HomeMy WebLinkAboutHealthPoint BG-1601 ` (t
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AGREEMENT
Between The
CITY OF AUBURN, WASHINGTON
AND
HEALTHPOINT
� �'+-
THIS AGREEMENT, entered into this � day of � , 2016, befinreen the
Citv of Auburn, State of Washington (hereinafter referred to as the "City'') and HealthPoint
(hereinafter referred to as the "Agency").
WHEREAS. The Ciry is an entitlement applicant for Community Development Block Grant (CDBG)
fund.s u.nder the Housing and Community Development Act of 1974 (the Act), Pub. L: 93-383 as
amended, and will receive CDBG funds for the purpose of carrying out eligible community
development and housing activities under the Act and under regulations promulgated by the
Department of Housing and Urban Development(HUD) at 24 CFR Part 570; and
WHEREAS. The City desires to award certain funds to the Agency for use as described within this
Agreement, for the purpose of implementing eligible activities under the Act and HUD regulations;
and
WHEREAS. It is appropriate and mutually desirable that the Agency be designated by the City to
undertake the aforementioned eligible activities, so long as the requirements of the Act, HUD
Regulations, State law and local law are adhered to, as provided for herein; and
WHEREAS, The purpose of this Agreement is to provide for cooperation between the City and the
Agency, in implementing such eligible activities in the manner described herein; and
WHEREAS, The Legislature has declared that carrying out the purposes of federal grants or
programs is both a public purpose and an appropriate function for a city, town, county, or public
corporation; and
WHEREAS, The City of Aubum is an Optional Code City pu.rsuant to Title 35A RCW, and as such,
_ _ _
has broad authority to enter into confracts with entities, sueh as the Agency, to accomplish
municipal purposes;
NOW, THEREFORE, for and in consideration of payments, covenants, and agreements hereinafter
mentioned, to be made and performed by the parties hereto, the parties mutually covenant and
agree as provided for in this Agreement.
PART I GENERAL CONDITIONS:
1. Scope of Agreement
2. Scope of Project
3. Commencement and Termination of Projects
4. Administration
5. Compensation and Method of Payment
6. Failure to Perform
7. Operating Budget
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October 11,2016
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,
8. Funding Altematives and Future Support
9. Amendments
10. Assignment and Subeonfracting
11. Hold Harmless and Indemnification
12. Insurance
13. Gonflict of Interest
14. Termination
15. Reversion of Assets
PAR.T_IL _ FEDERAL, STATE AND LOCAL PROGRAM REQUIREMENTS:
1. Procurement Standards
2. Environmental Review
3. Nondiscrimination
_ _ _
4. Labor Standards
5. Property Management
6. Acquisition anci Relocation
7. National Flood Insurance
8. Lead-Based Paint Poisoning
9. Aciministrative Requirements and Cost Principles
10. Other Federal Requirements
11. Non-substitution for Local Funding
12. Public Ownership
13. Public Information
14. Lobbying
15. Religious Organizations
PART III EVALUATION AND RECORD KEEPING:
1. General
2. Evaluation
3. Audits and tnspections
4. Records
5. Retention of Records
6. Reports
PART IV EXHIBITS:
PART V ACCEPTANCEAND SIGNATURES:
ATTACHMENTS:
AT7'ACHnnEtvT #1.: General Information
ATTACHMENT #2: ProjeGt Budget
ATTACHMENT #3: Special Conditions
ArrACHMErvT #4: Records and Reporting
AnACHMENT #5: Project Timeline/Performance Measurements
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PART I. GENERAL CONDITIONS:
1. SCOPE OF AGREEMENT:
The Agreement befinreen the parties shall consist of the signature page; the general
conditions; the Federal, State and local program requirements; the evaluation and reeord
keeping requirements; each and every project Exhibit and Attachment incorporated into the
Agreement; all matters and laws incorporated by reference herein; and any wcitten
amendments made according to the general conditions. This Agreement supersedes any and
all former agreements applicable to projects governed by this Agreement.
2. SCOPE OF PROJECT:
The Agency shall use funds only to perform the activities set forth in the Attachments hereto.
In the case of multiple projects, each project shall correspond to a separate set of
Attachments. This Agreement may be amended from time to time, in accordance with the
general conditions, for the purpose of adding new projects, amending the scope of work, or
for any oiher lawful purpose.
3. COMMENCEMENT AND TERMINATION OF PROJECTSC
A. Upon release of project-related funds by HUD pursuant to 24 CFR Part 58, the City shall
furnish the Agency wifh written notice to proceed. No work on a project shall occur prior to the
notice to proceed without written approval from the City. Termination dates for individual
projects shall be specified in the appropriate Attachments. Costs incurred after the termination
date will not be reimbursed. The termination date may be changed through amendment of this
Agreement.
B. Upon termination of individual projects covered by this Agreement, the Agency shall transfer
to the City any CDBG funds on hand at the time of termination and any accounts receivable
attributable to the use of CDBG funds.
4. ADMINISTRATION:
The Agency shall appoint a liaison who shall be responsible for overall administration of
CDBG funded project(s) and coordination with the City of Aubum's Department of Planning
and Community Development. The Agency shall also designate one or more representatives
who shall be authorized to sign the Voucher Reimbursement Requests and Program
Aceomplishments Forms. The names of the liaison and representatives sh.all be specified in
the Attachment(s).
5. COMP_ENSATION AND 11AETHOD OF PAYMENT:
A. The City shall reimburse the Agency only for the activities specified in the Attachments in an
amount not to exceed the amount specifed on Attachment#1 -- "CDBG APPROPRIATION."
Reimbursement shall be based on a CDBG Voucher Reimbursement Request and Program
Accomplishments Form submitted and signed by the Agency's authorized representative.
Reimbursement is subject to the terms of Section 6 of this Part I.
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B. The Agency shall submit a properiy executed Voucher Reimbursement Request and Program
Accompfishments Form as frequently as desired, but at a minimum no later than fifteen (15)
working days after the close of each calendar quarter throughout the term of the project. The
City will make payment to the Agency not more than forty-five (45) working days after said
Reimbursement Request is received and approvecJ by the City. The City will issue a statement
of correction in the event that the Voucher Reimbursement Request is erroneous. Payment
does not constitwte absolute approval.
C. Any reimbursement must comply with conditions ofi Letter of Credit Frocedure Regulations
1900,23 (Revised) in that fands on hand should not exceed $5,000 if retained beyond three
(3) days and that any reimbursement in excess of the amount required shall be retumed to the
City.
