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HomeMy WebLinkAboutC2007-434 - 8/28/2007 - Approvedt C ~, ~~ SUEREDIPIENT AGREEMENT BETIIVEEN THE DITY of oRPU HR~STI AND BOYS GIRLS DLUB of DORPU HRIST~, IND~ THE STATE OF TEXAS § § KNOW ALL BY THESE PRESENTS: COUNTY OF NUECES § This agreement {"Agreemen#"} is made and entered into between the City of Corpus Christi, ~ Texas home-rule municipal corporation {"pity"~, acting through its City hllanager or the City Manager's designee {"pity Manager"}, and Boys girls Club of Corpus Christi, Inc. {"Bubrecipient"}, a nonprofit corporation organized under the lags of the State of Texas. V1~HEREAS, the City has allocated one Hundred Thousand Seven Hundred Sixteen Dollars {~o~,~~}from the FY~o07~o Community Development Block grant {"DB}'} Program for construction of improvements to a facilities located at ~90~ reenv~ood Drive, Corpus Christi, Nuece County, Tens, 7"4~, such facilities being owned by the Bubrecipient {"Facility"}; VI~~fEREAS, the City desires that safe and sanitary publicfacilities be provided for low and moderate income individuals and individuals with disabilities; INHEREAB, the Bubrecipient desires to operate public facilities to provide such services to lover and moderate income individuals and individuals with disabilities v~ithin the City of Corpus Christi and throughout the community served by the Bubrecipient in conformity with ~4 CFR 57g.~o8~ as amended; and WHEREAS, the City wishes to encourage the services provided by the Bubrecipient and there being a genuine need for these services and for appropriate facilities to provide such services in the pity of Corpus Christi; NoV1~, THEREFORE, the City and the Bubrecipient agree as follows: BETION 1. B~oPE, BUDCET~ BDHEDULE, AND PAYMENT REI~IREMENTS. ~.~ scope ofVli<ork. The Bubrecipient shall complete thev~ork outlined in the funding proposal that was submitted and approved by the City's City Council for FY~40~-08, such proposal being incorporated into this Agreement by reference as if fully set out in this Agreement. The Bubrecipient, through its contractors and subcontractors, shall rake improvements, to Bruit: to 3D~ greenwood Drive, the construction of a maintenance storage building; paged parking lot on the south side of the comple~c; fencing; and sidevualk areas by Iay 31, 2gg, {"In~pr~ver~ent"}, The Improvements gill be located on real property ov~ned by the Bubrecipient and located at 390 ~~~7-434 OS1~81~7 ~~a~-~~~ ~~y~ ~~~~ c~u~ ~~~ ~. i ~ ~ .~ 1 reenood Drive, Corpus Christi, Nueces bounty, Texas. For the purposes of this Agreerr~ent, the terra "1~=acifity" collectively includes the aforementioned real property and any improvements existing thereon a of the date of the ubrecipient's executian of this Agreerrtient end includes, ~rhere appropriate and in context, the proposed Irrtiproverr~ents to be constructed v~rith the funding provided under this Agreement. Ail Improvements must be constructed in accardance v~rith the plans and specifications ~"Ptan"} prepared by the ubrecipient's registered architect or licensed professional engineer retained pursuant to subsection ~.. Igo construction nay commence until the flans are approved by the Administrator or the Administrator's designee ~"Administrator"} of the City's community Development Division ~"DD"} and bythe pity's Development services Department ~"Deveioprr~ent services"}, ~ .~ ubrecipient Matching Funds Requirement, The Bubrecipient shall provide T~renty Thousand Dollars ~~~,~~~} in matching funds forthe construction of the IrrMprovements to the Facility. If the ubrecipient is required under this Agreement to meet a matching funds requiremen# and fails to meet any portion of the requiref~ent, the ubrecipient's allocation rr~rifl not be disbursed, but is automatically forfeited and reverts to the pity for inclusion in future Cl7B Programs. ~ . Budget and constructian schedule. The Bubrecipient has provided an esti- mated project budget and project construction schedule ~"Project Budget and on~ traction schedule"} based upon the proposed Improvements listed above and as are described Within this Agreement, ~uhich Project Budget and construction schedule i at- tached to this Agreement a Exhibit A and is incorporated into this Agreement Icy ref- erence. Ten days priorto the a~rard of any construction contractor subcontractor can struction contract pursuant to this Agreement, the ubrecipient shall provide a finalized budget, vuhich must include a schedule of the detailed costs of construction, and a schedule of construction completion dates, vuhich must include a detailed completion schedule forthe various aspects of construction for Improvements to the facility, v~rhich docun~ent~s} v~ill then be substituted for the then existing E~chibit A and laecome Exhibit A of this Agreement for all purposes under this Agreement. ~.4 Contents of Finalized Budget and construction chedule~s~. The finalized budget must include line-item costs for each item referenced in subsection ~ . ~ of this Agreement. The finalized budget must provide a detailed presentation of projected resources and expenses. The finalized construction schedule for Improvements must reflect the anticipated timeline for the completion of construction stages for each of the Improvements set out in subsection ~.1 of this Agreement, including, but not limited to, dates for tl~e retention of a registered architect or licensed professional engineer, com- pletion of flans, completion of conditions precedent to construction, con~n~encement of construction, co~rpletion of construction phases, and expected final completion date of the improvements. ~.