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2023/07/19 Hospice of the Valleys CDBG Agreement between City of Menifee and Hospice of the Valleys for the Public Services for the City of Menifee CDBG Program GRANT Community Development Block Grant - Subrecipient Agreement PURPOSE OF THIS AGREEMENT/CONTRACT The City of Menifee elected to become a Community Development Block Grant (CDBG) entitlement jurisdiction beginning July 1, 2012. As a recipient of annual CDBG grant funds, the City assists with the enhancement and support of low to moderate income populations within the City of Menifee through delivery of various programs and activities by entering into agreements with non-profit organizations. TOTAL LENGTH OF THE AGREEMENT/CONTRACT The term of the agreement is July 1, 2023, through June 30, 2024. CONTRACT/AGREEMENT BUDGET -Total dollar amount of the Agreement/Contract: o $10,000 (Hospice of the Valleys) o $10,000 (Safe Family Justice Centers) o $17,177 (Menifee Valley Community Cupboard) -Revenue and Expenditure account(s) associated with this Agreement/Contract: o 481-3845 (Grant Revenue) o 481-2324-58044 (Public Services) -Available budget: o As of 07/01/23 Account #481-2324-58044 (PS) has a balance of $79,177 Date: July 1, 2023 To: Armando G. Villa, City Manager CC: Cheryl Kitzerow, Community Development Director Margarita Cornejo, Interim Chief Financial Officer Rochelle Clayton, Assistant City Manager Jeffrey T. Melching, City Attorney Stephanie Roseen, Acting City Clerk From: Nora Zepeda, Senior Accountant Edna Lebron, Sr. Management Analyst Subject: Subrecipient Agreement between the City of Menifee and: -Hospice of the Valleys, $10,000 -Safe Family Justice Centers, $10,000 -Menifee Valley Community Cupboard, $17,177 CITY OF MENIFEE Grant Agreement/Contract Coversheet Finance Department - Grant Management Division GR A N T A G R E E M E N T / C O N T R A C T C O V E R S H E E T DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B HOW WAS THE VENDOR/SUBRECIPIENT/CONSULTANT/CONTRACTOR DECIDED ON? The City of Menifee posted the 2023/24 Notice of Funding Availability (NOFA) on October 20, 2022. Menifee Citizens Advisory Committee (MCAC) reviewed the funding proposals received as a result of the NOFA and formulated their Public Services Programs recommendations. The organization was selected from MCAC recommendations. SIGNATURE AUTHORITY ☐Yes, this agreement/contract is within the City Manager’s signature authority: ☐Purchase of Commodities under $50,000 ☐ Professional Services under $25,000 ☐Public Works Contract for $45,000 or less ☐ Change Order under $25K or less than 10% of original contract (supplies, equipment, services, or construction contract) ☒No, City Council authorized City Manager to sign -CDBG Annual Action Plan approved May 3, 2023. -CDBG Subrecipient Agreement(s) FY23/24 INSURANCE REQUIREMENTS CATEGORY APPLICABLE NOT APPLICABLE WAIVED EXPIRATION DATE General Liability ☒☐☐Please see attached Automobile Liability ☒☐☐Please see attached Worker’s Compensation ☒☐☐Please see attached Professional Liability ☐☐☐ Other:__________ ☐☐☐ APPROVED/REVIEWED BY RISK MANAGEMENT: Robert Cardenas, HR Deputy Director: _______________________________ _______________ Signature Date ATTACHMENTS -Contract 1: Hospice of the Valleys o SAM.gov* (Attached) o Certificate of Insurance (Attached) -Contract 2: Safe Family Justice Centers o SAM.gov* (Attached) o Certificate of Insurance (Attached) -Contract 3: Menifee Valley Community Cupboard o SAM.gov* (Attached) o Certificate of Insurance (Attached) -Expenditure status report (availability of funds) -FY23/24 Action Plan Subrecipient Funding Summary *SAM.GOV CHECK REGISTRATION/VERIFICATION (PLEASE NOTE THIS CONTRACT IS FUNDED WITH FEDERAL FUNDS AND WILL THEREFORE REQUIRES CONSULTANT BE REGISTERED AND IN GOOD STANDING PRIOR TO CONTRACT EXECUTIONGR A N T A G R E E M E N T / C O N T R A C T C O V E R SH E E T DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 7/25/2023 2762/031858-0001 12965474.1 a06/28/23 COMMUNITY DEVELOPMENT BLOCK GRANT AGREEMENT BETWEEN CITY OF MENIFEE AND HOSPICE OF THE VALLEYS FOR PUBLIC SERVICES FOR THE CITY OF MENIFEE COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM THIS COMMUNITY DEVELOPMENT BLOCK GRANT AGREEMENT (“Agreement”), entered into as of this day of by and between the CITY OF MENIFEE, a California municipal corporation (“Grantee”), and HOSPICE OF THE VALLEYS, a California nonprofit corporation (“Subrecipient”). R E C I T A L S WHEREAS, Grantee participates in the Community Development Block Grant program administered by the United States Department of Housing and Urban Development (“HUD”) under Title I of the Housing and Community Development Act of 1974 (42 U.S.C. §§ 5301 et seq.) as amended from time to time, and the regulations promulgated thereunder (24 C.F.R. §§ 570 et seq.). Pursuant to the Community Development Block Grant program, Grantee receives funds from HUD (“CDBG Funds”) to be used for the support of community development activities that meet at least one of the three national objectives of the program: (i) benefiting low and moderate income persons, (ii) preventing and eliminating slums and blight, and (iii) addressing a community development need having a particular urgency; WHEREAS, Subrecipient is a nonprofit organization dedicated to providing care to people with life-threatening illnesses, support to their families, and service to the community in a spirit of enriching lives for the people of the Menifee Valley and surrounding areas, including residents of Grantee; WHEREAS, Subrecipient desires to utilize CDBG Funds to provide services to the people in the Menifee Valley, including residents of Grantee; WHEREAS, Grantee desires to assist Subrecipient with the foregoing by providing financial assistance to Subrecipient in the form of a grant of CDBG Funds in the amount not to exceed Ten Thousand Dollars and Zero Cents ($10,000.00) (“City Grant”) to be used by Subrecipient for certain expenses related to the Program, more particularly described herein as the “Eligible Project Expenses”; and WHEREAS, Grantee’s provision of the City Grant to Subrecipient pursuant to this Agreement, and the fulfillment generally of this Agreement, are in the vital and best interests of Grantee and the welfare of its residents, and in accordance with the purpose and provisions of the Community Development Block Grant program. NOW, THEREFORE, based upon the foregoing Recitals and for good and valuable consideration, the receipt and sufficiency of which is acknowledged by both parties, Grantee and Subrecipient hereby agree as follows: DocuSign Envelope ID: EE880624-D30F-4E40-A416-61D34E06949DDocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55 July19 DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 -2- I. SCOPE OF SERVICE A. Activities Subrecipient will be responsible for administering a Community Development Block Grant (“CDBG”) Year 2023/2024 Public Services Program (“Program”) in a manner satisfactory to Grantee and consistent with any standards required as a condition of providing these funds. Such program will include the following activities eligible under the CDBG program: Program Delivery Activity #1: The Senior Assistance Program provides direct hospice care and services to at least forty two (42) low and low moderate income ("LMI") persons without insurance or with limited coverage ("Services"). Services include visits by doctors, nurses, certified home health aides, social workers, dieticians, speech/occupational/physical therapists, and specially trained volunteers. Clients are provided with durable medical equipment, medical supplies, medications, therapies, wound care, and bereavement support. Bereavement services are also provided through the Senior Assistance Program. Once the patient has passed, Subrecipient's bereavement team follows up with the bereaved for thirteen (13) months through phone calls and mailings. They also provide the bereaved with memorial service assistance and access to grief support groups. General Administration Subrecipient will be responsible for the general administration of the Program activities set forth herein in a manner satisfactory to Grantee and consistent with the standards set forth in this Agreement. General administration of the Program includes the following activities: 1. Project Monitoring 2. Project Fiscal Management 3. Project Reporting B. National Objectives All activities funded with CDBG Funds must meet one of the CDBG program’s national objectives: (i) benefiting low and moderate income persons, (ii) preventing and eliminating slums and blight, and (iii) addressing a community development need having a particular urgency, as defined in 24 C.F.R. § 570.208. Subrecipient certifies that the Services will meet one of the CDBG program’s national objectives by providing services that directly benefit LMI persons. Subrecipient will provide the Services to a minimum of At least fourty two (42) LMI persons. Subrecipient shall document and maintain records of the number of LMI persons served throughout the year. DocuSign Envelope ID: EE880624-D30F-4E40-A416-61D34E06949DDocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 -3- C. Levels of Accomplishment – Goals and Performance Measures Subrecipient agrees to provide the following levels of program services: Activity Total Units/Year Activity#1 At least fourty two (42) LMI persons LMI person is defined as a person having an income equal or less to than 80% of the area median income, and outlined in the following table, or persons presumed to be LMI in accordance with 24 C.F. R. § 570.208(2)(a). Riverside County Area Median Income (FY 2023): $94,500 Family Members Extremely Low Income Limits (30% of Median) Very Low Income Limits (50% of Median) Low Income Limits (80% of Median) In Household Annual Monthly Annual Monthly Annual Monthly 1 $19,600 $1,633 $32,650 $2,721 $52,200 $4,350 2 $22,400 $1,867 $37,300 $3,108 $59,650 $4,971 3 $25,200 $2,100 $41,950 $3,496 $67,100 $5,592 4 $30,000 $2,500 $46,600 $3,883 $74,550 $6,213 5 $35,140 $2,928 $50,350 $4,196 $80,550 $6,713 6 $40,280 $3,357 $54,100 $4,508 $86,500 $7,208 7 $45,420 $3,785 $57,800 $4,817 $92,450 $7,704 8 $50,560 $4,213 $61,550 $5,129 $98,450 $8,204 D. Staffing Subrecipient shall ensure adequate and appropriate staffing is allocated to performance of the Services. Nothing contained in this Agreement is intended to, or shall be construed in any manner, as creating or establishing the relationship of employer/employee between the parties. Subrecipient shall at all times remain an “independent contractor” with respect to the services to be performed under this Agreement. Grantee shall be exempt from payment of all Unemployment Compensation, FICA, retirement, life and/or medical insurance, and Workers’ Compensation Insurance, as Subrecipient is an independent contractor. DocuSign Envelope ID: EE880624-D30F-4E40-A416-61D34E06949DDocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 -4- E. Performance Monitoring Grantee will monitor the performance of Subrecipient against goals and performance standards stated above. Substandard performance as determined by Grantee will constitute noncompliance with this Agreement. If action to correct such substandard performance is not taken by Subrecipient within ten (10) days after being notified by Grantee of such substandard performance, Grantee may, but is not required to, initiate contract suspension or termination procedures to suspend or terminate this Agreement. II. TIME OF PERFORMANCE The term of this Agreement is from July 1, 2023 through June 30, 2024. The term of this Agreement and the provisions herein shall be extended to cover any additional time period during which Subrecipient remains in control of CDBG Funds or other CDBG asset, including Program income. III. BUDGET Subrecipient shall apply the City Grant funds received from Grantee under this Agreement in accordance with the line item budget set forth as follows: Eligible Project Expense Amount Non-Personnel (Supplies, etc.) $10,000 Fringe $0 Office Space (Program only) $0 Utilities $0 Communications $0 Reproduction/Printing $0 Supplies and Materials $0 Mileage $0 Audit $0 Gift Cards used for food, clothes, $0 hotels, and gas _____________________________ _____________ TOTAL $10,000.00 Any indirect costs charged must be consistent with the conditions of this Agreement. In addition, Grantee may require a more detailed budget breakdown than the one contained herein, and Subrecipient shall provide such supplementary budget information in a timely fashion in the form and content prescribed by Grantee. Any amendments to the budget must be approved in writing by both Grantee and Subrecipient. IV. PAYMENT It is expressly agreed and understood that the total amount to be paid by Grantee under this Agreement shall not exceed Ten Thousand Dollars and Zero Cents ($10,000.00). Drawdowns for the payment of Eligible Project Expenses shall be made against the line item budget specified in Section III (Budget) herein and in accordance with performance of the Services. Expenses for DocuSign Envelope ID: EE880624-D30F-4E40-A416-61D34E06949DDocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 -5- general administration shall also be paid against the line item budgets specified in Section III (Budget) and in accordance with performance of the Services. City Grant payments shall be made to: HOSPICE OF THE VALLEYS 25240 Hancock Ave, Suite 120 Murrieta, CA 92562 Payments may be contingent upon certification of Subrecipient’s financial management system in accordance with the standards specified in 24 C.F.R. § 84.21. V. NOTICES Subrecipient shall notify Grantee of any of the following changes:  Loss of Non-Profit Status; or  Change in leadership of Subrecipient or changes in staff administering this Agreement. Notices required by this Agreement shall be in writing and delivered via mail (postage prepaid), commercial courier, or personal delivery or sent by facsimile or other electronic means. Any notice delivered or sent as aforesaid shall be effective on the date of delivery or sending. All notices and other written communications under this Agreement shall be addressed to the individuals in the capacities indicated below, unless otherwise modified by subsequent written notice. Communication and details concerning this contract shall be directed to the following contract representatives: Grantee Subrecipient Edna Lebron, Sr. Management Analyst City of Menifee 29844 Haun Road Menifee, CA 92586 Phone: (951) 672-6777 Fax: (951) 679-3843 Paul Mathias, Executive Director HOSPICE OF THE VALLEYS 25240 Hancock Ave, Suite 120 Murrieta, CA 92562 Phone: 951-200-7800 VI. SPECIAL CONDITIONS None DocuSign Envelope ID: EE880624-D30F-4E40-A416-61D34E06949DDocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 -6- VII. GENERAL CONDITIONS A. General Compliance Subrecipient shall carry out the Services and operate the Program in conformity with all applicable Federal, state, and local laws, regulations, and rules of governmental agencies having jurisdiction, including without limitation, the CDBG Requirements (except that (1) Subrecipient does not assume the environmental responsibilities described in 24 C.F.R. § 570.604, and (2) Subrecipient does not assume the responsibility for initiating the review process under the provisions of 24 C.F.R. Part 52) and the legal requirements set forth in Exhibit A attached to this Agreement and the statutes referenced therein, all provisions of the Municipal Code of the City of Menifee, and all federal and state fair labor standards, including the payment of prevailing wages and compliance with the Davis-Bacon Act. “CDBG Requirements” shall collectively refer to the requirements of Title I of the Housing and Community Development Act of 1974 (42 U.S.C. §§ 5301 et seq.) as amended from time to time, and the implementing regulations set forth in 24 C.F.R. §§ 570 et seq. as amended from time to time, and the requirements set forth and referred to in Exhibit A attached to this Agreement. Subrecipient further agrees to utilize funds available under this Agreement to supplement rather than supplant funds otherwise available. In the case of any conflict between the CDBG Requirements and this Agreement, the CDBG Requirements shall control; it being understood, however, that in order to be in compliance with this Agreement and the CDBG Requirements, Subrecipient shall, to the extent possible, comply with the most restrictive provisions in this Agreement and the CDBG Requirements. Each and every provision required by law to be included in this Agreement shall be deemed to be included, and this Agreement shall be read and enforced as though all such provisions were included. Subrecipient acknowledges and agrees that it shall be and remain, and shall cause Subrecipient personnel to be and remain, fully knowledgeable and apprised of all local, state and federal laws, rules, and regulations in any manner affecting the performance under this Agreement, including the CDBG Requirements. Subrecipient shall indemnify, protect, defend, and hold harmless Grantee and its officials, officers, employees, and agents, with counsel reasonably acceptable to Grantee, from and against any and all loss, liability, damage, claim, cost, expense and/or “increased costs” (including reasonable attorneys’ fees, court and litigation costs, and fees of expert witnesses) that results or arises in any way from any of the following: (a) the noncompliance by Subrecipient of any applicable local, state and/or federal law, including, without limitation, any applicable federal and/or state labor laws (including, without limitation, if applicable, the requirement to pay state or federal prevailing wages and hire apprentices); (b) the implementation of Section 1781 of the Labor Code, as the same may be amended from time to time, or any other similar law; and/or (c) failure by Subrecipient to provide any required disclosure or identification as required by Labor Code Section 1781, as the same may be amended from time to time, or any other similar law. The foregoing indemnity shall survive termination or expiration of this Agreement. It is agreed by the parties that Subrecipient shall bear all risks of payment or nonpayment of prevailing wages under federal law and California law and/or the implementation of Labor Code Section 1781, as the same may be amended from time to time, and/or any other similar law. “Increased costs,” as used in this Section, shall have the meaning ascribed to it in Labor Code Section 1781, as the same may be amended from time to time. DocuSign Envelope ID: EE880624-D30F-4E40-A416-61D34E06949DDocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 -7- B. Hold Harmless Subrecipient shall indemnify, defend, and hold harmless Grantee and its officers, officials, employees, representatives, and agents (each, an “Indemnitee”) from and against any and all liability, expense or damage of any kind or nature, and for, from and against any suits, claims or demands, including legal fees and expenses, on account of or arising out of this Agreement or otherwise in connection with the Program or Services, except to the extent of such loss as may be caused by the sole negligence or willful misconduct of an Indemnitee. Upon receiving knowledge of any suit, claim or demand asserted by a third party that Grantee believes is covered by this indemnity, Grantee shall give Subrecipient written notice of the matter and an opportunity to defend it, at Subrecipient’s sole cost and expense, with legal counsel satisfactory to Grantee. C. Workers’ Compensation Subrecipient shall provide Workers’ Compensation Insurance coverage for all of its employees involved in the performance of this Agreement. D. Insurance & Bonding Subrecipient shall carry sufficient insurance coverage to protect contract assets from loss due to theft, fraud and/or undue physical damage, and as a minimum shall purchase a blanket fidelity bond covering all employees in an amount equal to the amount of the City Grant. Subrecipient shall comply with the bonding and insurance requirements of 24 C.F.R. §§ 84.31 and 84.48, Bonding and Insurance. Subrecipient will not be relieved of any liability, claims, demands, or other obligations assumed by its failure to procure or maintain insurance, or its failure to procure or maintain insurance in sufficient amounts, durations, or types. Subrecipient shall name Grantee and its officers, officials, employees, volunteers, agents, and representatives as an additional insured under its general liability insurance and provide a copy of its insurance certificate(s) to Grantee. Failure on the part of Subrecipient to procure or maintain policies providing the required coverages, conditions, and minimum limits will constitute a material breach of this Agreement, upon which Grantee may immediately terminate this Agreement. E. Licensing Subrecipient agrees to comply with and obtain at its own expense, if necessary, all applicable Federal, state, county, or municipal standards for licensing, certifications and operation of facilities and programs, including the Program, and accreditation and licensing of individuals, and any other standards or criteria as described in this Agreement to assure quality of the Services. In the event of an investigation or suspension regarding any Subrecipient license related to the Services under this Agreement, Grantee may terminate this Agreement and withhold further DocuSign Envelope ID: EE880624-D30F-4E40-A416-61D34E06949DDocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 -8- City Grant funds. In addition, monies already received under this Agreement may be owed back to Grantee. F. Grantee Recognition Subrecipient shall ensure recognition of the role of Grantee in providing Services through this Agreement. All activities, facilities, and items utilized pursuant to this Agreement shall be prominently labeled as to funding source. In addition, Subrecipient will include a reference to the support provided herein in all publications made possible with City Grant funds under this Agreement. G. Amendments Grantee or Subrecipient may amend this Agreement at any time provided that such amendments make specific reference to this Agreement, and are executed in writing, signed by a duly authorized representative of each party, and approved by Grantee’s governing body. Such amendments shall not invalidate this Agreement, nor relieve or release Grantee or Subrecipient from its obligations under this Agreement. Grantee may, in its discretion, amend this Agreement to conform with Federal, state, or local governmental guidelines, policies, and available funding amounts, or for other reasons. If such amendments result in a change in the funding, the scope of Services, or schedule of the activities to be undertaken as part of this Agreement, such modifications will be incorporated only by written amendment signed by both Grantee and Subrecipient. H. Suspension or Termination In accordance with 24 C.F.R. § 85.43, Grantee may suspend or terminate this Agreement if Subrecipient materially fails to comply with any terms of this Agreement, which include (but are not limited to) the following: 1. Failure to comply with any of the rules, regulations, or provisions referred to herein, or such statutes, regulations, executive orders, and HUD guidelines, policies, or directives as may become applicable at any time; 2. Failure, for any reason, of Subrecipient to fulfill in a timely and proper manner its obligations under this Agreement; 3. Ineffective or improper use of City Grant funds provided under this Agreement; or 4. Submission by Subrecipient to Grantee reports that are incorrect or incomplete in any material respect. In accordance with 24 C.F.R. § 85.44, this Agreement may also be terminated for convenience by either Grantee or Subrecipient, in whole or in part, by setting forth the reasons for such termination, the effective date, and, in the case of partial termination, the portion to be terminated. However, if in the case of a partial termination, Grantee determines that the remaining DocuSign Envelope ID: EE880624-D30F-4E40-A416-61D34E06949DDocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 -9- portion of the City Grant funds will not accomplish the purpose for which the grant was made, Grantee may terminate this Agreement in its entirety. VIII. ADMINISTRATIVE REQUIREMENTS A. Financial Management 1. Accounting Standards Subrecipient agrees to comply with 24 C.F.R. §§ 84.21 – 84.28 and agrees to adhere to the accounting principles and procedures required therein, utilize adequate internal controls, and maintain necessary source documentation for all costs incurred. 2. Cost Principles Subrecipient shall administer its program in conformance with the requirements of The Office of Management and Budget (OMB)”Super Circular” 2 CFR Part 200, which includes the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for federal awards, as applicable. The Super Circular guidance superseded and consolidated the requirements from OMB Circulars A-21, A-87, A-110, A-122, A-89, A-102, A-133, and A-50. These principles shall be applied for all costs incurred whether charged on a direct or indirect basis. [Note: For the above sections, if Subrecipient is a governmental or quasi-governmental agency, the applicable section of 24 C.F.R. Part 85, “Uniform Administrative Requirements for Grants and Cooperative Agreements to State and Local Governments,” and OMB Circular A-87 would apply.] B. Documentation and Record Keeping 1. Records to be Maintained Subrecipient shall maintain all records required by the Federal regulations specified in 24 C.F.R. § 570.506, that are pertinent to the activities to be funded under this Agreement. Such records shall include but not be limited to: a. Records providing a full description of each activity undertaken; b. Records demonstrating that each activity undertaken meets one of the National Objectives of the CDBG program; c. Records required to determine the eligibility of activities; d. Records required to document the acquisition, improvement, use or disposition of real property acquired or improved with CDBG assistance; e. Records documenting compliance with the fair housing and equal opportunity components of the CDBG program; DocuSign Envelope ID: EE880624-D30F-4E40-A416-61D34E06949DDocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 -10- f. Financial records as required by 24 C.F.R. § 570.502, and 24 C.F.R. §§ 84.21 – 84.28; and g. Other records necessary to document compliance with Subpart K of 24 C.F.R. Part 570. 2. Retention Subrecipient shall retain all financial records, supporting documents, statistical records, and all other records pertinent to this Agreement for a period of five (5) years. The retention period begins on the date of the submission of Grantee’s annual performance and evaluation report to HUD in which the Services under this Agreement are reported on for the final time. Notwithstanding the above, if there is any litigation, claim, audit, negotiation, or other action that involves any of the records cited and that has started before the expiration of the five-year retention period, then such records must be retained until completion of the litigation, claim, audit, negotiation, or other action and the resolution of all issues, or until the expiration of the five -year period, whichever occurs later. 3. Client Data Subrecipient shall maintain client data demonstrating client eligibility for Services provided. Such data shall include, but not be limited to, client name, address, income level or other basis for determining eligibility, and description of service provided. Such information shall be made available to Grantee monitors or their designees for review upon request. 4. Disclosure Subrecipient understands that client information collected under this contract is private and the use or disclosure of such information, when not directly connected with the administration of Grantee’s or Subrecipient’s responsibilities with respect to the Services provided under this Agreement, is prohibited unless written consent is obtained from such person receiving service and, in the case of a minor, that of a responsible parent/guardian of person receiving service. 