HomeMy WebLinkAbout2021-019-E HRR-HUD contract amendment DocuSign Envelope ID:AE68B1 88-71 FF-460C-806B-14DOE6AB7F8A
Assistance Award/Amendment U.S.Department of Housing and
Urban Development
Office of Administration
1.Assistance Instrument 2.Type of Action
®Cooperative Agreement ❑Grant ❑Award ®Amendment
3.Instrument Number 4.Amendment Number 5.Effective Date of this Action 6.Control Number
FF204K204022 1 TIN: 56-6000327
7.Name and Address of Recipient 8.HUD Administering Office
Orange County Department of Human Rights and Relations U.S.Department of HUD/FHEO
300 W.Tryon Street Five Points Plaza, 1611 Floor
P.O.Box 8181 40 Marietta Street
Hillsborough,NC 27278 Atlanta,GA 30303-2806
DUNS#: 044041796
8a.Name of Administrator 8b.Telephone Number
Carlos Osegueda 678-732-2905
10.Recipient Project Manager 9.HUD Government Technical Representative
Annette Moore,Director,Orange County Dept.HHR Anne Marie Dolce
11.Assistance Arrangement 12.Payment Method 13.HUD Payment Office
❑Cost Reimbursement ❑Treasury Check Reimbursement Fort Worth Field Accounting
❑Cost Sharing ❑Advance Check P.O.Box 2905
®Fixed Price ®Automated Clearinghouse Ft.Worth,TX 76113-2905
14.Assistance Amount 15.HUD Accounting and Appropriation Data
Previous HUD Amount $10,000.00 15a.Appropriation Number 15b.Reservation number
...............................................................................................................................................................................................
HUD Amount this action $0 8620/210144(I,20) FHEO-04-20-01
...............................................................................................................................................................................................
Total HUD Amount $10,000:00 Amount Obligated $10,000:00
........ ............................................. .................................................................. . ............................ ...................................................
Recipient Amount $0.00 Obligation by this action $0.00
Total Instrument Amount $10,000.00 Total Obligation $10,000.00
16.Description
This instrument authorizes the following funds to be obligated to the Agency.
The Cooperative Agreement/Amendment is comprised of the following
documents:
Fund Code Description Amount Obligated in
this Action 1. Cover Page-HUD-1044
2. Attachment A:Statement of Work and Payment Schedule
TIN Case Processing(Carryover Funds $0.00
TIN Case Processing Current Funds $0.00 The performance period for this Agreement begins May 1.2020 and
ends January 31,2021. The funds obligated by this instrument expire
TIN Post-Cause Supplement(Carryover) $0.00 on September 30,2025. The recipient must comply with all rules and
TIN Post-Cause Supplement Current Funds $0.00 regulations in accordance with the Fair Housing Assistance Program
regulations(24 CFR§115),the Memorandum of Understanding
ADC Administrative Costs $0.00 between the Recipient and HUD(including all subsequent addenda),
TRG Training $0.00 and the FY2020 Partnership funds award guidance.
PA1 Partnership $0.00
SEE Special Enforcement Effort $0.00
Total $0.00
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)
Bonnie B.Hammersley, Carlos Osegueda,Regional Director
Orange County Manager Region IV,Office of FHEO/CAO
Signature&Title Date(mm/dd/yyyy) Signature&Title Date(mm/dd/yyyy)
FDocuSigned by: County Manager 12/1/2020 DocuSigned by:
Regional Director 1/15/2021
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