HomeMy WebLinkAboutResolution 07-164-CCBOARD OF COUNTY COMMISSIONERS
Grant County, Washinglon
RESOLUTION No. 07-� CC
A RESOLUTION WITH CERTIFICATIONS Or COMPLIANCE FOR
CDBG PUBLIC SERVIC�S GRANT ONLY
WHE1tEA�, Grant County is applying to the State Department of Community, Trade and
Econolnic Developrnent for funding assistance.
WHEREAS, it is necessary that certain conditions be rnet as part of the application requirements.
WHEI2EAS, LeRoy C. Allison, BOCC, is authorized to submit this application to the State of
Washington on behalf of Grant County,
NOW, 7'HEREI�'ORE, be it resolved that Grant County authorizes submission of this application
to the State Department of Community, Trade and Econoinic Development to request One Hundred
Seventy Thousand, Eight Hundred, Forty-four pollars ($170,844) to the public service activities in
coordination with North Columbia Community Action Council, and certifies that, if funded, it:
• Will comply with applicable provisions of Title I of the Housing and Community Development
Act of 1974, as amended, and other applicable state and federal laws; and
Has provided opportunities for citizen participation comparable to the state's requirements (those
described in Section 104(a)(2)(3) of the Housing and Community Development Act of 1974, as
amended); has complied with all public hearing requirements and provided citizens, especially
low and moderate income persons, with reasonable advance notice of, and the opportunity to
present their views during the assessment of community development and housing needs, during
the review of available funding and eligible activities, and on the proposed activities; and
• Has provided technical assistance to citizens and groups representative of low and znoderate
income persons that request assistance in developing proposals; and
e Will provide opportunities for citizens to review and comment on proposed changes in the funded
project and programs performance; and
• Will not use assessments against properties owned and occupied by low and moderate income
persons or charge user fees to recover the capital costs of CDBG-fiulded public improvements
from low and moderate income owner occupants; and
• Will establish a plan to minimize displaceinent as a result of activities assisted with CDBG funds;
and assist persons actually displaced as a result of such aetivities, as provided in the Uniform
Relocation Assistance and Real Property Acquisition Policies Act of 1970, as amended; and
� Will conduct and administer its program in confonnance with Title VI of the Civil Rights Act of
1964 and the Fair Housing Act, and will affirmatively further fair housin�, (Title VIII of the Civil
Rights Act of 1968); and
Resolution With Certificatiovs Of Compliance Page - 1
Y,\Civil 8\Departments\Commissioners�200"7�CDBG Contract—Resolution With Certificatiohs ofCompliance
IIas adopted (or will adopt) and enforce a policy prohibiting the use of excessive force by law
enforcement agencies within its jurisdiction against any individuals engaged in nonviolent civil
rights demonstrations; and has adopted (or wi11 adopt) and implement a policy of enforcing
applicable state and local laws against physically barring entrance to or exit from a facility or
location whieh is the subject of such nonviolent civil rights demonstration within its jurisdiction,
in accordance with Section 104(1) of the Title I of the Housing and Community Development Act
of 1974, as amended; and
Will provide, upon request, and prior to any obligation of funds being made, a complete and
accu7•ate CDBG Federal runds Diselosw-e Report detailing the required applicant/grantee
infoi-mation, and as appropxiate other government assistance provided or applied for, interested
parties and expected sources, and uses of funds,
Confirms North Columbia Community Action Council is not on the federal list of declined or
suspended contractors.
Grant County designates Commissioner LeRoy C. Allison as t�e authorized Chief Administ�•ative Official
and authorized representative to act in all official matters in connection with this application and Grant
County's participation in the Washington State CDBG prograln,
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This policy shall talce effect on the �`�day of ���29��' ., 2007.
,
PA��ED ANI) ADOPTED this � ay of December, 2007.
Ayes Nayes
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ATTEST:
BOARD OF COUNTY COMMISSIONERS
GRANT COUNTY, WASHINGTON
Abstain
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❑ F �
Le oy : Allison, Chai"r
❑ �------_,
Richard B. Stevens, Vice-Chair
��.�
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❑
Cindy C. Cart r, Member
Resolution With Certifications Of Compliance Page - 2
Y:\Civil 8\Departments\Commissioners�2,007�CDBG ConUact—Resoludon With Ceitifications ofCompliance
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Read instructions before you fill out this form.
