HomeMy WebLinkAboutC2016-555 - 7/12/2016 - Approved STATE OF TEXAS §
COUNTY OF NUECES §
2016
EMERGENCY SOLUTIONS GRANTS PROGRAM (ESG)
SUBRECIPIENT AGREEMENT
BETWEEN THE
CITY OF CORPUS CHRISTI
AND
CORPUS CHRISTI HOPE HOUSE, INC.
This Agreement (hereinafter"AGREEMENT") is made and entered into on this the 15t day of
October, 2016, by and between the City of Corpus Christi, a Texas home-rule municipal corporation
("CITY"), acting through its City Manager or the City Manager's designee ("City Manager")", and
Corpus Christi Hope House, Inc., a domestic nonprofit corporation organized under the laws of the
State of Texas hereinafter referred to as "SUBRECIPIENT."
WITNESSETH
WHEREAS, SUBRECIPIENT desires to carry out eligible activities as described in the Statement of
Work attached hereto as Exhibit A (the "Statement of Work"), and permitted by the Federal
Register/Vol. 76, No. 233/Rules and Regulations pursuant to the U. S. Department of Housing and Urban
Development Emergency Solutions Grants Program Entitlement Grant Regulations and covered in 24
CFR Parts 91 and 576.
WHEREAS, the CITY proposes to contract with SUBRECIPIENT in order that the eligible activities
described in Exhibit A (the "Statement of Work") can be carried out for the benefit of residents in the
City's jurisdiction.
NOW, THEREFORE, KNOW ALL MEN BY THESE PRESENTS that for and in consideration of the
mutual covenants and agreements herein set forth and other good and valuable consideration the
receipt of which is hereby acknowledged, the CITY and the SUBRECIPIENT do mutually agree as follows:
SECTION I
Rules and Regulations
SUBRECIPIENT agrees to cooperate with the CITY in respect to the implementation of
Emergency Solutions Grants Program ("ESG") activities CFDA No. 14.231 to be carried out by
SUBRECIPIENT pursuant to 24 CFR Parts 91 and 576 and other requirements, regulations and
decisions as may be made by the Department of Housing and Urban Development (HUD) or any
other federal or state or entity that may legally exercise its jurisdiction over expenditures of ESG
funds.
2016-555 Page 1 of 25
7/12/16
Ord. 030887
C.C.Hope Housing Inc.
INDEXED
SECTION II
Statement of Work
SUBRECIPIENT agrees to perform services as outlined in Exhibit A: Statement of Work, of this
Agreement for and in consideration of ESG funding in the amount of$30,000.00, enumerated in Exhibit
B-1 (the "Grant Budget") and Exhibit B-2 (the "Payment Schedule").
SUBRECIPIENT agrees to notify the CITY, in writing, prior to any changes in its Statement of Work,
the Grant Budget, the Payment Schedule and the Schedule of Activity attached hereto as Exhibit C(the
"Schedule of Activity"). SUBRECIPIENT shall obtain approval, in writing, from the CITY prior to
commencing work on any changes made to the Statement of Work, the Grant Budget, the Payment
Schedule and the Schedule of Activity.
CITY shall not be liable for costs incurred or performances rendered by SUBRECIPIENT before
commencement of this Agreement or after termination of this Agreement.
SUBRECIPIENT agrees to follow the schedule outlined in the Schedule of Activity of this
Agreement, and shall notify the CITY, in writing, prior to any changes, delays or departures from the
Schedule of Activity. If SUBRECIPIENT demonstrates that delays or departure from the Schedule of
Activity is due to circumstances beyond its control, the CITY and SUBRECIPIENT may(but the City shall
not be required) amend the Schedule of Activity.
SECTION III
Records and Reports
SUBRECIPIENT agrees to establish and maintain records and reports as outlined in the Records
and Reports attached hereto as Exhibit D (the "Records and Reports") and agrees to make the Records
and Reports available to the CITY, HUD, and any other local, state or federal entity or authority that may
exercise jurisdiction over ESG funds. SUBRECIPIENT shall maintain records as per 24 CFR 576.500.
SUBRECIPIENT shall retain all program records for a period of five (5) years.
SUBRECIPIENT must develop and implement written procedures to ensure: (i) All records containing
personal identifying information (as defined in HUD's standards for participation, data collection, and
reporting in a local HMIS) of any individual or family who applies for and/or receives ESG Assistance
will be kept secure and confidential; (ii)The address or location of any domestic violence, dating
violence, or stalking shelter project assisted under the ESG will not be made public, except with written
authorization of the person responsible for the operation of the shelter; and (iii)The address or
location of any housing of a program participant will not be made public, except as provided under a
pre-existing privacy policy of the SUBRECIPIENT and consistent with state and local laws regarding
privacy and obligations of confidentiality. The confidentiality procedures of the SUBRECIPIENT must be
in writing and must be maintained in accordance with this section.
SECTION IV
Monitoring Visits
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SUBRECIPIENT agrees that the CITY shall conduct on-site monitoring visits to assure compliance
with applicable Federal requirements and that performance goals are being achieved, if applicable, as
per 2 CFR 200.328 (a) and 2 CFR 200.331(d).
SUBRECIPIENT shall attend an orientation prior to the award of funds. After each monitoring
visit,the CITY shall provide SUBRECIPIENT with a written report of the monitor's findings.
If the monitoring reports note deficiencies in SUBRECIPIENT'S performance under the terms of
this Agreement, the monitoring report shall include requirements for the timely correction of such
deficiencies by SUBRECIPIENT.
Failure by SUBRECIPIENT to take action specified in the monitoring report may be cause for
suspension or termination of this Agreement, as provided in Section XII of this Agreement.
In addition, SUBRECIPIENT shall give HUD, Inspectors General, the Comptroller General of the
United States, the CITY, and any of their duly authorized representatives, unobstructed and full access
to and the right to examine all books, accounts, records, reports, files, and other papers, things, or
property belonging to or in use by SUBRECIPIENT pertaining to this Agreement.
SECTION V
Payment Requests and Program Income
SUBRECIPIENT agrees to follow administrative directions from the CITY regarding documenting
and processing payment requests as defined in the Requests for Payments attached hereto as Exhibit E
(the "Requests for Payments") of this Agreement.
SUBRECIPIENT shall submit final reimbursement request to the CITY within 30 days (by
October 31, 2017) of the Agreement termination date.
SUBRECIPIENT and CITY agree that if applicable, program income generated from the use of ESG
funds shall be retained by the SUBRECIPIENT. If the activity is partially assisted with ESG funds, the
SUBRECIPIENT agrees to pro-rate the gross income to reflect the percent of ESG funds assisted in the
activity.
SUBRECIPIENT is to provide to the CITY by the third Wednesday of each month an accounting of
program income outlined in the Records and Reports.The CITY is then required to report all ESG program
income earned, retained, and expended.