5. Close-outs Subrecipient’s obligation to Grantee shall not end until all close-out requirements are completed. Activities during this close-out period shall include, but are not limited to: making final payments, disposing of program assets (including the return of all unused materials, equipment, unspent cash advances, program income balances, and accounts receivable to Grantee), and determining the custodianship of records. Notwithstanding the foregoing, the terms of this Agreement shall remain in effect during any period that Subrecipient has control over CDBG Funds, including program income. Subrecipient will have thirty (30) days after the end of the period defined in Section II (Time of Performance) to submit all final reimbursement request(s), progress reports, and a comprehensive annual report. DocuSign Envelope ID: EE880624-D30F-4E40-A416-61D34E06949DDocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 -11- 6. Audits & Inspections Subrecipient records with respect to any matters covered by this Agreement shall be made available to Grantee, HUD, and the Comptroller General of the United States or any of their authorized representatives, at any time during normal business hours, as often as deemed necessary, to audit, examine, and make excerpts or transcripts of all relevant data. Any deficiencies noted in audit reports must be fully cleared by Subrecipient within thirty (30) days after receipt by Subrecipient of the audit report. Failure of Subrecipient to comply with the above audit requirements will constitute a violation of this Agreement and may result in the withholding by Grantee of future payments of the City Grant. Subrecipient hereby agrees to have an annual agency audit conducted in accordance with current Grantee policy concerning subrecipient audits and with the requirements of The Office of Management and Budget (OMB)”Super Circular” 2 CFR Part 200, which includes the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for federal awards, as applicable. The Super Circular guidance superseded and consolidated the requirements from OMB Circulars A-21, A-87, A-110, A-122, A-89, A-102, A-133, and A-50.. C. Reporting and Payment Procedures 1. Program Income Subrecipient shall report quarterly all program income (as defined at 24 C.F.R. § 570.500(a)) generated by activities carried out with CDBG Funds made available under this Agreement. The use of program income by Subrecipient shall comply with the requirements set forth at 24 C.F.R. § 570.504. By way of further limitations, Subrecipient may use such program income during the term of this Agreement and shall reduce requests for additional City Grant funds by the amount of any such program income balances on hand. All unexpended program income shall be returned to Grantee at the end of the term of this Agreement. Any interest earned on cash advances from the U.S. Treasury and from funds held in a revolving fund account is not program income and shall be remitted promptly to Grantee. 2. Indirect Costs If indirect costs are charged, Subrecipient will develop an indirect cost allocation plan for determining the appropriate Subrecipient’s share of administrative costs and shall submit such plan to Grantee for approval, in a form specified by Grantee. 3. Payment Procedures Grantee shall reimburse Subrecipient only for actual incurred costs upon presentation of properly executed reimbursement forms as provided and approved by Grantee. Only those Eligible Project Expenses directly related to this Agreement shall be reimbursed. The amount of each request must be limited to the amount needed for payment of Eligible Project Expenses. In the event that Grantee or HUD determines that any CDBG Funds were expended by Subrecipient for unauthorized or ineligible purposes or the expenditures constitute disallowed costs in any other way, Grantee or HUD may order repayment of the same. Subrecipient shall DocuSign Envelope ID: EE880624-D30F-4E40-A416-61D34E06949DDocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 -12- remit the disallowed amount to Grantee within thirty (30) days of written notice of the disallowance. a. Subrecipient agrees that funds determined by Grantee to be surplus upon completion of this Agreement will be subject to cancellation by Grantee. b. Subrecipient agrees that upon expiration of this Agreement, Subrecipient shall transfer to Grantee any CDBG Funds on hand at the time of the expiration and any accounts receivable attributable to the use of CDBG Funds. c. Grantee shall be relieved of any obligation for payments if funds allocated to Grantee cease to be available for any cause other than misfeasance of Grantee itself. d. Grantee reserves the right to withhold payments pending timely delivery of program reports or documents as may be required under this Agreement. Payments by Grantee will be provided through a reimbursement/invoicing method only, with payment issued by Grantee after actual costs have been incurred and paid by Subrecipient. All costs shall be supported by properly executed payrolls, time records, invoices, vouchers, or other official documentation, as evidence of the nature and propriety of the charges. All accounting documents pertaining in whole or in part to this Agreement shall be clearly identified and readily accessible, and upon reasonable notice, Grantee and HUD shall have the right to audit the records of Subrecipient as they relate to this Agreement and the activities and services described herein. Payment reimbursement requests shall be submitted by Subrecipient at a minimum on a quarterly basis. Failure to submit reimbursement requests in a timely manner may lead to reallocation of City Grant funds. Subrecipient shall also: a. Maintain an effective system of internal fiscal control and accountability for all CDBG Funds and property acquired or improved with CDBG Funds, and make sure the same are used solely for the Services. b. Keep a continuing record of all disbursements by date, check number, amount, vendor, description of items purchased, and line item from which the money was expended, as reflected in Subrecipient’s accounting records. DocuSign Envelope ID: EE880624-D30F-4E40-A416-61D34E06949DDocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 -13- c. Maintain payroll, financial, and expense reimbursement records for a period of five (5) years after receipt of final payment under this Agreement. d. Permit inspection and audit of its records with respect to all matters authorized by this Agreement by representatives of Grantee or HUD at any time during normal business hours and as often as necessary. e. Inform Grantee concerning any City Grant funds allocated to Subrecipient, that Subrecipient anticipates will not be expended during the term of this Agreement, and permit the reassignment of the same by Grantee to other subrecipients. f. Repay Grantee any funds in its possession at the time of the termination or expiration of this Agreement that may be due to Grantee or HUD. g. Maintain complete records concerning the receipt and use of all program income. Program income shall be reported on a monthly basis on forms provided by Grantee. 4. Progress Reports Subrecipient shall submit regular progress reports to Grantee in the form, content, and frequency as required by Grantee. Progress reports must be submitted at a minimum on quarterly basis. Reporting periods are defined in the following table: Quarter Reporting Period Due Date 1 July-September October 20 2 October-December January 20 3 January-March April 20 4 March-June July 20 Along with the quarterly progress reports, Subrecipient shall provide Grantee with twenty- five percent (25%) sampling of self-certification forms and ten percent (10%) sampling of income verification for clients served that quarter. Subrecipient shall be responsible for retaining one hundred percent (100%) certification and/or income certification forms for a minimum of five (5) years along with other Program records. Additionally, an annual comprehensive report including inventory of all Services provided or performed with CDBG Funds, and financial report shall be submitted at the end of the program year. The annual report shall be submitted no later than August 1st. DocuSign Envelope ID: EE880624-D30F-4E40-A416-61D34E06949DDocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 -14- D. Procurement 1. Compliance Subrecipient shall comply with current Grantee policy concerning the purchase of equipment and shall maintain inventory records of all non-expendable personal property as defined by such policy as may be procured with funds provided herein. All Program assets (including, unexpended program income, property, and equipment) shall revert to Grantee upon termination or expiration of this Agreement. 2. OMB Standards Unless specified otherwise within this Agreement, Subrecipient shall procure all materials, property, or services in accordance with the requirements of 24 C.F.R. §§ 84.40 – 84.48. 3. Travel Subrecipient shall obtain written approval from Grantee for any travel outside the metropolitan area with City Grant funds provided under this Agreement. E. Use and Reversion of Assets The use and disposition of real property and equipment under this Agreement shall be in compliance with the requirements of 24 C.F.R. Part 84 and 24 C.F.R. §§ 570.502, 570.503, and 570.504, as applicable, which include but are not limited to the following: 1. Subrecipient shall transfer to Grantee any CDBG Funds on hand and any accounts receivable attributable to the use of CDBG Funds under this Agreement at the time of expiration, cancellation, or termination. 2. In all cases in which equipment acquired, in whole or in part, with CDBG Funds under this Agreement is sold, the proceeds shall be program income (prorated to reflect the extent to that funds received under this Agreement were used to acquire the equipment). Equipment not needed by Subrecipient for Services under this Agreement shall be (a) transferred to Grantee for the CDBG program or (b) retained after compensating Grantee an amount equal to the current fair market value of the equipment less the percentage of non-CDBG Funds used to acquire the equipment. F. DUNS and SAM.GOV Registration and Subaward Identification Notice Requirements Subrecipient must have a Data Universal Numbering System (DUNS®) number to be eligible to enter into this agreement. Further, the subrecipient must have an active registration with the federal www.sam.gov site to verify it is eligible to receive federal funds, and not federally debarred. In addition, Grantee shall require completion of the subaward identification notice form attached hereto as Exhibit B. Failure to complete the DocuSign Envelope ID: EE880624-D30F-4E40-A416-61D34E06949DDocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 -15- subaward identification notice form shall render Subrecipient ineligible to receive funds under this agreement. IX. REPRESENTATIONS AND WARRANTIES OF SUBRECIPIENT Subrecipient makes the following representations and warranties as of the date of this Agreement and agrees that such representations and warranties shall survive and continue thereafter: A. Authorization and Validation The execution, delivery and performance by Subrecipient of this Agreement (i) are within the powers of Subrecipient and upon its execution will constitute a legal, valid and binding obligation of Subrecipient enforceable in accordance with its terms, and (ii) will not violate any provisions of law, any order of any court or other agency of government, or any indenture, agreement or any other instrument to which Subrecipient is a party or by which Subrecipient , or any of its property, is bound, or be in conflict with, result in any breach of or constitute (with due notice and/or lapse of time) a default under any such indenture, agreement or other instrument, or result in the creation or imposition of any lien, charge or encumbrance of any nature whatsoever upon any of its property or assets, except as contemplated by the provisions of this Agreement. B. Correct Information All reports, papers, data and information given to Grantee with respect to Subrecipient and this Agreement, including the Program are accurate and correct in all material respects and complete insofar as completeness may be necessary to give Grantee a true and accurate knowledge of the subject matters thereof, and there has been no change in such information. C. Defaults Subrecipient is not a party to any agreement or instrument that will interfere with its performance under this Agreement, and is not in default in the performance, observance or fulfillment of any of the obligations, covenants or conditions set forth in any agreement or instrument to which it is a party. D. Pending Litigation There is not now pending or threatened against or affecting Subrecipient any claim, investigation, action, suit or proceeding at law, or in equity, or before any court or administrati ve agency which, if adversely determined, would impair or affect Subrecipient’s ability to perform the Services. E. Compliance Subrecipient has examined and is familiar with all conditions, restrictions, reservations, and ordinances affecting the performance of the Services. The Services will in all material respects conform to and comply with all of the requirements of said conditions, restrictions, reservations, and ordinances and performance of the Services shall conform in all respects with applicable DocuSign Envelope ID: EE880624-D30F-4E40-A416-61D34E06949DDocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 -16- ordinances and statutes, and shall be in accordance with all requirements of the regulatory authorities having jurisdiction thereof. X. SEVERABILITY If any provision of this Agreement is held invalid, the remainder of the Agreement shall not be affected thereby and all other parts of this Agreement shall nevertheless be in full force and effect. XI. SECTION HEADINGS AND SUBHEADINGS The section headings and subheadings contained in this Agreement are included for convenience only and shall not limit or otherwise affect the terms of this Agreement. XII. WAIVER Grantee’s failure to act with respect to a breach by Subrecipient does not waive its right to act with respect to subsequent or similar breaches. The failure of Grantee to exercise or enforce any right or provision shall not constitute a waiver of such right or provision. XIII. NONLIABILITY OF OFFICIALS AND EMPLOYEES No member, official, employee, or contractor of Grantee shall be personally liable to Subrecipient in the event of any default or breach by Grantee or for any amount which may become due to Subrecipient or on any obligations under this Agreement. No member, official, employee, or contractor of Subrecipient shall be personally liable to Grantee in the event of any default or breach by Subrecipient or for any amount which may become due to Grantee or on any obligations under this Agreement. XIV. APPLICABLE LAW; VENUE The internal laws of the State of California shall govern the interpretation and enforcement of this Agreement. All legal actions must be instituted and maintained in the Superior Court of the County of Riverside, State of California, or in any other appropriate court in that County. XV. EXECUTION IN COUNTERPARTS This Agreement may be executed in counterparts, each of which shall be deemed to be an original, and such counterparts shall constitute one and the same instrument. XVI. NO CONFLICT OF INTEREST For the term of this Agreement, no member, officer, or employee of Grantee, during the term of his or her service with Grantee, shall have any direct interest in this Agreement, or obtain any present or anticipated material benefit arising therefrom. In addition, Subrecipient agrees to file, or to cause its employees or subcontractors to file, a Statement of Economic Interest with Grantee’s Filing Officer if such filing is required under state law in connection with the performance of the Services. DocuSign Envelope ID: EE880624-D30F-4E40-A416-61D34E06949DDocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 -17- XVII. THIRD PARTY BENEFICIARIES With the exception of the specific provisions set forth in this Agreement, there are no intended third-party beneficiaries under this Agreement and no such other third parties shall have any rights or obligations hereunder. XVIII. ENTIRE AGREEMENT This Agreement constitutes the entire agreement between Grantee and Subrecipient for the use of funds received under this Agreement and it supersedes all prior o r contemporaneous communications and proposals, whether electronic, oral, or written between Grantee and Subrecipient with respect to this Agreement. [Signatures on following page] DocuSign Envelope ID: EE880624-D30F-4E40-A416-61D34E06949DDocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 -18- IN WITNESS WHEREOF, the parties have executed this Agreement as of the date first written above. [Grantee] [Subrecipient] By: Armando G. Villa, City Manager By: Paul Mathias, Executive Director Date: Date: By: Attest: Stephanie Roseen, Acting City Clerk Date:________________________________ Countersigned: Margarita Cornejo, Acting CFO APPROVED AS TO FORM: Jeffrey Melching, City Attorney DocuSign Envelope ID: EE880624-D30F-4E40-A416-61D34E06949D 6/30/2023 DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55 7/18/2023 7/19/2023 7/19/2023 DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 EXHIBIT “B” PAGE 1 of 13 EXHIBIT A SUMMARY OF LEGAL REQUIREMENTS In addition to the requirements set forth in other provisions of the Agreement, Subrecipient shall comply, and shall cause all Subrecipient’s personnel to comply, with the following regulations and requirements insofar as they are applicable to the performance of the Agreement.1 1. Equal Opportunity and Nondiscrimination. a. Title VI of the Civil Rights Act of 1964, as amended, including Public Law 88-352 implemented in 24 C.F.R. Part 1. This law provides in part that no person shall, on the grounds of race, color, or national origin be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any program or activity receiving federal financial assistance. In regard to the sale or lease of property, Subrecipient shall cause or require a covenant running with the land to be inserted in the deed and leases prohibiting discrimination under this Title, and providing that Grantee and the United States are beneficiaries of and entitled to enforce such covenants. Subrecipient shall enforce such covenant and shall not itself so discriminate. b. Fair Housing Act, Title VIII of the Civil Rights Act of 1968, as amended, including Public Law 90-234. The Fair Housing Act provides in part that there shall be no discrimination in housing practices on the basis of race, color, religion, sex, and national origin. The Fair Housing Act was amended in 1988 to provide protections from discrimination in any aspect of the sale or rental of housing for families with children and persons with disabilities. The Fair Housing Act also establishes requirements for the design and construction of new rental or for-sale multi-family housing to ensure a minimum level of accessibility for persons with disabilities. c. Section 109 of Title I of the Housing and Community Development Act of 1974, as amended, including 42 U.S.C. 5301 et. seq., 42 U.S.C. 6101 et. seq., and 29 U.S.C. 794. This law provides in part that no person on the grounds of race, color, national origin, sex, or religion shall be excluded from participation in, be denied the benefits of, or otherwise be subject to discrimination under any activity funded in whole or part with funds under this Title. d. Section 104(b) of Title I of the Housing and Community Development Act of 1974, as amended, including 42 U.S.C. 5301 et. seq. This law provides in part that any grant under Section 106 shall be made only if the grantee certifies to the satisfaction of the Secretary of HUD that the grantee will, among other things, affirmatively further fair housing. 1 This exhibit is a list and summary of some of the applicable legal requirements and is not a complete list of all Subrecipient requirements. The description set forth next to a statute or regulation is a summary of certain provisions in the statute or regulation and is in no way intended to be a complete description or summary of the statute or regulation. In the event of any conflict between this summary and the requirements imposed by applicable laws, regulations, and requirements, the applicable laws, regulations, and requirements shall apply. DocuSign Envelope ID: EE880624-D30F-4E40-A416-61D34E06949DDocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 EXHIBIT “A” PAGE 2 of 13 e. Executive Order 11246, as amended. This order includes a requirement that grantees and subrecipients and their contractors and subcontractors not discriminate against any employee or applicant for employment because of race, color, religion, sex, or national origin. f. Executive Order 11063, as amended, including 24 C.F.R. Part 107. This order and its implementing regulations include requirements that all actions necessary be taken to prevent discrimination because of race, color, religion, sex, or national origin in the use, occupancy, sale, leasing, rental, or other disposition of property assisted with Federal loans, advances, grants, or contributions. g. Section 504 of the Rehabilitation Act of 1973, as amended. This Act specifies in part that no otherwise qualified individual shall solely by reason of his or her disability or handicap be excluded from participation (including employment), denied program benefits, or subjected to discrimination under any program or activity receiving Federal assistance. Subrecipient must ensure that its programs are accessible to and usable by persons with disabilities. h. The Americans with Disabilities Act (ADA) of 1990, as amended. This Act prohibits discrimination on the basis of disability in employment by state and local governments and in places of public accommodation and commercial facilities. The ADA also requires that facilities that are newly constructed or altered, by, on behalf of, or for use of a public entity, be designed and constructed in a manner that makes the facility readily accessible to and usable by persons with disabilities. The Act defines the range of conditions that qualify as disabilities and the reasonable accommodations that must be made to assure equality of opportunity, full participation, independent living, and economic self-sufficiency for persons with disabilities. i. The Age Discrimination Act of 1975, as amended. This law provides in part that no person shall be excluded from participation in, be denied program benefits, or subjected to discrimination on the basis of age under any program or activity receiving federal assistance. j. EEO/AA Statement. Subrecipient shall, in all solicitations or advertisements for employees placed by or on behalf of Subrecipient, state that it is an Equal Opportunity or Affirmative Action employer. k. Minority/Women Business Enterprise. Subrecipient will use its best efforts to afford small businesses and minority and women-owned business enterprises the maximum practicable opportunity to participate in the performance of the Agreement. As used in the Agreement, the term “small business” means a business that meets the criteria set forth in Section 3(a) of the Small Business Act, as amended (15 U.S.C. 632), and “minority and women- owned business enterprise” means a business at least fifty-one percent (51%) owned and controlled by minority group members or women. For the purpose of this definition, “minority group members” are Afro-Americans, Spanish-speaking, Spanish-surnamed or Spanish-heritage Americans, Asian-Americans, and American Indians. Subrecipient may rely on written representations by businesses regarding their status as minority and female business enterprises in lieu of an independent investigation. DocuSign Envelope ID: EE880624-D30F-4E40-A416-61D34E06949DDocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 EXHIBIT “A” PAGE 3 of 13 2. Environmental. a. Air and Water. Subrecipient shall comply with the following regulations insofar as they apply to the performance of the Agreement: Clean Air Act, 42 U.S.C. 7401, et seq.; Federal Water Pollution Control Act, as amended, 33 U.S.C. 1251, et seq., as amended, 1318 relating to inspection, monitoring, entry, reports, and information, as well as other requirements specified in said Section 114 and Section 308, and all regulations and guidelines issued thereunder; and the U.S. Environmental Protection regulations pursuant to 40 C.F.R. Part 50, as amended. b. Flood Disaster Protection Act of 1973. Subrecipient shall assure that for activities located in an area identified by FEMA as having special flood hazards, flood insurance under the National Flood Insurance Program is obtained and maintained. c. Lead-Based Paint. Subrecipient shall comply with the Lead-Based Paint Regulations referenced in 24 C.F.R. § 570.608, including 24 C.F.R. Part 35, et. al. d. Historic Preservation. Subrecipient shall comply with the historic preservation requirements set forth in the National Historic Preservation Act of 1966, as amended (16 U.S.C. 470) and the procedures set forth in 36 C.F.R. Part 800, Advisory Council on Historic Preservation Procedures for Protection of Historic Properties and related laws and Executive Orders, insofar as they apply to the performance of the Agreement. In general, this requires concurrence from the State Historic Preservation Officer for all rehabilitation and demolition of historic properties that are fifty years old or older or that are included on a federal, state, or local historic property list. e. Limitation on Activities Pending Clearance. In accordance with 24 C.F.R. § 58.22 entitled “Limitations on activities pending clearance, “neither a recipient nor any participant in the development process, including public or private nonprofit or for-profit entities, or any of their contractors, may commit HUD assistance under a program listed in 24 C.F.R. § 58.1(b) on an activity or project until HUD or the state has approved the recipient’s Request for Release of Funds (RROF) and the related certifications have been approved. Neither a recipient nor any participant in the development process may commit non-HUD funds or undertake an activity or project that would have an adverse environmental impact or limit the choice of reasonable alternatives. Upon completion of environmental review or receipt of environmental clearance, Grantee shall notify Subrecipient. HUD funds shall not be utilized before this requirement is satisfied. The environmental review or violation of the provisions may result in approval, modification of cancellation of the City Grant. If a project or activity is exempt under 24 C.F.R. § 58.34, or is categorically excluded (except in extraordinary circumstances) under 24 C.F.R. § 58.35(b), no RROF is required and the recipient may undertake the activity immediately after the Grantee has documented its determination that each activity or project is exempt and meets the conditions specified for such exemption under this section by issuin g a Notice to Proceed. 3. Uniform Administrative Requirements. The uniform administrative requirements described in 24 C.F.R. § 570.502. DocuSign Envelope ID: EE880624-D30F-4E40-A416-61D34E06949DDocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 EXHIBIT “A” PAGE 4 of 13 4. Other Program Requirements. Subrecipient shall carry out each activity under the Agreement in accordance with all applicable federal laws and regulations described in Subpart K of 24 C.F.R. § 570 except for Grantee’s environmental responsibilities under 24 C.F.R. § 570.604 and Grantee’s responsibility for initiating the review process under the provisions of 24 C.F.R. Part 52. 5. Reversion of Assets. Upon the expiration of the Funding Period or sooner termination of the Agreement, Subrecipient shall transfer to Grantee (a) any and all CDBG Funds, (b) any accounts receivable attributable to the use of CDBG Funds. In all cases in which equipment acquired, in whole or in part, with funds under the Agreement is sold, the proceeds shall be program income (prorated to reflect the extent to that funds received under the Agreement were used to acquire the equipment). Equipment not needed by Subrecipient for activities under the Agreement shall at the election of Grantee either be (a) transferred to Grantee for the CDBG program, or (b) retained by Subrecipient after compensating Grantee an amount equal to the current fair market value of the equipment less the percentage of non-CDBG funds used to acquire the equipment. 