Form HUD 2995 HUD 2995 PSCS Status Certification

Certification of Consistency and Nexus U.S. Department of Housing

between Activities Proposed by the Applicant with and Urban Development

Livability Principles Advanced in Preferred

Sustainability Status Communities.

I certify that the proposed activities/projects in this application are consistent with the Livability Principles advanced by communities in the FY2010 Sustainable Communities Regional Planning and HUD-DOT Challenge Grants.

(Type or clearly print the following information)

Applicant Name: _______________________________________________________________

Name of the Federal Program to

which the applicant is applying:____________________________________________________

_____________________________________________________________________________

Name of the Preferred Sustainable

Communities Status Community:___________________________________________________

_____________________________________________________________________________

I further certify that:

1. T

   
   
   

   
   
   

   he applicant is engaged in activities,  that in consultation with the designated Point of Contact of the HUD designated Preferred Sustainability Status Communities,  further the purposes of the regional planning grant program;

2. T

   
   
   

   he applicant’s proposed activities either directly reflect the Livability Principles cited and contained in HUD’s General Section to the FY2011 NOFAs or will result in the delivery of services that are consistent with the goals of the Livability Principles;

3. The applicant has committed to maintain an on-going relationship with the HUD Preferred Sustainability Status Communities for the purposes of being part of the planning and implementation processes in the designated area.

Page 1 of 1 form HUD-2995 (01/2011)

Name of the Official Authorized to Certify the Preferred

Sustainable Communities Status meets

the above criteria to receive bonus points: ____________________________________________

Title: _________________________________________________________________________

Organization: __________________________________________________________________

Signature: _____________________________________________________________________

Date _________________________________

(mm/dd/yyyy)

Page 2 of 2 form HUD-2995 (01/2011)