6. FAILURE TO PERFORM:
In the event of a failure to comply with any terms or conditions of this Contract or to provide in
any manner the activities or other performance as agreed to herein, the City reserves the
right, following written notice to the Agency, to withhold all or any part of payment, suspend all
or part of the contract, or prohibit the Agency from incurring additional obligations of funds
un#il the City is satisfied that corrective action has been taken or completed as more
specifically outlined in the Exhibit(s) and Attachment(s) to this contract. The option to withhold
funds is in addition to, and not in lieu of, the City's right to termination a.s provided in
Section 14 of the General Conditions of this Agreement.
7. OPERATING BUDGET:.
The Agency shall apply the funds received frorn the City under this Agreement in accordance
with the Budget Summary found on Attachment #2. No line item expense thereunder shall
cause total expenditures charged to this Agreement to exceed the#otal amount appropriated
to the Agency by the City as indicated in Attachment#1 --"CDBG APPROPRIATION."
8. FUNDING ALTERNATIVES AND_FUTURE SUPPORT:
A. The Agency shall report all project income generated l�nder this Agreement for the purposes
specified herein or generated through the project(s) funded under this Agreement. Income
which is not useci to continue or benefit such project(s) shall revert to the CDBG Fund for
realloeation by the City. The City shall determine whether income is being used to continue or
benefit a project or projects authorized by this Agreement. If the City should aufhorize, the
Agency will comply with all provisions of this Agreement in expending such project income.
B. The City makes no commitment to future support and assumes no obligation for future
support of the activities contracted herein, except as expressly set forth in fhis Agreement.
C. Should anticipated sources of revenue become unavailable to the City for use in the
Community Development Block Grant Program, the City shall immediately notify the Agency in
writing and the City will be released from all contracted liability for that portio:n of the
Agreement covered by funds not yet received by the City.
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9. AMENDMENTS:
Either party may request modifieations in the scope of permissible activities, terms, or
conditions of this Agreement. Proposed modifications which are mutually agreed upon shall
be incorporated by written amendment to this Agreement. A written amendment may affect a
projeet or projects authorized by this Agreement or may be of general application.
1 O.ASSIGNMEN7 AND SUBCONTRACTING:
A. The Agency shall not assign any portion of this Agreement without the written consent of the
City, and it is further agreed that said consent must be sought in writing by the Agency not
less than fifteen (15) days prior to the date of any proposed assignment.
B. Any work or services assigned or subcontracted hereunder shall be subject to each provision
of this Agreement and proper bidding procedures contained herein. The Agency agrees that it
is as fully responsible to the City for the acts and omissions ofi its subcontractors and their
employees and agents, as it is for the acts and omissions of its own employees and agents,
as provided in paragraph 11.6.
11. HOLD HARMLESS AND 1NDEMNIFICATION:
A. The Agency agrees that it is financially responsible (liable) for any audit exception or other
financial loss to the City which occurs due to its negligence or its failure to comply with the
terms of this Agreement.
B. The Agency further agrees to defend, indemnify and holci harmless the City, its elected and
appointed officials, employees and agents from and against any and all claims, demands
and/or causes of action of any kind or character whafsoever arising out of or relating to
services provided under this Agreement by the Agency, its employees, subcontractors, or
agents for any and all claims by any persons for alleged personal injury, death, or damage to
fheir persons or property to the extent caused by the negligent acts, errors or omissions of the
Agency, its employees, agents, subcontractors or representatives. In the event that any suit or
claim for darnages based upon such claim, action, loss, or damages is brought against the
City, the Agency shall defend the same at its sole cost and expense; provided that the City
retains the right to participate in said suit if any principle of govemmental or public law is
involved; and if final judgment be rendered against the City and/or ifs officers, agents, and/or
employees or any of them or jointly against the City and the Agency and its respective
officers, agents, subcontractors, employees or any of them, the Agency agrees to fully satisfy
the same and the Agency shall reimburse the City for any cost and expense which the Ciry
has incurred as a result of such claim or suit. The provisions of this section shall survive the
expiration or termination of this Agreement.
12. INSURANCE:
A. Public Liability Insurance:
The Agency shall, at all times during the term of this Agreement, at its cosf and expense,
carry and maintain general public liability insurance against claims for bodily injury, personal
injury, death or property damage occurcing or arising out of seryices provided under this
Agreement, which insurance shall cover sueh claims as may be occasioned by any act,
omission, or negligence of the Agency or its officers, agents, representatives, assigns or
servants. The limits of liability insuranee, which may be increased from time to time as
deemed necessary by the City with the approval of the Agency which shall not be
unreasonably withheld, shall not be less than one million dollars ($1,000,000) combined single
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limit personal injury and property damage insurance. The insurance required aboye shall be
issued by an insurance company or companies authorized to do business within the State of
Washington and must be acceptable to the City. The City shall be specifically named as an
additional insured on all such policies, and all such poliey or polie'ies shall be primary to any
other valid and collectible insurance.
B. Building Risk Insurance:
The Agency shall cause to be maintained, during the period that any construction work is in
progress, All Risk Builder's Insurance (including fire, vandalism, malicious mischief and
extended coverage), in an amount not less than the value of destructible contract work in
place,
C. Proof of Insurance:
Certificate or certificates or other evidence satisfactory to the City evidencing the existence
and terms and conditions of all insurance required above shall be delivered to the City within
five days of the Agency's receipt of the Authorization to Proceed. The poliey or polieies of
insurance required to be maintained in accordance with this Agreement shall not be canceled
or given notiee of non-renewal nor shall the terms or conditions thereof be altered or amended
without sixty(60) days written notice being given to the City.
13. CONFLICT OF INTEREST:
A. Interest of Officers, Employees, or Agents:
No officer, employee, or agent of the City or Agency who exercises any functions or
responsibilities in connection with the planning and carrying out of the City of Aubum CDBG
Program, or any other person who exercises any functions or responsibilities in connection
with the Cify, shall have any personal financial interest, direct or indirect, in this Agreement,
and the Agency shall take appropriate steps to assure compliance.
B. Interest of Contractor(s) and Their Employees:
The Agency agrees that it will ineorporate into every subeontract required to be in writing, and
made pursuant to this Agreement, the following or equivalent provisions:
The Contractor covenants that no person who presently exercises any functions or �
responsibilities in connection with the CDBG Program has any personal financial
interest, direct or indirect, in this Contract. The Contractor further covenants that he
or she presently has no interest and shall not acquire any interest, direct or
indirect, which would conflict in any manner or degree with the performance of
services hereunder. The Contractor further covenants that 'in the perfoRnance of
this Contract no person having any conflicting interest shall be employed. Any such
interest on the part of the Contractor or the Contractor's employees must be
disclosed to the Agency and the City.
