City of Culver City, California
Agenda Item Report
Meeting Date: 06/06/2011 Item Number: C-11
CITY COUNCIL AGENDA ITEM: Approval of the Submission of the Family Self
Sufficiency (FSS) Program Coordinator Grant to the United States Department of
Housing and Urban Development (HUD).
Contact Person/Dept.: Tevis Barnes,
Mona Kennedy
Community Development
Department/Housing Division
Phone Number: (310) 253-5782
Fiscal Impact: Yes [X] No [] General Fund: Yes [] No [X]
Public Hearing: [] Action Item: [] Attachments: [X]
Commission Action Required: Yes [] No [X] Date: _______________
Public Notification: Meetings and Agendas – City Council (06/01/11);
St. Joseph’s Center: May 4, 2011
Department Approval:
Sol Blumenfeld (05/25/11)
City Attorney Approval:
Carol Schwab (by H. Baker) (06/01/11)
Chief Financial Officer Approval:
Jeff Muir(by M. Noller) (06/01/11)
City Manager/Executive Director Approval:
John M. Nachbar (06/01/11)
RECOMMENDATION:
Staff recommends the City Council approve the submission of the Family Self
Sufficiency Program Grant to the U.S. Department of Housing and Urban Development.
BACKGROUND:
Family Self Sufficiency Program
The Cranston-Gonzales National Affordable Housing Act (Act) of 1990, Section 554,
enacted the Family Self Sufficiency (FSS) Program which is administered by the U. S.
Department of Housing and Urban Development (HUD). FSS is a voluntary program
designed to enable families receiving Section 8 rental assistance to become
economically independent from all forms of public assistance within a five (5) year time
frame. The FSS Program connects families to needed supportive services, such as
educational and vocational training, transportation and childcare and other identified
support services to enable the participants to focus on activities and experiences that
enhance the participant’s ability to succeed in the workplace. Additionally, the FSS
Program carries a financial incentive in the form of the establishment of an escrow
account which the family receives upon their graduation from the program.
City of Culver City, California
Agenda Item Report
DISCUSSION:
Family Self Sufficiency Coordinator Grant
The purpose of this grant application is to fund a FSS Program Coordinator, which
oversees the case management and provides supportive services for FSS Program
participants. Based on the services provided through the FSS Program, staff
recommends the submission of the FSS Coordinator Grant application in the amount of
$66,214.00 to HUD.
The Consolidated Appropriations Act of 2011 allows funding for program coordinators
under the Section 8 Housing Choice Voucher (HCV) FSS program under Section 23 of
the United States Housing Act of 1937. Through the annual Notice of Funding
Availability (NOFA), HUD provides funding to public housing agencies (PHAs) that are
operating Section 8 HCV FSS programs to enable those PHAs to employ program
coordinators to support their Section 8 HCV FSS programs. For 2011, this NOFA
announces the availability of approximately $59.88 million dollars nationwide.
A funding maximum of $69,000 is available for each full-time FSS coordinator position.
Salaries are based on local comparables. Additionally, there is a limitation on Renewal
Funding Increases. For renewal coordinator positions, there will be no funding
increases for positions that were funded under the FY2010 HCV FSS NOFA as there
have been in the past.
It is anticipated that award announcements will take place by September 30, 2011.
Successful applicants will receive an award letter from HUD. Funding will be provided
to successful applicants as an amendment to the Section 8 Annual Contribution
Contract (ACC) of the applicant PHA. Unsuccessful applicants will receive a notification
of rejection letter from the GMC that will state the basis for the decision.
Status- Culver City FSS Program
The FSS Program Coordinator is responsible for the following activities:
• Conducting intake interviews.
• Assessing the skills, abilities, needs, resources of families.
• Identifying realistic goals and developing tasks and milestones to accomplish
goals.
• Identifying and coordinating resources and services needed by the family.
• Monitoring and documenting the family’s progress to goals in the client’s
contract.
• Coordinating/conducting recruitment of FSS participants
• Organizing economic-enrichment seminars such as preparing for
homeownership, consumer credit counseling, and job interview skills.
