HomeMy WebLinkAboutCC Res 2475 1975-08-25
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RESOLUTION NO. ,~??,;1~
A RESOLUTION OF THE CITY COUNCIL OF THE CITY
OF SEAL BEACH ADOPTING A COMMUNITY DEVELOPMENT
BLOCK GRANT PROGRAM CONTRACT WITH THE COUNTY
OF ORANGE IN APPLYING FOR FUNDS UNDER THE
HOUSING AND COMMUNITY DEVELOPMENT ACT OF 1974,
AND RESCINDING RESOLUTION NO, 2462.
WHEREAS, the City of Seal Beach has chosen to apply for a grant under Title
I of the Housing and Community Development Act of 1974; and
WHEREAS, the City has entered into a Cooperation Agreement and an amended
Cooperation Agreement with the County of Orange to make application
for funding with the County; and
WHEREAS, the Contract further defines the responsibilities of the two
parties, and provides additional information regarding the city's
proposed project.
NOW, THEREFORE, BE IT RESOLVED that the City Council of the City of Seal
Beach does hereby approve the Contract attached hereto as Exhibit
"A".
BE IT FURTHER RESOLVED that Resolution No. 2462 and the contract attached
thereto are hereby rescinded.
PASSED, APPROVED AND ADOPTED by the City Council of the City o~~al
Beach, alifornia, at a meeting thereof held on the ~~~ day
of t t4. , 1975, by the follow'ng vote:
AYES: Council
NOES: Council
ABSENT: Council Members
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CONTRACT
Resolution Number
Thi.s Contract entered into this / II t:i.J. day of4"t;;;:/u) 1975,
which dated is enumerated for purposes of reference only between the County
of Orange, hereinafter "CoWlty" and the City of Seal Beach, hereinafter "City".:
I~ITNESSETH
Whereas, COUNTY and CITY previously entered into a Cooperation Agreement
dated December 24, 1974, pursuant to Title 1 of the Housing and CommWlity
Development Act of 1974 hereinafter "Act"; and
Whereas, ,the parties hereto previously entered into an' Amendment to such
Cooperation Agreement, dated April 8, 1975 in response to changes requested
by the Department of Housing and Urban Development, hereinafter "11110"; and
Whereas, the parties agreed that COUNTY would be responsible for the
preparation, adoption and submission of an Urban County Application to ~IDO;
and
Whereas, the parties agreed that in the event COUNTY's Urban County
application was approved by lIDO, COUNTY would forward to CITY anr. 'such grant
;fund~ received from lIDO which are attributable to activities conducted by
CITY, unless another form of distribution is required by the ACT.
NOI~, THEREFORE, BE IT RESOLVED that, the COUNTY agrees to provide to CITY
Federal assistance under the Act as authorized by the above Cooperation Agree-
ment; subject to the,terms anch conditions of said Coopel'ation Agreement, and
Assurances or Certifications submitted by CITY, this Contract, applicable laws,
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EXH!BIi '!:!A~!
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regulations and all other requirements of tIDO now or hereafter inceffect.
1. Definitions: Except to the extent modified or supplemented by this
Contract any term defined in Title 1 of the Housing and Community Development
Act of 1914 or the HUD ~ommuni~y Development Block Grant Regulations at 24 CFR
Part 510, shall have the same meaning when used herein.
(a) "Assistance provided under this Contract" means reimbursement
for costs incurred as described i~ the Community Development Program,
(b) "Program" means the community development program, project, or
other activities, including the a~~inistration thereof, with respect to which
assistance is being provided under this Agreement.
2. "Section 3" Compliance in the Provision of Training, Employment
and Business Opportunities:
This Contract is subject to the requirements of section 3 of the Housing
and Urban Development Act of 1968 (12 USC 1101u), as amended, the tIDD regulations
issued pursuant thereto at 24 eFR Part 135, and any applicab1e.-rules and orders
of HUD issued thereunder prior to the HUD authorization of the funding Approval.
The CITY shall cause or require to be inserted in full in all contracts
and subcontracts for work financed in whole or part with assistance provided
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under this contract, the section 3 clause set forth in 24 eFR 135,20 (b).
The CITY shall provide such copies of 24 CFR Part 135 as may be necessary
for the information of parties to contracts required to contain the section 3
clause.
