HomeMy WebLinkAboutGE14-002 USDA Assurance Agreement Posillotr 3 FORM APPROVED
USDA OMB No.0575-0018
Form RD 400-4 ASSURANCE AGREEMENT OMB No.0570-0061
(Rev.06-10) (Under Title VI,Civil Rights Act of 1964) OMB No.0570-0062
OMB No.0572-0137
The Golden Eagle Elderly Housing Corporation
(name of recipient)
PO Box 179
Eagle, Colorado 81631-0179
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(address)
("Recipient"herein)hereby assures the U.S.Department of Agriculture that Recipient is in compliance with and will continue to comply
with Title VI of the Civil Rights Act of 1964(42USC 2000d et.seq.),7 CFR Part 15,and Rural Housing Service,Rural Business-
Cooperative Service,Rural Utilities Service,Risk Management Agency,or the Farm Service Agency,(hereafter known as the"Agency")
regulations promulgated thereunder,7 C.F.R§ I901.202.In accordance with that Act and the regulations referred to above,Recipient
agrees that in connection with any program or activity for which Recipient receives Federal financial assistance(as such term is defined
in 7 C.F.R.§ 15.2)no person in the United States shall,on the ground of race,color,or national origin,be excluded from participation in,
be denied the benefits of,or be otherwise subjected to discrimination.
1. Recipient agrees that any transfer of any aided facility,other than personal property,by sale,lease or other conveyance of
contract,shall be,and shall be made expressly,subject to the obligations of this agreement and transferee's assumption thereof.
2. Recipient shall:
(a)Keep such records and submit to the Government such timely,complete,and accurate information as the Government may
determine to be necessary to ascertain our/my compliance with this agreement and the regulations.
(h)Permit access by authorized employees of the Agency or the U.S.Department of Agriculture during normal business
hours to such books,records,accounts and other sources of information and its facilities as may be pertinent to ascertaining
such compliance. -
(c)Make available to users,participants,beneficiaries and other interested persons such information regarding the provisions
of this agreement and the regulations,and in such manner as the Agency or the U.S.Department of Agriculture finds necessary
to inform such persons of the protection assured them against discrimination.
3. The obligations of this agreement shall continue:
(a)As to any real property,including any structure,acquired or improved with the aid of the Federal financial assistance,so
long as such real property is used for the purpose for which the Federal financial assistance is made or for another purpose which
affords similar services or benefits,or for as long as the Recipient retains ownership or possession of the property,whichever is
longer.
(b)As to any personal property acquired or improved with the aid of the Federal financial assistance,so long as Recipient
retains ownership or possession of the property.
(c)As to any other aided facility or activity,until the last advance of funds under the loan or grant has been made.
4. Upon any breach or violation this agreement the Government may,at its option:
(a)Terminate or refuse to render or continue financial assistance for the aid of the property,facility,project,service or activity.
(b)Enforce this agreement by suit for specific performance or by any other available remedy under the laws of the United
States or the State-in which the breach or violation occurs.
•
Rights-and remedies provided for under this agreement shall be
cumulative.
In witness whereof, Golden Eagle Elderly Housing Corporation on this
(name of recipient)
date has caused this agreement to be executed by its duly authorized officers and its seal affixed hereto,or,if a natural person,has
hereunto executed this agreement.
' Recipient
(S E A L) l/�-c��C�I d� (-1�/'t
v Date
Attest:
Title Title
According to the Paperwork k Reduction Act of 1995.no persons are required to respond to a collection of information unless it displays a valid OMB control number.The
valid OMB control mnnberfor this information collection is 0575-0018.0570-0061.0570-0062 and 0572-0137.The time required to complete this information is
estimated to overage 15 minutes per response,including the time for reviewing instructions,searching existing data sources,gathering and maintaining the data needed,
and camplelinv and reriewine the collection of information.
•
USDA
United States Department of Agriculture
July 30, 2014
Golden Eagle Elderly Housing Corporation
PO Box 179
Eagle, Colorado 81631-0179
Dear Borrower:
In a recent review of your loan file it was discovered that the signed Assurance
Agreement Form FmHA 400-4 is outdated, referring to us as Farmers Home
Administration. Enclosed please find the most recent revision of Assurance Agreement
RD Form 400-4 that correctly refers to us as Rural Housing Service. Please sign this
form and return in the postage paid return envelope provided.
The Assurance Agreement is a very important document in which you are agreeing to
comply with the Civil Rights Act of 1964. The forms are identical in nature with the
exception of the agency name change.
Thank you for your cooperation. If you have any questions or concerns please contact
Jodi Allgood, MFH Specialist at(970) 874-5735 Ext 125.
Sincerely, •
Cindy L Chadw •
Multi-Family Housing Technician
Enclosure
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Denver Federal Center,Building 56,Room 2300,PO Box 25426,Denver,CO 80225-0426 720-544-2923(v)I 720-544-2970(f)
Colorado Relay(800)659-3656•www.rurdev.usda.gov/co
To file a Civil Rights program complaint of discrimination,complete the USDA Program Discrimination Complaint Form,found online
at htto://www.ascr.usda.aov/complaint Nino cust.html,or at any USDA office,or call(866)632-9992 to request the form. You may
also write a letter containing all of the information requested in the form. Send your completed complaint form or letter to us by mail
at U.S.Department of Agriculture,Director,Office of Adjudication,1400 Independence Avenue,S.W.,Washington,DC 20250-9410,
by fax(202)690-7442 or e-mail at prooram,intaket lusda.aov. "USDA is an equal opportunity provider and employer."