HomeMy WebLinkAboutC2009-344 - 9/8/2009 - ApprovedHPRP GRANT AGREEMENT
Salvation Army
A GE~~GI~ CGi~~O~Rtl4~
This grant agreement ~"Agreement"} is made by and between the City of Corpus Christi,
a home-rule municipal corporation organized under the laws of the State of Texas ~"City"}, and
the Salvation Army, a nonprofit corporation organized under the laws of the State of Georgia
and lawfully conducting business under the laws of the State of Texas ~"Subrecipient"}.
WHEREAS, the parties desire to enter into an Agreement pursuant to the regulations of
the U.S. Department of Housing and Urban Development ~"HUD"} in order for the City and the
Subrecipient to utilize HUD funding for the Homelessness Prevention and Rapid Re-Housing
Program ~"HPRP"} provided under the federalRmerican Recovery and Reinvestment Act of
2009 ~"Act"},
NOW, THEREFORE, inconsideration of the mutual promises and considerations set
forth below, the parties agree to the following:
1. PURPOSE: The purpose of this Agreement is to provide funding for homelessness
prevention and re-housing assistance, in accordance with the HPRP and the Act. It is under-
stood and agreed by the parties that this Agreement and the disbursement of HPRP funds
pursuant to this Agreement are governed by the provisions of federal law, in accordance with
Docket No. FR-5301-N-01, the notice of HPRP funding allocations, entitled "Notice of
Allocations, Application Procedures, and Requirements for Homelessness Prevention and
Rapid Re-Housing Program Grantees under the American Recovery and Reinvestment Act of
2009" the "Notice"}; with Docket No. FR-5?'D3-N-02, Notice of Corrections and Clarifications
the "Notice Corrections"}, and other issued applicable federal regulations and guidelines
collectively referred to as the "Notices"} under the Act. The parties further acknowledge and
agree that all Notices are incorporated into this Agreement by reference as if such Notices had
been set out in their entirety in the body of this Agreement.
2. CONTRACT TERM: The term of this Agreement shall run from final execution ofthe
Agreement by the parties until February 28, 2011. All services performed by Subrecipient under
this Agreement shall be performed within the dates of this term, and within the dates of any
amendmentto thisAgreement, in orderto be reimbursable by City.
3. SCOPE OF SERVICES: Subrecipient shall use HPRP funds forthe tasks to be performed
as Exhibit "A,"which is attached to this Agreement and, by this reference, incorporated herein.
4. FUNDING: Funding for this Agreement shall be derived from the City's HPRP program
allocation and must be used with the territorial limits of the city of Corpus Christi, Nueces
County, Texas.
5. BUDGET: The City shall provide an amount not to exceed $351,841 for services as
contemplated by the terms of this Agreement. The categories of funding allocations are set out
in Exhibit "A." Any deviation by Subrecipient from the categories and associated allocation
amounts stated in Exhibit "A" must be pre-approved in writing by the City.
6. PERFORMANCE MEASUREMENTS: Subrecipient shall comply with all reporting
~~- ~~ ~~-+~~~~~ ^°}1"'«"°~ by the federal government to ensure the City and HUD have access to
2009-344 t the standards of the Government Performance and Results Act of
Res. OZ8305 a! agencies accountable for establishing goals and objectives and
09/08/09
S alvatton Army
measuring achievements. Subrecipient shall meet this requirement through the submission of
quarterly and annual performance reports to the City as outlined in Paragraph 13 of this
Agreement.
7. LIMITED ENGLISH PROFICIENCY: Subrecipient shall prepare, maintain, and implement
a language assistance plan ~"LAP"} to ensure meaningful access to its programs and activities
by limited English proficient persons in compliance with HUD's "Final Guidance to Federal
Financial Assistance Recipients Regarding Title VI, Prohibition Against National Origin Discrimi-
nationAffecting Limited English Proficient Persons" notice in the Federal Register, published on
January 22, 20D1.