14.SUSPENSION AND TERMINATION:
A. This Agreement is subject to suspension or termination upon 30 days written notice by the
City should:
1. The Agency mismanage or make improper or unlawful use of CDBG funds;
2. The Agency fail to comply with the terms and conditions expressed herein or the
applicable regulations and directives of the Federal Govemment, State, or City;
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3. CDBG funds become no longer available from the Federal Govemment or th�ough the
City•
4. The Agency fail to carry out activities expressed by this Agreement; or
5. The Agency fail to submit reports or submit incomplete or inaccurate reports in any
material respect.
B. This Agreement is subject to suspension or termination upon 30 days written notice by the
Agency should:
1. The City fail in its commitment under this Agreement to provide funding for services
rendered, as herein provided; or
2. CDBG funds become no longer available from the Federal Government or through the
City.
C. This Agreement may be suspended or terminated at any time, in whole or in part, upon the
written agreement of the City and the Agency.
D. Otherwise this Agreement shall terminate on the termination date specified on Attachment#1
attached hereto and shall be subject to e�ension only by mutual agreement and amendment
in accordance with paragraph 9, Amendments, of this Part.
E. Upon termination of this Agreement, any unexpended balance of the CDBG funds awarded
through this Agreement shall lapse and remain in the City of Auburn's CDBG fund.
F. In the event that termination oceurs under Paragraph A(1) of this section, the Agency shall
retum to the City all funds which were expended in violation of the terms of this Agreement.
15. REVERSION OF ASSETS:
Upon expiration of this Agreement, the Agency shall transfer to the City any City CDBG funds
on hand at the time of expiration any accounts receivable attributable to the use of City CDBG
funds.
In the e�ent that the Agency ceases to use any asset acquired or improved with CDBG funds
for fhe purpose described in this Agreement, within fiVe years following the termination of this
agreement, the Agency shall pay to the City the fair market value of the asset less any portion
of the value attributable to expenditures of non-CDBG funds.
PART II. FEDERAL, STATE AND LOCAL PROGRAM REQUIREMENTS:
1. PROCUREMENT STANDARDS:
In awarding contracts pursuant to this Agreement, fhe Agency shall comply with all applicable
requirements of local and State law for awarding contracts, including but not limited to
procedures for competitive bidding, contractor's bonds, and RCW60.28.010, which addresses
refained percentages. In addition, the Agency shall comply with the requirements of the U.S.
- Office of Management and Budget Circular A-110 and/or A-102 and/or A-133, as applicable,
relating to bonding, insurance and procurement standards; and with Executive Orcier 11246
regarding nondiscrimination in bid conditions for projects over $100,000. Where Federal
standards differ from local or State standards, the stricter standards shall apply. The Federal
standard of $100,000 for competitive bidding shall apply only if the applicable State or local
standard for competitive bidding is greater than $100,000.
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2. ENVIRONMENTAL REVIEW:
A. National Environmental Policy Act:
The City retains environmental review responsibility for purposes of fulfilling requirements of
the National Environmental Policy Act as implemented by HUD Environmental Review
Procedures (24 CFR Part 58). The City may require the Agency to furnish data, 'information
and assistance for the City's review and assessment in determining whether an Environmental
Impact Statement must be prepared.
6. Other Federal Environmental Laws:
In decision making and action pursuant to NEPA, and otherwise under this Agreement the
standards, policies, and regulations of the following laws and authorities shall be followed: The
National Historic Preservation Act of 1966 (16 U.S.C. 470 et seq.) as amended, particularly
section 106 (16 U.S.C. 470(f)); Executive Order 11593, Protection and Ehhancement of the
Cultural Environment, May 13, 1971 (36 FR 8921 et seq.), particularly section 2(e); The
Reservoir Salvage Act of 1960 (16 U.S.C. 469 et seq.), pa.rticularly section 3 (16 U.S.C. 469a-
1), as amended by the Archaeological and Historic Preservation Act of 1974; Flood Disaster
Protection Act of 1973 (42 U:S.C. 4001 et seq.) as amended, particularly sections 102(a) and
202(a) (42 U.S.C. 4012a(a) and 4106(a)); Execu#ive Order 11988, Floodplain Management,
May 24, 1977 (42 FR 26951 et seq.), particularly section 2(a); Executive Order 11990,
Protection of Wetlands, May 24, 1977 (42 FR 26961 et seq.), particularly sections 2 and 5;
The Coastal Zone Management Aet of 1972 (16 U.S.C. 1451 et seq.)as amended, particularly
section 307(c) and (d) (16 U.S.C. 1456(c) and (d)); The Safe Drinking WaterAct of 1974 (42
U.S.C. 201, 300(fl et seq.; and 21 U;S.C. 349) as amended, particularly section 1424(e) (42
U.S.C. 300h-303(e)); The Endangereci Species Aet of 1973 (16 U.S.C. 1531 et seq.) as
amended, particularly Section 7 (16 U.S.C. 1536); The Wild and Scenic Rivers Act of 1968 (16
U.S.C. 1271 et seq.) as amended, particularly section 7(b) and (c) (16 U.S.C. 1278(b) and
(c)); The Clean Air Act (42 U.S.C. 7401 et seq.) as amended, particularly section 176(c) and
(d) (42 U.S.C. 7506(c) and (d)); and HUD environmental standards (24 CFR Part 51,
Environmental Crite�ia and Standards (44 FR 40860-40866; July 12, 1979):
C. State Environmental Policy Act:
Agencies which are branches of govemment under RCW 43.21C.030 retain responsibility for
fulfilling the requirements of the State Environmental Policy Act, RCW chap. 43:21C, and
regufations and ordinances adopted thereunder. If the Agency is not a branch of goyernment
under RCW 43.21C.030, the City may require the Agency to furnish data, information and
assiStance as necessary to enable the City to comply with the State Environmental Policy Act.
D. Satisfaction of Environmental Requirements:
Project execution under this Agreement by either the City or the Agency shall not proceed
until satisfaction of all applicable requirements of the National and State Environmental Policy
Acts. A written notice to proceed will not be issued by the City until all such requirements are
complied with.