3. Flood Disaster Protection
TIlis contract is subject to the requirements of the Flood Disaster.
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Protection Act of 1973 (p.L, 93-234). No portion of the assistance provided
Under this Contract is approved for acquisition or construction purposes as
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defined under section 3 (a) of said Act, for use in an area identified by the
Secretary as having special flood hazards which is located in a community not
then im compliance wlt~ the requirements for participation in the national
flood insurance program pursuant to section 201 Cd) of said Actj and the use
of any assistance provided under this Contract for such acquisition or construc-
tion in such identified areas in communities then participating in the national
flood insurance program shall be subject to the mandatory purchase of flood
insurance requirements of section 102 (a) of said Act,
Any contract or agreement for the sale, lease, or other transfer of land
acquired, cleared or improved with assistance provided under this Contract
shall contain. if such land is located in an area identified by the Secretary
as having special flood hazards and in which the sale of flood insurance has
been made available under the National Flood Insurance Act of 1968. as amended.
42 U.S.C. 4001 et seq., provisions obligating the transferee and its successors
or assigns to obtain and maintain, during the ownership of such land. such flood
insurance as required with respect to financial assistance for acquisxion or
construction purposes Imder section 102 (a) of the Flood Disaster Protection Act
of 1973. Such provisions shall be required notwithstanding the fact that the
construction on such land is not itself funded with assistance provided under .
this Contract.
4. Equal Employment Opportunity
(a) Activities and contracts not subject to Executive Order 11246
as amended. In carrying out the program. file ',CITY shall not discriminate
against any employee or applicant for employment because of race, color,
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religion, sex, or national origin. The CITY shall take affirmative action to
insure that applicants for employment are employed, and that employees are
treated during employment, without'regard tb ,their race, color, religion, sex,
or national origin. Such action shall include, but not be limited to, the
following; 'employment, upgrading, demotion, or transfer; recruitment or
recruitment advertising; layoff or termination; rates of payor other forms
of compensation; and selection fO,r training, including apprenticeship. The
CITY shall post in conspicuous places, available to employees and applicants
for employment, notices to be provided by the County setting forth the pro-
visions of this nondiscrimination clause. The CITY shall state that all
qualified applicants will receive consilie-ration fOT employment without regard
to race, color, religion, sex, or national origin. The CITY shall incorporate
the foregoing requirements of this paragra~h (a) in all of its contracts for
program work, except contracts governed by paragraph (b) of this section, and
will require all of its contractors for such work to incorporate such require-
ments in all subcontracts for program work.
(b) Contracts subject to Executive Order 11246, as amended. Such
contracts shall be subject to HUD Equal Employment Opportunity regulations
at 24 CPR Part 130 applicable to HUD assisted construction contracts,
The CITY shall cause or require to be inserted in full in any
nonexempt contract and subcontract for construction work, or modification
thereof, as defined in said regulations, whiclh is paid for in whole or in part
with assistance provided under this Contract, the fOllowing equal opportunity
clause:
. "During the perfonnance of this contro.ct, the contractor agrees as foilows:
(1) The contractor will not discriminate against any employee or
applicant for employment because of race, color, religion, sex,
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or national origin. The contractor will take affirmative action
to ensure that applicants are employed, and that employees are
treated during employment, without regard to their race, color,
religion, sex or national origin, Such action shall include,
but not be limited to, the following: Employment, upgrading,
demotion, or transfer, recruitment or recruitment advertising;
layoff or termination; rates; of payor other forms of compensa-
tion; and selection for training, including apprenticeship,
The contractor agrees to post in conspicuous places, available
to employees and applicants for employment, notices to be provided
by the contracting officer setting forth the provisions
of this nopdiscrimination clause.
The contractor will, in all solicitations or advertisements
for employees placed by or on behalf of the contractor, state
that all qualified applicants will receive consideration for -,
employment without regard to race, color, religion, sex, or national
origin.
The contractor will send to each labor union or representative
of workers with which he has a collective bargaining agreement
or other contract or understanding, a notice to be'provided by
the Contract Compliance Officer advising the said labor union
'or workers' reprE;sentatives of the contractor's cOID!llitment 1JIIder
this section and shall post copies of the notice in conspicuous
places available to employees and applicants for employment.
