HomeMy WebLinkAboutA8958 - FAIR HOUSING COUNCIL OF RIVERSIDE COUNTY, INC (FHC)COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
SUBRECIPIENT AGREEMENT
BETWEEN THE CITY OF PALM SPRINGS
AND
FAIR HOUSING COUNCIL OF RIVERSIDE COUNTY, INC.
(Federal Grant No. [B-21-MC-06-0561])
THIS AGREEMENT (herein "Agreement"), is made and entered into this 1st day of
JULY, 2021, by and between the CITY OF PALM SPRINGS, (herein "City), a municipal
corporation and charter city, and the FAIR HOUSING COUNCIL OF RIVERSIDE COUNTY,
INC., Federal Tax Number: [33-0533809] (herein "Provider").
WHEREAS, the City has entered into various funding agreements with the United
States Department of Housing and Urban Development ("HUD"), which agreements
provide funds ("CDBG Funds") to the City under the Federal Housing and Community
Development Act of 1974 (42 U.S.C. Section 5301 et seq.), as amended from time to time
(the "Act"), and the regulations promulgated thereunder (24 C.F.R. Section 570 et seq.
("Regulations"); and
WHEREAS, the Act provides that the City may grant the CDBG Funds to nonprofit
organizations for certain purposes allowed under the Act; and
WHEREAS, the Provider is a nonprofit organization which operates a program
which is eligible for a grant of CDBG Funds and the City desires to assist in the operation
of the program by granting CDBG Funds to the Provider to pay for all or a portion of those
costs incurred in operating the program permitted by the Act and the Regulations on terms
and conditions more particularly set forth herein; and
WHEREAS, the Provider is a nonprofit organization that operates a program that is
eligible for a grant of CDBG Funds and the City desires to assist in the operation of the
program by granting CDBG Funds to the Provider to pay for all or a portion of those costs
incurred in operating the program permitted by the Act and the Regulations on terms and
conditions more particularly set forth herein; and
WHEREAS, according to federal regulations (24 CFR 570.503), before disbursing
any CDBG funds to a subrecipient, a written agreement shall be signed by the recipient
and subrecipient;
NOW, THEREFORE, the parties hereto agree as follows:
1.0 SERVICES OF PROVIDER.
1.1 Scope of Services. Activities funded with CDBG Funds must meet one
of the Program's National Objectives (Title 24, Part 570, Sections 570.200(a)(2) and (3),
570.208(a)-(d), and 570.208). For purposes of this Agreement, Provider agrees to provide
services meeting the National Objective of benefitting low and moderate -income area
benefit, or low and moderate income limited clientele. Provider agrees to provide to City all
of the services specified and detailed in Exhibit A. Provider represents and warrants to City
that it is able to provide, and will use funds granted by the City to provide the services as
represented herein. City provided funds shall be used only for those purposes specified as
contained in this Agreement.
1.2 Compliance with Law. All services rendered hereunder shall be
provided in accordance with all ordinances, resolutions, statutes, rules, and regulations of
the City and any Federal, State or local governmental agency of competent jurisdiction.
1.3 Reports. No later than ten (10) days prior to any payment date
specified in Section 2.0, within ten (10) days following the termination of this Agreement,
and at such other times as the Contract Officer shall request, Provider shall give the Contract
Officer a written report describing the services provided during the period of time since the
last report and accounting for the specific expenditures of contract funds hereunder, if
applicable. At the times and in the manner required by law, the Provider shall provide to the
City, the Department of Housing and Urban Development, the Comptroller General of the
United States, any other individual or entity, and/or their duly authorized representatives,
any and all reports and information required for compliance with the Act and the Regulations.
Provider shall at minimum maintain the following records and reports to assist the City in
complying with its record keeping requirements.
(a) Documentation (Exhibit B) of the income level, ethnicity, age
of persons and/or households participating in or benefiting
from the Provider's program;
(b) Documentation (Exhibit B) of the number of persons and/or
households participating in or benefiting from the Provider's
program;
(c) Documentation of all CDBG Funds received from the City;
(d) Documentation of expenses as identified in the report and
reimbursement requests;
(e) Documentation of how and when a determination was made
as to the eligibility status of persons assisted, including
evidence that the persons assisted are domiciled within the
approved area of service, if any;
(f) Documentation of compliance with any applicable Equal
Employment Opportunity guidelines and evidence of any
actions undertaken by the Provider to ensure equal
employment opportunities to all persons; and
(g) Any such other related records as the City shall require or as
are necessary pursuant to 24 CFR 570.506.