8. ADMINISTRATIVE REPRESENTATIVES: The designated representatives of the parties
for purposes of administering this Agreement shall be:
CITY: Administrator, Community Development
Neighborhood Services Department
P.O. Box 9211
Corpus Christi, TX 18469-9211
SUBRECIPIENT: Executive Director
Salvation Army
521 Josephine Street
Corpus Christi, TX 78401
9. BILLINGSIDISBURSEMENT REQUESTS: Subrecipient is encouraged to submit dis-
bursement requests on a monthly basis, but must submit a disbursement request at least
quarterly. Subrecipient's billing shall include documentation of all expenses to be reimbursed
~i.e., vouchers, invoices, payroll registersltimesheets, and proof of paymentlreceipts}.
1 D. CONFIDENTIALITY AND VERIFICATION OF SERVICES: Subrecipient agrees to ensure
the confidentiality of the name of any individual assisted under Subrecipient'sHPRP-funded
program and any other information regarding any individual receiving assistance under this
program, including the location of any assisted housing, except as needed for verification of
services by City and HUD, through any authorized representatives, who shall have access to
and the right to examine and duplicate all records, books, papers or documents on all Subre-
cipientoperations funded in whole, or in part, under this Agreement for a period of four ~4} years
following the termination of this Agreement.
11. INFORMATION: The City and HUD shall have unrestricted authority to publish, disclose,
distribute and otherwise use, in whale or in part, any reports, data, materials, or other informa-
tianprepared under or in conjunction with this Agreement, including current and accurate data
on the race and ethnicity of HPRP-funded program participants, except as protected by the
confidentiality clause in Paragraph 10 above.
12. HMIS REQUIREMENTS AND PROGRAM PARTICIPANT DATA: Subrecipient shall
collect and record client data in a Homeless Management Information System ~HM1S}, Subre-
cipientshall submit their data electronically to City on a quarterly and annual basis as outlined in
Paragraph 13 of this Agreement.
13. REPORTS: As a condition of funding, Subrecipient shall submit to City quarterly reports
plus an annual report foreach funded calendar year. Subrecipient shall submit an initial per-
formance repor# not later than October 15, 2009, which covers the period between the Agree-
mentexecution date and September 30, 2009, and which shall serve as the first Quarterly
Page 2 of l
Performance Report and Supplement ~"QPRS"}. Ongoing QPRS documents, which may in-
clude many of the same items as the first report, will be due not later than January 15t", April
15t", July 15t", and October 15~" of each calendar year that Subrecipient expends HPRP funds
underthis Agreement. Subrecipient shall also submit an Annual Performance Report not later
than November 15t of each calendar year that Subrecipient expends HPRP funds under this
Agreement. City, at its sole discretion, may withhold payment to Subrecipient under this
Agreement at any time if Subrecipient does nat submit its required performance reports on time.
14. BUSINESS REGISTRATION AND LICENSES: Subrecipient agrees to register with Dun
and Bradstreet in order to obtain a DUNS number and to com lete or renewtheir re istration in
p g
the Central Contractor Registration ~CCR} system, if applicable. Additionally, Subrecipient shall
ensure that it has all necessary licenses, permits, and certifications required to provide HPRP
services under this Agreement, if required by federal, State, or local laws, rules, and regulations.
15. CONFLICT OF INTEREST: Subrecipient agrees to comply with Title 24 of the Code of
Federal Regulations ~"CFR"} Part 84.42 governing conflicts of interest as well as all other CFR
titles that are applicable to this subject matter. Subrecipient shall establish safeguards to pro-
hibit its employees, board members, advisors, and agents from using positions for a purpose
that is, or gives the appearance of being, motivated by a desire for private gain for themselves
or others, particularly those with whom they have family, business, or other ties. Subrecipient
shall disclose to the City any conflict of interest or potential conflict of interest described above
immediately upon discovery of such, and Subrecipient shall make all necessary disclosures and
take all remedial actions required by HUD and the City pertaining to any conflicts.