SUBRECIPIENT shall be allowed to use program income for the same or similar eligible activities
that generated the program income. Failure of the SUBRECIPIENT to report program income as required
shall cause the CITY to require all program income to be recovered by the CITY.
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SUBRECIPIENT and the CITY agree that all unused ESG funds at the end or termination of this
agreement will be reallocated or reprogrammed by the CITY. Refer to Exhibit E for more detail.
SECTION VI
Matching Funds
SUBRECIPIENT must match 100%the funds provided by the CITY with an equal amount of funds
from other appropriate resources in this agreement as set forth in 24 CFR § 576.201. Eligibility of
matching fund sources shall be subject to review and approval by the CITY.
In the event the CITY determines that the SUBRECIPIENT'S match funds are not in compliance with HUD
regulations, policies, or directives, the CITY may, in its sole discretion, reduce the total funding amount
set forth in an amount proportionate to the ineligible match funds. The requirements for matching ESG
funds are described in section 576.201 of the ESG Interim Rule, and the requirements for documenting
matching contributions are described in section 24 CFR 576.500(o).
SECTION VII
Lead Based Paint
Lead Based Paint regulations require that all owners, perspective owners, and tenants of
properties constructed prior to 1978 be properly noticed that such properties may contain lead-based
paint. Such notification shall point out the hazards of lead-based paint and explain the symptoms,
treatment, and precautions that should be taken when dealing with lead-based paint poisoning.
Lead-based Paint Remediation and Disclosure. The SUBRECIPIENT must comply with the Lead-
Based Paint Poisoning Prevention Act (42 U.S.0 4821-4826), the Residential Lead-Based Paint Hazard
Reduction Act of 1992 (42 U.S.C. 4851-4856), and implementing regulations found at 24 CFR Part 35,
subparts A, B, H, J, K, M and R with regard to all shelters assisted under ESG program and all housing
occupied by program participants.
SUBRECIPIENT may not use ESG funds to help a program participant remain or move into housing
that does not meet the minimum habitability standards provided in 24 CFR § 576.403 (b), (c), (1-10).
SUBRECIPIENT must complete a Lead-Based Paint visual assessment on all units being assisted with ESG
funds.
SECTION VIII
Religious Activities
SUBRECIPIENT and the CITY both agree that none of the funds expended or activities undertaken
shall be used in support of any sectarian or religious activity or religious holiday, nor shall any building
or structure funded under this Agreement be used for sectarian or religious activities. If an entity
conducts these activities, the activities must be offered separately, in time or location, from the
programs or services funded under ESG, and participation must be voluntary for program participants as
described in 24 CFR 576.406.
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SECTION IX
Other Program Requirements
SUBRECIPIENT agrees to comply with "Other Federal Requirements" as listed in 24 CFR 576.407
except for those environmental review requirements listed as 24 CFR part 50 and initiation of review
process under the provisions of 24 CFR part 58. In general,the revisions to the section on "Other Federal
Requirements" clarify the degree to which certain requirements are applicable, remove certain
requirements that are redundant or moved elsewhere in the rule for improved organizational purposes,
and change certain requirements to correspond with changes in the McKinney-Vento Act or other
changes made by this interim rule. (Please see Exhibit F attached hereto and incorporated herein for all
purposes).
SECTION X
Uniform Administrative Requirements
SUBRECIPIENT must comply with the requirements and standards implemented in 2 CFR Part
200, "Uniform Administrative Requirements, Cost Principles and Audit Requirements for Federal
Awards" and any subsequent amendments thereto. (Please see Exhibit G attached hereto and
incorporated herein for all purposes as guidance).
Audits shall be conducted annually.
SUBRECIPIENT shall comply with the provisions in 2 CFR Part 200 or the related ESG provisions,
as specified in the Other Federal Requirements attached hereto as stated in Exhibit F(the"Other Federal
Requirements") and any subsequent amendments thereto.
SECTION XI
Audit Requirements
SUBRECIPIENT agrees to comply with the applicable requirements and standards as set forth in
2 CFR Part 200, Subpart F, Audit Requirements, and any subsequent amendments thereto. (Please see
Exhibit G attached hereto and incorporated herein for all purposes as guidance).
If SUBRECIPIENT expends less than Seven Hundred Fifty Thousand Dollars ($750,000.00) a year
in federal awards,then they are exempt from the audit requirements implemented in 2 CFR part 200 for
that year except as noted in 2 CFR §200.503; however, records must be available for review or audit by
appropriate officials of HUD, the CITY and the General Accountability Office.
However,if SUBRECIPIENT expends Seven Hundred Fifty Thousand Dollars($750,000.00)or more
in federal funds, SUBRECIPIENT must, within nine (9) months from the end of its fiscal year, supply the
CITY with an audit of revenues and expenditures conducted by a certified public accountant.Grant funds
may be forfeited if the SUBRECIPIENT fails to submit an audit within the allotted time.
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SUBRECIPIENT agrees to furnish the CITY with a current Financial Management Letter (financial
statements) within six (6) months from the end of its fiscal year covering the period of this Agreement
that includes detailed receipts and disbursement of payments to SUBRECIPIENT hereunder. Grant funds
may be forfeited if the SUBRECIPIENT fails to submit a Financial Management Letter.
SUBRECIPIENT is required to submit a 990 Tax Return (Return of Organization Exempt from
Income Tax) for the most recent fiscal year within six (6) months if submitting a Financial Management
Letter or within nine (9) months if submitting a Financial Audit. If the SUBRECIPIENT is not classified as
exempt,the SUBRECIPIENT will not be awarded grant funds.
SUBRECIPIENT is required to submit 941 Employer's QUARTERLY Federal Tax Return reports.
If applicable,SUBRECIPIENT agrees to cooperate with the CITY relating to any inquiries regarding
the Financial Audit or Financial Management Letter and SUBRECIPIENT acknowledges that a Financial
Audit or Financial Management Letter shall be provided to the CITY at the expense of the SUBRECIPIENT.
Financial Audit or Financial Management Letter shall be available to the CITY staff, and any and
all applicable federal agencies, and be of unrestricted access, in accordance with 2 CFR 200.331 and 2
CFR 200.336.
SECTION XII
Suspension and Termination
SUBRECIPIENT understands that this Agreement may be terminated, in accordance with 2 CFR
200.339, if the SUBRECIPIENT materially fails to comply with the provisions of this Agreement or the
provisions so listed in the Statement of Work attached hereto as Exhibit A (the "Statement of Work"),
the Grant Budget attached hereto as Exhibit B-1 (the "Grant Budget), the Payment Schedule attached
hereto as Exhibit B-2 (the "Payment Schedule),the Schedule of Activity attached hereto as Exhibit C(the
"Schedule of Activity"), the Records & Reports attached hereto as Exhibit D (the "Records & Reports"),
the Request for Payments attached hereto as Exhibit E (the "Request for Payments"), Other Applicable
Provisions attached hereto as Exhibit F (the "Other Federal Requirements"), and 2 CFR part 200.