1. Type of Grant: ❑ General Purpose Grant ❑ Imminent Tlu•eat
❑ Planning-Only Grant � Pnblic Services Grant
2. lurisdiction: Grant County Phone; 509-754-2011 Ext. 428
Email: Fax: 509-754-6098
Address: P O Box 37 City/Zip: Ephrata, WA 98823
Tax ID#: 91-6001319 County(ies�; Grant County
SWV#: SWV0002426-16
3. Contact Person: Leroy Allison Title; Chairperson
Addl'ess: P O Box 37 C1ty/Z1p: Ephrata, WA 98823
Phone: 509-754-2011 Fax: 509-754-6098
Email: c:otTtmissiat�c.r.s<<x�r.c:�,�zr�zlt.w�i.us
4. Subrecipient: Not�th Columbia Community Action Title: Executive Director
Contact Person: Ken Sterner Phone; 509-765-9206 Ext. 246
Emall: ksterner@@nccac.net FaX: 509-765-9619
AddPess: 903 West 3'�d Clty/Zip; Moses Lake, WA 98837
5. Consultant: N/A Phone;
Email: Fax:
Address: City/Zip:
6. Fiscal Year: � From Jan to Dec
7. State Legislative District: 13th Congressional District: 4th
To p�ovide publzc services fo�^ low- and m.ode�at.e-income pe�sons zn
8. Pxoject t�ie counties listed above in (2).
Summary:
9. Did a CDBG Plaru�ing-Only grant lead to this application? � yes ❑ No
(does not apply to Planning-Only applications)
10. project ❑ Community � public Facilities ❑ Economic Development
Category; Facilities
(check all thal apply)
❑ Comprehensive ❑ Housing
❑ Planning � Public Services
2007 Public Services Grant Application Handbook 6 October 2007
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Read instructions before you fill out this form,
11. National Objective: � principally bene�ts Yovv- and moderate-income (LIVII) persons or
households, °/,
❑ Prevents or eliminates slums or blight.
❑ Meets urgent coinrnunity development needs that pose a serious and
immediate tl�reat to public health or safety.
12. Project Budget: CDBG $ 170,844
CSBG $
TOTAL: � 170,�44
13. P�"°posed Project � 1500 # Persons with
Beneiiciaries: Persons: new access
# LMI 1500 �o a service:
Persons:
# ��� # Persons with'
Households: increased/
# LMI improved aceess
Households: N�� to a service:
❑ Area Beneiat - Z000 Census
14. �Iow were the beneficiaries determined? � Area Bene�t - Incoane Survey/Date:
X Limited Clientele - Income
15. Certi�cation of County's Chief Eldministrative Official:
A
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Signature Date
Chair-Board of
Le�oy Allison Comrnissioners
P�int 1Vame Tiile
2007 Public Services Grant Application Handbook 7 October 2007
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I11S'it'UC'�IPJIIS
The Project Summary Form serves as the cover page for the application and should be the first
page inside the cover. Take care not to repeat incorrect data subrnitted on this form in
2007.
1. Select the type of grant you are applying for.
2. The applicant jurisdiction must be a non-entitlement city or county. The Tax Identification
number is usually a"91-" number. If a jurisdiction has a statewide vendor (SWV)
number, it should be included on this form. Lis� all counties to be served by this
g ra nt.
3. Provide information on the contact person, should we need more information about your
project. If funded fihis person will be fihe main contact for fihe CDBG contract.
4. Provide information on any subrecipient organization tha� will benefiit from the project or
receive CDBG funds as a pass through.
5. Provide information on the consulfiant used to develop fihe proposal, if applicable.
6. Li�t fihe monfih and day of the applicant's fi�cal year from beginning to end.
7. List the numbers of the state and conc�ressional districts.
8. A brief project summary has been provided. The Project Description & LMI Benefit Table
will be used to give detail to the summary already provided.
9. You do not need fio answer this question if you are applying for a Planning-Only Grant.
10. Check the appropriate projecfi cafiegory. Some may not apply to your type of grant.
11. List the percentage of LMI benefit. This benefit is described in the LMI Benefit Table
(page 9). It is not necessary fio address more than one nafiional objective.
12. Lisfi the project budget. The CDBG budget i� the CDBG contract amount, including
county administration. Use the Community Services Block Grant (CSBG) amount listed
in fihe Award Allocafiion Table located in the Afitachments to this application handbook.
13. List the unduplicated number of people, households, people qualifying a� LIVII, and
households qualifying as LMI to benefit from the project. The numbers must be
consistent with the LMI percenfiage listed above in 11. New item: List the proposed
numb�r of persons who will have new access (N) and persons who will have
increa��d/improved access (I) to a service funded by CDBG.
14. Selecfi how beneficiaries are determined. In most cases, community action agencies
provide a benefit to Limited Clientele based on income qualifiication.
15. This form must be signed by the County's Chief Administrative Official (county
commission chair, county administrator or the county official designated in th�
Certification of Compliance). Print the official's name and title. An original signature
must be submitted.
2007 Public Services Grant Application Handbook 8 October 2007
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Public See-vices IVew (N) or Nlethod for Ensuring CDBG l�rnount
Activsty or Program Name Increased Level (I) Benefit To LMI Persons Budgeted
of Service
NCCAC Cost A(location Plan 800-100 500-100 51 % LMI
Legal Assistance Program 800-300 500-300
Linkages
Homeownership Counseling Housing 51 % LNEI
Programs Do not include
budget detai/ by
Money 51 % LMI service activity.