16. REPRESENTATION REGARDING ETHICAL STANDARDS FOR CITY OFFICERS AND
EMPLOYEES AND FORMER CITY OFFICERS AND EMPLOYEES. Subrecipient represents
that it has not: ~1}provided an illegal gift or payoff to a city officer or employee or former city
officer or employee, or his or her relative or business entity; ~2} retained any person to solicit or
secure this contract upon an agreement or understanding for a commission, percentage, or
brokerage orcontingentfee, other than bona fide employees or bona fide commercial selling
agencies for the purpose of securing business; ~3} knowingly breached any of the ethical
standards set forth in the City's ethics and conflicts of interest ordinances set out in the City's
Code of Ordinances; or ~4} knowingly influenced, and hereby promises that it will not knowingly
influence, a city officer or employee or former city officer or employee to breach any of the
ethical standards setforth in the city's conflict of interest ordinance, Chapter 2.44, Salt Lake City
Code.
1l. INDEPENDENT CONTRACTOR: For the purpose of this Agreement, it is understood that
the parties are independent contractors and no employee or agent of one is, fvr any purpose of
this Agreement, an employee or agent of the other. Nothing contained herein shall, nor shall
any of the obligations of the parties hereunder in any manner, inure to the benefit of third
parties.
~ s, INDEMNIFICATION: Subrecipient covenants and agrees that it will
indemnify and hold City, its officers, officials, employees, and agents
harmless from and against all claims, demands, actions, damages,
losses, costs, liabilities, expenses, and judgments recovered from or
asserted against the City on account of injury or damage to persons
or property (including, without limitation on the foregoing, workers'
compensation, death, and premises defects) to the extent any such
Page 3 of 7
injury or damage maybe incident to, arise out of, or be caused by,
either proximately or remotely, wholly or in part, an act or omission or
negligence on the part of the City, its officers, officials, employees, or
agents ("Indemnitees"), acting pursuant to this Agreement and with
or without the express or implied invitation or permission of the Sub-
recipient, or when any such injury or damage is the result, proximate
or remote, wholly or in part, of the violation by the Subrecipient or any
of its employees, agents, contractors, patrons, guests, licensees, or
invitees of any law, ordinance, or governmental order of any kind.
These terms of indemnification are effective upon the date of execu-
tion of this Agreement and whether such injury or damage may result
from the contributory negligence or concurrent negligence of /ndem-
nitees, as applicable, but not if such injury or damage may result from
the gross negligence or willful misconduct of Indemnitees. Subre-
cipientagrees that said indemnification shall extend to any claim
asserted against the City by the U.S. Department of Housing and
Urban Development as a result of this Agreement or the grant made
pursuant to this Agreement, regardless of the fault ornon-fault of
Subrecipient in connection with such claim. The foregoing not-
withstanding, the Subrecipient shall not be obligated to indemnify the
Indemnitees for any damages that are caused by or result from the
sole fault of the Indemnitees or its officers, officials, employees, or
agents. Subrecipient covenants and agrees that, in case the City is
made a party fo any litigation against the Subrecipient or in any liti-
gation commenced by any party other than the Subrecipient relating
to this Agreement, the Subrecipient shall, upon receipt of reasonable
notice regarding commencement of litigation and at its own expense,
investigate all claims and demands, attend to their settlement or other
disposition, defend the City in all actions based thereon with legal
counsel satisfactory to the City Attorney, and pay all charges of
attorneys and all other costs and expenses of any kind whatsoever
arising from any said claims, demands, actions, damages, losses,
costs, liabilities, expenses, or judgments. The indemnification
provisions of this section survive the termination or expiration of this
Agreement.
19. LAWS AND REGULATIONS:
a. Fair Housin and Civil Ri hts Laws: Subrecipient agrees to comply with all fair
housing and civil rights requirements in 8o8~e}~5} of the Fair Housing Act, 24 CFR
5.105~a}, and all other applicable federal and State laws.