~ Requests fir Payment. ~A} All requests for payment made pursuant to this Agreement must be submitted to the Administrator. Boys & girls Club of Gc Inc FYD~g~ Page 2 of ~ 5 {B} Progress payments forthe It~pravernent gill be made based upon the finalized budget and construction schedule and the submittal and approvai of appropriate documentation of the work completed, including, without limitation, fully itemized American Institute of Architects {"~~~"}forms, {} No progress payments will be made without certification by the registered architect or licensed professional engineer that the phase to which the payment applies has bean substantially completed nor wil! any progress payment be made without an inspection by staff of DD and Development Services and approval by the Administrator and Development Services staff affirrr~ing tf~at the work has been completed. {D} The Administrator nA-ay require thatthe ubrecipient provide a down date waiver and a subordination of rrtiechanic' lien claims priorto any payment. {E} All payments will be adjusted according to the actual construction cost and the rr~atching funds requirement, if any, and in no event may any payment exceed the stated amount of this Agreement. All requests for payments, excluding acquisition of property, will be prorated to reflect the Subrecipient}s share of casts as per the approved finalized budget. 1.~ Approval of Finalized Budget and construction chedule~~. construction of Improvements to the Facility nay not commence priorto the Administrator's approval of the finalized budget and construction schedule required under subsection 1.4 of this Agreement. The pity gill not reimburse any construction costs incurred by the ubre- cipientprior tothe approval of the finalized budget and construction schedule{s}, except for professional services as may be allowed in the Administrator's discretion. 1.7 Periodic Performances Reports. The Subrecipient shall submit periodic perror- mance reports to the Administrator that recite progress for the period and advising of any problems encountered. A performance report must be provided vrrith each request for payment. sE~TI~N ~. RE~oRDI~[EEPIN, I~NEF~R AD~IINlTRA~"IVE REUIREME~iTs ANA ETHER PR~RAM REUIREME~iT, .~ construction and operations Records. The ubrecipient shall provide access to all original records, reports, and audits including, without limitation, all agreements and appraisals for the Facility; invoices; payment and payroll records; banl~ records; plans and specifications for the Facilities; Plans written and drawn pursuant to this Agree- ment; change orders; contracts between the Subrecipient and its cantractor{s~, between cantractor{s}and their subcontractor{s}, and between the Subrecipient and its regis- tered architect{s} or licensed professional engineers}; communications and correspon- dence with regard to any contracts and subcontracts pertaining to this Agreement; affi- davits executed pursuant to this Agreement; documentation of clientele being benefited by the Facility {i.e., number of persons being served, etc. and the activity being carried out in the Facility which pertains to the construction or operation of the Facility; and all Boys & wrls Club of ~~ Inc FY~7~8 I~~ge3of~5 ~r . ~~ written obligations pursuant to this Agreement, including, but not limited to, all infarma^ flan an matching funds required underthis Agreement, if any, during regular business hours for any purposes of the City, the United states Department of Housing and Urban Development ~"HUD"}, ar bath, to conduct audits and monitoring. ~.Z equal Partioipat~on Documentation. The ubrecipient shall keep and provide ac- cess to records documenting compliance with section ~ g9 of the Housing and Commu~ pity Development Act of 194 ~4~ United States Code ~"U..D."} ~3a9j, as amended, which requires that no person shall, on the ground of race, color, national origin, reli~ gian, ar sex, be excluded from participation in, be denied the benefits of, ar be sub' jetted to discrimination under any program or activityfunded in whole or in part with community development funds made available pursuantta the Act. Any prohibition against discrimination an the basis of age under the Age Discrimination Act of 19~~, as amended, or with respect to an otherwise qualified disabled individual, as provided in ~ U.Q.C. X94, a emended, also applies to this Agreement. 2.3 Information and Reports. The Subrecipient shell provide any information, reports, data, and forms pertinent to this Agreement as the Administrator or staff of ~~ may, from tune to time, request for the proper administration of this Agreement. The Sub recipient shall adhere and comply with the reporting requirements mandated far the Performance Ileauren~ent System, administered by the City, as a condition of receiving funds under this Agreement. ~.4 FMB Dircular A-~ ~ ~, A-~ 2~, and A-~ 3. The Subrecipient shall comply with the requirements and standards of United states' Office of l~anagn~ent and Budget ~"~~IIB"} Circulars A-11 a, A~1 ~~, and A-~ ~~, as each may be amended. ~.5 Compliance Documentation. The Subrecipient shall keep and provide access to retards documenting compliance with the rules and regulations contained in Title 4, Chapter ~a, et. seq., of the Code of Federal Regulations ~"FR"}, including, but not limited ta, Subpart I~, Bectian 70.D, Lobar standards; ~~a.al, Employment and Contracting Opportunities; 7a.~a~, Lead-Based Paint; b70,a, Use of Debarred, Suspended, or Ineligible Contractors ar Subrecipients; ~lg.G~ 0, Uniform Administrative Requirements and Cast Principles; and ~g.~ ~ ,Conflict of Interest. If there is a con- flict of interest with any employee, agent, consultant, officer, or member of the Board of Directors of the Subrecipient, the person with the conflict and the nature of the conflict must be identified, by Warne and title, and submifiked to the Adrrrinistrator prior to any casts being incurred at, in, or on the Facility with respect to construction of the Improve- ments. ~. equal Employment opportunity. The Subrecipient shall complywith all appli- cable Federal Equal Employment Opportunity regulations, including, but not limited to, Executive Order 1124, as amended, and Section 3 of the Housing and Urban Develop- mentAct of ~ 908 as set Earth in ~4 CFR ~7g.Gg~, as amended, and shall require compli- ance with the aforementioned laws and regulations in all contracts the ubrecipient enters into with respect to construction of the Improvements, 2.~" Requ~estfor BidlPropol. The ubrecipient shall comply with requirements of Oi~B CircularA~l~lg, as amended, and all State and local procurement requirements Boys & Girls Club of ~ Inc FYOlo8 Pa~~ 4 of 1 ~ ' ~ ., r with regard to solicitation of bids and proposals for construction of the Impraver~ents to the Facility, if applicable, and shall provide such records to representatives of HUD, the pity Manager, or the Administrator upon request. 