Protective Payee Management
Emergency 51 % LIVII
General Emergency Services Assistance
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Community action agencies are mandated to address the root
Community Action Agency N/A causes of poverty and help poor families and individuals retain �
or regain self-sufficiency.
County administration activities are limited to activities
County Administration N/A necessary to administer the CDBG Public Services Grant in $ 3,000
partnership with the local community action agency.
2008 Public Services Grant Application Handbook 9 October 2007
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To complefie the Project Description and Low- and Moderate-Income Benefit Table, the
applicant must list fihe public service activity or program name to be assisted with CDBG funds,
whefiher the funds support a new or increased service, the mefihod fior ensuring fihese services
principally benefit LMI persons, and list the CDBG budgefi between the county and the
community action agency. Samples:
Senior Mea/s Program
Home Care Training
HUD Special Group: Seniors
N � Enrolls LMI Only
CDBG Public Services Grants must directly target services to lower income persons or benefit a
limited number or specific group of people as long as afi least 51 % of those served are LMI
persons. This approach for meeting the CDBG LMI National Objective is called Limited
Cli�ntele under the CDBG Program.
Column A: List each public services activity or program name to be assisted wifih CDBG funds.
The activity or program name should be descriptive enough to communicate the
type of service being provided. Ensure the proposed services are CDBG eligibl�
based on the lists of eligible and ineligible public service activities found in the
Applicafiion Information section of this handbook.
Column B: CDBG funds are to support a new service or an increased/improved level of service.
List either N for NEW or I for INCREASED. See the definitions of these terms in the
Application Information section of this handbook.
Column C: For each public services activity or program, describe the mefihod for ensuring a
benefit to low- and moderafie-income persons will be achieved. Under the HUD's
Limited Clienfiele category, an activity provides a LMI benefit with the use of CDBG
funds in the following ways:
1. The service exclusively benefits clienfiele who are presumed by HUD to be principally LMI
persons. These special groups include;
■ Abused children
■ Battered spouses
■ Elderly per�ons
s Homeless persons
■ Illiterate persons
� Migrant farm worker�
■ Persons living with the
disease AIDS
� Severely disabled adults
If an activity is �argeting persons belonging to one of the above HUD-defined special
groups, it can be presumed that the activity will be principally benefiting LMI persons.
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2. Information on family size and income is available and shows afi least 51 % of the
activity's clientele meet and will continue to meet fihe LMI income criteria.
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3. Income eligibility requirements limit the activity to LMI persons only.
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2008 Public Services Grant Application Handbook 11 October 2007
4. Be of such nature and location fihat it may reasonably be concluded that the acfiivity's
clientele will primarily be LMI persons.
Column D:
Community Action Agency: List fihe amount of CD�G awarded to the communifiy action agency,
as found in the CDBG Public Services Grant Contract Amounts table in this handbook's
Atfiachments. The budget detail for each service activi�y is not required in this application, but
will need fio be summarized and detailed by back-up documenfiation wifih each 2008 payment
request for CDBG funds.
County Administration: The budgefi amount and justificafiion is already complefied and a�sumes
the public service grant principally benefits low- and moderate-income persons.
2008 Public Services Grant Application Handbook 12 October 2007
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To apply for CDBG fiunds, a jurisdiction must show it has involved its citizens in the CDBG
application process and complied with the specific federal citizen participafiion requirements
outlined in 24 CFR 570.486. These regulations are provided in the sample handouts. These
citizen participation activities inform the residents, local organizations that serve low-income
persons and the counfiy decision makers of the availabilifiy of CDBG funds and provide the
opportunity to present potential projects and input on proposed projects.
If a jurisdiction intends to apply for more than one type of CDBG grant during the sarne year,
contact the CDBG ofPice to coordinate these citizen participation and Public Hearing
requirements.
Also, the 2007 Public Service Granfi confiracts are approaching iheir end. A Public Hearing that
reviews the county's and community action agency's performance and use of CDBG funds is
required as part of this contract's closeout process. Combining the Public Hearing requirements
for the 2008 application and the 2007 closeout process into one Public Hearing is sfirongly
recommended. This can be accomplished by using the sample Public Hearing notice, provided
on page 17.
�1 N(7TE: Sonne cauniies and<community>action.agencies did not follow al1 of fihes� �itizen
._ ,
;parkicipation requirements for last year's:application �nd access �o fund'ing was d�lay�d, Please
reView this;section carefully;.to ensure the Public Hearing, outreach and docum�ntation
requ'iremertts are met.