Page 4 of 7
b. Uniform Administrative Requirements: Subrecipient shall comply with applicable
uniform administrative requirements, as described in 24 CFR Part 84.
c. Lead-based Paint Requirements,: The Lead-Based Paint Poisoning Prevention Act
X42 U.S.C. 4891 et seq.}, as amended by the Residential Lead-Based Paint Hazard
Reduction Act of 1992 X42 U.S.C. 4851 et seq.} and implementing regulations at 24
CFR Part 35, Subparts A, B, M, and R, shall apply to housing occupied by families
receiving assistance through HPRP.
d. Religious Activities and Discrimination; A religious organization that participates in
HPRP will retain its independence (from federal, State, and local overnments and
9
may continue to carry out its mission, including the definition, practice, and expression
of its religious beliefs, provided it does not use direct HPRP funds to support any
inherently religious activities. Subrecipient shall not discriminate against a program
participant or prospective program participant on the basis of religion or religious
belief,
e. Lobby nq_an,d.Disclosure,,,Reguirements; Disclosure and prohibitions of Section 319
of the Department of the Interior and Related Agencies Appropriations Act for Fiscal
Year 1990 X31 U.S.C. 1352} the Byrd Amendment} and implementing regulations at
CFR 24 Part 8l apply to HPRP.
f. Dru -Free Work lace Re uirements; The Drug-Free Workplace Act of 1988 U.S.C.
101, et seq.} and HUD's implementing regulations at 24 CFR Part 21 apply to HPRP.
20. REDUCTION IN FUNDING; In the remote event that HUD should, for any reason, reduce
or eliminate the City's HPRP allocated grant funding amount, the City reserves the right to
renegotiate the amount of compensation due Subrecipient forthe activities to be funded under
this Agreement, orto terminate this Agreement at the City's sole discretion.
21. TERMINATION:. The City may terminate this Agreement ifHPRP-funded program require-
ments are violated or not met by giving Subrecipient written notification containing a clear state-
ment ofthe reasons} for termination. Subrecipient may request a review of the decision by the
City's City Manager or his designee ~"City Manager"} and shall receive prompt, written notice of
the City's final decision.
22. SETOFF; Notwithstanding any provision appearing to the contrary, Subrecipient shall not
be relieved of liability to the City for damages sustained by the City by virtue of any breach of
this Agreement by Subrecipient. The City may withhold payment of compensation to Subre-
cipientfor the purpose of setoff until such time as the exact amount of damage incurred by the
City that is due from Subrecipient is determined and paid. Such damages may include HUD's
disqualification. ofthe activities funded under this Agreement because of Subrecipient's failure to
properly administer the same.
23. INTEGRATED DOCUMENT: This Agreement embodies the entire agreement between
City and Subrecipient forthe scope of services to be performed and theirterms and conditions.
No verbal agreements or conversations with any officer, off cial, agent, or employee of the City
prior to the execution of this Agreement shall affect or modify any of the terms or obligations
contained in this Agreement and any documents comprising thisAgreement. Any such verbal
agreement shall be considered as unoff cial information and in noway binding upon the City.
24. AMENDMENTS: This Agreement may be amended only by written agreement of the
parties by authorized representatives of each party. However, the City Manager is authorized to
Page 5 of l
execute amendments on behalf of the City to extend the term of this Agreement, in the event
such an extension is necessary to accomplish the purposes and activities outlined in this Agree-
ment.
25. SEVERABiL1TY OF PROVISIONS: If, for any reason, any section, paragraph, subdivi-
sion, clause, phrase, word, 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, para-
graph, subdivision, clause, phrase, word, or provision of this Agreement, for it is the definite
intent of the parties to this Agreement that every section, paragraph, subdivision, clause,
phrase, word, and provision of this Agreement be given full force and effect for its purpose to
conform to the terms and requirements of applicable law.
26. NON-ASSIGNABILITY: Subrecipient shall not assign any interest in this Agreement to
another party nor transfer any interest in this Agreement without the written consent of the City.
2l. NO THIRD PARTY BENEFICIARIES: Subrecipient's obligations are solely to the City and
to HUD and the City's obligations are solely to Subrecipient and to HUD. This Agreement shall
confer no third party rights whatsoever otherthanthose between the parties hereto and HUD.
28. SUCCESSORS: Subrecipient covenants that the provisions of this Agreement shall be
binding upon its heirs, successors, subcontractors, representatives, and agents.
29. AMBIGUITY: The parties agree that any ambiguity in this Agreement shall be construed in
favor of the City.
34. GOVERNING LAVA AND VENUE: The laws of the State of Texas govern and are appli-
cable toany dispute arising under this Agreement. Venue is in Corpus Christi, Nueces County,
Texas, where this Agreement was entered info and must be performed.