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3. NONDISCRIMINATION:
A. General:
The Agency shall comply with all Federal, State and local laws prohibiting discrimination on
the basis of age, sex, marital status, race, creed, color, national origin or the presence of any
sensory, mental or physical handicap. These requirements are specified in RCW chapter
49.60; Section 109 of the Housing and Community Development Act of 1974; Civil Rights Act
of 1964, Title VI; Civil Rights Act of 1968, Title VIII; Executive Order 11063; Executive Order I
11246; Section 3 of the Housing and Urban Development Act of 1968; Section 504 of the i
Rehabilitation Act of 1973; and, the Age Discrimination Act of 1975. Specifically, the Agency is
prohibited from taking any discriminatory actions defined in the HUD Regulations at 24 CFR
570.602 (b) (1) and shall take such affirmative and corrective actions as are required by the
Regulations at 24 CFR 570.602 (b)(4).
B. Specific Discriminatory Actions Prohibited:
1. The Agency may not, under any program or activity to which this Agreement may apply,
directly or through contractual or ofher arrangements, on the grounds of race, color,
national origin, or sex:
(i) Deny any person facilities, services, financial aid or other benefits provided under
the program or activity.
(ii) Provide any person with facilities, services, financial aid or other benefits which are
different, or are provided in a different form from that provided to others under the
program or activity.
(iii) Subject any person to segregated or separate treatment in any facility or in any
matter or process related to receipt of any service or benefit under the program or
activity.
(iv) Restrict in any way access to, or in the enjoyment of, any advantage or privilege
enjoyed by others in connection with facilities, services, financial aid or other
benefits under the program or activity.
(v) Treat any person differently from others in determining whether the person
satisfies any admission, enrollment, eligibility, membership, or other requirement or
condition which individuals must meet in order to be provided any facilities,
services or other benefit provided under the program or activity.
(vi) Deny any person any opportunity to participate in a program or activity as an
employee.
2. The Agency shall not utilize criteria or methods of administration which have the effect of
subjecting individuals to discrimination on the basis of race, color, national origin, or sex,
or have the effect of defeating or substantially impairing accomplishment of the objectives
of the program or activity with respect to individuals of a particular race, color, national
origin� or sex.
3. The Agency, in determining the site or location of housing or facilities provided in whole or
in part with funds under this part, may not make selections of such site or location which
have the effect of excluding individuals from, denying them the bene�ts of, or subjecting
them to discrimination on the grounds of race, color, national origin, or sex; or which have
the purpose or effect of defeating or substantially impairing the accomplishment of the
objectives of the Act or of the HUD Regulations.
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C. Fair Housing:
The Agency shall take necessary and appropriate actions to prevent discrimination in
Federally assisted housing and lending practices related to loans insured or guaranteed by the
Federal government. (Civil Rights Act of 1968, Title VII; Executive Order 11063).
D. Employment;
1. In all solicitations under this Agreement, the Agency shall state that all qualified applicants
will be considered for employment. The words "equal opportunity employer" in
advertisements shall constitute compliance with this section.
2. The Agency shall not discriminate against any employee or applicant for employment in
connection with this Agreement because of age, sex, marital status, race, creed, color,
national origin, or the presence of any sensory, mental, or physical handicap, except when
there is a bona fide occupational limitation. Such action shall include, but not be limited to,
the following: employment, upgrading, demotion or transfer, recruitment or recruitrnent
advertising, layoff or termination, rates of pay or other forms of compensation, and
selection for training. (RCW chap. 49.60; Executive Order 11246 as amended).
3. To the greatest extent feasible, the Agency shall provide training and employment
opportunities for lower income residents within the area senred by CDBG assisted projects
(Section 3, Housing and Urban Development Act of 1968, as amended).
E. Contractors and Suppliers:
1. No contractor, subcontractor, union or vendor engaged in any activity under this
Agreement shall discriminate in the sale of materials, equipment or labor on the basis of
age, sex, marital status, race, creed, color, national origin, or the presence of any sensory,
mental, or physical handicap. Such practices include: employment, upgrading, demotion,
recruiting, transfer, layoff, termination, pay rate, and advertisement for employment. (RCW
chap. 49.60; Executive Order 11246 as amended).
2. All firms and organizations described above shall be required to submit to the Agency
certificates of compliance demonstrating that they have, in fact, complied with the
foregoing provisions; arovided, that certificates of compliance shall not be required from
firms and organizations w'ith fewer than 25 employees or on contracts and/or yearly sales
of less than $10,000.
3. To the greatest extent feasible, the Agency shall purchase supplies and services for
activities under this Agreement from vendors and contractors whose businesses are
located in the area served by CDBG funded activities or owned in substantial part by
project area residents. (Section 3; Housing and Urban Development Act of 1968, as
amended.)
4. CDBG funds shall not be used directly or indirectly to employ, award contracts to, or
otherwise engage the services of, or fund any contractor or subrecipient during any period
of debarment, suspension, or placement in ineligibility status under the provisions of 24
CFR Part 24:
F. Notice:
1. The Agency shall include the provisions of the appropriate subsections A, B, C, D, and E
of this section 3 entitled "Nondiscrimination" in every eontract or purchase order for goods
and services under this Agreement and shall send to each labor union or representative of
workers with which it has a collective bargaining agreement or other contract or
understanding a notice advising the said labor union or worker's representative of the
commitments made in these subsections.
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2. In advertising for employees, goods or services for the activities under this Agreement, the
Agency shall comply with Aftachment O to OMB Circular A-102 or A-110, as applicable,
Procurement Standards, paragraph 9, Contractin4 with Small and Minoritv Firms.
Women's Business Enterprise and Labor Surplus Area firms. Agencies shall be
considered to be in compliance wifh this provision if at least one of the following steps is
taken: (a) advertise in a minority publication in addition to publication of general circulation;
(b) utilize a minority contractors bidding center; and (c) utilize the King County Affirmative
Action Office Certified Minority/Women's Business Enterprise Directory.
4. LABOR STANDARDS: �
The Agency shall require that project construction contractors and subcontractors pay their
laborers and mechanics at wage rates in accordance with the Davis-Bacon Act, as amended
(40 U.S.C. sections 276(a)-276(a)(5)), a.nd that they comply with the Copeland "Anti-Kickback"
Act (40 U.S.C. 276(c)) and the Confract VVork Hours and Safety Standards Act(40 U.S.C. 327
et seq.) as prescribed at 29 CFR Parts 1,3,5,6 and 7; provided that this section shall not apply
to rehabilitation of residential property designed for residential use by fewer than eight
families.