6. Relocation. Grantee shall not be responsible for relocating any occupants from any property. If required, Subrecipient shall have the sole and exclusive responsibility for providing relocation assistance and paying all relocation costs required to comply with all applicable federal and state laws, rules, and regulations, including the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, 42 U.S.C. § 4601 et seq., as amended, and implementing regulations, and HUD Handbook 1378. Subrecipient shall indemnify, defend, and hold Grantee harmless from and against any claims, liabilities, damages, or losses made against it by tenants or occupants of any property, including without limitation claims for relocation assistance, inverse condemnation, and claims otherwise arising from any act or omission of Subrecipient pursuant to the provision of relocation assistance. 7. Allowable Costs and Audits. Subrecipient shall comply with and administer the Program in accordance with the requirements of The Office of Management and Budget (OMB)”Super Circular” 2 CFR Part 200, which includes the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for federal awards, as applicable. 8. Records and Reports. Subrecipient shall provide to Grantee and shall cause each of its contractors, subcontractors, and subrecipients to provide to Grantee all records and reports relating to the Program that may be reasonably requested by Grantee in order to enable it to perform its record keeping and reporting obligations pursuant to the CDBG Requirements, including but not limited to those described in the Agreement and 24 C.F.R. § 570.506. 9. Religious Organizations. If Subrecipient is a religious organization as defined by the CDBG Requirements, Subrecipient shall comply with all conditions prescribed by HUD for the use of CDBG Funds by religious organizations, including the First Amendment of the United States Constitution regarding church/state principles and the applicable constitutional prohibitions set forth in 24 C.F.R. § 570.200(j). DocuSign Envelope ID: EE880624-D30F-4E40-A416-61D34E06949DDocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 EXHIBIT “A” PAGE 5 of 13 10. Conflict of Interest. Subrecipient will comply with 24 C.F.R. §§ 84.42, 85.36 and 570.611 regarding the avoidance of conflict of interest, which provisions include (but are not limited to) the following: i. Subrecipient shall maintain a written code or standards of conduct that shall govern the performance of its officers, employees or agents engaged in the award and administration of contracts supported by Federal funds. ii. No employee, officer or agent of the Subrecipient shall participate in the selection, or in the award, or administration of, a contract supported by Federal funds if a conflict of interest, real or apparent, would be involved. iii. No covered persons who exercise or have exercised any functions or responsibilities with respect to CDBG-assisted activities, or who are in a position to participate in a decision-making process or gain inside information with regard to such activities, may obtain a financial interest in any contract, or have a financial interest in any contract, subcontract, or agreement with respect to the CDBG-assisted activity, or with respect to the proceeds from the CDBG-assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for a period of one (1) year thereafter. For purposes of this paragraph, a “covered person” includes any person who is an employee, agent, consultant, officer, or elected or appointed official of the Grantee, the Subrecipient, or any designated public agency. 11. Political Activity (24 C.F.R. § 570.207(a)(3)). Subrecipient is prohibited from using CDBG Funds to finance the use of facilities or equipment for political purposes or to engage in other partisan political activities, such as sponsoring candidate forums, distributing brochures, voter transportation, or voter registration. 12. Anti-Lobbying Certification. By its execution of the Agreement, Subrecipient hereby certifies that: i. No Federal appropriated funds have been paid or will be paid, by or on behalf of it, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. ii. If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, it will complete and submit Standard Form-LLL, “Disclosure Form to Report Lobbying,” in accordance with its instructions. iii. It will require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts DocuSign Envelope ID: EE880624-D30F-4E40-A416-61D34E06949DDocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 EXHIBIT “A” PAGE 6 of 13 under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. This certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S.C. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. At the request of Grantee, Subrecipient shall execute a separate document that contains the certifications set forth above. 13. Drug-Free Workplace Requirements. Subrecipient shall comply with and be subject to the requirements of the federal drug-free workplace requirements, which include the following actions be taken: i. Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the grantee’s workplace and specifying the actions that will be taken against employees for violation of such prohibition. ii. Establishing an ongoing drug-free awareness program to inform employees about: (a) the dangers of drug abuse in the work place; (b) the grantee’s policy of maintaining a drug-free workplace; (c) any available drug counseling, rehabilitation, and employee assistance programs; and (d) the penalties that may be imposed upon employees for drug abuse violations occurring in the workplace. iii. Making it a requirement that each employee to be engaged in the performance of the grant be given a copy of the statement required by paragraph (i). iv. Notifying the employee in the statement required by paragraph (i) that, as a condition of employment under the grant, the employee will: (a) abide by the terms of the statement; and (b) notify the employer in writing of his or her conviction for a violation of a criminal drug statute occurring in the workplace no later than five (5) calendar days after such conviction. v. Notifying the agency in writing, within ten (10) calendar days after receiving notice under sub-paragraph (iv)(b) from an employee or otherwise receiving actual notice of such conviction. Employers of convicted employees must provide notice, including position title, to every grant officer or other designee on whose grant activity the convicted employee was working, unless the Federal agency has designated a central point for the receipt of such notices. Notice shall include the identification number(s) of each affected grant. vi. Taking one of the following actions, within thirty (30) calendar days of receiving notice under subparagraph (iv)(b), with respect to any employee who is so convicted: (a) taking appropriate personnel action against such an employee, up to and including termination, consistent with the requirements of the Rehabilitation Act of 1973, as amended; or (b) requiring such employee to participate satisfactorily in a drug abuse DocuSign Envelope ID: EE880624-D30F-4E40-A416-61D34E06949DDocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 EXHIBIT “A” PAGE 7 of 13 assistance or rehabilitation program approved for such purposes by a Federal, State or local health, law enforcement, or other appropriate agency. vii. Making a good faith effort to continue to maintain a drug-free workplace through implementation of paragraphs (i), (ii), (iii), (iv), (v), and (vi). 14. Procurement. Subrecipient will comply with the procurement standards under 24 C.F.R. § 85.36 for governmental subrecipients and 24 C.F.R. §§ 84.40-84.48 for subrecipients that are non-profit organizations. Subrecipient shall comply with all existing and future Grantee policies concerning the purchase of equipment. 15. Labor Provisions. a. Section 3 of the Housing and Community Development Act of 1968. Subrecipient shall comply with and cause its contractors and subcontractors to comply with the requirements of Section 3 of the Housing and Urban Development Act of 1968 (12 U.S.C. § 1701u), the HUD regulations issued pursuant thereto at 24 C.F.R. Part 135, and any applicable rules and orders of HUD issued thereunder. The Section 3 clause, set forth in 24 C.F.R § 135.38 provides: i. The work to be performed under this contract is subject to the requirements of Section 3 of the Housing and Urban Development Act of 1968, as amended, 12 U.S.C. § 1701u (“Section 3”). The purpose of Section 3 is to ensure that employment and other economic opportunities generated by HUD assistance or HUD-assisted projects covered by Section 3, shall, to the greatest extent feasible, be directed to low- and very low-income persons, particularly persons who are recipients of HUD assistance for housing. ii. The parties to this contract agree to comply with HUD’s regulations in 24 C.F.R. Part 135, which implement Section 3. As evidenced by their execution of this contract, the parties to this contract certify that they are under no contractual or other impediment that would prevent them from complying with the Part 135 regulations. iii. The contractor agrees to send to each labor organization or representative of workers with which the contractor has a collective bargaining agreement or other understanding if any, a notice advising the labor organization or workers’ representative of the contractor’s commitments under this Section 3 clause, and will post copies of the notice in conspicuous places at the work site where both employees and applicants for training and employment positions can see the notice. The notice shall describe the Section 3 preference, shall set forth minimum number and job titles subject to hire, availability of apprenticeship and training positions, the qualifications for each; and the name and location of the person(s) taking applications for each of the positions; and the anticipated date the work shall begin. iv. The contractor agrees to include this Section 3 clause in every subcontract subject to compliance with regulations in 24 C.F.R. Part 135, and agrees to take appropriate action, as provided in an applicable provision of the subcontract or in this Section 3 clause, upon a finding that the subcontractor is in violation of the regulations in 24 C.F.R. Part 135. The contractor will not subcontract with any subcontractor where the contractor has DocuSign Envelope ID: EE880624-D30F-4E40-A416-61D34E06949DDocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 EXHIBIT “A” PAGE 8 of 13 notice or knowledge that the subcontractor has been found in violation of the regulations in 24 C.F.R. Part 135. v. The contractor will certify that any vacant employment positions, including training positions, that are filled (1) after the contractor is selected but before the contract is executed, and (2) with persons other than those to whom the regulations of 24 C.F.R. Part 135 require employment opportunities to be directed, were not filled to circumvent the contractor’s obligations under 24 C.F.R. Part 135. vi. Noncompliance with HUD’s regulations in 24 C.F.R Part 135 may result in sanctions, termination of this contract for default, and debarment or suspension from future HUD assisted contracts. Subrecipient shall abide by the Section 3 clause set forth above and will also cause this Section 3 clause to be inserted in all contracts relating to the Program. b. Labor Standards. Subrecipient shall comply with the provisions of 24 C.F.R. § 570.603 and related requirements. Subrecipient shall include in all applicable construction contracts the provisions of federal law imposing labor standards on federally assisted contracts. Subrecipient shall comply with the requirements of the Secretary of Labor in accordance with the Davis-Bacon Act as amended (40 U.S.C. 3141 through 3148), the provisions of Contract Work Hours and Safety Standards Act (40 U.S.C. 327 et seq. and implementing regulations), the Copeland Anti-Kick Back Act (40 U.S.C. 276c and 18 U.S.C. 874 et seq.), the implementing regulations of the U.S. Department of Labor including 29 C.F.R. Parts 1, 3, 5, 6 and 7, and all other applicable Federal, state and local laws and regulations pertaining to labor standards insofar as those acts apply to the performance of the Agreement. Subrecipient shall maintain documentation that demonstrates compliance with these provisions and such documentation shall be made available to Grantee and HUD for review upon request. Subrecipient shall cause or require to be inserted in full, in all such contracts subject to such regulations, provisions meeting the requirements of this paragraph. c. HUD Form 4010. Subrecipient shall comply and cause Subrecipient Personnel to comply with the provisions of HUD Form 4010 attached hereto. HUD Form 4010 must be included in the bid packet and construction contract and subcontracts for the Program. DocuSign Envelope ID: EE880624-D30F-4E40-A416-61D34E06949DDocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 EXHIBIT “A” PAGE 9 of 13 DocuSign Envelope ID: EE880624-D30F-4E40-A416-61D34E06949DDocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 EXHIBIT “A” PAGE 10 of 13 DocuSign Envelope ID: EE880624-D30F-4E40-A416-61D34E06949DDocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 EXHIBIT “A” PAGE 11 of 13 DocuSign Envelope ID: EE880624-D30F-4E40-A416-61D34E06949DDocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 EXHIBIT “A” PAGE 12 of 13 DocuSign Envelope ID: EE880624-D30F-4E40-A416-61D34E06949DDocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 EXHIBIT “A” PAGE 13 of 13 DocuSign Envelope ID: EE880624-D30F-4E40-A416-61D34E06949DDocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 EXHIBIT “B” PAGE 1 of 3 EXHIBIT B SUBAWARD IDENTIFICATION NOTICE DocuSign Envelope ID: EE880624-D30F-4E40-A416-61D34E06949DDocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 EXHIBIT “B” PAGE 2 of 3 City of Menifee Finance Department Federal Award Identification Notice i. Subrecipient Name: HOSPICE OF THE VALLEYS ii. Subrecipient’s Unique Entity Identifier (DUNS): 868952409 iii. Federal Award Identification Number (FAIN): B-23-MC-06-0604 iv. Federal Award Date: July 1, 2023 v. Subaward Period of Performance: July 1, 2023 through June 30, 2024 vi. Amount of Federal Funds ($) Obligated by this action by the pass through entity to the to the subrecipient: $10,000.00 vii. Total Amount of Federal Funds Obligated to the subrecipient by the pass-through entity including the current obligation: $10,000.00 viii. Total Amount of Federal Award committed to the subrecipient by the pass through entity: $10,000.00 ix. Federal Award project description, as required to be responsive to the Federal Funding Accountability and Transparency Act (FFATA): Community Development Block Grant Program (CDBG) Entitlement (CFDA #14- 218) City of Menifee CDBG Public Services. Specifically this program/project will entail the: The Senior Assistance Program provides direct hospice care and services to at least forty two (42) low and low moderate income ("LMI") persons without insurance or with limited coverage ("Services"). Services include visits by doctors, nurses, certified home health aides, social workers, dieticians, speech/occupational/physical therapists, and specially trained volunteers. Clients are provided with durable medical equipment, medical supplies, medications, therapies, wound care, and bereavement support. Bereavement services are also provided through the Senior Assistance Program. Once the patient has passed, Subrecipient's bereavement team follows up with the bereaved DocuSign Envelope ID: EE880624-D30F-4E40-A416-61D34E06949DDocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 EXHIBIT “B” PAGE 3 of 3 for thirteen (13) months through phone calls and mailings. They also provide the bereaved with memorial service assistance and access to grief support groups. x. Name of the Federal Awarding agency, pass through entity, and contact information for the awarding official of the Pass through entity: Federal Awarding Agency – U.S. Department of Housing & Urban Development (HUD) Pass through Entity: City of Menifee, CA Awarding Official: Armando Villa, City Manager Phone: (951) 672-6777 xi. CFDA Number and Name: 14.218 (Community Development Block Grant/Entitlement Grants xii. Identification of whether the award is R&D: No xiii. Indirect cost rate for the federal award (including if the de minimus rate is charged per 200.414 Indirect F&A costs: $0/De Minimus DocuSign Envelope ID: EE880624-D30F-4E40-A416-61D34E06949DDocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 6/29/2023 Marsh &McLennan Agency LLC Marsh &McLennan Ins.Agency LLC PO Box 85638 San Diego CA 92186 Yessenia Shaw 858-875-3024 858-452-7530 yessenia.shaw@marshmma.com License#:0H18131 American Alternative Insurance Corp.19720 HOSPIVALLE1 HSB Specialty Insurance Company 14438HospiceoftheValleysSC,Inc. 25240 Hancock Ave,Suite 120 Murrieta CA 92562 New Hampshire Insurance Company 23841 1081885960 A 1,000,000 X 1,000,000 50,000 1,000,000 3,000,000 X Y N VHNUHG000473304 5/1/2023 5/1/2024 3,000,000 A 1,000,000 X N N VHNUHG000473304 5/1/2023 5/1/2024 A 1,000,000 X N VHNUHX000476804 5/1/2023N 5/1/2024 1,000,000 C XNWC0199620645/1/2023 5/1/2024 1,000,000 1,000,000 1,000,000 B A Cyber Liability E&O 662686903 VHNUHG000473304 5/1/2023 5/1/2023 5/1/2024 5/1/2024 1,000,000 1,000,000 RE:CDBG Program City of Menifee and its officers,employees,agents,and authorized volunteers are an additional insured with respect to the General Liability per the attached endorsement. City of Menifee 29844 Haun Road Menifee CA 92586 DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B INSURED: POLICY #: POLICY PERIOD: TO Hospice of the Valleys SC,Inc. 05/01/2023VHNUHG000473304 05/01/2024 City of Menifee 29844 Haun Road Menifee,CA 92586 DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B HOSPICE OF THE VALLEYS SC Unique Entity ID JM2MZYDLFMZ3 CAGE / NCAGE 4YJF4 Purpose of Registration Federal Assistance Awards Only Registration Status Active Registration Expiration Date Dec 30, 2023 Physical Address 25240 Hancock AVE STE 120 Murrieta, California 92562-5991 United States Mailing Address 25240 Hancock AVE. STE 120 Murrieta, California 92562 United States Business Information Doing Business as (blank) Division Name (blank) Division Number (blank) Congressional District California 42 State / Country of Incorporation California / United States URL www.hospiceofthevalleys.org Registration Dates Activation Date Jan 3, 2023 Submission Date Dec 30, 2022 Initial Registration Date Jan 8, 2008 Entity Dates Entity Start Date Jun 29, 1983 Fiscal Year End Close Date Dec 31 Immediate Owner CAGE (blank) Legal Business Name (blank) Highest Level Owner CAGE (blank) Legal Business Name (blank) Executive Compensation Registrants in the System for Award Management (SAM) respond to the Executive Compensation questions in accordance with Section 6202 of P.L. 110-252, amending the Federal Funding Accountability and Transparency Act (P.L. 109-282). This information is not displayed in SAM. It is sent to USAspending.gov for display in association with an eligible award. Maintaining an active registration in SAM demonstrates the registrant responded to the questions. Proceedings Questions Registrants in the System for Award Management (SAM.gov) respond to proceedings questions in accordance with FAR 52.209-7, FAR 52.209-9, or 2. C.F.R. 200 Appendix XII. Their responses are displayed in the responsibility/qualification section of SAM.gov. Maintaining an active registration in SAM.gov demonstrates the registrant responded to the proceedings questions. Exclusion Summary Active Exclusions Records? No SAM Search Authorization I authorize my entity's non-sensitive information to be displayed in SAM public search results: Yes Entity Types Business Types Entity Structure Corporate Entity (Tax Exempt) Entity Type Business or Organization Organization Factors (blank) Profit Structure Non-Profit Organization Last updated by Melanie House on Dec 30, 2022 at 11:15 AM HOSPICE OF THE VALLEYS SC Jul 06, 2023 09:49:26 PM GMT https://sam.gov/entity/JM2MZYDLFMZ3/coreData?status=Active Page 1 of 2 DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B Socio-Economic Types Check the registrant's Reps & Certs, if present, under FAR 52.212-3 or FAR 52.219-1 to determine if the entity is an SBA-certified HUBZone small business concern. Additional small business information may be found in the SBA's Dynamic Small Business Search if the entity completed the SBA supplemental pages during registration. Financial Information Accepts Credit Card Payments Yes Debt Subject To Offset No EFT Indicator 0000 CAGE Code 4YJF4 Points of Contact Electronic Business Paul Mathias, CFO 25240 Hancock AVE. Murrieta, California 92562 United States Government Business Paul Mathias, CFO 25240 Hancock AVE. Murrieta, California 92562 United States Past Performance Melanie House, Development Coordinator 25240 Hancock AVE STE 120 Murrieta, California 92562 United States Service Classifications NAICS Codes Primary NAICS Codes NAICS Title Disaster Response This entity does not appear in the disaster response registry. Last updated by Melanie House on Dec 30, 2022 at 11:15 AM HOSPICE OF THE VALLEYS SC Jul 06, 2023 09:49:26 PM GMT https://sam.gov/entity/JM2MZYDLFMZ3/coreData?status=Active Page 2 of 2 DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 COMMUNITY DEVELOPMENT BLOCK GRANT AGREEMENT BETWEEN CITY OF MENIFEE AND SAFE FAMILY JUSTICE CENTERS FOR PUBLIC SERVICES FOR THE CITY OF MENIFEE COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM THIS COMMUNITY DEVELOPMENT BLOCK GRANT AGREEMENT (“Agreement”), entered into as of this day of by and between the CITY OF MENIFEE, a California municipal corporation (“Grantee”), and SAFE FAMILY JUSTICE CENTERS, a California nonprofit corporation (“Subrecipient”). R E C I T A L S WHEREAS, Grantee participates in the Community Development Block Grant program administered by the United States Department of Housing and Urban Development (“HUD”) under Title I of the Housing and Community Development Act of 1974 (42 U.S.C. §§ 5301 et seq.) as amended from time to time, and the regulations promulgated thereunder (24 C.F.R. §§ 570 et seq.). Pursuant to the Community Development Block Grant program, Grantee receives funds from HUD (“CDBG Funds”) to be used for the support of community development activities that meet at least one of the three national objectives of the program: (i) benefiting low and moderate income persons, (ii) preventing and eliminating slums and blight, and (iii) addressing a community development need having a particular urgency; WHEREAS, Subrecipient is a nonprofit organization dedicated to Non-Profit organization dedicated to providing services for children, youth, and families who have experinced or ar at risk of abuse and violence in the Menifee Valley, which included portions or Grantee; WHEREAS, Subrecipient desires to utilize CDBG Funds to provide services to the people in the Menifee Valley, including residents of Grantee; WHEREAS, Grantee desires to assist Subrecipient with the foregoing by providing financial assistance to Subrecipient in the form of a grant of CDBG Funds in the amount not to exceed Ten Thousand Dollars and Zero Cents ($10,000.00) (“City Grant”) to be used by Subrecipient for certain expenses related to the Program, more particularly described herein as the “Eligible Project Expenses”; and WHEREAS, Grantee’s provision of the City Grant to Subrecipient pursuant to this Agreement, and the fulfillment generally of this Agreement, are in the vital and best interests of Grantee and the welfare of its residents, and in accordance with the purpose and provisions of the Community Development Block Grant program. NOW, THEREFORE, based upon the foregoing Recitals and for good and valuable consideration, the receipt and sufficiency of which is acknowledged by both parties, Grantee and Subrecipient hereby agree as follows: DocuSign Envelope ID: 1C89E73E-F391-4089-B590-ED5301810D69DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55 19 July DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 -2- I. SCOPE OF SERVICE A. Activities Subrecipient will be responsible for administering a Community Development Block Grant (“CDBG”) Year 2023/2024 Public Services Program (“Program”) in a manner satisfactory to Grantee and consistent with any standards required as a condition of providing these funds. Such program will include the following activities eligible under the CDBG program: Program Delivery Activity #1: Safe Alternatives for Everyone is committed to providing services for children, youth, and families, who have experienced, or are at risk of abuse and violence. Services will be provided to at least fifty-one (51) LMI persons. General Administration Subrecipient will be responsible for the general administration of the Program activities set forth herein in a manner satisfactory to Grantee and consistent with the standards set forth in this Agreement. General administration of the Program includes the following activities: 1. Project Monitoring 2. Project Fiscal Management 3. Project Reporting B. National Objectives All activities funded with CDBG Funds must meet one of the CDBG program’s national objectives: (i) benefiting low and moderate income persons, (ii) preventing and eliminating slums and blight, and (iii) addressing a community development need having a particular urgency, as defined in 24 C.F.R. § 570.208. Subrecipient certifies that the Services will meet one of the CDBG program’s national objectives by providing services that directly benefit LMI persons. Subrecipient will provide the Services to a minimum of At least fifty-one (51) LMI persons. Subrecipient shall document and maintain records of the number of LMI persons served throughout the year. C. Levels of Accomplishment – Goals and Performance Measures Subrecipient agrees to provide the following levels of program services: Activity Total Units/Year Activity#1 At least fifty-one (51) LMI persons LMI person is defined as a person having an income equal or less to than 80% of the area median income, and outlined in the following table, or persons presumed to be LMI in accordance with 24 C.F. R. § 570.208(2)(a). DocuSign Envelope ID: 1C89E73E-F391-4089-B590-ED5301810D69DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 -3- Riverside County Area Median Income (FY 2023): $94,500 Family Members Extremely Low Income Limits (30% of Median) Very Low Income Limits (50% of Median) Low Income Limits (80% of Median) In Household Annual Monthly Annual Monthly Annual Monthly 1 $19,600 $1,633 $32,650 $2,721 $52,200 $4,350 2 $22,400 $1,867 $37,300 $3,108 $59,650 $4,971 3 $25,200 $2,100 $41,950 $3,496 $67,100 $5,592 4 $30,000 $2,500 $46,600 $3,883 $74,550 $6,213 5 $35,140 $2,928 $50,350 $4,196 $80,550 $6,713 6 $40,280 $3,357 $54,100 $4,508 $86,500 $7,208 7 $45,420 $3,785 $57,800 $4,817 $92,450 $7,704 8 $50,560 $4,213 $61,550 $5,129 $98,450 $8,204 D. Staffing Subrecipient shall ensure adequate and appropriate staffing is allocated to performance of the Services. Nothing contained in this Agreement is intended to, or shall be construed in any manner, as creating or establishing the relationship of employer/employee between the parties. Subrecipient shall at all times remain an “independent contractor” with respect to the services to be performed under this Agreement. Grantee shall be exempt from payment of all Unemployment Compensation, FICA, retirement, life and/or medical insurance, and Workers’ Compensation Insurance, as Subrecipient is an independent contractor. E. Performance Monitoring Grantee will monitor the performance of Subrecipient against goals and performance standards stated above. Substandard performance as determined by Grantee will constitute noncompliance with this Agreement. If action to correct such substandard performance is not taken by Subrecipient within ten (10) days after being notified by Grantee of such substandard performance, Grantee may, but is not required to, initiate contract suspension or termination procedures to suspend or terminate this Agreement. II. TIME OF PERFORMANCE The term of this Agreement is from July 1, 2023 through June 30, 2024. The term of this Agreement and the provisions herein shall be extended to cover any additional time period during which Subrecipient remains in control of CDBG Funds or other CDBG asset, including Program income. DocuSign Envelope ID: 1C89E73E-F391-4089-B590-ED5301810D69DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 -4- III. BUDGET Subrecipient shall apply the City Grant funds received from Grantee under this Agreement in accordance with the line item budget set forth as follows: Eligible Project Expense Amount Salaries $10,000 Fringe $0 Office Space (Program only) $0 Utilities $0 Communications $0 Reproduction/Printing $0 Supplies and Materials $0 Mileage $0 Audit $0 Gift Cards used for food, clothes, $0 hotels, and gas _____________________________ _____________ TOTAL $10,000.00 Any indirect costs charged must be