. Johns County FY2021-2022 CDBG Application - page 1 of 14
ST. JOHNS COUNTY
COMMUNITY DEVELOPMENT BLOCK GRANT
FISCAL YEAR 2021 – 2022
Request for App
lication Cover Page
SUBMIT BY 4:00 PM on May 7, 2021
- SUBMIT TO: St.
Johns County Housing and Community Development 200
San Sebastian View, Suite 2300
St. Augustine, FL 32084
ATTN: CDBG Program Specialist
Applicant Organization Name:
Project Name:
By signing this application, I attest that the information presented in this application is true and correct. I have been
duly authorized by the governing body of this organization to apply for this funding on behalf this organization. I
understand that this grant funding is conditional upon compliance with federal CDBG regulations and/or state
regulations. I agree to provide St. Johns County access to review agency records, make site visit(s), and make other
inquiries related to this application.
Representative Name:
Representative Signature:
Representative Title:
Date Signed:
FOR COUNTY USE ONLY
Proposal ID Number: 2021 - Amount Requested:
Date/Time Rec’d: Amount Recommended:
St. Johns County FY2021-2022 CDBG Application - page 2 of 14
2021-2022 GRANT APPLICATION SUBMISSION CHECKLIST
Section 1 - Applicant Information
Organization Name
Organization Mailing Address
Organization Physical Address
Organization Phone Number Federal Tax ID #
DUNS #: required to receive Federal funds; may be obtained by
calling 1-866-705-5711, or via internet at http://fedgov.dnb.com/webform
Contact Person Name/Title
Contact Email Address Contact Phone Number
Name and Title of Representative who
attended Technical Assistance Workshop
Date of mandatory Technical Assistance Workshop attended
Organizational Attributes: Response
1. Is applicant a private, non-profit with an approved 501(c) 3 status?
2. Is applicant a faith-based organization?
3. How many years has applicant operated under the current name?
4. Provide the mission statement of applicant organization.
Section/Item: Submit documents in the order outlined below. Initials to be handwritten.
Applicant
Initial
SJC
Staff
Grant Application Cover Sheet
Submission Checklist
Sections 1 – 6
Appendix A - Certifications Required of All Recipients of FY 2020-2021 CDBG Funding
Appendix B - Debarment Certification
Exhibit A - 501(c)3 IRS Tax Exemption Letter and State of Florida Certificate of Good Standing
Exhibit B - Organizational Chart, Articles of Incorporation, By-Laws, Current Board of Directors
Exhibit C - Board Meeting Minutes/Resolution Authorizing Submission of CDBG Application
Exhibit D - Most Recent Two (2) Years Financial Statements (Audited if available)
Exhibit E - Match/Leverage Award Letters/Evidence of Fund Availability (if applicable)
Exhibit F – Two Letters of Support for Project; Less than Two (2) Years Old
Exhibit G – Additional Pages: up to ten additional pages may be added (optional)
Exhibit H – Project Map
Exhibit I - Environmental Information (related to Section 6 of this application; if applicable)
St. Johns County FY2021-2022 CDBG Application - page 3 of 14
5. State the primary activities currently provided by applicant organization.
6. Does the organization have an annual Board orientation & training policy?
7. Does the organization have a written and implemented personnel policy and personnel files?
8. Does the organization have a written and implemented fiscal policy?
9. Does the organization have a written and implemented procurement policy?
10. Does the organization have a written operating procedure manual?
11. If currently funded by St. Johns County, has the organization submitted monthly reports and met its
contractual requirements in a timely manner?
12. Does the organization maintain a Cash Receipts Journal and a Cash Disbursements Journal?
13. Does the organization maintain a General Ledger and a Chart of Accounts?
14. Does the organization maintain a Payroll Journal and Individual Payroll Records?
15. Does the organization maintain a Capital Inventory and a Property Control Policy?
16. Has the organization completed a prior year external audit?
17. If yes, were there any findings and have those findings been resolved?
18. Does the organization agree to submit an audit each year under contract for CDBG funds?
19. Select the letter(s) below that correlate with your organization’s receipt of Federal funding:
Submitted all reports and met all performance objectives. B) Submitted most of the required reports on
time and met some performance objectives. C) Had project delays or unresolved monitoring findings. D)
No previous Federal funding
20. The signature of the person authorized to submit this application is required below to acknowledge that the items
identified in #6 - #15 are required to be in place and approved by the County prior to entering into a CDBG contract.