• Conducting a survey to determine the program success
City of Culver City, California
Agenda Item Report
Since 1999, the CCHA has applied for and been awarded funding by HUD for the FSS
program. For Calendar Year CY 2009 the CCHA was awarded $65,558. The status of
the 2010 FSS grant application is still pending HUD review. The CCHA was allotted a
1% increase in grant funds for the Calendar Year 2010 cycle (for a total potential grant
of $66,214). If ultimately awarded, these funds will support the 2011 grant activities. As
stated earlier, there will be no funding increases for positions that were funded under
the FY2010 HCV FSS NOFA as there have been in the past.
Through the submission of this grant to HUD, the CCHA hopes to be awarded
approximately $66,214.00 for 2012 FSS activities. This amount covers one (1) full time
position as an FSS Coordinator. On June 28, 2010 the Council approved a contract
with St. Joseph’s Center (SJC) to function as the FSS Coordinator for the Culver City
program. If awarded, the 2011 FSS grant will be earmarked to support the continuation
of the contract with SJC (subject to City Council approval of the renewal of the SJC
contract).
FISCAL ANALYSIS:
If awarded by HUD, the CCHA will secure $66,214.00 in funding to support one (1) full
time position through the St. Joseph’s Center contract to administer the FSS Program.
The CCHA has been successful in applying for and securing this funding the last six
concurrent years. In case funding is not awarded due to economic circumstances, there
is sufficient funding available in the Section 8 Administrative Reserve Fund to continue
this program.
ATTACHMENT:
1. Family Self Sufficiency Grant
MOTION:
That the City Council:
1. Approve the submission of the Family Self Sufficiency Program Grant to the U.S.
Department of Housing and Urban Development; and,
2. Authorize the City Attorney to review/prepare the necessary documents; and,
3. Authorize the City Manager to execute such documents, including any required
budget transfer(s), should the grant be awarded, on behalf of the City; and,
4. Authorize the elimination of the Family Self Sufficiency Program Coordinator
position (a contract position) in the event the grant funding is lost or terminated at
any time.
Attachments:
1. FSS Grant
Pages
1-18
ATTACHMENT COVER SHEET
Meeting Date: June 6, 2011
Approve the submission of the Family Self Sufficiency (FSS)
Program Coordinator Grant to the United States Department
of Housing and Urban Development (HUD).
Item: This electronic grants application is intended to
o bp e. :used•he .ari:Ply• .10.r•tita.sPeCifr6s . e. del-al.firndina
' -
:
if tt*::Fe.derel:funding oppo rtuniLy listed is not
the opportunity fofWbkliarou•Viennt:to-' . apply,
Cloa•this.:ipPlicatiOn- package •- •
4 utteo.- at lhifi
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:;11en••fleed to locate the correct Federal
•
fu ritlyng:Opportuhiti;'deWidoad.ftS
and then a pply.
• . • • •
• • •
Move Form to
Complete
Move Fenn to
Delete
Mandatory Documents
Grant Application Package
Opportunity Title:
Offerin g Agency :
CFDA Number:
CFDA Description:
Opportunity Number:
Competition ID:
Opportunity Open Date:
Opportunity Close Date:
Agency Contact:
Housing Choice Voucher Famil y Self Sufficienc y
US Department of Housin g and Urban Development
14.871
Section a Housing Choice Vouchers
FR-5500-N-07
HCV-07
04/21/2011
06/08/2011
For answers to your questions, you may contact the
Public and Indian Housin g Resource Center at
800-955-2232. Persons with hearing or speech
impairments ma y access this number via TTY (text
telephone) b y calling the Federal Information Rela y
qn.r.trinc, ni- Prn—Q77-0 -410
This opportunity is only open to organizations, applicants who are submittin g grant applications on behalf of a compan y, state, local or
tribal government, academia, or other type of organization.
* Application Filin g Name: Culver Cit y Housing Agency FSS
Move Form to
Submission List
Move Form to
Delete
Optional Documents
. .
HUD-Applicant-ileciPient Dialosuro 7t.Tort
Disclosure of Loola ying Activities (SF-LaL)
Attachments
Mandatory Documents for Submission
Ablication for aFederal Assistance {ST-44)
HUD Facsimile Transmittal
Optional Documents for Submission |1010|:10Strt101000. i :il::: ::,. :.•1
0
Enter a name for the application in the Application Filing Name field.