consistent with the conditions of this Agreement. In addition, Grantee may require a more detailed budget breakdown than the one contained herein, and Subrecipient shall provide such supplementary budget information in a timely fashion in the form and content prescribed by Grantee. Any amendments to the budget must be approved in writing by both Grantee and Subrecipient. IV. PAYMENT It is expressly agreed and understood that the total amount to be paid by Grantee under this Agreement shall not exceed Ten Thousand Dollars and Zero Cents ($10,000.00). Drawdowns for the payment of Eligible Project Expenses shall be made against the line item budget specified in Section III (Budget) herein and in accordance with performance of the Services. Expenses for general administration shall also be paid against the line item budgets specified in Section III (Budget) and in accordance with performance of the Services. City Grant payments shall be made to: SAFE FAMILY JUSTICE CENTERS 28910 Pujol St Temecula, CA 92590 Payments may be contingent upon certification of Subrecipient’s financial management system in accordance with the standards specified in 24 C.F.R. § 84.21. V. NOTICES Subrecipient shall notify Grantee of any of the following changes:  Loss of Non-Profit Status; or DocuSign Envelope ID: 1C89E73E-F391-4089-B590-ED5301810D69DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 -5-  Change in leadership of Subrecipient or changes in staff administering this Agreement. Notices required by this Agreement shall be in writing and delivered via mail (postage prepaid), commercial courier, or personal delivery or sent by facsimile or other electronic means. Any notice delivered or sent as aforesaid shall be effective on the date of delivery or sending. All notices and other written communications under this Agreement shall be addressed to the individuals in the capacities indicated below, unless otherwise modified by subsequent written notice. Communication and details concerning this contract shall be directed to the following contract representatives: Grantee Subrecipient Edna Lebron, Sr. Management Analyst City of Menifee 29844 Haun Road Menifee, CA 92586 Phone: (951) 672-6777 Fax: (951) 679-3843 Adriana Moreno, CEO SAFE FAMILY JUSTICE CENTERS 28910 Pujol St Temecula, CA 92590 Phone: 951-587-3900 VI. SPECIAL CONDITIONS None VII. GENERAL CONDITIONS A. General Compliance Subrecipient shall carry out the Services and operate the Program in conformity with all applicable Federal, state, and local laws, regulations, and rules of governmental agencies having jurisdiction, including without limitation, the CDBG Requirements (except that (1) Subrecipient does not assume the environmental responsibilities described in 24 C.F.R. § 570.604, and (2) Subrecipient does not assume the responsibility for initiating the review process under the provisions of 24 C.F.R. Part 52) and the legal requirements set forth in Exhibit A attached to this Agreement and the statutes referenced therein, all provisions of the Municipal Code of the City of Menifee, and all federal and state fair labor standards, including the payment of prevailing wages and compliance with the Davis-Bacon Act. “CDBG Requirements” shall collectively refer to the requirements of Title I of the Housing and Community Development Act of 1974 (42 U.S.C. §§ 5301 et seq.) as amended from time to time, and the implementing regulations set forth in 24 C.F.R. §§ 570 et seq. as amended from time to time, and the requirements set forth and referred to in Exhibit A attached to this Agreement. Subrecipient further agrees to utilize funds available under this Agreement to supplement rather than supplant funds otherwise available. In the case of any conflict between the CDBG Requirements and this Agreement, the CDBG Requirements shall control; it being understood, however, that in order to be in compliance with this Agreement and the CDBG Requirements, Subrecipient shall, to the extent possible, comply with the most DocuSign Envelope ID: 1C89E73E-F391-4089-B590-ED5301810D69DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 -6- restrictive provisions in this Agreement and the CDBG Requirements. Each and every provision required by law to be included in this Agreement shall be deemed to be included, and this Agreement shall be read and enforced as though all such provisions were included. Subrecipient acknowledges and agrees that it shall be and remain, and shall cause Subrecipient personnel to be and remain, fully knowledgeable and apprised of all local, state and federal laws, rules, and regulations in any manner affecting the performance under this Agreement, including the CDBG Requirements. Subrecipient shall indemnify, protect, defend, and hold harmless Grantee and its officials, officers, employees, and agents, with counsel reasonably acceptable to Grantee, from and against any and all loss, liability, damage, claim, cost, expense and/or “increased costs” (including reasonable attorneys’ fees, court and litigation costs, and fees of expert witnesses) that results or arises in any way from any of the following: (a) the noncompliance by Subrecipient of any applicable local, state and/or federal law, including, without limitation, any applicable federal and/or state labor laws (including, without limitation, if applicable, the requirement to pay state or federal prevailing wages and hire apprentices); (b) the implementation of Section 1781 of the Labor Code, as the same may be amended from time to time, or any other similar law; and/or (c) failure by Subrecipient to provide any required disclosure or identification as required by Labor Code Section 1781, as the same may be amended from time to time, or any other similar law. The foregoing indemnity shall survive termination or expiration of this Agreement. It is agreed by the parties that Subrecipient shall bear all risks of payment or nonpayment of prevailing wages under federal law and California law and/or the implementation of Labor Code Section 1781, as the same may be amended from time to time, and/or any other similar law. “Increased costs,” as used in this Section, shall have the meaning ascribed to it in Labor Code Section 1781, as the same may be amended from time to time. B. Hold Harmless Subrecipient shall indemnify, defend, and hold harmless Grantee and its officers, officials, employees, representatives, and agents (each, an “Indemnitee”) from and against any and all liability, expense or damage of any kind or nature, and for, from and against any suits, claims or demands, including legal fees and expenses, on account of or arising out of this Agreement or otherwise in connection with the Program or Services, except to the extent of such loss as may be caused by the sole negligence or willful misconduct of an Indemnitee. Upon receiving knowledge of any suit, claim or demand asserted by a third party that Grantee believes is covered by this indemnity, Grantee shall give Subrecipient written notice of the matter and an opportunity to defend it, at Subrecipient’s sole cost and expense, with legal counsel satisfactory to Grantee. C. Workers’ Compensation Subrecipient shall provide Workers’ Compensation Insurance coverage for all of its employees involved in the performance of this Agreement. D. Insurance & Bonding Subrecipient shall carry sufficient insurance coverage to protect contract assets from loss due to theft, fraud and/or undue physical damage, and as a minimum shall purchase a blanket fidelity bond covering all employees in an amount equal to the amount of the City Grant. DocuSign Envelope ID: 1C89E73E-F391-4089-B590-ED5301810D69DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 -7- Subrecipient shall comply with the bonding and insurance requirements of 24 C.F.R. §§ 84.31 and 84.48, Bonding and Insurance. Subrecipient will not be relieved of any liability, claims, demands, or other obligations assumed by its failure to procure or maintain insurance, or its failure to procure or maintain insurance in sufficient amounts, durations, or types. Subrecipient shall name Grantee and its officers, officials, employees, volunteers, agents, and representatives as an additional insured under its general liability insurance and provide a copy of its insurance certificate(s) to Grantee. Failure on the part of Subrecipient to procure or maintain policies providing the required coverages, conditions, and minimum limits will constitute a material breach of this Agreement, upon which Grantee may immediately terminate this Agreement. E. Licensing Subrecipient agrees to comply with and obtain at its own expense, if necessary, all applicable Federal, state, county, or municipal standards for licensing, certifications and operation of facilities and programs, including the Program, and accreditation and licensing of individuals, and any other standards or criteria as described in this Agreement to assure quality of the Services. In the event of an investigation or suspension regarding any Subrecipient license related to the Services under this Agreement, Grantee may terminate this Agreement and withhold further City Grant funds. In addition, monies already received under this Agreement may be owed back to Grantee. F. Grantee Recognition Subrecipient shall ensure recognition of the role of Grantee in providing Services through this Agreement. All activities, facilities, and items utilized pursuant to this Agreement shall be prominently labeled as to funding source. In addition, Subrecipient will include a reference to the support provided herein in all publications made possible with City Grant funds under this Agreement. G. Amendments Grantee or Subrecipient may amend this Agreement at any time provided that such amendments make specific reference to this Agreement, and are executed in writing, signed by a duly authorized representative of each party, and approved by Grantee’s governing body. Such amendments shall not invalidate this Agreement, nor relieve or release Grantee or Subrecipient from its obligations under this Agreement. Grantee may, in its discretion, amend this Agreement to conform with Federal, state, or local governmental guidelines, policies, and available funding amounts, or for other reasons. If such amendments result in a change in the funding, the scope of Services, or schedule of the activities to be undertaken as part of this Agreement, such modifications will be incorporated only by written amendment signed by both Grantee and Subrecipient. DocuSign Envelope ID: 1C89E73E-F391-4089-B590-ED5301810D69DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 -8- H. Suspension or Termination In accordance with 24 C.F.R. § 85.43, Grantee may suspend or terminate this Agreement if Subrecipient materially fails to comply with any terms of this Agreement, which include (but are not limited to) the following: 1. Failure to comply with any of the rules, regulations, or provisions referred to herein, or such statutes, regulations, executive orders, and HUD guidelines, policies, or directives as may become applicable at any time; 2. Failure, for any reason, of Subrecipient to fulfill in a timely and proper manner its obligations under this Agreement; 3. Ineffective or improper use of City Grant funds provided under this Agreement; or 4. Submission by Subrecipient to Grantee reports that are incorrect or incomplete in any material respect. In accordance with 24 C.F.R. § 85.44, this Agreement may also be terminated for convenience by either Grantee or Subrecipient, in whole or in part, by setting forth the reasons for such termination, the effective date, and, in the case of partial termination, the portion to be terminated. However, if in the case of a partial termination, Grantee determines that the remaining portion of the City Grant funds will not accomplish the purpose for which the grant was made, Grantee may terminate this Agreement in its entirety. VIII. ADMINISTRATIVE REQUIREMENTS A. Financial Management 1. Accounting Standards Subrecipient agrees to comply with 24 C.F.R. §§ 84.21 – 84.28 and agrees to adhere to the accounting principles and procedures required therein, utilize adequate internal controls, and maintain necessary source documentation for all costs incurred. 2. Cost Principles Subrecipient shall administer its program in conformance with the requirements of The Office of Management and Budget (OMB)”Super Circular” 2 CFR Part 200, which includes the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for federal awards, as applicable. The Super Circular guidance superseded and consolidated the requirements from OMB Circulars A-21, A-87, A-110, A-122, A-89, A-102, A-133, and A-50. These principles shall be applied for all costs incurred whether charged on a direct or indirect basis. [Note: For the above sections, if Subrecipient is a governmental or quasi-governmental agency, the applicable section of 24 C.F.R. Part 85, “Uniform Administrative Requirements for Grants and Cooperative Agreements to State and Local Governments,” and OMB Circular A-87 would apply.] DocuSign Envelope ID: 1C89E73E-F391-4089-B590-ED5301810D69DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 -9- B. Documentation and Record Keeping 1. Records to be Maintained Subrecipient shall maintain all records required by the Federal regulations specified in 24 C.F.R. § 570.506, that are pertinent to the activities to be funded under this Agreement. Such records shall include but not be limited to: a. Records providing a full description of each activity undertaken; b. Records demonstrating that each activity undertaken meets one of the National Objectives of the CDBG program; c. Records required to determine the eligibility of activities; d. Records required to document the acquisition, improvement, use or disposition of real property acquired or improved with CDBG assistance; e. Records documenting compliance with the fair housing and equal opportunity components of the CDBG program; f. Financial records as required by 24 C.F.R. § 570.502, and 24 C.F.R. §§ 84.21 – 84.28; and g. Other records necessary to document compliance with Subpart K of 24 C.F.R. Part 570. 2. Retention Subrecipient shall retain all financial records, supporting documents, statistical records, and all other records pertinent to this Agreement for a period of five (5) years. The retention period begins on the date of the submission of Grantee’s annual performance and evaluation report to HUD in which the Services under this Agreement are reported on for the final time. Notwithstanding the above, if there is any litigation, claim, audit, negotiation, or other action that involves any of the records cited and that has started before the expiration of the five-year retention period, then such records must be retained until completion of the litigation, claim, audit, negotiation, or other action and the resolution of all issues, or until the expiration of the five -year period, whichever occurs later. 3. Client Data Subrecipient shall maintain client data demonstrating client eligibility for Services provided. Such data shall include, but not be limited to, client name, address, income level or other basis for determining eligibility, and description of service provided. Such information shall be made available to Grantee monitors or their designees for review upon request. DocuSign Envelope ID: 1C89E73E-F391-4089-B590-ED5301810D69DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 -10- 4. Disclosure Subrecipient understands that client information collected under this contract is private and the use or disclosure of such information, when not directly connected with the administration of Grantee’s or Subrecipient’s responsibilities with respect to the Services provided under this Agreement, is prohibited unless written consent is obtained from such person receiving service and, in the case of a minor, that of a responsible parent/guardian of person receiving service. 5. Close-outs Subrecipient’s obligation to Grantee shall not end until all close-out requirements are completed. Activities during this close-out period shall include, but are not limited to: making final payments, disposing of program assets (including the return of all unused materials, equipment, unspent cash advances, program income balances, and accounts receivable to Grantee), and determining the custodianship of records. Notwithstanding the foregoing, the terms of this Agreement shall remain in effect during any period that Subrecipient has control over CDBG Funds, including program income. Subrecipient will have thirty (30) days after the end of the period defined in Section II (Time of Performance) to submit all final reimbursement request(s), progress reports, and a comprehensive annual report. 6. Audits & Inspections Subrecipient records with respect to any matters covered by this Agreement shall be made available to Grantee, HUD, and the Comptroller General of the United States or any of their authorized representatives, at any time during normal business hours, as often as deemed necessary, to audit, examine, and make excerpts or transcripts of all relevant data. Any deficiencies noted in audit reports must be fully cleared by Subrecipient within thirty (30) days after receipt by Subrecipient of the audit report. Failure of Subrecipient to comply with the above audit requirements will constitute a violation of this Agreement and may result in the withholding by Grantee of future payments of the City Grant. Subrecipient hereby agrees to have an annual agency audit conducted in accordance with current Grantee policy concerning subrecipient audits and with the requirements of The Office of Management and Budget (OMB)”Super Circular” 2 CFR Part 200, which includes the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for federal awards, as applicable. The Super Circular guidance superseded and consolidated the requirements from OMB Circulars A-21, A-87, A-110, A-122, A-89, A-102, A-133, and A-50.. C. Reporting and Payment Procedures 1. Program Income Subrecipient shall report quarterly all program income (as defined at 24 C.F.R. § 570.500(a)) generated by activities carried out with CDBG Funds made available under this Agreement. The use of program income by Subrecipient shall comply with the requirements set forth at 24 C.F.R. § 570.504. By way of further limitations, Subrecipient may use such program income during the term of this Agreement and shall reduce requests for additional City Grant funds DocuSign Envelope ID: 1C89E73E-F391-4089-B590-ED5301810D69DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 -11- by the amount of any such program income balances on hand. All unexpended program income shall be returned to Grantee at the end of the term of this Agreement. Any interest earned on cash advances from the U.S. Treasury and from funds held in a revolving fund account is not program income and shall be remitted promptly to Grantee. 2. Indirect Costs If indirect costs are charged, Subrecipient will develop an indirect cost allocation plan for determining the appropriate Subrecipient’s share of administrative costs and shall submit such plan to Grantee for approval, in a form specified by Grantee. 3. Payment Procedures Grantee shall reimburse Subrecipient only for actual incurred costs upon presentation of properly executed reimbursement forms as provided and approved by Grantee. Only those Eligible Project Expenses directly related to this Agreement shall be reimbursed. The amount of each request must be limited to the amount needed for payment of Eligible Project Expenses. In the event that Grantee or HUD determines that any CDBG Funds were expended by Subrecipient for unauthorized or ineligible purposes or the expenditures constitute disallowed costs in any other way, Grantee or HUD may order repayment of the same. Subrecipient shall remit the disallowed amount to Grantee within thirty (30) days of written notice of the disallowance. a. Subrecipient agrees that funds determined by Grantee to be surplus upon completion of this Agreement will be subject to cancellation by Grantee. b. Subrecipient agrees that upon expiration of this Agreement, Subrecipient shall transfer to Grantee any CDBG Funds on hand at the time of the expiration and any accounts receivable attributable to the use of CDBG Funds. c. Grantee shall be relieved of any obligation for payments if funds allocated to Grantee cease to be available for any cause other than misfeasance of Grantee itself. d. Grantee reserves the right to withhold payments pending timely delivery of program reports or documents as may be required under this Agreement. Payments by Grantee will be provided through a reimbursement/invoicing method only, with payment issued by Grantee after actual costs have been incurred and paid by Subrecipient. All costs shall be supported by properly executed payrolls, time records, invoices, vouchers, or other official documentation, as evidence of the nature and propriety of the charges. All accounting documents pertaining in whole or in part to this Agreement shall be clearly identified and readily accessible, and upon reasonable notice, Grantee and HUD shall have the DocuSign Envelope ID: 1C89E73E-F391-4089-B590-ED5301810D69DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 -12- right to audit the records of Subrecipient as they relate to this Agreement and the activities and services described herein. Payment reimbursement requests shall be submitted by Subrecipient at a minimum on a quarterly basis. Failure to submit reimbursement requests in a timely manner may lead to reallocation of City Grant funds. Subrecipient shall also: a. Maintain an effective system of internal fiscal control and accountability for all CDBG Funds and property acquired or improved with CDBG Funds, and make sure the same are used solely for the Services. b. Keep a continuing record of all disbursements by date, check number, amount, vendor, description of items purchased, and line item from which the money was expended, as reflected in Subrecipient’s accounting records. c. Maintain payroll, financial, and expense reimbursement records for a period of five (5) years after receipt of final payment under this Agreement. d. Permit inspection and audit of its records with respect to all matters authorized by this Agreement by representatives of Grantee or HUD at any time during normal business hours and as often as necessary. e. Inform Grantee concerning any City Grant funds allocated to Subrecipient, that Subrecipient anticipates will not be expended during the term of this Agreement, and permit the reassignment of the same by Grantee to other subrecipients. f. Repay Grantee any funds in its possession at the time of the termination or expiration of this Agreement that may be due to Grantee or HUD. g. Maintain complete records concerning the receipt and use of all program income. Program income shall be reported on a monthly basis on forms provided by Grantee. 4. Progress Reports Subrecipient shall submit regular progress reports to Grantee in the form, content, and frequency as required by Grantee. Progress reports must be submitted at a minimum on quarterly basis. Reporting periods are defined in the following table: Quarter Reporting Period Due Date 1 July-September October 20 DocuSign Envelope ID: 1C89E73E-F391-4089-B590-ED5301810D69DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 -13- Quarter Reporting Period Due Date 2 October-December January 20 3 January-March April 20 4 March-June July 20 Along with the quarterly progress reports, Subrecipient shall provide Grantee with twenty- five percent (25%) sampling of self-certification forms and ten percent (10%) sampling of income verification for clients served that quarter. Subrecipient shall be responsible for retaining one hundred percent (100%) certification and/or income certification forms for a minimum of five (5) years along with other Program records. Additionally, an annual comprehensive report including inventory of all Services provided or performed with CDBG Funds, and financial report shall be submitted at the end of the program year. The annual report shall be submitted no later than August 1st. D. Procurement 1. Compliance Subrecipient shall comply with current Grantee policy concerning the purchase of equipment and shall maintain inventory records of all non-expendable personal property as defined by such policy as may be procured with funds provided herein. All Program assets (including, unexpended program income, property, and equipment) shall revert to Grantee upon termination or expiration of this Agreement. 2. OMB Standards Unless specified otherwise within this Agreement, Subrecipient shall procure all materials, property, or services in accordance with the requirements of 24 C.F.R. §§ 84.40 – 84.48. 3. Travel Subrecipient shall obtain written approval from Grantee for any travel outside the metropolitan area with City Grant funds provided under this Agreement. E. Use and Reversion of Assets The use and disposition of real property and equipment under this Agreement shall be in compliance with the requirements of 24 C.F.R. Part 84 and 24 C.F.R. §§ 570.502, 570.503, and 570.504, as applicable, which include but are not limited to the following: 1. Subrecipient shall transfer to Grantee any CDBG Funds on hand and any accounts receivable attributable to the use of CDBG Funds under this Agreement at the time of expiration, cancellation, or termination. 