A NEW LEAF AGREEMENT.PDF

Maricopa County — Formal (2020-06-24)

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A New Leaf 
AGREEMENT 
BETWEEN 
MARICOPA COUNTY 
ADMINISTERED BY ITS 
HUMAN SERVICES DEPARTMENT 
AND  
A NEW LEAF, INC. 
 
 
Contract Amount: $129,330 
Contract Start Date: July 1, 2020 
  
Contract Termination Date: June 30, 2021 
Contract Number:  
 
 
 
 
CFDA Number:14.218, Community Development Block Grant;  
 
14.231 Emergency Solutions Grant; General Purpose Funds  
DUNS #: 611923640 
 
This Agreement (“Agreement”) is entered into between A New Leaf, Inc. (“Subrecipient”), and 
Maricopa County, administered by its Human Services Department (“County”). The Subrecipient 
and County are collectively referred to here as the “Parties” and individually as a “Party.” The 
Subrecipient, for and in consideration of the covenants and conditions set forth in this Agreement, 
shall provide and perform the services contained in it. All rights and obligations of the Parties shall 
be governed by the terms of this Agreement, its exhibits, attachments, and appendices, including 
any Subcontracts, Amendments, or Change Orders as set forth in this Agreement and in: 
 
Section 1 – General Provisions 
Section 2 – Special Provisions 
Section 3 – Work Statement 
Section 4 – Compensation 
Section 5 – Attachments  
 
Subrecipient 
Representative: 
Michael Hughes 
Phone: 
480-969-4024 
Title: 
Chief Executive 
Officer 
Email: 
mhughes@turnanewleaf.org 
 
 
Address 
868 E. University Drive 
Mesa, AZ 85203 
County Representative: 
Scott Hall 
Phone: 
(602) 506-4841 
Title: 
Program Manager 
Email: 
Scott.Hall@maricopa.gov  
 
 
Address: 
234 N. Central Avenue, 3rd Floor, 
Phoenix, AZ 85004 
 
Notice under this Agreement shall be given by personal delivery or by registered or certified mail, 
postage prepaid and return receipt requested, to the persons at the addresses set forth above 
and shall be effective, unless otherwise indicated in the notice, upon receipt if personally delivered 
and three (3) calendar days being placed in the U.S. Mail properly addressed, with sufficient 
postage, if sent by registered or certified mail. 
 
This Agreement contains all the terms and conditions agreed to by the Parties. No other 
understandings, oral or otherwise, regarding the subject matter of this Agreement shall be 
deemed to exist or to bind the Parties. Nothing in this Agreement shall be construed as consent

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to any lawsuits or waiver of any defenses in a lawsuit brought against the County or the 
Subrecipient in any state or federal court. 
 
IN WITNESS, the Parties have approved and signed this Agreement: 
 
Approved By: 
SUBRECIPIENT 
 
Approved By: 
MARICOPA COUNTY 
 
 
 
 
 
 
 
Authorized Signature and Title        Date 
 
 
 
 
 
 
 
Chairman, Board of Supervisors   Date 
 
Attested to: 
 
 
 
 
 
 
 
 
Fran McCarroll, Clerk, Board of Supervisors 
 
 
 
 
 
 
 
 
 
Date 
 
THIS AGREEMENT HAS BEEN REVIEWED 
BY THE UNDERSIGNED DEPUTY COUNTY 
ATTORNEY WHO HAS DETERMINED THAT 
IT IS PROPER IN FORM AND WITHIN THE 
POWER AND AUTHORITY GRANTED TO 
MARICOPA COUNTY UNDER THE LAWS 
OF THE STATE OF ARIZONA. 
 
APPROVED AS TO FORM: 
 
 
 
 
 
 
 
 
 
Deputy County Attorney                         Date

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SECTION 1 
 
GENERAL PROVISIONS 
 
 
 
 
 
 
Maricopa County 
 
Human Services Department

SECTION 1 
GENERAL PROVISIONS 
 
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1.0 
PURPOSE 
The County shall provide the Subrecipient with U.S. Department of Housing and Urban 
Development (HUD) Community Development Block Grant (CDBG) Funds or Emergency 
Solutions Grant (ESG) General Purpose Funds (or both) for the provision of activities 
identified in Section 3 (Work Statement). 
 
2.0 
TERM 
The term of this Agreement shall start and terminate on the dates listed on page 1 of this 
Agreement. The Agreement shall become effective upon approval and signature by both 
Parties. 
 
3.0 
RENEWAL 
This Agreement may be renewed by a written amendment, provided however, that the 
Subrecipient is in full compliance with all terms and conditions of this Agreement. The 
County shall notify the Subrecipient in writing of its intent to extend the Agreement term at 
least thirty (30) calendar days prior to the expiration of the original contract term, or any 
additional terms thereafter. 
 
4.0 
AMENDMENTS 
All amendments to this Agreement shall be in writing and signed by authorized signers for 
both Parties. 
 
5.0 
TERMINATION 
5.1 
Under A.R.S. §38-511, the County may cancel this Agreement without penalty or 
further obligation within three years after execution of this Agreement if any person 
significantly involved in initiating, negotiating, securing, drafting or creating this 
Agreement on behalf of the County is, at any time while this Agreement is in effect, 
an employee or agent of any other party to this Agreement in any capacity or a 
consultant to any other party of the Agreement with respect to the subject matter of 
this Agreement. Additionally, under A.R.S. § 38-511, the County may recoup any 
fee or commission paid or due to any person significantly involved in initiating, 
negotiating, securing, drafting, or creating this Agreement on behalf of the County 
from any other party to this Agreement arising as the result of this Agreement. 
5.2 
Either Party may terminate this Agreement at any time by giving the other Party at 
least sixty (60) calendar days prior notice in writing (unless terminated by the Board 
of Supervisors under the Availability of Funds provision). The notice shall be given 
by personal delivery or by registered or certified mail, postage prepaid and return 
receipt requested, to the persons at the addresses set forth on page 1 of this 
Agreement. 
5.3 
This Agreement may be terminated by mutual written agreement of the Parties. The 
written agreement shall specify the termination date. 
5.4 
The County has the right to terminate this Agreement upon twenty-four (24) hour 
notice when the County deems the health or welfare of the service recipients are 
endangered or the Subrecipient’s non-compliance jeopardizes funding source 
financial participation.  
5.5 
If not terminated by one of the above methods, then this Agreement will terminate 
upon the Termination Date stated on page 1 of this Agreement or expiration of any 
renewal term described in Section 3.0. 
5.6 
In accordance with 2 C.F.R. § 200, et seq., the County may suspend or terminate 
this Agreement if the Subrecipient violates any terms or conditions of this Agreement

SECTION 1 
GENERAL PROVISIONS 
 
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or if the Subrecipient fails to maintain a good-faith effort to carry out the purpose of 
this Agreement. 
5.7 
Either the County or the Subrecipient may terminate this Agreement for convenience 
in accordance with 2 C.F.R. § 200, et seq. The Parties shall agree upon the 
termination conditions including the effective date of the termination. The Party 
initiating the termination shall notify the other Party in writing stating the reasons for 
such termination.  
 
6.0 
EFFECT 
To the extent that the Special Provisions are in conflict with the General Provisions, the 
Special Provisions shall control. To the extent that the Work Statement and the Special or 
General Provisions are in conflict, the Work Statement shall control. To the extent that the 
Compensation Provisions are in conflict with the General Provisions, Special Provisions or 
Work Statement, the Compensation Provisions shall control. Nothing in this Agreement shall 
operate to increase the Operating Budget without a written amendment to this Agreement. 
 
7.0 
DEFINITIONS 
As used throughout this Agreement, the following terms shall have the following 
meanings: 
7.1 
Assistant Director means the Director of the Housing and Community 
Development Division within the Human Services Department. 
7.2 
Benchmarks mean milestones of the Subrecipient’s progress toward a specific 
performance goal. 
7.3 
Department means the Maricopa County Human Services Department. 
7.4 
Director means the Director of the Maricopa County Human Services Department. 
7.5 
Division means the Housing and Community Development Division of the Human 
Services Department.  
7.6 
Emergency shelter services means services that may include shelter facility 
operations and supported by ancillary services. 
7.7 
Emergency shelter means any facility, the primary purpose of which is to 
provide temporary or transitional shelter for the homeless in general, or for specific 
populations of the homeless. 
7.8 
HMIS means the Homeless Management Information System (HMIS) a local 
information technology system used to collect client-level data and data on the 
provision of housing and services to homeless individuals and families and persons 
at risk of homelessness. 
7.9 
Homeless means an individual or family that lacks a fixed, regular and adequate 
nighttime residence, or an individual or family that has a primary nighttime 
residence that is: 
7.9.1 A supervised publicly or privately-operated shelter designed to provide 
temporary living accommodations; 
7.9.2 An institution that provides a temporary residence for individuals intended 
to be institutionalized; or 
7.9.3 A public or private place not designed for, or ordinarily used as, a regular 
sleeping accommodation for human beings; 
7.9.4 The term does not include any individual imprisoned or otherwise 
detained under a federal, state or local laws or regulations. 
7.10 
Materials/supplies means office supplies such as pencils, papers and forms, but 
not data processing supplies.