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1.4 Financial Reporting. Any Provider receiving or due to receive
$20,000.00 or more from the City during the 2021 — 2022 Fiscal Year shall provide to City
a financial statement prepared by a recognized accounting firm approved by or satisfactory
to City's Finance Director completed within the most recent twelve (12) months showing the
Provider's financial records to be kept in accordance with generally accepted accounting
standards. The report shall include a general ledger balance sheet that identifies revenue
sources and expenses in sufficient detail to demonstrate contract compliance and be
balanced to bank statements. Any organization receiving or due to receive less than
$20,000.00 in the current fiscal year from the City shall provide a copy of the organization's
most recent charitable trust report to the Attorney General, or other financial information
satisfactory to City's Finance Director. The financial information provided for in this
paragraph shall be furnished not later than January 31st of the current fiscal year.
1.5 Records/Audit. Provider shall maintain separate accounting records
for the CDBG Funds provided by the City. The City, HUD, the Comptroller General of the
United States, or any of their duly authorized representatives shall have access to all books,
documents, papers and records maintained by Provider in connection with the services for
the purpose of audit, examination, excerpts and transcriptions. Unless otherwise notified by
the City, Provider shall retain all financial records, supporting documents and statistical
reports related to the project identified under this Agreement until ,tune 30, 2027. All records
subject to an audit finding must be retained for five (5) years from the date the finding is
made or until the finding has been cleared by appropriate officials and Provider has been
given official written notice. The City shall have the right to ensure that necessary corrective
actions are made by the Provider for any audit findings pertinent to Provider handling of
funding attributable to the CDBG Funds Program. In response to audit deficiencies or other
findings of noncompliance with this agreement, the City may impose additional conditions
on the use of the CDBG Funds to ensure future compliance, or provide training and technical
assistance as needed to correct noncompliance.
1.6 Client Data and Other Sensitive Information. Provider is required to
maintain data demonstrating client eligibility for activities provided under this Agreement.
Such data may include, but not be limited to, client name, address, income level or other
basis for determining eligibility, and description of activities provided. Provider must comply
with 2 CFR §200.303 and take reasonable measures to safeguard protected personally
identifiable information, as defined in 2 CFR § 200.82, and other information HUD or
Provider designates as sensitive or Provider considers sensitive consistent with applicable
Federal, state, local, and tribal laws regarding privacy and obligations of confidentiality.
Protected personally identifiable information means an individual's first name or first initial
and last name in combination with any one or more of types of information, including, but
not limited to, social security number, passport number, credit card numbers, clearances,
bank numbers, biometrics, date and place of birth, mother's maiden name, criminal, medical
and financial records, educational transcripts. This does not include personally identifiable
information that is required by law to be disclosed. (2 CFR § 200.82.)
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2.0 COMPENSATION.
2.1 Contract Sum. The City shall pay to the Provider on a reimbursable
basis for its services a sum not to exceed FORTY-EIGHT THOUSAND DOLLARS
($48,000) (the "Contract Sum") in accordance with the Budget attached hereto in Exhibit C
and incorporated herein by this reference; and as herein provided. The budget cost
categories set out in Exhibit C are general guidelines and if mutually agreed by both parties,
may be amended administratively by no more than 10%, without the requirement of a formal
amendment to this Agreement, but in no event shall such adjustments increase the Contract
Sum. The Provider shall submit to the City periodic statements, in the form of Exhibit D, on
reimbursable expenditures pursuant to the attached Budget along with pertinent supporting
documentation. Payroll records, receipts and paid invoices including an itemized statement
of all costs are samples of appropriate methods of reimbursement documentation. The City
shall promptly review the monthly expenditure statements and, upon approval, reimburse
the Provider its authorized operating costs.
2.2 Payroll Records. In cases where the Contract Sum will reimburse
payroll expenses as part of operations, the Provider will establish a system of maintaining
accurate payroll records which will track daily hours charged to the project by the Provider's
respective employees, as set forth in OMB Circular A-122 Attachment B.6.
2.3 Draw Downs. Failure by Provider to request reimbursement or
encumbrance of at least 25% of the total grant by the end of each fiscal year quarter
(September 30, December 30, March 31, and June 30) shall result in the immediate
forfeiture of 25% of the total grant.
3.0 COORDINATION OF WORK.
3.1 Representative of Provider. The following principals of Providers are
hereby designated as being the principals and representatives of Provider authorized to act
in its behalf with respect to the work specified herein and make all decisions on behalf of
Provider in connection therewith:
Rose Mayes, Executive Director
3.2 Contract Officer. The Contract Officer shall be such person as may be
designated by the City Manager of City.
3.3 Prohibition Against Subcontracting or Assignment. Provider shall not
contract with any other entity to perform in whole or in part the services required hereunder
without the prior, express written approval of the City. Neither this Agreement, nor any
interest herein, including the right to any monies due hereunder, may be assigned or
transferred, voluntarily or by operation of law, without the prior written approval of the City.
3.4 Independent. Contractor. Neither the City nor any of its employees
shall have any control over the manner, mode or means by which Provider, its agents or
employees, perform the services required herein, except as otherwise set forth herein.
