Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
HomeMy WebLinkAboutRVA C02-323 NWCCOGMEMORANDUM OF AGREEMENT RELATING TO THE FUNDING OF
ROOFING WORK AT THE RIVERVIEW APARTMENTS
This agreement is made this 30th day of October , 2002, between the Northwest
Colorado Council of Governments ("NWCCOG") and the Eagle Riverview Affordable Housing
Corporation ("Corporation"), a not for profit corporation, acting through its Board of Directors.
A. Corporation is the owner of the Riverview Apartment Complex, a Section 8
subsidized affordable housing complex.
B. The NWCCOG has received a grant for $27,720 from the United States
Department of Agriculture, Rural Development, for roofing work at the Riverview
Apartments ("Apartments").
C. The grant is controlled by a Housing Preservation Grant Agreement between the
United States Department of Agriculture and the NWCCOG, which is attached
along with related documents.
D. Both the NWCCOG and Corporation wish to have the roofing work carried out at
the Apartments under the terms and conditions herein set forth.
In consideration of mutual promises set forth in this Memorandum of Agreement, the
sufficiency of which is hereby acknowledged, it is agreed by and between the parties as follows:
Section I DUTIES OF THE NWCCOG
1.1 The NWCCOG will pass through $26,415 of the grant to the Corporation for the
purpose of making roof repairs, so long as Corporation is in compliance with the
terms and conditions of the Housing Preservation Grant Agreement. The pass
through process will consist of the Corporation preparing the initial paperwork
requesting payment, and then sending it to the NWCCOG for its review, addition
of the NWCCOG's administrative costs, and sign off. The NWCCOG will then
forward the paperwork to the United Stated Department of Agriculture, which will
subsequently send payments to NWCCOG. As the NWCCOG receives such
payments, it will deduct the portion for its administrative costs and forward the
remainder of the payments to the Corporation.
1.2 The NWCCOG will retain $1,305 of the grant to cover its administrative costs
associated with the grant, including having the grant be audited as a separate
program under the NWCCOG's annual agency -wide audit.
Section 2 DUTIES OF CORPORATION
2.1 Corporation will be responsible for the hiring, administration and supervision of
contractors to complete the needed roofing work at the Apartments.
2.2 Corporation agrees to be bound by all applicable provisions of the Housing
Preservation Grant Agreement as if it were the Grantee identified therein.
2.3 Corporation agrees to use the funds provided by NWCCOG solely for those
purposes set forth in the Housing Preservation Grant Agreement.
Section 3 MISCELLANEOUS PROVISIONS
3.1 Any amendment to this Memorandum of Agreement must be in writing and
signed by both parties.
3.2 In the event that unforseen situations arise in regard to the Housing Preservation
Grant, both parties will work together in good faith to resolve such situations.
ATTEST:
ATTEST:
'4.4 1 .0, k I/
NORTHWEST COLORADO COUNCIL
OF GOVERNMENTS
uthorized Representative
Robert Anderson, Vice Chair
EAGLE RIVERVIEW AFFORDABLE
HOUSING CORPORATION
S Q fi3pw
Tom . Stone, President
M
D Instruction 1944-N
Exhibit A
HOUSING PRESERVATION GRANT AGREEMENT
This agreement dated , is between
Northwest Colorado Council of Governments (name),
P. O. Box 2308. Silverthorne. CO 80498 (address), the grantee,
organized and operating under Article XIV. Section 180 of the Colorado Constitution
and Sections 29-1-201 (authorizing State statute), and the United States of America
acting through the Farmers Home Administration (FmHA). FmHA agrees to grant a sum
not to exceed $ 27.720, subject to the terms and conditions of this agreement; provided,
however, that the grant funds actually advanced and not needed for grant purposes shall
be returned immediately to FmHA. The Housing Preservation Grant (HPG) statement of
activities approved by FmHA, is attached, and shall commence within 10 days of the date
of execution of this agreement by FmHA and be completed by
(date). FmHA may terminate the grant in whole, or in part,
at any time before the date of completion, whenever it is determined that the grantee has
failed to comply with the conditions of this grant agreement or FmHA regulations related
hereto. The grantee may appeal adverse decisions in accordance with FmHA's appeal
procedures contained in Subpart B of Part 1900 of this chapter.
In consideration of said grant by FmHA to the grantee, to be made pursuant to Section
533 of the Housing Act of 1949, HPG program, the grantee will provide such a program
in accordance with the terms of this grant agreement and applicable FmHA regulations.
PART A Definitions.
1. "Beginning date" means the date this agreement is executed by
FmHA and costs can be incurred.
2. "Ending date" means the date this agreement is scheduled to be
completed. It is also the latest date grant funds will be provided under this
agreement, without an approved extension.
3. "Disallowed costs" are those charges to a grant which FmHA
determines cannot be authorized in accordance with apppplicable Federal
cost principles contained in 7 CFR Parts 3015 and 30I6, as appropriate.
4. "Grant closeout" is the process by which the garant operation is
concluded at the expiration of the Brant period or following a decision to
terminate the grant.
(09-01-93) PN 212
RD Instruction 1944-N
Exhibit A
Page 2
5. "Termination" of the grant means the cancellation of Federal
assistance, in whole or in part, at any time before the date of completion.
PART B Terms of agreement.
FmHA and the grantee agree that:
1. All grant activities shall be limited to those authorized in this
subpart.
2. This agreement shall be effective when executed by both parties.
3. The HPG activities approved by FmHA shall commence and be
completed by the date indicated above, unless earlier terminated under
paragraph B, 18, of this grant agreement, or extended.
4. The grantee shall carry out the HPG activities and processes as
described in the approved statement of activities which is made a part of
this grant agreement. Grantee will be bound by the activities and
processes set forth in the statement of activities and the further conditions
set forth in this grant agreement. If the statement of activities is
inconsistent witR this grant agreement, then the latter will govern. A
change of any activities and.processes must be in writing and must be
signed by the approval official.
5. The grantee shall use grant funds only for the purposes and
activities approved by FmHA in the HPG budget. Any uses not provided
for in the approved budget must be approved in writing by FmHA in
advance.
6. If the grantee is a private nonprofit corporation, expenses charged
for travel or per diem will not exceed the rates paid to Federal employees
or (if lower) an amount authorized by the grantee for similar purposes. If
the grantee is a public body, the rates will $e those that are allowable
under the -customary practice in -the government of which the_grantee is a _
party; if none are customary, the FirMA rates will be the maximum
allowed.
RD Instruction 1944-N
Exhibit A
Page 3
7. Grant funds will not be used for any of the following:
(a) To pay obligations incurred before the beginning date or
affter the ending date of this agreement;
(b) For any entertainment purposes;
(c) To pay for any capital assets, the purchase of real estate or
vehicles, the improvement or renovation of the grantee's office
space, or for the repair or maintenance of privately owned
vehicles;
�d) Any other purpose specified in § 1944.664 (a) or § 1944.666
b) of this subpart; or
( grant
r administrative expenses exceeding 20 percent of the HPG
8. The grant funds shall not be used to substitute for any financial
support previously provided and currently available or assured from any
other source.