SECTION 1 
GENERAL PROVISIONS 
 
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7.11 
Minority Business Enterprise (MBE) means an entity that is majority owned or 
controlled by a socially and economically disadvantaged individual as described by 
Public Law. 95-507. 
7.12 
Operations means service necessary to perform shelter operations including 
rent, security systems, fuel, equipment, insurance, utilities, furnishings, and 
supplies for shelter clients. 
7.13 
Personnel means all staff members, either in whole or in part, who are directly 
involved in and who are paid to provide services under this Contract. 
7.14 
Program Manager means the liaison between the Department and the Subrecipient 
that is responsible for Agreement monitoring and technical assistance. 
7.15 
Public Agency has the meaning prescribed by A.R.S. § 11-951. 
7.16 
Subcontract means any Agreement entered into by a Subrecipient with a third party 
for performance of any of the work or provision of any of the services covered by 
this Agreement. 
7.17 
Subcontractor means an entity funded through the Subrecipient to provide services 
required by the Work Statement. 
7.18 
Subrecipient means a public or private nonprofit agency, authority or 
organization, or an entity described in 24 C.F.R. 570.204 (c), to which a subaward 
is made and which is accountable to the recipient for the use of the funds provided.  
7.19 
Unit of service means one bed per night per person. 
 
8.0 
GENERAL REQUIREMENTS 
8.1 
The terms of this Agreement shall be construed in accordance with Arizona law and 
the applicable laws and regulations of the United State Department of Housing and 
Urban Development (HUD). Any lawsuit arising out of this Agreement shall be 
brought in the appropriate court in Maricopa County, Arizona. 
8.2 
The Subrecipient shall, without limitation, obtain and maintain all licenses, permits 
and authority necessary to do business, render services and perform work under 
this Agreement, and shall comply with all laws regarding unemployment insurance, 
disability insurance and worker's compensation. 
8.3 
The Subrecipient is an independent contractor in the performance of work and in the 
provision of services under this Agreement, and it is not to be considered an officer, 
employee or agent of the County. 
8.4 
The Subrecipient shall comply with the regulations prohibiting a conflict of interest. 
The Subrecipient shall not make any payments, either directly or indirectly, to any 
person, partnership, corporation, trust, or other organization that has a substantial 
interest in the Subrecipient's organization or with which the Subrecipient (or one of 
its directors, officers, owners, trust certificate holders, or relatives) has a substantial 
interest, unless the Subrecipient has made full written disclosure of the proposed 
payments to the County and has received written approval therefore.  
8.5 
For purposes of this provision, the terms "substantial interest" and "relative" shall 
have the meanings prescribed by A.R.S. § 38-502. 
 
9.0 
ACCEPTANCE OF FUNDS 
The Subrecipient hereby accepts the award of funds under the terms of this Agreement and 
agrees to execute and return this Agreement to the County within 30 calendar days after 
receipt unless the Subrecipient receives a written waiver of this requirement from the 
County.

SECTION 1 
GENERAL PROVISIONS 
 
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10.0 
ASSIGNMENT AND SUBCONTRACTING 
No right, liability, obligation, or duty under this Agreement may be assigned, delegated or 
subcontracted, in whole or in part, without the prior written approval of the County. The 
Subrecipient shall bear all liability under this Agreement, even if it is assigned, delegated, or 
subcontracted, in whole or in part, unless the County agrees otherwise. 
 
11.0 
AVAILABILITY OF FUNDS 
11.1 
The provisions of this Agreement relating to the payment for services shall become 
effective when funds assigned for the purpose of compensating the Subrecipient, as 
provided in this Agreement, actually are available to the County for disbursement. 
The County shall be the sole authority in determining the availability of funds under 
this Agreement, and the County shall keep the Subrecipient fully informed as to the 
availability of funds. 
11.2 
If any action is taken by any federal, state, local agency, or any other agency or 
instrumentality to suspend, decrease, or terminate its fiscal obligation under, or in 
connection with, this Agreement, then the Parties may amend, suspend, decrease, 
or terminate their obligations under, or in connection with, this Agreement. In the 
event of termination, the Parties shall be liable for payment only for services 
rendered prior to the effective date of the termination, provided that such services 
performed are in accordance with the provisions of this Agreement. The Parties shall 
give written notice of the effective date of any suspension, amendment, or 
termination under this section at least ten (10) calendar days in advance. 
 
12.0 
BUDGET ADJUSTMENTS 
The Subrecipient must receive prior written approval from the County to move funds from 
one Budget Activity Line Item to another. Budget adjustments that do not change the 
Agreement Amount may be documented by a written Change Order signed by the County 
and the Subrecipient’s Representative. Requests for adjustments to this Agreement must 
be supported by appropriate documentation. Any requests for reasonable budget 
adjustments must be submitted ninety (90) calendar days prior to the expiration of this 
Agreement. If the County agrees to the budget adjustments, then the County shall follow 
Section 1 (General Provisions), Paragraph 4.0 (Amendments) of this Agreement to amend 
this Agreement. 
 
13.0 
DISPUTES 
13.1 
Except as may otherwise be provided for in this Agreement, the Parties may attempt 
to informally resolve any dispute arising out of this Agreement for a reasonable 
period of time, that shall not exceed one hundred twenty (120) calendar days. 
Disputes that are not resolved in that time period, shall be submitted in accordance 
with the following formal dispute resolution process. 
13.2 
If a dispute cannot be resolved informally, then the Subrecipient shall notify the 
Department in writing by mailing notice of the dispute to the Assistant Director within 
ten (10) business days from expiration of the informal dispute resolution process 
described in Paragraph 13.1 above. The Assistant Director, as applicable, shall 
respond in writing to the Subrecipient within fourteen (14) business days after receipt 
of the Subrecipient’s written notice. The decision of the Assistant Director shall be 
final and conclusive unless, within seven (7) business days from the date the 
Subrecipient receives the decision, the Subrecipient files a written notice of appeal 
with the Department’s Director who shall provide the Subrecipient with a written 
response within fourteen (14) business days following receipt of the Subrecipient’s 
notice of appeal. The decision of the Director shall be final.

SECTION 1 
GENERAL PROVISIONS 
 
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13.3 
Pending a final decision of the Director, the Subrecipient shall diligently proceed with 
its performance of this Agreement in accordance with the Assistant Director’s 
decision. 
 
14.0 
DEFAULT AND REMEDIES FOR NONCOMPLIANCE 
14.1 
Notwithstanding anything to contrary, this Paragraph 14.0  shall not be deleted or 
superseded by any other provision of this Agreement.  
14.2 
This Agreement may be immediately terminated by the County if the Subrecipient 
defaults by failing to perform any objectives or if it breaches any obligation under this 
Agreement, or any event occurs that jeopardizes the Subrecipient’s ability to perform 
any of its obligations under this Agreement. The County reserves the right to have 
service provided by persons other than the Subrecipient if the Subrecipient is unable 
or fails to provide required services within the specified time frame in the work 
statement. 
14.3 
Failure to comply with the requirements of this Agreement and all the applicable 
federal, state, or local laws, rules, and regulations may result in suspension or 
termination of this Agreement, the return of unexpended funds (less just 
compensation for work satisfactorily completed that, to date, has not been paid), 
reimbursement to the County by the Subrecipient of funds improperly expended, or 
the recovery of funds improperly acquired. Noncompliance includes, but is not 
limited to: 
14.3.1 Non-performance of any obligations required by this Agreement. 
14.3.2 Non-compliance with any applicable federal, state, or local laws, rules or 
regulations, including HUD guidelines, policies, or directives.  
14.3.3 Unauthorized expenditure of funds. 
14.3.4 Improper disposition of program income. 
14.3.5 Non-compliance with applicable financial record requirements, accounting 
principles, or standards established by OMB circulars and 2 C.F.R. §200 et 
seq.  
14.3.6 Non-compliance with recordkeeping, record retention, or reporting 
requirements.  
14.4 
Notwithstanding the suspension or termination of this Agreement, or the final 
determination of the proper disposition of funds, the Subrecipient shall, without intent 
to limit or with restrictions, be subject to the following: 
14.4.1 All awards of funding shall be immediately revoked, and any approvals 
related to the project described in the Special Provision or Work Statement 
shall be deemed revoked and canceled. Thereby, any entitlements to 
compensation after suspension or termination of this Agreement are similarly 
revoked and unavailable.  
14.4.2 Not be relieved of any liability or responsibility associated with the Special 
Provision or Work Statement.  
14.4.3 Acknowledge that suspension or termination of this Agreement does not 
affect or terminate any rights against the Subrecipient at the time of 
suspension or termination, or that may accrue later. Nothing in this 
Agreement shall be construed to limit or terminate any right or remedy 
available under this Agreement or law.  
14.4.4 Waiver of a breach or default of any term, covenant, or condition of this 
Agreement or any federal, state, or local law, rule, or regulation shall not 
operate as a waiver of any subsequent breach of the same or any other term, 
covenant, condition, law, rule, or regulation.