-This application can be completed in its entiret y offline; however, you will need to login to the Grants. gov website durin g the submission process.
- You can save your application at an y time by clicking the "Save" button at the top of your screen.
- The 'Save & Submit' button will not be functional until all re quired data fields in the application are completed and you clicked on the "Check Packa ge for Errors" button and
confirmed all data re quired data fields are completed.
Open and complete all of the documents listed in the "Mandatory Documents" box. Complete the SF-424 form first.
- it is recommended that the SF-424 form be the first form completed for the application packa ge. Data entered on the SF-424 will populate data fields in other mandator y and
optional forms and the user cannot enter data in these fields.
- The forms listed in the "Mandator y Documents" box and 'Optional Documents' ma y be predefined forms, such as SF-424, forms where a document needs to be attached,
such as the Project Narrative or a combination of both. "Mandator y Documents' are re quired for this application. "Optional Documents" can be used to provide additional
support for this application or ma y be required for specific t ypes of grant activity . Reference the application package instructions for more information re garding "Optional
Documents",
- To open and complete a form, simpl y click on the form's name to select the item and then click on the => button. This vvill move the document to the appropriate "Documents
for Submission" box and the form will be automaticall y added to your application packa ge, To view the form, scroll down the screen or select the form name and click on the
"Open Form" button to be g in completin g the re quired data fields. To remove a form/document from the 'Documents for Submission" box, click the document name to select it,
and then click the <= button. This will return the form/document to the "Mandator y Documents" or "Optional Documents" box.
- All documents listed in the "Mandatory Documents' box must be moved to the "Mandator y Documents for Submission" box. Wien you open a required form, the fields which
must be completed are hi ghlighted in yellow with a red border. Optional fields and completed fields are displa yed in white. If you enter invalid or incomplete information in a
field, you will receive an error messa ge.
Click the "Save & Submit" button to submit your application to Grants. gov.
-Once you have properl y completed all req uired documents and attached an y required or optional documentation, save the completed application b y clickin g on the "Save"
button.
- Click on the ',Check Package for Errors" button to ensure that you have completed all re q uired data fields, Correct an y errors or if none are found, save the application
packa ge.
-The "Save & Submit" button will become active; click on the "Save & Submit' button to be gin the application submission process.
- You will be taken to the applicant lo gin page to enter your Grants. gov username and password. Follow all onscreen instructions for submission. OMB Number: 4040-0004
Expiration Date: 0313112012
Application for Federal Assistance SF-424
" 1. Type of Submission: *2. Type of Application: * If Revision, select appropriate letter(s):
•
Preapplication 0 New
10
Application )0( Continuation " Other (Specify):
n Changed/Corrected Application Revision .
*3. Date Received: 4. Applicant Identifier:
Completed by Grants.gov upon submission
5a, Federal Entity Identifier 5b. Federal Award Identifier:
CA110 CA110FSS8
State Use Only:
6. Date Received by State: 7. State Application Identifier:
1
8. APPLICANT INFORMATION:
a. Legal Name: Culver City Housing Agency
" b. Employer/Taxpayer Identification Number (EIN/T1N): ' *c. Organizational DUNS:
956000701 0638336510000
d. Address:
" Streetl: 19770 Culver Blvd.
1
Street2:
I
" City: Culver City
County/Parish: Los Angeles
* State: CA: California
Province:
*Country: USA: UNITED STATES
*Zip / Postal Code: 90232-0507
e. Organizational Unit:
Department Name: Division Name:
Corranunity Development Housing
f. Name and contact information of person to be contacted on matters involving this application:
Prefix: Mrs. " First Name: mona
Middle Name: Karronm
*Last Name: Kennedy
Suffix:
Title: Interim Housing Supervisor.
Organizational Affiliation:
*Telephone Number: 310-253-5780 Fax Number: 310-253-5785
* Email: mane kennedy@culve roity . org Application for Federal Assistance SF424
* 9. Type of Applicant 1: Select Applicant Type:
C: City or Township Government
Type of Applicant 2: Select Applicant Type:
Type of Applicant 3: Select Applicant Type:
,
" Other (specify):
* 10. Name of Federal Agency:
US Department of Housing and Urban Development
11. Catalog of Federal Domestic Assistance Number: |1010|14.871 I
CFDA Title:
Section 8 Rousing Choice Vouchers
* 12. Funding Opportunity Number:
FR- 5500 -N- 07
* Title:
I !
