2015-02-24 HRA Agenda PacketPLEASE TURN OFF CELL PHONES & PAGERS IN COUNCIL CHAMBERS
AGENDA
MOUND HOUSING & REDEVELOPMENT AUTHORITY
REGULAR MEETING
TUESDAY, FEBRUARY 24, 2015 6:55 P.M.
MOUND CITY COUNCIL CHAMBERS
Page
1. Open the meeting
2. Action approving agenda, with any amendments
3. Action approving minutes: Feb 10, 2015 regular meeting 1
Action approving payment of claims 2 -9
5. Action on Resolution Approving Capital Fund Program Amendment 10 -24
for Fiscal Year 2015, the 2015 Capital Fund Annual Statement, the
Capita] Fund Program Five Year Action Plan for 2015 -2019, and
the HUD Certifications
6. Adjourn
MOUND HOUSING AND REDEVELOPMENT AUTHORITY
February 10, 2015
The Mound Housing and Redevelopment Authority in and for the City of Mound, Minnesota, met in
regular session on Tuesday, February 10, 2015, at 6:55 p.m. in the council chambers of the Centennial
Building.
Members present: Chair Mark Wegscheid, Commissioners Ray Salazar, Heidi Gesch, Kelli Gillispie,
Jennifer Peterson
Members absent: None
Others present: Executive Director Kandis Hanson, Finance Director /Clerk/Treasurer Catherine
Pausche, City Engineer Dan Faulkner, Public Works Superintendent Ray Hanson, City Attorney
Melissa Manderschied.
1. Open meeting
Chair Mark Wegscheid called the meeting to order at 7:00 p.m.
2. Approve agenda
MOTION by Salazar, seconded by Gesch, to approve the agenda. All voted in favor. Motion carried.
3. Approve minutes
MOTION by Salazar, seconded by Gesch, to approve the minutes of the January 27, 2015 regular
meeting. All voted in favor. Motion carried.
4. Approve claims
MOTION by Salazar, seconded by Gesch, to approve the claims in the amount of $11,426.45. All
voted in favor. Motion carried.
5. Adjourn
MOTION by Gesch, seconded by Salazar, to adjourn at 7:01 p.m. All voted in favor. Motion carried.
Attest: Catherine Pausche, Clerk
-1-
Mark Wegscheid
MOUND HRA CLAIMS
2-24-15
lllwxfl� �J[
1
$57.02
$38.28
$3,350.15
TOTAL A a?
-2-
CITY OF MOUND 02/11/15424 PM
Page 1
Payments
Current Period: Closing 2014
Batch Name 2014HRA -AP4 User Dollar Amt $57.02
Payments Computer Dollar Amt $5202
$0.00 In Balance
Refer 1 CASH, PETTY_ CASH -
AP Payment E 680 - 49800 -438 Licenses and Taxes MN DEPT OF LABOR- BOILER LICENSE -D. $50.00
VIELBIG
Invoice 02112015 12/31/2014
AP Payment E 680- 49800 -331 Use of personal auto SA- GAS- IKM D. VIELBIG $7.02
Invoice 02112015 12/31/2014
Transaction Date 2/11/2015 Due 12/31/2014 Accounts Payable 20200 Total $57.02
Fund Summary
20200 Accounts Payable
680 HRA PUBLIC HOUSING $57.02
Pre - Written Check $0.00
Checks to be Generated by the Computer $57.02
Total $57.02
$57.02
-3-
CITY OF MOUND 02/11/15430 PM
Page 1
Payments
Current Period: February 2015
Batch Name 021215HRACSH
User Dollar Amt $38.28
Payments
Computer Dollar Amt $38.28
$0.00 In Balance
Refer 2 CASH, PETTY CASH
_
Cash Payment E 680 - 49800 -220 Repair /Maint Supply HOME DEPOT- INSULATION BLANKET #307
$31.79
I KM
Invoice 021215 1/21/2015
Cash Payment E 680 - 49800 -322 Postage
POSTAGE- CERTIFIED MAIL L. LLOYD #405
$6.49
IKM
Invoice 021215 1/21/2015
______---
Transaction Date 2/11/2015
Wells Fargo HRA 10120 Total
$38.28
Fund Summary
10120 Wells Fargo HRA
680 HRA PUBLIC HOUSING
$38.28
-
$38.28
Pre - Written Check $0.00
Checks to be Generated by the Computer $38.28
Total $38.28
me
CITY OF MOUND 02/11/151:31 PM
Page 1
Payments
Fund Summary
10120 Wells Fargo HRA
680 HRA PUBLIC HOUSING $531.47
Pre - Written Check $0.00
Checks to be Generated by the Computer $531.47
Total $531,47
$531.47
-5-
Current Period: February 2015
Batch Name
021115HRAMAN User Dollar
Amt $53147
Payments Computer Dollar
Amt $531.47
$0.00 In Balance
Refer
1 POETSCH, THEODORE
_
Cash Payment
G 680 -22830 Security Deposits - Tenant
SECURITY DEPOSIT REFUND- #111 IKM T.
$250.00
POETSCH
Invoice 021115
2/10/2015
Cash Payment
G 680 -22831 Security Deposit - Pets
PET DEPOSIT REFUND- #111 IKM T.
