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US Department of Urban Development-Grant Application-11.17.2008 (3)
11-17- 4 Description of Project and Budget B-08-SP-IA-0569 Chamberlain demolition project This allocation will be used towards demolition of the Chamberlain site The budget will be: $34,300- administrative costs $308,700- demolition of Chamberlain site J:\NANCY-G\edi\B 08 application\Description of Project and Budget B 08-SP IA 0569.doc GRANTS OVv Grant Application Package Opportunity Title: Economic Development Initiative-Special Project, Neighb Offering Agency: US Department of Housing and Urban Development ThiKele�#ronf1C rants4ap1l9tt4n s intended t0 b o#4, pp y r t ie 400.a A Fed.efOytndtng CFDA Number 14.251 opOrtflfCenced ete • CFDA Description:P Economic Development Initiative-Special Project, Neighb � he�la'�et� lftClgOjtpr��1'Etl[F3t��CSt t�1 nOt " Opportunity Number: rt #ilC'wthAptttp pply,;pP Y FR-0000-N-01 � " Competition ID: EDI-SP CtOse plttis�naCge by�ickfng©rt fhe ni a' if441-hdtop OpportunityOpen Date: 04/10/2008 tM! I OpportunityClose Date: d� Ca ig1 09/30/2011 e 0 ; Agency Contact: Holly Kelly 202.708-3773 This opportunity is only open to organizations,applicants who are submitting grant applications on behalf of a company,state,local or tribal government,academia,or other type of organization. *Application Filing Name: City of Waterloo, Iowa Mandato Documents Move Form to Mandato Documents for Submission Complete W „� . ` si 40 (F8t< l .:. ., Disclosure of Lobbying Activities (SF-LLL) Move Form to Delete Optional Documents Move Form to Optional Documents for Submission - - - Submission List a ffijoiite4CA.`'W.✓ `fie f N '3ay4''�i".1'' a , ' Move Form to Delete CVEnter a name for the application in the Application Filing Name field. -This application can be completed in its entirety offline;however,you will need to login to the Grants.gov website during the submission process. -You can save your application at any time by clicking the"Save"button at the top of your screen. -The"Save&Submit"button will not be functional until all required data fields in the application are completed and you clicked on the"Check Package for Errors"button and confirmed all data required data fields are completed. V. Open and complete all of the documents listed in the"Mandatory Documents"box.Complete the SF-424 form first. -It is recommended that the SF-424 form be the first form completed for the application package.Data entered on the SF-424 will populate data fields in other mandatory and optional forms and the user cannot enter data in these fields. -The forms listed in the"Mandatory Documents"box and"Optional Documents"may be predefined forms,such as SF-424,forms where a document needs to be attached, such as the Project Narrative or a combination of both."Mandatory Documents"are required for this application."Optional Documents"can be used tor provide additional support for this application or may be required for specific types of grant activity.Reference the application package instructions for more information regarding"Optional Documents". -To open and complete a form,simply dick on the form's name to select the item and then dick on the=>button. This will move the document to the appropriate"Documents for Submission"box and the form will be automatically added to your application package. To view the form,scroll down the screen or select the form name and dick on the "Open Form"button to begin completing the required data fields. To remove a form/document from the"Documents for Submission"box,click the document name to select it, and then click the<=button.This will return the form/document to the"Mandatory Documents"or"Optional Documents"box. -All documents listed in the"Mandatory Documents"box must be moved to the"Mandatory Documents for Submission"box. When you open a required form,the fields which must be completed are highlighted in yellow with a red border.Optional fields and completed fields are displayed in white.If you enter invalid or incomplete information in a field,you will receive an error message. 0 Click the"Save&Submit"button to submit your application to Grants.gov. -Once you have properly completed all required documents and attached any required or optional documentation,save the completed application by clicking on the"Save" button. -Click on the"Check Package for Errors"button to ensure that you have completed all required data fields. Correct any errors or if none are found,save the application package. -The"Save&Submit"button will become active;click on the"Save&Submit"button to begin the application submission process. -You will be taken to the applicant login page to enter your Grants.gov username and password. Follow all onscreen instructions for submission. OMB Number:4040-0004 Expiration Date:01/31/2009 Application for Federal Assistance SF-424 Version 02 *1.Type of