9. The dispersal of grants will be governed as follows:
(a) .. In accordance with Treasury Circular 1075 (fourth
revision) Part 205, Chapter II of Title 31 of the Code of Federal
Regulations, grant funds will be provided by FmHA as cash
advances on an as needed basis not to exceed one advance every
30 days. The advance will be made by direct Treasury check to the
orantee. In addition, the grantee must submit Standard Form
fSF)'272, "Federal Cash Transactions Report," each time an
advance of funds is made. This report shall be used by FmHA to
monitor cash advances made to the grantee. The financial
management system of the recipient organization shall provide for
effective control over and accountability for all Federal funds as
- stated-rn— ---
7 CFR Parts 3015 and 3016.
(09-01-93) PN 212
u
1qr
RD Instruction 1944-N
Exhibit A
Page 4
(b) , Cash advances to the grantee shall be limited to the
nunimum amounts needed an$ shall be timed to be in accord only
with the actual, immediate cash requirements of the grantee in
carrying out the purpose of the planned project. The timing and
amount of cash advances shall be as close as administrativel-"ly
feasible to the actual disbursements by the grantee for direct
program costs (as identified in the grantee's statement of activities
andbudget and fund use plan) and proportionate share of any
allowabre indirect costs.
(c) Grant funds should be promptly refunded to the FmHA and
redrawn when needed if the funds are erroneously drawn in excess
of immediate disbursement needs. The only exceptions to the
requirement for prompt refunding are when the funds involved:
(i) Will be disbursed by the recipient organization
within 7 calendar days from the date of the fir asury check;
or
(ii) Are less than $ 10,000 and will be disbursed within 30
calendar days from the date of the Treasury check.
(d) Grantee shall provide satisfactory evidence to FmHA that all
officers of the grantees organization authorized to receive and/or
disburse Federai funds are covered by fidelity bonds in an amount
not to exceed the grant amount to protect Fm-HA's interests.
10. The grantee will submit performance, financial and annual reports as
indicated in this subpart to the appropriate FmHA o?fice. These reports
must be reconciled to the grantees accounting records, especially on the
final report.
(a) As needed, but not more frequently than once every 30
calendar days, submit an original and two copies of SF-270,
"Request for Advance or Reimbursement.,In addition,the grantee
must i
submit an SF-272, each time an advance of funds s made.___ _
This report shall be used by FmHA to monitor cash advances made
to the grantee.
1%Mv
RD Instruction 1944-N
Exhibit A
Page 5
(b) Quarterly reports will be submitted within 15 days, but no
later than 45 days after the end of each calendar quarter. An
original and one copy of SF-269, Financial Status Re ort, and a
quarterly performance report in accordance with § 194.683 of this
subpart. em 10, g (total program outlays) of SF-269, should be
less any rebates, refunds, or other discounts.
(c) Within 90 days. after the termination or ex iration of the
grrant agreement, an onginal and two copies of SF-269, and a final
performance report which will include a summary of the pro ect s
accomplishments, problems, and planned future activities of the
grantee for HPG. Final reports may serve as the last quarterly
report.
(d) FmHA may require performance reports more frequently if
deemed necessary.
11. In accordance with Office of Management and Budget (OMB)
Circular A-87, "Cost Principles for State and Local Governments
(available in any FmHA office), compensation for employees will be
considered reasonable to the extent that such compensation is consistent
with that paid for similar work in other activities of the State or local
government.
12. If the grant exceeds $100,000, cumulative transfers among direct cost
budget categories totaling more than 5 percent of the total budget must
have prior written approval by FmHA.
13. The results of the program assisted by grant funds may be published
by the grantee without ppnor review by FmHA, pprovided that such
publications acknowledge the support provideAy funds pursuant to the
I'rovisions of Title V of the Housing Act of 1949, as amended, and that
ve copies of each such publications are furnished to FmHA.
14. The crrantee certifies that no person or organization has been
employee;r retained to solicit or secure this grant for a commission,
percentage, brokerage, -or -contingent fee.
(09-01-93) PN 212
RD Instruction 1944-N
Exhibit A
Page 6
15. No person in the United States shall, on the grounds of race,
religion, color, sex, familial status, age, national origin, or handicap, be
excluded from participating in, be denied the proceeds of, or be subject to
discrimination in connection with the use of grant funds. Grantee will
comply with the nondiscrimination regulations of FmHA contained in
Subpart E of Part 1901 of this chapter.
16. In all hiring or employment made possible by or resulting from this
grant, the grantee:
(a) Will not discriminate against any employee orapplicant for
employment because of race, religion, color, sex, familial status,
age, national origin, or handicap, and
Will take affirmative action to insure that employees are
treated during employment without regard to their race, religion,
familial color, sex, status, age, national origin. or handicap. This
requirement shall apply to, but not be limited to, the following:
employment, upgrading, demotion, or transfer; recruitment or
recruitment advertising, layoff or termination, rates of pay or other
forms of compensation; and selection for training, including
apprenticeship.
(c In the event grantee signs a contract related to this grant
wLh would be covered by any Executive Order, law, or
regulation prohibiting discrimination, grantee shall include in the
contract the "Equal Employment Clau" as specified by Form RD
400-1, "Equal Qporturuty Agreement.
17. The grantee accepts responsibility, for accomplishing the HPG
program as submitted and included in its preapplication, application,
including its statement of activities. The grantee shall also:
(a) Endeavor to coordinate and provide liaison with State and
local housing organizations, where they exist.
(b) Provide continuing information to FmHA on the status of
grantee HPG programs, projects, related activities, and problems.
RD Instruction 1944-N
Exhibit A
Page 7
(c) InForm RD as soon as the following types of conditions
become known:
(i) Problems, delays; or adverse conditions which
materially affect the ability to attain program objectives,
prevent the meeting of time schedules or goals, or preclude
the attainment of project work units by established time
periods. This disclosure shall be accompanied by a
statement of the action taken or contemplated, new time
schedules required and any FmHA assistance needed to
resolve the situation.
(ii) Favorable developments or events which enable
meeting time schedules and goals sooner than anticipated
or producing more work units than originally projected.
18. The grant closeout and termination procedures will be as follows:
(a) Promptly after the date of completion or a decision to
terminate a grant, grant closeout actions are to be taken to allow
the orderly discontinuation of grantee
activity-
uincommitted balance ofThgrantee lgrant unds.y refund to FmHA any
(ii) The grantee will furnish to FmHA within 90
calendar days after the date of completion of the grant, SF-
269 and all Financial, performance, and other reports
required as a condition of the grant, including a final audit
report, as required by 7 CFR marts 3015 and 3016.
(iii) The grantee shall account for any property acquired
with HPG grant funds or otherwise received from. FmHA.