Name of Representative:
Signature of Representative:
Section 2 – Scope of Work
(Specific information submitted below will be utilized in preparing the Funding
Agreement and formulating performance outcomes. I
f additional space is needed, a total of
ten pages can be added to this
application, as Exhibit G)
21. Project Name
22. Amount of CDBG Funding Requested 23. Total Project Cost
24. Category of Funding Request (Check only one):
Permanent Housing
Economic Development
Affordable Housing
Neighborhood Revitalization
Emergency Housing
Acquisition
Handicap Accessibility
Rehabilitation/Reconstruction
Program Services
Construction (other than housing)
Community Facility
Other (specify):
25. Project Description: describe the project, including the prior planning that makes the project “shovel ready” and the
specific activities that require funding:
St. Johns County FY2021-2022 CDBG Application - page 4 of 14
26. List project goals/objectives, activities to be implemented and their expected outcomes. (Example: # of units built;
# of individuals served; linear feet of road re-paved, etc.).
St. Johns County FY2021-2022 CDBG Application - page 5 of 14
2
7. Project Budget: (if more space is needed, attach additional pages labeled Exhibit G)
Line Item
CDBG
Match
Total
TOTALS
28. How many people will the proposed project serve? Provide an estimate of the CDBG funds that will be utilized per
beneficiary served.
29.
Project Schedule: Describe the specific steps needed to implement the proposed project. It is expected that funds
would not be available until November 2021. (if more space is needed, attach additional pages labeled Exhibit G)
Activity
Start Date
End Date
St. Johns County FY2021-2022 CDBG Application - page 6 of 14
30. Describe obstacles that may occur in implementing the project and how applicant expects to overcome them.
31. Has work begun on any part of this project?
Yes or No:
If yes, please describe what is complete. Have the
contracted activities been competitively bid?
Section 3 - Demonstrated Need (if additional space is needed a total of ten pages can be added to this
application, as Exhibit G)
32. Which St. Johns County priority goal is this project most closely associated with and which National Objective
does the project meet/ (see pages 1-2 of instructions):
33. What is the need or problem this project intends to address? Describe the need/problem using verifiable data and
cite specific data source where data can be verified; use hyperlinks to data source, when possible.
St. Johns County FY2021-2022 CDBG Application - page 7 of 14
34. Explain how project goals/objectives, activities to be implemented, and their expected outcomes listed in #26
address local needs and meet local demand for the project.
35. Explain why CDBG funds are needed for this project.
St. Johns County FY2021-2022 CDBG Application - page 8 of 14
Section 4 - Organizational Capacity/Readiness to Implement (
if additional space is needed a total
of ten pages can be added to this application, as Exhibit G)
36. Explain applicant organization’s experience and capacity to administer the proposed project. Include staffing levels,
qualifications of key staff and organizational structure.
37. Identify which Board members, staff, and partners will be responsible for carrying out each activity listed in #29.
38. Explain applicant organization’s ability to comply with grant reporting requirements and ability to follow
federal/state project guidelines. Highlight experience with Federal funding sources.
39. Identify projects that the applicant organization has completed in a timely manner, over the past two years?
St. Johns County FY2021-2022 CDBG Application - page 9 of 14
4
0. Provide a summary of applicant organization’s past participation in federal/state funded programs as well as the
number of clients assisted, and total amount of grant award, per project.
Program Name Funding Source Clients Assisted Total Grant Award
41. Explain any problems applicant organization has encountered with previous Federal/State/County funding.
42. Explain the management’s ability to provide financial oversight of grant funds. Explain how funding for the project
will be provide while awaiting reimbursement from the County. Include all funding sources for the proposed project.
43. Applicants are encouraged to provide leverage funds. Have other funding sources been identified
and secured for this project? If yes, attach award letters as Exhibit E. (Yes or No)
44. Identify financial and other resources currently available to implement each activity listed in #29. Provide
evidence of long
-term commitment to the project by organizational directors, staff and outside supporters (i.e. donors
and/or community
leaders). Demonstrate that future funding, planning, and staffing support is available for subsequent
years to continue the program without additional CDBG funds.
