HUD Form 40164 Attachement D Grant Closeout Agreement for Community Dev

U.S. Department of Housing and Urban Development
Community Planning and Development
OMB Approval No. 2506-0193 (exp 1/31/2015)

Attachment D

GRANT CLOSEOUT AGREEMENT
For
Community Development Block Grant Disaster Recovery Program
Between

U.S. Department of Housing & Urban Development
AND

This agreement sets forth the terms for final disposition and conditions associated with the closeout of HUD
CDBG Disaster Recovery Grant (
) dated
, and any applicable amendments
and waivers. The
certifies that to the best of its knowledge:






All activities as authorized by this grant and any applicable amendments, Notices, alternative
requirements, and waivers have been completed as described in the grantee’s final performance
report dated
.
Any fraud, waste, or mismanagement that may have occurred in the administration of this award has
been adequately addressed in accordance with the recommendations and concurrence of the HUD
Office of the Inspector General, or the Office of Community Planning and Development.
All grant-financed costs associated with these activities have been incurred.
Proper provisions have been made for the payment of all unpaid costs and unsettled third-party
claims.
The Department of Housing and Urban Development is under no obligation to make any payment to
the
in excess of the amount identified in the grant agreement.

Further, the
hereby acknowledges the remaining obligation(s) under the terms of the grant
agreement and agrees as follows:




States: All records and documents pertaining to this grant will be maintained for a period of 3 years
after execution of this close-out agreement or the period required by other applicable laws and
regulations related to affirmatively furthering fair housing, Section 3 of the Housing and Community
Development Act of 1968 (24 CFR part 135), Lead-Based Paint Poisoning Prevention Act,
Architectural Barriers Act, Assistance and Real Property Acquisition Policies Act of 1970, and
Americans with Disabilities Act-- 24 CFR 570.487 and the Uniform Relocation Act—24 CFR 570.488.
Entitlement Communities: All records and documents pertaining to this grant will be maintained for a
period of 4 years after execution of this closeout agreement or the period required by other applicable
laws and regulations related to affirmatively furthering fair housing-24 CFR 570.506 (g)(1), Section 3
of the Housing and Community Development Act of 1968 (24 CFR part 135)Lead-Based PaintPoisoning Prevention Act-24 CFR 570.608, Architectural Barriers Act and Americans with Disabilities
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HUD Form 40164 (1/2012)

U.S. Department of Housing and Urban Development
Community Planning and Development
OMB Approval No. 2506-0193 (exp 1/31/2015)

Act—24 CFR 570.614, and the Assistance and Real Property Acquisition Policies Act of 1970-24
CFR 570.606.
Insert as Applicable


States: Any real property within the
’s or State grantee’s control which was
acquired or improved in whole or part using CDBG funds in excess of $100,000 is governed by the
principles described in 24 CFR 570.489(j).



Entitlement Communities: Any real property within the
’s control which was
acquired or improved in whole or part using CDBG funds in excess of $25,000 is governed by the
principles described in 24 CFR 570.505.



Entitlement Communities: If any rehabilitated property falls within a flood plain, flood insurance
coverage must be maintained for the mandatory period for affected property owners described in 24
CFR 570.605.



Identify any closeout costs or contingent liabilities subject to payment after the closeout agreement is
signed.



Submit to HUD a Federal Financial Report using Standard Form 425 (if necessary) or other state
form, as a result of the completion of the final audit and resolution of any findings.



A total of $
in grant funds has been previously cancelled and returned to the Department on
OR A total of $                      in grant funds will be recaptured by HUD upon execution of this
closeout agreement. (Optional)

HUD maintains the right to conduct future monitoring of this grant, either on site or by review of information or
copies of documents requested from the
. The
acknowledges that a
finding of non-compliance resulting from such a review and failure to take appropriate corrective action
satisfactory to HUD may be taken into account by HUD as evidence of unsatisfactory performance in
consideration of future grant awards. Further, the
may be required to repay HUD any
disallowed costs based on the results of a future audit or HUD monitoring.
For the
__________________________________
Name /Title of Authorized Official/Title

________________________
Date

For the Department of Housing and Urban Development:
_________________________________
Type name of CPD Director

________________________
Date
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HUD Form 40164 (1/2012)