(iv) After the grant closeout FmHA retains the right to
-recover any disalFowed costs -which may discovered as a
result of an audit.
(09-01-93) PN 212
RD Instruction 1944-N
Exhibit A
Page 8
b) When there is reasonable evidence that the grantee has
ailed to comply with the terms of this grant agreement, the State
Director can, on reasonable notice, suspend the ant pending
corrective action or terminate the grant in accordance with
P
ara aph B, 18 (c) of this grant agreement. In such instances,
= may reimburse the grantee for eligible costs incurred prior
to the effective date of the suspension or termination and may
allow all necessary and proper costs which the grantee could not
reasonably avoid. FmIfA will withhold further advances and
grantees are prohibited from further use of grant funds, pending
corrective action.
(c) Grant termination will be based on the following:
(i) Termination for cause. This grant may be
terminated in whole, or in art, at any time before the date
of completion, whenever FmHA determines that the
grantee has failed to comply with the terms of this
agreement. The reasons for termination may include, but
are not limited to, such problems as:
(A) Failure to make reasonable and satisfactory
progress in attaining grant objectives.
(B) Failure of grantee to use grant funds only for
authorized purposes.
(C) Failure of grantee to submit adequate and
timely reports of its operation.
(D) Violation of any of the provisions of any
laws administered by FmHA or any regulation
issued thereunder.
(E) Violation of any nondiscrimination or__e�qqual
opportunity requirement administered- by FmH� -in- - - -
connection with any FmHA programs.
(F) Failure to maintain an accounting system
acceptable to FmHA.
RD Instruction 1944-N
Exhibit A
Page 9
(ii) Termination for convenience. FmHA or the grantee
may, terminate the grant in whole, or in part, when both
parties agree that tfie continuation of the project would not
produce &neficial results commensurate with the further
expenditure of funds. The two parties shall agree upon the
termination conditions, including the effective date and, in
case of partial termination, the portion to be terminated.
(d) FmHA shall notify the grantee in writing of the determination
and the reasons for and the eTfective date of tie suspension or
termination. Except for termination for convenience, grantees
have the opportunity to appeal a suspension or termination under
FmHA's appeal procedure, Subpart B of Part 1900 of this chapter.
19. Upon any default under its representatives or agreements set forth in
this instrument, the grantee, at the option and demand of FmHA, will, to
the extent legally permissible, repay to FmHA forthwith the grant funds
received with interest at the rate of 5 percent per annum from the date of
the default. The provisions of this grant agreement may be enforced by
FmHA, at its options and without regard to prior waivers by it or previous
defaults of the grantee. by judicial proceedings to require specific
performance of the terms of this grant agreement or 6y such other
proceedings in law or equity, in either Federal or State courts, as ma be
dm
deemed necessary by FHA to assure comppliance with the provisions of
this grant agreement and the laws and regurations under which this grant is
made.
20. Extension of this grant agreement, modifications of the statement of
activities, or changes in the grantee's budget may be approved by FmHA
provided, in FaW.'s opinion, the extension or modification is justified
and there is a likelihood that the grantee can accomplish the goals set out
and approved in the statement of activities during the period of the
extension and/or modifications as specified in § f944.684 of this subpart.
(09-01-93) PN 212
.*Md
J
RD Instruction 1944-N
Exhibit A
Page 10
PART C Grantee agrees:
1. To comply with property management standards for expendable
and nonexpendabie personal property established by 7 CFR Parts 3015
and 3016.
?. To provide a financial management system which will include:
(a) Accurate, current, and complete disclosure of the financial
results of each grant. Financial reporting will be on a cash basis.
The financial management system shall include a tracking system
to insure that all program income, including loan repayments, are
used properly.
(b) Records which identify adequately the source and
application of funds for grant -supported activities. Those records
shall contain information pertaining to grant awards and
authorizations, obligations, unoblibtW6alances, assets, liabilities,
outlays, and income.
(c) Effecting control over and accountability for all funds,
property, and ot`fier assets. Grantee shall adequately safeguard all
such assets and shall assure that they are solely for authorized
purposes.
(d) Accounting records supported by source documentation.
3. To retain financial records, supporting documents, statistical
records, and all other records pertinent to the grant for a period of at least
3 years after the submission of the final performance report in accordance
with paragraph B 10 (c) of this grant agreement, except in tie following
situations:
(a) If any litigation, claim,, audit, or investigation is
-- - commencedbefore_the-exppiration of the 3-year period, the records
shall be retained until all Iitigations, claims, audit, or investigative
findings involving the recor(is have been resolved.
(b) Records for nonexpendable property acquired by FmHA,
the 3-year retention requirement is not app icable.
RD Instruction 1944-N
Exhibit A
Page 11
(c) When records are transferred to or maintained by FmHA,
thhe 3-year retention requirement is not applicable.
d) Microfilm copies may be substituted in lieu of original records.
FmHA and the Comptroller General of the United States, or any of
their duly authorized representatives, shall have access to any
books, documents, pa ers, and records of the grantee which are
pertinent to the specific grant program for the purpose of making
audits, examinations, excerpts, and transcripts.
4. To provide information as requested by, FmHA concerning the
grantee's actions in soliciting citizen participation in the applications
process, including published notices of public meetings, actual public
meetings held, and content of written comments received.
5. Not to encumber, transfer, or dispose of the property or any art
thereof, furnished by FmHA or acquired wholly or in part with HPG funds
without the written consent of FmHA.
G. To provide FmHA with such periodic reports of grantee operations
as may be required by authorized representatives of Fm14A.
7. To execute Form RD 400-1, and to execute any other agreements
required by FmHA to implement the civil rights requirements.
8. To include in all contracts in excess of $100,000, a provision for
compliance with all applicable standards, orders, or regulations issued
pursuant to the Clean Air Act, 42 U.S.C. 1875C-9, as amended.
Violations shall be reported to FmHA and the Regional Office of the
Environmental Protection Agency.
9. -That no member of Congress shall be admitted to any share or part
of this grant or any benefit that may arise therefrom, but this provision
shall not be construed to bar as a contractor under the grant a public -held
corporation whose ownership might include a member of Congress.
(09-01-93) PN 212
RD Instruction 1944-N
Exhibit A
Page 12
10. That all noncontidential information resulting from its activities
shall be made available to the general public on an equal basis.
11. That the purpose for which this grant is made may complement,
but shall not duplicate programs for which monies have been received, are
committed, or are applied Tor from other sources, public and private.
12. That the grantee shall relinquish any and all copyrights and/or
rivileges to the materials develo ed under this grant, such material being
p
the sole property of the Federal Government. In the event anything
developed under this grant is published in whole or in part, the material
shall contain a notice and be identified by language to the following effect:
The material is the result of tax -supported research and as such is not
copyrightable. It may be freely reprinted with the customary crediting of
the source.
