HomeMy WebLinkAbout2002 S Housing - Amendment to HUD Cooperative Agreement for FFY 2002 _-
i —. RETURN THIS COPY TO THE CLERK'e
OFFICE FOR THE PERMANENT AGENDA FILE
Assistance Award/Amendment U.S. Departmen, ,,,y
and Urban Development
Office of Administration
1.Assistance Instrument 2.Type of Action
X Cooperative Agreement ❑ Grant Award X Amendment
3. Instrument Number 4.Amendment Number 5. Effective Date of this Action 6.Control Number
FF204KO24022 1 OCTOBER 1, 2001
ORANGE COUNTY HUMAN RELATIONS COMMISSION 8.HUD Administering Office
P.O. BOX 8181 U. S. Department of Housing and Urban Development
HILLSBOROUGH, NORTH CAROLINA of Fair Housing and Equal Opportunity (FHEO)
TAX I.D. 56-6000327 16th Floor, 40 Marietta St., NW; Atlanta, GA 30303
8a.Name of Administrator 8b.Telephone Number
Gregory King (404) 331-5001 (X2660)
10. Recipient Project Manager 9. HUD Government Technical Representative
ANNETTE M. MOORE, DIRECTOR Sue Darling, Director, Kentucky Program Center
11.Assistance Arrangement 12.Payment Method 13. HUD Payment Office
❑Cost Reimbursement ❑Treasury Check Reimbursement HUD CFO ACCOUNTING CENTER
❑ Cost Sharing ❑Advance Check P.O. BOX 2905; FORT WORTH, TX 76113-2905
x Fixed Price ❑Automated Clearinghouse
14.Assistance Amount 15. HUD Accounting and Appropriation Data
Previous HUD Amount 15a.Appropriation Number 15b. Reservation number
.......................................................................................................$.........................49,700:00
...............................................
HUD Amount this action $ 2910.0.0...0.0 862/30144(TIN) FHEO-04-02-08
.......................................................................................................................... ...............
............................
.Total HUD Amount..........................................$.........................69,700.00 Amount Previously Obligated $ 49,700.00 11 Recipient Amount $ Obligation b this action
on................... ......................................................... .....................................y $ 20,000.00
..............................................................................
Total Instrument Amount $ 69,700.00 Total Obligation $ 69,700.00
16. Description
AMENDMENT
THE COOPERATIVE AGREEMENT FOR FAIR HOUSING ASSISTANCE PROGRAM (FHAP)
THIS AGREEMENT INCORPORATES ALL PREVIOUSLY ISSUED SUBPARTS. FUNDS ARE DESIGNATED AS
FOLLOWS:
Partnership Initiative: $ 20,000.00
Aged Case Initiative: $ 0.00
$ 20,000.00
Previous Contract Amount: 49,700.00
TOTAL CONTRACT AMOUNT: $ 69,700.00
Order of Precedence: Notwithstanding any provision to the contrary, in the event of a conflict among any of the
17. ❑ Recipient is required to sign and return three(3)copies 18. ❑ Recipient is not required to sign this document.
of this document to the HUD Administering Office
19. Recipient(By Name) 20. HUD(By Name)
ORANGE COUNTY HUMAN RELATIONS COMMISSION OFFICE OF FAIR HOUSING AND EQUAL OPPORTUNITY
Signature&Title Date(mm/dd/yyyy) ?EG7K71CA0SQT ure&Title Date(mm/dd/yyyy)
G
form HUD-1044(8/90)
ref. Handbook 2210.17
SIGNATORY FORM AND CERTIFICATION Grant No., 01-C-0894
Recipient Name Orange County
Address: P.O. Box 8181
Hillsborough, N.C. 27278
Signatures of individuals authorized to sign Requisition for Funds forms.(Two signatures required on each requisition.)
_ Kenneth Chavious, Finance Director
(Signature): (Typed Name) (Typed Title)
John M. Link, Jr. , County Manager
a (Typed Name) (Typed Title)
c. Roderick Visser, Asst. County Manager
(Si natU"re (Typed Name)(Typed Title)
? Gwendolyn Harvey,Asst. County Manager
(Signature. (Typed Name) (Typed Title)
CERTIFICATION
1_ ()) I certify that the signatures above are of the in ' ' uals authorized to si n Requisiti for Funds form for the
above recipient.
2. The governing board has passed a resolution Certif ' f 'cial Title
( ) g g p on authorizing the rsons veto 'gn Requisition for Funds forms
for the above recipient. A copy of the resolution is,attach
certify that the signatures above are those of the individuals authorized by resolution of the governing board
of the recipient to sign Requisition for Funds forms.
Certifving Official + Title
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INSTRUCTIONS FOR COMPLETING SIGNATORY FORM AND CERTIFICATION
1. Indicate name and address of the recipient.
2. Two authorized signatures shall be required on all Requisition for Funds forms.The Division of Community Assistance
will check the signatures on each requisition form to see that they match the authorized signatures on the Signatory
Form and Certification. Only the signatures of persons shown on the Signatory Forms and Certification will-be
accepted.
3. To allow for flexibility in making requisition requests, it is recommended that four authorized signatures appear
on the Signatory Form and Certification.Local governments may choose one of two options in completing the Cer-
tification. If the local government.chooses to use the first option, the chief elected official or the chief finance
officer must sign the form as the certifying official. In signing as the certifying official, the chief elected official
or chief finance officer certifies that : 1) the signatures are authentic and 2) that the persons designated as
signatories are authorized to sign requisitions for pay(nent.If the chief elected official or the chief finance officer
is the certifying official, that person may not also be an authtorized signature.
If the community wishes to have both the chief elected official and,the chief finance officer sign requisitions for
payment, the community should select the second option for certification. In this case,the governing board must
pass a resolution authorizing sufficient persons to act as signatories.In addition,an individual who is not designated
as a signatory must certify the authenticity of the authorized signatures. Anyone who knows all of the persons
authorized to sign requisitions may sign as the certifying official.Another local government staff person or member
of the governing body is recommended.
4. If the recipient wishes to change the persons authorized to sign the requisition for funds form a new Signatory
Form and Certification must be submitted to the Division of Community Assistance.
5. No erasures or corrections may appear on the Signatory Form and Certification.
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