Further, SUBRECIPIENT understands that all remedies for non-compliance pursuant to 2 CFR 200.338
may be utilized if the requirements of this Agreement are not followed.
SUBRECIPIENT agrees to follow all the requirements under 24 CFR 576.402 when terminating
assistance on a program participant. If a program participant violates program requirements, the
recipient or SUBRECIPIENT may terminate the assistance in accordance with a formal process
established by the recipient or SUBRECIPIENT that recognizes the rights of the individuals affected.
SUBRECIPIENT must document the determination of ineligibility for each individual or family
determined ineligible as required in 24 CFR 576.500. The record must include documentation of the
reason for that determination.
It is expressly agreed that this Agreement may not be amended except upon the joint action of both
the CITY and SUBRECIPIENT.
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SECTION XIII
Assets
SUBRECIPIENT shall not purchase any asset unless so permitted by the CITY and such
procurement shall be done in the form and manner so prescribed by the CITY.
Any asset acquired or improved in part or in whole with ESG funds must be used in an activity
that meets one of the national objectives listed in 24 CFR Part 91 and 576.
The disposition of any asset improved or acquired in part or in whole with ESG funds by the
SUBRECIPIENT must be done with prior written approval of the CITY and the CITY shall be reimbursed
for the asset, if sold, in the full amount of the disposed value of the asset. The CITY may, at its option,
request that such asset be transferred to the CITY if the asset is no longer being used to meet one of the
national objectives or in any case where the SUBRECIPIENT no longer provides services shown on the
Statement of Work.
SECTION XIV
Use of Emergency Shelter
SUBRECIPIENT agrees to operate and maintain an emergency shelter for a period of three (3) or
ten (10) years depending on the type of renovation and value of the building as required on §576.102.
Renovation other than major rehabilitation or conversion, in all other cases where ESG funds were used
for renovation, the minimum period of use is three (3) years.
If SUBRECIPIENT uses ESG funds for operation and maintenance costs, SUBRECIPIENT hereby agrees to
maintain the shelter for the homeless for the period for which assistance is being provided for the same targeted
population. For the purposes of this Agreement, such time period shall be from the date the Agreement is
executed to its expiration, as identified in Section XXI.
SECTION XV
Indemnity Clause & Insurance Provisions
(A) Subrecipient covenants and agrees that it will indemnify and hold
City harmless of, 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 injury or
damage may be incident to, arise out of, or be caused, either proximately or
remotely, wholly or in part, 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
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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 facilities being used pursuant
to this Agreement and with or without the express or implied invitation or
permission of the Subrecipient, or when any such injury or damage is the
result, proximate or remote, wholly or in part, of the violation by Indemnitees,
the Subrecipient 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 damage may in any other way
arise from or out of the use or occupancy of the facilities by Indemnitees, the
Subrecipient or any of its agents, servants, employees, contractors, patrons,
guests, licensees, or invitees, including, but not limited to, the failure of the
Subrecipient to maintain the Facilities.
(B) These terms of indemnification are effective upon the date of execution of
this Agreement and whether such injury or damage may result from the
contributory negligence or concurrent negligence of Indemnitees, but not if
such injury or damage may result from the sole negligence or willful
misconduct of Indemnitees.
(C) The Subrecipient covenants and agrees that, in case the City is made a party
to any litigation against the Subrecipient or in any litigation 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, ac-
tions, damages, losses, costs, liabilities, expenses, or judgments.
(D) The indemnification provisions of this section survive the termination or
expiration of this Agreement.
SUBRECIPIENT shall have in force, throughout the term of this Agreement, insurance that complies with
the standards in Exhibit H, a copy of which is attached to this Agreement and incorporated in this Agreement
by reference. A certificate evidencing the SUBRECIPIENT'S provision of insurance must be provided to the City's
Risk Manager ("Risk Manager") and the CITY at least ten (10) days prior to any expenditures of ESG funds by
the SUBRECIPIENT. Failure to maintain any of the types and limits of the insurance required by Exhibit H is
cause for the City Manager to terminate this Agreement and cancel any and all reimbursements of ESG funds to
the SUBRECIPIENT.
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SUBRECIPIENT shall require its insurance companies, written policies, and certificates of insurance to
provide that the City must be given thirty (30) days advance notice by the insurer prior to cancellation,
nonrenewal, or material change of the insurance policies required by Exhibit H.
CITY'S Risk Manager retains the right to re-evaluate the insurance requirements during the term of this
Agreement and adjust the types and limits of such insurance upon thirty (30) days written notice to
SUBRECIPIENT. Insurance types and limits may not be adjusted more frequently than once a year.
SECTION XVI
Procurement
SUBRECIPIENT agrees to follow the statues and rules governing the CITY in the procurement of services,
supplies or non-real property in relation to CITY-funded projects. The legal standards that will apply include the
procurement standards of the City of Corpus Christi, which includes procurement standards established by 2
CFR part 200.
SUBRECIPIENT must comply with ESG applicable requirements covered in this agreement. Procurement
by the SUBRECIPIENT must follow a written code of conduct and establish procurement procedures that provide
an open and free competition in accordance with 2 CFR part 200.
SUBRECIPIENT shall comply with current ESG policy and 2 CFR part 200, concerning the purchase of
equipment and shall maintain inventory records of all non-expended personnel property as defined by such
policy as may be procured with funds provided herein.
SECTION XVII
Conflict of Interest
SUBRECIPIENT covenants that members of its organization or staff members who exercise influence on
the decision-making process will not have any interest,direct or indirect,with any person,corporation,company
or association that is hired to carry out any of the activities so listed in the Statement of Work (Exhibit A), 24
CFR Part 576.404, and 2 CFR part 200.
SUBRECIPIENT agrees that no person who is an elected official, officer, director, employee, consultant,
or agent of the SUBRECIPIENT's organization or the CITY's organization shall gain any interest in any corporation,
company,or association that is hired to carry out any of the activities so listed in Statement of Work during their
tenure or for a period of one year thereafter.
SUBRECIPIENT agrees to comply with Chapter 176 of the Texas Local Government Code and file Form
CIQ with the City Secretary's Office, if required. For more information and to determine if you need to file a
Form CIQ please review the information on the City Secretary's website at
http://www.cctexas.com/govern ment/city-secretary/conflict-d isclosu re/index
SUBRECIPIENT is responsible for repayment of funds associated with any conflict of interest that may
occur either knowingly or unknowingly.
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No CITY employee, elected official, consultant and/or agent shall solicit nor accept gratuities,favors, or
anything of monetary value from any person, corporation, company, or association that has been hired or
expects to be hired to perform any of the activities so described in the Statement of Work.