Housing Choice Voucher Family Self Sufficiency
13. Competition Identification Number:
HCV- 07
Title:
14. Areas Affected by Project (Cities, Counties, States, etc.):
i ..... .Add •Attachment .!.: ,.-:leP: Attainsm.c1 -11 ',/it,.liv ,a,t1:c.:11 .T•)r.,. - --.:.
* 15. Descriptive Title of Applicant's Project:
Culver City Housing Choice Voucher Family Self - Sufficiency Program Coordinator
Attach supporting documents as specified in agency instructions.
. •AcIds All ac(f.f .60*, . - pcii(..V :'!.t.tz. =0 i-p-.;TlIz- , . ..." 'Mt .:- .1c6h.terits . Application for Federal Assistance SF424
16. Congressional Districts Of:
_
" a Applicant 32nd b. Program/Project cA- 032
Attach an additional list of Program/Project Congressional Districts if needed.
Add 6#thchmerit !:!::in ,:;;:--, .,,,,. Apboilmui- t :
17. Proposed Project:
* a. Start Date: 01/01/2012 " b. End Date: 12/31/2012
18. Estimated Funding ($):
" a. Federal 66,214.00
* b. Applicant
*c. State
' d. Local
*e. Other
• f. Program Income
*g. TOTAL 66,214.00
* 19. Is Application Subject to Review By State Under Executive Order 12372 Process?
[1:1 a. This application was made available to the State under the Executive Order 12372 Process for review on -
I IR] b. Program is subject to E.O. 12372 but has not been Selected by the State for review.
D c. Program is not covered by E.O. 12372.
• 20. Is the Applicant Delinquent On Any Federal Debt? (If "Yes," provide explanation in attachment.)
Yes X No
If "Yee, provide explanation and attach
- . .
! i i .L;,-,1d .1:::Tif::!::1;: i ::.! ,1:0; ;6,i1.1iy:7n1:z:IF.F. Viiwf i4i.:: -:: r4rf:r;
21. By signing this application, f certify (1) to the statements contained in the list of certifications** and (2) that the statements
herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances" and agree to
comply with any resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may
subject me to criminal, civil, or administrative penalties. (U.S. Code, Title 218, Section 1001)
El - I AGREE
** The list of certifications and assurances, or an internet site where you may obtain this list, is contained in the announcement or agency
specific instructions.
Authorized Representative:
Prefix: Ms. * First Name: Tevis
Middle Name:
" Last Name: Barnes
Suffix:
* Title: Culver City Housing Administrator
• Telephone Number: 310_253_5780 Fax Number: 310-253-5785
*Email: tevis .barnes@culvercity . org
' Signature of Authorized Representative: Completed by Grants.gov upon submission. * Date Signed: Completed by Grants.gov upon submission. " Street1:
Street2:
* City:
County:
* State:
* Zip Code:
* Country:
* Phone:
9770 Culver Blvd.
Culver City
Los Angeles
CA: California
90232- 0507
310-253-5780
USA: UNITED STATES
* Project Name:
* Streetl:
Street2:
* City:
County:
* State:
* Zip Code:
* Country:
Section B Housing Choice Voucher Program ESS Program
CA: California
USA: UNITED STATES
9770 Culver Blvd.
Culver City
Los Angeles
90232
No El Yes El No El Yes
Applicant/Recipient
Disclosure/Update Report
U.S. Department of Housing
and Urban Development
OMB Number: 2516-0011
Expiration Date: 1013112012
Applicant/Recipient Information * Duns Number: 0638336510000 *Report Type: INITIAL
1. Applicant/Recipient Name, Address, and Phone (include area code):
*Applicant Name:
Culver City Housing Agency
2. Social Security Number or Employer ID Number:
*3. HUD Program Name:
Section 8 Housing Choice Vouchers
956000701
*4. Atnnunt nf HI In Ait.non Rquested/P.eceived: $1 66, 2 1 4 . 001
5. State the name and location (street address, City and State) of the project or activity:
Part I Threshold Determinations
" 1. Are you applying for assistance for a specific project or activity? These
terms do not include formula grants, such as public housing operating
subsidy or CDBG block grants. (For further information see 24 CFR
Sec. 4.3).