13. That the Qrantee shall abide by the policies promulgated in 7 CFR
Parts 3015 or 3016, as applicable, which provides standards for use by
grantees in establishing procedures for the procurement of supplies,
equipment, and other services with Federal grant funds.
14. That it is understood and agreed that anv assistance granted under
this grant agreement will be -administered subject to the linutations of Title
V of the Housing Act of 1949, as amended, 42 U.S.0 1471, et. seq., and
related regulations, and that all rights granted to FmHA herein or
elsewhere may be exercised by it in its sole discretion to carry our the
purposes of the assistance, and protect FmHA's financial interest.
15. That the grantee will adopt a standard of conduct that provides
that, if an employee, officer, or agency of the grantee, or such person s
immediate family members conducts business with the grantee, the
grantee must not:
ca ntractPto suchat Participate
for wh ch Federal funds auadministration of a
co p
RD Instruction 1944-N
Exhibit A
Page 13
(b) Knowingly permit the award or administration of the
contract to be delivered to such persons or other immediate family
members or to any entity (i.e., partnerships. corporations, etc.) in
which such persons or their immediate family members have an
ownership interest; or
(c) Permit such person to solicit or accept gratuities, favors, or
anything of monetary value from landlords or developersof rental
or ownership housing projects or any other person receiving HPG
assistance.
16. That the grantee will be in compliance with and provide the
necessary forms concerning the Debarment and Suspension and the Drug -
free Workplace requirements found in § 1944.654 of this subpart.
17. That the ,grantee will comply with the requirements in respect to
rental properties and cooperatives (co-opps) and will execute an agreement
with the owners or co-op as found in §§1944.662 and 1944.663 of this
subpart, specifically:
(a) If the co-op or rental property owner(s) or their successors
in
terest nterest fail to carry out the requirements o this grant
agreement, the ownership agreement, or any requirements noted in
this subpart during the applicable pperiod, they shall make a
payment to FmHW in an amount t�iat equals the total amount of the
assistance provided by the grantee plus interest thereon (without
compounding) for each year and any fraction thereof that the
assistance was outstanding The interest rate shall be that as
determined by FmHA at tie time of infraction taking into account
the average yield on outstanding marketable long-term obligations
of the United States during the month preceding the date on which
the assistance was initially made available.
(b) Notwithstanding any other provision of law, any assistance
rovided shall constitute a debt, which is pavable in the case of any
ailure to carry out the agreement between tfie grantee and the
rental property owner(s) or co-op and shall be secured by the
security instruments provided by them to FmHA.
18. That all requirements of this subpart concerning HPG's will be
followed.
(09-01-93) PN 212
RD Instruction 1944-N
Exhibit A
Page 14
PART D FmHA a_ ees:
1. That it will assist the grantee, within available appropriations, with
such technical and management assistance as needed in coordinating the
statement of activities with local officials, comprehensive plans, p9 any
State or area plans for improving i
housing for very low -and low-income
households in the area in which the project or program s located.
2. That at its sole discretion, FmHA may at any time give any consent, deferment, subordination, release, satisfaction, or termination of
any or all of the grantee's grant obligations, with or without valuable
consideration, upon such terns and conditions as the grantor may
determine to be:
�ac,) Advisable to further the purposes of the grant or to protect
mHA's financial interests therein; and
(b) Consistent with the statutory purposes of the grant and the
limitations of the statutory authority under which it is made and
FmHA's regulations.
PART E Attachments:
The statement of activities is attached to and made a part of this grant agreement.
RD Instruction 1944-N
Exhibit A
Page 15
This grant agreement is subject to current FmHA regulations and
any future regulations not inconsistent with the express terms hereof.
Grantee has caused this grant agreement to be executed by its duly
authorized Executive Director
properly attested to and its corporate seal affixed by its duly
authorized Notary
Attest: Grante .
By:
ExetAtive Director -
(Title)
Date of Execution of Grant Agreement by Grantee:
United States Of America
Farmers Home Administration
By: -S. A. --Mitchell-
Director. Multi-Family.Housincr
(Title)
Date of Execution of Grant Agreement by FmHA:
Assura.,as Non -Construction Prog.dns
f.
ONE Apprave-.l No. 0348-0040
Public reporting burden for this collection of information is estimated to average 15 minutes per response, including the time for reviewinginstiuctions, searching
existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Please do not return your
completed form to the Office of Management and Budget; send it to the address provided by the sponsoring agency.
Note: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the awarding agency.
Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the case you will be notified.
As the duly authorized representative of the applicant I certify that the applicant:
1. Has the legal authority to apply for Federal assistance, and the
institutional, managerial and financial capability (including
funds sufficient to pay the non -Federal share of project costs)
to ensure proper planning, managementand completion of the
project described in this application.
2. Will give the awarding agency, the Comptroller General of
the United States, and if appropriate, the State, through any
authorized representative, access to and the right to examine
all records, books, papers, or documents related to the
award; and will establish a proper accounting system in
accordance with generally accepted accounting standards
or agency directives.
3'. Will establish safeguards to prohibit employees from using
their positions for a purpose that constitutes or presents the
appearance of personal or organizational conflict of interest,
or personal gain.
4. Will initiate and complete the work within the applicable
time frame after receipt of approval of the awarding
agency.
5. Will comply with the intergovernmental Personnel Act of
1970 (42 U.S.C. §§ 4728-4763) relating to prescribed stan-
dards for merit systems for programs funded under one of the
nineteen statutes or regulations specified in Appendix A of
OPM's Standards for a Merit System of Personnel Adminis-
tration (5 C.F.R. 900, Subpart F).
6. Will comply with all Federal statutes relating to nondis-
crimination. These include but are not limited to: (a) Title
VI of the Civil Rights Act of 1964 (P.L. 88-352) which
prohibits discrimination on the - basis of race, color or
national origin; (b) Title IX of the Education Amendments
of 1972, as amended (20 U.S.C. §§ 1681-1683, and 1685-
1686), which prohibits discrimination on the basis of sex;
(c) Section 504 of the Rehabilitation Act of 1973, as
amended (29 U.S.C. § 794), which prohibits discrimina-
tion on the basis of handicaps; (d) the Age Discrimination
Act of 1975, as amended (42 U.S.C. §§ 6101-6107), which
prohibits discrimination on the basis of age; (e) the Drug
Abuse Office and Treatment Act of 1972 (P.O.92-255), as
amended, relating to nondiscrimination on the basis of
drug abuse; (f) the Comprehensive Alcohol Abuse and
Alcoholism Prevention, Treatment and Rehabilitation Act
of 1970 (P.L. 91-616), as amended, relating to nondis-
crimination on the basis of alcohol abuse or alcoholism;
(g) §§ 523 and 527 of the Public Health Service Act of 1912
(42 U.S.C. 290 dd-3 and 290 ee-3), as amended, relating to
confidentiality of alcohol and drug abuse patient records;
(h) Title VIII of the Civil Rights Act of 1968 (42 U.S.C.