SECTION 1 
GENERAL PROVISIONS 
 
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14.5 
The Subrecipient shall, upon notice or with knowledge obtained by itself or others, 
take any and all proactive actions necessary, and provide any and all applicable 
remedies to address and correct any act by itself, and any and all of its agents, 
representatives, officers, officials, directors, employees, volunteers, successors, 
assigns, contractors, or Subcontractors that resulted in any wrongdoing (intentional 
or unintentional); misuse or misappropriation of funds; the incorrect or improper 
disposition of funds; any violation of any federal, state, or local law, rule, or 
regulation; or the breach of any certification or warranty provided in this Agreement. 
 
15.0 
SEVERABILITY 
Any provision of this Agreement that is determined to be invalid, void, or illegal by a court 
shall in no way affect, impair, or invalidate any other provisions of this Agreement, and the 
remaining provisions shall remain in full force and effect. 
 
16.0 
STRICT COMPLIANCE 
The County’s acceptance of the Subrecipient’s performance that is not in strict compliance 
with the terms of this Agreement shall not be deemed to waive the requirements of strict 
compliance for all future performance. All changes in performance obligations under this 
Agreement shall follow Section I (General Provisions), Paragraph 4.0 (Amendments), of this 
Agreement. 
 
17.0 
SINGLE AUDIT ACT REQUIREMENTS  
If the Subrecipient receives $750,000 in federal funds, then the Subrecipient is subject to 
the federal audit requirements of the Single Audit Act of 1984, as amended (Pub. L. No. 98-
502) (codified at 31 U.S.C. §§ 7501, et seq.). The Subrecipient shall comply with 2 C.F.R. § 
200 Subpart F. Upon completion, such audits shall be made available for public inspection. 
Audits shall be submitted within the twelve (12) months following the close of the fiscal year. 
The Subrecipient shall take corrective actions within six (6) months of the date of receipt of 
the reports. The County shall consider sanctions as described in 2 C.F.R. § 200.505 if the 
Subrecipient is noncompliant with the audit requirements. 
 
18.0 
AUDIT DISALLOWANCES 
18.1 
The Subrecipient shall, upon written notice, reimburse the County for any payments 
made under this Agreement that are disallowed by a federal, state, or County audit 
in the amount of the disallowance, as well as court costs and attorney and expert 
fees the County spends to pursue legal action relating to a disallowance. Court costs 
and attorney and expert fees incurred will be specifically identified as applicable to 
the recovery of the disallowed costs in question. 
18.2 
If the County determines that a cost for which payment has been made is a 
disallowed cost, then the County will notify the Subrecipient in writing of the 
disallowance and the required course of action, which shall be at the option of the 
County, either to adjust any future claim submitted by the Subrecipient by the 
amount of the disallowance or to require immediate repayment of the disallowed 
amount by the Subrecipient issuing a check payable to the County. 
 
19.0 
COMPETITIVE BID REQUIREMENTS 
19.1 
Equipment 
If this Agreement is with other than a Public Agency, then the Subrecipient shall 
obtain all equipment to be utilized under this Agreement and purchased with funds 
provided under this Agreement at the lowest practical cost in accordance with the 
following competitive bidding system:

SECTION 1 
GENERAL PROVISIONS 
 
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19.1.1 Procurements in excess of $300, but less than $1,000, require oral price 
quotations from two or more vendors. The Subrecipient shall keep and 
maintain a record of the vendors’ verbal quotations. The Subrecipient’s 
award shall be made to the lowest bidder meeting specification requirements 
concerning price, conformity to specifications, and other purchasing factors. 
19.1.2 Procurements exceeding an aggregate amount of $1,000 must be approved 
by the Assistant Director. At least three (3) bidders shall be solicited to submit 
written quotations. The Subrecipient shall solicit written quotations by issuing 
a Request for Quotation to at least three (3) vendors. The award shall be 
made to the lowest bidder meeting specification requirements concerning 
price, conformity to specifications, and other purchasing factors. 
19.2 
Supplies 
If this Agreement is with other than a Public Agency, then the Subrecipient shall 
obtain all supplies to be utilized under this Agreement and purchased with funds 
provided under this Agreement at the lowest practical cost and in accordance with a 
system of written quotes whenever the price is expected to be greater than $300, 
unless the Subrecipient obtains the Assistant Director’s prior written approval to 
purchase supplies by an alternate method. 
19.3 
Minority, Women, and Small Business Enterprises 
The Subrecipient shall take affirmative steps to provide an opportunity for minorities, 
women, and small businesses to compete in the procurement of equipment and 
supplies under this Agreement. 
19.4 
Bidding Procedures 
If the Subrecipient is a Public Agency, then the Subrecipient's own bidding 
procedures shall govern. 
19.5 
Procedures May Be Superseded 
Funding source requirements relating to competitive bid procedures may supersede 
any or all subparts of this clause and will be specified in the Special Provisions 
section of this Agreement.  
 
20.0 
PROPERTY 
Any property furnished or purchased under the terms of this Agreement shall be utilized, 
maintained, repaired, and accounted for in accordance with instructions furnished by the 
County and shall revert to the County upon termination of this Agreement, unless the County 
determines otherwise. The costs to repair such property are the responsibility of the 
Subrecipient within the limits budgeted in this Agreement. Repair costs beyond the 
budgeted amount shall be approved by the Department. 
 
21.0 
NON-LIABILITY 
The County and its agents, representatives, officials, officers, directors, employees, 
volunteers, departments, agencies, boards, committees, and commissions shall not be 
liable for any act or omission by the Subrecipient or any and all of its agents, representatives, 
officials, officers, directors, employees, volunteers, agencies, boards, committees, 
commissions, or Subcontractors  occurring in the performance of this Agreement, nor shall 
the County and its agents, representatives, officials, officers, directors, employees, 
volunteers, departments, agencies, boards, committees, and commissions be liable for 
purchases, contract, or agreements made by the Subrecipient or any and all of its agents, 
representatives, officials, officers, directors, employees, volunteers, agencies, boards, 
committees, commissions, or Subcontractors in connection with this Agreement.

SECTION 1 
GENERAL PROVISIONS 
 
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22.0 
INDEMNIFICATION  
To the extent permitted by law, the Subrecipient shall, and shall cause any of its 
Subcontractors to, indemnify, defend save and hold harmless the County, any jurisdiction 
or agency issuing any permits for any work arising out of this Agreement, and their 
respective agents, representatives, officials, officers, directors, employees, volunteers, 
departments, agencies, boards, committees, and commissions (hereinafter referred to as 
“Indemnitee”) from and against any and all claims, demands, actions, liabilities, damages, 
losses, judgments, or expenses (including court costs, attorney and expert fees, and costs 
of claim processing, investigation, and litigation) (hereinafter referred to as “Claims”): A.) 
that either directly or indirectly are caused by, arise from, or relate to breach of this 
Agreement by the Subrecipient and any of its Subcontractors, or any and all agents, 
representatives, officials, officers, directors, employees, volunteers, departments, 
agencies, boards, committees, or commissions of the Subrecipient and any of its 
Subcontractors; and B.) for bodily injury or personal injury (including death), or loss or 
damage to tangible or intangible property caused, or alleged to be caused by, arise from, 
or relate to, in whole or in part, the negligent or willful acts or omissions of the Subrecipient 
or any of its Subcontractors, or any and all agents, representatives, officials, officers, 
directors, employees, volunteers, departments, agencies, boards, committees, and 
commissions of the Subrecipient and of any Subcontractors. This indemnity includes any 
claim or amount arising out of or recovered under the Worker’s Compensation Law or 
arising out of the failure of the Subrecipient or any of its Subcontractors to conform to any 
federal, state or local law, statute, ordinance, rule, regulation or court decree. It is the 
specific intention of the Parties that the Indemnitee shall, in all instances, except for Claims 
arising solely from the negligent or willful acts or omissions of the Indemnitee, be 
indemnified by the Subrecipient and any of its Subcontractors from and against any and 
all claims. It is agreed that the Subrecipient and any of its Subcontractors will be 
responsible for primary loss investigation, defense, and judgment costs where this 
indemnification is applicable. 
 