The min�mum citizen p�rti�ipation requirements for � CD�G application are:
Conducfi at least one Public Hearing prior to submitting a CDBG application. This
Hearing must be held at a canvenient time and location to encourage citizen participafiion,
2. Publish an official announcement of the Hearing, providing reasonable advance notice. A
Sample Public Hearing notice with required language is provided on page 17.
3. Distribute information on the availability of CDBG funds and the eligible uses at the Public
Hearing. The required handouts (the CDBG Fact Sheet and the Federal Citizen
Participation Requirements) are provided after the sample Public Hearing notice. The
Hearing minufies must r�flect that these handauts wer� distributed at the Public Hearing.
4. Revisw local demographic dafia to determine if it is reasonable to expecfi a significant
number of non-English speaking residents at the Public Hearing, and advertise and
canduct the Public Hearing based on this determinafiion. Detailed guidance on providing
and documenting oufir�ach and accommodation for non-English speaking residents is
provided on page 14 and 15.
5. Adopt and submit in the application a Grievance Procedure for the use of CDBG funds.
A Sample Grievance Procedure is provided on page 17.
6. Document fihat the notice was published and the Hearing was held. A documentation
checklist is provided below.
2008 Public Services Grant Application Handbook 12 October 2007
Rectuired citizen pariicipation documentation fo be submitted wifih the application:
✓ A copy of the Public Hearing minufies, including a sfiatement thafi the CDBG required
handouts were distributed.
✓ A copy of the affidavit of publication or photocopy of the notice from the paper.
✓ The Outreach and Accommodation for Non-English Speaking Residents Form,
documenting the review and determinafiion of local data on non-English speaking
populations, fihe list of outreach steps (if applicable) and accommodations made.
✓ A copy of fihe jurisdiction's adopted Grievance Procedure.
� H�LPFUL HINT: Plan for the required initial Public Hearing NOVVI Decide the Hearing date
and then work bacl<ward to determine when and how the public announcement musfi be
published to allow sufficient notice time and outreach.
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Public Hearing Logistics
What is a Public Hearinq? — A Public Hearing is a meeting of a governmental body during which
the public is invited to the council or board of counfiy commissioners, who will primarily listen and
receive public input. A Public Hearing may be held as part of a regularly scheduled public
meeting where official decisions may then be made or where it is �lecfied to make a decision at
a subsequent meeting.
Who must conduct the Hearinq? — The applicant county. Although some applications are
developed by other community organizations or special districts, these organizations cannot
conduct the Hearing and have ii meet CD�G requirements.
When must the Hearinq be held? — Prior to submission of the CDBG application and within 18
months of the application submittal date. An additional Public Hearing will be required towards
the end of the project to review and receive comments on th� project's performance. Alsa, a
Public Hearing could be required if activifiies are proposed to be added, deleted or substantially
changed from the original proposal.
Where must the Hearinq be held? — The Hearing location must be accessible to persons of
disability. The locatian must also be convenient for persons likely impacted by the proposed
project. This is particularly relevanfi far a county proposing a projecfi in a community fihat is far
from the county seat.
Public Hearing Notice
When must the advance notice be made? — Generally, a legal nofiice is published at least one
w�ek prior to the Hearing date. The notice must meet th� local Public Hearing notice
requirements. �
Where must the notice be made? — The Hearing must be well-advertised, gener�lly in fihe official
local paper. In addition, public nofiice can be made using community bulletin boards, lacal
newsletters, billing sfiatements, newspaper ar�icles or doar-to-door distribution. Residents within
those areas in which CDBG funds are proposed to be used, especially fihe low- and moderafie-
income persons, should be encouraged to atfiend or provide comment.
2008 Public Services Grant Application Handbook 13 October 2007
For Public Servic�s Grant application�: To further address the intent of the citizen
participation requirements to revi�w community needs and the use of CDBG funds, it is
recommended the county and community action agency:
• Have the communifiy action agency's most current Community Needs Assessment available
for review at the Public Hearing to support the funding of new or incr�ased services;
• Identify fihose partner organizations that are proposed to be supported by CDBG Public
Services Grant funds; and
• Send notice of the Public Hearing to those partner organizations as an invitation to
participate in the Public Hearing discussions.
What must the notice sav? — A sample notice is provided on page 17.
Public Hearing Purpo�e
What must the CDBG Hearin cq over? — The Hearing is to obtain citizens' views and respond to
proposals and quesfiions. It must cover community development and housing needs and the
availability of CDBG funds. The CDBG Program handout materials are to be disfiributed.
Additional handout mafierials describing the proposed projecfi(s) are advisable. A copy of the
handout infiormation in Spanish is available from the CDBG Program upon request.
ii�eeting the Needs of Non-English Speaking Re�idents
All applicants must complete the Outreach and Accomrnodation Form on page 15. This
form provides guidance on meeting this requirement, lists pofiential outreach steps and
accommodations, and outlines how to document the efforts. The CDBG Public Hearing should
not be advertised or conducted without first ensuring appropriate outreach and accommodations
are accomplished.