2.8 Real Property Acquisition The ubrecipient shall comply with requirements of ~9 MFR Part ~4, subpart B, as amended, and all state and local acquisition require- ments with regard to acquisition of property, if applicable, and shall provide such records to representatives of HUD, the pity Manager, or the Administrator open request. ~. disabled ar~d Handicapped Accessrbi[ity. The ubrecipient shall amply with the Americans with Disabilities Act of ~ 9g0, as amended, and with the rules and regu- lationspublished in ~8 MFR Part ~G, s amended, and all state and local requirements regarding disabled accessibility. ~.~4 Religious ~rgani~ation. The ubrecipient shall comply with requirements re- garding religious organizations, asset Earth in 24 MFR 7g.~gg~j}, as amended. ETI~N UPENI~N AND TER~IINATI~N. 3.~ Application of ~4 MFR 8~.4. The pity may suspend orterminate this Agreement in accordance with ~4 DFR ~,4~, as amended, if the ubrecipient materially fails to comply with any term of the D~ Program award orthis Agreement. 3.~ Application of ~4 MFR x.44. This Agreement may be terminated for convenience in accordance with ~4 MFR .44, as amended. 3.3 Remedies for Non-compliance. Pursuant to the provisions cited in Section of this Agreement, to Federal rules and regulations applicable to the Subrecipient, and to HUD guidelines, if any deficiencies are discerned by or through monitoring of this Agreement, the Administrator may eithertemporari[y withhold cash payments pending correction of the deficiencies, disallow all or part of the cost of the activity or action not incompliance, wholly or partly suspend orterminate the current award, withhold further awards, or take any other remedies that ray be legally available. .4 Termination Notice. dither party may terminate this Agreement, during the term of this Agreement, as of the last day of any month upon thirty ~3g}days prior written no- tice, The party terminating this Agreement must comply with subsections . ~ and .~ of this Agreement and all other provisions of this Agreement providing responsibilities in the event of termination. ~. Termination. Upon a terrr~ination of this Agreement, the Subrecipient agrees to refund to the pity all CDB Program funds expended on construction of the Facility and Improvernent~ If the Subrecipient cannot refund all such money within thirty ~3g} days of the termination notice, the pity may take whatever action is necessary to reimburse the pity as set out in ~4 FR 8,4 and 8.44, as each may be amended. Illotwith- standing this provision, the Reversion of DB Funds provision, set out in Section 4 of this Agreement, also applies to the Subrecipient's CDB Program funds on hand, ac- counts receivable, and real property underthe Subrecipient's control. boys & Girls Club of GC Ins FY~7~8 Page ~ of 15 .r ETI~N 4. REIIERI~N ~F DBC FUNS. X4.1 Facility and Improvements Use to Meet National ~bjectlve and dame Business Purpose. The Subrecipient's Facility and all improvements must b used to meet one of the national objectives set forth in 24 CFR 5~g.~g~, as amended, during the terrn of this Agreement and for one yearfallowing the date of final completion of tyre construction of the Improvements or one year following the date of the last diburse- ment of CDB funds underthi Agreement, whichever is longer. In addition, the ubre- cipientshall use the Facility and all improvements forthe same business purpose a that which existed on the date of the Subrecipient's execution of this Agreement for a period affive ~~} years following the date of final completion of the construction of the Improvements or following the date of the last disburerr~ert of ~~ funds underthis Agreerrrent, whichever is larger. 4.~ Facility and Improvements Not Used t~ Meet National ~b~eotive and dame Business Purpose. In the event that the ubrecipient's Facility or any Improvements are not used to meet ane of the national objectives or the same business purpose for the length of time specified in subsection 4. ~ of this Agreement, then the Subrecipient shall reimburse the City forthe CDB funds received by the Subrecipient as follows: ~A} Failure to meet national objective: The ubrecipient must reimburse the total award of CDB funds received underthis Agreement. ~R} Failure to use Facility or any Improvements for same business purpose: Prorated reimbursement as a fractional amount, the numerator being the numberof months that the ubrecipient's Facility or any Improvements failed to be used for the same business purpose as that which existed on the date of the ubrecipient's execution of this Agreement and the denaminatar being a, multiplied by the total amount of CDBC funds received by the Subrecipient underthis Agreement. 4, N~ Election of remedies. Resort, by the City, to a remedy under subsection ~.Z of this Agreement, or another remedy provisian set out in this Agreement, does not bar the application and use of any other remedy allowed by law or that may be enforced by the City pursuant to ~4 CFR 7a~0, as amended, ETION ~. PR~C~AM INCOME. ~.1 Disposition of Program Income. Program income received by the ubrecipient as a result of this Agreement, if any, may be retained by the ubrecipient. Any such program income must be used to operate public facilities to provide services to low and moderate income 'individuals and individuals with disabilities within the City of Corpus Christi and throughout the community served by the ubrecipient in conformity with 4 C1= R 70.~a~, as emended. The ubrecipient shall report program income to the City annually, during the term of this Agreement, not later than August ~1 for the previous year ending July 1. ~.~ Accounting for Program Income. The ubrecipiert shall comply with FMB Circular A~1 ~ 0, as amended, with reference to program income, if applicable. Boys & iris flub of CC Inc FYO7D8 Pale ~ of ~ 5 • `a' .. +, SECTION ~. il~SI~RANCE ANA IN~EIUINITY PROVISIONS. G.