5. PROPERTY MANAGEMENT: '
A. The Agency agrees that any non-expendable p.ersonal property (capital equipment),
purchased wholly or in part with project funds at a cost of $300 (three hundred dollars) or
more per item, is upon its pwrchase or receipt the property of the City and/or Federal
government. Final ownership and disposition of such property shall be determined under the
applicable provisions of Attachment N to the U.S. Office of Management and Budget Gircular
No. A-102, and/or Attachment N to the U.S. Office of Management and Budget Circular No. A=.
110.
B. The Agency shall be responsible for all such property, including its care and maintenance at
the Ageney's expense.
C. The Agency shall admit the City's property management officer to Agency's premises for the
purpose of marking such property; as appropriate, with City property tags.
D. The Agency shall meet the following procedural requirements for all such property:.
1. Property records shall be maintained accurately and provide for: a description of the
property; manufacturer's serial number or other identification number; acquisition date and
cost; source of the property; percentage of CDBG funds used in the purchase ot property;
and location, use, and condition of the property.
2. A physical inventory of property shall be taken and the results reconciled with the property
records at least once every finro (2) years to verify the existence, current utilization, and
continued need for the property.
3. A control system shall be in effect to insure adequate safeguards to prevent loss, damage,
or theft of the property. Any such loss, damage or theft of property shall be 'investigated
and fully documented.
4. Adequate maintenance procedures shall be implemented to keep the property in good
condition.
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6. ACQUISITION AND RELOCATION:
A. Any acquisition of real property by a State Agency for any activity assisted uncier this
Agreement shall comply with the Federal Uniform Relocation Assistance and Real Property
Acquisition Policies Act of 1970 (hereinafter referred to as the Uniform Act) (42 U.S.C. 4601 et
seq.) and the Regulations at 24 CFR Part 42.
B. Implementation of any project provided for in this Agreement will be undertaken so as to
minimize involuntary displacement of persons, businesses, nonprofit organizations, or farms
to fhe greatest extent feasible.
C. Any displacement of persons, businesses, nonprofit organizations, or farms occurring as the
result of acquisition of real property assisted under this Agreement shall comply with the
Uniform Act, the Regulations at 24 CFR Part 42, and the City of Auburn's Displacernent Policy
required by Federal GDBG regulations at 24 CFR 570.305. The Agency shall comply with the
Regulations pertaining to costs of relocation and written policies, as specified by 24 CFR
570.602 (c) and (d).
7. NATIONAL FLOOD INSURANCE:
To the extent indicated by 24 CFR 570.605, the Agency shall comply with the flood insurance
purchase requirements of Section 202(a) of the Flood Disaster Protection Act of 1973. (42.
U.S.C. 4001 et seq. and the Federal regulations issued thereunder).The Agency shall comply
with the Regulations at 24 CFR section 570.605.
8. LEAD-BASED PAINT POISONING:
The Agency shall comply with the HUD Lead-Based Paint Regulations (24 CFR Part 35)
issued pursuant to the Lead-Based Paint Poisoning Prevention Act (42 U.S.C. sections 4831
et seq.) requiring prohibition of the use of lead-based paint (whenever funds under this
Agreement are used directly or indirectly for construction, rehabilitation, or modernization of
residential structures) and notification of the hazards of lead-based paint poisoning to
purchasers anci tenants of residential structures constructed prior to 1950.
9. ADMINISTRATIVE REQUIREMENTS AND COST PRINGIPLES:
A. If the Acaencv is a Qovemmental .eotitv, the Agency shall comply with the requirements and
- - _
standards of OMB Circular A-128, "Audits of State and Local Government," and Circular A-87,
"Principles for Determining Costs Applicable to Grants and Confracts with State, Local anci
Federally recognized Indian Tribal Govemments," and with the following Attachments to OMB
Circular No. A-102:
Attachment A, "Cash Depositories," except for Paragraph 4 concerning deposit insurance;
1. Attachment B, "Bonding and Insurance;"
2. Attachment C, "Retention and Custodial Requirements for Records;"
3. Attachment G, "Standards for Grantee Finaneial Management Systems,"
4. Attachment I, "Monitoring and Reporting Program Performance," Paragraph 2;
5. Attachment J, "Grant Payment Requirements;"
6. Attachment N, "Prope�ty Management Standards," except for Paragraph 3 concerning the
standards for real property;
7. Attachment O, "Procurement Standards;° and
City of Auburn Agreement: BG-1601, HealthPoint—Primary Health Care(Medical and Dental)
October 11,2016
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8. Attachment P, "Audit Requirements."
B. If the Agency is not a govemmental entity, the Agency shall comply with the requirements and
standards of OMB Circular No. A-133, "Audits of Institutions of Higher Learning and Other
Non-Profit Institutions," and No. A-122, "Cost Principles for Non-Profit Organizations," and the
following Attachments to OMB Circular No. A-110:
1. Attachment A, ''Cash Depositories,"except for Paragraph 4 conceming deposit insurance;
2. Attachment B, "Bonding and Insurance;"
3. Attachment C, "Retention and Custodial Requirements for Reeords;"
4. Attachment H, "Monitoring and Reporting Program Performance," Paragraph 2;
5. Attachment N, "Property Management Standards," except for Paragraph 3 concerning the
standards for real property; and
6. Attachment O, "Procurement Standards."
10.OTHER FEDERAL REQUIREMENTSE
The absence of inention in this Agreement of any other Federal requirements which apply to
the award and expenditure of the Fecieral funds made available by this Agreement is not
intended to indicate that those Federal requirements are not applicable to Ageney activities.
The Agency shall comply with all other Federal requirements relating to the expenditure of
Federal funds, including but not limited to: The Architectural Barriers Act of 1968 (42 U.S.C.
4151), and the Hatch Act(5 U.S.C. Chapter 15). Additionally, the Agency shall comply with the
Federal requirements described by 24 CFR Part 570, Sections 600 through 603; Section 605;
and Sections 607 through 612. '
11. NONSUBSTITUTION FOR LOCAL FUNDING:
The CDBG funding made available under this Agreement shall not be utilized by the Agency
to reduce substantially the amount of local financial support for community development
activities below the level of such support prior to the availability of funds under this
Agreement.
12.PUBLIC_O.WNERSHIPS
For Agencies which are not municipal corporations organized under the laws of the State of
Washington, it may become necessary to grant the Gity a property interest where the subject
project calls for the acquisition, construction, reconstruction, rehabilitation, or installation of
publicly owned facilities and improvements. The Agency shall comply with current City
requirements regarding transfer of a property interest sufficient to meet any public ownership
requirement imposed by law.