$300.00
POETSCH
Invoice 021115
2/10/2015
Cash Payment
G 680 -22833 Security Deposit - Interest
DEPOSIT INTEREST- #111 IKM T. POETSCH
$21.47
Invoice 021115
2/10/2015
Cash Payment
R 680 -49800 -38100 Dwelling Rental
RENT DUE- $40.00 BALANCE- #111 IKM T.
- $40.00
POETSCH
Invoice 021115
2110/2015
Transaction Date
2111/2015
Wells Fargo HRA 10120 Total
$531.47
Fund Summary
10120 Wells Fargo HRA
680 HRA PUBLIC HOUSING $531.47
Pre - Written Check $0.00
Checks to be Generated by the Computer $531.47
Total $531,47
$531.47
-5-
MOUND MN 02/19115 10A3 AM
Page 1
Payments
Current Period: February 2015
Batch Name 022415HRA User Dollar Amt $3,350.15
Payments Computer Dollar Amt $3,350.15
$0.00 In Balance
Refer 1 ALL INC.
Cash Payment E 680- 49800 -240 Minor Equip & Small Too WHIRLPOOL WHITE REFRIGERATOR #103 $531.00
IKM
Invoice 51351295.001 1/15/2015
Cash Payment E 680 - 49800 -240 Minor Equip & Small Too WHIRLPOOL WHITE REFRIGERATOR #204 $576.00
IKM
Invoice 51353511 2/18/2015
Transaction Date 5/1/2012 Wells Fargo HRA 10120 Total $1,107.00
Refer 2 ALPHA RUG AND CARPET CLEANI
Cash Payment E 680- 49800 -401 Building Repairs CARPET CLEANING, DEODORIZE 3RD $234.00
FLOOR HALLWAY
Invoice 2900 2/12/2015
Cash Payment E680- 49800 -401 Building Repairs WATER EXTRACTION, DEODORIZE- TOILET $540.00
OVERFLOW #102 IKM- TURBO &
DOWNDRAFT FAN RENTAL
Invoice 2900 2/12/2015
Transaction Date 2/1712015
Wells Fargo HRA 10120 Total
$774.00
Refer 3 CULLIGAN- METRO
Cash Payment E 680-49800-210 Operating Supplies
12 80LB SOLAR SALT DELIVERED 1 -19 -15
$199.20
Invoice 101X27444903 12/1512013
Cash Payment E 680 - 49800 -440 Other Contractual Servic
COMMERCIAL SERVICE CALL 1 -19 -15 -IKM
524200
Invoice 101X27444903 12/15/2013
Transaction Date 2/16/2015
Wells Fargo HRA 10120 Total
$441,20
Refer 4 GARYS SEWER AND DRAIN
_
Cash Payment E 680 - 49800 -401 Building Repairs
SNAKE MEN'S RESTROOM SINK DRAIN,
$253.25
REPAIR WOMEN'S RESTROOM TOILET &
MEN'S URINAL- RUNNING
Invoice 15011 1/2112015
Cash Payment E 680- 49800 -401 Building Repairs
SNAKE SHOWER #206
$125.00
Invoice 15015 1/21/2015
Cash Payment E 680 - 49800 -401 Building Repairs
REPAIR WOMEN'S RESTROOM TOILET-
$141.26
REPLACE VALVE
Invoice 15028 1/21/2015
Transaction Date 2/17/2015
Wells Fargo HRA 10120 Total
$519.51
Refer 5 GRAINGER (IKM)
_
Cash Payment E 680 - 49800 -220 Repair /Maint Supply
ELECTRIC BALLASTS- T8 LAMPS
$63.00
Invoice 9652733867 1/29/2015
Cash Payment E 680- 49800 -220 Repair /Maint Supply
RETURN - ELECTRIC BALLASTS- T8 LAMPS
- $63.00
Invoice 1228785149 2/18/2015
Transaction Date 2/17/2015
Wells Fargo HRA 10120 Total
$0.00
Refer 6 HD SUPPLY FACILITIES MAINTEN
_
Cash Payment E 680 -49800 -220 Repair /Maint Supply
8" UNIVERSAL RANGE ELEMENT
$55.98
Invoice 9134774878 1/13/2015
Cast-Payment E 680 - 49800 -210 Operating Supplies
T8 BALLAST -2 BULB ELECTRIC LIGHTING-
$28.50
IKM
Invoice 9135277359 2/512015
-6-
MOUND, MN
Payments
Current Period: February 2015
02/19/15 10'13 AM
Page 2
Transaction Date
2/16/2015
Wells Fargo HRA 10120 Total
$84.48
Refer
7 LEVEL ONE CORE LEASING SOLU
Cash Payment
E 680 - 49800 -475 Tenant Related Services FEB 2015 CALL CENTER MTCE PLAN &
$151.00
ROLL OVER PHONE NUMBER IKM
Invoice 0179168
2/1/2015
Transaction Date
- 2/16/2015
Wells Fargo HRA 10120 Total
$151.00
Refer
8 REPUBLIC SERV ICES
_
Cash Payment
E 680-49800-384 Refuse /Garbage Dispos
GARBAGE SVC FEB 2015 IKM
$244.19
Invoice 0894- 003716507
1/25/2015
Transaction Date
216/2015
Wells Fargo HRA 10120 Total
$244.19
Refer
9 TRUE VALUE MOUND (IKM)
Cash Payment
E 680 -49800 -210 Operating Supplies
GE 18 W 24" FLUORESCENT BULBS -IKM
$11.69
Invoice 122274
1/19/2015
Cash Payment
E 680- 49800 -210 Operating Supplies
GE 18 W 24" FLUORESCENT BULBS &
$17.08
PRIMER -IKM
Invoice 122451
1/28/2015
Transaction Date
2/16/2015
Wells Fargo HRA 10120 Total
$28.77
Fund Summary
680 HRA PUBLIC HOUSING
10120 Wells Fargo HRA
$3,350.15
$3,350.15
Pre - Written Check $0.00
