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Home My WebLink AboutGrant Related - BOCC (002)ATTACHMENT 14-D (1) Department of Commerce Community Development Block Grant PUBLIC SERVICES CONTRACT CLOSEOUT REPORT 1. Contract Number: 21-62210-005 3. Official PO Box 37 Address: Ephrata, WA 98823 2. Grantee Jurisdiction: Grant County PROJECT SUMMARY 4. Name of Chief Administrative Official: 5. Title: The Honorable Danny E Stone Chair, Board of County Commissioners 6. CDBG Contract End Date or Project Completion Date: 6/30/2022 7. Final Public Hearing Date: 5/17/2022 8. Brief project summary and results achieved: (See instructions on following page). OIC ran Utility/Rental/Housing Assistance, weatherization, financial services and farmworker employment/training programs for Grant &Adams Counties. OIC held 431 one-on-one counseling appointments, 1,538 counseling hours and 9 first time homebuyer classes via Zoom.. 23 homes were weatherized with approximately $244,000 in energy efficient repairs. Classes were held on Zoom and services were provided via the Internet. 9. Physical address of the activity(s) if not available at start of project (See instructions) No change, but programs provided via the Internet due to COVID. The chief administrative official of the grantee jurisdiction certifies that: 1. To the best of his/her knowledge and belief, the financial information and data provided in this report is true and correct as of the signature date indicated below. 2. The project was completed in accordance with the grant contract and scope of work. 3. A final public hearing was conducted to assess project performance. 4. Records supporting the information provided in this report will be maintained for a minimum of six (6) years from final closeout and made available upon request. 5. Consents to the use and reproduction by the CDBG Program or anyone authorized by CDBG, of any and all provided audio or video recording or photographs without compensation. In the event audits disclose disallowable costs, the Washington State Department of Commerce shall retain the right to recover an appropriate amount of costs after fully considering the recommendations on disallowed costs resulting from the final audit. Signature:�,� � ' f Danny Stone, BOCC Chair I ate CDBG Contract Closeout Report 1 TTACHMENT 14-D (2) CDBG Contract Closeout Report FINANCIAL SUMMARY BUDGET SUMMARY HUD IDIS Activity Number, Budget Code & Activity Title (See the project A-19 invoice voucher information) Expenditures Budget Code Activity # Title Budget Amount Funds Expended Balance 8397 052 Public Services$123,080. 00 $123,080.00 $0.00 X398 21A General ,admin $3,500.00 3,500.00 $0.00 *Any dollar amount reflected in the Total CDBG Balance column will be assumed as a de -obligation and returned to the CDBG Program. PROGRAM INCOME SUMMARY WILL THIS PROJECT GENERATE PROGRAM INCOME If you check "Yes," and request to retain program income you must submit a Program Income Reuse Plan by closeout or receipt of first loan payment (housing rehabilitation, microenterprise assistance or other), whichever is earlier. Program income (PI) is defined as the gross income received by a CDBG grantee or subrecipient that was generated from the use of CDBG funds and equals or exceeds $35,000 in a single calendar year. For detail on program income and content of a Program Income Reuse Plan see Section 4 CDBG Management Handbook. CDBG Contract Closeout Report 3 FmIll [MR49471GUM The Contract Closeout Report provides a format for grantees to certify and document project completion in compliance with federal CDBG national objective and citizen participation requirements; and with the grant contract. Data you provide is used to update, with actuals, what was anticipated at the beginning of the project and to complete yearly reporting requirements. Detailed instructions are included on the reverse side of forms that are not self-explanatory. We recommend completing the report using the electronic version available at www.commerce.wa.gov/cdbg, or sent by your CDBG project manager. Please contact your CDBG project manager if you have questions ■ CONTRACT CLOSEOUT INSTRUCTIONS • Items 1-4 are self-explanatory. • Item 5: Insert the end date listed on your contract face sheet or on the most recent amendment. For projects completed prior to this end date, enter the date the project was completed. • Item 6: Insert the date the required final public hearing was held to receive input from the public on the CDBG- funded project. The public hearing must be held prior to submission of this report and meet public hearing requirements. • Item 7: ;Briefly describe the CDBG-funded activity(s), the original need that was met, project's actual accomplishments compared to the CDBG contract's scope of work was accomplished, and project highlights. For • Item 8: Review the project address listed in your original application Project Summary. If it has changed, or if it was not known at that time, provide the actual address(es) here. • Signature Block: This is the signature of the grantee's chief administrative official or designee. CDBG Contract Closeout Report 4 FINANCIAL SUMMARY INSTRUCTIONS: HUD Project, Activity and Budget Code(s): The A19 voucher lists the Project, Activity and Budget Code(s) and Activity Title(s) for the project. List each Activity assigned to the project, its corresponding Budget Amounts, Funds Expended, and remaining Balance(s). Other Funding: List the other funding sources identified in your CDBG grant application and used in conjunction with CDBG funds for this project. Sources include: State, Federal, Local, Private, and Other. Include the Funds Expended and remaining Balance for each source. Activities Budget Codes Title Amount CDBG Contract Closeout Report 5 Project # 'r WASHINGTON STATE DEPARTMENT OF COMMERCE AGENCY NUMBER 1030 IDIS PROJEOPUMBER Commerce Contract Number 18-62210-018 A19 VOUCHER DISTRIBUTION AGENCY NAME DEPART.♦IEs'�T OF CO1LNiERCE ATTN: CDBG PO BOX 42523 OL"I 1PIA, IVA 98504-2525 INSTRUCTION TO VENOOR OR CLAIMANT: submit this form to claim payment for materials, merchandise or services. Show complete detail for each Hem. Vendor's Certificate: 1 hereby certify under perjury that the Items and totals listed herein are propercharges for materials, merchandise or services furnished to the State of Washington, and that all goods furnished and/or services rendered have been provided vvithout discrimination because of age, sex, marital status, race, creed, color, national origin, handicap, religion orVistnam era or disabled veterans status. VENDOR OR CLALMA�'�T (Warrant is to be payable to:) SPRINGFIELD COUNTY 1.00 N. MAIN ST. SHELBY-VI'LLEA WA 99999 LEPOR:TING PERIOD: By: (SIGN IN BLUE NK) (TITLE) (DATE) Description QUANTITY AMOUNT PREVIOUSLY AMOUNT REMAINING BUDGET REQUESTED THIS INVOICE BALANCE 7706 05 Public Senrices 35,539.001 $35,539.00 $0.00 $0.00 7707 21A O feral Ad nin 3.500.00 $3,500.00 $0.00 1n nn Budget Codes Title Amount CDBG Contract Closeout Report 5