31. ENFORCEMENT OF THE AGREEMENT; In accordance with 24 CFR 85,43, suspension
or termination of this Agreement may occur if Subrecipient materially fails to comply with any of
the terms of this Agreement. The City may require Subrecipient to repay funds disbursed to
Subrecipient if it is determined Subrecipient has breached the provisions of this Agreement.
The City may permit the Agreement to be terminated for convenience in accordance with 24
CFR 85.44.
32. DISCLOSURE OF INTERESTS: Incompliance with Section 2-349 of the City's Code of
Ordinances, the Subrecipient shall complete the City's flisciosure of interests form, which is
attached to this Agreement as Exhibit "B,"the contents of which, as a completed form, are
incorporated in this document by reference as if fully set out in this Agreement.
(EXECUTION PAGE FOLLOWS)
Page 6 of 7
ATTEST:
Armando Chapa
City Secretary
~J ~
Date
SUBR ~ Al
Signa ure
Printed Name
~I~~~PR~~lD~N~
Title
SAP ~ ~ ~~
Date
ACKN~wLEDGMENT
ATIGN ARMY
STATE OF GEORGIA §
COUNTY OF FULTON §
CITY GF CGRPUS CHRISTI
`A~el R. Escobar
C' y Manager
a I L010~
Date
~~. ~~
~UTN~Rl2Ei,
A GEOROIR OORI'ORA; ION
~~ ~
rrrr^ rr
SEC~~T~RY~ '
t0 ~
Assi~nt City Attonl8y
For City Attorney
KN4w ALL BY THESE PRESENTS:
. CEP ~ ~ ~9
This instrument as ~ c owledged before me on , 249,
~'e~ err ~~
b ,. ~.s.~. ~ , an authorized representative of the Salvation
y
Army, a Georgia nonprofit corporation on behalf of the corporation,
,~~ A -~~,
~.~~'~~ P~~,,,,~• `'~~~, Notary Public, Late of Georgia
~~~ ~~r~ D rtiy~ ~!~
.• ~` ~ ~' ~ ~ : M commission ex fires ~ ~ ~ ~ ~ c~
. ~ ~~ ~ w
~ ,~~ ~.,
~aR~ ~
M l,~
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,~ . ~~,
~ ~,,•.~ ~
f •~~~1•^YV+~ 5 \
,r~~ 11,~1r1'
Page l of 7
Agency Name: The Salvation Army, a Georgia C~ oration
TABLE ~*
PROGRAM BUDGET
The Salvation A.rtny, a Georgia Corporation
~+ X > t: h. °' v*i '~ Y. itri r~
k,y '~ ; a r y ~ n ~
,,q
r , ; -: 1' ~S ~ ~5 l x
,~s; ~ yx .x ,a~ i ~ ~q` s ~; 3 Y,~:
~l '~'~
FINANCIAL ASSISTANCE
Short-term rental assistance $46,574 $46,574 $18,347 $111,495
Medium~term rental $9,688 $9,688 $4,403 $23,779
assistance
Securit De osits $9,fi0D $9,600 $3,600 $22,800
Utilit De osits $9,500 $9,600 $3,600 $22,800
Utilit Pa ments $28,130 $28,130 $11,376 $67,636
Movin assistance costs $2,DDD $2,OD0 $500 $4,5D0
Motel 1 Hotel Vouchers $0 $0 $D $0
Financial Assistance Sub- $105, 592 $105, 592 $41, 826 $253, 010
Focal
HOUSING RELOCATION
AND STABILITATION
SERVICES
Case Mana ement $17,250 $17,250 $17,250 $51,75D
Counselin $0 $D $0 $0
Developing, securing, and $17,250 $17,250 $17,250 $51,750
coordinatin services
HRSS Sub-rota! $34,500 $34,500 $34,500 $103,500
HOUSING SEARCH AND
PLACEMENT
Assist participants in locating, ~ $0 $0 $0 $0
obtainin , retainin hausin
Tenant Counselin $0 $0 $D $0
Securin Utilities $0 $0 $0 $0
Makin movin arran ements $0 $D $0 $D
Re resentin a ee services $0 $0 $0 $0
Mediation $D $0 $0 $D
NSP Sub-Total $o $o $0 $0
LEGAL SERVICES ~ $0 ~ $0 ~ $0 ~ $0
CREDIT REPAIR SERVICES $0 $0 $0 $0
DATA COLLECTION HMIS $500 $500 $331 $1331
~ TOTAL FUNDS REQUESTED ~ $140,592 ~ $140,592_ $76,657 ~ $357,841
* Z FTE Case Managers
EXHIBIT
SUPPLIER NUMBER
TO BE ASSIGNED BY C1TY-
PURCHASING DIVISION
~:.~.~+
C.iry of CITY OF CORPUS CHRISTI
c~-pus DISCLOSURE OF INTEREST
Christi
City of Corpus Christi Ordinance 171 ~ 2, as amended, requires all persons or firms seeking to do
business with the City to rov~de the following ~nformat~on. Every uestion must be answered.