The contractor will comply with all provisions of Executive order
11246 of Septem~er 24,,196S,and of the rules, regulations, and
relevant orders of the Secretary of Labor.
(2)
(3)
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(5) The contractor will furnish all information and reports required
by Executive Order 11246 of September 24, 1965, and by the
rules, regulations, and orders of the Secretary of Labor, or
pursuant thereto.. and will permit access to his books, records,
and accounts by the Department and the Secretary of Labor for
purposes of investigation to ascertain compliance with such
rules, regulations, and orders.
(6) In the event of the contractor's noncompliance with the non-
discrimination clauses of this contract or with aay of such
rules, regulations, or orders, this contract may be canceled,
terminated or suspended in whole or in part and the contractor
may be declared ineligible for further Government contracts or
federally assisted construction contract procedures authorized
in Executive Order 11246 of Septellller 24, 1965, or by rule,
regulation, or order of the Secretary of Labor, or as otherwise
provided by Law.
(7) The contractor will include the portion of the sentence immediately
preceding paragraph (1) and the provisions of paragraphs (1)
through (7) in every subcontract or purchase order unless exempted
by rules, regulations, or orders of the Secretary of Labor issued
pursuant to section 204 of the Executive Order 11246 of September
25, 1965,. so that such provisions will be binding upon each sub-
contractor or vendor. The contractor will take such action with
respect to any subcontract or purchase order as the Department
may direct as a means of~enforcing such provisions, including
sanctions for noncompliance: Provided, hmtever, that in the
event a contractor becomes involved in, or is threatened with,
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Litigation with a subcontractor or vendor as a result of such
direction by the Department, the contractor may request the
United States to enter into such litigation to protect ~he
interest of the United States."
The CITY further agrees that it will be bound by the above equal opportunity
clause with respect to its own employment practices \~hen it participates in fed-
erally assisted construction work: The above equal opportunity clause is not
applicable to any agency, instrumentality or subdivision of such CITY which
doen not participate in work on or under the contract.
The CITY agrees that it will assist and cooperate actively with COUNTY,
HUD, and the Secretary of Labor in obtaining the compliance of contractors and
subcontractors with the Qqual opportunity clause and the rules, regulations,
and relevant orders of the Secretary of Labor; that it will furnish the County,
HUD and the Secretary of Labor such information as they may require for the
supervision of such compliance; and that it wi~l othervise assist the above
parties in the discharge of its primary responsibility for securi~g,cQmp~tancec.
The CITY furthe~ agrees that it will refrain from entering into any con-
tract or contract modification subject to Executive Order 11246 of September 24,
1965, with a contractor debarred from, or who has not demonstrated eligibility
for, Government contracts and federally assisted construction contracts pursuant
fo the executive order and will carry out such sanctions and penalties for viola-
tion of the equal opportunity clause as may be imposed upon contractors and ~ub-
contractors by HUD or the Secretary of Labor pursuant to Part III, Subpart D,
of the executive order. In addition, the CITY agrees that if it fails OT refuses
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to comply with these undertakings, the COUNTY may take any or all of the fol-
lowing actions: Cancel, terminate, or suspend in whole or in part the grant
or loan guarantee; refrain from extending any further assistance to the CITY
under the program with, respect to which the failure or refusal occured until
satisfactory assurance of future compliance has been received from such CITY.
5. Lead-Based Paint Hazards:
The construction or rehabilitation of residential structures with
assistance provided under this Contract is subject to the HUD Lead-Based Paint
regulations, 24 CFR Part 35. Any grants or loans made by the CITY for the
rehabilitation of residential structures with assistance provided under this
Contract shall be made subject to the provisions for the elimination of lead-
base paint hazards under subpart B of ~aid regulations, and the CITY shall
be responsible for the inspections and certifications required under section
35.14 (f) thereof.
6. Compliance with Air and Water Acts:
This contract is subject to the requirements of the Clean Air Act,
as amended, 42 USC 1857 et seq., The Federal Water Pollution Control Act,
as amended, 33 USC 1251 et seq. and the regulations of the Environmental
Protection Agency with respect thereto, at 40 CFR Part 15, as amended from
time to time.