13. PUBLIC INFORMATION:
A. In all news releases and other public notices related to projects funded underthis Agreement,
� � the Agency shall include information idenfifying the source of funds as the Cify of Aubum
CDBG Program.
B. For all construction projects the Agency shall erect a sign to City specifications at the
construetion site, identifying the souree of funds, except that this requirement may be waived
for construcfion projects of$100,000 or less.
City of Aubum Agreement:BG-1601, HealthPoint—Primary Health Care(Medical and Dental)
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C. The Agency acknowledges that this Agreement and any other information provided by it to the
City and/or relevant to the Project(s) described in the Exhibit(s) and Attachment(s) are subject
to fhe Washington State Public Disclosure Act, Chapter 42.17 RCW.
14. LOBBYING:
The Agency certifies, to the best of his or her knowledge and belief, that:
A. No Federal appropriated funds have been paid or will be paid, by or on behalf of the
undersigned, to any person for influencing or attempting to influence an officer or employee of
any Agency, a Member of Gongress, an officer or employee of Congress, or an employee of a
Member of Congress in connection with the awarding of any Federal contract, the making of
any Federal grant, the making of any Federal loan, the entering into of any cooperative
ag�eement, and the extension, continuation, renewal, amendment, or modifcafion of any
Federal contract, grant, loan, or cooperative agreement.
B. If any funds other than Federal appropriated funds have been paid or will be paid to any
person for influencing or attempting to influenee an officer or employee of any Agency, a
Member of Congress, an officer or employee of Gongress, or an employee of a Member of
Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the
undersigned shall complete and submit Standard Form-LLL, `'Diselosure Form to Report
Lobbying," in accordance with its instructions.
C. The Agency shall require that the Ianguage of this certification, or equivalent language, be
included in the award documents for all subawards at all tiers (including subcontracts, �
subgrants, and contracts under grants, loans, and cooperative agreements) and that all
subrecipienfs shall certify and disclose accordingly.
This certification is a material representation of fact upon which reliance was placed when this
transaction was made or entered into. Submission of this certification is a prerequisite for
making or entering into this fransaction imposed by section 1352, title 31, U,S. Code. Any
person who fails to file the required certification shall be subject to a civil penalty of not less
than $10,000 and not more than $100,000 for each such failure.
15. RELIGIOUS ORGANIZATIONS:
The Agency will comply with all federal requirements concerning religious organizations and
the use of Community Development Block Grant funds. All services delivered must be
dispensed in a clearly non-sectarian rnanner, devoid of any religious influence.
PART III. EVALUATION AND RECORD KEEPING:
1. GENERAL:
The Agency agrees to maintain records and provide reports as listed in Attachment #4 of this
Contract, and as defined in this Part, below.
2. EVALUATION:
The Agency agrees to participate with the City in any evaluation project or performance report,
Ci.ty of Auburn Agreement:BG-1601, HealthPoint—Primary Health Care(Medical and Dental)
October 11,2016
Page 44 of 25
as designed by the City or the appropriate Federal Agency, and to make available all
information required by any such evaluation process.
3. AUDITS.ANDINSPECTIONS:
The records and documents with respect to all matters covered by this Agreement shall be
subject at all times to inspection, review or audit by the City, Federal or State officials so
authorized by law during the performance of this Agreement and during the period of retention
specified in this Part III.
A: Audits:
The Agency will provide at or before the contract signing a copy of the Agency's most recent
audit. The Agency will provide to the City a copy of the Agency's most recent audit for each
year in which a contract for the use of funds exists with the City. Failure to provide such audit
will be considered a material b�each of the contract and result in a refund to the Gity of all
moneys paid or due under the contract.
B. Audit Requirements:
Agencies receiving $300,000 or more in federal funds will provide to the City the above
required audits conducted in a manner pursuant to OMB Circular A-133.
4. RECORDS:
All Agencies receiving Community Development Block Grant funds from the City shall
maintain a certified public audit for the City Community Development Block Grant year in
which the funds are awarded and through each Community Development Block Grant year or
portion thereof, in which the funds are used or a eonfract exists befinreen fhe Agency and the
Gity. As required by HUD Regulations, 24 CFR Part 570, the Agency shall compile and
maintain the following records:
A. Financial Management:
Such records shall identify adequately the source and application of funds for activities within
this Agreement, in accordance with the applicable provisions of Attachment G to the U.S.
Office of Management and Budget Circular A-110. These records shall contain information
perEaining to grant awards and authorizations, obligations, unobligated balances, assets,
liabilities, outlays, and income.
B. Relocation: "
Agency record keeping must comply with the Uniform Act implementing regulations at 24 CFR
Part 42. Indication of the overall status of the relocation workload and a separate relocation -
record for each person, business, organization, and farm operation displaced or in the
relocation workload must be kept. _ ,
C. Property Acquisition:
Agency files must contain a separate acquisition file for each acquisition process documenting
compliance with the implementing regulations for the Uniform Act at 24 CFR Part 42. Ma�or
requirements include: (a) invitation to owner to accompany appraiser during inspection, (b) at
least one property appraisal, (c) statement of basis for determination of just.compensation, (d)
written offer of just compensation, (e) all documents involving conveyance, (f) settlement cost
_ _
City of Aubum Agreement: BG-1601,Hea.IthPoint—Primary Health Care(Medical and Dental)
October 11,2016 �
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reporting statement, and (g) notice to surrender possession of premises.
D. EqualOpportunity:
The Agency shall maintain racial, ethnic, and gender data showing the extent to which these
eategories of persons have participated in, or benefited from, the activities carried out under
this Agreement. The Agency shall also maintain data which reeords its affirmative action in
equal opportunity employment, and its gooci-faith efforts to identify, train, and/or hire lower-
income residents of the project area and to utilize business concerns which are located in or
owned in substantial part by persons residing in the area of the project.
E. Labor Standards: �
Records shall be maintained regarding compliance of all contractors performing construction
work under this Agreement with the labor standards made applicable by 24 GFR 270.603 and
any State labor standards, as applicable.
F. Miscellaneous Records:
The Agency shall maintain such other records as may be required by MUD or the City.