36701 et seq.), as amended, relating to nondiscrimination
in the sale, rental or financing of housing; (i) any other
nondiscrimination provisions in the specific statute(s) un-
der which application for Federal assistance is being made;
and 0) the requirements of any other nondiscrimination
statute(s) which may apply to the application.
7. WiIl comply, or has already complied, with the require-
ments .of Titles 11 and III of the Uniform Relocation
Assistance and Real Property Acquisition Policies Act of
1970 (P.L. 91-646) which provide for fair and equitable
treatment of persons displaced or whose property is ac-
quired as a result of Federal or federally assisted programs.
These requirements apply to all interests in real property
acquired for project purposes regardless of Federal partici-
pation in purchases.
8. Will comply, as applicable, with the provisions of the
Hatch Act (5 U.S.C. §§ 1501-1508 and 7324-7328) which
limit the political activities of employees whose principal
employment activities are funded in whole or in part with
Federal funds.
9. Will comply, as applicable, with the provisions of the
Davis -Bacon Act (40 U.S.C. §§ 276a and 276a-7), the
Copeland Act (40U.S.C. § 276c and 18 U.S.C. §§ 874), and
the Contract Work Hours and Safety Standards Act (40
U.S.C. §§ 327-333), regarding labor standards for feder-
ally assisted construction subagreements.
10. Will comply, if applicable, with flood insurance purchase
requirements of Section 102(a) of the Flood Disaster Pro-
tection Act of 1973 (P.L. 93-234) which requires recipients
in a special flood hazard area to participate in the program
and to purchase flood insurance if the total cost of insur-
able construction and acquisition is $10,000 or more.
11. Will comply with environmental standards which may be
prescribed pursuant to the following: (a) institution of
Iq environmental quality control measures under the Na-
tional Environmental Policy Act of 1969 (P.L. 91-190) and
Executive Order (EO) 11514; (b) notification of violating
facilities pursuant to EO 11738; (c) protection of wetlands
pursuant to EO 11990; (e) evaluation of flood hazards in
flood plains in accordance with E0.11988; (e) assurance of
Page 1 of 2 St--4'L4tj
Previous Editions Usable Authorized for Local Reproduction Prescribed by OMB Circular A-102
project consistency with the approved 4,e management 14. Will comply witi,,�l.. 93-348 regarding the protection of
S program developed under the Coastal Zone Management human subjects involved in research, development, and
Act of 1972 (16 U.S.C. §§ 1451 et seq.); (f) conformity of related activities supported by this award of assistance.
Federal actions to State (Clear Air) Implementation Plans 15. Will comply with the Laboratory Animal Welfare Act of
under Section 176(c) of the Clear Air Act of 1955, as
amended (42 U.S.C. § 7401 et seq.); (g) protection of 1966 (P.L. 89-544, as amended, 7 U.S.C. 2131 et seq.)
underground sources of drinking water under the Safe pertaining to the care, handling, and treatment of warm
blooded animals held for research, teaching, or other
Drinking Water Act of 1974, as amended, (P.L. 93-523); activities supported by this award of assistance.
and (h) protection of endangered species under the Endan-
gered Species Act of 1973, as amended, (P.L. 93-205). 16. Will comply with the Lead -Based Paint Poisoning Preven-
12. Will comply with the Wild and Scenic Rivers Act of 1968
(16 U.S.C. §§ 1271 et seq.) related to protecting compo-
nents or potential components of the national wild and
scenic rivers system. 17.
13. Will assist the awarding agency in assuring compliance with
Section 106 of the national Historic Preservation Act of 1966,
as amended (16 U.S.C. 470), EO 11593 (identification and
protection of historic properties), and the Archaeological and 18.
Historic Preservation Act of 1974 (16 U.S.C. 469a-1 et seq.).
lion Act (42 U.S.C. §§ 4801 et seq.) which prohibits the use
of lead based paint in construction or rehabilitation of
residence structures.
Will cause to be performed the required financial and
compliance audits in accordance with the Single Audit Act
of 1984 or OMB Circular No. A-133, Audits of Institutions
of Higher Learning and other Non-profit Institutions.
Will comply with all applicable requirements of all other
Federal laws, executive orders, regulations and policies
governing this program.
Signature of Authorized Certifying tf[fci Tit
Ile
Patti clapper `L Chairman
Applicant Organization Date Submitted
Northwest Colorado Council of Governments 5/25/02
Page 2 of 2 SF-424B (Rev. 4192)
Previous Editions Usable Authorized for Local Reproductlon Prescribed by OMB Clivular A-102
-OCT-63-2002 02:38PM FROM-bCLA LOCAL &OVT SVCS 1313 HERO R521 8 $038664810
.GENE= D$CISIOAT =020017 09/13/2002 C017
Date: September 13, 2002
eeneral Decision Number C0020017
Superseded General, Pecisiou bba- C003.0017
State: Colorado
construction Type:
RESIDENTIAL
county (ics )
ALAMOSA
GRAND
oDRAv
ARCHULETA
G=T.SON
PARK
BACA
9INSDALE
PBILLIPS
BENT
Hu MANO
PITK=
CHAFFEE
JACKSON
PROWERE
CiI£XENNE
KIOWA
RIO BLANCO
CLEAR CREEK.
KIT CARBON
RIO GRAMM
CONEJOS
LA PLATA
ROUZT
COSTT14LA
LAKE
SAGM
CROWLEY
LAS ANIMAS
SALT J=
CUSTER
LINCOLN
SAW MIGURL
DELTA
LOC,sAN
SEDGWICK
13OLORES
XTN RAL
SUMMIT
EAGLE
MOFFAT
TELLER
ELBER.T
MONTEZVM
WASHINGTON
MONT
MONMSE
YUMA
C71WIELD
MORGAN
GILPIN
OTERO
RESIDENTIAL CONSTRUCTION PR=CTS (consi®ting of single family
homes gmd apartments up to and including 4 stories)
Modification Number
0
1
2
3
4
5
6
Publication Date
03/ol/2002
03/08/2002
04/05/2002
05/03/2002
06/21/2002
07/OS/2002
09/13/2002
COUNTY Ues )
ALAMOSA
GRAND
oURAY
ARCHULETA
(;UNNISort
PARK
BACA
- HINMALR
PHILLIPS
BRUT
HUERFANO
PITKIN
CEWPEE
JACKSON
PROW=
CHEYENNE
KIOWA
RIO BLANCO
CLFM CgM
KIT CA ON
RIO GRAMP.