Checks to be Generated by the Computer $3,350.15
Total $3,350.15
-7-
Payments
Current Period: February 2015
02/19/15 12:26 PM
Page 1
Batch Name
022415COMBND User Dollar Amt $6,955.04
Payments Computer Dollar Amt $6,955.04
$0.00 In Balance
Refer
2 COMMON BOND COMMUNITIES
_
Cash Payment
E 680 - 49800 -101 F T Empl Regular
PR 2 -20 -15 MGR SALARY
$845.46
Invoice 1497570 2/20/2015
Cash Payment
E 680 - 49800 -111 Other IKM Maint
PR 2 -20 -15 MTCE SALARY
$810,90
Invoice 1497579 2/20/2015
Cash Payment
E 680- 49800 -122 FICA
PR 2 -20 -15 MGR ER TAX
$80,49
Invoice 1497572 2/20/2015
Cash Payment
E 680 -49800 -130 Employer Paid Ins (GEN
PR 2 -20 -15 MTCE ER TAX & INSURANCE
$19207
Invoice 1497581
2/20/2015
Cash Payment
E 680- 49800 -121 PERA
PR 2 -20 -15 MGR ER 401 K MATCH
$29.59
Invoice 1497573
2120/2015
Cash Payment
E 680 - 49800 -130 Employer Paid Ins (GEN
PR 2 -20 -15 MTCE ER 401K MATCH
$28.77
Invoice 1497582
2/20/2015
Cash Payment
E 680 - 49800 -103 Part-Time Employees
PR 2 -20 -15 CARETAKER SALARY
$443.91
Invoice 1497577
2/20/2015
Cash Payment
E 680- 49800 -122 FICA
PR 2 -20 -15 CARETAKER ER TAX
$42.26
Invoice 1497578
2/20/2015
Transaction Date
2/19/2015
Wells Fargo HRA 10120 Total
$2,478.45
Refer
3 COMMON BOND COMMUN177ES
_
Cash Payment
E 680 - 49800 -430 Miscellaneous
AMERIPRIDE MT /CT UNIFORMS 1/15
$23.67
Invoice 1497196
2/20/2015
Cash Payment
E 680- 49800 -307 Admin /Finance /Compute
ADP PROCESSING FEES 1 -23 -15 & 2 -6 -15
$9.94
Invoice 1497194
2/20/2015
Cash Payment
E 680 - 49800 -307 Admin /Finance /Compute
MGMT FEES 3/15
$2,265.00
Invoice 1497568
2/20/2015
Cash Payment
E 680 - 49800 -321 Telephone & Cells
MGR CELL PHONE ALLOWANCE
$20.00
Invoice 1489241
2/20/2015
Cash Payment
E 680 - 49800 -331 Use of personal auto
MTCE MILEAGE 2/12/15
$42.55
Invoice 1497569
2/20/2015
Transaction Date
2/19/2015
Wells Fargo HRA 10120 Total
$2,361,16
Refer
1 COMMON BOND COMMUNITIES _
Cash Payment
E 680- 49800 -101 F T Empl Regular
PR 2 -06 -15 MGR SALARY
$335.71
Invoice 1489237
2/6/2015
Cash Payment
E 680- 49800 -111 Other IKM Maint
PR 2 -06 -15 MTCE SALARY
$942.08
Invoice 1489244
2/6/2015
Cash Payment
E 680 - 49800 -122 FICA
PR 2 -06 -15 MGR ER TAX
$31.97
Invoice 1489238
2/6/2015
Cash Payment
E 680 49800 -130 Employer Paid Ins (GEN
PR 2 -06 -15 MTCE ER TAX & INSURANCE
$195.68
Invoice 1489253
216/2015
Cash Payment
E 680 - 49800 -131 Employer Paid Health
PR 2 -06 -15 MGR ER INS- BENEFITS
$8.63
Invoice 1489239
2/6/2015
Cash Payment
E 680- 49800 -121 PERA
PR 2 -06 -15 MGR ER 401 K MATCH
$11.75
Invoice 1489240
2/6/2015
Cash Payment
E 680 - 49800 -130 Employer Paid Ins (GEN
PR 2 -06 -15 MTCE ER 401 K MATCH
$33.36
Invoice 1489254
2/6/2015
-8-
MOUND, MN
Payments
Pre - Written Check $0.00
Checks to be Generated by the Computer $6,955.04
Total $6,955.04
91
02/19/15 12:26 PM
Page 2
$438.14
$41.71
$76.40
Total $2,115.43
Current Period: February 2015
Cash Payment
E 680- 49800 -103 Part-Time
Employees PR 2 -06 -15 CARETAKER SALARY
Invoice 1489242
2/612015
Cash Payment
E 680- 49800 -122 FICA
PR 2 -06 -15 CARETAKER ER TAX
Invoice 1489243
2/6/2015
Cash Payment
E 680 - 49800 -111 Other
IKM Maint PR 2 -20 -15 MTCE ONCALL SALARY
Invoice 1497574
2/20/2015
Transaction Date
2/19/2015
Wells Fargo HRA 10120
Fund Summary
10120 Wells Fargo HRA
680 HRA PUBLIC
HOUSING
$6,955.04
$6,955.04
Pre - Written Check $0.00
Checks to be Generated by the Computer $6,955.04
Total $6,955.04
91
02/19/15 12:26 PM
Page 2
$438.14
$41.71
$76.40
Total $2,115.43
MEMORANDUM
Date: February 19, 2015
To: HRA Board Chair and Commissoners
From: Catherine Pausche, Finance Director /ClerldTreasurer
Subject: Indian Knoll Manor Capital Funds
HUD has announced capital grant awards for 2015 . and I have attached the necessary
documentation required to accept the award. As you will see, "Unit Upgrades" have been slated
for the next several years. It is an option to amend this plan if other, more urgent needs come up,
which is likely in the near future.