In compliance with Section 2-349 of the City's Code of Ordinances,the SUBRECIPIENT shall complete the
City's Disclosure of Interests form, which is attached to this Agreement as Exhibit I, the contents of which, as a
completed form, are incorporated in this document by reference as if fully set out in this Agreement.
SECTION XVIII
Legal Action and Venue
SUBRECIPIENT agrees to notify the CITY when a problem arises that may lead to legal action or claim
against the SUBRECIPIENT.The SUBRECIPIENT agrees to furnish to the CITY any and all information with respect
to such action or claim.The SUBRECIPIENT agrees not to take any action with respect to any legal action or claim
sought against the SUBRECIPIENT without the advice and written consent of the CITY.
Venue and jurisdiction of any suit, right or cause of action arising under or in connection with this
Agreement shall lie exclusively in Corpus Christi, Nueces County,Texas, where this agreement was entered into
and must be performed.
SECTION XIX
Miscellaneous Provisions
Conflict with Applicable Law. Nothing in this Agreement shall be construed so as to require the
commission of any act contrary to law, and whenever there is any conflict between any provision of this
Agreement and any present or future law,ordinance or administrative, executive or judicial regulation, order or
decree, or amendment thereof, contrary to which the parties have no legal right to contract, the latter shall
prevail, but in such event the affected provision or provisions of this Agreement shall be modified only to the
extent necessary to bring them within the legal requirements and only during the time such conflict exists.
Validity. If, for any reason, any section, paragraph, subdivision, 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, paragraph, 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.
No Waiver. No waiver by CITY of any breach of any provision of this Agreement shall be deemed to be
a waiver of any preceding or succeeding breach of the same or any other provision hereof.
Entire Agreement. This Agreement contains the entire contract between the parties hereto, and each
party acknowledges that neither has made (either directly or through any agent or representative) any
representations or agreements in connection with this Agreement not specifically set forth herein. This
Agreement may be modified or amended only by agreement in writing executed by CITY and SUBRECIPIENT,
and not otherwise.
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Texas Law to Apply. THIS AGREEMENT SHALL BE CONSTRUED UNDER AND IN ACCORDANCE WITH THE
LAWS OF THE STATE OF TEXAS, AND ALL OBLIGATIONS OF THE PARTIES CREATED HEREUNDER ARE
PERFORMABLE IN NUECES COUNTY, TEXAS. THIE PARTIES HEREBY CONSENT TO PERSONAL JURISDICTION IN
NUECES COUNTY,TEXAS.
Notice. Except as may be otherwise specifically provided in this Agreement, all notices, demands,
requests or communications required or permitted hereunder shall be in writing and shall either be(i)personally
delivered against a written receipt, or (ii) sent by electronic mail, or (iii) sent by registered or certified mail,
return receipt requested, postage prepaid and addressed to the parties at the addresses set forth below, or(iv)
sent by facsimile or at such other addresses as may have been theretofore specified by written notice delivered
in accordance herewith:
If to CITY: If to SUBRECIPIENT:
City of Corpus Christi Corpus Christi Hope House
Attn: Director Housing and Attn: Executive Director
Community Development 658 Robinson Street
1201 Leopard Street Corpus Christi,TX 78404
Corpus Christi,Texas 78401 Phone#: (361) 765-7725
Email: rudvb@cctexas.com Fax#: (361) 852-8211
Phone #(361) 826-3010 Email: bakermelinda@hotmail.com
Fax# (361) 826-3017
Each notice, demand, request or communication which shall be delivered or mailed in the manner described
above shall be deemed sufficiently given for all purposes at such time as it is personally delivered to the
addressee or, if mailed, at such time as it is deposited in the Unites States mail.
Certificate of Interested Parties. (Exhibit J). SUBRECIPIENT agrees to comply with Texas Government Code
section 2252.908 and complete Form 1295 Certificate of Interested Parties as part of this agreement.
Form 1295 must be electronically filed with the Texas Ethics Commission at
https://www.ethics.state.tx.us/whatsnew/elf info form1295.htm. The form must then be printed, signed,
notarized and filed with the City. For more information, please review the Texas Ethics Commission Rules at
https://www.ethics.state.tx.us/legal/ch46.html.
Copies of Rules and Regulations. Copies of some of the rules and regulations referenced in this
Agreement have been provided to the SUBRECIPIENT as evidenced by the SUBRECIPIENT'S ESG Compliance
Affidavit,which is attached to this Agreement as Exhibit K and is incorporated into this Agreement by reference.
Any failure by the CITY to supply the SUBRECIPIENT with any other applicable laws, regulations, ordinances,
rules, or policies not stated in Exhibit K does not waive the SUBRECIPIENT'S compliance there-with as required
by law.
Additional Documents. The parties hereto covenant and agree that they will execute such other and
further instruments and documents as are or may become necessary or convenient to effectuate and carry out
the terms of this Agreement.
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Successors. This Agreement shall be binding upon and inure to the benefit of the parties hereto and
their respective heirs, executors,administrators, legal representatives,successors,and assigns where permitted
by this Agreement.
Assignment. This Agreement shall not be assignable by SUBRECIPIENT. The CITY may assign this
Agreement without the consent of SUBRECIPIENT.
Headings. The headings and captions contained in this Agreement are solely for convenient reference
and shall not be deemed to affect the meaning or interpretation of any provision or paragraph hereof.
Gender and Number. All pronouns used in this Agreement shall include the other gender,whether used
in the masculine,feminine or neuter gender, and the singular shall include the plural whenever and as often as
may be appropriate.
Authority to Execute. The execution and performance of this Agreement by the CITY and SUBRECIPIENT
have been duly authorized by all necessary laws, resolutions or corporate action,and this Agreement constitutes
the valid and enforceable obligations of the CITY and SUBRECIPIENT in accordance with its terms.
SECTION XX
Participation in HMIS and Coordinated Access System
SUBRECIPIENT agrees that projects receiving funding under Emergency Solutions Grants ("ESG")
program will participate in the Homeless Management Information System (HMIS). Section 416 (f) of the
McKinney-Vento Act and HEARTH Act (24 CFR Part 580) requires that projects receiving funding under
Emergency Solutions Grant (ESG) program participate in HMIS pursuant to 24 CFR 576.107.
SUBRECIPIENT must ensure that data on all persons served and all activities assisted under ESG are
entered into the applicable community-wide HMIS in the area in which those persons and activities are located,
or a comparable database, in accordance with HUD's standards on participation, data collection, and reporting
under a local HMIS.
If SUBRECIPIENT is a victim service provider or a legal services provider, it may use a comparable
database that collects client-level data over time (i.e., longitudinal data) and generates unduplicated aggregate
reports based on the data. Information entered into a comparable database must not be entered directly into
or provide to an HMIS.
SUBRECIPIENT must report all client statistical data using the ESG eCart (the ESG-CAPER Annual
Reporting Tool). SUBRECIPIENT MUST ensure that all client data is entered into e-Cart and produce the statistical
information required by HUD on program participants served with ESG funds. SUBRECIPIENT will provide City
their final statistical report no later than October 15, 2017.