if the question is not alp icable, answer with "NA". See reverse si e for Filing Requirements,
Certifications and defin~t~ons.
COMPANY NAME: -~,5 A~Rrria . ~t Li2oea~e~. L~o,[~b2Q-~to.J
P. q. BOX: ~~~ ,.,.._,..._..._..... -----
STREET ADDRESS: ~a
CITY:
• ZIP.
FIRM IS: 1. Corporation ~. Parh~ership 3. Sole owner
4. Association 5. ~ er •
Q d
DISCLOSURE QUESTIONS
If additional space is necessar~, please use the reverse side of this pa a or attach separate sheet.
1. State the names of each `employee" of the City of Corpus C risti having an "ownership
interest" constituting 3% or more of the ownership in the above named "firm."
Name fob Title and City Department cif known
2. State the names of each "official" of the City of Corpus Christi having an "ownership interest"
constituting 3% or more of the ownership in the above named "firm."
Name Title
3. State the names of each "board member" of the City of Corpus Christi having an "ownership
interest constituting 3% or more of the ownership ~n the above named "firm."
Name Board, Commission or Committee
4. State the names of each employee or officer of a "consultant" for the City of Corpus Christi
who worked on any matter related to the subject of this contract and has an "ownership
interest" constituting 3% or more of the ownership in the above named "firm."
Name Consultant
_ n1 f ~ .~ ___,..._
EX~iIBIT
FILING REQUIREMENTS
if a person who requests official action on a matter knows that the requested action will confer an
economic benefit on any City official or employee that is distinguishable from the effect that the
action will have on members of the public in general or a substantial segment thereof you shall
disclose that fact in a signed writing to the City off vial, emplo ee or body that has been
requested to act m the matter, unless the interest of the City of ~cial or employee in the matter is
apparent. The disclosure shall also he made in ~ signed wrlt~ng filed with the City Secretary.
[Ethics Ordinance Section 2-349 ~d}]
CERTIFICATION
1 certify that all information provided is true and correct as of the date of this statement, that 1
have not knowingly withheld disclosure of any information requested; and that supplemental
statements will be promptly submitted to the Caty of Corpus Chr~st~, Texas as changes occur.
" YlCE ~R~~fD~~V~
,;~~~ Y~~ ~iCl~l ~='~~,
Certi in Person: ~~ n ~`~~ Title:
fY g .
{Type ar Print}
Signature of Certifying ~* ~ ~~ Date:
~EP~~
Person. _;~
DEF~NIT~
a. "Board member." A member of any board, commission, or committee appoirrted by the
City Council of the City of Corpus Christi, Texas.
b. "Economic beneft." An action that is likely to affect an economic interest if it is likely to
have an effect on that interest that is distinguishable from its effect on members of the public
in general or a substantial segment thereof.
c. "Employee." Any person employed by the City of Corpus Christi, Texas either on a full or
part-time basis, but not as an independent contractor.
d. "Firm." Any entity operated for economic gain, whether professional, industrial or
commercial, and whether established to produce or deal with a product or service, including
but not limited to, entities operated in the form of sole proprietorship, as self-employed
person, partnership, corporation, joint stock company, joint venture, receivership or trust, and
entities which for purposes of taxation are treated as non-profit organizations.