2. In all cases in which equipment acquired, in whole or in part, with CDBG Funds under this Agreement is sold, the proceeds shall be program income (prorated to reflect the extent to that funds received under this Agreement DocuSign Envelope ID: 1C89E73E-F391-4089-B590-ED5301810D69DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 -14- were used to acquire the equipment). Equipment not needed by Subrecipient for Services under this Agreement shall be (a) transferred to Grantee for the CDBG program or (b) retained after compensating Grantee an amount equal to the current fair market value of the equipment less the percentage of non-CDBG Funds used to acquire the equipment. F. DUNS and SAM.GOV Registration and Subaward Identification Notice Requirements Subrecipient must have a Data Universal Numbering System (DUNS®) number to be eligible to enter into this agreement. Further, the subrecipient must have an active registration with the federal www.sam.gov site to verify it is eligible to receive federal funds, and not federally debarred. In addition, Grantee shall require completion of the subaward identification notice form attached hereto as Exhibit B. Failure to complete the subaward identification notice form shall render Subrecipient ineligible to receive funds under this agreement. IX. REPRESENTATIONS AND WARRANTIES OF SUBRECIPIENT Subrecipient makes the following representations and warranties as of the date of this Agreement and agrees that such representations and warranties shall survive and continue thereafter: A. Authorization and Validation The execution, delivery and performance by Subrecipient of this Agreement (i) are within the powers of Subrecipient and upon its execution will constitute a legal, valid and binding obligation of Subrecipient enforceable in accordance with its terms, and (ii) will not violate any provisions of law, any order of any court or other agency of government, or any indenture, agreement or any other instrument to which Subrecipient is a party or by which Subrecipient , or any of its property, is bound, or be in conflict with, result in any breach of or constitute (with due notice and/or lapse of time) a default under any such indenture, agreement or other instrument, or result in the creation or imposition of any lien, charge or encumbrance of any nature whatsoever upon any of its property or assets, except as contemplated by the provisions of this Agreement. B. Correct Information All reports, papers, data and information given to Grantee with respect to Subrecipient and this Agreement, including the Program are accurate and correct in all material respects and complete insofar as completeness may be necessary to give Grantee a true and accurate knowledge of the subject matters thereof, and there has been no change in such information. C. Defaults Subrecipient is not a party to any agreement or instrument that will interfere with its performance under this Agreement, and is not in default in the performance, observance or fulfillment of any of the obligations, covenants or conditions set forth in any agreement or instrument to which it is a party. DocuSign Envelope ID: 1C89E73E-F391-4089-B590-ED5301810D69DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 -15- D. Pending Litigation There is not now pending or threatened against or affecting Subrecipient any claim, investigation, action, suit or proceeding at law, or in equity, or before any court or administrati ve agency which, if adversely determined, would impair or affect Subrecipient’s ability to perform the Services. E. Compliance Subrecipient has examined and is familiar with all conditions, restrictions, reservations, and ordinances affecting the performance of the Services. The Services will in all material respects conform to and comply with all of the requirements of said conditions, restrictions, reservations, and ordinances and performance of the Services shall conform in all respects with applicable ordinances and statutes, and shall be in accordance with all requirements of the regulatory authorities having jurisdiction thereof. X. SEVERABILITY If any provision of this Agreement is held invalid, the remainder of the Agreement shall not be affected thereby and all other parts of this Agreement shall nevertheless be in full force and effect. XI. SECTION HEADINGS AND SUBHEADINGS The section headings and subheadings contained in this Agreement are included for convenience only and shall not limit or otherwise affect the terms of this Agreement. XII. WAIVER Grantee’s failure to act with respect to a breach by Subrecipient does not waive its right to act with respect to subsequent or similar breaches. The failure of Grantee to exercise or enforce any right or provision shall not constitute a waiver of such right or provision. XIII. NONLIABILITY OF OFFICIALS AND EMPLOYEES No member, official, employee, or contractor of Grantee shall be personally liable to Subrecipient in the event of any default or breach by Grantee or for any amount which may become due to Subrecipient or on any obligations under this Agreement. No member, official, employee, or contractor of Subrecipient shall be personally liable to Grantee in the event of any default or breach by Subrecipient or for any amount which may become due to Grantee or on any obligations under this Agreement. XIV. APPLICABLE LAW; VENUE The internal laws of the State of California shall govern the interpretation and enforcement of this Agreement. All legal actions must be instituted and maintained in the Superior Court of the County of Riverside, State of California, or in any other appropriate court in that County. DocuSign Envelope ID: 1C89E73E-F391-4089-B590-ED5301810D69DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 -16- XV. EXECUTION IN COUNTERPARTS This Agreement may be executed in counterparts, each of which shall be deemed to be an original, and such counterparts shall constitute one and the same instrument. XVI. NO CONFLICT OF INTEREST For the term of this Agreement, no member, officer, or employee of Grantee, during the term of his or her service with Grantee, shall have any direct interest in this Agreement, or obtain any present or anticipated material benefit arising therefrom. In addition, Subrecipient agrees to file, or to cause its employees or subcontractors to file, a Statement of Economic Interest with Grantee’s Filing Officer if such filing is required under state law in connection with the performance of the Services. XVII. THIRD PARTY BENEFICIARIES With the exception of the specific provisions set forth in this Agreement, there are no intended third-party beneficiaries under this Agreement and no such other third parties shall have any rights or obligations hereunder. XVIII. ENTIRE AGREEMENT This Agreement constitutes the entire agreement between Grantee and Subrecipient for the use of funds received under this Agreement and it supersedes all prior o r contemporaneous communications and proposals, whether electronic, oral, or written between Grantee and Subrecipient with respect to this Agreement. [Signatures on following page] DocuSign Envelope ID: 1C89E73E-F391-4089-B590-ED5301810D69DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 -17- IN WITNESS WHEREOF, the parties have executed this Agreement as of the date first written above. [Grantee] [Subrecipient] By: Armando G. Villa, City Manager By: Adriana Moreno, CEO Date: Date: By: Dennis Vrooman, Board President Attest: Stephanie Roseen, Acting City Clerk Date:________________________________ Countersigned: Margarita Cornejo, Acting CFO APPROVED AS TO FORM: Jeffrey Melching, City Attorney DocuSign Envelope ID: 1C89E73E-F391-4089-B590-ED5301810D69 6/29/2023 6/29/2023 DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55 7/18/2023 7/19/2023 7/19/2023 DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 EXHIBIT “B” PAGE 1 of 13 EXHIBIT A SUMMARY OF LEGAL REQUIREMENTS In addition to the requirements set forth in other provisions of the Agreement, Subrecipient shall comply, and shall cause all Subrecipient’s personnel to comply, with the following regulations and requirements insofar as they are applicable to the performance of the Agreement.1 1. Equal Opportunity and Nondiscrimination. a. Title VI of the Civil Rights Act of 1964, as amended, including Public Law 88-352 implemented in 24 C.F.R. Part 1. This law provides in part that no person shall, on the grounds of race, color, or national origin be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any program or activity receiving federal financial assistance. In regard to the sale or lease of property, Subrecipient shall cause or require a covenant running with the land to be inserted in the deed and leases prohibiting discrimination under this Title, and providing that Grantee and the United States are beneficiaries of and entitled to enforce such covenants. Subrecipient shall enforce such covenant and shall not itself so discriminate. b. Fair Housing Act, Title VIII of the Civil Rights Act of 1968, as amended, including Public Law 90-234. The Fair Housing Act provides in part that there shall be no discrimination in housing practices on the basis of race, color, religion, sex, and national origin. The Fair Housing Act was amended in 1988 to provide protections from discrimination in any aspect of the sale or rental of housing for families with children and persons with disabilities. The Fair Housing Act also establishes requirements for the design and construction of new rental or for-sale multi-family housing to ensure a minimum level of accessibility for persons with disabilities. c. Section 109 of Title I of the Housing and Community Development Act of 1974, as amended, including 42 U.S.C. 5301 et. seq., 42 U.S.C. 6101 et. seq., and 29 U.S.C. 794. This law provides in part that no person on the grounds of race, color, national origin, sex, or religion shall be excluded from participation in, be denied the benefits of, or otherwise be subject to discrimination under any activity funded in whole or part with funds under this Title. d. Section 104(b) of Title I of the Housing and Community Development Act of 1974, as amended, including 42 U.S.C. 5301 et. seq. This law provides in part that any grant under Section 106 shall be made only if the grantee certifies to the satisfaction of the Secretary of HUD that the grantee will, among other things, affirmatively further fair housing. 1 This exhibit is a list and summary of some of the applicable legal requirements and is not a complete list of all Subrecipient requirements. The description set forth next to a statute or regulation is a summary of certain provisions in the statute or regulation and is in no way intended to be a complete description or summary of the statute or regulation. In the event of any conflict between this summary and the requirements imposed by applicable laws, regulations, and requirements, the applicable laws, regulations, and requirements shall apply. DocuSign Envelope ID: 1C89E73E-F391-4089-B590-ED5301810D69DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 EXHIBIT “A” PAGE 2 of 13 e. Executive Order 11246, as amended. This order includes a requirement that grantees and subrecipients and their contractors and subcontractors not discriminate against any employee or applicant for employment because of race, color, religion, sex, or national origin. f. Executive Order 11063, as amended, including 24 C.F.R. Part 107. This order and its implementing regulations include requirements that all actions necessary be taken to prevent discrimination because of race, color, religion, sex, or national origin in the use, occupancy, sale, leasing, rental, or other disposition of property assisted with Federal loans, advances, grants, or contributions. g. Section 504 of the Rehabilitation Act of 1973, as amended. This Act specifies in part that no otherwise qualified individual shall solely by reason of his or her disability or handicap be excluded from participation (including employment), denied program benefits, or subjected to discrimination under any program or activity receiving Federal assistance. Subrecipient must ensure that its programs are accessible to and usable by persons with disabilities. h. The Americans with Disabilities Act (ADA) of 1990, as amended. This Act prohibits discrimination on the basis of disability in employment by state and local governments and in places of public accommodation and commercial facilities. The ADA also requires that facilities that are newly constructed or altered, by, on behalf of, or for use of a public entity, be designed and constructed in a manner that makes the facility readily accessible to and usable by persons with disabilities. The Act defines the range of conditions that qualify as disabilities and the reasonable accommodations that must be made to assure equality of opportunity, full participation, independent living, and economic self-sufficiency for persons with disabilities. i. The Age Discrimination Act of 1975, as amended. This law provides in part that no person shall be excluded from participation in, be denied program benefits, or subjected to discrimination on the basis of age under any program or activity receiving federal assistance. j. EEO/AA Statement. Subrecipient shall, in all solicitations or advertisements for employees placed by or on behalf of Subrecipient, state that it is an Equal Opportunity or Affirmative Action employer. k. Minority/Women Business Enterprise. Subrecipient will use its best efforts to afford small businesses and minority and women-owned business enterprises the maximum practicable opportunity to participate in the performance of the Agreement. As used in the Agreement, the term “small business” means a business that meets the criteria set forth in Section 3(a) of the Small Business Act, as amended (15 U.S.C. 632), and “minority and women- owned business enterprise” means a business at least fifty-one percent (51%) owned and controlled by minority group members or women. For the purpose of this definition, “minority group members” are Afro-Americans, Spanish-speaking, Spanish-surnamed or Spanish-heritage Americans, Asian-Americans, and American Indians. Subrecipient may rely on written representations by businesses regarding their status as minority and female business enterprises in lieu of an independent investigation. DocuSign Envelope ID: 1C89E73E-F391-4089-B590-ED5301810D69DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 EXHIBIT “A” PAGE 3 of 13 2. Environmental. a. Air and Water. Subrecipient shall comply with the following regulations insofar as they apply to the performance of the Agreement: Clean Air Act, 42 U.S.C. 7401, et seq.; Federal Water Pollution Control Act, as amended, 33 U.S.C. 1251, et seq., as amended, 1318 relating to inspection, monitoring, entry, reports, and information, as well as other requirements specified in said Section 114 and Section 308, and all regulations and guidelines issued thereunder; and the U.S. Environmental Protection regulations pursuant to 40 C.F.R. Part 50, as amended. b. Flood Disaster Protection Act of 1973. Subrecipient shall assure that for activities located in an area identified by FEMA as having special flood hazards, flood insurance under the National Flood Insurance Program is obtained and maintained. c. Lead-Based Paint. Subrecipient shall comply with the Lead-Based Paint Regulations referenced in 24 C.F.R. § 570.608, including 24 C.F.R. Part 35, et. al. d. Historic Preservation. Subrecipient shall comply with the historic preservation requirements set forth in the National Historic Preservation Act of 1966, as amended (16 U.S.C. 470) and the procedures set forth in 36 C.F.R. Part 800, Advisory Council on Historic Preservation Procedures for Protection of Historic Properties and related laws and Executive Orders, insofar as they apply to the performance of the Agreement. In general, this requires concurrence from the State Historic Preservation Officer for all rehabilitation and demolition of historic properties that are fifty years old or older or that are included on a federal, state, or local historic property list. e. Limitation on Activities Pending Clearance. In accordance with 24 C.F.R. § 58.22 entitled “Limitations on activities pending clearance, “neither a recipient nor any participant in the development process, including public or private nonprofit or for-profit entities, or any of their contractors, may commit HUD assistance under a program listed in 24 C.F.R. § 58.1(b) on an activity or project until HUD or the state has approved the recipient’s Request for Release of Funds (RROF) and the related certifications have been approved. Neither a recipient nor any participant in the development process may commit non-HUD funds or undertake an activity or project that would have an adverse environmental impact or limit the choice of reasonable alternatives. Upon completion of environmental review or receipt of environmental clearance, Grantee shall notify Subrecipient. HUD funds shall not be utilized before this requirement is satisfied. The environmental review or violation of the provisions may result in approval, modification of cancellation of the City Grant. If a project or activity is exempt under 24 C.F.R. § 58.34, or is categorically excluded (except in extraordinary circumstances) under 24 C.F.R. § 58.35(b), no RROF is required and the recipient may undertake the activity immediately after the Grantee has documented its determination that each activity or project is exempt and meets the conditions specified for such exemption under this section by issuin g a Notice to Proceed. 3. Uniform Administrative Requirements. The uniform administrative requirements described in 24 C.F.R. § 570.502. DocuSign Envelope ID: 1C89E73E-F391-4089-B590-ED5301810D69DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 EXHIBIT “A” PAGE 4 of 13 4. Other Program Requirements. Subrecipient shall carry out each activity under the Agreement in accordance with all applicable federal laws and regulations described in Subpart K of 24 C.F.R. § 570 except for Grantee’s environmental responsibilities under 24 C.F.R. § 570.604 and Grantee’s responsibility for initiating the review process under the provisions of 24 C.F.R. Part 52. 5. Reversion of Assets. Upon the expiration of the Funding Period or sooner termination of the Agreement, Subrecipient shall transfer to Grantee (a) any and all CDBG Funds, (b) any accounts receivable attributable to the use of CDBG Funds. In all cases in which equipment acquired, in whole or in part, with funds under the Agreement is sold, the proceeds shall be program income (prorated to reflect the extent to that funds received under the Agreement were used to acquire the equipment). Equipment not needed by Subrecipient for activities under the Agreement shall at the election of Grantee either be (a) transferred to Grantee for the CDBG program, or (b) retained by Subrecipient after compensating Grantee an amount equal to the current fair market value of the equipment less the percentage of non-CDBG funds used to acquire the equipment. 6. Relocation. Grantee shall not be responsible for relocating any occupants from any property. If required, Subrecipient shall have the sole and exclusive responsibility for providing relocation assistance and paying all relocation costs required to comply with all applicable federal and state laws, rules, and regulations, including the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, 42 U.S.C. § 4601 et seq., as amended, and implementing regulations, and HUD Handbook 1378. Subrecipient shall indemnify, defend, and hold Grantee harmless from and against any claims, liabilities, damages, or losses made against it by tenants or occupants of any property, including without limitation claims for relocation assistance, inverse condemnation, and claims otherwise arising from any act or omission of Subrecipient pursuant to the provision of relocation assistance. 7. Allowable Costs and Audits. Subrecipient shall comply with and administer the Program in accordance with the requirements of The Office of Management and Budget (OMB)”Super Circular” 2 CFR Part 200, which includes the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for federal awards, as applicable. 8. Records and Reports. Subrecipient shall provide to Grantee and shall cause each of its contractors, subcontractors, and subrecipients to provide to Grantee all records and reports relating to the Program that may be reasonably requested by Grantee in order to enable it to perform its record keeping and reporting obligations pursuant to the CDBG Requirements, including but not limited to those described in the Agreement and 24 C.F.R. § 570.506. 9. Religious Organizations. If Subrecipient is a religious organization as defined by the CDBG Requirements, Subrecipient shall comply with all conditions prescribed by HUD for the use of CDBG Funds by religious organizations, including the First Amendment of the United States Constitution regarding church/state principles and the applicable constitutional prohibitions set forth in 24 C.F.R. § 570.200(j). DocuSign Envelope ID: 1C89E73E-F391-4089-B590-ED5301810D69DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 EXHIBIT “A” PAGE 5 of 13 10. Conflict of Interest. Subrecipient will comply with 24 C.F.R. §§ 84.42, 85.36 and 570.611 regarding the avoidance of conflict of interest, which provisions include (but are not limited to) the following: i. Subrecipient shall maintain a written code or standards of conduct that shall govern the performance of its officers, employees or agents engaged in the award and administration of contracts supported by Federal funds. ii. No employee, officer or agent of the Subrecipient shall participate in the selection, or in the award, or administration of, a contract supported by Federal funds if a conflict of interest, real or apparent, would be involved. iii. No covered persons who exercise or have exercised any functions or responsibilities with respect to CDBG-assisted activities, or who are in a position to participate in a decision-making process or gain inside information with regard to such activities, may obtain a financial interest in any contract, or have a financial interest in any contract, subcontract, or agreement with respect to the CDBG-assisted activity, or with respect to the proceeds from the CDBG-assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for a period of one (1) year thereafter. For purposes of this paragraph, a “covered person” includes any person who is an employee, agent, consultant, officer, or elected or appointed official of the Grantee, the Subrecipient, or any designated public agency. 11. Political Activity (24 C.F.R. § 570.207(a)(3)). Subrecipient is prohibited from using CDBG Funds to finance the use of facilities or equipment for political purposes or to engage in other partisan political activities, such as sponsoring candidate forums, distributing brochures, voter transportation, or voter registration. 12. Anti-Lobbying Certification. By its execution of the Agreement, Subrecipient hereby certifies that: i. No Federal appropriated funds have been paid or will be paid, by or on behalf of it, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. ii. If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, it will complete and submit Standard Form-LLL, “Disclosure Form to Report Lobbying,” in accordance with its instructions. iii. It will require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts DocuSign Envelope ID: 1C89E73E-F391-4089-B590-ED5301810D69DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 EXHIBIT “A” PAGE 6 of 13 under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. This certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S.C. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. At the request of Grantee, Subrecipi ent shall execute a separate document that contains the certifications set forth above. 13. Drug-Free Workplace Requirements. Subrecipient shall comply with and be subject to the requirements of the federal drug-free workplace requirements, which include the following actions be taken: i. Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the grantee’s workplace and specifying the actions that will be taken against employees for violation of such prohibition. ii. Establishing an ongoing drug-free awareness program to inform employees about: (a) the dangers of drug abuse in the work place; (b) the grantee’s policy of maintaining a drug-free workplace; (c) any available drug counseling, rehabilitation, and employee assistance programs; and (d) the penalties that may be imposed upon employees for drug abuse violations occurring in the workplace. iii. Making it a requirement that each employee to be engaged in the performance of the grant be given a copy of the statement required by paragraph (i). iv. Notifying the employee in the statement required by paragraph (i) that, as a condition of employment under the grant, the employee will: (a) abide by the terms of the statement; and (b) notify the employer in writing of his or her conviction for a violation of a criminal drug statute occurring in the workplace no later than five (5) calendar days after such conviction. v. Notifying the agency in writing, within ten (10) calendar days after receiving notice under sub-paragraph (iv)(b) from an employee or otherwise receiving actual notice of such conviction. Employers of convicted employees must provide notice, including position title, to every grant officer or other designee on whose grant activity the convicted employee was working, unless the Federal agency has designated a central point for the receipt of such notices. Notice shall include the identification number(s) of each affected grant. vi. Taking one of the following actions, within thirty (30) calendar days of receiving notice under subparagraph (iv)(b), with respect to any employee who is so convicted: (a) taking appropriate personnel action against such an employee, up to and including termination, consistent with the requirements of the Rehabilitation Act of 1973, as amended; or (b) requiring such employee to participate satisfactorily in a drug abuse DocuSign Envelope ID: 1C89E73E-F391-4089-B590-ED5301810D69DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 EXHIBIT “A” PAGE 7 of 13 assistance or rehabilitation program approved for such purposes by a Federal, State or local health, law enforcement, or other appropriate agency. vii. Making a good faith effort to continue to maintain a drug-free workplace through implementation of paragraphs (i), (ii), (iii), (iv), (v), and (vi). 14. Procurement. Subrecipient will comply with the procurement standards under 24 C.F.R. § 85.36 for governmental subrecipients and 24 C.F.R. §§ 84.40-84.48 for subrecipients that are non-profit organizations. Subrecipient shall comply with all existing and future Grantee policies concerning the purchase of equipment. 15. Labor Provisions. a. Section 3 of the Housing and Community Development Act of 1968. Subrecipient shall comply with and cause its contractors and subcontractors to comply with the requirements of Section 3 of the Housing and Urban Development Act of 1968 (12 U.S.C. § 1701u), the HUD regulations issued pursuant thereto at 24 C.F.R. Part 135, and any applicable rules and orders of HUD issued thereunder. The Section 3 clause, set forth in 24 C.F.R § 135.38 provides: i. The work to be performed under this contract is subject to the requirements of Section 3 of the Housing and Urban Development Act of 1968, as amended, 12 U.S.C. § 1701u (“Section 3”). The purpose of Section 3 is to ensure that employment and other economic opportunities generated by HUD assistance or HUD-assisted projects covered by Section 3, shall, to the greatest extent feasible, be directed to low- and very low-income persons, particularly persons who are recipients of HUD assistance for housing. ii. The parties to this contract agree to comply with HUD’s regulations in 24 C.F.R. Part 135, which implement Section 3. As evidenced by their execution of this contract, the parties to this contract certify that they are under no contractual or other impediment that would prevent them from complying with the Part 135 regulations. iii. The contractor agrees to send to each labor organization or representative of workers with which the contractor has a collective bargaining agreement or other understanding if any, a notice advising the labor organization or workers’ representative of the contractor’s commitments under this Section 3 clause, and will post copies of the notice in conspicuous places at the work site where both employees and applicants for training and employment positions can see the notice. The notice shall describe the Section 3 preference, shall set forth minimum number and job titles subject to hire, availability of apprenticeship and training positions, the qualifications for each; and the name and location of the person(s) taking applications for each of the positions; and the anticipated date the work shall begin. iv. The contractor agrees to include this Section 3 clause in every subcontract subject to compliance with regulations in 24 C.F.R. Part 135, and agrees to take appropriate action, as provided in an applicable provision of the subcontract or in this Section 3 clause, upon a finding that the subcontractor is in violation of the regulations in 24 C.F.R. Part 135. The contractor will not subcontract with any subcontractor where the contractor has DocuSign Envelope ID: 1C89E73E-F391-4089-B590-ED5301810D69DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 EXHIBIT “A” PAGE 8 of 13 notice or knowledge that the subcontractor has been found in violation of the regulations in 24 C.F.R. Part 135. v. The contractor will certify that any vacant employment positions, including training positions, that are filled (1) after the contractor is selected but before the contract is executed, and (2) with persons other than those to whom the regulations of 24 C.F.R. Part 135 require employment opportunities to be directed, were not filled to circumvent the contractor’s obligations under 24 C.F.R. Part 135. vi. Noncompliance with HUD’s regulations in 24 C.F.R Part 135 may result in sanctions, termination of this contract for default, and debarment or suspension from future HUD assisted contracts. Subrecipient shall abide by the Section 3 clause set forth above and will also cause this Section 3 clause to be inserted in all contracts relating to the Program. b. Labor Standards. Subrecipient shall comply with the provisions of 24 C.F.R. § 570.603 and related requirements. Subrecipient shall include in all applicable construction contracts the provisions of federal law imposing labor standards on federally assisted contracts. Subrecipient shall comply with the requirements of the Secretary of Labor in accordance with the Davis-Bacon Act as amended (40 U.S.C. 3141 through 3148), the provisions of Contract Work Hours and Safety Standards Act (40 U.S.C. 327 et seq. and implementing regulations), the Copeland Anti-Kick Back Act (40 U.S.C. 276c and 18 U.S.C. 874 et seq.), the implementing regulations of the U.S. Department of Labor including 29 C.F.R. Parts 1, 3, 5, 6 and 7, and all other applicable Federal, state and local laws and regulations pertaining to labor standards insofar as those acts apply to the performance of the Agreement. Subrecipient shall maintain documentation that demonstrates compliance with these provisions and such documentation shall be made available to Grantee and HUD for review upon request. Subrecipient shall cause or require to be inserted in full, in all such contracts subject to such regulations, provisions meeting the requirements of this paragraph. c. HUD Form 4010. Subrecipient shall comply and cause Subrecipient Personnel to comply with the provisions of HUD Form 4010 attached hereto. HUD Form 4010 must be included in the bid packet and construction