CONEJOS
LA PLATA
ROB
COSTILLA
LAU
SAGTJAC�
CROWLEY
LAS ANIMAS
SAS 3=
CUSTER
LINCOLN
SAN M e=
DELTA
LOGAN
0i3GWlCK
T-128 P.002/006 F-741
http://frweb te.access.gpo.gov/cgi-buy/getdoc.cgi?db e=l)avis-Bacam&docid----00020017 10/3/02
_ OCT-03-2002 02:38PM
FROM-OOLA LOCAL GOAT SVCS 1313 SHERMAN R521 8 $038664810
�.d
T-126 P.003ACS F-741
DOLORES
•EAGLE
ELBERT
MONT
GAR l=
GILPIN
Mum" SUMMIT
MOFFAT
MoNTEzUMA WMX=GTON
MONTROSE yw4A
MORGAN
OTERO
* =C00121 09/01/2002
Razes Fringes
ALAMOSA, ARaKUDETA, BACA, SENT, CHAFFEE, Co=JOS, COSTILLA,
CROWLEY, OUSTER, FREMONT, MMRFANO, KYOWA, LAB AN=kS r MINML'
OTERO, rROWERS, RIO GRANDE AND SAGUACMIS COUNTIES
MRCTRICIANS : (Tucluding Low
Voltage Wiring and Installation
of rice Alarms)
Electrical work $200,000 Or legs 18.98 7.94
Electrical work over $200,000 23.76 7•94
w - - � - - - - - - - - - - - - - - - - - - w w - w w - - - - - - - - - - - - - w - w w - - - - - - - - - - -
* EI.RC''0068Q 09/01/2002
Rates Fringes
CLEAR CREEK, FAGI•E, GILPYS, GFAND, JACKSON, LAKE, LOGANt MORGAN,
PHILLIPS, SRDGWICK, SUMMIT, WASHINGTON AND YVMA COUNT1=
=CTRICIANS (including
Low Voltage Wiring and
Iustallation of Fire Alarms) 20.55 4.$9
- - - - - - - - - - - - - - - w w - - - w - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
RLEC0113I 06/01/2002
Rates Fringes
mYENYIE, rmsERT, KIT CARSONI LINCOLN, EARL AND TELLER. COUNTIES
ELECTRICIANS ( Including
Law Voltage Wiring and
Installation of Fire Alarms) 18.08 3Wt7_27
- - - - - - - - - - - w " w - - - - - - - - - - - - - - - - - - w 7 w - - - - - - - - - -
ELEC0969I 06/01/2000
Rates Fringes
DELTA, DOLORES, GARFIELD, GLWISON, RINSDALE, LA PXATA, MOAT,
MONTLSUM, MONTRosE, OURAY, PITKIN, RIO BLANCO, ROUTT, SM JUAN
AND SAN MIGM COUNTIES
ELECTRICIANS (including
Low voltage Wiring and
Installation of Fire Alarms) 20.35 4%t5.14
- - w - - w w w - - - - - - - - - - - - - - - - - - w - - w w • w - - - - - - - - - - - - - - - - - w w w - w - - - - - - - - -
TRONO024B 11/01/2001
Rates Fringes
1RoNwoRmm, Structural 21.00 5.45
- - - w - - - - - - - - - - - - - - - - w - - w - w w - - - - - - - - - - - - - - - - - w - - w - - - - - - - - - - - - - - - -
SV'C01032A 12/20/2001
Rates Fringes
CARPENTERS 17.86
http://frvebgate.access.spa.SOVlcgi-bbVgadoc.cgi?dbname=Davis Bacon&( Qcid=COO20017 1 0/3/02
- OCT4-h-2002 02:38PM
'LABORERS:
Common
FROM -BOLA LOCAL &QVT SVCS 1313 SHERMAN R621 6 3038664810
FAINTERS:
crush, Spray & Roller
PLUMERS (Including
HVAC pipe)
10.33
3.5.00
18.06 2.78
wEI mu - Receive rate prescribed for craft performing operation
to which welding is incidental.
Unlisted classifications needed for work not included within
the scope of the classifications listed may be added after
award oxay as provided in the labor standards contract clauses
(25 CIFR 5.5 (a) (1) (ii) ) .
w w - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - w r -------------------
in the listing above, the °SU'' designation means that rates
listed under that identifier do not reflect collectively
bargained wage and fringe benefit rates. other designations
indicate unions whose rates have been determined to be
prevailing.
WAGE D==MINATION p PPMS PROCESS
3..) Aas there been an initial decision in the matter? This can
be:
* an existing published wage determination
w a survey underlying a wage determination
* a wage and Hour Division letter setting forth a
position on a wage determination matter
* a conformance (additional classification and rate)
ruling
on survey related matters, initial contact, including requests
for summaries of surveys, should be with the wage and Hour
Regional Office for the area in which the survey was conducted
because those Regional Offices have responsibility for the
Davis -flacon survey program. If she response from this initial
contact is not satisfactory; then the process described in 2.)
and 3.) should be followed.
with regard to any other matter not yet ripe for the formal
process described here, initial contact should be with the Branch
of Construction wage Determinations. Write to
Branch of consz=cti.on wage Determinations
Wage and Sour Division
U . S . Department of Labor
200 Constitution Avenue, W. W.
Washington, D. C. 20210
2.) if the answer to the question in 1.) is yes, then as
interested party (those affected by the action) can request
review and reconsideration from the wage and &Our Administrator
T-126 P-004/005 F-T41
hup://frwebgate.access.gpo,govfcgi-bin/getdOC,c&i?do ne=l)avis-Bacon&docid=CO020017 . 1WNW
_OCT-03-2002 02:36PM FRWQOLA LOCAL &OVT SVCS 1313 SHERMAN R621 8 3038664819 T-126 P-005/005 F-741
(See 29 CPR Part 1.8 and 29 CPR Part 7). Write to:
Wage "a Hour Administrator
U.S. Department of Labor
200 Constitution Avenue, N- W-
Washlu%toa, D - C . 20210
The request should be accompanied by a Bull statement of the
interested party' s position and by arty iuformation (wage paymeut
data, project description, area practice material, etc.) that the
requestor considers relevant to the issue.
3-) If the decision of the Administrator in not favorable, an
interested party may appeal directly to the Administrative Review
Board (formerly the Wage Appeal$ Board). Write to:
Administrative Review Board
u. S. Department of Labor
200 Constitution Avenue, N. W.
Washington, D. C. 20210
4.) All. decisions by the Admiuistrat1v0 Review Board are final.
Mm OF GZRMZAL DECISION
hq:tl*webpa e.access.gpo.gavlcgi-binlgeuWc.cgi?dbuamw---Davis-]3acon&docid=C0020017 10/3/02
I
Form RD 400-1
(Rev 5-00)
UNITED STATES DEPARTMENT OF AGRICULTURE
EQUAL OPPORTUNITY AGREEMENT
FORM APPROVED
OMB No. 0575-0018
This agreement, dated between
Northwest Colorado Council of Governments
(herein called "Recipient" whether one or more) and United States Department of Agriculture (USDA), pursuant to the rules and
regulations of the Secretary of Labor (herein called the `Secretary') issued under the authority of Executive Order 11246 as amended,
witnesseth:
In consideration of financial assistance (whether by a loan, grant, loan guaranty, or other form of financial assistance) made or to be
made by the USDA to Recipient, Recipient hereby agrees, if the cash cost of construction work performed by Recipient or a construction
contract financed with such financial assistance exceeds $10,000 - unless exempted by rules, regulations or orders of the Secretary of
Labor issued pursuant to section 204 of Executive Order 11246 of September 24, 1965.
