05-26-2020 CDBG-CV Statement of Assurances & Certifications and Applicant/Recipient Disclosure/Update Rport STATEMENT OF ASSURANCES AND CERTIFICATIONS
The applicant hereby assures and certifies with respect to the grant that:
(1) It possesses legal authority to make a grant submission and to execute a community
development and housing program.
(2) Its governing body has duly adopted or passed as an official act a resolution, motion, or
similar action authorizing the person identified as the official representative of the grantee to
submit the final statement, all understandings and assurances contained therein, and directing
and authorizing the person identified as the official representative of the grantee to act in
connection with the submission of the final statement and to provide such additional
information as may be required.
(3) Prior to submission of its application to Commerce,the grantee has met the citizen
participation requirements,prepared its application of community development objectives and
projected use of funds, and made the application available to the public, as required by
Section 104(a)(2)of the Housing and Community Development Act of 1974, as amended, and
implemented at 24 CFR 570.486.
(4) It has developed its final statement(application) of projected use of funds so as to give
maximum feasible priority to activities which benefit low- and moderate-income families or
aid in the prevention or elimination of slums or blight; the final statement(application)of
projected use of funds may also include activities that the grantee certifies are designed to
meet other community development needs having a particular urgency because existing
conditions pose a serious and immediate threat to the health or welfare of the community, and
other financial resources are not available.
(5) Its chief executive officer or other officer of the grantee approved by Commerce:
(a) Consents to assume the status of a responsible federal official under the National
Environmental Policy Act of 1969 and other provisions of federal law as specified in
24 CFR 58.1(a);
(b) Is authorized and consents on behalf of the grantee and himself/herself to accept the
jurisdiction of the federal courts for the purpose of enforcement of his/her
responsibilities as such an official;and
(6) The grant will be conducted and administered in compliance with the following federal and
state regulations (see Appendix A: Applicable Laws and Regulations):
(a) Title VI of the Civil Rights Act of 1964 (Pub. L. 88-352), and implementing
regulations issued at 24 CFR Part 1:
(b) Fair Housing Amendments Act of 1988, as amended, administering all programs and
activities relating to housing and community development in a manner to affirmatively
further fair housing; and will take action to affirmatively further fair housing in the
sale or rental of housing, the financing of housing, and the provision of brokerage
services;
(c) Section 109 of the Housing and Community Development Act of 1974, as amended;
and the regulations issued pursuant thereto (24 CFR Section 570.602);
(d) Section 3 of the Housing and Urban Development Act of 1968, as amended; and
implementing regulations at 24 CFR Part 135;
Community Development Block Grant 12 CDBG—CV Act Application
(e) Executive Order 11246, as amended by Executive Orders 11375 and 12086 and
implementing regulations issued at 41 CFR Chapter 60;
(f) Executive Order 11063, as amended by Executive Order 12259 and implementing
regulations at 24 CFR Part 107;
(g) Section 504 of the Rehabilitation Act of 1973 (Pub. L. 93-112), as amended and
implementing regulations when published for effect;
(h) The Age Discrimination Act of 1975, as amended, (Pub. L. 94-135), and
implementing regulations when published for effect;
(i) The relocation requirements of Title II and the acquisition requirements of Title III of
the Uniform Relocation Assistance and Real Property Acquisition Policies Act of
1970, as amended, and the implementing regulations at 24 CFR 570.488;
(j) Anti-displacement and relocation plan requirements of Section 104(d)of Title I,
Housing and Community Development Act of 1974, as amended:
(k) Relocation payment requirements of Section 105(a)(11) of Title I, Housing and
Community Development Act of 1974, as amended.