SUBRECIPIENT shall work with the Continuum of Care to ensure the screening, assessment and referral of
program participants are consistent with the written standards required by the CITY. A victim service provider
may choose not to use the Continuum of Care's centralized or coordinated assessment system as set forth in 24
CFR § 576.400(d).
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SUBRECIPIENT shall coordinate and integrate, to the maximum extent practicable, ESG-funded activities
with other programs targeted to homeless people in the area covered by the Continuum of Care or area over
which the services are coordinated to provide a strategic, community-wide system to prevent and end
homelessness for the area as set forth at 24 CFR § 576.400(b).
System and Program Coordination with Mainstream Resources. The SUBRECIPIENT must coordinate
and integrate,to the maximum extent practicable, ESG-funded activities with mainstream housing,health,social
services,employment, education, and youth programs for which families and individuals at risk of homelessness
and homeless individuals and families may be eligible as set forth in 24 CFR § 576.400(c).
Participation of Homeless Persons in Policy-Making and Operations, The SUBRECIPIENT understands
they are required by federal rule to provide for the participation of at least one homeless or formerly homeless
person(s) in a policy-making function within the organization as required in 24 CFR§576.405.This might include,
for example, involvement of a homeless or formerly homeless person on the Board of Directors or similar City
that considers and sets policy or makes decisions for the recipient agency.
If SUBRECIPIENT is unable to meet requirement, it must instead develop and implement a plan to consult
with homeless or formerly homeless individuals in considering and making policies and decisions regarding any
facilities, services, or other assistance that receive funding under Emergency Solutions Grant (ESG). The plan
must be included in the annual action plan required under 24 CFR 91.220.
SUBRECIPIENT also agrees that to the maximum extent practicable,they will involve,through employment,
volunteer services,or otherwise, homeless individuals and families in constructing, renovating,maintaining,and
operating facilities assisted under this agreement and in providing services for occupants of facilities assisted
under this agreement as listed in 24 CFR § 576.405 in accordance with 42 U.S.C. 11375 (d) and 42 U.S.C. 11375
(c) (7)
Page 13 of 25
SECTION XXI
Effective Date
The effective date of this agreement shall be October 1, 2016, such date being the date the City of Corpus
Christi entered into this Agreement with SUBRECIPIENT and shall terminate on the 30th day of September 2017.
Executed in DUPLICATE originals to be effective as of the date first set forth above.
ATTEST: City of Corpus Christi
ia-- „ ( 1A-e-A7'ar
Rebecca Huerta Margie C. Ro ell"2
Secretary City Manager
ACKNOWLEDGMENT
STATE OF TEXAS §
§ KNOW ALL BY THESE PRESENTS:
COUNTY OF NUECES §
This instrument was acknowledged before me on this day of ��riP'I't '( 2016, by Margie C. Rose, City
Manager of the Cityof Corpus Christi, Texas.
` ESTHER VELAZQUEZ
�.tN ot�a(yy ID# 2905734 ' n
�AI i lnmi 5, 20 Expires ,�n n ��
71.3 July 2018 ' �, `- �F't'`tn
Notary Public, State of Texa�
APPROVED`AS TO FORM:
THISjU1' DAY OF iltel2016 --1
5A11
fif
Yvette A•uiilar !l_ 1-112434-1
Assist: t City t ey
For Miles Risley, City Attorney
Page 14 of 25
•
SUBRECIPIENT
4il4A/5 )0
Signcture Date
WI-C(1'64 ft'?-
Printed Name
-6V ciAby -i).0‘417
Title
STATE OF TEXAS §
COUNTY OF NUECES §
This instrument was acknowledged'keforem on this 3/ day of O C4'ob er , 2016, by
vac
AleAtsixc JeZ—, who is the b Vt L (e of Corpus Christi Hope House, Inc., a domestic
nonprofit corporation organized under the laws of the State of Texas, on behalf of the corporation.
7:767.9=STA7E777"
Notary Public,State of Texas
Comm.Expires 0301-2020 Notary ublic, State of T as
°;'X° Notary ID 11707398
Page 15 of 25
EXHIBIT A
STATEMENT OF WORK
Homeless Prevention:24 CFR 576.103
Financial assistance includes housing stabilization services (including rental application fees, security deposits,
utility deposits or payments, last month's rent and housing search and placement activities). Funds may also be
used for short or medium-term rental assistance for those who are at risk of becoming homeless or transitioning
to stable housing with a maximum limit on assistance of 24 months.
Rapid Rehousing: 24 CFR 576.104
ESG funds may be used to provide housing relocation and stabilization services and short-and medium-term
rental assistance as necessary to help a homeless individual or family move as quickly as possible into permanent
housing and achieve stability in that housing. Participants must meet the criteria under paragraph (1) of the
homeless definition in 24 CFR 576.2.
Page 16 of 25
EXHIBIT B-1
Grant Budget
As identified through the Statement of Work
TYPE OF EXPENDITURES BUDGETED AMOUNT
Rapid Re-housing: Financial Assistance (Rental), Financial
Assistance (Deposit/Utilities), Financial Services (HR Stab.
Services) $ 12,000
Homeless Prevention: Financial Assistance (Rental), Financial $ 18,000
Assistance (Deposit/Utilities), Financial Services (HR Stab.
Services)
TOTAL GRANT BUDGET: $ 30,000
Page 17 of 25
EXHIBIT B-2
PAYMENT SCHEDULE
2016-2017 Estimated Amount of Type of
For the Months of... Expenditures Budgeted Expenditures
October 2016 $2,500.00 Rapid Rehousing and Homeless Prevention
November 2016 $2,500.00 Rapid Rehousing and Homeless Prevention
December 2016 $2,500.00 Rapid Rehousing and Homeless Prevention
January 2017 $2,500.00 Rapid Rehousing and Homeless Prevention
February 2017 $2,500.00 Rapid Rehousing and Homeless Prevention
March 2017 $2,500.00 Rapid Rehousing and Homeless Prevention
April 2017 $2,500.00 Rapid Rehousing and Homeless Prevention
May 2017 $2,500.00 Rapid Rehousing and Homeless Prevention
June 2017 $2,500.00 Rapid Rehousing and Homeless Prevention
July 2017 $2,500.00 Rapid Rehousing and Homeless Prevention
August 2017 $2,500.00 Rapid Rehousing and Homeless Prevention
September 2017 $2,500.00 Rapid Rehousing and Homeless Prevention
TOTALS $30,000
Page 18 of 25
EXHIBIT C
Schedule of Activity
SUBRECIPIENT hereby agrees to perform services as outlined in Exhibit A. '
A proposed monthly schedule of activity should be provided in this space. Schedule should not exceed
SUBRECIPIENT contract time frame of 12 months from contract date.
