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pdfU.S. Department of Housing and Urban Development
Office of Community Planning and Development
Community Development Block Grant Program
OMB Approval No.
2506-0193 (exp 1/31/2015)
Funding Approval/Agreement
Title I of the Housing and Community
Development Act (Public Law 930383)
HI-00515R of 20515R
1. Name of Grantee (as shown in item 5 of Standard Form 424)
3a. Grantee’s 9-digit Tax
ID Number:
2. Grantee’s Complete Address (as shown in item 5 of Standard Form 424)
3b. Grantee’s DUNS Number:
4. Date use of funds may begin
(mm/dd/yyyy):
5a. Project/Grant No. 1
6a. Amount Approved
5b. Project/Grant No. 2
6b. Amount Approved
5c. Project/Grant No. 3
6c. Amount Approved
Grant Agreement: This Grant Agreement between the Department of Housing and Urban Development (HUD) and the above named Grantee is made pursuant to the
authority of Title I of the Housing and Community Development Act of 1974, as amended, (42 USC 5301 et seq.). The Grantee’s submissions for Title I assistance, the HUD
regulations at 24 CFR Part 570 (as now in effect and as may be amended from time to time), and this Funding Approval, including any special conditions/addendums,
constitute part of the Agreement. Subject to the provisions of this Grant Agreement, HUD will make the funding assistance specified here available to the Grantee upon
execution of the Agreement by the parties. The funding assistance specified in the Funding Approval may be used to pay costs incurred after the date specified in item 4
above provided the activities to which such costs are related are carried out in compliance with all applicable requirements. Pre-agreement costs may not be paid with
funding assistance specified here unless they are authorized in HUD regulations or approved by waiver and listed in the special conditions to the Funding Approval. The
Grantee agrees to assume all of the responsibilities for environmental review, decision making, and actions, as specified and required in regulations issued by the Secretary
pursuant to Section 104(g) of Title I and published in 24 CFR Part 58. The Grantee further acknowledges its responsibility for adherence to the Agreement by sub-recipient
entities to which it makes funding assistance hereunder available.
U.S. Department of Housing and Urban Development (By Name)
Grantee Name
Title
Title
Signature
Date (mm/dd/yyyy)
7. Category of Title I Assistance for this Funding Action
(check only one)
a. Entitlement, Sec 106(b)
b. State-Administered, Sec 106(d)(1)
c. HUD-Administered Small Cities, Sec 106(d)(2)(B)
d. Indian CDBG Programs, Sec 106(a)(1)
e. Surplus Urban Renewal Funds, Sec 112(b)
f. Special Purpose Grants, Sec 107
g. Loan Guarantee, Sec 108
8. Special Conditions
(check one)
None
Attached
Signature
Date (mm/dd/yyyy)
9a. Date HUD Received Submission
(mm/dd/yyyy)
9b. Date Grantee Notified
(mm/dd/yyyy)
9c. Date of Start of Program Year
(mm/dd/yyyy)
11. Amount of Community Development
Block Grant
a. Funds Reserved for this Grantee
FY (
)
FY (
10. check one
a. Orig. Funding
Approval
b. Amendment
Amendment Number
)
FY (
)
b. Funds now being Approved
12a. Amount of Loan Guarantee Commitment now being Approved
c. Reservation to be Cancelled
(11a minus 11b)
12b. Name and complete Address of Public Agency
Loan Guarantee Acceptance Provisions for Designated Agencies:
The public agency hereby accepts the Grant Agreement executed by the
Department of Housing and Urban Development on the above date with
respect to the above grant number(s) as Grantee designated to receive
loan guarantee assistance, and agrees to comply with the terms and
conditions of the Agreement, applicable regulations, and other
requirements of HUD now or hereafter in effect, pertaining to the
assistance provided it.
12c. Name of Authorized Official for Designated Public Agency
Title
Signature
HUD Accounting use Only
Batch
TAC
Program Y
A Reg Area
Document No.
Project Number
Category
Amount
Effective Date
(mm/dd/yyyy)
F
153
1 76
Date Entered PAS (mm/dd/yyyy)
Y
Project Number
Amount
Y
Project Number
Amount
Date Entered LOCCS (mm/dd/yyyy)
Batch Number
Transaction Code
Entered By
24 CFR 570
Verified By
form HUD-7082 (11/10)
File Type | application/pdf |
File Modified | 2012-03-20 |
File Created | 2012-02-09 |