I will begin to look for vendors who can perform a RAD Compliant Physical Needs Assessment,
which will be required if IKM is approved for a RAD conversion to project based Section 8
housing.
The following page shows a summary of how capital funds have been used since 2008 and what
the current outstanding grants will be used for.
Please let Catherine know if you have any questions regarding this matter at (952)472 -0633
-10-
Mound HRA Capital Grants
Grant Year
Amount
Projects
Status
Heating and Ventilation Upgrades - replaced
thermostats and valves in units, boilers, controls air
2008
51,792
handler, and roof top vent refurbishment /replacement
Complete
2009
51,521
Driveway, Sidewalk and Landscape Improvements
Complete
Removed hazardous materials (asbestos) in
mechanical areas and tunnel, ventilated tunnel,
2009 ARRA
65,558
installed new high efficiency hot water heaters
Complete
New Addressable Fire Alarm System $17.5K, Lighting
2010
51,348
Retrofits 12K, Carpet, Tile, Paint in Units = $22K
Complete
Lighting Upgrades $13K, Carpet, Tile, Paint in Units =
2011
42,394
$14K, Retaining Walls = $15K
Complete
To Operations to fund HUD physical inspection,
problems with the high efficiency hot water heaters
2012
39,243
and legal fees related to an eviction action
Complete
2013
37,706
Unit Upgrades
Open
2014
39,126
Unit Upgrades
Open
Awaiting
2015
38,689
Unit Upgrades
Award
-11-
\ \Moundserver \shareddata \FINANCE DEPT \HOUSING AUTHORITY \HUD GRANTS FINANCIAL
DATA \GRANTS \Grant Summary by year
RESOLUTION NO IS -_
APPROVING THE CAPITAL FUND PROGRAM AMENDAIEN'T FOR
FISCAL YEAR 2015, THE 2015 CAPITAL FUND ANNUAL
STATEMENT, TIME CAPITAL FUND PROGRAM FIVE YEAR
ACTION PLAN FOR 2015 - 2019, AND HUD CERTIFICATIONS
WHEREAS, the U.S. Department of Housing and Urban Development has agreed to
provide Capital Fund Program (CFP) assistance to the HRA of the City of Mound,
Minnesota, for the propose of helping the HRA in carrying out capital and management
activities at the Indian Knoll Public Housing Development, and
WHEREAS, the HRA of the City of Mound has previously approved a five year action
plan for capital improvements at the Indian Knoll Public Housing Development,
NOW THEREFORE, BE IT RESOLVED, The Board of the Mound Housing and
Redevelopment Authority approves the following:
1) Capital Fund Program Amendment for Fiscal Year 2015, as presented in Exhibit
A
2) 2015 Capital Fund Annual Statement, as presented in Exhibit B
3) Capital Fund Program Five Year Action Plan for 2015 — 2019, as presented in
Exhibit C
4) Disclosure of Lobbying Activities, Certification of Payments to Influence Federal
Transactions, and PHA Certifications of Compliance with PHA Plans and Related
Regulations as presented in Exhibit D
Adopted this 24`h day of February, 2015.
Attest: Catherine Pausche, Clerk
-12-
Chair Mark Wegscheid
Capital Fund Program
(CFP) Amendment
To The Consolidated Annual Contributions
Contract (form HUD - 53012)
2015 Capital Fund
U.S. Department of Housing
and Urban Development
Office of Public and Indian Housing
Whereas, (Public Housing Authority) MINNESOTA
and the United States of America, Secretary of dousing and Urban D
Contracts) ACC(.) Numbers(s) G -858 dated 613/1970
Exhibit A Page 1 of 1
MN074 (herein called the 'PI
called "HUD') entered Into Consolidated Annual Contributions
Whereas, HUD has agreed to provide CFP assistance, upon execution of this Amendment. to the PHA in the amount to be specified below for the
purpose of assisting the PHA in carrying out development, capital and management activities at existing public housing projects in order to ensure that
such projects continue to be available to serve low- income families. HUD reserves the right to provide additional CFP assistance in this FY to the
PHA fUI) will provide a revised ACC Amendment authorizing such additional amounts.