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Provider shall perform all services required herein as an independent contractor of City and
shall remain at all times as to City a wholly independent contractor with only such obligations
as are consistent with that role. Provider shall not at any time or in any manner represent
that it or any of its agents or employees are agents or employees of City.
4.0 COMPLIANCE WITH FEDERAL REGULATIONS.
4.1 The Provider agrees to comply with the requirements of Title 24 of the
Code of Federal Regulations, Part 570 (the U.S. Housing and Urban Development
regulations concerning Community Development Block Grants (CDBG)) including subpart
K of these regulations, except that (1) the Provider does not assume the City's
environmental responsibilities described in 24 CFR 570.604 and (2) the Provider does not
assume the City's responsibility for initiating the review process under the provisions of 24
CFR Part 52. The Provider also agrees to comply with all other applicable Federal, state
and local laws, regulations, and policies governing the funds provided under this Agreement
including: financial standards according to OMB Circular A-22 (non-profit), OMB Circular A-
87 "Cost Principles for State and Local Governments, OMB Circular A-133 "Audits of State
and Local Government and Non -Profit Organizations." The Provider further agrees to utilize
funds available under this Agreement to supplement rather than supplant funds otherwise
available.
4.2 The Provider shall maintain records of its operations and financial
activities in accordance with the requirements of the Housing and Community Development
Act and the regulations promulgated thereunder, which records shall be open to inspection
and audit by the authorized representatives of the City, the Department of Housing and
Urban Development and the Comptroller General during regular working hours. Said
records shall be maintained for such time as may be required by the regulations of the
Housing and Community Development Act, but in no case for less than five years after the
close of the program.
4.3 The Provider certifies it shall adhere to and comply with the following
as they may be applicable, and as may be amended from time to time:
(a) Submit to City through
Development Department
status (Exhibit E);
its Community and Economic
semi-annual reports on program
(b) Section 109 of the Housing and Community Development Act
of 1974, as amended and the regulations issued pursuant
thereto;
(c) Section 3 of the Housing and Urban Development Act of 1968,
as amended;
(d) Executive Order 11246, as amended by Executive Orders
11375 and 12086, and implementing regulations at 41 CFR
Chapter 60;
(e) Executive Order 11063, as amended by Executive Order
12259, and implementing regulations at 24 CFR Part 107;
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(f} Section 504 of the Rehabilitation Act of 1973 (P.L. 93-112), as
amended, and implementing regulations;
(g) The Age Discrimination Act of 1975 (P.L. 94-135, as
amended, and implementing regulations;
(h) The relocation requirements of Title II and the acquisition
requirements of Title III of the Uniform Relocation Assistance
and Real Property Acquisition at 24 CFR Part 42;
(i) The restrictions prohibiting use of funds for the benefit of a
religious organization or activity as set forth in 24 CFR
570.200 0);
(j) The labor standard requirements as set forth in 24 CFR Part
570, Subpart K and HUD regulations issued to implement and
requirements;
(k) The Program Income requirements as set forth in 24 C.F.R.
570.504(c) and 570.503(b)(8), which are hereby incorporated
by reference;
(1) The Provider is to carry out each activity in compliance with
all Federal laws and regulations described in 24 C.F.R. 570,
Subpart K, except that the Provider does not assume the
City's environmental responsibilities described at 24 C.F.R.
570.604; nor does the Provider assume the City's
responsibility for initiating the review process under the
provisions of 24 C.F.R. Part 52;
(m) Executive Order 11988 relating to the evaluation of flood
hazards and Executive Order 11288 relating to the
prevention, control and abatement of water pollution;
(n) The flood insurance purchase requirements of Section 102(a)
of the Flood Disaster Protection Act of 1973 (P.L. 93-234);
(o) The regulations, policies, guidelines and requirements of 24
CFR 570; the "Common Rule", 24 CFR Part 85 and subpart
J; OMB Super Circular 2 CFR 200 as they relate to the
acceptance and use of federal funds under the federally -
assisted program;
(p) Title VI of the Civil Rights Act of 1964 (P.L. 88-352) and
implementing regulations issued at 24 CFR Part 1;
(q) Title VIII of the Civil Rights Act of 1968 (P.L. 90-284) as
amended;
am
(r) The lead -based paint requirements of 24 CFR Part 35 issued
pursuant to the Lead -Based Paint Poisoning Prevention Act
(42 U.S.C. 4801 et seq.);
(s) Procure, use, manage and dispose of personal property in
accordance with 2 CFR 200.310 and 2 CFR 200.312 through
2 CFR 200.316;
(t) Reversion of asset. Upon the Expiration of the agreement,
the Subrecipient shall transfer to the City any CDBG funds on
hand at the time of expiration and any accounts receivable
attributable to the use of CDBG funds. Additionally, any real
property under the Subrecipient's control that was acquired or
improved in whole or in part with CDBG funds (including
CDBG funds provided to the Subrecipient in the form of a
loan) in excess of $25,000 is either:
(i) Used to meet one of the
national objectives in Section 570.208 (formerly
Section 570.901) until five years after expiration of the
agreement, or for such longer period of time as
determined to be appropriate by the City; or
(ii) Not used in accordance
with paragraph (t)(i) above, in which event the
Subrecipient shall pay to the City an amount equal to
the current market value of the property less any
portion of the value attributable to expenditures of non-
CDBG funds for the acquisition of, or improvement to,
the property. The payment is program income to the
City. (No payment is required after the period of time
specified in paragraph (t) of this section.)