* 2. Have you received or do you expect to receive assistance within the
jurisdiction of the Department (HUD) , involving the project or activity
in this application, in excess of $200,000 during this fiscal year (Oct. 1-
Sep. 30)? For further information, see 24 CFR Sec. 4.9
If you answered " No " to either question 1 or 2, Stop! You do not need to complete the remainder of this form.
However, you must sign the certification at the end of the report.
Form HUD -2880 (3/99) 1032
Name of Document Transmitting:
OMB Number: 2525-0118
Expiration Date: 06/30/2011
Facsimile Transmittal
1303743016
U. S. Department of Housing
and Urban Development
Office of Department Grants
Management and Oversight
1. Applicant information:
Legal Name:
Culver City Housing Agency
Address:
Streed: 9770 Culver Blvd.
Street2:
City: Culver City
County: Los Angeles '
State: CA: California
Zip Code: 190232-050) Country: I USA: UNITED STATES
2. Catalog of Federal Domestic Assistance Number:
Organizational DUNS: 0638336510000 CFDA No.: 14.871
Title: Section 8 Housing Choice Vouchers
Program Component:
1 I
I I 1
I 1
3. Facsimile Contact Information:
Department: c
mRmunity Development
Division: Housing
4. Name and telephone number of person to be contacted on matters involving this facsimile.
Prefix: First Name: Nona
Middle Name: Karrom
Last Name: Kennedy -
Suffix:
Phone Number: 310_253_5760
Fax Number 1310-253-5785
5. Email: mona.kennedy@culvercity.org
6. What is your Transmittal? (Check one box per fax)
El a, Certification El b. Document c. Match/Leverage Letter gil d. Other
7. How many pages (including cover) are being faxed? I
Form HUD-96011 (10/12/2004) Acknowledgment of
Application Receipt
U.S. Department of Housing
and Urban Development
OMB Approval No. 2577-0259 expires 2129/2012
Type or clearly print the Applicant's name and full address in the space below.
Culver City Housing Agency
9770 Culver Blvd.
Culver City, CA 90232
(fold line)
Type or clearly print the following information:
Name of the Federal
Program to which the
applicant is applying:
HCV Family Self-Sufficiency Grant
To Be Completed by HUD
HUD received your application by the deadline and will consider it for funding. In accordance
with Section 103 of the Department of Housing and Urban Development Reform Act of 1989,
no information will be released by HUD regarding the relative standing of any applicant until
funding announcements are made. However, you may he contacted by HUD after initial
screening to permit you to correct certain application deficiencies.
HUD did not receive your application by the deadline; therefore, your application will not
receive further consideration. Your application is:
Enclosed
Being sent under separate cover
Processor's Name
Date of Receipt
form HUD -2993 (2/99) U.S. Department of Housing
and Urban Development
Office of Public and Indian
Housing
OMB Approval No. 2577-0178
Exp. (09130/2013)
Page I of 4 form HUD-52651
(03/2010)
Housing Choice Voucher
(HCV) Family Self-
Sufficiency (FSS)
Program Coordinator
Funding
Public reporting burden for this collection of information is estimated to average 0.75 hours. This includes the time for collecting, revievving, and
reporting the data Information provided is to determine the eligibility of the applicant for funding for the salary ,If a program coordinator. HUD
uses the information to determine eligibility of the applicant to receive funding. Information is required to obtain benefit under 24 CFR
982302(b). The information is subject to the confidentiality requirements of the HUD Reform Legislation. This agency may not collect this
information, and you are not required to complete this form unless it displays a currently valid Olvill control number.
PART I: General Information. (To be completed by all applicants.)
4
Applicant Category: ' Moving-to-Work DUNS Number of Applicant: Funding Request
D PHAs Not Currently administering FSS PHA? 063833651 for Fiscal Year: 2012
Isi PHAs Currently administering FSS • Yes El No
State or Regional
PHA?