In compliance with said regulations, the CITY shall cause or require to
, be inserted ill ful~ i,n all contracts and subcontracts with respect to any
nonexempt transaction thereunder funded with assistance provided under this
contract, the following requirements:
(1) A stipulation by the contractor or subcontractors that any facility
to be utilized in the performance of any nonexempt contract or subcontract is
not iisted on the list of Violating Facilities issued by the Environmental
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Protection Agency (EPA) pursuant to 40 CFR 15.20.
(2) Agreement by the contractor to comply with all the requirements of
section 114 of the Cleml Air Act, as amended (42USC l857c-8) and section 308
of the Federal Water Pollut~o~ Control Act, as amended, (33JSC 1318) relating
to inspection, monitoring, entry. reports, "and: information, ,:as',ltell as all
other requirements specified in said section 114 and section 308, and all
regulations and guidelines issued thereunder.
(3) A stipulation that as a condition for the award of the contract
prompt notice will be given of any notification received from the Director,
Office of Federal Activities, EPA, indicating that a facility utili'ted or to
be utilized for the contract is under consideration to be listed on the EPA
list of Violating facilities.
(4) Agreement by the contractor that he will include or cause te be
included the criteria and requirements in paragraph (1) through (4) of this
section in every nonexempt subcontract and requiring that the contractor will
take such action as the Government may direct as a '.1II1eans of enforcing such'
provisions.
In'no event shall any amount of the assistance provided under this
contract be utilized with respect to a facility which has given rise to a
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conviction under section 113 (c) (1) of the Clean Air ~ct or Section 309(c)
of the Federal Water P6llution Control Act.
7. Federal Labor Standards Provision!;:
Except with respect to the rehabilitation of residential property
designed for residential use for less than eieht families, the CITY and all
contractors engaged under contracts in excess of $2,000 for the construction,
prosecution, completion or repair of any building or work financed in whole,_,
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or in part with assistance provided under this contract, shall comply with HUD
requirements pertaining to such contracts and the applicable requirements of
the regulations of the Department of Labor lmder 29 CFR Parts 3, 5 and Sa,
governing the payment qf wages and the ratio of apprentices and trainees to
journeymen:' Provided, that is wage rates higher than those required under such
regulations are imposed by state'or local law, nothing hereunder is intended to
relieve the CITY of its obligatio~, if any, to require payment of the higher
rates. The CITY shall cause or require to be inserted in full, in all such
contracts subject to such regulations, provisions meeting the requirements of
29 CFR 5.5 and, for such contracts in excess of $10,000 29 CFR 5a.3.
No award of the contracts covered under this section of the contract shall be
made to any. .contractor who is at the time ineligible under the provisions of
any applicable regulations of the Department of Labor to receive an award of
such contract.
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8'0 Nondiscrimination Under Title VI of the Civil Ri!!hts Act of 1964
This contract is subject to the requirements of Title VI of the Civil Rights
Act of 1964 (P.L. 88-352) and HUD regulations with :respect thereto inclu.jing
the regulations under 24 CFR Part 1. In the sale, lease or other transfer
of land a~quirep,cleared or improved w~th assistance provided under this
contract, the CITY shall cause or require a covenant running with the land
to be inserted in the deed or lease for such transfer, prohibiting discrimina-
tion upon the basis of race, color, religion, sex, or national origin, in
the sale, lease for such transfer, prohibiting discrimination upon the basis
of race, color, religion, sex, or national origin, in the sale, lease or
rental, or in the use or occupancy of such land or any improvements erected
or to be erected thereon, and providing that the CITY and the United States.
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undertaking its obligation in carrying out the progr~ assisted hereunder,
agrees to take such measures as are necessary to enforce such eovenen-t and
will not itself so discriminate.
9. Obligations of Contractor ldth Respect to Certain Third Party
Relationships:
I""'" The CITY shall remain fully obligated under the provisIons of this
~ contract notwithstanding its designation of any third party parties for
the undertaking of all or any part of the program with respect to which
assistance is being provided under this contract to the CITY. Such
third party or parties shall comply ldth all lawful requirements of the
CITY necessary to insure that the program with respect to which assistance
is being provided under this contract to the CITY is can-ied out in ac-
cordance with the CITY's assurances and certifications, including those
with respect to the assumption of envio~menta1 responsibilities of the CITY
under section l04(h) of the Housing and Community Development Act of 1974.