Submission: *2.Type of Application: *If Revision,select appropriate letter(s): Preapplication Q New Q Application ❑Continuation *Other(Specify) El Changed/Corrected Application 0 Revision *3.Date Received: 4.Applicant Identifier: Completed by Grants.gov upon submission. B-08-SP-IA-0569 5a.Federal Entity Identifier: *5b.Federal Award Identifier: State Use Only: 6.Date Received by State: 7.State Application Identifier: 8.APPLICANT INFORMATION: *a.Legal Name: City of Waterloo, Iowa *b.Employer/Taxpayer Identification Number(EIN/TIN): *c.Organizational DUNS: 42-6005327 625547120 d.Address: *Streetl: 620 Mulberry Street Street2: *City: Waterloo County: Black Hawk *State: IA: Iowa Province: *Country: USA: UNITED STATES *Zip/Postal Code: 50703 e.Organizational Unit: Department Name: Division Name: Community Development f.Name and contact information of person to be contacted on matters involving this application: Prefix: *First Name: Nancy Middle Name: *Last Name: Gulick Suffix: Title: Community Development Coordinator Organizational Affiliation: *Telephone Number: 319-291-4429 Fax Number: 319-291-4931 *Email: nancy.gulick@waterloo-ia.org OMB Number:4040-0004 Expiration Date:01/31/2009 Application for Federal Assistance SF-424 Version 02 9.Type of Applicant 1:Select Applicant Type: C: City or Township Government Type of Applicant 2:Select Applicant Type: Type of Applicant 3:Select Applicant Type: *Other(specify): *10.Name of Federal Agency: US Department of Housing and Urban Development 11.Catalog of Federal Domestic Assistance Number: 14.251 CFDA Title: Economic Development Initiative-Special Project, Neighborhood Initiative and Miscellaneous Grants *12.Funding Opportunity Number: FR-0000-N-01 *Title: Economic Development Initiative-Special Project, Neighborhood Initiative and Miscellaneous Grants 13.Competition Identification Number: EDI-SP Title: 14.Areas Affected by Project(Cities,Counties,States,etc.): City of Waterloo, Iowa *15.Descriptive Title of Applicant's Project: Chamberlain Demolition Project Attach supporting documents as specified in agency instructions. OMB Number:4040-0004 Expiration Date:01/31/2009 Application for Federal Assistance SF-424 Version 02 16.Congressional Districts Of: *a.Applicant 1st,IA *b.Program/Project 1st,IA Attach an additional list of Program/Project Congressional Districts if needed. 17.Proposed Project: *a.Start Date: 01/0 2/2 0 0 9 *b.End Date: 01/01/2 019 18.Estimated Funding($): *a.Federal 343,000.00 *b.Applicant 0.00 *c.State 0.0 0 *d.Local 0.00 *e.Other 0.00 *f. Program Income 0.00 *g.TOTAL 343,000.00 *19.Is Application Subject to Review By State Under Executive Order 12372 Process? a.This application was made available to the State under the Executive Order 12372 Process for review on • b.Program is subject to E.O.12372 but has not been selected by the State for review. c.Program is not covered by E.O.12372. *20.Is the Applicant Delinquent On Any Federal Debt?(If"Yes",provide explanation.) El Yes 0 No gitIOUNIZA 21.*By signing this application,I certify(1)to the statements contained in the list of certifications**and(2)that the statements herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to comply with any resulting terms if I accept an award.I am aware that any false,fictitious,or fraudulent statements or claims may subject me to criminal,civil,or administrative penalties.(U.S.Code,Title 218,Section 1001) **I AGREE **The list of certifications and assurances, or an internet site where you may obtain this list, is contained in the announcement or agency specific instructions. Authorized Representative: Prefix: *First Name: Nancy Middle Name: *Last Name: Gulick Suffix: *Title: Community Development Coordinator *Telephone Number: 319-291-4429 Fax Number: 319-291-4431 *Email: nancy.gulick@waterloo-ia.org *Signature of Authorized Representative: Completed by Grants.gov upon submission. *Date Signed: Completed by Grants.gov upon submission. Authorized for Local Reproduction Standard Form 424(Revised 10/2005) Prescribed by OMB Circular A-102 OMB Number:4040-0004 Expiration Date:01/31/2009 Application for Federal Assistance SF-424 Version 02 *Applicant Federal Debt Delinquency Explanation The following field should contain an explanation if the App icant organization is delinquent on any Federal Debt. Maximum number of characters that can be entered is 4,000. Try and avoid extra spaces and carriage returns to maximize the availability of space. • • DISCLOSURE OF LOBBYING ACTIVITIES Approved by OMB Complete this form to disclose lobbying activities pursuant to 31 U.S.C.1352 0348-0046 1.*Type of Federal Action: 2.*Status of Federal Action: 3.*Report Type: a.contract 0 a.bid/offer/application 0 a.initial filing 0 b.grant LI b.initial award ❑b.material change ❑c.cooperative agreement ❑ c.post-award ❑d.loan e.loan guarantee f. loan insurance 4. Name and Address of Reporting Entity: 0Prime 0SubAwardee 'Name City of Waterloo 'Street 1 Street 2 620 Mulberry Street 'City Waterloo State IA: Iowa Zip 50703 Congressional District,if known: lot,IA 6.,If Reporting Entity in No.4 is Subawardee,Enter Name and Address of Prime: 6.