(u) Conflict of Interest. The Provider is required to disclose to the
City in writing any potential conflict in accordance with 24 CFR
Part 570.611; and
(v) Such other City, County, State, or Federal laws, rules, and
regulations, executive orders or similar requirements which
might be applicable.
(w) The federal uniform administrative requirements, as
described in § 570.502.
(x) Provider hereby certifies to City that Provider will provide a
drug -free workplace, in accordance with federal law.
4.4 The City shall have the right to periodically monitor the program
operations of the Provider under this Agreement.
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4.5 At the end of the program year, the City may require remittance of all
or part of any program income balances (including investments thereof) held by the Provider
(except those needed for immediate cash needs, cash balances of a revolving loan fund,
cash balances from a lump sum drawdown, or cash or investments held for section 108
security needs).
4.6 Subrecipient shall be subject to audit requirements contained in the
Single Audit Act Amendment of 1996 (31 USE 7501 — 7507) and revised OMB Circular A-
133. Subrecipient shall be subject to random audits by City, HUD, and the Comptroller
General of the United States or any of their authorized representatives, at any time during
normal business hours, as often as deemed necessary to audit, examine, and make
excerpts or transcripts of all relevant data in its administration of the CDBG Program and
federally funded activity. All CDBG Fund funded activity records and related documents
shall be made available as well as required financial records/data for the Subrecipient.
Failure of Subrecipient to comply with the above audit requirement will constitute a violation
of this Agreement and may result in the withholding of future payments and/or
reimbursement of funds paid. Subrecipient agrees to have an annual agency audit
conducted in accordance OMB Circular A-133.
4.7 Subrecipent shall comply with City policy concerning the purchase of
equipment, fixed assets, and other similar items and shall maintain inventory records of all
non -expendable personal property as defined by such policy as may be procured with funds
provided herein. All program assets (unexpended program income, property equipment,
etc) shall revert to City upon termination of this Agreement. Unless specified otherwise
within this Agreement, Subrecipient shall procure all materials, property, or services in
accordance with the requirements of 24 CFR 84.40A8.
4.8 Subrecipient certifies that they will not or have not used federal
appropriated funds to pay any persons or organization for influencing or attempting to
influence an officer or employee of any agency, a member of Congress, or offier or
employee of Congress in connection with obtaining any Federal contract, grant, loan,
cooperative agreement, or any other award including the extension, continuation, renewal,
or modification of same. Subrecipient shall disclose any lobbying with non-federal funds
that takes place in conjunction with obtaining any federal award.
5.0 INSURANCE AND INDEMNIFICATION.
5.1 Insurance. The Provider shall procure and maintain, at its cost, and
submit concurrently with its execution of this Agreement, public liability and property damage
insurance against claims for injuries against persons or damages to property resulting from
Provider's acts or omissions arising out of or related to Provider's performance under this
Agreement. Provider shall also carry Workers' Compensation Insurance in accordance with
State Workers' Compensation laws. Such insurance shall be kept in effect during the term
of this Agreement and shall not be cancelable without thirty (30) days' prior written notice of
the proposed cancellation to City. A certificate evidencing the foregoing and naming the
City, its elected officials, officers, employees and agents as additional insureds shall be
delivered to and approved by the City's Risk Manager prior to commencement of the
services hereunder. The procuring of such insurance or the delivery of policies or
certificates evidencing the same shall not be construed as a limitation of Provider's obligation
to indemnify the City, its elected officials, officers, employees or agents. The amount of
insurance required hereunder shall be as required by the Contract Officer not exceeding
One Million Dollars ($1,000,000).
5.2 Indemnification. The Provider shall defend, indemnify and hold
harmless the City, its elected officials, officers, employees and agents, from and against any
and all actions, suits, proceedings, claims, demands, losses, costs, and expenses, including
legal costs and attorneys' fees, for injury to or death of person(s), for damage to property
(including property owned by the City) arising out of or related to Contractor's performance
under this Agreement, except for such loss as may be caused by City's own negligence or
that of its officers or employees.
6.0 CITY OFFICERS AND EMPLOYEES: NON-DISCRIMINATION,
TERMINATION, AND ENFORCEMENT.