The federal regulations state "Public Hearings shall be conducted in a manner to meet the
needs of non-English speaking residents where a significant number of non-English speaking
residents c�n reasonably be expected to participate." The applicant jurisdiction must review
local demographic data and consider the potential impacts of the proposed project to determine
the appropriate outreach steps and accommodations to meet the needs of non-English speaking
residents.
For Public Services Grant appli�ations: Below is a list of Washingion Stafie caunfiies where
2000 Census data show that more than 10% of fihe jurisdiction's population speak Spanish as
their principal language and also reported they speak English less than "very well."
Adams Caunty 22% Franklin County 24%
Chelan County 11 % Grant County 14%
Douglas County 10% Yakima County 16%
Confiact the CDBG of�ice for assistance in accessing and interpreting data on non-English
speaking residents.
Grievance Procedure
What must the procedure do? — The grievance procedure must provide citizens the address,
phone number, and times for submitting complaints and grievances, and provide timely written
answers to written complainfis and grievances, within 15 working days where practicable. A
sample procedure to be adopted is provided on page 17.
2008 Public Services Grant Application Handbook 14 October 2007
SIJ�IVI'iT iHIS FORM l�1//iH l"HE APPL1��47"101�1
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This form documents fihe applicant jurisdiction's defiermination whefiher additional Public Hearing
outreach and accommodations for local non-English speaking residenfis are required and lists
the outreach steps and accommodations provided. The federal regulations state "Public
Hearings shall be conducted in a manner to meet the needs of non-English speaking residents
where a significanfi number of non-English speaking residents can reasonably be expected fio
participate." The CDBG Program benefits low- and moderate-income persons and strongly
encourages a jurisdiction to make efforts to receive input on community need� from minority
populations. To meet the CDBG requirements for outreach and accommodation for non-English
speaking residenfis, the jurisdiction musfi:
• Complete and submit this form wifih the application;
• Properly advertise the Public Hearing (see the accommodation clause options in the
Sample Public Hearing Notice) and submit a copy of fihe Notice with the applicafiion; and
• Follow the Public Hearing Nofiice and provide any necessary accommodations at the
Public Hearing.
Signifiicant Population - General guidance is if 2000 Census data show that more than 10% of
the jurisdiction's population speaks English less than "very well" or if more than 10% of the
project's targeted population speaks English less than "very well," then ifi is reason�ble to expecfi
and encourage a significant number of non-English speaking residents to participate. In such
cases, special outreach and accommodafiions are recommended to inform this population of the
opportunity to receive information on the CDBG Program and input on the proposed project.
(See B. and D. below.)
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To docurnent thaf targeted oufireach to nor�-English �peaking residentr� was IVOi
nec�ssary, check the box and provide any additior�al explanation:
❑ Dafia on local non-Engli�h speaking populaiians, including 2000 Census Data,
demonstrate that it is NOT reasonable fio expecfi a signi�icant number of non-English
speaking residents fio attend the CDBG application Public Hearing. See fihe previaus
page for 2000 Census Data.
Explain below aray local circumstance� that contribute to your int�rpretation of the data:
If you vvere able to check the A. box above, you ca� skip portion �. and onlv comlplete C.
2008 Public Services Grant Application Handbook 15 October 2007
io document the outreach steps taken wh�n it was expected nor��English speaking
residents would participate in the Public Hearing, ch�ck the boxes that �pply:
X The CDBG Public Hearing notice was advertised in an alternate language.
❑ The CDBG Public Hearing was announced on an alternate language radio or tel�vision
station.
❑ The CDBG Public Hearing notice was posfied in an alternate language in advance at the
following locations to target the non-English spea{<ing population:
Location
Date Posted
❑ Members of organizafiions and advocacy graups representing non-English speaking
populations were invited to attend the CDBG Public Hearing�
❑ Leaders and interested parties from the minority community were directly invited to afitend
the CDBG Public Hearing.
❑ Other:
ACCOIVIIInODATIONS - Complete either C. or D„ as applicabl�.
F�r jurisdictions where it was deiermined a significant nurv�b�r of non-English spealcirrg
re�idents were NOT expected fio participate (A. box is checked above), the follo�nrin,g
minimurn �ccomrnodati�n was rr�ade available:
❑ The CDBG Public Nearing nofiice states that arrang�ments to reasonably accommodate
the needs of special classes of citizens, including handicap accessibility or interpreter,
will be made upon advance notice request. S�abrxiit a copy of the affidavit of publication
or a photocopy of the actual nofiice from the paper fio document.