*Federal Department/Agency: 7.*Federal Program Name/Description: HUD Economic Development Initiative-Special Project, Neighborhood Initiative and Miscellaneous Grants CFDA Number,if applicable: 14.251 8.Federal Action Number,if known: 9.Award Amount,if known: 343,000.00 10.a. Name and Address of Lobbying Registrant: Prefix 'First Name Middle Name Not applicable 'Last Name Suffix Not applicable Street 1 Street 2 City State Zip b.Individual Performing Services(including address if different from No.l0a) Prefix •First Name Middle Name Not applicable 'Last Name Suffix Not applicable 'Street 1 - - Street 2 •City State Zip 11. Information requested through this form is authorized by title 31 U.S.C.section 1352. This disclosure of lobbying activities is a material representation of fact upon which reliance was placed by the tier above when the transaction was made or entered into. This disclosure is required pursuant to 31 U.S.C.1352.This information will be reported to the Congress semi-annually and will be available for public inspection. Any person who fails to file the required disclosure shall be subject to a civil penalty of not less than $10,000 and not more than$100,000 for each such failure. *Signature: Completed on submission to Grants.gov `Name: Prefix 'First Name Middle Name Nancy •Last Name Suffix Gulick Title: Community Development Coordinator Telephone No.: 319-291-4429 Date: Completed on submission to Grants.gov Authorized for Local Reproduction Standard Form-LLL(R..7-97) ATTACHMENTS FORM Instructions: On this form,you will attach the various files that make up your grant application.Please consult with the appropriate Agency Guidelines for more information about each needed file.Please remember that any files you attach must be in the document format and named as specified in the Guidelines. Important: Please attach your files in the proper sequence.See the appropriate Agency Guidelines for details. ` Dele e$Attach t ent Vie t° C`hment 1)Please attach Attachment 1 Description of Project and Bi 2)Please attach Attachment 2 ttd Attachment ( t I " 3)Please attach Attachment 3 Add Attach ent e to i€¢a 81 r= tS L 4)Please attach Attachment 4 5)Please attach Attachment 5 add Attachment4"al 44 -i - � Add Atitachme t v € '? a-�`idg 6)Please attach Attachment 6 #'#6 E..-.. _ .. > 7)Please attach Attachment 7 8)Please attach Attachment 8 Acid At ac ent AddAttaetment I �C �"ta .,rV 9)Please attach Attachment 9 Add Attachment )g7,_, ,a11 10)Please attach Attachment 10 Add Attachment s r ...;` 11)Please attach Attachment 11 r° �' 4 4 '' 12)Please attach Attachment 12 Add Attachment.' € F'�� � �"„?_� "" "` ��•• � ��w„"�a�'•" 13)Please attach Attachment 13 Add Attachment ,` t ? I;4 ' ` ' ',,` 14)Please attach Attachment 14 Add Atta hmenti a ( � r �z!4.4140�fO`t Add Attac mentg * tf y r as 15)Please attach Attachment 15 � ,..,,..,.,� . ;��, ._, _u. /_ ;p., CITY OF WATERLOO, / 14 '2 w err COMMUNITY DEVELOPMENT °/rr100oya 620 Mulberry St., Carnegie Annex • Waterloo, IA 50703 • (319)291-4429 Fax (319) 291-4431 February 16, 2006 Mayor TIMOTHY J. The Honorable Timothy Hurley, Mayor HURLEY City of Waterloo 715 Mulberry Street COUNCIL Waterloo, Iowa 50703 MEMBERS RE: Authorization to Submit Grant RED A. Dear Mayor Hurley: SCHMITT Ward 1 The Lead Grant application for this year is requiring electronic submission. As part of this, CAROLYN an Authorized Organizational Representative (AOR)must register at Grants.gov and COLE Ward 2 obtain authorization to submit the grant application on behalf of the City. HAROLD I am requesting that Nancy Gulick, Community Development Coordinator, be designated wErd as the AOR for grants that are submitted through the Community Development Department. All grant applications will still be printed out in hard copy for your reference JOHN A. and permission for application will be requested from the City Council. KINCAID Ward If this is acceptable,please sign below and return this letter to me for the file. RON WELPER If you have any questions, please call me at 291-4429. Ward 5 BOB Sincerel GREENWOOD At-Large Rudy D. Jon s ---, ERIC rJNDERSON Community evelopment Director At-Large RDJ:an J:\NANCY-G\lead grant\FY 07\correspondence\Mayor AOR permission 2 16 2006.doc Cc: Donald J.Temeyer,Community Planning&Development Director FEB(� 1 7 2006 I, Mayor Timothy J. Hurley, do authorize Nancy Gulick, Community Development Coordinator, to be the Authorized Organizational Representative (AOR) for grant applications submitted through Grants.gov for the Community Development Department. Date f71/4 6, WE'RE WORKING FOR YOU! EQUAL HOUSING An Equal Opportunity/Affirmative Action Employer OPPORTUNITY ��{� V