• Yes I No
_
A. PHA Legal Name (For joint applicants, lead PHA name): Culver City Housing Agency
Address: 9770 Culver Blvd.
City: Culver City County: Los Angeles
State: CA Zip Code: 90232
PHA Number of Applicant: CA-110
B. Legal Name of Joint Applicant PHA. (If applicable.)
I I Address: 1
. City: County:
State: Zip Code:
PHA Number of Applicant:
Legal Name of Joint Applicant PHA. (If applicable.)
Address:
City: County:
State: Zip Code:
PHA Number of Applicant:
Legal Name of Joint Applicant PHA. (If applicable.)
Address:
City: County:
State: Zip Code:
.
PHA Number of Applicant:
PHA Number of Applicant:
List any additional co -applicants on page 4
C. Evidence demonstrating salary comparability to similar positions in the local jurisdiction for each X • Yes • No
position requested is on file at the PHA.
D. Contact information person most familiar with application:
Name: Mona Kennedy Telephone Number; 310-253-5780
Email Address: mona.kennedy@culvereity.org $66,214 Total $ requested in Part II 2.
PART II: Funding/Positions Requested by PHAs that are Currently Administering
HCV/FSS Programs
A. Previously Funded Positions
FY Last Funded Salary Amount Salary Requested Number of Is applicants
Last Funded Per Position ** Positions at salary request above
under this NOFA level percentage allowed
in the NOFA?
'Y' or 'N' ***
2010 565,558 $66,214 1 N
-
2011 pending $66,214 1 N
B. New Positions —Total salary requested per position including hinge benefits, if applicable. If more than one
position, list each separately:
Salary Requested,
including Fringe Fleriefits**
C. Total Requested
Total number of positions requested in Part II
** Salary awards will not exceed the cap per position stated in the most recent HCV/FSS NOFA.
***•For any position, where the applicant is requesting a percentage increase above the
amount provided for in the current HCV/FSS NOFA, the applicant must comply with justification
requirements in the current HCV/FSS NOFA.
Additional space for Part II A and B on page 4
Page 2 of 4 form HUD-52651
(03/2010) I.
2.
PART III: Requests for PHAs that are NOT currently administering HCV/FSS Programs
A. FSS Action Plan Information:
The number of HCV/FSS program slots in the HUD-approved Action Plan. (For Joint
applications, provide total approved slots for all joint applicant PHAs.)
B. Positioi e uested:_
Number of
Positions
Salary Requested,
including Fringe Benefits if applicable**
Additional space for Part IH B on page 4
C. Total Requested.
Total number of positions requested in Part III B
Total $ requested in Part III B
** Salary awards will not exceed the cap per position stated in the most recent HCV/FSS NOFA.
Page 3 of 4 form HUD-52651
(03/2010) Continuation of Part I. B, Legal Name of Joint Applicant PHAs
Legal Name of Joint Applicant PHA. (If applicable.)
Address:
City: County:
State: Zip Code:
PHA Number of Applicant:
Legal Name of Joint Applicant PHA. (If applicable.)
Address:
City: County:
State: Zip Code:
PHA Number of Applicant:
PHA Number of Applicant:
Continuation of Part II. A, Previously Funded Positions:
FY Last Funded Salary Amount Salary Requested Number of Is applicants
Last Funded Per Position ** Positions at salary request above
under this NOFA level percentage allowed
in the NOFA?
'Y' or 'N' ***
l i
I
Continuation of Part II. B, New Positions:
Salary Requested,
including Fringe Benefits**
Continuation of Part III. B, Position/Salary Requested:
Number of
Positions
Page 4 of 4 form HUD-52651
(03/2010)
Salary Requested,
including Fringe Benefits if applicable** CITY OF CULVER CITY
COUNCIL POLICY STATEMENT
General Subject: Personnel
Specific Subject: Acceptance of Gifts or Gratuities
Policy Number: 4003
Date Issued: 1/23/95
Effective Date: 1/24/95
Resolution No. 95-R005
PURPOSE:
To encourage each emplOyee and official of the City to observe a personal code of ethical
conduct, and to discourage gifts and gratuities.