$ $38,689.90 for Fiscal Year 2015 to be refereed to under Capital Fund Grant Number MN461'0745D115
PHA Tax Identification Number (TIN): On File DUNS Number: On File
Whereas, HUD and the PHA are entering into the CFP Amendment Number
Now Therefore, the ACC(.) is (are) amended as follows: assistance for development activities for each public housing project and for a
1. The ACC(s) Is (are) amended to provide CFP assistance In the amount period of ten years following file last payment of assistance from the Operating
specified above for development, capital and management activities of PHA Fund to each public housing project. However, the provisions of Section 7 of the
projects. this CFP Amendment is a part of the ACC(.). ACC shall remain in effect for so long as IIUD determines there is any outstanding
Indebtedness of the PI IA to HUD which arose in connection with any public housing
2 The or IA most carry out all development, capital and management activities
in accordance with the United States Housing Act of 1937 (the Act), 24 CFR
Pan 905 (the Capital Fund Final rule) published at 78 Fed, Reg. 63748
(October 24, 2013), as well as other applicable HUD requirements, except that
the limitation in section 9(g)(1) of the Act is increased such that of the amount of
CFP assistance provided for under this CFP amendment only, the PHA may use
no more than 25 percent for activities that are eligible under section Ste) of the
Act only if the PI IA's I IUD- approved Five Year Action Plan provides for such use:
however, if the PHA owns or o ectre loss than 250 public housing dwelling
units, such If IA may continue to use the full flowelity in section 9(g)(2) of the Act.
3. rho [If IA has a I IUD approved Capital Fund Five Year Action Plan arid has
complied with the requirements for reporting on open grants through the
Performance and Lvaluation Report. The PHA must comply with 24 CFR
905 300 of the Capital Fund final rule regarding amendment of the Five Year
Action Plan where the PHA proposes a Significant Amendment to the Capital
Fund r ve Year Action Plan.
4. For cases where IIUD has approved a Capital Fund Financing Amendment
to the ACC, I IUD will deduct the payment for amertizalien scheduled
payments from the grant immediately on the effective data of this CFP
Amendment. The payment of GI 'P funds due par the amortization scheduled
will be made directly to a designated trustee within 3 days aflUre due data
5. Unless otherwise provided the 24 month time period in which the PHA must
obligate this CFP assistance pursuant to section 96)(1) of the Act and 48
month time petition which the PHA must expend this CFP assistance
pursuant to section 96)(5) of the Act starts with the effective data of this CFP
amendment (the date on which CFP assistance becomes available to the PHA
for obligation). Any additional CFP assistance this FY will start with the same
effoclive date.
6. Subject to the provisions of the ACC(.) and paragraph 3, and to assist in
development, capital and management activities, HUD agrees to disburse to
the PHA or the designated trustee from time to time as needed up to the
amount of the funding assistance specified herein.
7. The PHA shall continue to operate each public housing project as low -
Income housing In compliance with the ACC(s), as amended, the Act and all
HUD regulations for a period of twenty years after the last disbursement of
CFP assistance for modernization activities for each public housing project or
portion thereof and for a period of forty years after the last distribution of CFP
project(s) under the ACC(.) and which is not eligible forfeavoness, and provided
further that, no disposition of any project covered by this amendment shall occur
unless approved by HUD,
8, The PHA will accept all CFP assistance provided for this FY. If the PHA does
not comply with any of its obligations under this CFP Amendment and does not
have its Annual PHA Plan approved within the period specified by HUD, HUD
shall impose surh penicillin. or take such remedial action as provided by law.
HUD may direct the PI IA to terminate all work estimated in the Capital Fund
Annual Statement of tho Annual PHA Plan. In such dawn, the PIIA shall only
Incur additional costs with I IUD approval
9, Implementation or use of funding assistance provided under this CFP
Amendment is subject to the attachred�corrective action crJan.)
u .
(mark ono): D Yes No
10. The PIIA is required to roped in the format and frequency established by
HUD on all open Capital Fund grants awarded, including information on the
installation of energy conservation measures.
11, If CFP assistance is provided for activities authorized pursuant to
agreements between HUD and the PHA under the Rental Assistance
Demonstration Pmgram, the PHA shall follow such applicable statutory
authorities and all applicable IIUD regulations and requirements.
For total conversion of public housing projects, the previsions of Section 7 of lea
ACC shall remain in effect for so long as HUD determines there is any
outstanding indebtedness of the PHA to HUD which arose in connection with
any public housing projects(.) under the ACC(a) and which is not eligible far
forgiveness, and provided further that. no disposition or conversion of any public
housing project covered by these terms and conditions shall occur refuse
approved by HUD. For partial conversion, the PHA shall continue to operate
each non - converted public housing project as low- income housing in
accordance with paragraph 7.