23.0 
INSURANCE 
23.1 
The Subrecipient shall, and shall cause any of its Subcontractors, to purchase and 
maintain the minimum insurance stipulated in this Agreement from a company or 
companies duly licensed by the State of Arizona and possessing a current A.M. 
Best, Inc. rating of B++6 or higher. In lieu of State of Arizona licensing, the 
stipulated insurance may be purchased from a company that is or companies that 
are authorized to do business in the State of Arizona, provided that such insurance 
company or companies meet the approval of the County. The form of any 
insurance policies and forms must be acceptable to the County.  
23.2 
All insurance required under this Agreement shall be maintained in full force and 
effect until all work or service required to be performed under the terms of the 
Agreement is satisfactorily completed and formally accepted. Failure to do so may, 
at the sole discretion of the County, constitute a material breach of this Agreement. 
23.3 
The Subrecipient’s insurance shall be primary insurance as respects the County, 
and any insurance or self-insurance maintained by the County shall not contribute 
to it. 
23.4 
Any failure to comply with the claim reporting provisions of the insurance policies 
or any breach of an insurance policy warranty shall not affect coverage afforded 
under the insurance policies to protect the County. 
23.5 
The insurance policies may provide coverage that contains deductibles or self-
insured retentions. Such deductible or self-insured retentions (or both) shall not be 
applicable with respect to the coverage provided to the County under those

SECTION 1 
GENERAL PROVISIONS 
 
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policies. The Subrecipient shall solely be responsible for the deductible and self-
insured retention and the County, at its option, may require the Subrecipient to 
secure payment of such deductibles or self-insured retentions by a surety bond or 
an irrevocable and unconditional letter of credit. 
23.6 
The County reserves the right to request and to receive, within 10 business days, 
certified copies of any or all of the insurance certificates required under this 
Agreement. The County shall not be obligated to review policies and 
endorsements or to advise the Subrecipient of any deficiencies in such policies 
and endorsements, and such receipt shall not relieve the Subrecipient from, or be 
deemed a waiver of the County’s right to insist on strict fulfillment of the 
Subrecipient’s obligations under this Agreement. 
23.7 
The insurance policies required by this Agreement, except Worker’s 
Compensation, shall name the County, its agents, representatives, officials, 
officers, directors, employees, volunteers, departments, agencies, boards, and 
committees, commissions as Additional Insureds. 
23.8 
The policies required under this Agreement, except Worker’s Compensation, shall 
contain a waiver of transfer of rights of recovery (subrogation) against the County 
and its agents, representatives, officials, officers, directors, employees, volunteers, 
departments, agencies, board, committees, and commissions for any claims 
arising out of the Subrecipient’s work or service. 
23.9 
The Subrecipient's policies shall stipulate that the insurance afforded the 
Subrecipient shall be primary insurance and that any insurance carried by the 
County and its agents, representatives, officials, officers, directors, employees, 
volunteers, departments, agencies, boards, committees, and commissions shall 
be excess and not contributory insurance, as provided by A.R.S. § 41-621. 
23.10 Coverage provided by the Subrecipient shall not be limited to the liability assumed 
under the indemnification provisions of this Agreement. 
23.11 Commercial General Liability: 
23.11.1 
Commercial General Liability insurance and, if necessary, 
Commercial Umbrella insurance with a limit of not less than $2,000,000 for 
each occurrence, $2,000,000 Products/Completed Operations Aggregate, 
and $4,000,000 General Aggregate Limit. The policy shall include 
coverage for premises liability, bodily injury, broad form property damage, 
personal injury, products and completed operations, and blanket 
contractual coverage, and shall not contain any provisions that would serve 
to limit third party action over claims. There shall be no endorsements or 
modifications of the CGL limiting the scope of coverage for liability arising 
from explosion, collapse, or underground property damage. 
23.12 Worker’s Compensation: 
23.12.1 
Worker’s Compensation insurance to cover obligations imposed by 
federal and state statutes having jurisdiction of the Subrecipient’s 
employees engaged in the performance of the work or services under this 
Agreement; and Employer’s Liability insurance of not less than $1,000,000 
for each accident, $1,000,000 disease for each employee, and $1,000,000 
disease policy limit. 
23.12.2 
The Subrecipient waives all rights against the County and its 
agents, 
representatives, 
officials, 
officers, 
directors, 
employees, 
volunteers, departments, agencies, boards, committees, and commissions 
for recovery of damages to the extent these damages are covered by the 
Worker’s Compensation and Employer’s Liability or commercial umbrella 
liability insurance obtained by the Subrecipient pursuant to this Agreement.

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23.13 Sexual Molestation and Physical Abuse: 
23.13.1 
When services involve working with children, elderly, or disabled 
individuals, the insurance requirements in the contract must include 
coverage for "sexual molestation and physical abuse." Coverage for this 
type of claim, or allegation, is excluded from standard general liability 
policies. Therefore, Subrecipients whose services include working with or 
caring (or both) for children/elderly and disabled persons should have their 
policies specifically endorsed to include this coverage. 
23.13.2 
The policy shall be endorsed to include coverage for sexual 
molestation and physical abuse at limits not less than $2,000,000.00 per 
occurrence and $4,000,000.00 aggregate. These limits may be included 
within a General Liability policy, Professional Liability policy, or provided by 
separate endorsement with its own limits as required.  Subrecipient and its 
Subcontractors must provide the following statement on their Certificate(s) 
of Insurance: “Sexual molestation and physical abuse coverage is 
included.” Policies/certificates stating that “Sexual molestation and physical 
abuse coverage is not excluded” do not meet this requirement. 
23.14 Certificates of Insurance: 
23.14.1 
Upon execution of this Agreement, the Subrecipient shall, and shall 
cause any of its Subcontractors, to furnish the County with valid and 
complete certificates of insurance, or formal endorsements as required by 
the Agreement, issued by the Subrecipient’s insurer(s), as evidence that 
policies providing the required coverage, conditions and limits required by 
this Agreement are in full force and effect. Such certificates shall identify 
this Agreement by number and title. 
23.14.2 
Prior to commencing either work or services under this 
Agreement, the Subrecipient shall have insurance in effect as 
required by the Agreement in the form provided by the County, issued 
by the Subrecipient’s insurer(s), as evidence that policies providing 
the required coverage, conditions and limits required by this 
Agreement are in full force and effect. Such certificates shall be made 
available to the County with ten (10) business days after a request by 
the County. BY SIGNING THIS AGREEMENT, THE SUBRECIPIENT 
AGREES TO THIS REQUIREMENT AND THAT FAILURE TO MEET THIS 
REQUIREMENT 
WILL 
RESULT 
IN 
CANCELLATION 
OF 
THIS 
AGREEMENT. 
23.14.3 
In the event any insurance (policies) required by this Agreement are 
written on a “claims made” basis, coverage shall extend for two years past 
completion and acceptance of the Subrecipient’s work or services and as 
evidenced by annual Certificates of Insurance. 
23.14.4 
If a policy does expire during the life of this Agreement, then a 
renewed Certificate of Insurance must be sent to the County forty-five (45) 
business days prior to the expiration date. 
23.15 Cancellation and Expiration Notice: 
23.15.1 
Insurance required under this Agreement shall not be permitted to 
expire, be canceled, or be materially changed without thirty (30) business 
days prior written notice to the County. 
23.15.2 
If the Subrecipient provides professional or semi-professional 
personal services under this Agreement for which malpractice or 
professional liability coverage is available, such as medical, psychiatric, or 
legal services, then the Subrecipient shall carry minimum liability coverage

SECTION 1 
GENERAL PROVISIONS 
 
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of $2,000,000 each occurrence and provide the County with proof of 
coverage. 
23.16 Subcontractors: The Subrecipient’s certificate(s) shall include all Subcontractors 
as insureds under its policies, or the Subrecipient shall furnish to the County 
separate certificates for each Subcontractor. All coverages for Subcontractors 
shall be subject to the minimum requirements identified above. 
23.17 Approval: Any modification or variation from the insurance requirements in any 
agreement must have prior approval from the County whose decision shall be final. 
Such action will not require a formal amendment.  
 
24.0 
OFFSHORE PERFORMANCE OF WORK PROHIBITED 
Due to security and identity protection concerns, direct services under this Agreement shall 
be performed within the borders of the United States. Any services that are described in 
the specifications or scope of work that directly serve the State of Arizona or its clients and 
may involve access to secure or sensitive data or personal client data or development or 
modification of software for the State shall be performed within the borders of the United 
States. Unless specifically stated otherwise in the specifications, this definition does not 
apply to indirect or “overhead” services, redundant back-up services, or services that are 
incidental to the performance of this Agreement. This provision applies to work performed 
by Subcontractors at all tiers. 
 