~ Ir~ura~ne. The Subrecipient shall have in farce, throughout the term of this Agree- n~ent, insurance that complies vuith the standards in Exhibit B, a copy of vwrhich is at~ tached to this Agreement and is incorporated in this Agreement by reference. ~ certifi~ sate to that effect rust be provided to the City's Risk Manager {"Risk Manager"} and the Administratorat least ten {~0~ days prior to any construction. Failure to maintain any of the types and limits of the insurance required by Exhibit B is cause forthe City to terrr~inte this Agreement and cancel any and all reimbursements of CDB funds to the Subrecipient. ~.~ Notioe to pity. The Subrecipient shall require its insurance companies, ~rritten policies, and certificates of insurance to provide that the City must b given thirty {~} days advance native by the insurer priorto cancellation, nonreneu`ral, or material change of the insurance policies required by Exhibit B~ Failure to maintain such insurance ~rilf be cause forthe ityto take control of the Facility and all Improvements, cancel any claim that the Subrecipient may have to the use of the Facility and Improvements, and cancel any end all reimburserr~ent of CDB funds to the Subrecipient. ~w Right to Re-evaluation and Adjustr~en# of limits. The Risk Manager retains the right to re-evaluate the insurance requirements during the tern of this Agreement and adjutthe types and limits of such insurance upon thirty X30}days vuritten notice to the Subrecipient. Insurance types and limits may not be adjusted mare frequently than once per year. ~.4 I ndern n if i~a#ion. (A) The Subrecipient covenants and agrees that it wi!! indemnify and hold City harmless of, from, and against al! claims, demands, ac- tions, damages, losses, costs, liabili#ies, expenses, and judgments recovered from or asserfed against the City on account of injury or damage to persons or property (including, wi#hout limitation on the foregoing, workers' compensation, death, and premises de- fects) to the extent any such damage or injury maybe incident to, arise out of, or be caused, either proximately or remotely, wholly or in par[, by an act or omission, negligence, or misconduct on the part of the City, its officers, employees, or agents ("Indemnitees"), acting pursuant to this Agreement and with or without the express or implied invitation or permission of the Subrecipient, or on the part of the Subrecipient or any of its agents, servants, employees, contractors, patrons, guests, licensees, or invitees entering upon the Facility being improved or used pursuant to this Agreement, or when any such injury or damage is the result, proximate or re- mote, wholly or in part, of the violation by Indemnitees, the Subre- Boys ~ Cirls Club of CC Inc FYO7o8 Page 7 of ~ 5 cipient or any of its agents, servants, employees, contractors, patrons, guests, licensees, or invitees of any law, ordinance, or governmental order of any kind, or when any such injury or dam- age may in any other way arise from or out of the Improvements being constructed at the Facility or out of the use or occupancy of the Improvements to the Facility or fhe Facility itself by Indemni- tees, the Subrecipienf, or any of its agents, servani~s, employees, contractors, patrons, guests, licensees, or invitees, and including, without limitation, any damages or costs which may occur as a result of the design of the Improvements to the Facility, the bid- ding process, actual construction of the Improvements to the Fa- cility, administration of the construction contracts by the City or ifs designee, failure of fhe Improvements to the Facility prior to the completion and acceptance of the Improvements by the City and the Subrecipient jointly, failure of the Improvements to the Facility to work as designed, failure of any contractor, subcontractor, or manufacturer to honor its warranties, or failure of the Subrecipient to maintain the Improvements to the Facilify or the Facility itself. (B) These terms of indemnificafion are effective upon the date of exe- cution of this Agreement and whether such injury or damage may result from the sole negligence, contributory negligence, or con- currentnegligence of Indemnitees, but not if such damage or in- jury may result from the gross negligence or wilful misconduct of lndemnitees. (C) The Subrecipienf covenants and agrees that, in case the City is made a party to any Iitrgafion against the Subrecipient or in any litigation commenced by any party other than the Subrecipient relating to this Agreement and the Improvemenfs to the Facility contemplated under this Agreement, the Subrecipienf shall, upon receipt of reasonable notice and at its own expense, investiga#e a!1 claims and demands, attend #o their settlement or other disposi- fion, defend the City in all actions based thereon with Iegal coun- sel satisfactory to the City Attorney, and pay a!I charges of at #orneys and all other costs and expenses of any kind whatsoever arising from any said claims, demands, actions, damages, losses, costs, liabilities, expenses, or judgments. {v) The provisions of this section survive the termination or expiration of this Agreement Boys & girls Club of CC Inc FYOTOS Page 8 of ~ 5 . ti" ~ ' J ECTI~N ~, UBRECIPiENT' RE(~UIREMENT. ~~~ Precontracting and Preconstruction Conference. The ubrecipient has at- tended ~ precontracting conference Frith City representatives. The ubrecipient and all of its identified contractors and subcontractors must attend ~ preconstruction confer- ence v~rith City representatives. Failure to do sa may result in the ubrecipient being ineligible to receive the DB funds av~arded and allocated to the ubrecipient under this Agreement. 7,~ Pledged Contribution. The ubrecipient shall provide any additional funds needed for the completion vfthe Improvements. The ubrecipient shall provide can- celed checks ar other proof a ray be required by the Administrator as proof of the contribution. ~. Prepare Plana and pecificationa, The ubrecipient shall retain a registered architect or licensed professional engineer in accordance Frith FMB CircularA-11g, as amended, to prepare the Plans and to inspect all Improvements to ensure conformity vuith final plans and specifications submitted to the Administrator. ~'.~ Professional ervices~ The ubrecipient shall retain professional services and all necessary contractors far construction of the Improvements in accordance rr~ith FMB Circular A-~ ~ 0, as amended, and construct Improvements to the Facility in accordance v~ith final plans and specifications and the schedule submitted to CDD as set cut in sub- sections 1. ~ and ~ . of this Agreement. The Board of Directors of the ubrecipient shall ensure that professional services, relating to the construction of the Improvements, are retained and that the construction of the Improvements is supervised. 