1. To incorporate or cause to be incorporated into any contract for construction work, or modification thereof, subject to the relevant
rules, regulations, and orders of the Secretary or of any prior authority that remain in effect, which is paid for in whole or in part with the
aid of such financial assistance, the following `Equal Opportunity Clause":
During the performance of this contract, the contractor agrees as follows:
(a) The contractor will not discriminate against any employee or applicant for employment because of race, color, religion, sex or
national origin. The contractor will take affirmative action to ensure that applicants are employed, and that employees are
treated during employment, without regard to their race, color, religion, sex, or national origin: Such action shall include, but
not be limited, to the following: employment, upgrading, demotion or transfer, recruitment or recruitment advertising; layoff
or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The contractor
agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided by the
USDA setting forth the provisions of this nondiscrimination clause.
(b) The contractor will, in all solicitations or advertisements for employees placed by or on behalf of the contractor, state that all
qualified applicants will receive consideration for employment without regard to race, color, religion, sex or national origin.
(c) The contractor will send to each labor union or representative of workers with which he has a collective bargaining agreement
or other contract or understanding, a notice, to be provided by the USDA, advising the said labor union or workers' representative
of the contractor's commitments under this agreement and shall post copies of the notice in conspicuous places available to employees and
applicants for employment.
(d) The contractor will comply with all provisions of Executive Order 11246 of September 24, 1965, and of all rules, regulations
and relevant orders of the Secretary of Labor.
(e) The contractor will furnish all information and reports required by Executive Order 11246 of September 24, 1965, rules,
regulations, and orders, or pursuant thereto, and will permit access to his books, records, and accounts by the USDA Civil
Rights Office, and the Secretary of Labor for purposes of investigation to ascertain compliance with such rules,
regulations, and orders.
(f) In the event of the contractor's noncompliance with the nondiscrimination clauses of this contract or with any of the said rules,
regulations, or orders, this contract may be cancelled, terminated, or suspended in whole or in part and the contractor may be
declared. ineligible for further Government contract or federally assisted construction contracts in accordance with procedures
authorized in Executive Order No. 11246 of September 24, 1965, and such other sanctions may be imposed and r�ernedies invoked as
provided in Executive Order No. 11246 of September 24,1965, or by rule, regulation or order of the Secretary o r, or as o ervvise
provided by Law
(g) The contractor will include the provisions of paragraph 1 and paragraph (a) through (g) in every subcontract or purchase order, unless
exempted by the rules, regulations, or orders of the Secretary of Labor issuers pursuant to Section 204 of Executive Order No. 11246 of
September 24, 1965, so that such provisions will be binding upon each subcontractor or vendor. The contractor will take such action with
respect bo any subcontractor purchase order as the USDA may direct as a means of enforcing such provisions, including sanctions for
noncompliance: Provided, however, that in the event the contractor becomes involved in, or is threatened with, litigation with a
subcontractor or vendor as a result of such direction by the USDA, the contractor may request the United States to enter into such
litigation to protect the interest of the United States.
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond
to, a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information
collections is 0575-0018. The time required to complete this information collection is estimated to average 10 minutes per response,
including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and
completing and reviewing the collection of information.
RD 400-1(Rev. 5-00)
Position 6
2. To be bound by the above equal opportunity clause with respect to its own employment practices when it participates in federally
assisted construction work: Provided, that if the organization so participating is a State or local government, the above equal
opportunity clause is not applicable to any agency, instrumentality or subdivision of such government which does not
participate in work on or under the contract.
3. To notify all prospective contractors to file the required `Compliance Statement', Form RD 400-6, with their bids.
4. Form AD-425, Instructions to Contractors, will accompany the notice of award of the contract Bid conditions for all nonexempt
federal and federally assisted construction contracts require inclusion of the appropriate "Hometown" or "imposed" plan affirmative
action and equal employment opportunity requirements. All bidders must comply with the bid conditions contained in the invitation to
be considered responsible bidders and hence eligible for the award
5. To assist and cooperate actively with USDA and the Secretary in obtaining the compliance of contractors and subcontractors with
the equal opportunity clause and the rules, regulations, and relevant orders of the Secretary, that it will furnish USDA and the Secretary
such information such as, but not limited to, Form AD 560, Certification of Nonsegregated Facilities, to submit the Monthly
Employment Utilization Report, Form CG257, as they may require for the supervision of such compliance, and that it will otherwise
assist USDA in the discharge of USDA's primary responsibility for securing compliance.
6. To refrain from entering into any contract or contract modification subject to Executive Order 11246 of September 24, 1965, with a
contractor debarred from, or who has not demonstrated eligibility for, Government contracts and federally assisted construction
contracts pursuant to the Executive Order and will carry out such sanctions and penalties for violation of the equal opportunity clause as
may be imposed upon contractors and subcontractors by USDA or the Secretary of Labor pursuant to Part 1I, Subpart D, of the
Executive Order.
7. That if the recipient fails or refuses to comply with these undertakings, the USDA may take any or all of the following actions:
Cancel, terminate, or suspend in whole or in part this grant (contract, loan, insurance, guarantee); refrain from extending any further
assistance to the organization under the program with respect to which the failure or refund occurred until satisfactory assurance of
future compliance has been received from such organization; and refer the case to the Department of Justice for appropriate legal
proceedings.
Signed b e Recipient on the date first written above.
Recipient
(CORPORATE SEAL)
Attest: `
r
Name of Corporate Recipient
By
Recipient
President
USDA
Form RD 400-4
(Rev. 3-97)
The
Position 3
FORM APPROVED
ASSURANCE AGREEMENT OMB No. 0575-0018
(Under Title VI, Civil Rights Act of 1964)
wnrthwest Colorado Council of Governments
(name of recipient)
v n Rn-v 91t)R _ Rilverthorne, Colorado 80498
(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 (42 USC 2000d et. seq.), 7 CFR Part 15, and Rural Housing Service, Rural
Business -Cooperative Service, Rural Utilities Service, or the Faun Service Agency, (hereafter known as the" Agency') regulations
promulgated thereunder, 7 C.F.R. § 1901.202. 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. § 14.2) 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.
(b) 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.
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
Ionger.
(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.
R ights and remedies provided for under this agreement shall be cumulative.
In witness whereof, Northwest Colorado Council of Governments 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.