12. COP assistance provided as an Emergency grant or a Safety and Security
grant shall be subject to a 12 month obligation and 24 month expenditure time
period. CFP assistance provided as a Natural Disaster grant shall be subject to a
24 month obligation and 48 month expenditure time period. The start date
shall be the date on which such funding becames available to the PI IA for
obligation. The PHA must record the Dedaratien(s) of Trust within 60 days of the
effective date or HUD will recapture the funds.
The parties have executed this CFP Amendment, and it wilt be effective on 4/1312015. This is the data on which CFP assistance becomes available to
the PHA for obligation.
(Executive
Uy Date: I By
Data
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Exhibit D Page 1 of 5
DISCLOSURE OF LOBBYING ACTIVITIES Approved by ome
Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352 0348 -0046
V.im., riicrinm lra 1
-
1. Type of Federal Action: 2. Status of Federal Action: 3. Report Type:
b a. contract �a. bid /offer /application a. initial filing
J
b. grant b. initial
award b. material change
c. cooperative agreement c. post -award For Material Change Only:
d. loan
year_____ quarter
e. loan guarantee
date of last report _
f. loan insurance
Address of Reporting Entity:
5, If Reporting Entity in No. 4 is a Subawardee, Enter Name
4. Name and
E] Prime ❑ subawardee
and Address of Prime:
Tier , ifknown:
Congressional District, if known: 4c
Congressional District, if known:
6. Federal Department /Agency:
7. Federal Program Name /Description:
Public and Indian Housing
C -858
CFDA Number, if applicable:
8. Federal Action Number, if known:
9. Award Amount, if known:
$ 38,689
Name Address of Lobbying Registrant
b. Individuals Performing Services (including address if
10. a. and
(if individual, last name, first name, MI):
different from No. 10a)
(last name, fin stname, MI):
N,A
N/A
t 1 Infarmation regrmstad through this form Is authorized by title 31 U.S 0 section
1352 This dlsGOSure of lobbying aollvitles Is a material mpresereada of fear
Signature:
avon v+huh reliance was placed by the tier have when this transaclion was made
Print Name: Landis Hanson
Title: Executive Director Mound Housing and Redevelopment Authority
ar onlered into I b, dealosure Is repaired pursuant to 31 U.5 C. 1352. This
m¢xmanan wm be available far public Inspection. Any tenon who fana m file rha
raeutrad disclasure shat be subled to a coil penalty of not less than $10,000 and
,at mar e[ban $100,000 far cash earn raeare.
Telephone No.: 952.472.0609 _ Date: 02 -25 -15
Authorized for Local Reproduction
Federal Use Only:
Standard Form LLL (Rev. 7 -97)
-20-
Exhibit D Page 2 of 5
INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES
'! This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the initiation or receipt of a covered Federal
action, or a material change to a previousffling, pursuant to title 31 U.S.C. section 1352. The fill rig of a form is required for each paymontor agree moot to make
payment to any lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employeeof
Congress, or an employe eof a Memo or of Congress In connection with a covered Federal action. Co rep] ate all items that applyfor both the hill aI fi ling and material
change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information.
1. Identify the type of covered Federal action for which lobbying activity is and /or has been secured to influence the outcome of a covered Federal action.
2. Identify the status of the covered Federal action.
3. Identify the appropriate classification of this report. If this is a followup report caused by a material change to the information previously reported, enter
the year and quarter in which the change occurred. Enter the date of the last previously submitted report bythe reporting entity for this covered Federal
action.
4. Ent orthe full name, address, city, State and zip code of the reporting entity. Include Congressional District, if known. Check the appropriatocl ass ification
of the reporting entity that designates if It is, or expects to be a prime or sub award recipient Identify the tier of the subawardeo, e.g., the first suld. wardce
of the prime is the tat tier. Subawards include but are not limited to subcontracts, subgrants and contract awards under grants.
5. If the organizationfiling the report in item 4 checks "subawardee," then enter the full name, address, city, State and zip code of the prime Federal
recipient. Include Congressional District, if known.
6. Enter then am a of the Fed era agancymaking the award or loan commitment. Include at least one organizations I level below ago ncyname, if known. For
example, Department of Transportation, United States Coast Guard.
7. Enter the Federal program name or description for the covered Federal action (item 1). If known, enterthe full Catalog of Federal Domestic Assistance
(CFDA) number for grants, cooperative agreements, loans, and loan commitments.
8. Enter the most appropriate Federal identifying number avahablefor the Federal action identified in item 1 (e.g., Request for Proposal (REP) number;
Invitation for Bid (IFB) number; grant announcement number; the contract, grant, or loan award number; the application /proposal control number
assigned by the Federal agency). Include prefixes, e.g., "RFP- DE -90- 001."
9. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the award /loan
commitment for the prime entity identified In item 4 or 5.
10. (a) Enter the full name, address, city, State and zip code of the lobbying registrant under the Lobbying Disclosure Act of 1995 engaged by the reporting
entity identified in item 4 to influence the covered Federal action.
(b) Enter the full names of the individual(s) performing services, and include full address if different from 10 (a). Enter Last Name, First Name, and
Middle Initial (MI).