For jurisdictions where a signi�ican� number of non-English sp�aking re�ident� w�re
expected to participaie (�, box is checked above), the follovving accommodations were
all made:
X The CDBG Public Hearing notices state that an interpr�ter will be available (even without
advance request). Submifi a copy of the affidavit of publication or a copy of the actual
notice from the paper; and
❑ CDBG Public Hearing handouts were available in the alternate language at the Public
Hearing. Sample handouts in Spanish are available from fihe CDBG program upon
request.
❑ Ofiher:
2008 Public Services Grant Application Handbook 16 October 2007
COMMUNITY DEVELOPMENT BLOCK GRANT COUNTY
Public Services Only Block Grant Application
Grievance Procedtire
If a citizen chooses to make a complaint regarding the Public Services CDBG Blocic Grant
Application, the coinplainant will submiti the colnplaint in writing to the Board of County
Commissioners (BOCC) for resolution. Grant County will maintain a record of all complaints and
action talcen in response to complaints. A member of the BOCC will render a written decision
regarding the complaint within �fteen (15) worlcing days after receipt of the complaint. Grant
County will notiiy the complainant of the decision.
2. If the complaint cannot be resolved to the satisfaction of the complainant, one of the following
actions will occur;
A committee appointed by the BOCC will hear the complaint, The cornxnittee will malce
lrnown to the public its membership, its procedure for hearing complaints, and its contact
information. The committee will hear the complaint without prejudice, in a public
manner, and only after adequate public notice regarding the hearing. The committee wi11
render a written decision within thirty (30) worlcing days after the hearing. The
comrnittee will maintain a record of the complaint, the hearing proceedings, and the
decision,
or
• The BOCC will hear the complaint at an open, public meeting. The BOCC will render a
written decision within thirty (30) worlcing days after the public meeting, and will notify
the complainant of the decision. The decision of the governing body is i`inal.
3. The BOCC will maintain, as a part of the official record or minutes at each level of the grievance
process, a�re�,ord of action talcen on each complaint.
�
Adopted this ,� day of December, 2007.
Board of County
B ara J, Vasquez
C erlc of the Board
Grievance Procedure
Y:\Civil 8\Departments\Commissioners�2007\CDBG Conri�act— Grievance Procedure
ApplicanfiJRecipient U.S. Department of Housing OMB Approval No. 2510-0011 (exp. 12/31/2006)
and Urban Development
Drsclasure/llpdate Report
Instl'uctions. �See Public Reporting Statement and Privacy Act Statement and detailed instructions on next
page.)
ApplicantlF2�cipient Inform�tion
1. ApplicanURecipient Name, Address, and Phone
Grant County
PO Box 37
(509) 754-2011 ext:: 246
area
Indicate whether this i� an Initial Report X or an Update Report ❑
3. HUD Program Name
WA State Community Development Block Grant / Public Services Grant Program
2. Social Security Number or
Employer ID Number,
91-6001319
Requested/Received
$170,84�1
nce
5. State the name and location (street address, City and State) of the project or activity:
North Columbia Community Action Council --903 West Third Avenue, Moses Lal<e, WA 98837
Part I Threshold Determinations
1. Are you applying for assistance for a specific project or activity? These 2. Have you received or do you expect to receive assistance withln the
terms do not include formula grants, such as public housing operating jurisdiction of the Department (HUD), involving the project or activity in
subsidy. (For further informatlon see 24 CFR Sec. 4.3). this application, in excess of $200,000 during this fiscal year (Oct. 1-
X Yes ❑ No Sep. 30)? For further information, see 24 CFR Sec. 4.9
❑ Yes X No.
If you answered "No" to either question 1 or 2, Stop! You do not need to complete the remainder of this form.
However, you must sign the certification at the end of the report.
Par4 II Other Covernment Assistance Provided or Requ�st�d / Expected Sour�es and
lJ�e of Funds. Such assistance includes, but is not limited to, any grant, loan, subsidy, guarantee, insurance, payment,
credit, or tax benefit.
ency Name and Address � Type of Assistance
the Funds
(Note: Use Additional pages if necessary.)
I'art III Interested Pa�ies. You must disclose;
1. All developers, contractors, or consultants involved in the application for the assistance or in the planning, development, or implementatfon of
the project or activity and
2. Any other person wha has a financial interest in the project or activity for which the assistance Is sought that exceeds $50,000 or 10 percent
of the assistance (whichever is lower).
Alphabetical list of all persons with a reportable financial interest Social Security No.
in the project or activity (For individuals, give the last name first) or Employee ID No,
ancial Interest in
;t/Activitv ($ and
(Note: Use Additional pages if necessary.)
C@P'tl'�ICatlOf'1
Warning: If you knowingly mal<e a false statement on this form, you may be subject to civil or criminal penalties under Section 1001 of Title 18
of the United States Code. In addition, any person who knowingly and materially violates any required disclosures of information, including
intentional non-disclosure, is subject to cfvil money penalty not to exceed $10,000 for each violation.
I certify that this information is true and complete.