(S ZAAi)
Attest:
Chairman
Recipient
Date
Accordi ;�h the paperwork Reduction Act of 1995. no pawns are repined to respond to a coQecdon of tnforomdon wiles it displa}ar a valid OMB oaatro[ nrunlren: 7:e vedid OMB
coatral number for this informadm collection is OS70-0018. The tine required to avmpkte this h formadon is cWnwted to avemw 15 minutes per responre, hw& ng the time for
reviewing na&uwons, searching existing data sources, gathatng and mak wh tng the data needed. and compkwe and rewfewmg the collation of it jo Mdoa
RD Instruction 1940-M
Exhibit•A Page 27
Appendix B - Certification Regarding Debarment, Suspension, Ineligibility and
Voluntary Exclusion - Lower Tier Covered Transactions
Instructions for Certification
1. By signing and submitting this proposal, the prospective lower tier
participant is Providing the certification set out below.
2. The certification in this clause is a material representation of fact upon
which reliance was placed when this transaction was entered into. If it is
later determined that the prospective lower tier participant knowingly
rendered an erroneous certification, in addition to* other remedies available
to the Federal Government, the department or agency with which this
transaction originated may pursue available remedies, including• suspension
and/or debarment.
3. The prospective lower tier participant shall provide immediate written
notice to the person to which this proposal is submitted if at any time the
prospective lower tier participant learns that its certification was erroneous
when submitted or has become erroneous by reason of changed circumstances.
4. The terms "covered transaction," "debarred," "suspended," "ineligible,"
"lower tier covered transaction," "participant," "person," "primary covered
transaction," "principal," "proposal," and "voluntarily excluded," as used in
this clause, have the meanings set out in the Definitions and Coverage
sections of rules implementing Executive Order 12549. You may contact the
person to which this proposal is submitted for assistance in obtaining a copy
of those regulations.
5. The prospective lower tier participant agrees by submitting this proposal
that, should the proposed covered transaction be entered into, it shall not
knowingly enter into any lower tier covered transaction with a person who is
debarred, suspended, declared ineligible, or voluntarily excluded from
participation in this covered transaction, unless authorized by the department
or agency with which this transaction originated.
6. The prospective lower tier participant further agrees by submitting this
proposal that it will include this clause titled "Certification Regarding
Debarment,--. Suspension, Ineligibility and -Voluntary—Exclusion. - Lower Tier - -- ---- - --
Covered Transaction," without modification, in all lower tier covered
transactions and in all solicitations for lower tier covered transactions.
7. A•participant in a covered transaction may rely upon a certification of a
prospective participant in a lower tier covered transaction that it is not
debarred, suspended, ineligible, or voluntarily excluded from the covered
transaction, unless it knows that the certification is erroneous. A
participant may decide the method and frequency by which it determines the
eligibility of its principals. • Each participant may, but is not required to,
(4-11-89) SPECIAL PN
RD Instruction 1940-M
Exhibit A Page 28
check the Nonprocurement List (Tel. #).
8. Noting contained in the foregoing shall be construed to require
establishment of a system of records in order to render in good faith the
certification required by this clause. The knowledge and information of a
participant is not required to exceed that which is normally possessed by a
prudent person in the ordinary course of business dealings.
9. Except for transactions authorized under paragraph 5 of these
instructions, if a participant in a covered transaction knowingly enters into
a lower tier covered transaction with a person who is Suspended, debarred,
ineligible, or voluntarily excluded from participation in this transaction, in
addition to other remedies available to the Federal Government, the department
or agency with which this transaction originated may pursue available
remedies, including suspension and/or debarment.
Certification Regarding Debarment, Suspension, Ineligibility and Voluntary
Exclusion - Lower Tier Covered Transactions
(1) The prospective lower tier participant certified, by submission of this
proposal, that neither it nor its principals is presently debarred, suspended,
proposed for debarment, declared ineligible, or voluntarily excluded from
participation in this transaction by any Federal department or agency.
(2) Where the prospective lower tier participant is unable to certify to any
of the statements in this certification, such prospective participant shall
attach an explanation to this proposal.
a
r
RD Instruction 1940-M
Exhibit A Page 29
Appendix C to Part 3017 - Certification Regarding Drug -Free workplace
Requirements.
Instructions for Certification
1. By signing and/or submitting this application or grant agreement, the
grantee is providing the certification set out below.
2. The certification set out below is a material representation of fact
upon which reliance was placed when the agency determined to award the grant.
If it is later determined that the grantee knowingly rendered a false
certification, or otherwise violates the requirements of the Drug -Free
Workplace Act, the agency, in addition to any other remedies available to the
Federal Government, may take action authorized under *the Drug -Free Workplace
Act.
3. For grantees other than individuals, Alternative I applies.
4. For grantees who are individuals, Alternative II applies.
Certification Regarding Drug -Free Workplace Requirements
Alternative I.
A. The grantee certifies that it will provide a drug -free workplace by:
(a) Publishing a Statement notifying employees that the unlawful
manufacture, distribution, dispensing, possession or use of a controlled
substance is prohibited in the grantee's workplace and specifying the actions
that will be taken against employees for violation of such prohibition;
(b) Establishing a drug -free awareness program to inform employees
about --
(1) The dangers of drug abuse in the workplace;
(2) The grantee's policy of maintaining a drug -free workplace;
(3) Any available drug counseling, rehabilitation, and employee
assistance programs; and
(4) The penalties that may be imposed upon employees for drug abuse
violations occurring in the workplace.
(c) Making it a requirement that each employee to be engaged in the
performance of the grant be given a copy of the statement required by
paragraph (a);
(d) Notifying the employee in the statement required by paragraph (a)
that, as a condition of employment under the grant, the employee will
(1) Abide by the terms of the statement; and
(2) Notify the employer of any criminal drug statute conviction for a
violation occurring in the workplace no later than five days after such
conviction.
(e) Notifying the agency within ten days after receiving notice under
subparagraph (d)(2) from an employee or otherwise receiving actual notice of
such conviction;
(f) Taking one of the following actions, within 30 days of receiving
notice under subparagraph (d)(2), with respect to any employee who is so
convicted
(1) Taking appropriate personnel action against such an
(4-11-89) SPECIAL PN
RD Instruction 1940-M
Exhibit A Page 30
employee, up to and including termination; or
(2) Requiring such employee to participate satisfactorily in a drug abuse
assistance or rehabilitation program approved for such purposes by a Federal,
State, or local health, law enforcement, or other appropriate agency;
(g) Making a good faith effort to continue to maintain a drug -free
workplace'through implementation of paragraphs (a), (b), (c), (d), (e) and
(f) .
B. The grantee shall insert in the space provided below the site(s) for the
performance of work done in connection with the specific grant:
Place of Performance (Street address, city, county, State, zip code)
Riverview Apartments
39169 Hwy 6 & 24
Eagle Vail, CO 81620
Alternative II
The grantee certifies that, as a condition of the grant, he or she will
not engage in the unlawful manufacture, distribution, dispensing, possession
or use of a controlled substance in conducting any activity with the grant.
*—
DISTRIBUTION
QCi in8i5 Io'
1. Contract Bo k
Copies to:
! Accoontino
2.