HUD-2995 Certificate of Consistency with Sustainable Communities

OMB Approval Number: 2535-0121 (Exp. 6/30/1205)

U.S. Department of Housing and Urban Development

Certification of Consistency with Sustainable Communities Planning and Implementation

I certify that the proposed activities/projects in this application are consistent with the Livability Principles advanced by communities in the FY20 10 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) The 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) The applicant’s proposed activities either directly reflect the Livability Principles cited and

contained in HUD’s General Section to the FY201 1 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.

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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)

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form HUD-2995 (01/2011)