HUD-92117-OHF Borrower's Certification- Full or Partial Completion of

Borrower’s Certification- Full or Partial Completion of Project Section 242

U.S. Department of Housing and Urban Development Office of Hospital Facilities

OMB Approval No. 2502-0602 (Exp. 11/30/2022)

Public Burden Statement:

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB control number.  Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.  The information requested is required in order to receive the benefits to be derived. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the U.S. Department of Housing and Urban Development, Office of the Chief Data Officer, Attention: Departmental Clearance Officer, 451 7^th Street SW. Room, Washington, DC 20410 or email [email protected].  HUD collects this information, pursuant to Section 242 of the National Housing Act and regulations at 24 CFR Part 242, in order to review Section 242 applications to determine eligibility, underwrite insured hospital loans, ensure adequate collateral, process initial/final endorsement, manage FHA’s hospital portfolio, monitor and manage risk, and ensure ongoing compliance with regulations. No confidentiality is assured.

Warning: Any person who knowingly presents a false, fictitious, or fraudulent statement or claim in a matter within the jurisdiction of the U.S. Department of Housing and Urban Development is subject to criminal penalties, civil liability, and administrative sanctions.

To: Secretary of Housing and Urban Development ("HUD")	Project Name:
And to: _____________________________("Lender" or Servicer)	FHA Project Number:

______________________________[Borrower Name], a(n) ___________________________[Borrower Type] organized and existing under the laws of _______________[State] (the "Borrower"), the Borrower of the above-referenced project located at __________________________________________________[Street Address], _________________________[City], ________________[State] (the "Project"), hereby certifies to HUD and Lender or Servicer as follows:

1. The Project is being or has been financed with proceeds of a mortgage loan (the “Loan”) in the principal amount of $__________ from the Lender to the Borrower, which Loan will be or is insured by HUD pursuant to the certain Commitment to Insure Upon Completion dated __________(as the same may be amended from time to time, the “Firm Commitment”).

2. At Loan closing, an escrow totaling $__________ was established. This escrow amount included $__________ which represents 100% of the estimated cost of the Project, and an additional escrow amount of $__________, which represents ___________% of the cost estimate to be held in cash or Letter of Credit.

3. Pursuant to the terms of the Firm Commitment, the Borrower is obligated to complete the Project within _________ months of Loan closing.

4. The attached Form HUD-92464-OHF, Request for Approval of Advance of Escrow Funds, Advance Number _____________, includes any corresponding photographs and invoices, documenting the completed Project work for this advance.

5. The Borrower hereby certifies that the completed Project work, included in this advance, is acceptable and has been completed in a good and workmanlike manner.

6. During the course of the work, HUD and its representatives shall at all times have access to the Project and the right to inspect its progress. The Borrower is aware that periodic spot inspections may be made by HUD and its representatives, to verify completion of work.

7. The Lender shall have the right, but not the obligation, to use funds in the escrow account to complete any work not completed and accepted by the Secretary within the prescribed timeframe.

Borrower hereby certifies under penalty of perjury that the statements and representations contained in this instrument and all supporting documentation thereto are true, accurate, and complete and that each signatory has read and understands the terms of this instrument.  This instrument has been made, presented, and delivered for the purpose of influencing an official action of HUD in insuring the Loan, and may be relied upon by HUD as a true statement of the facts contained therein.

Date: BORROWER

[Borrower Name

a(n) [Borrower Type]

By:

Name:

Title:

Previous versions obsolete Page 1 of 1 form HUD-92117-OHF