52755 Sample Contract Administrator Partnership Agreement

Application for the Resident Opportunities and Self Sufficiency (ROSS) Program

Sample Contract Administrator Partnership Agreement

Application for the Resident Opportunities and Self Sufficiency (ROSS) Program

OMB: 2577-0229

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U.S. DEPARTMENT OF HOUSING

SAMPLE CONTRACT
AND URBAN DEVELOPMENT
OFFICE OF PUBLIC AND INDIAN HOUSING
ADMINISTRATOR
PARTNERSHIP AGREEMENT

OMB Approval No. 2577-0229
Expiration Date: 02/28/2007

SAVE

Instructions for completing this form: This form is provided to applicants as a sample to
use for formalizing agreements with the organization that will serve as the applicant’s
Contract Administrator. Nonprofits, troubled PHAs, and resident associations must submit a
Contract Administrator Partnership agreement with their application and the agreement
must be for the full term of the grant. Applicants may elect to use this form, a modification
thereof, or their own form provided that the same information is contained therein.

Grant to which you are applying:
_____ RSDM-Family _____ RSDM-Elderly _____ Homeownership Supportive Services
_____ Neighborhood Networks _____ PH Family Self Sufficiency
I. General Terms
This partnership agreement is made and entered into by and between the applicant,
__________________________________ (name of applicant’s organization) and
__________________________________ (name of Contract Administrator’s organization)
the Contract Administrator (CA), (e.g., the local public housing authority (PHA) or other
non-profit organization), hereinafter referred to as “CA”.
WHEREAS, the applicant is submitting the proposal for a Resident Opportunity and SelfSufficiency (ROSS) or Neighborhood Networks (NN).
WHEREAS, the applicant agrees to comply with all terms and conditions expressed in
HUD’s NOFA, applicable provisions of 24 CFR 964 or 24 CFR 984 (for FSS applicants),
provisions of the grant agreement entered into with HUD, and provisions contained in this
Partnership Agreement.
WHEREAS, the CA supports the applicant’s ROSS/NN application and agrees to provide
technical assistance to the applicant in accordance with HUD’s NOFA, HUD regulations and
provisions contained in this agreement.
WHEREAS, pursuant to the commitment made by the CA, this agreement is executed
outlining the type, scope and extent of services that the CA will provide to the applicant if the
grant is funded. If HUD does not fund the grant, this agreement shall be null and void.
II. Roles and Responsibilities
A. Grant Oversight
Under the direction of the applicant, the CA agrees to oversee the administration of the
ROSS or NN grant. This includes financial management, procurement, completing the
semi-annual reports, and ensuring that all grant activities are completed successfully
within the grant period. In meeting these commitments, the CA agrees to abide by the
provisions of 24 CFR Parts 964/984, 45, 84, and 85 and the following OMB Circulars as
applicable:
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form HUD-52755 (3/2004)

OMB Approval No. 2577-0229
Expiration Date: 02/28/2007

- A-87 “Cost Principles for State, Local, and Indian Tribal Governments”;
- A-122 “Cost Principles for Nonprofit Organizations”;
- A-110 “Uniform Administrative Requirements for Grants and Other Agreements with
Institutions of Higher Education, Hospitals, and Other Nonprofit Organizations”; and
- A-133 “Audits of States, Local Governments, and Non-Profit Organizations”.
B. Grant Coordination
The CA and the applicant will meet weekly to discuss progress, problems incurred,
strategies to overcome them, specific areas of responsibility, future activities, and any
other issues as necessary.
C. Financial Responsibility
The applicant retains ultimate responsibility for all grant activities, including drawing
down funds from HUD, grant expenditures, and reporting to HUD. The CA will have
authority to draw down funds only with the written authorization of the applicant and
approval of the local HUD field office.
All checks and other expenditures in an amount higher than $_________ must be signed
and/or approved by the applicant.
D. Performance Measurement
The CA will work with the applicant to ensure that results agreed to by the applicant and
HUD are achieved. All semi-annual financial and performance reports prepared by the
CA must be reviewed and approved by the applicant prior to submission to HUD.
E. Coordinating and Building Partnerships
The CA agrees to coordinate the provision of assistance from grant partners. The CA
also agrees to work with the applicant in pursuing additional partnerships/assistance from
community organizations, government, and other organizations whose services would
benefit residents and the overall grant program. Following are suggested resources:
-

Area enrichment programs
Local Banks
Chamber of Commerce
Community Development Agencies
Private Industry Council
Local/State Health & Human Services Agencies
Local Higher Education and Continuing Education Facilities
Local Independent School Districts
Social Service Organizations

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form HUD-52755 (3/2004)

OMB Approval No. 2577-0229
Expiration Date: 02/28/2007

F. Program Assessment and Reporting
The CA agrees to conduct or otherwise assist the applicant in assessing grant activities
based on 1) the performance measures in the applicant’s grant proposal submitted to
HUD and 2) any revisions to the assessment methodology made by the local HUD field
office. For Public Housing FSS applicants, the CA will ensure that the PHA meets its
PIC reporting requirements by reporting on the enrollment, progress, and exit of
individual families using the HUD-50058 addendum. The CA will ensure that reports
to HUD are made as required. All semi-annual financial and performance reports
prepared by the CA must be reviewed and approved by the applicant prior to submission
to HUD.
III. Contracted Amount
No funds will be paid to the CA for services rendered prior to HUD’s selection of the
applicant for funding or for services rendered prior to the execution of a grant agreement
between the applicant and HUD. This partnership agreement will be valid only if/when HUD
selects the applicant for funding. If an applicant is selected and enters into a grant agreement
with HUD, remuneration of the CA will not exceed 10% of the amount granted by HUD to
the grantee, unless specifically authorized by law.
The total contracted amount $_____________ for all services defined within this contract is
based on a period of time beginning ___________ and ending ____________. (NOTE:
CAs must be retained for the full term of the grant.)
The CA will be paid $____________for year one, beginning on _____________ (date);
$__________ for year two beginning on ____________ (date); and $______________for
year three beginning on ___________ (date).
IV. Termination
Each party may terminate this agreement provided 60 calendar days of written notice is given
to the local HUD field office and the other party to this agreement. Applicants may terminate
this agreement based on non-compliance or non-cooperation by the CA. Termination may
only occur when all channels of resolution have been exhausted, including mediation
between the two parties. If all avenues for resolution have been exhausted, termination by
the applicant will require a two-thirds majority vote of the applicant’s Board of
Directors/Resident Council.
WITNESS OUR HANDS EFFECTIVE _______________________________________
________________________________
Applicant Organization

______________________________
Contract Administrator

________________________________
Applicant Executive Director/
Other Authorized Representative

______________________________
Executive Director

________________________________
Date

______________________________
Date
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form HUD-52755 (3/2004)


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File Modified2006-09-11
File Created2006-09-11

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