2016-2017 Number of Services
For the Months of... Beneficiaries
October 2016 2 Rapid Rehousing and Homeless Prevention
November 2016 2 Rapid Rehousing and Homeless Prevention
December 2016 2 Rapid Rehousing and Homeless Prevention
January 2017 2 Rapid Rehousing and Homeless Prevention
February 2017 2 Rapid Rehousing and Homeless Prevention
March 2017 2 Rapid Rehousing and Homeless Prevention
April 2017 2 Rapid Rehousing and Homeless Prevention
May 2017 2 Rapid Rehousing and Homeless Prevention
June 2017 3 Rapid Rehousing and Homeless Prevention
July 2017 3 Rapid Rehousing and Homeless Prevention
August 2017 3 Rapid Rehousing and Homeless Prevention
September 2017 3 Rapid Rehousing and Homeless Prevention
Total Unduplicated 28
EXHIBIT D
RECORDS & REPORTS
SUBRECIPIENT must maintain all records and reports submitted to the City for a period of five years.
SUBRECIPIENT must maintain record of beneficiaries being served (i.e. application, eligibility, grant
category breakdown by activity, membership, clientele profile, etc.) and other significant and applicable
information.
SUBRECIPIENT must maintain files of all original contract agreements amendments, and
correspondence.
SUBRECIPIENT must maintain all financial records for ESG program.
SUBRECIPIENT must participate in the Annual Point in time Homeless Count.
SUBRECIPIENT must report aggregated client information on HMIS.
Exhibit E
REQUEST FOR PAYMENTS
A. Matching Funds 24 CFR 576 requires that each grantee and/or SUBRECIPIENT must match the funding
provided by HUD under 24 CFR 576 with an equal amount of funds from sources other than under Part 576.
Subrecipient must include documentation to support source of match, with each request for payment, be with
either cash,volunteer time, in-kind,office space,or donations. Failure to submit match source documentation,
will be cause for City to refuse payment request. Please refer to matching requirements for more information.
The requirements for matching ESG funds are described in section 576.201 of the ESG Interim Rule, and the
requirements for documenting matching contributions are described in section 576.500(o).
B. Insurance. SUBRECIPIENT must submit copy of a current Certificate of Insurance at least ten (10)days prior
to any expenditure of ESG funds by the SUBRECIPIENT. Certificate of Insurance must cover the period of
funding agreement, and meet all requirements stated in Section XV and Exhibit H of this agreement. Failure to
timely submit Certificate of Insurance will be cause for CITY to refuse payment request.
C. Payment Request Checklist: For Each payment reimbursement, please provide the following:
• Signed cover letter summarizing the reimbursement for each funded activity
• Detailed Summary of Costs Breakdown
• Copies of Invoices and/or receipts
• Copies of cancelled checks responding to invoices and/or receipts
• Other Supporting Documents as requested by CITY
NOTE: Payment requests must be submitted to the CITY by the 15th of each month. ESG funds may be
recaptured by the CITY if SUBRECIPIENT fails to expend funds timely and future funding requests may be
affected.
1. SUBRECIPIENT must submit a complete monthly reimbursement requests as approved on the Schedule
of Payment hereto attached as Exhibit B-2 (the "Schedule of Payment") due on or before the 15th of
each month.
2. SUBRECIPIENT must inform the CITY in writing if the reimbursement request will not be submitted by
the due date.
3. The CITY will return incorrect and/or incomplete reimbursement requests to SUBRECIPIENT as soon as
possible and note which corrections need to be made or additional documents needed. Please note that
this may delay payment reimbursement.
5. SUBRECIPIENT t must resubmit a Payment Request Cover Letter with revised or additional
documentation as requested by the CITY, no later than 5 days from notification by the CITY.
3. SUBRECIPIENT must submit FINAL reimbursement request to the CITY 30 days prior to expiration date
of agreement.
4. SUBRECIPIENT must submit all required documentation as stated on the City Reimbursement Checklist.
5. Should the SUBRECIPIENT fail to comply with timely submittals of monthly reimbursement requests the
CITY may consider termination of the Subrecipient Agreement as per Section XII "Suspension and
Termination."
6. All reimbursement requests and reports submitted to the CITY must be originals signed with blue ink.
Documentation must be neatly organized per the Summary of Costs Breakdown provided with each
reimbursement request and documents must be legible.
7. Reimbursement requests may be sent via e-mail in pdf format (color).
8. Reimbursement requests are processed by the CITY on a first come first serve basis, providing all support
documentation is submitted.
9. Payments to SUBRECIPIENT will be mailed, unless SUBRECIPIENT notifies the CITY in writing the name
of individual who will be authorized to pick up checks.
14. Checks will be available 30 days from the date the reimbursement request is submitted the CITY
providing all required documentation has been submitted to the CITY.
15. Checks may be delayed if required documentation is not provided to the CITY.
16. As per Section IV of this Agreement, the CITY Monitoring Division will conduct on-site monitoring visits
to ensure compliance with applicable Federal requirements-are being met for ESG funds expended.
Exhibit F
Other Federal Requirements
24 CFR 576.407
(a) General. The requirements in 24 CFR part 5, subpart A are applicable, including the nondiscrimination and
equal opportunity requirements at 24 CFR 5.105(a). Section 3 of the Housing and Urban Development Act of
1968, 12 U.S.C. 1701u, and implementing regulations at 24 CFR part 135 apply, except that homeless individuals
have priority over other Section 3 residents in accordance with § 576.405(c).
(b)Affirmative outreach. The recipient or Subrecipient must make known that use of the facilities, assistance,
and services are available to all on a nondiscriminatory basis. If it is unlikely that the procedures that the
recipient or Subrecipient intends to use to make known the availability of the facilities, assistance, and services
will to reach persons of any particular race, color, religion, sex, age, national origin, familial status, or disability
who may qualify for those facilities and services, the recipient or Subrecipient must establish additional
procedures that ensure that those persons are made aware of the facilities, assistance, and services. The
recipient and its Subrecipient must take appropriate steps to ensure effective communication with persons with
disabilities including, but not limited to, adopting procedures that will make available to interested persons
information concerning the location of assistance, services, and facilities that are accessible to persons with
disabilities. Consistent with Title VI and Executive Order 13166, recipients and Subrecipient are also required to
take reasonable steps to ensure meaningful access to programs and activities for limited English proficiency
(LEP) persons.
(c) Uniform Requirements. The requirements of 2 CFR Part 200 apply to the recipient and Subrecipient, and:
(1) Program income may be used as matching contributions, subject to the requirements in §576.201;
(2) The disposition of real property for which ESG funds are used for major rehabilitation, conversion,
or other renovation under§576.102 is governed by the minimum period of use requirements under§576.102(c).