7.5 Change order Procedure, A change artier procedure must be instituted to make changes in the Plans ar specifications or to decrease or increase the quantity of ~rork to be performed or materials, equipment, ar supplies to be furnished for the improvements to the Facility. The ubrec'rpient shall submit all change orders to the Administratorfor approval prior to the change ardor beaming effective. Any money expended by the ubrecipient pursuant to a change order and prior to submittal and approval of such change order i not reimbursable, and the ubrecipient shall bearallsuch casts associated vuith unapproved changes, ~. staff and Administrative Support. The ubrecipient shall provide sufficient staff and administrative suppark to supervise the construction of the Improvements to the Facility, ?.~ lJe of Funds. The Bubrecipient covenants that alf CDB funds expended under this Agreement will be used solely far the activities described in this Agreement. The Subrecipient shall reimburse the City for all funds expended for activities not related to the purpose and activities described in this Agreerr~ent or that violate Federal or State laves. ~.S Aocount~ng and Audit. The Bubrecipient shall record financial transactions ac- cording to approved accounting procedures and provide an independent audit of the Boys & ~Irls Club of ~C Ino FYQ7o8 Page 9 of ~ 5 expenditures in accordance with FMB ~ircularA-~, as amended. such audit must be completed within ninety ~g0~ days after the Improvements to the Facility were com- pleted. A copy of the audit must be provided to the pity within thirty X30} days of com~ pletion of the audit. if the audit shows discrepancies between amounts charged the ubrecipient and amounts reimbursed to the ubrecipient by the pity, a resolution of the discrepancies must be made within sixty ~0~ days from receipt of the audit by the pity. If the ubrecipient owes the City money in resolution of the discrepancies, the money must be paid within ninety X90}days from receipt of the Audit by the pity or the ubrecipient is in default pursuantta thisAgreement. ~.~ orr~pletion Date of construction. The ubrecipient shall complete construction of the improvements to the Facility in accordance with the approved Plans and pecifi- cations by May ~, ~ooS. If the ubrecipient is rendered unable to carry out the terms of this subsection, the ubrecipient shall promptly give the pity written notice of such delay together with reasonable particulars concerning it. The Administrator may extend the construction time schedule for such time as may be deemed necessary and justified, provided, however, that the extension of the construction time schedule does not exceed the term of this Agreement. ~An extension of the term is addressed in ec~ tion 9.~ SECTION ~. ITY' REC~UII~EMENT. 8.~ ommittrnent of Funding for Ir~prvvernents of Facility. The pity shall provide the Subrecipient up to one Hundred Thousand Seven Hundred Six#een ~allars ~~ X0,71 }from the pity's FY~QO~-0~ CDB Program for Improvements to the Facility as described in Section ~ of this Agreement and in accordance v~rith the accepted bid, budget, and construction schedules made a part of this Agreement, subject to the Subrecipient' compliance with the provisions of this Agreement. .~ Additional Funds. Nothing in this Agreement may be construed a requiring the pity to provide additional construction funds to the Subrecipient at any tine in the future SETI~N 9. GENERAL PR~V~SIONS. g.~ Term, This Agreement terminates June 0, ~oo~. Extensions to the term of this Agreement maybe requested by the Subrecipient and approved by the pity Manager. However, the Subrecipient is bound by all covenants, terms, and conditions of this Agreement including, uvithout limitation, record>~eeping, for a period of six ~} years com- mencing vn the date of the ubrecipient's execution of this Agreement, unless a specific bound period is shorter ar longer as may be stated in this Agreement. g.~ ~~jective. The ubrecipient shall operate the Facility and the lmpraven~ent to further the primary objective of the Housing community DevelopmentAct as outlined in ~4 MFR ~70.0~ and 7g.~08, as each maybe amended, and will improve the Facil~ ity by May 1, X008, and provide programs to help low and moderate income indivi- duals and individuals with disabilities improve the quality of their lives and reach their maximum potential for independence and at all times in accordance with HUp's om- munity development dock Grant regulations and guidelines and all local, State, and Federal requirements and laws. Boys & girls club of Cc Inc FY0708 Page 1 ~ of 1 ~ 9.3 Licer~si~g. The ubrecipient shall obtain and maintain any certificates and licen- ses that are required of the ubrecipient, the Facility, and the programs offered at, on, or in the Facility by the United states, the Btat of Texas, the pity, and any other agencies having regulatory jurisdiction over the Facility and the ubrecipient. ~.~ ll~laintenance. The Bubrecipient shall furnish all maintenance to the Facility and Improvements as necessary to maintain the Facility and Improvements in good repair. 9.5 Default. In the event the Bubrecipient ceases to operate the Facility in accordance with the terms of this Agreement or commits any other default in the terms of this Agreement, the pity is herein specifically authorized to demand reir~bursen~ent of the DB funds paid to the ubrecipient and, in the eventthe pity is not promptly repaid, to take possession of the Facility and all Improvements without recourse and to dispose of such Facility and Improvements in any mannerthe pity deers necessary to reimburse the pity. .~ No Liability. In no event is the pity liable for any contracts made by or entered into by the ubrecipient with any other person, partnership, association, firm, corporation, or governmental entity. ~.