Such records shall include, but shall not be limited to, a separate and current file for each
sepacate CDBG funded project (as represented by separate Exhibits and Attachments to this
Agreement), containing copies of originals of the following:
1. Original Funding Application.
2. Grant Award Letter.
3. Notice to Proceed and/or equivalent written approval from City.
4. Project or program related authorizations, motions, resolutions or meeting minutes of the
Agency's goveming body.
5. Contract Attachments; Exhibits and any amendments thereto.
6: This Agreement and any amendments thereto.
7. Voucher reimbursement requests and program accomplishment forms.
8. Bills for payment.
9. Approved vouchers and warrants.
10.Where CDBG funds w'ill support Agency staff salary and/or fringe benefit costs, payroll
time sheets signed by the employee and the employee's supervisor, annotated to
document percent of time charged against the pcoject if less than full time.
11.Where CDBG funds Virill be used to offset the cost of communications, travel and office
supplies, and where these costs a�e shared with other programs and no invoice is
available, documentation such as log sheets (for copy machine use, odometer readings,
etc.). As an alternative, annotated invoices may be used to document charges as
appropriate.
12. In capital projects where CDBG funds will be used to hire physical laborers and/or
fradespeople (regardless of Davis-Bacon applica4ility to the project), hours that these
employees worked, and their rate of pay per hour.
Additionally, each project file shall include documentation on all persons who have benefited
from the project, as follows: residence status (Auburn resident, non-Auburn resident); income
status (below 30% of County Median, below 50% of Counry median, below 80% of County
median, above 80% of county median}; ethnic stafus (white, black, American Indian or
Alaskan Native, Hispanic, Asian or Pacific Islander); and whether or not beneficiary is a
member of a female-headed household.
------------------------------ - ------
City of Auburn Agreement: BG-1601, HealthPoint—Primary Health Care(Medical and Dental)
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5. RETENTION OF RECORDS:
Required records shall be retained for a period of three (3) years after termination of this
Agreement, except as follows: (1) Records that are the subject of audit findings shall be
retained for three (3) years after such finciings have been resolved. (2) Records for
nonexpendable property shall be retained for three (3) years after its final disposition.
Nonexpendable property is defined in Attachment N to U.S, Office of Management and
Budget Circular No. A-102, for governmental entities, and Circular No. A-110 for non-
governmental organizations.
6. REPORTS:
The Agency shall submit such reports as required by the City at such times as required by the
City. Notwithstanding any other provision of this Agreement to the contrary, the reports
required by the City shall be submitted by the Agency no less than on an annual basis. Such
reports shall atso be submitted prior to project completion:
PART IV. EXHIBITS:
The following exhibits are incorporated herein by reference
A. Original Grant Application as submitted June, 2012.
B. Environmental Determination.
C. Contract Scope of Work, Completion Date and Contact Information.
PART V. ACCEPTANCE AND SIGNATURES:
The parties hereto agree and acsept fhe terrns, conditions, covenants and all matters and laws
ineorporated by reference herein and therefore cause their hands to affix their signatures as evidence
to their acceptance of this Agreement before their designated witnesses and/or notaries:
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ATTACHMENT#1 —BG-1601
Community Development Block Grant Contract
General Information
PROJECT NO.: BG-1601
TITLE: HeaithPoint- Primary Heaith Care
PROJECT SUMMARY: Primary health and dental eare for un- and under-insured
Auburn clients
ELIGIBILITY: 570.201(e) - Health Services(05M)
NATIONAL OBJECTIVE: 570.208(a)(2) - Low/Mod Limited Clientele - LMC
CDBG APPROPRIATION: $62,500.00
TYPE OF PROJECT: Public Service
PROJECT LOCATION: 126 Auburn Ave., Suite 300, Auburn 98002
SPECIAL CONDITIONS: See Attachment#3: Special Conditions
TERMINATION DATE: December 31. 2016.
CONTACT PERSON: Claudia Hartlev
TITLE: Development Associate
MAILING ADDRESS: 955 Powell Ave. SW, Ste.A, Renton,WA 98057
LOCATION ADDRESS: 126 Auburn Ave.. Ste. 300. Auburn, WA 98002
PHONE/ FAX NUMBER: (4251203-0961 /(425) 277-1566
E-MAIL: chartlevCa�healthpointcfic.orq
PERSON(S)AUTHORIZED TO SIGN VOUCHER REIMBURSEMENT REQUEST AND PROGRAM
ACGOMPLISHMENTS FORM:
NAME/TITLE: Claudia Hartlev, Development Associate
SIGNATURE:
(optional) NAME/TITLE: Lisa Yohalem, Ghief Strateqv and Develoqment Officer
SIGNATURE:
City of Aubum Agreement: BG-1601, HealthPoint—Primary Health Care(Medical and Dental)
October 11,2016
Page 19 of 25
ATTACHMENT#2—BG-1601
Community Development Block Grant Contract
Project Budget
PROJECT NO.: BG-1601 TITLE: NealthPoint
SUMMARY OF TASKS AND COSTS
PERSONNEL COSTS
Annual Percent of
List Employees by Position Title Sa/ary Time to /tem Tota/
Project
Physician(s) / Dentist(s) 100% 62,500
Fringe Benefits
Category Total
(Should be the same as No. 1 in
Budget Detail) $62,500
(continued)
City of Auburn Agreement BG-1601,HealthPoint—Primary Health Care(Medical and Dental)
October 11,2016
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AnACHMENT#2 (CONIINUED)
Community Development Block Grant Contract
BUDGET DETAIL
Column A Column B Column C
Cost Categories Tota/Budget CDBG Other Non-
Item Funds CDBG Funds
-- Personnel Costs 1,666,039 62,500 1,603,539
-- Office/Operating Supplies 120,437 120,437
-- Consuitant or Purchased 218;237 218,237
-- Construction Contracts/Real
Pro e Ac uisition
-- Communications and 51,022 51,022
Advertisements
-- Travel and/or Training 17,531 17,531
-- Intra-Agency Support
i.e. administrative overhead
-- Capital Outlay- Construction
-- Other(Detail) 639,071 639,071
Rent, Utilities, Maintenance
Total Project Costs
{Note: Column A must equal $2,712,337 $62,500 $2,649,837
sum of Column B and C
Column A Column B Column C
Source of Funds Total Cify of Auburn Other Sources
-- City of Auburn CDBG Funds 62,500 62,500
-- Other Funds: 2,652,337 2,652,337
" Medical portion only of Aubum
General Funds
_ _ _
Grand Total
{Note: Column A must equal $2,714,837 $62,500 $2,652,337
sum of Column B and C
City o.f Auburn Agreement; BG-1601, HealthPoint—Primary Health Care(.Medical and Dental)
October 11,2016
Page 21 of 25
ATTACHMENT#3— BG-1601
Community Development Block Grant Contract
Special Conditions
1. Resolution #5205 In accordance with the legislative intent of the City Council as
expressed in 2016 Annual Action Plan adopted by Resolution #5205, the Agency must;
Provide primary health care to low incorne, uninsured residents at facilities located in
Auburn. {CDBG Eligible under 24CFR570.201(e)}
2. Timelv ProQression of Proieet: The Agency agrees that it will eomplete the above project
in a timely manner, and comply with the time line as set forth in Attachment #4, Project
Time Line.
