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Community Development Bureau: CDBG Implementation Manual

Chapter 1

00 - Table of Contents

Chapter 1 Program Administration

Exhibit 1-A Project Description

Exhibit 1-B Project Schedule

Exhibit 1-C Project Cost Financing Summary

Exhibit 1-D Progress and Final Report

Exhibit 1-D-1 Progress and Final Report (Housing)

Exhibit 1-E Contractor and Subcontractor Activity Report

Exhibit 1-E Instructions

Exhibit 1-F Financial Disclosure Report

Exhibit 1-G Depository and Authorized Signatories Form

Exhibit 1-H Witness Certification

Exhibit 1-I Substitute W-9

Exhibit 1-I-1 Substitute W-9 Update Form

Exhibit 1-J Cash Match and Leveraging Tracking Sheet

Exhibit 1-K In-Kind Tracking Sheet

Exhibit 1-L Timesheet

Exhibit 1-M Request for Payment - Financial Status Report

Exhibit 1-M Request for Payment - Financial Status Report 2009-2011 ONLY

Exhibit 1-N Supporting Documentation by Project Activities

Exhibit 1-O Sample Fair Housing Resolution

Exhibit 1-O-1 Fair Housing Proclamation

Exhibit 1-O-2 Fair Housing Self Assessment

Exhibit 1-P Citizen Participation Plan

Exhibit 1-Q Public Hearing Notice - English

Exhibit 1-Q Public Hearing Notice - Spanish

Exhibit 1-Q-1 Public Hearing Agenda and Description

Exhibit 1-R Residential Anti-Displacement and Relocation Assistance Plan

Exhibit 1-S Workforce Analysis Form EEO-4

Exhibit 1-T Section 3 Plan

Exhibit 1-U Section 3 Summary Report HUD 60002

Exhibit 1-V Section 3 Contractor Certification Form

Exhibit 1-W Section 3 Resident Certification Form

Chapter 2

Chapter 2 Enviromental Review

Exhibit 2-A Environmental Review Determination

Exhibit 2-A-1 Certifying Official Designation

Exhibit 2-B Transmittal Letter for Finding of Exempt Projects

Exhibit 2-B-1 Certification of Exemption for CDBG Funded Projects

Exhibit 2-B-2 Compliance Documentation Checklist

Exhibit 2-C Sample Finding of Categorical Exclusion

Exhibit 2-C-1 Certification of Categorial Exclusion (Subject to 58.5)

Exhibit 2-C-2 Certification of Categorical Exclusion (not subject to 58.5)

Exhibit 2-D Transmittal Letter for Categorical Exclusion

Exhibit 2-E Contact List for Laws and Authoritites-Impact Checklist-Distribution List

Exhibit 2-F Sample Letter for Floodplain Determination

Exhibit 2-F-1 Insurance Coverage

Exhibit 2-G Floodplain and Wetlands Early Public Notice

Exhibit 2-H Floodplain and Wetlands Notice of Explanation

Exhibit 2-I Sample Agency Consultation Notice

Exhibit 2-I-1 Agency Response Letter Certification

Exhibit 2-J Sample Historic Preservation Notice

Exhibit 2-K Sample NOI and RROF

Exhibit 2-L Request for Release of Funds

Exhibit 2-M Evidence of Posting Notices

Exhibit 2-N Laws and Authorites Checklist (for all projects that are not exempt)

Exhibit 2-O Environmental Assesment Impact Checklist

Exhibit 2-P Combined Notice of FONSI, NOI and RROF

Exhibit 2-Q Authority to Use Grant Funds

Exhibit 2-R Transmittal Letter for Enviromental Assessment

Exhibit 2-S Native American Consultations Contact List

Exhibit 2-T Archeological Consultants

Chapter 3

Exhibit 3-A Request for Proposals Part 1

Exhibit 3-A Request for Proposals Part 2

Exhibit 3-B Contract for Administrative Services

Exhibit 3-C Part 1

Exhibit 3-C Part 2

Exhibit 3-D Agreement Between Owner and Engineer

Exhibit 3-E Agreement Between Owner and Architect

Exhibit 3-F Planning Professional Services

Exhibit 3-G Agreement Between Owner and Planner

Chapter 4

Exhibit 4-A Construction Bid Documents

Exhibit 4-A Construction Bid Documents

Exhibit 4-A Construction Contract

Exhibit 4-B Request for State Wage Determination

Exhibit 4-C Request for Federal Wage Rate Determination and 10 Day Call

Exhibit 4-D Architect's & Engineers Certification Cmpliance with Minimum Standards for Accessibility by the Physically Handicapped

Exhibit 4-E Minutes of Bid Opening

Exhibit 4-F Contractor-Subcontractor Clearance Form

Exhibit 4-G Notice of Contract Award-Preconstruction Conference

Exhibit 4-H Notice to All Employees

Exhibit 4-H-1 Federal Minimum Wage Poster

Exhibit 4-I Job Safety and Health Protection

Exhibit 4-I-1 Job Safety and Health Protection (Spanish)

Exhibit 4-J Equal Opportunity is the Law

Exhibit 4-J-1 Equal Opportunity is the Law Poster (Spanish)

Exhibit 4-K Commoly Askd Questions Concerning Equal Opportunity

Exhibit 4-L Pre-Construction Conference Minutes

Exhibit 4-M Notice to Proceed

Exhibit 4-N Appointment of Labor Standards Officer

Exhibit 4-O Record of Employee Interview Form

Exhibit 4-P Weekly Payroll and Statement of Compliance

Exhibit 4-Q Overtime Violations Report

Exhibit 4-R Final Wage Compliance Report

Exhibit 4-R-1 Employee Restitution Reciept

Exhibit 4-R-2 Employee Restitution Summary

Exhibit 4-S Resident Project Inspector Duties and Responsibilities

Exhibit 4-T Construction Contract Checklist

Exhibit 4-U Payroll Review Worksheet

Chapter 5

Chapter 5 Real Property Acquisition

Exhibit 5-a Voluntary Acquisition Agreement

Exhibit 5-b Voluntary Acquisition File Checklist

Exhibit 5-c Intent Not to Acquire

Exhibit 5-d Notice of Interest

Exhibit 5-e When A Public Agency Acquires Your Property

Exhibit 5-f Property Donation Letter

Exhibit 5-f-2 Property Donation Form

Exhibit 5-g Waiver of Rights under the URA of 1970

Exhibit 5-h Agreement for Appraisal Services

Exhibit 5-i Written Notice of Appraisal Inspection

Exhibit 5-j Short Form Appraisal

Exhibit 5-k Long Form Appraisal

Exhibit 5-l Appraisal Review Form

Exhibit 5-m Statement of Basis for Determination of Just Compensation

Exhibit 5-n Written Offer to Purchase

Exhibit 5-o Final Notice to Acquire be Negotiations

Exhibit 5-p Statement of Settlement Costs

Chapter 6

Chapter 6 Economic Development

Exhibit 6-a Davis-Bacon Equipment Policy

Exhibit 6-b Employee Survey Form

Exhibit 6-c Employee Characteristics Record

Exhibit 6-d Employee Characteristics Summary Form

Chapter 7

Chapter 7 Housing Rehabilitation and Repair

Exhibit 7-a Sample Format for the Determining Income

Exhibit 7-b Acceptable Forms of Income Verification

Exhibit 7-c Acceptable Forms of Asset Verification

Exhibit 7-d Other Federal Requirements

Chapter 8

Monitoring Checklist-Infrastructure

Monitoring Checklist-Planning

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