contract and subcontracts for the Program. DocuSign Envelope ID: 1C89E73E-F391-4089-B590-ED5301810D69DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 EXHIBIT “A” PAGE 9 of 13 DocuSign Envelope ID: 1C89E73E-F391-4089-B590-ED5301810D69DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 EXHIBIT “A” PAGE 10 of 13 DocuSign Envelope ID: 1C89E73E-F391-4089-B590-ED5301810D69DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 EXHIBIT “A” PAGE 11 of 13 DocuSign Envelope ID: 1C89E73E-F391-4089-B590-ED5301810D69DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 EXHIBIT “A” PAGE 12 of 13 DocuSign Envelope ID: 1C89E73E-F391-4089-B590-ED5301810D69DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 EXHIBIT “A” PAGE 13 of 13 DocuSign Envelope ID: 1C89E73E-F391-4089-B590-ED5301810D69DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 EXHIBIT “B” PAGE 1 of 3 EXHIBIT B SUBAWARD IDENTIFICATION NOTICE DocuSign Envelope ID: 1C89E73E-F391-4089-B590-ED5301810D69DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 EXHIBIT “B” PAGE 2 of 3 City of Menifee Finance Department Federal Award Identification Notice i. Subrecipient Name: SAFE FAMILY JUSTICE CENTERS ii. Subrecipient’s Unique Entity Identifier (DUNS): 138299438 iii. Federal Award Identification Number (FAIN): B-23-MC-06-0604 iv. Federal Award Date: July 1, 2023 v. Subaward Period of Performance: July 1, 2023 through June 30, 2024 vi. Amount of Federal Funds ($) Obligated by this action by the pass through entity to the to the subrecipient: $10,000.00 vii. Total Amount of Federal Funds Obligated to the subrecipient by the pass-through entity including the current obligation: $10,000.00 viii. Total Amount of Federal Award committed to the subrecipient by the pass through entity: $10,000.00 ix. Federal Award project description, as required to be responsive to the Federal Funding Accountability and Transparency Act (FFATA): Community Development Block Grant Program (CDBG) Entitlement (CFDA #14- 218) City of Menifee CDBG Public Services. Specifically this program/project will entail the: Safe Alternatives for Everyone is committed to providing services for children, youth, and families, who have experienced, or are at risk of abuse and violence. Services will be provided to at least fifty-one (51) LMI persons. x. Name of the Federal Awarding agency, pass through entity, and contact information for the awarding official of the Pass through entity: Federal Awarding Agency – U.S. Department of Housing & Urban Development (HUD) Pass through Entity: City of Menifee, CA Awarding Official: Armando Villa, City Manager Phone: (951) 672-6777 DocuSign Envelope ID: 1C89E73E-F391-4089-B590-ED5301810D69DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 EXHIBIT “B” PAGE 3 of 3 xi. CFDA Number and Name: 14.218 (Community Development Block Grant/Entitlement Grants xii. Identification of whether the award is R&D: No xiii. Indirect cost rate for the federal award (including if the de minimus rate is charged per 200.414 Indirect F&A costs: $0/De Minimus DocuSign Envelope ID: 1C89E73E-F391-4089-B590-ED5301810D69DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD PRODUCER CONTACT NAME: FAXPHONE (A/C, No):(A/C, No, Ext): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY)(MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT OTHER:$ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person)$ OWNED SCHEDULED BODILY INJURY (Per accident)$AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE CLAIMS-MADE AGGREGATE $ DED RETENTION $ PER OTH- STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) $ $ $ $ $ The ACORD name and logo are registered marks of ACORD 6/7/2023 (951) 284-4887 10023 SAFE Family Justice Centers 28910 Pujol Street Temecula, CA 92590 10346 A 1,000,000 2022-08727 8/28/2022 8/28/2023 500,000 20,000 1,000,000 2,000,000 2,000,000 1,000,000A 2022-08727 8/28/2022 8/28/2023 2,000,000A 2023 -080727 -UMB 3/1/2023 8/28/2023 2,000,000 B EIG477280402 6/1/2023 6/1/2024 1,000,000 1,000,000 1,000,000 Verification Of Insurance City of Menifee 29844 Haun Rd Menifee, CA 92586 SAFEFAM-01 JDOMONDON Inszone Insurance Services, LLC 2721 Citrus Road, Suite A Rancho Cordova, CA 95742 Capri Segeberg csegeberg@inszoneins.com Nonprofits Insurance Alliance Employers Preferred Insurance Company X X X X X X X X X DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B SAFE FAMILY JUSTICE CENTERS Unique Entity ID LZR9CKQ3RM87 CAGE / NCAGE 5EGF1 Purpose of Registration All Awards Registration Status Active Registration Expiration Date Aug 11, 2023 Physical Address 28910 Pujol ST Temecula, California 92590-6700 United States Mailing Address 28910 Pujol Street Temecula, California 92590-6700 United States Business Information Doing Business as (blank) Division Name Safe Family Justice Center Division Number (blank) Congressional District California 50 State / Country of Incorporation California / United States URL http://www.safefamiliesca.org Registration Dates Activation Date Aug 12, 2022 Submission Date Aug 11, 2022 Initial Registration Date Apr 13, 2009 Entity Dates Entity Start Date Dec 1, 1998 Fiscal Year End Close Date Sep 30 Immediate Owner CAGE (blank) Legal Business Name (blank) Highest Level Owner CAGE (blank) Legal Business Name (blank) Executive Compensation Registrants in the System for Award Management (SAM) respond to the Executive Compensation questions in accordance with Section 6202 of P.L. 110-252, amending the Federal Funding Accountability and Transparency Act (P.L. 109-282). This information is not displayed in SAM. It is sent to USAspending.gov for display in association with an eligible award. Maintaining an active registration in SAM demonstrates the registrant responded to the questions. Proceedings Questions Registrants in the System for Award Management (SAM.gov) respond to proceedings questions in accordance with FAR 52.209-7, FAR 52.209-9, or 2. C.F.R. 200 Appendix XII. Their responses are displayed in the responsibility/qualification section of SAM.gov. Maintaining an active registration in SAM.gov demonstrates the registrant responded to the proceedings questions. Exclusion Summary Active Exclusions Records? No SAM Search Authorization I authorize my entity's non-sensitive information to be displayed in SAM public search results: Yes Entity Types Business Types Entity Structure Corporate Entity (Tax Exempt) Entity Type Business or Organization Organization Factors (blank) Profit Structure Non-Profit Organization Last updated by Katie Gilbertson on Aug 11, 2022 at 07:39 AM SAFE FAMILY JUSTICE CENTERS https://sam.gov/entity/LZR9CKQ3RM87/coreData?status=Active Page 1 of 2 DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B Socio-Economic Types Check the registrant's Reps & Certs, if present, under FAR 52.212-3 or FAR 52.219-1 to determine if the entity is an SBA-certified HUBZone small business concern. Additional small business information may be found in the SBA's Dynamic Small Business Search if the entity completed the SBA supplemental pages during registration. Other Entity Qualifiers Domestic Shelter Financial Information Accepts Credit Card Payments Yes Debt Subject To Offset No EFT Indicator 0000 CAGE Code 5EGF1 Points of Contact Electronic Business Katie Gilbertson, Executive Director 28910 Pujol Street Temecula, California 92590 United States Government Business Katie Gilbertson, Executive Director 28910 Pujol Street Temecula, California 92590 United States Service Classifications NAICS Codes Primary Yes NAICS Codes 624230 NAICS Title Emergency And Other Relief Services 624110 Child And Youth Services 624190 Other Individual And Family Services 624221 Temporary Shelters Product and Service Codes PSC PSC Name G003 Social- Recreational Disaster Response This entity does not appear in the disaster response registry. Last updated by Katie Gilbertson on Aug 11, 2022 at 07:39 AM SAFE FAMILY JUSTICE CENTERS https://sam.gov/entity/LZR9CKQ3RM87/coreData?status=Active Page 2 of 2 DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 COMMUNITY DEVELOPMENT BLOCK GRANT AGREEMENT BETWEEN CITY OF MENIFEE AND MENIFEE VALLEY COMMUNITY CUPBOARD FOR PUBLIC SERVICES FOR THE CITY OF MENIFEE COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM THIS COMMUNITY DEVELOPMENT BLOCK GRANT AGREEMENT (“Agreement”), entered into as of this day of by and between the CITY OF MENIFEE, a California municipal corporation (“Grantee”), and MENIFEE VALLEY COMMUNITY CUPBOARD, a California nonprofit corporation (“Subrecipient”). R E C I T A L S WHEREAS, Grantee participates in the Community Development Block Grant program administered by the United States Department of Housing and Urban Development (“HUD”) under Title I of the Housing and Community Development Act of 1974 (42 U.S.C. §§ 5301 et seq.) as amended from time to time, and the regulations promulgated thereunder (24 C.F.R. §§ 570 et seq.). Pursuant to the Community Development Block Grant program, Grantee receives funds from HUD (“CDBG Funds”) to be used for the support of community development activities that meet at least one of the three national objectives of the program: (i) benefiting low and moderate income persons, (ii) preventing and eliminating slums and blight, and (iii) addressing a community development need having a particular urgency; WHEREAS, Subrecipient is a nonprofit organization dedicated to providing food at no cost to low income and homeless individuals and families struggling with hunger and malnutrition in the community of Menifee Valley and surrounding areas; WHEREAS, Subrecipient desires to utilize CDBG Funds to provide services to the people in the Menifee Valley, including residents of Grantee; WHEREAS, Grantee desires to assist Subrecipient with the foregoing by providing financial assistance to Subrecipient in the form of a grant of CDBG Funds in the amount not to exceed Seventeen Thousand One Hundred Seventy Seven Dollars and Zero Cents ($17,177.00) (“City Grant”) to be used by Subrecipient for certain expenses related to the Program, more particularly described herein as the “Eligible Project Expenses”; and WHEREAS, Grantee’s provision of the City Grant to Subrecipient pursuant to this Agreement, and the fulfillment generally of this Agreement, are in the vital and best interests of Grantee and the welfare of its residents, and in accordance with the purpose and provisions of the Community Development Block Grant program. NOW, THEREFORE, based upon the foregoing Recitals and for good and valuable consideration, the receipt and sufficiency of which is acknowledged by both parties, Grantee and Subrecipient hereby agree as follows: DocuSign Envelope ID: DEE21A02-1DC8-4FC7-82CB-B9DFB6530DC3DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55 19 July DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 -2- I. SCOPE OF SERVICE A. Activities Subrecipient will be responsible for administering a Community Development Block Grant (“CDBG”) Year 2023/2024 Public Services Program (“Program”) in a manner satisfactory to Grantee and consistent with any standards required as a condition of providing these funds. Such program will include the following activities eligible under the CDBG program: Program Delivery Activity #1: Emergency Food Distribution Program including: providing emergency food boxes with nutritionally balanced food based on family size ("Services"). Each food box contains canned and dry items, fresh produce/fruit, eggs, grains, and frozen foods. The Emergency Food Distribution Program offers home delivery to disabled or homebound/frail individuals. Food boxes are available to a family once per calendar month. Services will be provided to at least one thousand four hundred (1400) LMI persons. General Administration Subrecipient will be responsible for the general administration of the Program activities set forth herein in a manner satisfactory to Grantee and consistent with the standards set forth in this Agreement. General administration of the Program includes the following activities: 1. Project Monitoring 2. Project Fiscal Management 3. Project Reporting B. National Objectives All activities funded with CDBG Funds must meet one of the CDBG program’s national objectives: (i) benefiting low and moderate income persons, (ii) preventing and eliminating slums and blight, and (iii) addressing a community development need having a particular urgency, as defined in 24 C.F.R. § 570.208. Subrecipient certifies that the Services will meet one of the CDBG program’s national objectives by providing services that directly benefit LMI persons. Subrecipient will provide the Services to a minimum of At least One thousand four hundred (1400) LMI persons. Subrecipient shall document and maintain records of the number of LMI persons served throughout the year. C. Levels of Accomplishment – Goals and Performance Measures Subrecipient agrees to provide the following levels of program services: Activity Total Units/Year Activity#1 At least One thousand four hundred (1400) LMI persons DocuSign Envelope ID: DEE21A02-1DC8-4FC7-82CB-B9DFB6530DC3DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 -3- LMI person is defined as a person having an income equal or less to than 80% of the area median income, and outlined in the following table, or persons presumed to be LMI in accordance with 24 C.F. R. § 570.208(2)(a). Riverside County Area Median Income (FY 2023): $94,500 Family Members Extremely Low Income Limits (30% of Median) Very Low Income Limits (50% of Median) Low Income Limits (80% of Median) In Household Annual Monthly Annual Monthly Annual Monthly 1 $19,600 $1,633 $32,650 $2,721 $52,200 $4,350 2 $22,400 $1,867 $37,300 $3,108 $59,650 $4,971 3 $25,200 $2,100 $41,950 $3,496 $67,100 $5,592 4 $30,000 $2,500 $46,600 $3,883 $74,550 $6,213 5 $35,140 $2,928 $50,350 $4,196 $80,550 $6,713 6 $40,280 $3,357 $54,100 $4,508 $86,500 $7,208 7 $45,420 $3,785 $57,800 $4,817 $92,450 $7,704 8 $50,560 $4,213 $61,550 $5,129 $98,450 $8,204 D. Staffing Subrecipient shall ensure adequate and appropriate staffing is allocated to performance of the Services. Nothing contained in this Agreement is intended to, or shall be construed in any manner, as creating or establishing the relationship of employer/employee between the parties. Subrecipient shall at all times remain an “independent contractor” with respect to the services to be performed under this Agreement. Grantee shall be exempt from payment of all Unemployment Compensation, FICA, retirement, life and/or medical insurance, and Workers’ Compensation Insurance, as Subrecipient is an independent contractor. E. Performance Monitoring Grantee will monitor the performance of Subrecipient against goals and performance standards stated above. Substandard performance as determined by Grantee will constitute noncompliance with this Agreement. If action to correct such substandard performance is not taken by Subrecipient within ten (10) days after being notified by Grantee of such substandard performance, Grantee may, but is not required to, initiate contract suspension or termination procedures to suspend or terminate this Agreement. DocuSign Envelope ID: DEE21A02-1DC8-4FC7-82CB-B9DFB6530DC3DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 -4- II. TIME OF PERFORMANCE The term of this Agreement is from July 1, 2023 through June 30, 2024. The term of this Agreement and the provisions herein shall be extended to cover any additional time period during which Subrecipient remains in control of CDBG Funds or other CDBG asset, including Program income. III. BUDGET Subrecipient shall apply the City Grant funds received from Grantee under this Agreement in accordance with the line item budget set forth as follows: Eligible Project Expense Amount Non-Personnel (Supplies, etc.) $0 Fringe $0 Office Space (Program only) $17,177 Utilities $0 Communications $0 Reproduction/Printing $0 Supplies and Materials $0 Mileage $0 Audit $0 Gift Cards used for food, clothes, $0 hotels, and gas _____________________________ _____________ TOTAL $17,177.00 Any indirect costs charged must be consistent with the conditions of this Agreement. In addition, Grantee may require a more detailed budget breakdown than the one contained herein, and Subrecipient shall provide such supplementary budget information in a timely fashion in the form and content prescribed by Grantee. Any amendments to the budget must be approved in writing by both Grantee and Subrecipient. IV. PAYMENT It is expressly agreed and understood that the total amount to be paid by Grantee under this Agreement shall not exceed Seventeen Thousand One Hundred Seventy Seven Dollars and Zero Cents ($17,177.00). Drawdowns for the payment of Eligible Project Expenses shall be made against the line item budget specified in Section III (Budget) herein and in accordance with performance of the Services. Expenses for general administration shall also be paid against the line item budgets specified in Section III (Budget) and in accordance with performance of the Services. City Grant payments shall be made to: MENIFEE VALLEY COMMUNITY CUPBOARD 26808 Cherry Hills Bl Menifee, CA 92586 DocuSign Envelope ID: DEE21A02-1DC8-4FC7-82CB-B9DFB6530DC3DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 -5- Payments may be contingent upon certification of Subrecipient’s financial management system in accordance with the standards specified in 24 C.F.R. § 84.21. V. NOTICES Subrecipient shall notify Grantee of any of the following changes:  Loss of Non-Profit Status; or  Change in leadership of Subrecipient or changes in staff administering this Agreement. Notices required by this Agreement shall be in writing and delivered via mail (postage prepaid), commercial courier, or personal delivery or sent by facsimile or other electronic means. Any notice delivered or sent as aforesaid shall be effective on the date of delivery or sending. All notices and other written communications under this Agreement shall be addressed to the individuals in the capacities indicated below, unless otherwise modified by subsequent written notice. Communication and details concerning this contract shall be directed to the following contract representatives: Grantee Subrecipient Edna Lebron, Sr. Management Analyst City of Menifee 29844 Haun Road Menifee, CA 92586 Phone: (951) 672-6777 Fax: (951) 679-3843 Dawn L. Smith, Executive Director MENIFEE VALLEY COMMUNITY CUPBOARD 26808 Cherry Hills Bl Menifee, CA 92586 Phone: 951-746-0295 VI. SPECIAL CONDITIONS None VII. GENERAL CONDITIONS A. General Compliance Subrecipient shall carry out the Services and operate the Program in conformity with all applicable Federal, state, and local laws, regulations, and rules of governmental agencies having jurisdiction, including without limitation, the CDBG Requirements (except that (1) Subrecipient does not assume the environmental responsibilities described in 24 C.F.R. § 570.604, and (2) Subrecipient does not assume the responsibility for initiating the review process under the provisions of 24 C.F.R. Part 52) and the legal requirements set forth in Exhibit A attached to this Agreement and the statutes referenced therein, all provisions of the Municipal Code of the City of Menifee, and all federal and state fair labor standards, including the payment of prevailing wages DocuSign Envelope ID: DEE21A02-1DC8-4FC7-82CB-B9DFB6530DC3DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 -6- and compliance with the Davis-Bacon Act. “CDBG Requirements” shall collectively refer to the requirements of Title I of the Housing and Community Development Act of 1974 (42 U.S.C. §§ 5301 et seq.) as amended from time to time, and the implementing regulations set forth in 24 C.F.R. §§ 570 et seq. as amended from time to time, and the requirements set forth and referred to in Exhibit A attached to this Agreement. Subrecipient further agrees to utilize funds available under this Agreement to supplement rather than supplant funds otherwise available. In the case of any conflict between the CDBG Requirements and this Agreement, the CDBG Requirements shall control; it being understood, however, that in order to be in compliance with this Agreement and the CDBG Requirements, Subrecipient shall, to the extent possible, comply with the most restrictive provisions in this Agreement and the CDBG Requirements. Each and every provision required by law to be included in this Agreement shall be deemed to be included, and this Agreement shall be read and enforced as though all such provisions were included. Subrecipient acknowledges and agrees that it shall be and remain, and shall cause Subrecipient personnel to be and remain, fully knowledgeable and apprised of all local, state and federal laws, rules, and regulations in any manner affecting the performance under this Agreement, including the CDBG Requirements. Subrecipient shall indemnify, protect, defend, and hold harmless Grantee and its officials, officers, employees, and agents, with counsel reasonably acceptable to Grantee, from and against any and all loss, liability, damage, claim, cost, expense and/or “increased costs” (including reasonable attorneys’ fees, court and litigation costs, and fees of expert witnesses) that results or arises in any way from any of the following: (a) the noncompliance by Subrecipient of any applicable local, state and/or federal law, including, without limitation, any applicable federal and/or state labor laws (including, without limitation, if applicable, the requirement to pay state or federal prevailing wages and hire apprentices); (b) the implementation of Section 1781 of the Labor Code, as the same may be amended from time to time, or any other similar law; and/or (c) failure by Subrecipient to provide any required disclosure or identification as required by Labor Code Section 1781, as the same may be amended from time to time, or any other similar law. The foregoing indemnity shall survive termination or expiration of this Agreement. It is agreed by the parties that Subrecipient shall bear all risks of payment or nonpayment of prevailing wages under federal law and California law and/or the implementation of Labor Code Section 1781, as the same may be amended from time to time, and/or any other similar law. “Increased costs,” as used in this Section, shall have the meaning ascribed to it in Labor Code Section 1781, as the same may be amended from time to time. B. Hold Harmless Subrecipient shall indemnify, defend, and hold harmless Grantee and its officers, officials, employees, representatives, and agents (each, an “Indemnitee”) from and against any and all liability, expense or damage of any kind or nature, and for, from and against any suits, claims or demands, including legal fees and expenses, on account of or arising out of this Agreement or otherwise in connection with the Program or Services, except to the extent of such loss as may be caused by the sole negligence or willful misconduct of an Indemnitee. Upon receiving knowledge of any suit, claim or demand asserted by a third party that Grantee believes is covered by this indemnity, Grantee shall give Subrecipient written notice of the matter and an opportunity to defend it, at Subrecipient’s sole cost and expense, with legal counsel satisfactory to Grantee. DocuSign Envelope ID: DEE21A02-1DC8-4FC7-82CB-B9DFB6530DC3DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 -7- C. Workers’ Compensation Subrecipient shall provide Workers’ Compensation Insurance coverage for all of its employees involved in the performance of this Agreement. D. Insurance & Bonding Subrecipient shall carry sufficient insurance coverage to protect contract assets from loss due to theft, fraud and/or undue physical damage, and as a minimum shall purchase a blanket fidelity bond covering all employees in an amount equal to the amount of the City Grant. Subrecipient shall comply with the bonding and insurance requirements of 24 C.F.R. §§ 84.31 and 84.48, Bonding and Insurance. Subrecipient will not be relieved of any liability, claims, demands, or other obligations assumed by its failure to procure or maintain insurance, or its failure to procure or maintain insurance in sufficient amounts, durations, or types. Subrecipient shall name Grantee and its officers, officials, employees, volunteers, agents, and representatives as an additional insured under its general liability insurance and provide a copy of its insurance certificate(s) to Grantee. Failure on the part of Subrecipient to procure or maintain policies providing the required coverages, conditions, and minimum limits will constitute a material breach of this Agreement, upon which Grantee may immediately terminate this Agreement. E. Licensing Subrecipient agrees to comply with and obtain at its own expense, if necessary, all applicable Federal, state, county, or municipal standards for licensing, certifications and operation of facilities and programs, including the Program, and accreditation and licensing of individuals, and any other standards or criteria as described in this Agreement to assure quality of the Services. In the event of an investigation or suspension regarding any Subrecipient license related to the Services under this Agreement, Grantee may terminate this Agreement and withhold further City Grant funds. In addition, monies already received under this Agreement may be owed back to Grantee. F. Grantee Recognition Subrecipient shall ensure recognition of the role of Grantee in providing Services through this Agreement. All activities, facilities, and items utilized pursuant to this Agreement shall be prominently labeled as to funding source. In addition, Subrecipient will include a reference to the support provided herein in all publications made possible with City Grant funds under this Agreement. DocuSign Envelope ID: DEE21A02-1DC8-4FC7-82CB-B9DFB6530DC3DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 -8- G. Amendments Grantee or Subrecipient may amend this Agreement at any time provided that such amendments make specific reference to this Agreement, and are executed in writing, signed by a duly authorized representative of each party, and approved by Grantee’s governing body. Such amendments shall not invalidate this Agreement, nor relieve or release Grantee or Subrecipient from its obligations under this Agreement. Grantee may, in its discretion, amend this Agreement to conform with Federal, state, or local governmental guidelines, policies, and available funding amounts, or for other reasons. If such amendments result in a change in the funding, the scope of Services, or schedule of the activities to be undertaken as part of this Agreement, such modifications will be incorporated only by written amendment signed by both Grantee and Subrecipient. H. Suspension or Termination In accordance with 24 C.F.R. § 85.43, Grantee may suspend or terminate this Agreement if Subrecipient materially fails to comply with any terms of this Agreement, which include (but are not limited to) the following: 1. Failure to comply with any of the rules, regulations, or provisions referred to herein, or such statutes, regulations, executive orders, and HUD guidelines, policies, or directives as may become applicable at any time; 2. Failure, for any reason, of Subrecipient to fulfill in a timely and proper manner its obligations under this Agreement; 3. Ineffective or improper use of City Grant funds provided under this Agreement; or 4. Submission by Subrecipient to Grantee reports that are incorrect or incomplete in any material respect. In accordance with 24 C.F.R. § 85.44, this Agreement may also be terminated for convenience by either Grantee or Subrecipient, in whole or in part, by setting forth the reasons for such termination, the effective date, and, in the case of partial termination, the portion to be terminated. However, if in the case of a partial termination, Grantee determines that the remaining portion of the City Grant funds will not accomplish the purpose for which the grant was made, Grantee may terminate this Agreement in its entirety. VIII. ADMINISTRATIVE REQUIREMENTS A. Financial Management 1. Accounting Standards Subrecipient agrees to comply with 24 C.F.R. §§ 84.21 – 84.28 and agrees to adhere to the accounting principles and procedures required therein, utilize adequate internal controls, and maintain necessary source documentation for all costs incurred. DocuSign Envelope ID: DEE21A02-1DC8-4FC7-82CB-B9DFB6530DC3DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 -9- 2. Cost Principles Subrecipient shall administer its program in conformance with the requirements of The Office of Management and Budget (OMB)”Super Circular” 2 CFR Part 200, which includes the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for federal awards, as applicable. The Super Circular guidance superseded and consolidated the requirements from OMB Circulars A-21, A-87, A-110, A-122, A-89, A-102, A-133, and A-50. These principles shall be applied for all costs incurred whether charged on a direct or indirect basis. [Note: For the above sections, if Subrecipient is a governmental or quasi-governmental agency, the applicable section of 24 C.F.R. Part 85, “Uniform Administrative Requirements for Grants and Cooperative Agreements to State and Local Governments,” and OMB Circular A-87 would apply.] B. Documentation and Record Keeping 1. Records to be Maintained Subrecipient shall maintain all records required by the Federal regulations specified in 24 C.F.R. § 570.506, that are pertinent to the activities to be funded under this Agreement. Such records shall include but not be limited to: a. Records providing a full description of each activity undertaken; b. Records demonstrating that each activity undertaken meets one of the National Objectives of the CDBG program; c. Records required to determine the eligibility of activities; d. Records required to document the acquisition, improvement, use or disposition of real property acquired or improved with CDBG assistance; e. Records documenting compliance with the fair housing and equal opportunity components of the CDBG program; f. Financial records as required by 24 C.F.R. § 570.502, and 24 C.F.R. §§ 84.21 – 84.28; and g. Other records necessary to document compliance with Subpart K of 24 C.F.R. Part 570. 