3. Limitations on Expenditures and Adiustments: In the event that the City receives less
CDBG'revenues than originally estimated in the CDBG budget ordinance, the Agency will
receive a proportionately equal reduction in its appropriation relative to the total decrease
in total CDBG revenues, The amount of CDBG funds available to the Agency is stipulated
in the ``Notice of Grant Award." If the amount CDBG funds available to fhe Ageney is less
than appropriated; then the City will notify the Agency in writing when additional CDBG
funds become available
4. Termination of the Contract: This Agreement between the CITY_OF.AUBURN and the
_ __
AGENCY shall terminate on December 31, 2016. In aceordance with fhe terms of the
Agreement, all unspent CDBG funds at the time of termination shall lapse and return to
the City of Aubum's CDBG fund.
5. Public Information: The stipulations of Section 13(B) of the Agreement regarding the
_ ,
erection of sign identifying the source of funds are hereby waived.
6. Reversion of ASsets: In the event that the activity or use conducted upon the premises
acquired or improved by the Agency with the City's CDBG funds changes within twenty
(20) years from the date of this Agreement; then the City of Auburn shall be entitled to
reimbursement from the Agency. The arnount of reimbursement shall be equal to the
current market value of the property, less any portion of the value attributable to
expenditures from non-CDBG funds for the acquisition or improvement to the property,
multiplied by the following ratios for eaeh respective year. No reimbursement is required if
the use or ownership of the asset changes after twenty(20) years from above termination
date.
0
0
0
a
a
0
0
0
0
0
o.
City of Auburn Agreement: BG-1601, HealthPoint—Primary Health Care(Medical and Dental)
October 11,2016
Page 22 of 25
.
ATTACHMENT#4—BG-1601
Community Development Block Grant Contract
Project Timeline
Part 1.Schedule by Task
Milestones Medical/Dental
Projected
Unduplicated City Clients served;
15t Quarter(1/1/2016—3/31/2016) Clients:
11 medical/ 15 dental
Visits:
36 medical / 38 dental
2"d Quarter(4/1/2016—6/30/2016) Clients:
11 medical/ 15 dental
Visits:
36 medical/ 38 dental
3� Quarter(7/1/2016—9/30/2016) Clients:
11 medical / 15 dental
Visits:
36 medical/38 dental
4�' Quarter(10%1/2016— 12/31/2016) Clients:
11 medical/ 15 dental
Visits:
37 medical/37 dental
_ _ _
Total Unduplicated Annual Clients Medieal: 44/ Dental: 60
Total Unduplicated Annual Visits Medical: 145/ Dental: 151
Part 2.CDBG Expenditure Rate
.,
CDBG Funds Vouchered
Projected
1St Quarter(01/1/16—03/31/16) $15,625:00
2nd Quarter(04/1/16—06/30/16) $15,625.00
3`� Quarter(07/1/16—09/30/16) 15 625.00
4�' Quarter(10/1/16— 12/31/16) 15 625.00
City of Auburn Agreement: BG-1601, HealthPoint—Primary Health Care(Medical and Dental)
October 11,2016
Page 23 of 25
:
ATTACHMENT#5—BG-1601
Community Development Block Grant Contract
Project Timeline/Performance Measurements
All GDBG subrecipients must bill the City in order to access funds from their grant. The City advances
funds to subrecipients in order to expedite payments and then requests a drawdown from HUD to
reimburse the City fund. This'is how HUD keeps track of our Timely Expenditure Requirement and if
you do not bill,the City cannot meet its drawdown requirement. Checks are available generally within
45 days from the date your payment is processed. Quarterly payment request forms will be
customized for your specifc activity.
• Quarterly payment request forms record expenditures ineurred by the organization for a given
period.
• Quarterly service unit reports number of unduplicated clients served and other contract-
established service units.
• Direct Benefit reports (demographic reports) maintain data on direct beneficiaries who were
assisted with the funds requested.
1. Reimbursement Schedule:
(a) The Agency must submit a request for reimbursement at least once a quarter and may
submit such a request on a monthly basis, beginning with the date of this Agreement, and
applicable to all costs incurred toward this grant beginning Januarv 1, 2016.
(b) Failure to submit a quarterly request for reimbursement in accordance with Part 1, Section 5
of this Agreement may cause the City to consider#he Project abandonecl and the CDBG funds
made available for re-appropriation. Continued failure to request reiriibursement and submit
required performance reports will cause the City to take corrective action as it deems
neeessary.
(c) The City shall reimburse the Agency for 'its expenses incurred implementing this Agreement
within the forty-five (45) days following the receipt of a Voucher Reimbursement Requesi.
2. Reauired Contents of Reimbursement ReQuest:
(a) Reimbursement forms as supplied, showing Agency name, address, eontact inforrnation,
accomplishment data, budget information, and client income verification; forms show how the
Ageney has progressed toward its goals as set forth in Attachment#4.
(b) Failure to properly submit a reimbursement request, through the omission of the above-
required items or through material omissions within those documents, will cause the request
to be retumed to the Agency and will cause a delay in the disbursement of funcJs.
City of Auburn Agreeme.nt: BG-1601,HealthPoint—Primary Health Care(Medical and Denfal)
October 11,2016
Page 24 of 25
. �
.»
CITY OF AUBURN
CY BACKUS
- MAYOR
ATTEST:
,�
Danielie E. Daskam,
City Clerk
APPR ED TO FORM: �
niel B. He , '
City Attorney ----
:-�1�-fEALTHP�INT�
,!� �, ��-�
B� _ � ' I
PRINT: "�6Y� �c.S � or'11����"
TITLE: Vvi i� � G(�c,�f� 'c 2�
DATE:
City of Aubum Agreement:BG-1601, He.althPoint—Primary Hea.lth Care(Medical and De.ntal)
October 11,2016
Rage 25 of 25 