5ignature:
Chairperson & County Commissioner
Grant County Board of Commissioners
Date: (mm/ddlyyyy)
*�'Note: This certi�afeon musfi be signed by the ChiefAdrr�enistrafive Officiaf (mayor,
county corr►mis.�ion chair, c,�unty administrafior, or city manager)
2007 Public Services Grant Application Handbook 28 October 2007
Form HUD-2880 (3/99)
Public reporting burden for this collection of information is estimated to average 2.0 hours per response, including the time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the colleetion of
information. This agency may not conduct or sponsor, and a person is not requirod to respond to, collection information unless that collection
displays a valid OMB control number.
Privacy Act Statement, Except for Social Security Numbers (SSNs) and Employer ldentification Numbers (EINs), the Department of Housing
and Urban Development (HUD) is authorized to collect all the information required by this form under section 102 of the Department of Housing
and Urban Development Reform Act of 1989, 42 U.S.C. 3531. Disclosure of SSNs and EINs is optional. The SSN or EIN is used as a unique
identifier. The information you provide will enable HUD to carry out its responsibilities under Sections 102(b), (c), and (d) of the Department of
Housing and Urban Development Reform Act of 1989, Pub. L. 101-235, approved December 15, 1989. These provisions will help ensure greater
accountability and integrity in the provision of certain types of assistance administered by HUD. They will also help ensure that HUD assistance
for a specific housing project under Section 102(d) is not more than is necessary to make the project feasible after taking account of other
government assistance. HUD will make available to the public all applicant disclosure reports for five years in the case of applications for
competitive assistance, and for generally three years in the case of other applications. Update reports will be made available along with the
disclosure reports, but in no case for a perfod generally less than three years. All reports, both initial reports and update reports, will be made
available in accordance with the Freedom of Information Act (5 U.S.C. §552) and HUD's implementing regulations at 24 CFR Part 15. HUD will
use the information in evaluating individual assistance applications and in performing internal administrative analyses to assist in the management
of specific HUD programs. The information will also be used in malcing the determination under Section 102(d) whether FIUD assistance for a
specific housing project is more than is necessary to make the project feasible after taking account of other government assistance. You must
provide all the required information, Failure to provide any required information may delay the processing of your application, and may result in
sanctions and penalties, including imposition of the administrative and civil money penalties specified under 24 CFR §4,38.
Note: This form only covers assistance made available by the Department. States and units of general local government that carry out
responsibilities under Sections 102(b) and (c) of the Reform Act must develop their own procedures for complying with the Act.
Instruction�
Overview.
A. Coverage. You must compiete this report if:
(1) You are applying for assistance from HUD for a specific
project or activity and you have received, or expect to
receive, assistance from HUD in excess of $200,000 during
the during the fiscal year;
(2) You are updating a prior report as discussed below; or
(3) You are submitting an application for assistance to an entity
other than HUD, a State or local government if the
application is required by statute or regulation to be
submitted to HUD for approval or for any other purpose.
B. Update reports (filed by "Recipients" of HUD Assistance):
General, All recipients of covered assistance must submit
update reports to the Department to reflect substantial changes
to the initial applicant disclosure reports.
Line-by-Line Instructions.
Applicant/Recipient Information.
All applicants for HUD competitive assistance, must complete the
information required in blocks 1-5 of form HUD-2880:
1. Enter the full name, address, city, State, zip code, and
telephone number (including area code) of the
applicanUrecipient, Where the applicanUrecipient is an
individual, the last name, first name, and middle initial must be
entered.
2, Entry of the applicant/recipient's SSN or EIN, as appropriate, is
optional.
3, Applicants enter the HUD program name under which the
assistance is being requested.
4, Applicants enter the amount of HUD assistance that is being
requested, Recipients enter the amount of HUD assistance
that has been provided and to which the update report relates.
The amounts are those stated in the application or award
documentation. NOTE: In the case of assistance that is
provided pursuant to contract over a period of time (such as
project-based assistance under section 8 of the United States
Housing Act of 1937), the amount of assistance to be reported
includes all amounts that are to be provided over the term of
the contract, irrespective of when they are to be received.
5. Applicants enter the name and full address of the proJect or
activity for which the HUD assistance is sought. Recipients
enter the name and full address of the HUD-assisted project or
activity to which the update report relates. The most
appropriate government identifying number must be used (e.g.,
RFP No,; IFB No.; grant announcement No.; or contract,
grant, or loan No.) Include prefixes.
Part i. Threshold Determinations - Applicants Only
Part I contains information to help the applicant determine whether
the remainder of the form must be completed. Recipients filing
Update Reports should not complete this Part.
If the answer to either questions 1 or 2 is No, the applicant
need not complete Parts II and III of the report, but must sign the
certification at the end of the form.
Part II. Other Government Assistance and Expected Sources
and Uses of Funds.