~ N~tioe, {A} All notices, demands, requests, or replies provided for or permitted under this Agreement, by either party must be in writing and must be delivered by one of the follovuin methods: {~ } by personal delivery; {~} by deposit with the United states Postal service as certified or registered mail, return receipt requested, postage prepaid; {~} by prepaid telegram; {4} by deposit with an overnight express delivery service, far which service has been prepaid; or {} by fax transmission. {B} Notice deposited with the United states Postal service in the manner described above gill be deemed effective two {2} business days after deposit with the United states Postal service. Notice by telegrar or overnight express delivery service will be deemed effective one {1}business day after transmission to the telegraph com~ pang or overnight express carrier. Notice by fax transmission will be deemed effec~ five upon transmission, with proof of confirmed delivery. {~ All such communications must only be made to the following: if to the pity: pity of corpus Christi Attn: Administrator, community Dev. P. ~. Box ~~7 corpus Christi, Texas T84G9-9~~~ {3~~} SSG-~~4b office {~} 84~-~74o Fax If to the ~ubrecipin##: Boys ~ girls flub of corpus Christi Div. Attn : Executive D i recto r ~90~ greenwood Drive corpus Christi, Te~cas 784 {~0~ } 8~2Ob office {~G~ ~ 8~3-~ 4 Fax Boys & Girls club of Gc !nc FYD7g~ Page 11 of 15 ~• `~ ~~} Either party may change the address to which native is sent by using a method set out abave~ The ubrecipient shall notify the City of an address change within ~ 0 working days after the address i changed. 9.~ Nonaeignmen#. The ubrecipient may not assign, r~artgage, pledge, artransfer this Agreement or any interest in the ~aci[ity ar improvements without the prior written consent of the pity. . Nonexefuive er~rice. Nothing in this Agreement may be construed a prohibi- ting the ubrecipient from entering into contracts with additional parties for tl~e perfor- mance of services similar or identical to these enumerated in this Agreement, and no- thing in this Agreement may be canstrued a prohibiting the ubrecipientfrom receiving compensation from such additional contracoa[ parties, provided that ell ether terms of this Agreement ere fulfilled. 9.10 breach of Agreement. Notwithstanding any other provisions of this Agreement, should the ubrecipient breech any section yr provision of this Agreement including, without limitation, the failure to pay taxes, assessments, or other government charges, the breach sha[I be remedied in accordance with subsectian of this Agreement and any ether applicable subsections. [f repayment is required a a remedy, other remedies may be pursued, as deemed necessary by the pity Manager, if repayment is not made. The City is entitled to reasonable attorneys fees in any court action arising out of this Agreement. 9.1 ~ I~lodifcat~on. Madificatians to this Agreement are not effective unless signed by a duly authorised representative of each of the parties to this Agreement. Modificatians which do net change the essential scope and purpose of this Agreement may be ap- proved vn behalf of the City by the pity Manager. 9.1 Ilelidity. If, far any reason any section, paragraph, subdivision, clause, phrase, v~rard, or provision of this Agreement is held invalid or unconstitutional by final judgment of a court of competent jurisdiction, it shall not affect any other section, paragraph, sub- division, clause, phrase, word, yr provision of this Agreement, for it is the definite intent of the parties to this Agreement that every section, paragraph, subdivision, clause, phrase, v~rard, and provision of this Agreement be given full farce and effect far its pur~ pose. 9.1~ Jurisdiction and llen~,e. The laws of the state of Texas govern and are appli- cable to any dispute arising under this Agreerr~ent. 1lenue is 'rn carpus Christi, Nueces Jaunty, Texas, where this Agreement was entered into and must be performed. 9.14 l~larra~ty from contractor. Upon the ubrecipient's receipt of a copy of the ArchitectlEngineer's certificate of substantial completion, the ubrecipient shall only leak to the architects, engineers, contractors, subcontractors, manufacturers, and their respective warranties to remedy any defects in design, workmanship, ar materials, and the ubrecipient covenants and agrees that the pity has no responsibility far any de- fects of any kind ar nature whatsoever, even if it is alleged such defect is due to the Boys & Girls Club of CC Inc FY~108 Page 12 of 1 ~t City's negligence. The City rust be a third party beneficiary to the ubrecipient's contracts effecting the Improvements, ar~d all warranties and duties under such con tracts must be in favor of the ubrecipient and the City. 9.~ ~ Copies of pules and Regulations. Copies of some of the Federal rules and regulations referenced in this Agreement have been provided to the ubrecipient at the precontracting conference as evidenced by the ubrecipient's ~B Compliance Affidavit, which i attached to this Agreement as exhibit and incorporated in this Agreement by reference. Any failure, by the City, to supply the ubrecipient urrith any other Federal rules and regulations which may be applicable to the ubrecipient, its Facility, the Improvements, CDC funding, or to recipients of Federal funds dues not waive the ubrecipient's required compliance in accordance with Federal law. 9.~G Disclaure of Interests. Incompliance with section ~-4g of the City's Code of ordinances, the ubrecipient shall complete the City's Disclosure of #n~ere~ form, which is attached to this Agreement as exhibit D, the contents of which, as a completed form, are incorporated in this document by reference as if fully set out in this Agreerr~ent. 9.~~ A~knovuledgrnent of Funding ourcew The ubrecipient shall give credit to the City's ~B Prograrn as the project funding source in all presentations, written docu~ menu, publicity, and advertisements regarding the improvements. The ubrecipient agrees to acknowledge the sponsorship of the City of Corpus Christi at any event promoting the project or any other project sponsor. 9.~ ertifcati~n Regarding Lobbing. Incompliance with federal law, the ubrecip- ientshall execute exhibit E, the contents of which, as a completed form, are incorpo- rated in this document by reference as if fully set out in this Agreement, {EXECUTION PAGES FOLLOW Boys ~ ~;~~~ ci~~ of cc ~~~ ~~ro7os Page ~ 3 of 1 ~ '~ Executed in duplicate originals this ~ d~ of , 2~D1. ATTEST: Armando Chapa City Secretary Elizab R. Rundle ~Sl nt Ity Attarr far the pity Attorney a , 2~~7 A I~~V~I~VLE D1I~ENT STATE OF TEXAS § +~!!