(1) The labor standards requirements as set forth in 24 CFR 570.603 and HUD regulations
issued to implement such requirements;
(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 regulations, policies, guidelines and requirements of 2 CFR Part 200 and A-122 as
they relate to the acceptance and use of federal funds under this federally assisted
program;
(o) The American Disabilities Act(ADA)(P.L. 101-336: 42 U.S.C. 12101)provides
disabled people access to employment, public accommodations, public services,
transportation, and telecommunications;
(7) The conflict of interest provisions of 24 CFR 570.489 apply to any person who is an
employee, agent, consultant, officer, or elected official or appointed official of the state, or of
a unit of general local government, or of any designated public agencies, or sub recipients
which are receiving CDBG funds. None of these persons may obtain a financial interest or
benefit from the activity, or have an interest or benefit from the activity, or have an interest in
any contract, subcontract, or agreement with respect thereto, or the proceeds thereunder,
either for themselves or those with whom they have family or business ties, during their
tenure or for one year thereafter, and that it shall incorporate or cause to be incorporated, in all
such contracts or subcontracts a provision prohibiting such interest pursuant to the purpose of
this certification;
(8) It will comply with the provisions of the Hatch Act that limits the political activity of
employee;
(9) It will comply with the provisions of 24-CFR-200.
(10) It will give the state, HUD,and the Comptroller General or any authorized representative
access to and the right to examine all records, books, papers, or documents related to the
grant;
Community Development Block Grant 13 CDBG—CV Act Application
(11) It will comply with the lead-based paint requirements of 24 CFR Part 35 Subpart B issued
pursuant to the Lead-Based Paint Hazard Elimination Act(42 U.S.C. 4801 et seq.).
(12) The local government will not attempt to recover any capital costs of public improvements
assisted in whole or in part with CDBG funds by assessing properties owned and occupied by
low-and moderate-income persons unless: (a) CDBG funds are used to pay the proportion of
such assessment that relates to non CDBG funding or; (b)the local government certifies to the
state that, for the purposes of assessing properties owned and occupied by low- and moderate-
income persons who are not very low-income, that the local government does not have
sufficient CDBG funds to comply with the provision of(a)above.
(13) It accepts the terms, conditions, selection criteria, and procedures established by this program
description and that it waives any right it may have to challenge the legitimacy and the
propriety of these terms, conditions, criteria, and procedures in the event that its application is
not selected for CDBG funding.
(14) It will comply with the regulations, policies, guidelines, and requirements with respect to the
acceptance and use of federal funds for this federally assisted program.
(15) It will comply with all parts of Title I of the Housing and Community Development Act of
1974, as amended, which have not been cited previously as well as with other applicable laws.
The ap iiccant�hereby certifie t it will comply with the above stated assurances.
A� Michael L. Hoppock
Signature,Chief Electe Offi ' Name(typed or printed)
Mayor 05/26/2020
Title Date
To Whom It May Concern:
As Chief Elected Official of the City of Salina, KS, I hereby certify that I have knowledge of all activities in
the above-referenced application. I also certify that I am aware that the regulations of the CDBG program
prevent the use of any facility built or rehabilitated with CDBG funds, or any portion thereof,to be used for
the conduct of official business. I therefore certify that no portion of the above application violates this
regulation.
Michael L. Hopp c , :'' •r.
ATTEST:
a J AD
City Clerk
Community Development Block Grant 14 CDBG—CV Act Application
Applicant/Recipient U.S.Department of Housing OMB Approval No.2510-0011(exp.11/30/2018)
Disclosure/Update Report and Urban Development
Instructions. (See Public Reporting Statement and Privacy Act Statement and detailed instructions on page 2.)
Applicant/Recipient Information Indicate whether this is an Initial Report 0 or an Update Report❑
1. Applicant/Recipient Name,Address,and Phone(include area code): 2. Social Security Number or
Employer ID Number:
300 W. Ash, Room 205 48-6017228
City of Salina, KS Salina, KS 67402
3. HUD Program Name 4. Amount of HUD Assistance
CDBG-CV Requested/Received
300K/EcoDvo, 100K/Meals
5. State the name and location(street address,City and State)of the project or activity:
City of Salina, KS 300 W. Ash, Room 205 Salina, KS 67402
Part I Threshold Determinations
1.Are you applying for assistance for a specific project or activity?These 2. Have you received or do you expect to receive assistance within the
terms do not include formula grants,such as public housing operating jurisdiction of the Department(HUD),involving the project or activity in
subsidy or CDBG block grants. (For further information see 24 CFR Sec. this application,in excess of$200,000 during this fiscal year(Oct.1-
4.3). Sep.30)? For further information,see 24 CFR Sec.4.9
®Yes ❑ No rj Yes ❑ No.