A. Other Government Assistance. This Part is to be completed by
both applicants and recipients for assistance and recipients
filing update reports. Applicants and recipients must report any
other government assistance involved in the projec# or activity
for which assistance is sought, Applicants and recipients must
report any other government assistance involved in the project
or activity. Other government assistance is defined in note 4 on
the last page. For purposes of this definition, other government
assistance is expected to be made available if, based on an
assessment of all the circumstances involved, there are
reasonable grounds to anticipate that the assistance will be
forthcoming.
Both applicant and recipient disclosures must include all
other government assistance involved with the HUD
assistance, as well as any other government assistance that
was made available before the request, but that has continuing
vitality at the time of the request. Examples of this latter
category include tax credits that provide for a number of years
of tax benefits, and grant assistance that continues to berleflt
the project at the time of the assistance request.
2007 Public Services Grant Application Handbook 28 October 2007
The following information must be provided:
Enter the name and address, city, State, and zip code of the government agency making the assistance available.
State the type of other government assistance (e.g., loan, grant, loan insurance).
Enter the dollar amount of the other government assistance that is, or is expected to be, made available wi#h respect to the
project or activities for which the HUD assistance is sought (applicants) or has been provided (recipients).
Uses of funds. Each reportable use of funds must clearly identify the purpose to which they are to be put. Reasonable
aggregations may be used, such as "total structure" to include a number of structural costs, such as roof, elevators, exterior
masonry, etc.
B. Non-Government Assistance. Note that the applicant and recipient disclosure report must specify all expected sources and uses
of funds - both from HUD and any other source - that have been or are to be, made available for the project or activity. Non-
government sources of funds typically include (but are not limited to) foundations and private contributors.
Part III. Interested Parties.
This Part is to be completed by both applicants and recipients filing update reports. Applicants must provide information on:
1. All developers, contractors, or consultants involved in the application for the assistance or in the planning, development, or
implementation of the project or activity and
2. Any other person who has a financial interest in the project or activity for which the assistance is sought that exceeds $50,000 or
10 percent of the assistance (whichever is lower).
Note: A financial interest means any financial involvement in the project or activity, including (but not limited to) situations in
which an individual or entity has an equity interest in the project or activity, shares in any profit on resale or any distributlon of
surplus cash or other assets of the project or activity, or receives compensation for any goods or services provided in connection
with the project or activity, Residency of an individual in housing for which assistance is being sought is not, by itself, considered
a covered financial interest,
The information required below must be provided.
1. Enter the full names and addresses. If the person is an entity, the listing must include the full name and address of the entity as
well as the CEO. Please list all names alphabetically.
2. Entry of the Social Security Number (SSN) or Employee identification Number (EIN), as approprfate, for each person listed is
optional,
3. Enter the type of participation in the project or activity for each person listed: i.e., the person's specific role in the project (e.g.,
contractor, consultant, planner, investor).
4. Enter the financial interest in the project or activity for each person listed. The interest must be expressed both as a dollar
amount and as a percentage of the amount of the HUD assistance involved.
Note that if any of the sourceluse information required by this report has been provided elsewhere in this application package, the
applicant need not repeat the information, but need only refer to the form and location to incorporate it into this report. (It is likely
that some of the information required by this report has been provided on SF 424A, and on various budget forms accompanying the
application.) If this report requires information beyond that provided etsewhere in the application package, the applicant must
include in this report all the additional information required.
Recipients must submit an update report for any change in previously disclosed sources and uses of funds as provided in
Section I.D,5., above.
Notes:
1. All citations are to 24 CFR Part 4, which was published in the Federal Register. [April 1, 1996, at 63 Fed. Reg, 14448.]
2. Assistance means any contract, grant, loan, cooperative agreement, or other form of assistance, including the insurance or
guarantee of a loan or mortgage, that is provided with respect to a specific project or activity under a program administered by
the Department. The term does not include contracts, such as procurements contracts, that are subject to the Fed. Acquisition
Regulation (FAR) (48 CFR Chapter 1).
3. See 24 CFR §4.9 for detailed guidance on how the threshold is calculated.
4. "Other government assistance" is defined to include any loan, grant, guarantee, insurance, payment, rebate, subsidy, credit, tax
benefit, or any other form of direct or indirect assistance from the Federal government (other than that requested from HUD in
the application), a State, or a unit of general local government, or any agency or instrumentality thereof, that is, or is expected to
be made, available with respect to the project or activities for which the assistance is sought,
5. For the purpose of this form and 2Q CFR Part 4, "person" means an individual (Including a consultant, lobbyist, or lawyer);
corporation; company; association; authority; firm; partnership; society; State, unit of general local government, or other
government entity, or agency thereof (including a public housing agency); Indian tribe; and any other organization or group of
people.
Form HUD-2880 (3/99)
Public Services Grant Application Handbook 30 October 2005