HUD Form 40159 Attachment F Grant Closeout Agreement for State Communit

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

Attachment F

GRANT CLOSEOUT AGREEMENT
For
State Community Development Block Grant-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 State CDBG-R Grant 
dated
, and any
applicable amendments. The
certifies that to the best of its knowledge:






All activities as authorized by this grant and any applicable amendments have been
completed as described in the grantee’s final performance report dated
.
During the administration of this award, no fraud, waste or mismanagement has occurred in
carrying out the approved activities.
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 thirdparty 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:


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, Lead-Based Paint
Poisoning Prevention Act, Architectural Barriers Act and Americans with Disabilities Act.

Insert as Applicable

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HUD Form 40159 (1/2012)

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



Any real property within a State recipient’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).



If any rehabilitated property falls within a flood plain, flood insurance coverage must be
maintained for the mandatory period for affected property owners.



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 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 finding.
For the                                    

________________________________
Name /Title of Authorized Official/Title

________________________
Date

__________________________________
Signature

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

________________________
Date

__________________________________
Signature

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HUD Form 40159 (1/2012)