I 1 The eortifvino official shall sign and date the form, print his /her name, title, and telephone number.
According to the Paperwork Reduction Act, as amended, no persons are required to respond to a collection of information unless it displays a valid OMB Control
Number. the valid OMB control number for this information collection is OMB No. 0348 -0046. Public reporting burden for this collection of information is
estimated to average 10 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data
needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of
information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348 - 0046), Washington,
DC 20503.
-21-
OMB Approval Flo. 2577 -0157 (Exp. 01/31/2014)
Certification of Payments U.S. Department of Housing
and Urban Development Exhibit D Page 3 of 5
to Influence Federal Transactions Office of Public and Indian Housing
Appkant Name `,�,
M b iC ! j� t t U L( P i� Li D 4D &/-E h W A-kt"la 4
The undersigned certifies, to the best of his of her knowledge and belief; that:
(I) 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 of employee of
an agency, a Member of Congress, an officer or employee of
Congress, of an employee of a Member of Congress in connec-
tion 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 agreement, and the extension, continuation,
renewal, amendment, or modification of any Federal contract,
grant, loan, o cooperative agreement.
(2) if any funds other than Federal appropriated funds have
been paid of will be paid to any person for influencing or
attempting to influence an officer or employee of an agency, a
vlember of Congress, an officer or employee of Congress, 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,
Disclosure Form tc Report Lobbying, in accordance with its
instructions.
(3) The undersigned shall require that the language of this
certification be included in the award documents for all subawaids
at all tiers (including subcontracts, subgrants, and contracts
under grants, loans, and cooperative agreements) and that all
sub recipients shall certify and disclose accordingly.
]"his certification is a material representation of fact upon which
reliance was placed when this transaction was made of entered
into Submission of this certification is a prerequisite for making
or entering into this transaction imposed by Section 1352, Title
31, U.S. Code. Any person who fails to file the reunited
certification shall be subject to a civil penalty of not less than
$10,000 and not more than $100,000 for each such failure.
I hereby certify that all the information stated herein, as well as any information provided in the accompaniment herewith, is true and accurate.
Warning: HUD will prosecute false claims and statements. Conviction may result in criminal and /or civil penalties. 118 U.S.C. 1001, 1010,
1012,31 UB -0. 3729, 3802)
Name of Authorized Off del
Title
-p (Aft t
Previous edition is obsolete form HUD 50071 (3/98) -22-
ref. Handbooks 7417 1, 7475.13, 7485.1, 8 7485.3
Exhibit 3cPage 4 of 5
FH� tfiA.eYtltifatlOP1S Of Compliance U.S. Department of Housing and Urban Development
Office of Public and Indian Housing
ith PHA Plans and Related Expires 4 /30/2011
cau lations
131JA Certifications of Compliance with the PIiA Plans and Related Regulations:
Hoard Resolution to Accompany the PIIA 5 -Pear muT Annual PHA flan
Acting on behalf of the Board of Commissioners of the Public Housing Agency PI-M) listed below, as its Chairman or other
awhorised PHA official ifthere is no Board of Commissioners, I approve the submission of the_ 5 -Pear andlor_Annual PHA
Plun fm HA
. the P fiscal year beginning , hereinafter referred to as" the Plan ", of which this docwnent is apart and make
the following eertilications and agreements with the Department ofHousing and Urban Development (HUD) in connection with the
submission of the Plan and implementation thereof.
1. The Plan is consistent with the applicable comprehensive housing affordability strategy (or any plan incorporating such
strategy) for thejurisdiction in which the YHA is located.
2. The Plan contains a certification by the appropriate State or local officials that the Plan is consistent with the applicable
Consolidated Plan, which includes a certification that requires the preparation of an Analysis of Impediments to Fair Housing
Choice, for the PHA's jurisdiction and a description of the manner in which the PHA Plan is consistent with the applicable
Consolidated Plan.
3. The PHA certifies that there has been no change, significant or otherwise, to the Capital Fund Program (and Capital Fund
Program /Replacement Housing Factor) Annual Statement(s), since submission of its last approved Annual Plan. The Capital
Fund Program Annual Statement /Annual Statement /Performance and Evaluation Report must be submitted annually even if
there is no change.
4. The PI IA has established a Resident Advisory Board or Boards, the membership of which represents the residents assisted b)'
the PHA, consulted with this Board or Boards in developing the Plan, and considered the recommendations of the Board or
Boards (24 CI 'R 903.13). The PHA has included in the Plan submission a copy of the recommendations made by the
Resident Advisory Board or Boards and a description of the manner in which the Plan addresses these rccommendations.
5. The PHA made the proposed Plan and all information relevant to the public hearing available for public inspection at least 45
days before the hearing, published a notice that a hearing would be held and conducted a hearing to discuss the Plan and
invited public comment.
6. The PHA certifies that it will carry out the Plan in conformity with Title VI of the Civil Rights Act of 1964, the Fair Housing
Act, section 504 of the Rehabilitation Act of 1973, and title II of the Americans with Disabilities Act of 1990.
7, The PHA will affirmatively further fair housing by examining their programs or proposed programs, identify any
impediments to fair housing choice within those programs, address those impediments in a reasonable fashion in view of the
resources available and work with local jurisdictions to implement any of the jurisdiction's initiatives to affirmatively further
fair housing that require the PHA's involvement and maintain records reflecting these analyses and actions.
