1.
Name of Grantee (as shown in item 5 of Standard Form 424)
«NAME»
3a.
Grantee’s 9-digit Tax ID Number
«TIN»
3b.
Grantee’s 9-digit DUNS Number
«DUNS_NO»
2.
Grantee’s Complete Address (as shown in item 5 of Standard
Form 424)
«ADDRESS1»
«ADDRESS2»
«CITY»,
«STATE»«ZIP»
4.
Date use of funds may begin
(mm/dd/yyyy)
5a.
Project/Grant No. 1
«Grant_Number»
6a.
Amount Approved
«Grant_Amount»
5b.
Project/Grant No. 2
6b.
Amount Approved
Grant Agreement: This
Grant Agreement between the Department of Housing and Urban
Development (HUD) and the above named Grantee is made pursuant to
the authority of Title I of the Housing and Community Development
Act of 1974, as amended, (42 USC 5301 et seq.). The Grantee’s
submissions for Title I assistance, the HUD regulations at 24 CFR
Part 570 (as now in effect and as may be amended from time to
time), and this Funding Approval, including any special
conditions, constitute part of the Agreement. Subject to the
provisions of this Grant Agreement, HUD will make the funding
assistance specified here available to the Grantee upon execution
of the Agreement by the parties. The funding assistance
specified in the Funding Approval may be used to pay costs
incurred after the date specified in item 4 above provided the
activities to which such costs are related are carried out in
compliance with all applicable requirements. Pre-agreement costs
may not be paid with funding assistance specified here unless
they are authorized in HUD regulations or approved by waiver and
listed in the special conditions to the Funding Approval. The
Grantee agrees to assume all of the responsibilities for
environmental review, decision making, and actions, as specified
and required in regulations issued by the Secretary pursuant to
Section 104(g) of Title I and published in 24 CFR Part 58. The
Grantee further acknowledges its responsibility for adherence to
the Agreement by sub-recipient entities to which it makes funding
assistance hereunder available.
U.S.
Department of Housing and Urban Development (By Name)
«CPD_Director»
Grantee
Name (Contractual Organization)
«NAME» («LOCCSNAME»)
Title
«CPD_Director_Title»
Title
Signature
Date
(mm/dd/yyyy)
Signature
Date
(mm/dd/yyyy)
7.
Category of Title I Assistance for this Funding Action:
«Fund_Category_for_Grant_Agreement»
8.
Special Conditions
(check
one)
None
Attached
9a.
Date HUD Received Submission
(mm/dd/yyyy)
10.
check one
a. Orig. Funding
Approval
b. Amendment
Amendment
Number
9b.
Date Grantee Notified
(mm/dd/yyyy)
9c.
Date of Start of Program Year
(«STARTMONTH»/01/2021)
11.
Amount of Community Development
Block
Grant
FY «Fiscal_Year»
«Source_of_Funds2»
«Source_of_Funds3»
a.
Funds Reserved for this Grantee
«CDBG_New»
«CDBG_Funds2»
«CDBG_Funds3»
b.
Funds now being Approved
c.
Reservation to be Cancelled
(11a
minus 11b)
12a.
Amount of Loan Guarantee Commitment now being Approved
N/A
12b.
Name and complete Address of Public Agency
«LOCCSNAME»
«ADDRESS1»
«ADDRESS2»
«CITY»,
«STATE»«ZIP»
Loan Guarantee Acceptance
Provisions for Designated Agencies:
The public
agency hereby accepts the Grant Agreement executed by the
Department of Housing and Urban Development on the above date
with respect to the above grant number(s) as Grantee designated
to receive loan guarantee assistance, and agrees to comply with
the terms and conditions of the Agreement, applicable
regulations, and other requirements of HUD now or hereafter in
effect, pertaining to the assistance provided it.
12c.
Name of Authorized Official for Designated Public Agency
Title
Signature
HUD
Accounting use Only
Effective
Date
Batch TAC Program Y A Reg Area Document
No. Project Number Category Amount (mm/dd/yyyy) F