25.0 
TECHNICAL ASSISTANCE 
The County will provide reasonable technical assistance to the Subrecipient to assist in 
complying with state and federal laws, and regulations, and accountability for diligent 
performance and compliance with the terms and conditions of this Agreement and all 
applicable laws, regulations, and standards. However, this assistance in no way relieves the 
Subrecipient of full responsibility and accountability for its actions and performance in 
compliance with the terms of this Agreement. 
 
26.0 
STAFF AND VOLUNTEER TRAINING 
The County may make available to the Subrecipient the opportunity to participate in any 
applicable training activities conducted by the County. 
 
27.0 
CLEAN AIR ACT  
If the total face value of this Agreement exceeds $100,000, then the Subrecipient agrees to 
comply with all regulations, standards and orders issued under the Clean Air Act of 1970, 
as amended (42 U.S.C. §§ 7401, et seq.), to the extent any are applicable by reason of 
performance of this Agreement. 
 
28.0 
LOBBYING 
28.1 
No federal appropriated funds have been paid or will be paid by or on behalf of the 
Subrecipient to any person for influencing or attempting to influence an officer or 
employee of any agency, a member of Congress, an officer or employee of 
Congress, or an employee of a member of Congress in connection with the awarding 
of any federal agreement, the making of any federal grant, the making of any federal 
loan, the entering into of any cooperative agreement, and the extension, 
continuation, renewal, amendment, or modification of any federal agreement, grant, 
loan, or cooperative agreement. 
28.2 
If any funds, other than federal appropriated funds, have been paid or will be paid to 
any person for influencing or attempting to influence an officer or employee of any 
agency, a member of Congress, an officer or employee of Congress, or an employee

SECTION 1 
GENERAL PROVISIONS 
 
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of a member of Congress in connection with any federal agreement, grant, loan or 
cooperative agreement, then the Subrecipient shall complete and submit OMB 
Form-LLL, titled "Disclosure of Lobbying Activities," in accordance with its 
instructions and 31 U.S.C. § 1352. 
28.3 
The Subrecipient shall sign Attachment 4 – Certification Regarding Lobbying. 
 
29.0 
RELIGIOUS ACTIVITIES 
The Subrecipient agrees that none of its costs and none of the costs incurred by the 
Subrecipient or any Subcontractor will include any expense for any religious activity.  
 
30.0 
POLITICAL ACTIVITY PROHIBITED 
None of the funds, materials, property or services contributed by either the County or the 
Subrecipient or any Subcontractor under this Agreement shall be used for any partisan 
political activity, or to further the election or defeat of any candidate for public office. 
 
31.0 
COVENANT AGAINST CONTINGENT FEES 
The Subrecipient warrants that no person or entity has been employed or retained to solicit 
or secure this Agreement upon an agreement or understanding for a commission, 
percentage, brokerage, or contingent fee. For breach or violation of this warranty, the 
County may immediately terminate this Agreement without liability. 
 
32.0 
SAFEGUARDING OF PARTICIPANT INFORMATION 
The use or disclosure by any Party of any information concerning an applicant for, or 
recipient of, services under this Agreement is directly limited to the conduct of this 
Agreement. The Subrecipient and its agents shall safeguard the confidentiality of this 
information, as required by federal and state law. The Subrecipient shall include a clause to 
this effect in all Subcontracts. 
 
33.0 
RIGHTS IN DATA 
The Parties shall have the use of data and reports resulting from this Agreement without 
cost or other restriction, except as otherwise provided by law or applicable regulation. Each 
Party shall supply to the other Party, upon request, any such available information that is 
relevant to this Agreement and to the performance under it. 
 
34.0 
COPYRIGHTS 
If this Agreement results in a book or other written material, then the author is free to 
copyright the work, but the County reserves a royalty-free, nonexclusive, perpetual and 
irrevocable license to reproduce, publish, or otherwise use and to authorize other to use, all 
copyrighted material and all material that can be copyrighted resulting from this Agreement. 
 
35.0 
AGREEMENT COMPLIANCE MONITORING 
The County will monitor the Subrecipient's compliance with, and performance under, the 
terms and conditions of this Agreement and the applicable federal regulations promulgated 
by HUD. On-site visits for compliance monitoring may be made by the County and its grantor 
agencies (or both the County and its grantor agencies) at any time during the Subrecipient's 
normal business hours, announced or unannounced. During an on-site visit, the 
Subrecipient shall make all of its records and accounts related to work performed or services 
provided under this Agreement available to the County for inspection and copying.

SECTION 1 
GENERAL PROVISIONS 
 
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36.0 
CONTINGENCY RELATING TO OTHER AGREEMENTS AND GRANTS  
36.1 
The Subrecipient shall, during the term of this Agreement, immediately inform the 
Department in writing of the award of any other agreement or grant, including any 
other agreement or grant awarded by the County, where the award may affect either 
the direct or indirect costs being paid or reimbursed under this Agreement. Failure 
by the Subrecipient to notify the Department ,of such award shall be considered a 
violation of this Agreement and the County may immediately terminate this 
Agreement without liability. 
36.2 
The Department may request, and the Subrecipient shall provide within a 
reasonable time, which shall not exceed ten (10) business days, a copy of such other 
agreement or grant, when in the opinion of the Department the award of the 
agreement or grant may affect the costs being paid or reimbursed under this 
Agreement. 
36.3 
If the Department determines that the award to the Subrecipient of such other 
agreement or grant has affected the costs being paid or reimbursed under this 
Agreement, then the Department will prepare an amendment to this Agreement 
effecting a cost adjustment. If the Subrecipient disputes the proposed cost 
adjustment, then the dispute shall be resolved pursuant to the "Disputes" section 
contained in this Agreement. 
 
37.0 
MINIMUM WAGE REQUIREMENTS 
37.1 
The Subrecipient agrees and warrants that it shall pay all its employees engaged in 
performing work or providing services under the terms of this Agreement not less 
than the minimum wage specified under Section 6(a)(1) of the Fair Labor Standards 
Act of 1938, as amended and as specified by Arizona law. 
 
38.0 
RECOGNITION OF COUNTY SUPPORT 
The Subrecipient shall give recognition to the County and the funding source for its support 
when the Subrecipient publishes materials or releases public information that is paid for in 
whole or in part with funds received by the Subrecipient under this Agreement. 
 
39.0 
GRIEVANCE PROCEDURE 
The Subrecipient shall establish a system through which applicants for, and recipients of, 
services may present grievances and may take appeals about eligibility and other aspects 
of the Subrecipient's work under this Agreement. The grievance procedure shall include 
provisions for notifying the applicants for, and recipients of, services of their eligibility or 
ineligibility for service and their right to appeal to the Department if the grievance is not 
satisfied at the Subrecipient's level. 
 
40.0 
NONDISCRIMINATION AND EQUAL ACCESS 
40.1 
The Subrecipient, in connection with any service or other activity under this 
Agreement, shall not in any way, discriminate against any person on the grounds of 
race, color, religion, sex, national origin, age, disability, political affiliation or belief. 
The Subrecipient shall include this clause in all of its Subcontracts. 
40.2 
The Subrecipient shall comply with requirements of the Housing and Urban 
Development Equal Access Rule at 24 C.F.R. Part 5, Final Rule 5863, to ensure 
equal access to housing and services regardless of gender identity. 
 
41.0 
DISABILITY REQUIREMENTS 
The Subrecipient agrees that any electronic or information technology offered under this 
Agreement shall comply with A.R.S. §§41-2531 and 41-2532 and Section 508 of the

SECTION 1 
GENERAL PROVISIONS 
 
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Rehabilitation Act of 1973, which requires that employees and members of the public shall 
have access to and use of information technology that is comparable to the access and 
use by employees and members of the public who are not individuals with disabilities. 
 
42.0 
EQUAL EMPLOYMENT OPPORTUNITY 
42.1 
The Subrecipient shall not discriminate against any employee or applicant for 
employment because of race, age, disability, color, religion, sex, sexual identity, 
gender identity, or national origin.  
42.2 
The Subrecipient shall take affirmative action to ensure that applicants are employed 
and that employees are treated during employment without regard to their race, age, 
disability, color, religion, sex sexual identity, gender identity, or national origin. Such 
action shall include, but is not limited to, the following: employment, upgrading, 
demotion or transfer, recruitment or recruitment advertising, lay-off or termination, 
rates of pay or other forms of compensation, and selection for training, including 
apprenticeship.  
42.3 
The Subrecipient shall and shall cause its contractors to comply with: 
42.3.1 Title VI and VII of the Civil Rights Act of 1964, as amended (42 U.S.C. §§ 
2000a, et seq.);  
42.3.2 the Rehabilitation Act of 1973, as amended (29 U.S.C. §§ 701, et seq.);  
42.3.3 the Age Discrimination in Employment Act of 1967, as amended (29 U.S.C. 
§§ 621, et seq.);  
42.3.4 the Americans With Disabilities Act of 1990 (42 U.S.C. §§ 12101, et seq.); 
and  
42.3.5 Arizona Executive Order 2009-09, as amended, et seq. which mandates that 
all persons shall have equal access to employment opportunities. 
42.4 
The Subrecipient shall sign Attachment 2 Equal Employment Opportunity 
Certification. 
 