2. Retention Subrecipient shall retain all financial records, supporting documents, statistical records, and all other records pertinent to this Agreement for a period of five (5) years. The retention period begins on the date of the submission of Grantee’s annual performance and evaluation report to HUD in which the Services under this Agreement are reported on for the final time. Notwithstanding the above, if there is any litigation, claim, audit, negotiation, or other action that DocuSign Envelope ID: DEE21A02-1DC8-4FC7-82CB-B9DFB6530DC3DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 -10- involves any of the records cited and that has started before the expiration of the five-year retention period, then such records must be retained until completion of the litigation, claim, audit, negotiation, or other action and the resolution of all issues, or until the expiration of the five -year period, whichever occurs later. 3. Client Data Subrecipient shall maintain client data demonstrating client eligibility for Services provided. Such data shall include, but not be limited to, client name, address, income level or other basis for determining eligibility, and description of service provided. Such information shall be made available to Grantee monitors or their designees for review upon request. 4. Disclosure Subrecipient understands that client information collected under this contract is private and the use or disclosure of such information, when not directly connected with the administration of Grantee’s or Subrecipient’s responsibilities with respect to the Services provided under this Agreement, is prohibited unless written consent is obtained from such person receiving service and, in the case of a minor, that of a responsible parent/guardian of person receiving service. 5. Close-outs Subrecipient’s obligation to Grantee shall not end until all close-out requirements are completed. Activities during this close-out period shall include, but are not limited to: making final payments, disposing of program assets (including the return of all unused materials, equipment, unspent cash advances, program income balances, and accounts receivable to Grantee), and determining the custodianship of records. Notwithstanding the foregoing, the terms of this Agreement shall remain in effect during any period that Subrecipient has control over CDBG Funds, including program income. Subrecipient will have thirty (30) days after the end of the period defined in Section II (Time of Performance) to submit all final reimbursement request(s), progress reports, and a comprehensive annual report. 6. Audits & Inspections Subrecipient records with respect to any matters covered by this Agreement shall be made available to Grantee, HUD, and the Comptroller General of the United States or any of their authorized representatives, at any time during normal business hours, as often as deemed necessary, to audit, examine, and make excerpts or transcripts of all relevant data. Any deficiencies noted in audit reports must be fully cleared by Subrecipient within thirty (30) days after receipt by Subrecipient of the audit report. Failure of Subrecipient to comply with the above audit requirements will constitute a violation of this Agreement and may result in the withholding by Grantee of future payments of the City Grant. Subrecipient hereby agrees to have an annual agency audit conducted in accordance with current Grantee policy concerning subrecipient audits and with the requirements of The Office of Management and Budget (OMB)”Super Circular” 2 CFR Part 200, which includes the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for federal awards, as applicable. The Super Circular guidance superseded DocuSign Envelope ID: DEE21A02-1DC8-4FC7-82CB-B9DFB6530DC3DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 -11- and consolidated the requirements from OMB Circulars A-21, A-87, A-110, A-122, A-89, A-102, A-133, and A-50.. C. Reporting and Payment Procedures 1. Program Income Subrecipient shall report quarterly all program income (as defined at 24 C.F.R. § 570.500(a)) generated by activities carried out with CDBG Funds made available under this Agreement. The use of program income by Subrecipient shall comply with the requirements set forth at 24 C.F.R. § 570.504. By way of further limitations, Subrecipient may use such program income during the term of this Agreement and shall reduce requests for additional City Grant funds by the amount of any such program income balances on hand. All unexpended program income shall be returned to Grantee at the end of the term of this Agreement. Any interest earned on cash advances from the U.S. Treasury and from funds held in a revolving fund account is not program income and shall be remitted promptly to Grantee. 2. Indirect Costs If indirect costs are charged, Subrecipient will develop an indirect cost allocation plan for determining the appropriate Subrecipient’s share of administrative costs and shall submit such plan to Grantee for approval, in a form specified by Grantee. 3. Payment Procedures Grantee shall reimburse Subrecipient only for actual incurred costs upon presentation of properly executed reimbursement forms as provided and approved by Grantee. Only those Eligible Project Expenses directly related to this Agreement shall be reimbursed. The amount of each request must be limited to the amount needed for payment of Eligible Project Expenses. In the event that Grantee or HUD determines that any CDBG Funds were expended by Subrecipient for unauthorized or ineligible purposes or the expenditures constitute disallowed costs in any other way, Grantee or HUD may order repayment of the same. Subrecipient shall remit the disallowed amount to Grantee within thirty (30) days of written notice of the disallowance. a. Subrecipient agrees that funds determined by Grantee to be surplus upon completion of this Agreement will be subject to cancellation by Grantee. b. Subrecipient agrees that upon expiration of this Agreement, Subrecipient shall transfer to Grantee any CDBG Funds on hand at the time of the expiration and any accounts receivable attributable to the use of CDBG Funds. c. Grantee shall be relieved of any obligation for payments if funds allocated to Grantee cease to be available for any cause other than misfeasance of Grantee itself. DocuSign Envelope ID: DEE21A02-1DC8-4FC7-82CB-B9DFB6530DC3DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 -12- d. Grantee reserves the right to withhold payments pending timely delivery of program reports or documents as may be required under this Agreement. Payments by Grantee will be provided through a reimbursement/invoicing method only, with payment issued by Grantee after actual costs have been incurred and paid by Subrecipient. All costs shall be supported by properly executed payrolls, time records, invoices, vouchers, or other official documentation, as evidence of the nature and propriety of the charges. All accounting documents pertaining in whole or in part to this Agreement shall be clearly identified and readily accessible, and upon reasonable notice, Grantee and HUD shall have the right to audit the records of Subrecipient as they relate to this Agreement and the activities and services described herein. Payment reimbursement requests shall be submitted by Subrecipient at a minimum on a quarterly basis. Failure to submit reimbursement requests in a timely manner may lead to reallocation of City Grant funds. Subrecipient shall also: a. Maintain an effective system of internal fiscal control and accountability for all CDBG Funds and property acquired or improved with CDBG Funds, and make sure the same are used solely for the Services. b. Keep a continuing record of all disbursements by date, check number, amount, vendor, description of items purchased, and line item from which the money was expended, as reflected in Subrecipient’s accounting records. c. Maintain payroll, financial, and expense reimbursement records for a period of five (5) years after receipt of final payment under this Agreement. d. Permit inspection and audit of its records with respect to all matters authorized by this Agreement by representatives of Grantee or HUD at any time during normal business hours and as often as necessary. e. Inform Grantee concerning any City Grant funds allocated to Subrecipient, that Subrecipient anticipates will not be expended during the term of this Agreement, and permit the reassignment of the same by Grantee to other subrecipients. f. Repay Grantee any funds in its possession at the time of the termination or expiration of this Agreement that may be due to Grantee or HUD. DocuSign Envelope ID: DEE21A02-1DC8-4FC7-82CB-B9DFB6530DC3DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 -13- g. Maintain complete records concerning the receipt and use of all program income. Program income shall be reported on a monthly basis on forms provided by Grantee. 4. Progress Reports Subrecipient shall submit regular progress reports to Grantee in the form, content, and frequency as required by Grantee. Progress reports must be submitted at a minimum on quarterly basis. Reporting periods are defined in the following table: Quarter Reporting Period Due Date 1 July-September October 20 2 October-December January 20 3 January-March April 20 4 March-June July 20 Along with the quarterly progress reports, Subrecipient shall provide Grantee with twenty- five percent (25%) sampling of self-certification forms and ten percent (10%) sampling of income verification for clients served that quarter. Subrecipient shall be responsible for retaining one hundred percent (100%) certification and/or income certification forms for a minimum of five (5) years along with other Program records. Additionally, an annual comprehensive report including inventory of all Services provided or performed with CDBG Funds, and financial report shall be submitted at the end of the program year. The annual report shall be submitted no later than August 1st. D. Procurement 1. Compliance Subrecipient shall comply with current Grantee policy concerning the purchase of equipment and shall maintain inventory records of all non-expendable personal property as defined by such policy as may be procured with funds provided herein. All Program assets (including, unexpended program income, property, and equipment) shall revert to Grantee upon termination or expiration of this Agreement. 2. OMB Standards Unless specified otherwise within this Agreement, Subrecipient shall procure all materials, property, or services in accordance with the requirements of 24 C.F.R. §§ 84.40 – 84.48. 3. Travel Subrecipient shall obtain written approval from Grantee for any travel outside the metropolitan area with City Grant funds provided under this Agreement. DocuSign Envelope ID: DEE21A02-1DC8-4FC7-82CB-B9DFB6530DC3DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 -14- E. Use and Reversion of Assets The use and disposition of real property and equipment under this Agreement shall be in compliance with the requirements of 24 C.F.R. Part 84 and 24 C.F.R. §§ 570.502, 570.503, and 570.504, as applicable, which include but are not limited to the following: 1. Subrecipient shall transfer to Grantee any CDBG Funds on hand and any accounts receivable attributable to the use of CDBG Funds under this Agreement at the time of expiration, cancellation, or termination. 2. In all cases in which equipment acquired, in whole or in part, with CDBG Funds under this Agreement is sold, the proceeds shall be program income (prorated to reflect the extent to that funds received under this Agreement were used to acquire the equipment). Equipment not needed by Subrecipient for Services under this Agreement shall be (a) transferred to Grantee for the CDBG program or (b) retained after compensating Grantee an amount equal to the current fair market value of the equipment less the percentage of non-CDBG Funds used to acquire the equipment. F. DUNS and SAM.GOV Registration and Subaward Identification Notice Requirements Subrecipient must have a Data Universal Numbering System (DUNS®) number to be eligible to enter into this agreement. Further, the subrecipient must have an active registration with the federal www.sam.gov site to verify it is eligible to receive federal funds, and not federally debarred. In addition, Grantee shall require completion of the subaward identification notice form attached hereto as Exhibit B. Failure to complete the subaward identification notice form shall render Subrecipient ineligible to receive funds under this agreement. IX. REPRESENTATIONS AND WARRANTIES OF SUBRECIPIENT Subrecipient makes the following representations and warranties as of the date of this Agreement and agrees that such representations and warranties shall survive and continue thereafter: A. Authorization and Validation The execution, delivery and performance by Subrecipient of this Agreement (i) are within the powers of Subrecipient and upon its execution will constitute a legal, valid and binding obligation of Subrecipient enforceable in accordance with its terms, and (ii) will not violate any provisions of law, any order of any court or other agency of government, or any indenture, agreement or any other instrument to which Subrecipient is a party or by which Subrecipient , or any of its property, is bound, or be in conflict with, result in any breach of or constitute (with due notice and/or lapse of time) a default under any such indenture, agreement or other instrument, or result in the creation or imposition of any lien, charge or encumbrance of any nature whatsoever upon any of its property or assets, except as contemplated by the provisions of this Agreement. DocuSign Envelope ID: DEE21A02-1DC8-4FC7-82CB-B9DFB6530DC3DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 -15- B. Correct Information All reports, papers, data and information given to Grantee with respect to Subrecipient and this Agreement, including the Program are accurate and correct in all material respects and complete insofar as completeness may be necessary to give Grantee a true and accurate knowledge of the subject matters thereof, and there has been no change in such information. C. Defaults Subrecipient is not a party to any agreement or instrument that will interfere with its performance under this Agreement, and is not in default in the performance, observance or fulfillment of any of the obligations, covenants or conditions set forth in any agreement or instrument to which it is a party. D. Pending Litigation There is not now pending or threatened against or affecting Subrecipient any claim, investigation, action, suit or proceeding at law, or in equity, or before any court or administrati ve agency which, if adversely determined, would impair or affect Subrecipient’s ability to perform the Services. E. Compliance Subrecipient has examined and is familiar with all conditions, restrictions, reservations, and ordinances affecting the performance of the Services. The Services will in all material respects conform to and comply with all of the requirements of said conditions, restrictions, reservations, and ordinances and performance of the Services shall conform in all respects with applicable ordinances and statutes, and shall be in accordance with all requirements of the regulatory authorities having jurisdiction thereof. X. SEVERABILITY If any provision of this Agreement is held invalid, the remainder of the Agreement shall not be affected thereby and all other parts of this Agreement shall nevertheless be in full force and effect. XI. SECTION HEADINGS AND SUBHEADINGS The section headings and subheadings contained in this Agreement are included for convenience only and shall not limit or otherwise affect the terms of this Agreement. XII. WAIVER Grantee’s failure to act with respect to a breach by Subrecipient does not waive its right to act with respect to subsequent or similar breaches. The failure of Grantee to exercise or enforce any right or provision shall not constitute a waiver of such right or provision. DocuSign Envelope ID: DEE21A02-1DC8-4FC7-82CB-B9DFB6530DC3DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 -16- XIII. NONLIABILITY OF OFFICIALS AND EMPLOYEES No member, official, employee, or contractor of Grantee shall be personally liable to Subrecipient in the event of any default or breach by Grantee or for any amount which may become due to Subrecipient or on any obligations under this Agreement. No member, official, employee, or contractor of Subrecipient shall be personally liable to Grantee in the event of any default or breach by Subrecipient or for any amount which may become due to Grantee or on any obligations under this Agreement. XIV. APPLICABLE LAW; VENUE The internal laws of the State of California shall govern the interpretation and enforcement of this Agreement. All legal actions must be instituted and maintained in the Superior Court of the County of Riverside, State of California, or in any other appropriate court in that County. XV. EXECUTION IN COUNTERPARTS This Agreement may be executed in counterparts, each of which shall be deemed to be an original, and such counterparts shall constitute one and the same instrument. XVI. NO CONFLICT OF INTEREST For the term of this Agreement, no member, officer, or employee of Grantee, during the term of his or her service with Grantee, shall have any direct interest in this Agreement, or obtain any present or anticipated material benefit arising therefrom. In addition, Subrecipient agrees to file, or to cause its employees or subcontractors to file, a Statement of Economic Interest with Grantee’s Filing Officer if such filing is required under state law in connection with the performance of the Services. XVII. THIRD PARTY BENEFICIARIES With the exception of the specific provisions set forth in this Agreement, there are no intended third-party beneficiaries under this Agreement and no such other third parties shall have any rights or obligations hereunder. XVIII. ENTIRE AGREEMENT This Agreement constitutes the entire agreement between Grantee and Subrecipient for the use of funds received under this Agreement and it supersedes all prior o r contemporaneous communications and proposals, whether electronic, oral, or written between Grantee and Subrecipient with respect to this Agreement. [Signatures on following page] DocuSign Envelope ID: DEE21A02-1DC8-4FC7-82CB-B9DFB6530DC3DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 -17- IN WITNESS WHEREOF, the parties have executed this Agreement as of the date first written above. [Grantee] [Subrecipient] By: Armando G. Villa, City Manager By: Dawn L. Smith, Executive Director Date: Date: By: Jonathan Greenberg, President Attest: Stephanie Roseen, Acting City Clerk Date:________________________________ Countersigned: Margarita Cornejo, Acting CFO APPROVED AS TO FORM: Jeffrey Melching, City Attorney DocuSign Envelope ID: DEE21A02-1DC8-4FC7-82CB-B9DFB6530DC3 7/6/2023 7/6/2023 DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55 7/18/2023 7/19/2023 7/19/2023 DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 EXHIBIT “B” PAGE 1 of 13 EXHIBIT A SUMMARY OF LEGAL REQUIREMENTS In addition to the requirements set forth in other provisions of the Agreement, Subrecipient shall comply, and shall cause all Subrecipient’s personnel to comply, with the following regulations and requirements insofar as they are applicable to the performance of the Agreement.1 1. Equal Opportunity and Nondiscrimination. a. Title VI of the Civil Rights Act of 1964, as amended, including Public Law 88-352 implemented in 24 C.F.R. Part 1. This law provides in part that no person shall, on the grounds of race, color, or national origin be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any program or activity receiving federal financial assistance. In regard to the sale or lease of property, Subrecipient shall cause or require a covenant running with the land to be inserted in the deed and leases prohibiting discrimination under this Title, and providing that Grantee and the United States are beneficiaries of and entitled to enforce such covenants. Subrecipient shall enforce such covenant and shall not itself so discriminate. b. Fair Housing Act, Title VIII of the Civil Rights Act of 1968, as amended, including Public Law 90-234. The Fair Housing Act provides in part that there shall be no discrimination in housing practices on the basis of race, color, religion, sex, and national origin. The Fair Housing Act was amended in 1988 to provide protections from discrimination in any aspect of the sale or rental of housing for families with children and persons with disabilities. The Fair Housing Act also establishes requirements for the design and construction of new rental or for-sale multi-family housing to ensure a minimum level of accessibility for persons with disabilities. c. Section 109 of Title I of the Housing and Community Development Act of 1974, as amended, including 42 U.S.C. 5301 et. seq., 42 U.S.C. 6101 et. seq., and 29 U.S.C. 794. This law provides in part that no person on the grounds of race, color, national origin, sex, or religion shall be excluded from participation in, be denied the benefits of, or otherwise be subject to discrimination under any activity funded in whole or part with funds under this Title. d. Section 104(b) of Title I of the Housing and Community Development Act of 1974, as amended, including 42 U.S.C. 5301 et. seq. This law provides in part that any grant under Section 106 shall be made only if the grantee certifies to the satisfaction of the Secretary of HUD that the grantee will, among other things, affirmatively further fair housing. 1 This exhibit is a list and summary of some of the applicable legal requirements and is not a complete list of all Subrecipient requirements. The description set forth next to a statute or regulation is a summary of certain provisions in the statute or regulation and is in no way intended to be a complete description or summary of the statute or regulation. In the event of any conflict between this summary and the requirements imposed by applicable laws, regulations, and requirements, the applicable laws, regulations, and requirements shall apply. DocuSign Envelope ID: DEE21A02-1DC8-4FC7-82CB-B9DFB6530DC3DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 EXHIBIT “A” PAGE 2 of 13 e. Executive Order 11246, as amended. This order includes a requirement that grantees and subrecipients and their contractors and subcontractors not discriminate against any employee or applicant for employment because of race, color, religion, sex, or national origin. f. Executive Order 11063, as amended, including 24 C.F.R. Part 107. This order and its implementing regulations include requirements that all actions necessary be taken to prevent discrimination because of race, color, religion, sex, or national origin in the use, occupancy, sale, leasing, rental, or other disposition of property assisted with Federal loans, advances, grants, or contributions. g. Section 504 of the Rehabilitation Act of 1973, as amended. This Act specifies in part that no otherwise qualified individual shall solely by reason of his or her disability or handicap be excluded from participation (including employment), denied program benefits , or subjected to discrimination under any program or activity receiving Federal assistance. Subrecipient must ensure that its programs are accessible to and usable by persons with disabilities. h. The Americans with Disabilities Act (ADA) of 1990, as amended. This Act prohibits discrimination on the basis of disability in employment by state and local governments and in places of public accommodation and commercial facilities. The ADA also requires that facilities that are newly constructed or altered, by, on behalf of, or for use of a public entity, be designed and constructed in a manner that makes the facility readily accessible to and usable by persons with disabilities. The Act defines the range of conditions that qualify as disabilities and the reasonable accommodations that must be made to assure equality of opportunity, full participation, independent living, and economic self-sufficiency for persons with disabilities. i. The Age Discrimination Act of 1975, as amended. This law provides in part that no person shall be excluded from participation in, be denied program benefits, or subjected to discrimination on the basis of age under any program or activity receiving federal assistance. j. EEO/AA Statement. Subrecipient shall, in all solicitations or advertisements for employees placed by or on behalf of Subrecipient, state that it is an Equal Opportunity or Affirmative Action employer. k. Minority/Women Business Enterprise. Subrecipient will use its best efforts to afford small businesses and minority and women-owned business enterprises the maximum practicable opportunity to participate in the performance of the Agreement. As used in the Agreement, the term “small business” means a business that meets the criteria set forth in Section 3(a) of the Small Business Act, as amended (15 U.S.C. 632), and “minority and women- owned business enterprise” means a business at least fifty-one percent (51%) owned and controlled by minority group members or women. For the purpose of this definition, “minority group members” are Afro-Americans, Spanish-speaking, Spanish-surnamed or Spanish-heritage Americans, Asian-Americans, and American Indians. Subrecipient may rely on written representations by businesses regarding their status as minority and female business enterprises in lieu of an independent investigation. DocuSign Envelope ID: DEE21A02-1DC8-4FC7-82CB-B9DFB6530DC3DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 EXHIBIT “A” PAGE 3 of 13 2. Environmental. a. Air and Water. Subrecipient shall comply with the following regulations insofar as they apply to the performance of the Agreement: Clean Air Act, 42 U.S.C. 7401, et seq.; Federal Water Pollution Control Act, as amended, 33 U.S.C. 1251, et seq., as amended, 1318 relating to inspection, monitoring, entry, reports, and information, as well as other requirements specified in said Section 114 and Section 308, and all regulations and guidelines issued thereunder; and the U.S. Environmental Protection regulations pursuant to 40 C.F.R. Part 50, as amended. b. Flood Disaster Protection Act of 1973. Subrecipient shall assure that for activities located in an area identified by FEMA as having special flood hazards, flood insurance under the National Flood Insurance Program is obtained and maintained. c. Lead-Based Paint. Subrecipient shall comply with the Lead-Based Paint Regulations referenced in 24 C.F.R. § 570.608, including 24 C.F.R. Part 35, et. al. d. Historic Preservation. Subrecipient shall comply with the historic preservation requirements set forth in the National Historic Preservation Act of 1966, as amended (16 U.S.C. 470) and the procedures set forth in 36 C.F.R. Part 800, Advisory Council on Historic Preservation Procedures for Protection of Historic Properties and related laws and Executive Orders, insofar as they apply to the performance of the Agreement. In general, this requires concurrence from the State Historic Preservation Officer for all rehabilitation and demolition of historic properties that are fifty years old or older or that are included on a federal, state, or local historic property list. e. Limitation on Activities Pending Clearance. In accordance with 24 C.F.R. § 58.22 entitled “Limitations on activities pending clearance, “neither a recipient nor any participant in the development process, including public or private nonprofit or for-profit entities, or any of their contractors, may commit HUD assistance under a program listed in 24 C.F.R. § 58.1(b) on an activity or project until HUD or the state has approved the recipient’s Request for Release of Funds (RROF) and the related certifications have been approved. Neither a recipient nor any participant in the development process may commit non-HUD funds or undertake an activity or project that would have an adverse environmental impact or limit the choice of reasonable alternatives. Upon completion of environmental review or receipt of environmental clearance, Grantee shall notify Subrecipient. HUD funds shall not be utilized before this requirement is satisfied. The environmental review or violation of the provisions may result in approval, modification of cancellation of the City Grant. If a project or activity is exempt under 24 C.F.R. § 58.34, or is categorically excluded (except in extraordinary circumstances) under 24 C.F.R. § 58.35(b), no RROF is required and the recipient may undertake the activity immediately after the Grantee has documented its determination that each activity or project is exempt and meets the conditions specified for such exemption under this section by issuing a Notice to Proceed. 