^e4lwM~•^M~fi~r-••~rr.a. ! LW V r ^^``AA'll' V ~~Y~~ ^ ^14~rl~~i~~ ..~a-• -.h.a .wwa t f ~~~~R~ ` ~[N~1~V ALL BY THESE PRESENTS: ~oUNTY ~F N~EES .,~„~ ~ ~ - . This instrument vas acknawledged before me on , ~gg7', by evrge ~. Noe, pity lUlanagerof the pity o~ corpus Christi, a Texas home-ruse municipal corporation, on behalf of the corporation. ~; seal} Notary Public, State of Texas ~4y1141~~1f _*~ ~*= MY ~OMMI$S~ON ~~I~Ii~~S .~ a. +l iii ~~ CITY ~F ~RPIlS CHRISTI V r41V a I~VV pity Il~anager Boys & Glrls Club ofCC Inc FY07~8 gage ~ ~ of ~ 5 Approved as to form: UBI~EIP~ENT: ~~Y ~ [RL CLUB ~F ~RPU HRITI, INS. --~ Executive Director ~ a~~~ /o~ Date ~~~ ~ Printed name A~~CN~VULEDCN~ENT STATE OF TEXAS § § KNOW ALL BY THESE PRESENTS: COUNTY OF NUECES § This instrument as acknovuled ed before rye on ~ ~ 2007 ~ > by ~, ~ ~ ,Executive Director of Bogs & Girls flub of corpus hriti, Inc., Texas nonprofit corporation on behalf of the corporation. 1~~~r~# Pudic, Mate of ~'ex~s ,~~ ~ Nc#arY ~ Cor~missio~ ~xp~res Fehr Y ~~~•-- Notary Public, State of Texas Buys & iris Club of CC inc FY070~ Page 1 ~ of 9 ~ ~~ ~ ti ~~ P~~[.~I~IN~4RY ~~~~T ~ C~NTRUCTI~N C~~DU~.~ F1Cand Funding: FY~047I ~~~ Project Name. art Cam~lex ~rganizatian: Bo & iris Ciu~ ofi Co us Christi Inc^ Total Pra~ect host: ~ ~~,T~ G ~R~L.~1~INARY B!l~~T Pr~je~~~Fin~~i~~ eourc~s: {Funds available to complete your project Fund /^^Y• •.. ..r ....f~ ~......r.....,..~r.ir..r~.*..r..~...... r.. ... .., ..I .r r., .~h.r.• 1+ Fund 7^. •frr.r..~~..^.^~~r...,~...,....,.i,~.~....s... ..f .....^.Y~r.~.,..Y~... ~..'.*+ ~ Capital Cantr~b~ti~n fro131 Agen~~...,.,..ir......r.....,....+.r...,..a • FY X007 CDB~ lFunding~...,s, ,.. ~~r rr. ... ^,. Y.. ... ..~... ...~...,r... ,...a .., Y*h,^.rri• ~~M~i~I.rfr...*.r~...,.Y....r..^^..i*rrr.... r.r ~s. L.. ,.. .r.... ..r ... ... ~Y f~~ FY.I~ ~*~~^++^^~-~Y F~.y ~~~.F~~~.F ^... ... 1.f 4...., rY. ir. ,... a-...^ ~t[i~~ted ~xper~es; List estimated ex nses to com fete cur ro'ect such a: F~.~+~d "1~uF~it~S/~ ^..,~.......*.r.a...ta.4 ... f.. .., ~,. ....,. ,1. ....f~~.^ • ~7F^Yr~~~+'~~ P1.4 ,1.~~+~ ~t~. rr.... l~r r.. ..s.,~i~^.., ..f err r....~^.. sa. • AID Prafeslonal Fees .......,..ir.... .......:...............,........ anstruc#~on Cvst....r..r...~..,.,...~..^•.. ..rrr~r....~r........r....^ ~I~~t~~MV~~{V •y~..r,.~i arr.,...~...s..i..~.. ii. ~r~.r. ... .,f ... ..f ...,r~..• Other: ~peclfiy}^~~..r ..................^*.r.......^•,...^,...,i*.......,r^ TOTAL PRD~#EC 1 OTr^^,r,s.^.r.rr,.r.ra^,r.^..^^a^..,...^^,^rr.rr~^^r.r^..^ Funds needed far the Pra'ec# AMOUNT ~ P,~en ~2;~ . 10Q,716 f~l~ t aMOUNr 6D0 .~ 6~~ . ~a-s~e ~I 13, 51 ~ ~~ N~TF: Thy total funds available fior the ro'ect" shall bee ua! to the *total ro`ect cost." ~~~~.1l~~NA~Y CONTR~JCTI~ Ci~~~L~ P 'voted dates for compRefion of ~C~y project phases} PR~JECT~D ~AT~ • Praprty Trans#er IPurc~iasing......,~ .............~.,.,.......^..... • Proc~r~rnan# of Ar~h~tectlEngi~er ~A~E~ services ................ ! 09l~~107 i~Y~(J!^y]~,i ~1i~14 ~~~ ^^^~~^u~~^^nts' i+.p~~/t\/~i}. ..^.....~.i^•.f..^^...i.^ ~~~~~~~~ Y Award ~Id ~~ ContruMOn Contr~G~ ... , ~ r * ^ ^ ^ .. •.. ^ r.. ^. ^,.. ^, .. ~~~~ 7l~8 ~ onstruct~on a# ~l~D°1~ on~p~etion ........................ ...... ....... D5 , 1 C1~ 1:J~ LCI1J'~ CJ~. ~+Sl JD1 ~;JJi ]4~ ~lJif ~ l~1fCL7 ~~U~ ~UfCf° 4 rF~47~ YJl Anne Bek~r E~H~B~T ~ ~+~~ saenr, D~r~ct~r ~f1I~~ P~U~SSIO~?8I ~~I~~~ ~ ~~ ~ w 351 ~$53-~~Q5 ~~ ~~e~ ood ~r ! 5 Cor~~s C~rlsti, T 78~ AU' ]{^ ~ V Af ~ r~~~ f ~~L V ~~1 •~~~~ 1 ~~ - ~ ~ CL 1L ~3 ~~ 4RPl~S CHRISTI, IH~, Patr~~ia. A~n~y~} ~~re~t~r ~ww, ~g c~arpu sc hr~st~.a~g Ro~~town 401 ~v~st i.igu~tr~m ~~~st~~-~, T~ ~a~~o 381.3~7•~983 3fi1-8~-i X23 ,Fax Mr. a~ue~ ~l~~go~ ~t~ o~ Coypus sty k~~~~ir~ Carn~uni~y Dcve~o~m.c~t omuni~y ~ov~la~me~t A~min~#~ator ~~~. Bay X277 ~o~us b~~~~, ~' 754~~ ar~c~ ~ 37 ~a7 ~~ ~~~~~" of the ~~ a~t~e ~oy~ ~r~~ Club ~~` o~u~ h~s~i, I as«~ you that we vv~~~ pr~~i~c ~~e fi~uY~ing needed to ca~r~r the ~os~ ~~' our ~roj~~~, ~~ e~~rnat~d. ~r~auu~ a~~~ tk~e ~~ gzat~t off` ~ ~ ~~,~~~ ~s ~~,~~~. ~'he doct.u~e~tatia~ enc~o~e~ ~nc~ude~ the 3a~uy ~r~anc~~I~ a~ great a~ t~,e ~ctua~ ~,~~~ ~ ~ri~i which n~atuxes ors March , ~Q~7~ ,~ ~~vay~, ~ ~~~dg~ o~~ co~,e~~ ~o exem~~ary fi~anc~~~ ~c~v~rd~~ap~ ~nr~e ~a~r Serving Carpus Christi Youth ~'-~~ ~~~~~~~e P1~ce ~~~ ~i~s lnc~ 195 ExwI~IT ~ INSURANCE REQUIREMENTS 1. ubrecipient's Liability Insurance A. ubrecipient must not commence work under this agreement ail insurance required herein has been obtained and such insurance has been approved by the City. ubrecipient must not allow any subcontractor to commence work until all similar insurance required of the subcontractor has been obtained. B. ubrecipient must furnish to the City's Risk Manager and to the Department or Division responsible for this agreement, copies of Certificates of Insurance, showing the following minimum coverage by insurance carnpany~s} acceptable to the City's Risk Manager. The City must be named as an additional insured far all liability policies, and a blanket waiver of subrogation is required on all applicable policies. TYKE of INS~JRANCE MINIMUM INSURANCE cO11ERAE 3a-day written notice of cancella#ivn, ~mater~al Bodily Injury and Property I~ar~age change, non~renewal or termination is required on all certifica#es C~MI~ERCIAL GENERAL LIABILITY including: ~ OOD g~0 Combined din le Limit ~ . Commerciai Form ~. Prerr~ises -Operations ~. Praductsl Completed Dperatians Hazard 4. Contractual Liability 5. Independent Contractors 6. Broad Form Property Damage 1. Persanllnjury FIRE and EXTENDED COVERAGE At a minimum, amount sufficient to cover the replacement cost of facilities andl ar building City to be named as lass payee using standard loss payee clause. BUILDERS RISK INURANC~ Full value of any improvements constructed with ~ . A11 Risks of Physical Lass; including collapse CDBG Funds provided under this agreement, sa long and transit average as work remains to be completed on such improvements C. In the event of accidents of any kind, ubrecipient must furnish