43.0 
UNIFORM ADMINISTRATIVE REQUIREMENTS 
By entering into this Agreement, the Subrecipient agrees to comply with all applicable 
provisions of Title 2, Subtitle A, Chapter II, Part 200—UNIFORM ADMINISTRATIVE 
REQUIREMENTS, COST PRINCIPLES, AND AUDIT REQUIREMENTS FOR FEDERAL 
AWARDS contained in Title 2 C.F.R. § 200, et seq. 
 
44.0 
FINANCIAL MANAGEMENT 
The Subrecipient shall establish and maintain a separate, interest-bearing bank account for 
money provided under this Agreement, or an accounting system that assures the 
safeguarding and accountability of all money and assets provided under this Agreement. 
No part of the money deposited in the bank account shall be commingled with other funds 
or money belonging to the Subrecipient. All interest earned on the account shall be disposed 
of in a manner specified by the County in accordance with applicable state and federal 
regulations. The Subrecipient shall provide a signed bank account agreement authorizing 
the County to obtain information about the account. If an accounting system is used, then it 
shall be in accord with generally accepted accounting principles.  
 
45.0 
RETENTION OF RECORDS 
45.1 
This provision applies to all financial and programmatic records, supporting 
document, statistical records, and other records of the Subrecipient that are related 
to this Agreement. 
45.2 
The Subrecipient shall retain all records relevant to this Agreement for six (6) years 
after final payment or until after the resolution of any audit questions that could be

SECTION 1 
GENERAL PROVISIONS 
 
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more than six (6) years, whichever is longer, and the County, federal, and state 
auditors and any other persons duly authorized by the County shall have full access 
to, and the right to examine, copy, and make use of, any and all of the records.  
 
46.0 
ADEQUACY OF RECORDS 
If the Subrecipient’s books, records, and other documents related to this Agreement are not 
sufficient to support and document that allowable services were provided to eligible 
participants, then the Subrecipient shall reimburse the County for the services not supported 
and documented. 
 
47.0 
IMMIGRATION LAWS AND REGULATIONS 
47.1 
Federal Immigration and Nationality Act 
47.1.1 The Subrecipient understand and acknowledge the applicability of the 
Immigration Reform and Control Act of 1986 (IRCA). The Subrecipient agree 
to comply with the IRCA in performing under this Agreement and to permit 
the County to inspect personnel records to verify such compliance. 
47.1.2 By entering into this Agreement, the Subrecipient warrant compliance with 
the Federal Immigration and Nationality Act (FINA) and all other federal 
immigration laws and regulations related to the immigration status of their 
employees. 
The 
Subrecipient 
shall 
obtain 
statements 
from 
its 
Subcontractors certifying compliance and shall furnish the statements to 
the County upon request. These warranties shall remain in effect through 
the term of the Agreement. The Subrecipient and its Subcontractors shall 
also maintain Employment Eligibility Verification forms (I-9) as required by 
the U.S. Department of Labor’s Immigration and Control Act for all 
employees performing work under the Agreement. I-9 forms are available 
for download at USCIS.GOV. 
47.1.3 The County may request verification of compliance for any employee or 
Subcontractor performing work under the Agreement. Should the County 
suspect or find that any of its Subcontractors are not in compliance, then 
the County may pursue any and all remedies allowed by law, including, but 
not limited to: suspension of work, termination of the Agreement for default, 
and suspension or debarment (or both) of the other Party. All costs 
necessary to verify compliance are the responsibility of the Subrecipient or 
its Subcontractor. 
47.2 
Arizona Law: The Subrecipient warrants that it is in compliance with A.R.S. § 41-
4401 (e-verify requirements) and further acknowledges: 
47.2.1 That then Subrecipient and its Subcontractors and Vendors, if any, warrant 
their compliance with all federal immigration laws and regulations that relate 
to their employees and their compliance with A.R.S. § 23-214; 
47.2.2 That a breach of a warranty under the Paragraph 47.2 shall be deemed a 
material breach of this Agreement, and the County may immediately 
terminate this Agreement without liability; and 
47.1.1 That the County and any contracting government entity retain the legal right 
to inspect the papers and employment records of any Subrecipient or 
Subcontractor or Vendor employee who works on this Agreement to ensure 
that the Subrecipient, Subcontractor, or Vendor is complying with the 
warranty provided under this Paragraph 47.2 and that the Subrecipient 
agrees to make all papers and employment records of such employee(s) 
available during normal business hours in order to facilitate such an 
inspection.

SECTION 1 
GENERAL PROVISIONS 
 
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48.0 
DRUG FREE WORKPLACE ACT 
48.1 
The Subrecipient agrees to comply with the Drug-Free Workplace Act of 1988 (41 
U.S.C. §§ 701, et seq.), which requires that subrecipients and grantees of federal 
funds must certify that they will provide drug-free workplaces. This certification is a 
precondition to receiving a grant or entering into this Agreement.  
48.2 
The Subrecipient shall sign Attachment 3 – Certification for Drug-Free Workplace. 
 
49.0 
GOVERNOR’S EXECUTIVE ORDER NO. 88-26 
The Subrecipient is required to use the Arizona Taxonomy of Human Services for reporting 
and contracting purposes.  
 
50.0 
EMPLOYMENT DISCLAIMER 
50.1 
This Agreement is not intended to constitute, create, give rise to, or otherwise 
recognize a joint venture agreement, partnership, or other formal business 
association or organization of any kind between the Parties, and the rights and 
obligations of the Parties shall be only those expressly set forth in this Agreement. 
50.2 
The Parties agree that no individual performing under this Agreement on behalf of 
the Subrecipient is to be considered a County employee and that no rights of County 
civil service, County retirement, or County personnel rules shall accrue to such 
individual. The Subrecipient shall have total responsibility for all salaries, wages, 
bonuses, retirement, withholdings, worker's compensation, occupational disease 
compensation, unemployment compensation, other employee benefits, and all taxes 
and premiums appurtenant thereto concerning such individuals and shall save and 
hold the County harmless with respect thereto. 
50.3 
The County agrees that no individual performing under this Agreement on behalf of 
County may be considered a Subrecipient agent, employee, or representative and 
that no rights of the Subrecipient civil service, the Subrecipient retirement, or the 
Subrecipient personnel rules shall accrue to or apply to any such individual. The 
County shall have total responsibility for all salaries, wages, bonuses, retirement, 
withholdings, worker’s compensation, occupational disease compensation, 
unemployment compensation, other employee benefits, and all taxes and premiums 
appurtenant thereto concerning such individuals and the County shall indemnify, 
defend and hold harmless the Subrecipient with respect thereto. 
 
51.0 
CERTIFICATION REGARDING DEBARMENT, SUSPENSION INELIGIBILITY AND 
VOLUNTARY EXCLUSION 
The undersigned by signing and submitting this Agreement has the authority to certify the 
Subrecipient to the terms, representations and warranties of this Certification. The 
Subrecipient, defined as the primary participant in accordance with 45 C.F.R. Part 76, 
certifies to the best of its knowledge and belief that it and its principals: 
51.1 
are not presently debarred, suspended, proposed for debarment, declared ineligible, 
or voluntarily excluded from covered transactions by any federal department or 
agency; 
51.2 
have not within a three-year period preceding this Agreement been convicted of or 
had a civil judgment rendered against them for commission of fraud or a criminal 
offense in connection with obtaining, attempting to obtain, or performing a public 
(federal, state, or local) transaction or Agreement under a public transaction; 
violation of federal or state antitrust statutes or commission of embezzlement, theft, 
forgery, bribery, falsification or destruction of records, making false statements, or 
receiving stolen property;

SECTION 1 
GENERAL PROVISIONS 
 
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51.3 
are not presently indicted or otherwise criminally or civilly charged by a governmental 
entity (federal, state, or local) with commission of any of the offenses enumerated in 
Paragraph 51.2 of this certification;  
51.4 
have not within a three-year period preceding this Agreement had one or more public 
transactions (federal, state, or local) terminated for cause or default. 
51.5 
shall immediately notify the County if, at any time during the term of this Agreement, 
it is debarred, suspended, declared ineligible, or voluntarily excluded from 
participation. The County may pursue available remedies in the event of such 
occurrence, including immediate termination of this Agreement; 
51.6 
shall not enter into a contract or sub-recipient agreement with, or provide payment 
to, a person or organization that is debarred, suspended, declared ineligible, or 
voluntarily excluded from participation. The County may pursue available remedies 
in the event of such occurrence, including immediate termination of this Agreement; 
51.7 
The Subrecipient shall include without modification this Certification’s language, 
entitled “Certification Regarding Debarment, Suspension, Ineligibility, and Voluntary 
Exclusion – Lower Tier Covered Transactions,” with all subgrantees or other 
Subcontractors; in all lower tier covered transactions and in all solicitations for lower 
tier covered transactions in accordance with 45 C.F.R. Part 76; and 
51.8 
Should the Subrecipient not be able to provide this Certification, an explanation as 
to why shall be immediately provided to the Department, Attention: Project Manager 
at the address set forth on the cover page of this Agreement. 
 