St. Johns County FY2021-2022 CDBG Application - page 10 of 14
Section 5 - Evaluative Measures
(if additional space is needed a total of ten pages can be added to this
application, as Exhibit G)
45. Provide an evaluation plan that includes specific, quantifiable performance measures. Performance measures
evaluate the impact the project will have on clients and the community.
46. What strategies will applicant organization implement to collect the data necessary to analyze the project’s
performance measures and overall impact on the community?
St. Johns County FY2021-2022 CDBG Application - page 11 of 14
47. Demonstrate how performance measures will meet the project objectives and CDBG National Objectives.
48. Describe the expected long-term impact the project will have on the target population and the community.
St. Johns County FY2021-2022 CDBG Application - page 12 of 14
49. Can this project continue without additional CDBG funding in subsequent years? Describe a plan for sustainability of
the project after government support ends. Provide evidence of long-term financial support for this project.
Section 6 - Environmental Review
Question: Answer each question with yes or no
Response
50. Is project/property located on a historical or archeological site?
51. Does the project include groundbreaking activity?
52. Does the project involve new construction or expanding the footprint of an existing structure?
53. Is the project in the 100-year flood plain, or a wetlands area, or a coastal barrier area?
54. Is the project within a half-mile of an airport/airfield?
55. Is the project near an industrial storage/manufacturing facility, or on or near contaminated soil?
56. Are any endangered, threatened or listed species located on the proposed project site?
57. Is the project/property on a properly zoned site for the type of project proposed?
58. Are there any environmental concerns or impediments associated with the proposed activity?
Note: If the response to any of the above items is “yes”, please attach an explanation of how the proposed project is
affected and the expected impact on the surrounding environment.
Appendix A – Certifications Required of All Recipients CDBG Funding
Every organization awarded a CDBG contract by St. Johns County shall be required to certify that they will comply with federal
requirements including, but not limited to, those listed below. Applicants should research the requirements of the items below to
ensure they can certify compliance. The person authorized to sign CDBG Agreements should initial each certification listed below to
indicate the organization will comply with these requirements, if CDBG funding is offered. Authorization from the organization’s
Board of Directors is required for submitting this application; include the Board resolution that provides authorization as Exhibit C.
Required Certification
Initials
Americans with
Disabilities Act
Certify that this agency has reviewed its projects, programs, and services for
compliance with all applicable regulations contained in
Title II, Americans with Disabilities Act of 1990.
Audits
Agrees to have an annual audit conducted in accordance with current St. Johns County
policy regarding audits and OMB Super Circular 2 CFR Part 200.501. Shall comply
with current St. Johns County policy concerning the purchase of equipment and shall
maintain inventory records of all non-expendable personal property as defined by such
policy as may be procured with funds provided through the grant.
St. Johns County FY2021-2022 CDBG Application - page 13 of 14
Civil Rights Act
Certify that it complies with and prohibits discrimination in accordance with Title VI
of the Civil Rights Act of 1964.
Conflict of Interest
(24 CFR 84.42 and 570.611 and 2 CFR 200) Certify and agree that no covered persons
who exercise or have exercised any functions or responsibilities with respect to CDBG-
assisted activity, 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 in
any contract, or have a financial interest in any contract, subcontract, or agreement with
respect to the CDBG-assisted activity, either for themselves or those with whom they
have business or immediate family ties, during their tenure or for a period of one (1)
year thereafter. Covered persons include all employees, agents, consultants, officers, or
elected/appointed officials of the agency.
Debarred/Suspended
Contractor
Certify that, to the best of its knowledge and belief, that it and its principals 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.
(https://www.sam.gov/portal/public/SAM/)
Drug-Free Workplace
Certify that it will provide a drug-free workplace.
Financial Management
Accounting Standards: Agrees to comply with 2 CFR Part 200 and agrees to adhere
to the accounting principles and procedures required
therein, utilize adequate internal controls, and maintain necessary source
documentation for all costs incurred.
Cost Principles: Shall administer its program in conformance with OMB Super
Circular 2 CFR Part 200.500.
Procurement Policies: Certify and agree to procure all materials, property, or services in
accordance with the requirements of 24 CFR 84.40-48 and 2 CFR 200.
Lobbying Activities
Certify that no Federal appropriated funds have been paid or will be paid, by or on behalf
of the agency, 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 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.
Section 504
Certify that Section 504 of the Rehabilitation Act of 1973 has read and understands all of
obligations under Section 504 to prohibit discrimination against persons with disabilities
in the operation of programs receiving federal financial assistance.
