90169.1-CA Design Architect¿s Certification

DESIGN ARCHITECT'S CERTIFICATION
HUD-90169.1-CA
For use in HUD's Section 202 Supportive Housing for the Elderly and
Section 811 Supportive Housing for Persons with Disabilities Programs
The following certification shall be submitted at the Firm Commitment Application
stage of processing and shall be completed by the licensed professional executing
HUD Amendment To AIA Document B108 Standard Form Of Agreement Between Owner And
Architect for a Federally Funded or Federally Insured Project (Form Hud-92408-M).
Owner: ____________________________________________________________________
HUD Project No.:
Project Name:

_________________________________________________________

____________________________________________________________

Project Address:

_________________________________________________________
_________________________________________________________
_________________________________________________________

I,
, Registered Architect, do hereby certify
that I have personally prepared, reviewed and/or supervised the preparation of
the Working Drawings and Specifications for this project. I further certify that,
to the best of my knowledge, the Working Drawings and Specifications comply with
the applicable building codes specified below and have been prepared in accordance
with HUD regulations, Handbook requirements and guidelines as identified below.
A.

The attached Working Drawings and Specifications are:

1. For the project identified above, which is described as follows:
(Describe project by indicating number and types of units, etc.)
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________

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2.

Identified as _____________________________________________________
__________________.
(Identify Working Drawings and Specifications by inserting information
normally found in the Title Block of drawings.)

3.

In compliance with Local, State or Model Building Code:
(Specify name and year.)

___________________________________________________________________
___________________________________________________________________
4.

In compliance with other Laws, Ordinances, Exceptions, Deletions,
Waivers, Additions, etc., required or granted by the appropriate Local,
State, and/or Federal authority (attached herewith).

5. In compliance with the (1) Uniform Federal Accessibility Standards and
HUD's implementing regulations at 24 CFR Part 40; (2) Section 504 of
the Rehabilitation Act of 1973 and HUD's implementing regulations at
24 CFR Part 8; (3) Fair Housing Act of 1988 and HUD's implementing
regulations at 24 CFR Part 100 for covered multifamily dwellings
designed and constructed for first occupancy after March 13, 1991; and
(4) the Americans Disabilities Act of 1990.
6. In compliance with HUD's (1) current Minimum Property Standards (Handbook
4910.1); (2) design and cost standards as contained in 24 CFR, Sections
891.120 applicable to both Section 202 and Section 811 projects),
891.210 and 891.220 (Section 202 projects only), 891.310 and 891.315
(Section 811 projects only); and (3) current Handbooks 4571.5 Section
202 Supportive Housing for the Elderly, 4571.4 Section 811 Supportive
Housing for Persons with Disabilities and 4460.1 REV-1, Architectural
Analysis and Inspections for Project Mortgage Insurance.
B.

Professional liability insurance in a minimum amount of $50,000 (Section
811) or 250,000 (Section 202) for the signatory/firm below covering errors
and omissions is in force and will remain in force through the construction
of the project and for a period of 3 years after project completion.

C.

Three sets of the Working Drawings and Specifications which are properly
and legally dated, sealed and signed by the Design Architect and professional
Engineer responsible for each design component, i.e., consultant's seal
and signature for engineering divisions such as civil, structural,
electrical, mechanical, plumbing, etc., are attached.

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Signature:

Date:

______________________

_______________________________
(Print or Type Name)
Name of Firm: _____________________________________________________________
Business Address: _________________________________________________________
_________________________________________________________
_________________________________________________________

Telephone No.:
License Number:

(

)__________________________________________________

__________________________________________________________

(SEAL)

WARNING: I/We, the undersigned, certify under penalty of perjury
that the information provided above is true and correct. WARNING:
Anyone who knowingly submits a false claim or makes a false
statement is subject to criminal and/or civil penalties, including
confinement for up to 5 years, fines, and civil and administrative
penalties. (18 U.S.C. §§ 287, 1001, 1010, 1012, 1014; 31 U.S.C.
§3729, 3802)

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