52.0 
SUBRECIPIENT EMPLOYEE WHISTLEBLOWER RIGHTS AND REQUIREMENT TO 
INFORM EMPLOYEES OF WHISTLEBLOWER RIGHTS: 
52.1 
The Parties agree that this Agreement and employees working on this Agreement 
will be subject to the whistleblower rights and remedies in the pilot program on the 
Subrecipient employee whistleblower protections established at 41 U.S.C. § 4712 
by Section 828 of the National Defense Authorization Act for Fiscal Year 2013 
(Pub. L. 112–239) and Section 3.908 of the Federal Acquisition Regulation; 
52.2 
The Subrecipient shall inform its employees in writing, in the predominant 
language of the workforce, of employee whistleblower rights and protections under 
41 U.S.C. § 4712, as described in Section 3.908 of the Federal Acquisition 
Regulation. Documentation of such employee notification must be kept on file by 
the Subrecipient and copies provided to County upon request; and 
52.3 
The Subrecipient shall insert the substance of this clause, including this Paragraph 
52.0, in all Subcontracts over the simplified acquisition threshold ($150,000 as of 
September 2013). 
 
53.0 
WRITTEN CERTIFICATION UNDER A.R.S. § 35-393.01 
If the Subrecipient engages in for-profit activity and has 10 or more employees, and if 
this Agreement has a value of $100,000 or more, then the Subrecipient certifies it is not 
currently engaged in, and agrees for the duration of this Agreement not to engage in, a 
boycott of goods and services from Israel.  This certification does not apply to a boycott 
prohibited by 50 U.S.C. § 4842 or a regulation issued pursuant to 50 U.S.C. § 4842.

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SECTION 2 
 
SPECIAL PROVISIONS 
 
 
 
 
 
 
Maricopa County 
 
Human Services

SECTION 2 
SPECIAL PROVISIONS 
 
Page 22 of 46 
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1.0 
STANDARDS 
The Subrecipient shall perform the work and provide the services as identified in the Work 
Statement and shall immediately notify the Department whenever the Subrecipient is 
unable to, or anticipates an inability to, perform any of the work, or provide any of the 
services required by the terms of this Agreement. The Subrecipient acknowledges that 
any inability to perform the work and provide the services, or comply with the standards 
set forth in, this Agreement may subject the Subrecipient to the remedies provided in the 
Default and Remedies for Noncompliance established by the General Provisions.  
 
2.0 
COMPLIANCE WITH LAWS, RULES & REGULATIONS 
This Agreement and the Parties to it, are subject to all applicable federal, state, or local 
laws, rules, and regulations. The Subrecipient shall ensure compliance, and the 
Subrecipient shall comply with all applicable laws, rules, and regulations, without limitation 
to those designated within this Agreement. Refer to the Default and Remedies for 
Noncompliance provided in the General Provisions.  
 
3.0 
IT 508 COMPLIANCE 
Unless specifically authorized in the Agreement, any electronic or information technology 
offered to the County under this Agreement shall comply with A.R.S.§ 41-3531 and § 41-
3532 as may be amended, and Section 508 of the Rehabilitation Act of 1973, which 
requires the employees and members of the public shall have access to use of 
information technology that is comparable to the access and use by employees and 
members of the public who are not individuals with disabilities 
 
4.0 
BUDGET ADJUSTMENTS, CHANGE ORDERS AND AMENDMENTS 
4.1 
This Agreement may not be amended without a written amendment executed by 
the Parties. 
4.2 
The Subrecipient is required to notify the County, in writing, within fifteen (15) 
calendar days, after any changes in the following occur: 
4.2.1 Agency authorized signatory, 
4.2.2 Agency address, phone, fax, or email addresses, 
4.2.3 Person to whom Agreement notices should be sent, and 
4.2.4 Any variation of insurance required by this Agreement. 
4.3 
Notwithstanding the foregoing, the Parties may agree to make non-substantive 
changes through written Administrative Change Orders, executed by the Human 
Services Department Director or designee and the Subrecipient in any of the 
following areas: 
4.3.1 Work Statement activities which do not Increase or decrease the amount 
of total Agreement funding: 
4.3.2 Changes to modify the project timeline as long as the last day of the project 
timeline is within the end date of the Agreement;  
4.3.3 Modify terms consistent with any change to the Work Statement required 
by federal, state, or County regulations ordinances or policies; 
4.3.4 Changes to budget line items within a 10% change in a category as long 
as the change does not result in an increase or decrease in the total 
contract budget amount, and 
4.3.5 Administrative requirements, such as reporting format quality or quantity 
(or both), as required by the funding source or the County’s regulations, 
policies, or requirements. 
4.3.6 All Administrative Change Orders will be reviewed and approved by legal 
counsel.

SECTION 2 
SPECIAL PROVISIONS 
 
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4.3.7 All executed Administrative Change Orders shall be incorporated into the 
Agreement. 
4.4 
Any changes that result in an increase or decrease in the total Agreement 
amount will require a formal Agreement amendment as listed in Section 1 
(General Provisions), Paragraph 4.0. 
4.5 
Any dispute or disagreement resulting from written change orders shall constitute a 
dispute within the meaning of the dispute clause of the contract General Provisions 
and shall be resolved accordingly. 
 
5.0 
AUDIT REQUIREMENTS 
5.1 
In accordance with A.R.S. § 11-624, the Subrecipient shall, at its own expense, file 
with the County by March 31st of each Agreement year, either: 
5.1.1 Audited financial statements prepared in accordance with federal single 
audit requirements, or, 
5.1.2 Financial statements of the CDBG program prepared in accordance with 
generally accepted accounting principles audited by an independent 
certified public accountant. 
 
6.0 
PROGRAM INCOME  
6.1 
All income received from a CDBG Funded project shall be considered program 
income and subject to the requirements set forth in CDBG Program regulations. 
Program Income includes, but is not limited to:  
6.1.1 sales/lease returns on investment; and  
6.1.2 payments of principal and interest on loans.  
6.2 
Program Income received by the Subrecipient shall be tracked and returned to the 
County as follows:  
6.2.1 program income shall be tracked by the Subrecipient and accounted for in 
a separate fund or account;  
6.2.2 documentation supporting the amount of program income received shall be 
submitted quarterly with the quarterly progress report; 
6.2.3 all program income shall be submitted at the end of each fiscal year, June 
30th with a program income log that states program income received during 
the year.  
6.3 
Program income that is received after the end of this Agreement shall be sent to 
the County in accordance with 24 C.F.R. § 92.503 within 30 calendar days of 
receipt.  
 
7.0 
ADMINISTRATIVE REQUIREMENTS 
7.1 
Accounting Standards - The Subrecipient agrees to comply with this Agreement 
and to adhere to the accounting principles and procedures required to utilize 
adequate internal controls and maintain necessary source documentation for all 
costs incurred, as well as any applicable federal laws and regulations. The 
Subrecipient further agrees to maintain an adequate accounting system that 
provides for appropriate grant accounting (including calculation of program 
income). 
7.2 
Procurement - All procurement completed under this Agreement shall comply with 
the requirements at 2 C.F.R. Part 200, Subpart D, Procurement Standards. The 
Subrecipient may utilize its own procurement system if it meets or exceeds the 
requirements in 2 C.F.R. 200 Subpart D. 
7.3 
Repayment of Funds – The Subrecipient agrees to repay funds provided under 
this Agreement for noncompliance with the terms of this Agreement. Repayment