STATEMENT OF POLICY:
Employees and officials of the City are expected to be objective and fair in dealing with
the public and persons or firms doing business with the City. Employees and officials are
fully compensated for their assigned duties, and shall not solicit or accept gifts Or
gratuiticS for the performance of their City job responsibilities. Acceptance Or solicitation
of gifts or gratuities from any person or firm involved in any transaction with the City can
create an appearance of influence, conflict of interest, or favoritism which may impair the
employee's, or the City's, credibility with clients.
A gift or gratuity offered by any individual (as part of a firm or otherwise), who by virtue
of their particular business or activity may be involved with the City currently or in the
future, should be politely rejected. Anonymous gifts should be delivered to the Chief
Administrative Officer for appropriate disposition.
Solicitation or acceptance of gifts or gratuities may be grounds for disciplinary action, up
to and including termination of employment. U.S. Department of Housing and Urban Development
Office of Public and Indian Housing
Expires 4/30/2011
PHA Certifications of Compliance
with PHA Plans and Related
Regulations
PHA Certifications of Compliance with the PHA Plans and Related Regulations:
Board Resolution to Accompany the PHA 5-Year and Annual PHA Plan
Acting on behalf of the Board of Commissioners of the Public Housing Agency (PHA) listed below, as its Chairman or other
authorized PHA official if there is no Board of Commissioners, I approve the submission of the 5-Year and/or X Annual PHA
Plan for the PHA fiscal year beginning 2011 , hereinafter referred to as" the Plan", of which this document is apart and
make the following certifications and agreements with the Department of Housing and Urban Development (HUD) in connection with
the submission of the Plan and implementation thereof:
1 The Plan is consistent with the applicable comprehensive housing affordability strategy (or any plan incorporating such
strategy) for the jurisdiction in which the PHA is located.
2. The Plan contains a certification by the appropriate State or local officials that the Plan is consistent with the applicable
Consolidated Plan, which includes a certification that requires the preparation of an Analysis of Impediments to Fair Housing
Choice, for the PHA's jurisdiction and a description of the manner in which the PHA Plan is consistent with the applicable
Consolidated Plan.
3. The PHA certifies that there has been no change; significant or otherwise, to the Capital Fund Program (and Capital Fund
Program/Replacement Housing Factor) Annual Statement(s), since submission of its last approved Annual Plan. The Capital
Fund Program Annual Statement/Annual Statement/Performance and Evaluation Report must be submitted annually even if
there is no change.
4. The PHA has established a Resident Advisory Board or Boards, the membership of which represents the residents assisted by
the PHA, consulted with this Board or Boards in developing the Plan, and considered the recommendations of the Board or
Boards (24 CFR 903.13). The PHA has included in the Plan submission a copy of the recommendations made by the
Resident Advisory Board or Boards and a description of the manner in which_ the Plan addresses these recommendations.
5. The PHA made the proposed Plan and all information relevant to the public hearing available for public inspection at least 45
days before the hearing, published a notice that a hearing would be held and conducted a hearing to discuss the Plan and
invited public comment.
6. The PHA certifies that it will carry out the Plan in conformity with Title VI of the Civil Rights Act of 1964; the Fair Housing
Act, section 504 of the Rehabilitation Act of 1973, and title II of the Americans with Disabilities Act of 1990.
7. The PHA will affirmatively further fair housing by examining their programs or proposed programs, identify any
impediments to fair housing choice within those programs, address those impediments in a reasonable fashion in view of the
resources available and work with local jurisdictions to implement any of the jurisdiction's initiatives to affirmatively further
fair housing that require the PHA's involvement and maintain records reflecting these analyses and actions.
8. For PHA Plan that includes a policy for site based waiting lists:
• The PHA regularly submits required data to BUD's 50058 PIC/IMS Module in an accurate, complete and timely manner
(as specified in PIE Notice 2006-24);
• The system of site-based waiting lists provides for full disclosure to each applicant in the selection of the development in
which to reside, including basic information about available sites; and an estimate of the period of time the applicant
would likely have to wait to be admitted to units of different sizes and types at each site;
• Adoption of site-based waiting list would not violate any court order or settlement agreement or be inconsistent with a
pending complaint brought by HUD;
• The PHA shall take reasonable measures to assure that such waiting list is consistent with affirmatively furthering fair •
housing;
• The PHA provides for review of its site-based waiting list policy to determine if it is consistent with civil rights laws and
certifications, as specified in 24 CFR part 903.7(c)(1).