6.1 Non -Liability of City Officers and Employees. No officer or employee
of City shall be personally liable to the Provider, or any successor -in -interest, in the event
of any default or breach by City or for any amount which may become due to the Provider
or its successor, or for breach of any obligation of the terms of this Agreement.
6.2 Conflict of Interest. Provider acknowledges that no officer or
employee of the City has or shall have any direct or indirect financial interest in this
Agreement nor shall Provider enter into any agreement of any kind with any such officer
or employee during the term of this Agreement and for one year thereafter. Provider
warrants that Contractor has not paid or given, and will not pay or give, any third party
any money or other consideration in exchange for obtaining this Agreement.
6.3 Covenant Against Discrimination. In connection with its performance
under this Agreement, Provider shall not discriminate against any employee or applicant
for employment because of actual or perceived race, religion, color, sex, age, marital
status, ancestry, national origin (i.e., place of origin, immigration status, cultural or
linguistic characteristics, or ethnicity), sexual orientation, gender identity, gender
expression, physical or mental disability, or medical condition (each a "prohibited basis").
Provider shall ensure that applicants are employed, and that employees are treated
during their employment, without regard to any prohibited basis. As a condition precedent
to City's lawful capacity to enter this Agreement, and in executing this Agreement,
Provider certifies that its actions and omissions hereunder shall not incorporate any
discrimination arising from or related to any prohibited basis in any Provider activity,
including but not 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; and further, that
Provider is in full compliance with the provisions of Palm Springs Municipal Code Section
7.09.040, including without limitation the provision of benefits, relating to non-
discrimination in city contracting.
6.4 Term. Unless earlier terminated in accordance with Section 6.5 of this
Agreement, this Agreement shall continue in full force and effect until completion of the
services, but not exceeding one (1) year from the date hereof, unless extended by mutual
agreement based on HUD guidance or regulations.
WE
6.5 Termination Prior to Expiration of Term.
(a) In accordance with 2 CFR 200.339, the City may suspend or
terminate, in whole or in part, this Agreement if Provider fails
to comply with any term of this Agreement or the terms and
conditions of the subaward;
(b) In accordance with 2 CFR 200.339, the City may terminate
this Agreement with the consent of the Provider after both
parties have agreed upon the termination conditions,
including the effective date and, in the case of a partial
termination, the portion to be terminated; and
(c) The Provider may terminate this Agreement at any time, with
or without cause, upon thirty (30) days' notification setting
forth the reason(s) for such termination, the effective date
and, in the case of partial termination, the portion to be
terminated. Upon receipt of the notice of termination the
Provider shall immediately cease all services hereunder
except as may be specifically approved by the Contract
Officer. However, if the City determines in the case of partial
termination that the reduced or modified portion of the
subaward will not accomplish the purposes for which the
subaward was made, the City may terminate the subaward in
its entirety. Provider shall be entitled to compensation for all
services rendered prior to receipt of the notice of termination
and City shall be entitled to reimbursement for any services
which have been paid for but not rendered.
7.0 MISCELLANEOUS PROVISIONS.
7.1 Notice. Any notice, demand, request, consent, approval, or
communication that either party desires, or is required to give to the other party or any
other person shall be in writing and either served personally or sent by pre -paid, first-
class mail to the address set forth below. Notice shall be deemed communicated seventy-
two (72) hours from the time of mailing if mailed as provided in this Section. Either party
may change its address by notifying the other party of the change of address in writing.
TO CITY:
City of Palm Springs
3200 East Tahquitz Canyon Way
Palm Springs, CA 92262-6959
Attn: City Manager
WITH COPY TO:
City of Palm Springs
3200 East Tahquitz Canyon Way
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Palm Springs, CA 92262-6959
Attn: City Attorney
TO PROVIDER:
Fair Housing Council of Riverside County, Inc._
P.O. Box 1068
Riverside, CA 92502-1068
7.2 Amendment. This Agreement may be amended at any time by the
mutual consent of the parties by an instrument in writing.
IN WITNESS WHEREOF, the parties have executed and entered into this Agreement
as of the date first written above.
[ End — Signatures on Next Page ]
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AT ST:
B
ity Clerk
APPROVED AS TO FORM:
By:
City Att�hey
CITY OF PALM SPRINGS
a municipal corporation
By:
City onager
.zz2oaI � 2.4A$�5S
PROVIDER: Check one: Individual Partnership' Corooration
(Corporations require two notarized signatures: O
President, or any Vice President. The second
Secre , Treasurer, Assists easurer, or Chief
By: _
Nota ature of Chairman of Board,
Pr dent or any Vice President
Name: ra ��
. �—
Title:-;
State of G.0Q01 W C% 1
County of tiir,,fs{] ) ss
A notary public or other officer completing this certificate
verifies only the identity of the individual who signed the
document to which this certificate is attached, and not the
truthfulness, accuracy, or validity of that document.