(d) Environmental review responsibilities. (1) Activities under this part are subject to environmental review by
HUD under 24 CFR part 50. The recipient shall supply all available, relevant information necessary for HUD to
perform for each property any environmental review required by 24 CFR part 50. The recipient also shall carry
out mitigating measures required by HUD or select alternate eligible property. HUD may eliminate from
consideration any application that would require an Environmental Impact Statement (EIS). (2)The recipient or
Subrecipient, or any contractor of the recipient or Subrecipient, may not acquire, rehabilitate, convert, lease,
repair, dispose of, demolish, or construct property for a project under this part, or commit or expend HUD or
local funds for eligible activities under this part, until HUD has performed an environmental review under 24
CFR part 50 and the recipient has received HUD approval of the property.
(e) Davis-Bacon Act. The provisions of the Davis-Bacon Act (40 U.S.C. 276a to 276a-5) do not apply to the ESG
program.
(f) Procurement of Recovered Materials. The recipient and its contractors must comply with Section 6002 of the
Solid Waste Disposal Act, as amended by the Resource Conservation and Recovery Act. The requirements of
Section 6002 include procuring only items designated in guidelines of the Environmental Protection Agency
(EPA) at 40 CFR part 247 that contain the highest percentage of recovered materials practicable,consistent with
maintaining a satisfactory level of competition, where the purchase price of the item exceeds $10,000 or the
value of the quantity acquired by the preceding fiscal year exceeded $10,000; procuring solid waste
management services in a manner that maximizes energy and resource recovery;and establishing an affirmative
procurement program for procurement of recovered materials identified in the EPA guidelines.
Exhibit G
2 CFR Part 200
FINAL GUIDEANCE PUBLISHED BY THE MANAGEMENT AND BUDGET(OMB) OFFICE ON 12/26/2013
EFFECTIVE DECEMBER 26, 2014.
AUDITS,ADMINISTRATIVE REQUIREMENTS AND COST PRINCIPLES OF STATES, LOCAL GOVERNMENTS,
AND NON-PROFIT ORGANIZATIONS
2 CFR Part 200 - Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal
Awards, Final Guidance supersedes, consolidates eight (8) grant related circulars into a uniform regulation
applicable to all grant recipients.
A- 21 A- 110
A-87 A- 122
A-89 A- 133
A- 102 A-50
To view Notice SD-2015-01 Issued by the U.S. Department of Housing and Urban Development, please visit
the following link:
www.hudexchange.info/resources/documents/Notice-DC-2015-01-Transition-to-2-CFR-Part-200-
Guidance.pdf
EXHIBIT H
INSURANCE REQUIREMENTS
CONTRACTOR'S LIABILITY INSURANCE
A. Contractor must not commence work under this contract until all insurance required has been obtained
and such insurance has been approved by the City. Contractor must not allow any subcontractor, to
commence work until all similar insurance required of any subcontractor has been obtained.
B. Contractor must furnish to the City's Risk Manager and Contract Administrator one (1) copy of
Certificates of Insurance with applicable policy endorsements showing the following minimum coverage
by an insurance company(s) acceptable to the City's Risk Manager. The City must be listed as an
additional insured on the Errors and Omissions and Crime policies by endorsement, and a waiver of
subrogation endorsement is required on both policies if applicable.Endorsements must be provided with
Certificate of Insurance. Project name and/or number must be listed in Description Box of Certificate of
Insurance.
TYPE OF INSURANCE MINIMUM INSURANCE COVERAGE
30-day advance written notice of
cancellation, non-renewal, material change
or termination required on all certificates
and policies.
ERRORS & OMMISSIONS $1,000,000 Per Occurrence
CRIME POLICY $100,000.00
C. In the event of accidents of any kind related to this contract, Contractor must furnish the Risk Manager
with copies of all reports of any accidents within 10 days of the accident.
II. ADDITIONAL REQUIREMENTS
A. Contractor shall obtain and maintain in full force and effect for the duration of this Contract, and any
extension hereof, at Contractor's sole expense, insurance coverage written on an occurrence basis by
companies authorized and admitted to do business in the State of Texas and with an A.M. Best's rating of
no less than A- VII.
B. Contractor shall be required to submit renewal certificates of insurance throughout the term of this contract
and any extensions within 10 days of the policy expiration dates. All notices under this Exhibit shall be
given to City at the following address:
City of Corpus Christi
Attn: Risk Manager
P.O. Box 9277
Corpus Christi, TX 78469-9277
C. Contractor agrees that, with respect to the above required insurance, all insurance policies are to
contain or be endorsed to contain the following required provisions:
• List the City and its officers, officials, employees, and volunteers, as additional insureds by endorsement
with regard to operations, completed operations, and activities of or on behalf of the named insured
performed under contract with the City, with the exception of the workers' compensation policy;
• Provide for an endorsement that the "other insurance" clause shall not apply to the City of Corpus Christi
where the City is an additional insured shown on the policy;
• Provide thirty(30)calendar days advance written notice directly to City of any,cancellation,non-renewal,
material change or termination in coverage and not less than ten(10)calendar days advance written notice
for nonpayment of premium.
D. Within five (5) calendar days of a cancellation, non-renewal, material change or termination of coverage,
Contractor shall provide a replacement Certificate of Insurance and applicable endorsements to City. City
shall have the option to suspend Contractor's performance should there be a lapse in coverage at any time
during this contract. Failure to provide and to maintain the required insurance shall constitute a material
breach of this contract.
E. In addition to any other remedies the City may have upon Contractor's failure to provide and maintain any
insurance or policy endorsements to the extent and within the time herein required,the City shall have the
right to order Contractor to stop work hereunder, and/or withhold any payment(s) which become due to
Contractor hereunder until Contractor demonstrates compliance with the requirements hereof.
F. Nothing herein contained shall be construed as limiting in any way the extent to which Contractor may be
held responsible for payments of damages to persons or property resulting from Contractor's or its
subcontractor's performance of the work covered under this contract.
G. It is agreed that Contractor's insurance shall be deemed primary and non-contributory with respect to any
insurance or self insurance carried by the City of Corpus Christi for liability arising out of operations
under this contract.
H. It is understood and agreed that the insurance required is in addition to and separate from any other
obligation contained in this contract.
2016 Insurance Requirements
Purchasing_Legal Dept
Funding
10/13/2016 my Risk Management
�GOcLp U S
0
J
EXHIBIT
tUa2
CITY OF CORPUS CHRISTI - DISCLOSURE OF INTERESTS
City of Corpus Christi Ordinance 17112, as amended, requires all persons or firms seeking to do business with the City to provide the
following information. Every question must be answered. If the question is not applicable, answer with"NA."See the definitions for
the Disclosure of Interest in Section II-General
l(Information.
COMPANY NAME:1 C/'lJ'F�'/1 I1cpe Nti4.11
MAILING ADDRESS: i 1 tY144W CITY:CI'Q 4/1 ( ZIP: I
FIRM is: 1. Corporation( ) 2. Partnership( ) 3. Sole Owner( )
4. Association ( ) 5. Other (
DISCLOSURE QUESTIONS
If additional space is necessary, please use the reverse side of this page or attach a separate sheet.