the Risk Manager with copies of all reports of such accidents within 'I o days of the accident. Community Deveiopr~ent Black Drant Program ubrecipient Agreements ins. req. 8-~ ~-~7 ep Risk I~gmt~ II. ADDITi~NAL I~EG~UI~EMENT A, Certificate of insurance: The City of Corpus Christi must be named an additional insured on the liability coverage, and a bianketwaiver ofsubrogation on all applinable policies. The City of Carpus Christi must be named as Ions payee using a standard loss payee clause on the Fire and Extended Coverage coverage. if your insurance company uses the standard ACRD form, the canceliatian clause bottom right} must be amended by adding the wording „changed or" between ""be'" and "canceled", and deleting the words, „endeavor to", and deleting the wording affer "left". In the alternative, a policy endorsement providing the required cancellation language will be accepted, In lieu of modification of the ACRD form, separate policy endorsements addressing the same substantive requirements are mandatory. ~` The name ~f the prajec# must be listed under "Description of operations" * At a minimum, a 30-day written notice of cancellation, non~renewal, material change or termination is required. ~, If the Certificate of Insurance on its face does not show on its face the existence of the coverage required by items ~ .B ~~}-~7}, an authorized representative of the insurance company must include a letter specifically stating whether items ~ , B. ~~ }- 7}are included ore~ccluded. END community Development Block Grant Program ubrecipient Agreements ins. req. 8-~0-0~ ep Risk I~gm#. ,~ f +~ EXHIBIT C CDBG COMPLIANCE AFFIDAVIT STATE OF TEXAS § § KNOW ALL BY THESE PRESENTS: COUNTY OF NUECES § Date: /~ -CMG L' `7' Affiant: ~ ~ ~~~~~ ..~ ~~ ~~ ~1 ~ ~ ommunlt~ Development Black grant ~abreci lent p ~ffiant, on oath, swears the fallowing statements are true: I, , am the ~ ~ title ~ ~ a Texas nonprofit corporation, which has applied far and been awarded ammunity Develapment Block grant ~"DB"} Program funds administered b~ the pity of corpus Christi ~``it~r„}. Prior to the start of the praject far which DB funds have been awarded, as the representa- tive of the above-named subrecipient organization ~"ubreoipient"}, i met with its staff and received copies of the following Federal rules and regulations: FMB ircularA^11g ~~ DFR 8.4 and x.44 ~~IB circular AF1 ~~ ~4 MFR 5~a.~aa, Da, and GOa et. seq. ~IUIB circular ~~1 ~9 MFR Pert ~4, ~4, ~ g1-~4.1 D4 ~4 MFR Part 4 By execution of this affidavit, I attest that I have received the abave-listed Federal rules and regulations, ~it~ staff has explained the rules and regulations, and I understand the Bubrecipient's obllgatians of perforr~ance under the rules and regulations. Further- mare, (acknowledge that there mad be additional Federal rules and regulations, beyond the rules and rguitions listed above, to which the ubrecipient mad be subject and with which the Bubrecipient rnust comply. By: SWORN TO AND SUBSCRIBED before me the ~ day of ~C~~~ E~ , 2007. ,~ tiu+rr~, .~ r~ +~ s O~~~R W~I.~S ~ ~ ~°~~' ~~~}'~ s~~~ °~ ~ a Nota Public, Btate of Texas ;, ;~~ ~ My C~rnmissio~ ~xpir rY r~~ia ~~~~I~qf}~ ~~, ~~~ ~ EXHIBIT D °E CITY OF CORPUS Cffit7STI DISCLOSURE OF IIV1'ERESI' City of Co ~i 1'~ t 1 , ~s a~cnded, 9~ a~ persons or firms ~ do bass t~~ Ci . w ~ e e folio~n ~r~natY~n. ~r~ry qucs~on nst be . If ~~ ~~ ~ appliclef ansv~er A". Sec verse ~i ~ fvr dei~ians. J C~MPANYI~AIV ~ ~ ~,~. ~. ~ ~~ ~~S ~I ~. ~. ~ 4. Assoc~dian ~ ~. fur ~ ~ ~ddiea~i space is ~ , p~eas~e usa rcverso side of this ~ag~e or att~z rats sit. 1. t die ~ aft "~~~ o~tha C ~f~us Chr~sts ~~ a,~ " ~' ' g 3°l# or ~orc of the ~ e ai~ovo nam `arm." Namc ~ab'x'itx snd City department ~~anawn} ~. ~# die names of cast "o~iai" o~the Ci a~ carpus Christi having ~n "~ ` ink' cot~tam 3 °Io or rao~e afthe oershi i~ the avn '~ ,. ono ~"r#Ie 1 . 5#c die yes of each "baard membcr~' of the Ci of Corpus ~ having an ~`ip ~~' coming o ~ ~ 3 Io or more of the u~vuership in the ahvve meted firm. Nina ~ ~a, Com.~aissivn, or Camxnittec ~. be the motes a~'ea~ch er~Pioy~e of over af~ "consuit~-t'~ far ~e City of Cis ~ wha worked on any ~atteer rcd a suh~~ct o~ this contract and has "ownership in~eres~~ ~ ~°I~ ar amore of the ow~ners~tp ~ the move named "firm.' Cotxsa~tant ~ certifyithat ~~ iof~r~on ~1~DYtded is ~ GDr~ as afthe ~~~~ oft~ls S~ate~eA~. ~ I h~v~ II~~ icnoWingly w~thhe~d diosure of an ~nfortna~aon raq~esd; and #hat suppiern~nt~i stemeats ~I he rnptiy subn~~t#nd ~a City of corpus Chr ~ a changes occer. Cer~fvin~Person: ~~ e: tg~ture ofCertif~rir~g Parson: Date: ~- City of Exhibit E ~~ Co[pUS .Christi :.~..r ERTIFIATI~N RECARDIN L~BBYI~I ERTIFIATIN FAR ~NTRAT, RANT, LEAN, AND ~PERAT111EACREEI~ENT The undersigned certifies, to the bast of his or her knowledge and belief, that ~~ } No federal appropriated funds have been paid or gill be paid, by or on behalf of the undersigned, to any person far influencing or attempting to influence an officer ar an employee of any agency, a member of congress, an officer or employee of cangress, ar an emplayee 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. ~2} If any funds other than federal appropriated funds have been paid ar will be paid to any person for influencing ar attempting to influence an officer ar employee of any agency, a member of congress, an officer or er~ployee of cangress" ar an emplayee of a member of congress in connection with this federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit with this a standard dorm-~ ~, {`Disclosure Farm to Report Lobbying,"' in accordance with its instructiansF ~~~ The undersigned shall require that the language of this certification be included ire the award documents for all subawards at all tiers including subcontracts, subgrants, and contracts under grants, lawns, 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. ubmissian of this certification is a prerequisite far making ar entering into this transaction imposed by ectian ~ 35~, Title 31, U.. fade. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $~ ~,aaa and not mare than $ ~I ag, egg for each such failure. Signature ~~,v~ ~.~~'~~L Print Name of Authorized Individual ia~ ~, a ~ Date ~je~~s <_` ~,2GS C,c.UU Q~ CD,~~Gls~i#Ql,~Tj Organization Name