State of ' n Al FF )
Countyof ) ss.
On 7E-PI�'►+�f 8't~Y- G L , �U6/ before me,
f%ND/F Wh4t personally appeared
wegL�q -�FMf JtL who proved to me
on the basis of satisfa tory evidence to be the person(s) whose
name(s) islare subscribed to the within instrument and
acknowledged to me that he/she/they executed the same in
his/her/their authorized capacity(ies), and that by his/her/their
signature(s) on the instrument the person(s), or the entity upon
behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the
State of California that the foregoing paragraph is true and
correct.
WITNESS my hand and official seal.
Notary Signatur . rA
Notary Seal:
LAWANDA ROY
Notary Publtc - Cadf mill
Riverside County
Pr Comminian r 222MOb
rty comm. Irons me, 24.2024
4
ne signature must be from the Chairman of Board,
signature must be from the Secretary, Assistant
f Financial Officer).
By: 3220nz /)
Notarized Signature Secretary,
Asst Secretary, Treasurer, Asst Treasurer or
Chief Financial Officer
Name:_�a�-�,/d
Title:i��I�rtefta�
State of )
Countv of ss
A notary public or other officer completing this certificate
verifies only the identity of the individual who signed the
document to which this certificate is attached, and not the
truthfulness, accuracy, or validity of that document.
State of 691-a2nm I R LI
County of r H $s.
Onbefore me,
AftXXftj ,,,,// n� t*(ersonally appeared
7 PMK f%&1 N14J0 who proved to me
on the basis/of satisfactory evidence to be the person(s) whose
name(s) is/are subscribed to the within instrument and
acknowledged to me that he/shelthey executed the same in
hislher/their authorized capacity(ies), and that by his/her/their
signature(s) on the instrument the person(s), or the entity upon
behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the
State of California that the foregoing paragraph is true and
correct.
WITNESS my hand and official seal.
Notary
LAWANDA ROY
Notary iubNc - CatNarmla
Rtvenide County II
Cammiuion 12]]ti05
MY Comm. Fraires Mav 24, 24I4
-12.
CITY OF PALM SPRINGS
EXHIBIT A
Scope of Services
Proiect/Activity Title: Proiect Number: 4
Fair Housing Council of Riverside I
Fair Housing
Name/Address of Provider:
Fair Housing Council of Riverside County, Inc.
PO Box 1068 190 W. Amado Road
Riverside, CA 92502-1068 Palm Springs, CA 92262-5512
Objectives/Activities
The intent of this program is to provide a full menu of fair housing services for Palm Springs residents that
promotes fair housing rights and obligations as defined and articulated in the Federal Fair Housing Act
and the California State Law Enactments under the Rumford & Unruh Civil Rights Acts which affirmatively
furthers fair housing. This will be accomplished through the staffing of a Palm Springs' office facilitating
three components, as it relates to Landlord/Tenant services such as education (i.e., outreach, public
awareness, individualized counseling) and training / technical assistance (i.e., pro -active workshops
preventing complaints and violations); and Anti -Discrimination such as enforcement (i.e., compliant
intake, investigation, resolution options) which totals one thousand (1,000) Palm Springs low/moderate
income residents.
The Provider shall be responsible for the completion of the following objectives/activities in a manner
acceptable and satisfactory to the City and consistent with the standards required as a condition of
providing these CDBG funds.
Objective 1: Assist the City by timely providing any additional information requested.
TARGET
DATE ACTIVITY #1
On -Going Make readily available any information relative to the successful implementation of the
activity.
Objective 2: Establish and maintain a programmatic_ and financial record keeping process.
TARGET
DATE ACTIVITY #1
On -Going Establish and maintain an efficient program process/procedure for proper record keeping.
Set-up a filing system for CDBG files only. Document and maintain all records related to
this program in a stable and secure location.
Objective 3: Advertise, market and publicize the program to facilitate positive promotion_ for all parties
(i.e., Provider. City. CDBG. etc.).
TARGET
DATE ACTIVITY #1
On -Going Provider agrees to promote, market and publicize the program by Advertisement in the
Desert Sun and/or using Alternative Method(s) of Advertisement including, but not limited
to, outreach through flyers, public service announcements, networking with local
agencies (i.e. email blast to other local agencies that may share the same client type),
scheduling of open houses and other means to inform the low- and moderate -income
community of the availability of services. If Provider utilizes an Alternative Method(s) of
Advertisement, it shall retain records in sufficient detail, to the satisfaction of the City, of
the Alternative Method(s) of Advertisement utilized to promote the program to Parties. If
provider chooses to advertise in the Desert Sun, a draft promotional piece shall be
submitted to City for Approval. Submit final publication to City.
Objective 4: Enroll and income qualifies at least an approximately one thousand (1,000) low/moderate
income Palm Springs residents in accordance with Exhibit D for new access to services.