8. For PHA Plan that includes a policy for site based waiting lists:
• The PHA regularly submits required data to HUD's 50058 PiCAMS Module in an accurate, complete and timely manner
(as specified in Pill Notice 2006 -24);
• The system of site -based waiting lists provides for full disclosure to each applicant in the selection of the development in
which to reside, including basic information about available sites; and an estimate of the period of time the applicant
would likely have to wait to be admitted to units of different sizes and types at each site;
• Adoption of site -based waiting list would not violate any court order or settlement agreement or be inconsistent with a
pending complaint brought by HUD;
• The YHA shall take reasonable measures to assure that such waiting list is consistentwith affirmatively furthering fair
housing;
• The PHA provides for review of its site -based waiting list policy to determine if it is consistent with civil rights laws and
certifications, as specified in 24 CFR part 903.7(c)(1).
The PHA will comply with the prohibitions against discrimination on the basis of age pursuant to the Age Discrimination Act
of 1975.
10, The PHA will comply with the Architectural Barriers Act of 1968 and 24 CFR Part 41, Policies and Procedures for the
Enforcement of Standards and Requirements for Accessibility by the Physically Handicapped.
11. The PHA will comply with the requirements of section 3 of the Housing and Urban Development Act of 1968, Employment
Opportunities for Low -or Very -Low Income Persons, and with its implementing regulation at 24 CPR Part 135.
Previous version is obsolete Pa-23_4 2 form HUD -50077 (412008)
Exhibit D Page 5 of 5
12, The PHA will comply with acquisition and relocation requirements of the Uniform Relocation Assistance and Real Property
Acquisition Policies Act of 1970 and implementing regulations at 49 CFR Part 24 as applicable.
13. The YHA will take appropriate affirmative action to award contracts to minority and "oaten s business enterprises under 24
CFR 5.105(x),
14, The PHA will provide the responsible entity or HUD any documentation that the responsible entity or HUD needs to cal r}'
out its review under the National Environmental Policy Act and other related authorities in accordance with 24 CFR Part 58
or Pact 50, respectively.
15. With respect to public housing the PHA will comply with Davis -Bacon or HUD determined wage rate requirements under
Section 12 of the United States Housing Act of 1937 and the Contract Work Hours and Safety Standards Act.
16. The PHA will keep records in accordance with 24 CFR 85.20 and facilitate an effective audit to determine compliance with
program requirements.
17. The PHA will comply with the Lead -Based Paint Poisoning Prevention Act, the Residential Lead -Based Paint Hazard
Reduction Act of 1992, and 24 CFR Part 35.
18, The PHA will comply with the policies, guidelines, and requirements of OMB Circular No. A -87 (Cost Principles for State,
Local and Indian Tribal Govermnents), 2 CFR Pat rt 225, and 24 CFR Part 85 (Administrative Requirements for Grants and
Cooperative Agreements to State, Local and Federally Recognized Indian Tribal Governments).
19. The PHA will undertake only activities and programs covered by the Plan in a manner consistent with its Plan and will utilize
covered grant funds only for activities that are approvable under the regulations and included in its Plan.
20 All attachments to the Plan have been and will continue to be available at all times and all locations that the PHA Plan is
available for public inspection. All required supporting documents have been made available for public inspection along with
the Plan and additional requirements at the primary business office of the PHA and at all other times and locations identified
by the PHA in its PHA Plan and will continue to be made available at least at the primary business office of the PHA.
21. The PHA provides assurance as part of this certification that:
(i) The Resident Advisory Board had an opportunity to review and comment on the changes to the policies and programs
before implementation by the PHA;
(ii) The changes were duly approved by the PHA Board of Directors (or similar governing body); and
(iii) The revised policies and programs are available for review and inspection, i t the principal office of the YHA during
normal business howl.
22. The PHA certifies that it is in compliance with all applicable Federal statutory and regulatory iequiremonts.
PI IA Name PHA Number/HA Code
1 hereby certf)' that ¢II the information stated herein, ae well as any information provided in the accompaniment herewith, is true and accurate_ W arcing: HUD will
s t f�ls I d st to t Co f may s It c im I a d/o oenalC (18 U S C 1 UOt 1010 1012 31 U S.0 3729 3802)
Natne of AUthonzed Official
Signature
LN O �-I _S 4�e i t�
Title
Dats
Previous version is obsolete -24! of 2 form HUD -50077 (4/2008)
5 -Year PHA Plan for Fiscal Years 20
I�_, - 20_1
1/
Annual P1 1A Plan for Fiscal Years 20
I/ � - 20
1_�
1 hereby certf)' that ¢II the information stated herein, ae well as any information provided in the accompaniment herewith, is true and accurate_ W arcing: HUD will
s t f�ls I d st to t Co f may s It c im I a d/o oenalC (18 U S C 1 UOt 1010 1012 31 U S.0 3729 3802)
Natne of AUthonzed Official
Signature
LN O �-I _S 4�e i t�
Title
Dats
Previous version is obsolete -24! of 2 form HUD -50077 (4/2008)