Real Property
Certify that it will comply with real property standards (24 CFR Part 570.505) applicable
to any property within the owner’s control that is acquired or improved in whole or in
part using CDBG funds in excess of $25,000.
MBE, WBE, Small
Business
Contracting
Certify that it will comply with 24 CFR Part 85.369(E) to take all necessary affirmative
steps to assure that minority firms, women business enterprises, and labor surplus area
firms are used when possible. Further certify that it will submit to St. Johns County at the
time of project completion a report of the Minority Business Enterprise (MBE) and
Women’s Business Enterprise (WBE) status of all subcontractors to be paid with CDBG
funds with contracts of $10,000 or greater.
Religious Activities
Certify that funds provided to the agency will not be utilized for inherently religious
activities prohibited by 24 CFR 570.200(j), such as worship, religious instruction, or
proselytization.
Section 3
Certify and agree to ensure compliance with Section 3, a provision of the Housing and
Urban Development Act of 1968 that fosters neighborhood economic improvement, and
individual self-sufficiency. Section 3 program requires that recipients of certain HUD
financial assistance, to the greatest extent feasible, provide job training, employment, and
contracting opportunities for low or very-low income residents in connection with
projects and activities in their neighborhoods.
St. Johns County FY2021-2022 CDBG Application - page 14 of 14
Appendix B – Debarment Certification
I
NSTRUCTIONS CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND
VOLUNTARY EXCLUSION AGREEMENTS/SUB-AGREEMENTS:
1.
Each non-profit/contractor of federal financial and non-financial assistance that equals or exceeds $100,000 in federal
monies must sign this debarment certification prior to agreement execution. Independent auditors who audit federal programs
regardless of the dollar amount are required to sign a debarment certification form. Neither St. Johns County Finance
Department nor its agreement non-profit/contractors can contract with subcontractors if they are debarred or suspended by the
federal government.
2.
This certification is a material representation of fact upon which reliance is placed when this contract is entered into. If it is
later determined that the signed knowingly rendered an erroneous certification, the Federal Government may pursue available
remedies, including suspension and/or debarment.
3.
The non-profit/contractor shall provide immediate written notice to the grant manager at any time the non-profit/contractor
learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances.
4.
The terms "debarred," "suspended," "ineligible," "person," "principal," and "voluntarily excluded," as used in this
certification, have the meanings set out in the Definitions and Coverage sections of rules implementing Executive Order 12549
and 45 CFR (Code of Federal Regulations), Part 76. You may contact the grant manager for assistance in obtaining a copy of
those regulations.
5.
The non-profit/contractor further agrees by submitting this certification that, it shall not knowingly enter into any sub-
agreement with a person who is debarred, suspended, declared ineligible, or voluntarily excluded from participation in this
contract unless authorized by the Federal Government.
6.
The non-profit/contractor further agrees by submitting this certification that it will require each subcontractor of agreements
and/or contracts referencing this contract whose payment will equal or exceed $100,000 in federal monies, to submit a signed
copy of this certification with each sub-agreement.
7.
St. Johns County may rely upon a certification by a nonprofit contractor or subcontractor entity that it is not debarred,
suspended, ineligible, or voluntarily excluded from contracting or subcontracting unless the department knows that the
certification is erroneous.
8.
The non-profit/contractor may rely upon a certification by a subcontractor entity that it is not debarred, suspended, ineligible,
or voluntarily excluded from contracting/subcontracting unless the non-profit/contractor knows that the certification is
erroneous.
9.
The signed certifications of all subcontractors shall be kept on file with non-profit/contractor. This certification is required
by the regulation implementing Executive Order 12549, Debarment and Suspension, signed February 18, 1986. The guidelines
were published in the May 29, 1987 Federal Register (52 Fed. Reg., pages 20360-20369).
(1)
The prospective non-profit/contractor certifies, by signing this certification, that neither he nor his principals is presently
debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in contracting
with St. Johns County Finance Department by any federal department or agency.
(2)
Where the prospective non-profit/contractor is unable to certify to any of the statements in this certification, such
prospective non-profit/contractor shall attach an explanation to this certification.
Signature:
Date:
Name and Title of Authorized Individual:
Name of Organization:
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ST. JOHNS COUNTY COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) (St. Johns County Florida Government)

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Completed 19 April 2021

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