e. "Dff cial." The Mayor, members of the City Council, City Manager, Deputy City
Manager, Assistant City Managers, Department and Division Heads, and Municipal Court
3udges of the City of Corpus Christi, Texas.
f. "ownership Interest." Legal or equitable interest, whether actually or constructively held,
in a firm, including when such interest is held through an agent, trust, estate, or holding
entity. "Constructively held" refers to holdings or control established through voting trusts,
proxies, or special terms of venture or partnership agreements."
g. "Consultant," Any person or firm, such as engineers and architects, hired by the City of
Corpus Christi for the purpose of professional consultation and recommendation.
THE SALVATION ARMY POLICY STATEMENT
ON RELATIONSH PS WITH OTHER GRO SAND OR
Th~
90
chE
Go
An~.
rel~
~.
2.
3.
4.
' Arm in the United States works cooperatively with many groups ~-
Salvation y •
• ` ' li ious business, human~tar~an, educational, health,
rernmental, social service, civic, re g ~ ' n to reach the Chr~st~an
:ratter building, and other groups -- in the pursuit of its miss~o p
;pel and meet human need.
rivate which enters into a contractual or cooperative
y agency, governmental ar p -
~tionshi with The Salvation Army should be advised that:
p
tion Arm is an international religious and charitable movement, . .
The Salvo Y stun church.
' d on a uasi-mill attern., and is a branch of the Chr~
organized and operate q ~Y p
' are administered by Salvation Army 4~cers, who are
All programs of The Salvation Army
ministers of the Gospel.
' tion of the or anization is love of God and a practical concern
The mot~va g
for the needs of humanity.
' vision of food, shelter, health services, counseling,
The Salvation Army s pro ..
' al social emotional, psychological and sp~~ aid, ~s
and other physic ,
' the basis of need, available resources and established program
given on
policies.
. ratin with The Salvation Army may be assured that because
uuzat~ons contracting andlor coope g .
• 'ion tom assion and is governed by Judea~Christ~an ethics,
Salvation Army ~s rooted ~n Christ p
' 'll strictl observe all provisions of its contracts and agreements.
Salvation Army vin Y
Commissioners con~erence:
M y 1996
i
l
1
f
I
CERTIFICATIGN REGARDING LOBBYING
FOR AGREEMENTS, GRANTS, LOANS,
AND COOPERATIVEAGREEMENTS
The undersigned certifies to the best of its knowledge and belief, that:
1. No federal appropriated funds have been paid or will be paid, by or on behalf of the
undersigned, to any person for influencing or attempting to influence an officer or employee of
an agency, a member of Congress, an officer or employee of Congress, or an employee of a
member of Congress in connec#ion with the awarding of any federal agreement, the making of
any federal grant, the making of any federal loan, the entering into of any cooperative agree-
ment, or modification of any federal agreement, grant, loan, or cooperative agreement.
2. if any funds otherthan 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 mem-
ber of Congress, an officer or employee of Congress, or an employee of a member of Congress
in connection with this federal agreement, grant, loan, or cooperative agreement, the under-
signed shall complete and submit standard form -~ LLL, "Disclosure Form to Report Lobbying,"
in accordance with its instructions.
3.The undersigned shall require that the language of this certification be included in the
award documents for all subawards at all tiers including sub-agreements, subgrant, and agree-
ments under grants, loans, and cooperative agreements} and that subrecipients shall certify and
disclose accordingly.
This certification is material representation of fact which reliance was placed when this
transaction was made or entered into submission of this certification is a prerequisite for making
or entering into this transaction imposed by 31 U.S.C. Section 1352. 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.
SUBRECIPIENT: Salvation Arm HPRP Fundin
CERT1FiCAT1ON
I certify that all,iriformation provided is true and correct as of the date of this statement, that l
have not ki~owEngly withheld disclosure of any information requested, and that supplemental
statements will be promptly completed and submitted if required by federal law.
~~~ SA~VAT~~N AR~~Y, A G~~RGtA ~ORPORRTION
DICE PRESIDENT
Title
CEP O ~ Zppg
Date
~ i~~
~~~ Te ~r~~~ ,