10. lBterest of Certain Federal OfficialS:
No member of or Delegate to the Congress of the United
no Resident Commissioner, shall be admitted to any share or part
tract or to any benefit to arise from the same.
11. Interest of Members, Officers, or Employees of crTY
Members of Local Governing Body, or Other Public Officials
No member, officer, or employee of the CITY or its designees or agents,
no member of the governing body of the locality in which the program is situated.
ana no other public official of such locality or localities who exercise any
fUnctions or responsibilitIes with respect to the program during his tenure~~r
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are beneficiaries of and entitled to enforce such covenant. The CITY in
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for one year thereafter, shall have any interest, direct or indirect, in any
contract or subcontract, or the proceeds thereof, for work to be performed in
connection with the program assisted under this contract. The CITY shall
incorporate, or cause to-be incorporated, in all such contracts or subcontracts
a provision prohibiting such interest pursuant to the purposes of this section.
12. Prohibition Against Payments of Bonus or Commission:
The assistance provided under this contract shall not be used in the
payment of any bonus or commission for the purpose of obtaining HUD approval
of the application for such assistance, or HUD approval of applications for
additional assistance, or any otller approval or concurrence of HUD required
under this contract, Title I of the Housing and Community Development Act of
1974 or HUD regulations with respect thereto; provided, however, that
reasonable fees or bona fide technical, consultant, managerial or other such
services, other than actual solicitation, are not hereby prohibited if other-
wise eligible as program costs.
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13. CITY agrees to comply with financial procedures as outlined by
Attachment A. In the event o~ conflict between said attachment and any
applicable statutes, ruies, or regulations of HUD including Federal Management
Circular 74-4, the latter shall prevail.
14. CITY shall submit to COUNTY a detailed description of the program
proposed to be conducted by CITY hereunder, inCluding a detailed description
of the projected costs thereof. Said description and any additions or amend-
ments thereto shall be submitted to end approved by the Chairman, Board of
Supervisors as designated Executive Officer prior to the performance by CITY
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of such activities. The Executive Officer shall examine such program
description or any amendment or addition thereto and shall, in his sole
discretion, consistent with the intent of this Act, approve or disapprove
the same. County shall not be liable for any costs which exceed such
projected costs unless approved by the Executive Officer.
The above program shall be designated as follows:
Project Title: Landscaping, Improvement of Blighted Vacant Land to be
used as Project A ea Recreational Facility
Contract Category No. (CCN)
"J 3 ;2. 0
Calculation of Project Cost: $45,445
~'The City of Seal Beach is developing' an eight-acre abandoned railroad
right-of-way as a park recreational facility. This site is located in
., he City's "target area." This right-of-way has remained vacant and
unimproved for a number of years. Housing and Community Development Act
funds will be used in conjunction with Redevelopment Agency funds to
eliminate the blighted condition of the right-of-way. The funds will be
spent for the grading of the site, a sprinkler system, concrete walkways
and plaza developments, grass seed, soil amendments, shrubs, trees and
ground cover.
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Expenditure Schedule:
The estimated expenditures are as follows:
Labor
Materi a' s
Total
$26,472
$18,973
$45,445
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15, In the event of CITY's failure to comply with the revisions of this
contract, COUNTY may withhold funds and/or allocate funds to another
activity considered by the COUNTY to be in compliance with the Act,
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16, In the event of any inconsistency between the above-referenced
Cooperation Agreement and this Contract, the provisions of this
Contract shall prevail.
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17. A char'ge of $1500.00 will be withheld from Housing/Community
Development funds otherwi~e allocable to the city. This sum is for
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services rendered in the pr-eparation of the bloc grant application
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and the implementation of same.
IN WITNESS WHEREOF, the parties have executed this Contract the date last
executed below.
Dated 4~.J-UJ / tJ,. / if 7 -J-
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Dated: G" ~~<:. .;",,_-1- r>o..'s, J 'P '"7 ~
CI~i SEAL BEACH
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HOUSING/cor1r~UNITY DEVELOPMENT PROGRAM
SUMMARY OF FINANCIAL PROCEDURES FOR CITIES
All financial data regarding program costs and payments will
u~timately flow into the Environment~l Management Agency, Hous-
ing/Community Development Branch. It will be the responsibility of
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the participating city to coordina:te the original inflow,
verification, and summarization of pertinent H/CDA cost data as
it relates to a city's Community Development Program activities.