TARGET
DATE ACTIVITY #1
On -Going Provide fair housing services to one thousand (1,000) City-wide clients. Maintain records
of names, addresses, demographics and service dates for all assistance.
Objective 5: Maintain records for all CDBG activities related to this program.
TARGET
DATE ACTIVITY #1
On -Going Document and maintain all records related to this program, including those required, in
accordance with HUD Regulations, in a stable and secure location.
ACTIVITY #2
On -Going Submit Semi -Annual reports — referenced Exhibit E within fifteen (15) calendar days of
the program mid -year, December 3111t, and program completion, June 301h.
Objective 8: Manage/monitor program activities.
TARGET
DATE ACTIVITY #1
On -Going Perform monitoring activities necessary to ensure that the program is being conducted in
compliance with the CDBG policies, federal regulations, and local statues, including
Davis -Bacon Act, Copeland Act, and Non-discrimination 1 EEO requirements.
Objective 7: Provide fair housing services, including Fair Housing Practice and Landlord/Tenant
workshops, as outlined in proposal.
TARGET
DATE ACTIVITY #1
On -Going Conduct program activities for 750 clients and offer two workshops for property owners,
managers, Realtors and lenders to improve availabilitylaccessibility, as stipulated in this
Agreement.
Objective 8: Provide an evaluation within fifteen (15) calendar days of the program completion or final
reimbursement.
TARGET
DATE ACTIVITY #1
07/15/22 Provide an evaluation and final report on all programmatic and financial activities.
General Administration
Provide the management oversight and leadership to address specific operational tasks in meeting the
established performance levels, as well as perform supportive activities (i.e., clerical, monitoring, etc.)
Personnel Summary
Provider agrees to assign the following individuals to perform the services set forth herein which cannot
be altered without the prior written approval of the Contract Officer. The City shall have the unrestricted
right to order the removal of any personnel assigned by providing written notice to the Provider.
Name: Title: % of Time:
Rose Mayes Executive Director 8%
Mina Baselyos Accounting Manager 8%
Stephanie Davis Fair Housing Counselor 9%
Juanita Kodera Fair Housing Counselor 9%
Amber Schmeltz Administrative Assistant 8%
Isaac Valles Fair Housing Counselor 15%
Linda Lagunas Fair Housing Counselor 8%
CITY OF PALM SPRINGS 7-71
EXHIBIT B
Beneficiary Qualification Statement
Proiect/Activity Title: Project NumberA
Fair Housing Council of Riverside 1
Fair Housing
Name/Address of Provider:
Fair Housing Council of Riverside County, Inc.
PO Box 1068 190 W. Amado Road
Riverside, CA 92502-1068 Palm Springs, CA 92262-5512
BENEFICIARY QUALIFICATION STATEMENT
This statement must be completed and signed by each person or head of household (legal guardian) receiving benefits form the
described project/activity. Please answer each of the following questions.
1. How many persons are In your household?
For this question a household is a group of related or unrelated persons occupying the same house with at least one member
being the head of the household. Renters, roomers, or borders cannot be included as household members.
2. Circle your combined gross annual income (Riversid"an Bernardino -Ontario, CA MSA — 0710112021)
AREA MEDIAN
NUMBER OF PERSONS IN YOUR HOUSEHOLD:
INCOME (AMI)
1
2
3
4
5
6
7
8
LEVEL - $77 500
EXTREMELY LO
INCOME
$16,600
$19,000
$21,960
$26,500
$31,040
$35,580
$40,120
$44,660
0 - 30% of AMl
LOW
INCOME
$27,650
$31,600
$35,550
$39,500
$42,700
$45,850
$49.000
$52,150
30 - 50% of AM!
MODERATE
INCOME
$44,250
$50,600
$56,900
$63.200
$68.300
$73,350
$78,400
$83,450
50 - 60% of AM!
NON LOW & MOD
INCOME
$44,251+
$50,601+
$56,901+
63,201+
$68,301+
$73,351+
$78,401+
$83,451+
> 80%
3. What racelethnicity do you identify yourself as; please note that this self -identification is voluntary in accordance with
equal opportunity laws?
❑ White ❑ American Indian or Alaska Native AND White
❑ BlacklAfrican American ❑ Asian AND White
❑ Asian ❑ Black/African American AND White
❑ American Indian or Alaskan Native ❑ American Indian/Alaska Native AND Black/African American
❑ Native Hawaiian or Other Pacific Islander ❑ Other:
HISPANICILATINO ETHNICITY ❑ Yes ❑ No If yes, check one: ❑ Mexican/Chicano
❑ Puerto Rican
❑ Cuban
❑ Other:
4. Are you female Head of Household? ❑ YES ❑ NO
5. Do you have a disability? ❑ YES ❑ NO If YES, please describe:
ACKNOWLEDGEMENT AND DISCLAIMER
I CERTIFY UNDER PENALTY OF PERJURY THAT INCOME AND HOUSHOLD STATEMENTS MADE ON THIS FORM ARE TRUE.