3. Uniform Administrative Requirements. The uniform administrative requirements described in 24 C.F.R. § 570.502. DocuSign Envelope ID: DEE21A02-1DC8-4FC7-82CB-B9DFB6530DC3DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 EXHIBIT “A” PAGE 4 of 13 4. Other Program Requirements. Subrecipient shall carry out each activity under the Agreement in accordance with all applicable federal laws and regulations described in Subpart K of 24 C.F.R. § 570 except for Grantee’s environmental responsibilities under 24 C.F.R. § 570.604 and Grantee’s responsibility for initiating the review process under the provisions of 24 C.F.R. Part 52. 5. Reversion of Assets. Upon the expiration of the Funding Period or sooner termination of the Agreement, Subrecipient shall transfer to Grantee (a) any and all CDBG Funds, (b) any accounts receivable attributable to the use of CDBG Funds. In all cases in which equipment acquired, in whole or in part, with funds under the Agreement is sold, the proceeds shall be program income (prorated to reflect the extent to that funds received under the Agreement were used to acquire the equipment). Equipment not needed by Subrecipient for activities under the Agreement shall at the election of Grantee either be (a) transferred to Grantee for the CDBG program, or (b) retained by Subrecipient after compensating Grantee an amount equal to the current fair market value of the equipment less the percentage of non-CDBG funds used to acquire the equipment. 6. Relocation. Grantee shall not be responsible for relocating any occupants from any property. If required, Subrecipient shall have the sole and exclusive responsibility for providing relocation assistance and paying all relocation costs required to comply with all applicable federal and state laws, rules, and regulations, including the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, 42 U.S.C. § 4601 et seq., as amended, and implementing regulations, and HUD Handbook 1378. Subrecipient shall indemnify, defend, and hold Grantee harmless from and against any claims, liabilities, damages, or losses made against it by tenants or occupants of any property, including without limitation claims for relocation assistance, inverse condemnation, and claims otherwise arising from any act or omission of Subrecipient pursuant to the provision of relocation assistance. 7. Allowable Costs and Audits. Subrecipient shall comply with and administer the Program in accordance with the requirements of The Office of Management and Budget (OMB)”Super Circular” 2 CFR Part 200, which includes the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for federal awards, as applicable. 8. Records and Reports. Subrecipient shall provide to Grantee and shall cause each of its contractors, subcontractors, and subrecipients to provide to Grantee all records and reports relating to the Program that may be reasonably requested by Grantee in order to enable it to perform its record keeping and reporting obligations pursuant to the CDBG Requirements, including but not limited to those described in the Agreement and 24 C.F.R. § 570.506. 9. Religious Organizations. If Subrecipient is a religious organization as defined by the CDBG Requirements, Subrecipient shall comply with all conditions prescribed by HUD for the use of CDBG Funds by religious organizations, including the First Amendment of the United States Constitution regarding church/state principles and the applicable constitutional prohibitions set forth in 24 C.F.R. § 570.200(j). DocuSign Envelope ID: DEE21A02-1DC8-4FC7-82CB-B9DFB6530DC3DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 EXHIBIT “A” PAGE 5 of 13 10. Conflict of Interest. Subrecipient will comply with 24 C.F.R. §§ 84.42, 85.36 and 570.611 regarding the avoidance of conflict of interest, which provisions include (but are not limited to) the following: i. Subrecipient shall maintain a written code or standards of conduct that shall govern the performance of its officers, employees or agents engaged in the award and administration of contracts supported by Federal funds. ii. No employee, officer or agent of the Subrecipient shall participate in the selection, or in the award, or administration of, a contract supported by Federal funds if a conflict of interest, real or apparent, would be involved. iii. No covered persons who exercise or have exercised any functions or responsibilities with respect to CDBG-assisted activities, or who are in a position to participate in a decision-making process or gain inside information with regard to such activities, may obtain a financial interest in any contract, or have a financial interest in any contract, subcontract, or agreement with respect to the CDBG-assisted activity, or with respect to the proceeds from the CDBG-assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for a period of one (1) year thereafter. For purposes of this paragraph, a “covered person” includes any person who is an employee, agent, consultant, officer, or elected or appointed official of the Grantee, the Subrecipient, or any designated public agency. 11. Political Activity (24 C.F.R. § 570.207(a)(3)). Subrecipient is prohibited from using CDBG Funds to finance the use of facilities or equipment for political purposes or to engage in other partisan political activities, such as sponsoring candidate forums, distributing brochures, voter transportation, or voter registration. 12. Anti-Lobbying Certification. By its execution of the Agreement, Subrecipient hereby certifies that: i. No Federal appropriated funds have been paid or will be paid, by or on behalf of it, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. ii. If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, it will complete and submit Standard Form-LLL, “Disclosure Form to Report Lobbying,” in accordance with its instructions. iii. It will require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts DocuSign Envelope ID: DEE21A02-1DC8-4FC7-82CB-B9DFB6530DC3DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 EXHIBIT “A” PAGE 6 of 13 under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. This certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S.C. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. At the request of Grantee, Subrecipient shall execute a separate document that contains the certifications set forth above. 13. Drug-Free Workplace Requirements. Subrecipient shall comply with and be subject to the requirements of the federal drug-free workplace requirements, which include the following actions be taken: i. Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the grantee’s workplace and specifying the actions that will be taken against employees for violation of such prohibition. ii. Establishing an ongoing drug-free awareness program to inform employees about: (a) the dangers of drug abuse in the work place; (b) the grantee’s policy of maintaining a drug-free workplace; (c) any available drug counseling, rehabilitation, and employee assistance programs; and (d) the penalties that may be imposed upon employees for drug abuse violations occurring in the workplace. iii. Making it a requirement that each employee to be engaged in the performance of the grant be given a copy of the statement required by paragraph (i). iv. Notifying the employee in the statement required by paragraph (i) that, as a condition of employment under the grant, the employee will: (a) abide by the terms of the statement; and (b) notify the employer in writing of his or her conviction for a violation of a criminal drug statute occurring in the workplace no later than five (5) calendar days after such conviction. v. Notifying the agency in writing, within ten (10) calendar days after receiving notice under sub-paragraph (iv)(b) from an employee or otherwise receiving actual notice of such conviction. Employers of convicted employees must provide notice, including position title, to every grant officer or other designee on whose grant activity the convicted employee was working, unless the Federal agency has designated a central point for the receipt of such notices. Notice shall include the identification number(s) of each affected grant. vi. Taking one of the following actions, within thirty (30) calendar days of receiving notice under subparagraph (iv)(b), with respect to any employee who is so convicted: (a) taking appropriate personnel action against such an employee, up to and including termination, consistent with the requirements of the Rehabilitation Act of 1973, as amended; or (b) requiring such employee to participate satisfactorily in a drug abuse DocuSign Envelope ID: DEE21A02-1DC8-4FC7-82CB-B9DFB6530DC3DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 EXHIBIT “A” PAGE 7 of 13 assistance or rehabilitation program approved for such purposes by a Federal, State or local health, law enforcement, or other appropriate agency. vii. Making a good faith effort to continue to maintain a drug-free workplace through implementation of paragraphs (i), (ii), (iii), (iv), (v), and (vi). 14. Procurement. Subrecipient will comply with the procurement standards under 24 C.F.R. § 85.36 for governmental subrecipients and 24 C.F.R. §§ 84.40-84.48 for subrecipients that are non-profit organizations. Subrecipient shall comply with all existing and future Grantee policies concerning the purchase of equipment. 15. Labor Provisions. a. Section 3 of the Housing and Community Development Act of 1968. Subrecipient shall comply with and cause its contractors and subcontractors to comply with the requirements of Section 3 of the Housing and Urban Development Act of 1968 (12 U.S.C. § 1701u), the HUD regulations issued pursuant thereto at 24 C.F.R. Part 135, and any applicable rules and orders of HUD issued thereunder. The Section 3 clause, set forth in 24 C.F.R § 135.38 provides: i. The work to be performed under this contract is subject to the requirements of Section 3 of the Housing and Urban Development Act of 1968, as amended, 12 U.S.C. § 1701u (“Section 3”). The purpose of Section 3 is to ensure that employment and other economic opportunities generated by HUD assistance or HUD-assisted projects covered by Section 3, shall, to the greatest extent feasible, be directed to low- and very low-income persons, particularly persons who are recipients of HUD assistance for housing. ii. The parties to this contract agree to comply with HUD’s regulations in 24 C.F.R. Part 135, which implement Section 3. As evidenced by their execution of this contract, the parties to this contract certify that they are under no contractual or other impediment that would prevent them from complying with the Part 135 regulations. iii. The contractor agrees to send to each labor organization or representative of workers with which the contractor has a collective bargaining agreement or other understanding if any, a notice advising the labor organization or workers’ representative of the contractor’s commitments under this Section 3 clause, and will post copies of the notice in conspicuous places at the work site where both employees and applicants for training and employment positions can see the notice. The notice shall describe the Section 3 preference, shall set forth minimum number and job titles subject to hire, availability of apprenticeship and training positions, the qualifications for each; and the name and location of the person(s) taking applications for each of the positions; and the anticipated date the work shall begin. iv. The contractor agrees to include this Section 3 clause in every subcontract subject to compliance with regulations in 24 C.F.R. Part 135, and agrees to take appropriate action, as provided in an applicable provision of the subcontract or in this Section 3 clause, upon a finding that the subcontractor is in violation of the regulations in 24 C.F.R. Part 135. The contractor will not subcontract with any subcontractor where the contractor has DocuSign Envelope ID: DEE21A02-1DC8-4FC7-82CB-B9DFB6530DC3DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 EXHIBIT “A” PAGE 8 of 13 notice or knowledge that the subcontractor has been found in violation of the regulations in 24 C.F.R. Part 135. v. The contractor will certify that any vacant employment positions, including training positions, that are filled (1) after the contractor is selected but before the contract is executed, and (2) with persons other than those to whom the regulations of 24 C.F.R. Part 135 require employment opportunities to be directed, were not filled to circumvent the contractor’s obligations under 24 C.F.R. Part 135. vi. Noncompliance with HUD’s regulations in 24 C.F.R Part 135 may result in sanctions, termination of this contract for default, and debarment or suspension from future HUD assisted contracts. Subrecipient shall abide by the Section 3 clause set forth above and will also cause this Section 3 clause to be inserted in all contracts relating to the Program. b. Labor Standards. Subrecipient shall comply with the provisions of 24 C.F.R. § 570.603 and related requirements. Subrecipient shall include in all applicable construction contracts the provisions of federal law imposing labor standards on federally assisted contracts. Subrecipient shall comply with the requirements of the Secretary of Labor in accordance with the Davis-Bacon Act as amended (40 U.S.C. 3141 through 3148), the provisions of Contract Work Hours and Safety Standards Act (40 U.S.C. 327 et seq. and implementing regulations), the Copeland Anti-Kick Back Act (40 U.S.C. 276c and 18 U.S.C. 874 et seq.), the implementing regulations of the U.S. Department of Labor including 29 C.F.R. Parts 1, 3, 5, 6 and 7, and all other applicable Federal, state and local laws and regulations pertaining to labor standards insofar as those acts apply to the performance of the Agreement. Subrecipient shall maintain documentation that demonstrates compliance with these provisions and such documentation shall be made available to Grantee and HUD for review upon request. Subrecipient shall cause or require to be inserted in full, in all such contracts subject to such regulations, provisions meeting the requirements of this paragraph. c. HUD Form 4010. Subrecipient shall comply and cause Subrecipient Personnel to comply with the provisions of HUD Form 4010 attached hereto. HUD Form 4010 must be included in the bid packet and construction contract and subcontracts for the Program. DocuSign Envelope ID: DEE21A02-1DC8-4FC7-82CB-B9DFB6530DC3DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 EXHIBIT “A” PAGE 9 of 13 DocuSign Envelope ID: DEE21A02-1DC8-4FC7-82CB-B9DFB6530DC3DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 EXHIBIT “A” PAGE 10 of 13 DocuSign Envelope ID: DEE21A02-1DC8-4FC7-82CB-B9DFB6530DC3DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 EXHIBIT “A” PAGE 11 of 13 DocuSign Envelope ID: DEE21A02-1DC8-4FC7-82CB-B9DFB6530DC3DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 EXHIBIT “A” PAGE 12 of 13 DocuSign Envelope ID: DEE21A02-1DC8-4FC7-82CB-B9DFB6530DC3DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 EXHIBIT “A” PAGE 13 of 13 DocuSign Envelope ID: DEE21A02-1DC8-4FC7-82CB-B9DFB6530DC3DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 EXHIBIT “B” PAGE 1 of 3 EXHIBIT B SUBAWARD IDENTIFICATION NOTICE DocuSign Envelope ID: DEE21A02-1DC8-4FC7-82CB-B9DFB6530DC3DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 EXHIBIT “B” PAGE 2 of 3 City of Menifee Finance Department Federal Award Identification Notice i. Subrecipient Name: MENIFEE VALLEY COMMUNITY CUPBOARD ii. Subrecipient’s Unique Entity Identifier (DUNS): 048991207 iii. Federal Award Identification Number (FAIN): B-23-MC-06-0604 iv. Federal Award Date: July 1, 2023 v. Subaward Period of Performance: July 1, 2023 through June 30, 2024 vi. Amount of Federal Funds ($) Obligated by this action by the pass through entity to the to the subrecipient: $17,177.00 vii. Total Amount of Federal Funds Obligated to the subrecipient by the pass-through entity including the current obligation: $17,177.00 viii. Total Amount of Federal Award committed to the subrecipient by the pass through entity: $17,177.00 ix. Federal Award project description, as required to be responsive to the Federal Funding Accountability and Transparency Act (FFATA): Community Development Block Grant Program (CDBG) Entitlement (CFDA #14- 218) City of Menifee CDBG Public Services. Specifically this program/project will entail the: Emergency Food Distribution Program including: providing emergency food boxes with nutritionally balanced food based on family size ("Services"). Each food box contains canned and dry items, fresh produce/fruit, eggs, grains, and frozen foods. The Emergency Food Distribution Program offers home delivery to disabled or homebound/frail individuals. Food boxes are available to a family once per calendar month. Services will be provided to at least on thousand four hundred (1400) LMI persons. x. Name of the Federal Awarding agency, pass through entity, and contact information for the awarding official of the Pass through entity: Federal Awarding Agency – U.S. Department of Housing & Urban Development (HUD) DocuSign Envelope ID: DEE21A02-1DC8-4FC7-82CB-B9DFB6530DC3DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 2762/031858-0001 12965474.1 a06/28/23 EXHIBIT “B” PAGE 3 of 3 Pass through Entity: City of Menifee, CA Awarding Official: Armando Villa, City Manager Phone: (951) 672-6777 xi. CFDA Number and Name: 14.218 (Community Development Block Grant/Entitlement Grants xii. Identification of whether the award is R&D: No xiii. Indirect cost rate for the federal award (including if the de minimus rate is charged per 200.414 Indirect F&A costs: $0/De Minimus DocuSign Envelope ID: DEE21A02-1DC8-4FC7-82CB-B9DFB6530DC3DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD PRODUCER CONTACT NAME: FAXPHONE (A/C, No):(A/C, No, Ext): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY)(MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT OTHER:$ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person)$ OWNED SCHEDULED BODILY INJURY (Per accident)$AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE CLAIMS-MADE AGGREGATE $ DED RETENTION $ PER OTH- STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) $ $ $ $ $ The ACORD name and logo are registered marks of ACORD 6/30/2023 (951) 284-4887 10023 Menifee Valley Community Cupboard PO Box 2253 Menifee, CA 92586 10346 A 1,000,000 X 2023-16870-NPO 1/14/2023 1/14/2024 500,000 20,000 1,000,000 2,000,000 2,000,000 1,000,000A 2023-16870-NPO 1/14/2023 1/14/2024 B EIG295010003 1/1/2023 1/1/2024 1,000,000 1,000,000 1,000,000 City of Menifee, its officers, employees, agents and authorized volunteers are included as Additional Insured in regards to General Liability per attached endorsement. City of Menifee 29844 Haun Road Menifee, CA 92586 MENIVAL-05 JDOMONDON Inszone Insurance Services, LLC 2721 Citrus Road, Suite A Rancho Cordova, CA 95742 Capri Segeberg csegeberg@inszoneins.com Nonprofits Insurance Alliance Employers Preferred Insurance Company X X X X X DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED – DESIGNATED PERSON OR ORGANIZATION CG 20 26 12 19 POLICY NUMBER: 2022-16870 Named Insured: Menifee Valley Community Cupboard Any person or organization that you are required to add as an additional insured on this policy, under a written contract or agreement currently in effect, or becoming effective during the term of this policy. The additional insured status will not be afforded with respect to liability arising out of or related to your activities as a real estate manager for that person or organization. Name Of Additional Insured Person(s) Or Organization(s): SCHEDULE COMMERCIAL GENERAL LIABILITY COVERAGE PART This endorsement modifies insurance provided under the following: Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II – Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1.In the performance of your ongoing operations; or 2.In connection with your premises owned by or rented to you. However: 1.The insurance afforded to such additional insured only applies to the extent permitted by law; and 2.If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. A.B.With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1.Required by the contract or agreement; or 2.Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. © Insurance Services Office, Inc., 2012 Page 1 of 1CG 20 26 12 19 DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B POLICY NUMBER:COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED – OWNERS, LESSEES OR CONTRACTORS – COMPLETED OPERATIONS CG 20 37 12 19 2022-16870 Named Insured: Menifee Valley Community Cupboard Any person or organization that you are required to add as an additional insured on this policy, under a written contract or agreement currently in effect, or becoming effective during the term of this policy. The additional insured status will not be afforded with respect to liability arising out of or related to your activities as a real estate manager for that person or organization. All insured premises and operations. Location And Description Of Completed Operations Name Of Additional Insured Person(s) Or Organization(s) SCHEDULE COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART This endorsement modifies insurance provided under the following: Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II – Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products-completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and A.B.With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. © Insurance Services Office, Inc., 2012 Page 1 of 1CG 20 37 12 19 DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B POLICY NUMBER:COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED – OWNERS, LESSEES OR CONTRACTORS – COMPLETED OPERATIONS CG 20 37 12 19 2023-16870 Named Insured: Menifee Valley Community Cupboard Any person or organization that you are required to add as an additional insured on this policy, under a written contract or agreement currently in effect, or becoming effective during the term of this policy. The additional insured status will not be afforded with respect to liability arising out of or related to your activities as a real estate manager for that person or organization. All insured premises and operations. Location And Description Of Completed Operations Name Of Additional Insured Person(s) Or Organization(s) SCHEDULE COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART This endorsement modifies insurance provided under the following: Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II – Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products-completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and A.B.With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. © Insurance Services Office, Inc., 2012 Page 1 of 1CG 20 37 12 19 DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B MENIFEE VALLEY COMMUNITY CUPBOARD Unique Entity ID NGSXK2HC34B7 CAGE / NCAGE 7FFP0 Purpose of Registration Federal Assistance Awards Only Registration Status Active Registration Expiration Date Jul 21, 2023 Physical Address 26808 Cherry Hills BLVD Sun City, California 92586-2505 United States Mailing Address P.O. Box 2253 Menifee, California 92586 United States Business Information Doing Business as (blank) Division Name Menifee Valley Community Cupboard Division Number (blank) Congressional District California 42 State / Country of Incorporation California / United States URL (blank) Registration Dates Activation Date Jul 22, 2022 Submission Date Jul 21, 2022 Initial Registration Date Aug 11, 2015 Entity Dates Entity Start Date Sep 17, 1997 Fiscal Year End Close Date Dec 31 Immediate Owner CAGE (blank) Legal Business Name (blank) Highest Level Owner CAGE (blank) Legal Business Name (blank) Executive Compensation Registrants in the System for Award Management (SAM) respond to the Executive Compensation questions in accordance with Section 6202 of P.L. 110-252, amending the Federal Funding Accountability and Transparency Act (P.L. 109-282). This information is not displayed in SAM. It is sent to USAspending.gov for display in association with an eligible award. Maintaining an active registration in SAM demonstrates the registrant responded to the questions. Proceedings Questions Registrants in the System for Award Management (SAM.gov) respond to proceedings questions in accordance with FAR 52.209-7, FAR 52.209-9, or 2. C.F.R. 200 Appendix XII. Their responses are displayed in the responsibility/qualification section of SAM.gov. Maintaining an active registration in SAM.gov demonstrates the registrant responded to the proceedings questions. Exclusion Summary Active Exclusions Records? No SAM Search Authorization I authorize my entity's non-sensitive information to be displayed in SAM public search results: Yes Entity Types Business Types Entity Structure Corporate Entity (Tax Exempt) Entity Type Business or Organization Organization Factors (blank) Profit Structure Non-Profit Organization Last updated by Dawn Smith on Jul 21, 2022 at 01:30 PM MENIFEE VALLEY COMMUNITY CUPBOARD https://sam.gov/entity/NGSXK2HC34B7/coreData?status=Active Page 1 of 2 DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B Socio-Economic Types Check the registrant's Reps & Certs, if present, under FAR 52.212-3 or FAR 52.219-1 to determine if the entity is an SBA-certified HUBZone small business concern. Additional small business information may be found in the SBA's Dynamic Small Business Search if the entity completed the SBA supplemental pages during registration. Financial Information Accepts Credit Card Payments Yes Debt Subject To Offset No EFT Indicator 0000 CAGE Code 7FFP0 Points of Contact Electronic Business Dawn L Smith, Executive Director P.O. Box 2253 Menifee, California 92586 United States Government Business Dawn L Smith, Executive Director P.O. Box 2253 Menifee, California 92586 United States Service Classifications NAICS Codes Primary NAICS Codes NAICS Title Disaster Response This entity does not appear in the disaster response registry. Last updated by Dawn Smith on Jul 21, 2022 at 01:30 PM MENIFEE VALLEY COMMUNITY CUPBOARD https://sam.gov/entity/NGSXK2HC34B7/coreData?status=Active Page 2 of 2 DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B 07/06/2023 City of Menifee 1 1:23PM Page:expstat.rpt Expenditure Status Report 7/1/2023 through 6/30/2024 Periods: 0 through 14 CDBG Grant481 Account Number Adjusted Appropriation Expenditures Year-to-date Expenditures Year-to-date Encumbrances Balance Prct Used 481-2324 CDBG FY 23/24 79,177.00 0.00 0.00 0.00481-2324-58044 Public Services (CDBG) 0.00 79,177.00 Total CDBG Grant 79,177.00 0.00 0.00 0.00 79,177.00 0.00 Grand Total 79,177.00 0.00 0.00 0.000.00 79,177.00 1Page: DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B DocuSign Envelope ID: 226D37B9-9701-49C9-84EE-977C6DC4332EDocuSign Envelope ID: 7AE2BF1D-AF06-4568-AF54-FBEC74166B55DocuSign Envelope ID: B2F9CADD-0B5C-4392-8A55-3A4737BA0B8B