, This may be accomplished by designation of a project collector
for each identified Community Development Activity and/or establishing
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a Ci~ Cost Center (see Table I Monthly Financial Cycle).
Request
for p~ent shall be based on evidence of either ,1) actual cash
:expenditures or 2} liability incurred by city for services rendered
or materials received. 'Such costs shall be evidenced by appropriate
, ,receipts. warrants, billings or invoices. Costs must be checked
against the city's program budget. time schedule of e~penditures, and
, for. general accuracy and conformance to Federal Management Circular -
" 74-4. Completion of Form B, Request for Payment/Status of Funds Report,
~ll provide the necessary summarized data to expedite the payment process.
All requests are due on or before the 10th of the month following that
of the transaction date~ Only pr~perly executed requests submitted
~thin the time constraint will 'be considered for processing for the
current month wor~load. It i~ expe~ted that a p~riod of approxim~te~" ~
calendar days will elapse before a ci~y can expect the receipt of fun ,
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TABLE 1
Monthly Financial Cycle: HfCDA Funds
~aterial/Supplies
paid for in month
of July
Staff Time for
Planning/Management
paid in July
Consultant for
Project if applic-
able - paid in July
Other
Activities
I
City Cost Center
H/CDA Activities
Finance Dept)
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WBTrJnt
to
City J
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Notice of
Discrep ancy
Request for
ayment
Notice of
Warrant Release
County Auditor
Controller
Consolidated
Data for
Re uest
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County Cost Center
H/CDA Activities
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Request for
PiU'll1l!n~
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Re~olution Number
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To illustrate the timing process the fol~owing example is given:
Expenses for July are incurred from the 1st
through the 31st. The separate cities should
submit their July reports to the Housing/Com-
munity Development Branch by the lOth of the
. following month, August. See Form B for re-
port form. The report should be accompanied
by appropriate supporting documentation '(Xerox
copies of receipts, warrants, billings, invoices. etc.).
checked against Program budgets a second time
by the County's Accounts Coordinator. All dis-
crepancies will be returned for clarification.
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The Accounts Coordinator has 5 days to compile
"all'reports of the cities and consolidate other
co~n;Y projects and administrative costs for
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submission of one Treasury Form BA-7573 (Re-
quest for Payment on Letter of Credit) 'to U.S.
Treasury, San Francisco.
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On'the 15th of August, documentation and re-
quests are submitted to the Auditor-Controller
for further processing through the County
grant fund system. Allowing for a two day
review. the Auditor-Controller should send
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The request for cash to the Treasury Regional Disbursing
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dffice (ROO) in San,Francisco by August 17th. Anticipate
a maximum 10 day (3 days mail time each way, plus 3-4 days
processing by ROO) period for Treasury processing.: Payment
on the letter of credit should reach the County's designated
depository in Santa Ana by August 27th. The bank immediately
notifies the County Treasurer who notifies the Auditor-Controller.
The Grant Accountant then releases the warrant requests for
p~ent to the ~eparate ~ities. rhe warrant requests ~equire
a minimum of five days to a maximum of 12 days for processing.
Warrants should be on their w~ to cities between September 2nd
and 9th. (Examination of the enclosed, flow chart will give a
clearer_picture of the city H/CDA accounting cycle.).
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Where a city submits evidence of liability incurred as opposed
to evidence of actu~l cash disbursements, funds forwarded to city
for such costs shall be expended within 15 'days of receipt. In
tile event of the city's failure to comply with this requirement.,..
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- the'County may require that all future requests for payment be
evidenced by actual cash disbursements only.
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AUTHORIZED SIGNATURE AND WARRANT PAYEE CARD (Form A) "
Each city will file with the County of Orange. Housing Plans
Branch. a signature card (Form A). designating authorized'~
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DOUSING IJlD C()}!MlP.lITY DEVELOPMENT PROGRA."l
Authorized Signature and
Number ' ' Warrant Payee Card
Warrant Issues to: (Recipient)
2. Issued by:
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Signatures of Individuals Authorized to Request H/CDA Funds for Reimbursement
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':0 'any two signatures required to
sign or countersign
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only one signature required on
Request for Payment
'typed Name and Signature
:
~ped Name and Signature
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,'typed Name and Signature
, 'typed Name a~d,Signature
I 'certify that the signatures above are
~f tbe individuals authorized to draw
Bequests for Payment for the cited
program.
s.