NAME: DATE:
ADDRESS: PHONE NO:
SIGNATURE:
The information you provide on this form is confidential and is only utilized for Community DevOopment B ock Grant (CL)UG; program purposes, a
Federally -funded program, governmental reporting purposes to monitor compl'ance.
CITY OF PALM SPRINGS 77771
EXHIBIT C
Budget Summary
Proiect/Activity Title: Proiect NumberA
Fair Housing Council of Riverside 1
Fair Housing
Name/Address of Provider:
Fair Housing Council of Riverside County, Inc.
PO Box 1068 190 W. Amado Road
Riverside, CA 92502-1068 Palm Springs, CA 92262-5512
BUDGET SUMMARY
COST CATEGORY
CDBG
SHARE
OTHER
SOURCES
TOTAL
COST
1
Personnel Costs —
Wages, Benefits & Employers Taxes
$34,500
- 0 -
$34,500
2
ffice Costs —
upplies, Equipment, Postage & Travel
$2,388
- 0 -
$2,388
3
Pperational Costs —
ISPace Rental, Utilities & Maintenance
$9,912
- 0 -
$9,912
4Consultant/Contract
Services —
Audit, PR, Technology & Insurance
$1,200
- 0 -
$1,200
5
6
7
8
TOTALS
$48,000
- 0 -
$48,000
If costs are to be shared by other sources of funding, including CDBG funds from other jurisdictions,
identify the source of funding, grantorllending agency, and cost category information.
Other funding sources include fundraising activities conducted by FHC's through donations/gifts of $4,245.
The Subrecipient shall submit Request for Reimbursements in accordance with the aforementioned cost
categories and line items.
The Subrecipient recognizes that the CDBG Funds are received from the HUD, and that the obligation of the
City to make payment to Subrecipient is contingent upon receipt of such funds from HUD. In the event that
said funds, or any part thereof, are, or become, unavailable, then the City may immediately terminate or
amend this Agreement.
Services are to be performed over a twelve month period of July 1, 2021 through June 30, 2022 with funds
allocated from 2021 -- 22 Program Year.
CITY OF PALM SPRINGS 7-71
EXHIBIT D
Request for Reimbursement
Proiect/Activity Title: Proiect NumberA
Fair Housing Council of Riverside I
Fair Housing
Name/Address of Provider:
Fair Housing Council of Riverside County, Inc.
PO Box 1068 190 W. Amado Road
Riverside, CA 92502-1068 Palm Springs, CA 92262-5512
BENEFICIARY QUALIFICATION STATEMENT"
Approved
Current
Prior
Total
Grant
Description
Grant
Reimbursement
Reimbursement
YTD
Balance
Amount
Period
Periods)
Reimbursement
{over► Under)
I CERTIFY THAT, (a) the City of PALM SPRINGS, as grantee of the CDBG, has not previously been billed for the
costs covered by this invoice, (b) funds have not been received from the Federal Government or expended for such
costs under the terms of the Agreement or grant pursuant to FMC-74-4 & 24 CFR Part 58;(c) this agency is in full
compliance with all applicable provisions under the terms of the Contractor grant; and (d) this agency is in full
compliance with all applicable tax laws and hereby affix original signatures.
PREPARED BY: APPROVED BY:
Name, Title, Date
Name, Title, Date
City of PALM SPRINGS Use Only
Audited by: Examined by: Approved by:
If necessary, additional sheet(s) must be attached detailing cost breakdowns, and verified by original signatures.
CITY OF PALM SPRINGS
EXHIBIT E
Semi Annual Program Progress Report
Proiect/Activity Title: Proiect Number:4
Fair Housing Council of Riverside 1
Fair Housing
Name/Address of Provider:
Fair Housing Council of Riverside County, Inc.
PO Box 1068 190 W. Amado Road
Riverside, CA 92502-1068 Palm Springs, CA 92262-5512
PROGRAM PROGRESS REPORT Period:
DIRECT BENEFIT REPORT
• Number of First -Time Program Beneficiaries Serviced:
# of Households # of Persons
c or = 30%: 30-50%: 50-80%: > 80%:
♦ Number of First -Time Female Headed Households:
Counts by Race/Ethnicity:
White American Indian or Alaska Native AND White
Black/African American
Asian AND White
Asian Black/African American AND White
American Indian or Alaskan Native American Indian/Alaska Native AND Black/African American
Native Hawaiian or Other Pacific Islander Other:
HISPANIC/IATINO ETHNICITY: Mexican/Chicano Puerto Rican
♦ Number of Disabled:
Cuban
Other:
ACCOMPLISHMENT NARRATIVE
LEVERAGING RESOURCES NARRATIVE
Signed Title Date