1. State the names of each"employee"of the City of Corpus Christi having an"ownership interest"constituting 3%or more of the
ownership in the above named"firm."
Name Job Title and City Department(if known)
14A-
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
INAK
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 in the above named"firm."
Name Board, Commission,or Committee
NIP
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
1y)/(
CERTIFICATE: I certify that all information provided is true and correct as of the date of this statement,that I have not knowingly
withheld disclosure of any information requested, and that supplemental statements will be promptly submitted to the City of Corpus
Christi,Texas as changes occur.
Certifying Person: Ml 1(UG1 ���f r/7 — Title: ai " 4-(Y0+'
(Type or Print)
/
� 42V fid_
Signature of Certifying Person: I .. . /ya�i..., Date:
EXHIBIT J
CONFLICT OF INTEREST QUESTIONNAIRE FORM CIQ
For vendor doing business with local governmental entity
This questionnaire reflects changes made to the law by H.B.23, 84th Leg., Regular Session. OFACEUSEONLY
This questionnaire is being filed in accordance with Chapter 176,Local Government Code,by a vendor who Date Received
has a business relationship as defined by Section 176.001(1-a) with a local governmental entity and the
vendor meets requirements under Section 176.006(a).
By law this questionnaire must be filed with the records administrator of the local governmental entity not later
than the 7th business day after the date the vendor becomes aware of facts that require the statement to be
filed. See Section 176.006(a-1),Local Government Code.
A vendor commits an offense if the vendor knowingly violates Section 176.006,Local Government Code.An
offense under this section Is a misdemeanor.
1 Name of vendor who has a business relationship with local governmental entity.
Corpus Christi Hope House, Inc.
2 EiCheck this box if you are filing an update to a previously filed questionnaire.(The law requires that you file an updated
completed questionnaire with the appropriate filing authority not later than the 7th business day after the date on which
you became aware that the originally filed questionnaire was incomplete or inaccurate.)
3 Name of local government officer about whom the information is being disclosed.
City of Corpus Christi
Name of Officer
4 Describe each employment or other business relationship with the local government officer,or a family member of the
• officer,as described by Section 176.003(a)(2)(A). Also describe any'family relationship with the local government officer. •
Complete subparts A and B for each employment or business relationship described. Attach additional pages to this Form
CIQ as necessary.
There exists no employment or other business relationships with the
local government officer, or a family member of the officer.
A. Is the local government officer or a family member of the officer receiving or likely to receive taxable income,
other than investment income,from the vendor?
Yes Fin l No NONE
B. Is the vendor receiving or likely to receive taxable income,other than investment income,from or at the direction
of the local government officer or a family member of the officer AND the taxable income is not received from the
local governmental entity?
Yes X No NONE
5 Describe each employment or business relationship that the vendor named in Section 1 maintains with a corporation or
other business entity with respect to which the local government officer serves as an officer or director,or holds an
ownership interest of one percent or more.
No employment or business relationships exist.
flCheck this box if the vendor has given the local government officer or a family member of the officer one or more gifts •
as described in Section 1 76.003(a)(2)(B), excluding gifts described in Section 1 76.003(a-1).
12/8/2016
Signature of vendor doing business with the governmental entity Date
Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/30/2015
CERTIFICATE OF INTERESTED PARTIES
FORM 1295
1 of 1
Complete Nos.1-4 and 6 if there are interested parties. OFFICE USE ONLY
Complete Nos.1,2,3,5,and 6 if there are no interested parties. CERTIFICATION OF FILING
1 Name of business entity filing form,and the city,state and country of the business entity's place Certificate Number:
of business. 2016-128684
Corpus Christi Hope House
Corpus Christi,TX United States Date Filed:
2 Name of governmental entity or state agency that is a party to the contract for which the form is 10/25/2016
being filed. _ ii�
City of Corpus Christi Housing and Community Developement Date,A kno ledge �(
1
3 Provide the identification number used by the governmental entity or state agency to track or identifythe co ract,and provide a
description of the services,goods,or other property to be provided under the contract.
XXX-ESG
Emergency Shelter
Nature of interest
4
Name of Interested Party City,State,Country(place of business) (check applicable)
Controlling Intermediary
5 Check only if there is NO Interested Party. ❑
X
6 AFFIDAVIT I swear,or affirm,under penalty of perjury,that the above disclosure is true and correct.
I
o''"""""., DEBRA S. DAVENPORT
[ •.
<as_Notary Public, State of Texas
'.'� Comm. Expires 03-11-2020 ! �L L AAA_'�rfpj�+s� Notary ID 11707398 Signature of authorized/•gent of contra ing business entity
ANOMMINNIMMISIMIONMOMI
AFFIX NOTARY STAMP/SEAL ABOVE c l J�� )Sworn to and subscribed before me,by the said t� e (e z- ,this the 3( day of '✓ .
20 /1( ,to certify which,witness my hand and seal of office.
4/4-tii W/ t:,y.yar , 31; ,_ . - efiki*
Signature of officer administeringo. h Printed name of officer administering oa Title of officer ministering oath
9
="1-1-z--4-1. 1-
JVerSion Vf.(T.277
Forms provided by Texas Ethics Commission www.ethics.state.tx.us -
s
EXHIBIT K
ESG COMPLIANCE AFFIDAVIT
STATE OF TEXAS §
§ KNOW ALL BY THESE PRESENTS:
COUNTY OF NUECES §
Date: le ' 3fr/
Affiant: /-k�P J�OVt
Emer eency Solutions Grant Subrecipient
Affiant, on oath, swears the following statements are true:
I, Mat , am theEX0at,./V't/ re (title)
of Ck1 , a Texas nonprofit
corporation, which has applied for and been awarded Emergency Solutions Grant("ESG")
Program funds administered by the City of Corpus Christi ("City"). Prior to the start of the
project for which ESG funds have been awarded, as the representative of the above
named subrecipient organization ("Subrecipient"), I met with City staff and received copies
of the following Federal rules and regulations:
2 CFR Part 200
24 CFR 570 and 576 41 CFR 60.1 and 60.4
By execution of this affidavit, I attest that I have received the above-listed Federal rules and
regulations, City staff has explained the rules and regulations, and I understand the
Subrecipient's obligations of performance under the rules and regulations. Furthermore, I
acknowledge that there may be additional Federal rules and regulations, beyond the rules
and regulations listed above, to which the Subrecipient may be subject to and with which
the Subrecipient must comply, in accordance with Federal laws.
By: YYQj-
SWORN TO AND SUBSCRIBED before me this e . 1 day of
Oko2 , 2016.
—LT
--�------•- - - ' • a Public, State of ' exas
i wv,.t ,, JUAN G. RAMIREZ
(:9 'l Notary Public
of STATE OF TEXAS
• My Comm.Exp.03-20-18