Approved: (County Use)
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Date and Signature of City
Administrative Officer
Date and Signature of HICD
Branch Officer
rSTRUCTlO~S :
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2.
Complete name
~ve blank.
and address as City requires, for proper ide~tification of Depository'Accou~
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3. Check ,one and complete: ", . , : " " ,. '....
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2)'pe 1I8DIe of eacb authorized signer with original ~ignature.
4. City Administrative Officer is to sign; if same officer sig~
UDder Item J. Chief Executive Officer should sign.
5. County U~e.
BOTE; In event of change of signature, it is not necessary to complete entire replacement
form. A letter authorizing the new signature, a sample signature an~
~presentation of Item 4 will accomplish the change.
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Resolution Number
officials who may submit for payment
of H/CDA program costs.
The one signature or countersignature requirement is the option
and decision of the city. Instructions for completing Form A
are indicated on the lower portion of the form. The authorized
signature card should be kept current and eliminations or addi-
tions of individual names should accompany materials requesting
.:' such changes.
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~UEST FOR PAYMENT/STATUS OF FUNDS REPORT (Form B)
Proper completion of Form B will expedite the processing of fund
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payment
to.the cities. Please note there are four sections
to the form and entries are to be made as 'follows:
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Section I: Complete name and address to which the ,warrant payee
will be addressed. This information should correspond with Form
A. number 1.
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Section 'II: As a result of program budgets submitted and ap-
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proved in contract form. each community development project will
be assigned a contract number~' ,This number should appear on all
, support data verifying costs chargeable to a particular object. "
Enter this number in box A entitled "Contract Category Number"
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,(CeN). Under the CCN is a list of cost classification for eacH
project. For each cost classification for which payment
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CITY OF
:rION I - Request for Payment
De and Address of City
(County use only)
Warrant tlumber
Date Warrant Released
Date Warrant Paid
:rION II - Analysis of Budgeted and Actual Expenditures by Contract Category Number
A
fiAACT
rEGORY
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B
cum. Totals
Beginning of
Month
C
D
E
Total Budgeted
for
Pro ram Year
F
Budgeted
Balance
Endin
Current
Month
Total
to Date
!lD
QUISITION
BLIC WORKS
i:ILITIES SITE
l'~NTS
BABILITATIONS
l\NS & GRANTS
BLtC SERVICES
!'INNING AND
NAGEMENT
!oIDll:STRATION
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1'AL AMOUNT OF REQUEST (Column C)
CTION III - Certification
,
J: certify that the information reported on this Request for Payment
is correct and in accordance with the terms 'of the contract with the
County of Orange regarding the Housing and CODDl\unity Development Program.
te
Signature
Title
rward Original and One Copy to EMA - Housing and Community Development Branch
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unty u~e only - HeD Branch
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Amounts Disallowed (by Category No.)'
Het BaJ.ance of Request
Action Taken:
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Approval ",'. " " "
Partial Approval/phone ~ : '
Rejection ;,0:7
lIDIlents:
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viewing Officer:
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Resolution Numb~r
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is be~ng requested. enter the total amount of funds spent under
this CCN at the beginning of the request month under Column C;
and an ending total expenditure-to-date balance under ~olumn D.
Column F. Budgeted Balance-Ending. is obtained by subtracting
, 'Column D from the total dollars budgeted for the program year.
Column E.
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Section III. Certification should be executed by parties desig-
nated as authorized signators.
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To submit Form B for County processing. remit copies one and two
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and all necessary support documentation to: ' ,--
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EMA - Advance Planning Division
~ousing/Community Development Branch
P.O. Box 4108
Santa Ana. California 9Z70Z
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INVOICE FOR H/CDA PROJECT - LABOR COST (Form C)
Identify labor costs attributable to Community Development pro-
gram projects by Contract Category number. Item 1 is a coding .
~umber for County use which will be entered at the County Housing
Plans Branch. The remainder of this form ;s to be completed as
per instruction on lower right hand portion of form.
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