If you answered"No"to either question 1 or 2, Stop! You do not need to complete the remainder of this form.
However, you must sign the certification at the end of the report.
Part II Other Government Assistance Provided or Requested/Expected Sources and Use of Funds.
Such assistance includes, but is not limited to,any grant, loan,subsidy, guarantee, insurance, payment,credit,or tax benefit.
Department/State/Local Agency Name and Address Type of Assistance Amount Expected Uses of the Funds
Requested/Provided
(Note: Use Additional pages if necessary.)
Part III Interested Parties. You must disclose:
1.All developers,contractors,or consultants involved in the application for the assistance or in the planning,development,or implementation of the
project or activity and
2.any other person who has a financial interest in the project or activity for which the assistance is sought that exceeds$50,000 or 10 percent of the
assistance(whichever is lower).
Alphabetical list of all persons with a reportable financial interest Social Security No. Type of Participation in Financial Interest in
in the project or activity(For individuals,give the last name first) or Employee ID No. Project/Activity Project/Activity($and%)
Administration fee,
North Central Regional Planning Commission 48-0808208 Administration as allowed by the grant.
$15,000 or 10%,whichever
is less
(Note: Use Additional pages if necessary.)
Certification
Warning: If you knowingly make a false statement on this form,you may be subject to civil or criminal penalties under Section 1001 of Title 18 of the
United States Code. In addition,any person who knowingly and materially violates any required disclosures of information,including intentional non-
disclosure,is subject to civil money penalty not to exceed$10,000 for each violation.
I certify that this information is true and complete.
Signature:
Si nMichael L. Hoppock, Mayor
CLICK HERE FOR FORM, L PDF CDBG Disclosure Report
**SEE GENERAL APPLICATION REQUIREMENTS FOR DISCLOSURE REPORT REQUIREMENTS**
Form HUD-2880(3/13)
Community Development Block Grant 15 CDBG—CV Act Application
(Minimum required by all applicants for funding—must be submitted with application)
Residential Anti-displacement and Relocation Assistance Plan
under Section 104(d)of the
Housing and Community Development Act of 1974,as Amended
The jurisdiction will replace all occupied and vacant occupiable low-and moderate-income dwelling units demolished or
converted to a use other than as low-moderate-income housing as a direct result of activities assisted with funds provided under
the Housing and Community Development Act of 1974,as amended,as described in 24 CFR Part 570.488.
All replacement housing will be provided within three years of the commencement of the demolition or rehabilitation relating to
conversion. Before obligating or expending funds that will directly result in such demolition or conversion,the[jurisdiction] will
make public and submit to the Kansas Department of Commerce the following information in writing:
1. A description of the proposed assisted activity;
2. The general location on a map and approximate number of dwelling units by size(number of bedrooms)that will be
demolished or converted to a use other than as low-and moderate-income dwelling units as a direct result of the assisted
activity;
3. A time schedule for the commencement and completion of the demolition or conversion;
4. The general location on a map and approximate number of dwelling units by size(number of bedrooms)that will be provided
as Section 104(d)replacement dwelling units;
5. The source of funding and a time schedule for the provision of Section 104(d)replacement dwelling units;and
6. The basis for concluding that each Section 104(d)replacement dwelling unit will remain a low-and moderate-income
dwelling unit for at least ten years from the date of initial occupancy.
The jurisdiction will provide relocation assistance,as described in Section 570.488 to each low-and moderate-income household
displaced by the demolition of housing or by the conversion of a low-and moderate-income dwelling to another use as a direct
result of assisted activities.
Consistent with the goals and objectives of activities assisted under the act,the jurisdiction will take the following steps to
minimize the displacement of persons from their homes:
Based on initial review of project,the following occupied dwellings(N/A)will be demolished with grant funds(should contain
proposed demolitions):
As chief official of the jurisdiction,I hereby certify that the above plan was officially adopted by the jurisdiction of the City of
Salina,KS on the 26th day of May,2020.
05/26/2020 G'
Date Signature—Chief Elected Offici
Community Development Block Grant 16 CDBG—CV Act Application