9. The PHA will comply with the prohibitions against discrimination on the basis of age pursuant to the Age Discrimination Act
of 1975.
10. The PHA will comply with the Architectural Barriers Act of 1968 and 24 CFR Part 41, Policies and Procedures for the
Enforcement of Standards and Requirements for Accessibility by the Physically Handicapped.
11. The PHA will comply with the requirements of section 3 of the Housing and Urban Development Act of 1968, Employment
Opportunities for Low-or Very-Low Income Persons, and with its implementing regulation at 24 CFR Part 135.
Previous version is obsolete Page 1 of 2 form HUD-50077 (4/2008) Name of Authorized Official Title
Tevis Barnes Housing Administrator
Signature Date
±11 1-4
U. The PHA will comply with acquisition and relocation requirements of the Uniform Relocation Assistance and Real Property
Acquisition Policies Act of 1970 and implementing regulations at 49 CFR Part 24 as applicable.
13. The PHA will take appropriate affirmative action to award contracts to minority and women's business enterprises under 24
CFR 5.105(a).
14. The PHA will provide the responsible entity or HUD any documentation that the responsible entity or HUD needs to carry
out its review under the National Environmental Policy Act and other related authorities in accordance with 24 CFR Part 58
or Part 50, respectively.
15. With respect to public housing the PHA will comply with Davis-Bacon or HUD determined wage rate requirements under
Section 12 of the United States Housing Act of 1937 and the Contract Work Hours and Safety Standards Act.
16. The PHA will keep records in accordance with 24 CFR 85.20 and facilitate an effective audit to determine compliance with
program requirements.
17. The PHA will comply with the Lead-Based Paint Poisoning Prevention Act, the Residential Lead-Based Paint Hazard
Reduction Act of 1992, and 24 CFR Part 35.
18. The PHA will comply with the policies, guidelines, and requirements of OMB Circular No. A-87 (Cost Principles for State,
Local and Indian Tribal Governments), 2 CFR Part 225, and 24 CFR Part 85 (Administrative Requirements for Grants and
Cooperative Agreements to State, Local and Federally Recognized Indian Tribal Governments).
19, The PHA will undertake only activities and programs covered by the Plan in a manner consistent with its Plan and will utilize
covered grant funds only for activities that are approvable under the regulations and included in its Plan.
20. All attachments to the Plan have been and will continue to be available at all times and all locations that the PHA Plan is
available for public inspection. All required supporting documents have been made available for public inspection along with
the Plan and additional requirements at the primary business office of the PHA and at all other times and locations identified
by the PHA in its PHA Plan and will continue to be made available at least at the primary business office of the PHA.
21. The PHA provides assurance as part of this certification that:
(i) The Resident Advisory Board had an opportunity to review and comment on the changes to the policies and programs
before implementation by the PHA;
(ii) The changes were duly approved by the PHA Board of Directors (or similar governing body); and
(iii) The revised policies and programs are available for review and inspection, at the principal office of the PHA during
normal business hours.
22. The PHA certifies that it is in compliance with all applicable Federal statutory and regulatory requirements.
Culver City Housing Agency CA-110
PHA Name P1-IA Number/HA Code
5-Year PHA Plan for Fiscal Years 20 - 20
X Annual PHA Plan for Fiscal Years 2011-2012
I hereby certify that all the information stated herein, as well as any information provided in the accompaniment herewith, is true and accurate. Warning: HUD will
prosecute false claims and statements. Conviction may result in criminal and/or civil penalties. (18 U.S.C. 3001, 1010, 1012:31 U.S.C. 3729, 3802)
Previous version is obsolete Page 2 of 2 form HUD-50077 (4/2008) Program Information
HUD Program
Program CFDA 4
MeV FSS
14.871
Program Component
Grantee Information
Applicant Legal Name
CCR Doing Business As Name
DUNS Number
City
State
Zip Code
Grantee Contact Name
Grantee Contact email
Logic Model Contact Name
Logic Model Contact email
Culver.CitY.HOUSilig'Agericy:
•
Cutveraty: •
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