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shall be in accordance with the terms of this Agreement or the requirement of 
applicable laws and regulations, including continuing use compliance. The County 
may specify in writing the terms of the repayment or alternative terms in lieu of 
repayment. However, in no case shall repayment or alternative terms be 
accomplished later than sixty (60) calendar days following the written 
determination of noncompliance by the County. 
7.4 
Documentation and Record Keeping - The Subrecipient agrees to comply with this 
Agreement and the following record keeping requirements: 
7.4.1 Records to be Maintained - The Subrecipient shall maintain all records 
required by the federal regulations specified in 24 C.F.R. Part 570.506 that 
are pertinent to the activities to be funded under this Agreement. Such 
records shall include, but not be limited to: 
7.4.1.1 Records providing a full description of each activity undertaken; 
7.4.1.2 Records demonstrating that each activity undertaken meets one of 
the National Objectives of the CDBG program, including HUD 
required revisions that may be released after this Agreement has 
been executed; 
7.4.1.3 Records required for determining the eligibility of activities;  
7.4.1.4 Records required to document the acquisition, improvement, use, 
or disposition of real property acquired or improved with CDBG 
assistance (Properties retained shall continue to meet eligibility 
criteria and shall conform with the "changes in use" restrictions 
specified in 24 C.F.R. Part 570.505, as applicable); 
7.4.1.5 Records that demonstrate citizen participation; 
7.4.1.6 Records that demonstrate compliance regarding acquisitions, 
displacement, relocation, and replacement housing; 
7.4.1.7 Records documenting compliance with the fair housing and equal 
opportunity components of the CDBG program; 
7.4.1.8 Financial records as required by 24 C.F.R. Part 570.502, 2 C.F.R. 
§ 200, and OMB Circulars;  
7.4.1.9 Other records necessary to document compliance with Subpart K 
of 24 C.F.R. § 570; and 
7.4.1.10 
Records documenting compliance with Section 3 of the 
Housing Development Act of 1968. 
7.4.2 DUNS Number and SAM Profile - All Subrecipients shall have a valid Dun 
and Bradstreet (DUNS) number and an active profile in the federal System 
for Award Management (SAM).  
7.4.2.1 To obtain a DUNS Number use this link: 
http://fedgov.dnb.com/webform.  
7.4.2.2 For additional information on System for Award Management 
(SAM) and, DUNS use this link:  
https://www.sam.gov/SAM/pages/public/help/samQUserGuides.jsf  
7.4.3 Housing - Records that demonstrate compliance with deeds of trust, 
promissory notes, and forgivable loans associated with owner-occupied 
housing activities. 
7.4.4 Public Facilities - Records that demonstrate continuing ownership and 
eligible use of facility according to CDBG and ESG regulations. 
7.4.5 Outcome Measures – The Subrecipient shall maintain data that supports 
the accomplishment of the desired outcomes as indicated in the Work 
Statement.

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7.4.6 Records Retention - The Subrecipient shall retain all records pertinent to 
this Agreement for a period of six (6) years after all CDBG and ESG 
requirements have been met. In the event of litigation, a claim, or an audit 
is begun before the expiration of this retention period, such records shall 
be retained until all such action or audit findings involving the records have 
been resolved. 
7.4.7 Disclosure - The Subrecipient understands that client information collected 
under this Agreement is private and the use or disclosure of such 
information, when not directly connected with the administration of the 
County's or the Subrecipient's responsibilities with respect to services 
provided under this Agreement, is prohibited unless written consent is 
obtained from such person receiving service. 
7.4.8 Client Data - The Subrecipient shall maintain client data: 
7.4.8.1 Demonstrating client eligibility for services provided. Such data 
shall include, but not be limited to, client name, address, income 
level, or other basis for determining eligibility. 
7.5 
Required to meet reporting requirements including client race and ethnicity, and a 
description of the service(s) provided. 
7.6 
The Subrecipient will input all client data into HMIS.  
7.6.1 Property Records - The Subrecipient shall maintain property and 
equipment inventory records that clearly identify properties and equipment 
purchased, improved, or sold. Properties and equipment retained shall 
continue to meet eligibility criteria and shall conform to the use of property 
and equipment. 
7.6.2 Audits and Inspections - All Subrecipient records with respect to any 
matters covered by this Agreement shall be made available to the County, 
its designees, or the federal government, at any time during normal 
business hours, as often as the County deems necessary, to audit, 
examine, and make excerpts or transcripts of all relevant data. Any relevant 
deficiencies noted in audit reports must be addressed by the Subrecipient 
within 45 business days after receipt by the Subrecipient. Failure of the 
Subrecipient to comply with the above audit requirements shall constitute 
a violation of this Agreement and may result in the withholding of future 
payments. 
7.6.3 The Subrecipient hereby agrees to have an Annual Audit conducted in 
accordance with 2 C.F.R. Part 200.  
7.7 
Reporting 
7.7.1 Progress Reports - The Subrecipient shall be responsible to provide reports 
on all activities related the Scope of Work. The Subrecipient agrees to 
submit to the County Performance Reports: 
7.7.1.1 Quarterly Program Income Report and Supporting Documentation; 
7.7.1.2 Quarterly Progress Reports in the form and content as required by 
the County. Reports shall be due on the date specified in the report 
form, generally in July, October, January, and April, addressing 
activities of the proceeding three months (i.e., the July report covers 
April, May, and June). If there has been no activity, then the reports 
need to explain why. Failure to submit timely Quarterly Reports will 
result in suspension of payment for reimbursement requests until 
all reports are brought current. 
7.7.1.3 Minority Business Enterprise / Women Business Enterprise 
(MBE/WBE) information; and

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SPECIAL PROVISIONS 
 
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7.7.1.4 Other HUD-required reporting data as applicable shall be 
submitted. 
7.8 
Program Income – The Subrecipient agrees to comply with the quarterly and 
annual program income reporting requirements of 24 C.F.R. 570.504 and the 
Administrative Manual. The Subrecipient shall report program income received 
and expended program income as defined in 24 C.F.R. § 570.500 generated by 
activities carried out with CDBG funds made available under this Agreement. 
Documentation supporting the amount of program income received and expended 
shall be submitted with the reports required. The Subrecipient shall account for 
program income and maintain a separate account for these funds. Program 
income shall be retained by the Subrecipient and shall be used only for CDBG 
eligible activities as outlined in the HUD CDBG regulations and the Administrative 
Manual. The Subrecipient further agrees that these funds shall be utilized to pay 
for CDBG activities prior to requesting any reimbursement from the County for any 
CDBG activities. 
7.9 
Performance Monitoring - The County shall monitor the Subrecipient to determine 
if CDBG and ESG-funded activities are implemented and administered in 
accordance with this Agreement and all applicable federal requirements and to 
gauge performance of the Subrecipient against goals and performance standards 
required in this Agreement. The Subrecipient will prepare for monitoring and 
assure all required files and documentation are available at scheduled monitoring. 
Failure of the Subrecipient to administer, implement, and perform as determined 
by federal regulations and County policies shall constitute non-compliance with 
this Agreement and is subject to the Default and Remedies for Noncompliance 
provided in this Agreement.  
7.10 
Contracts 
7.10.1 Approvals - The Subrecipient shall not commit to any pre-contract costs or 
enter into any Subcontract(s) with any agency or individual in the 
performance of this Agreement without the Release of Funds from the 
County. Execution of construction contracts may not occur until a letter 
stating the Subrecipient is not on the debarred list is received from the 
County. 
7.10.2 DUNS Number: All Subcontractors shall have a valid DUNS number and 
an active profile in the federal System for Award Management (SAM).  
7.10.3 Selection Process - The Subrecipient shall insure that all Subcontracts let 
in the performance of this Agreement are awarded on a fair and open 
competitive basis. Executed copies of all Subcontracts shall be forwarded 
to the County along with documentation, if requested, concerning the 
selection process. 
7.10.4 Section 3 of the Housing and Urban Development Act of 1968 - The 
Subrecipient shall include the Section 3 clause in Subcontracts, as 
required, and shall take appropriate action under the Subcontract upon a 
finding that the Subcontractor is in violation of regulations issued by 
HUD/County. The Subrecipient shall not subcontract with any entity where 
it has notice or knowledge that the latter has been found in violation of 
regulations under 24 C.F.R. Section 135. 
7.10.5 Agreement Monitoring - The Subrecipient shall monitor/review all 
subcontracted services on a regular basis to assure Agreement 
compliance. Results of monitoring efforts shall be summarized in the 
Progress Reports and supported with documented evidence, if requested, 
of follow-up actions taken to correct areas of noncompliance.

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SPECIAL PROVISIONS 
 
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7.10.6 Noncompliance by Subcontractor(s) may lead to default of this Agreement 
and subject the Subrecipient to the Default and Remedies for 
Noncompliance provisions of this Agreement.  
 
8.0 
ENVIRONMENTAL CONDITIONS  
8.1 
The Subrecipient agrees to comply with the National Environmental Policy Act of 
1969 (P.L. 91-190) pursuant thereto 40 C.F.R. Parts 1500 - 1508, Environmental 
Review Procedures for Title I of the Community Development Block Grant program 
pursuant thereto Title 24 C.F.R. Part 58, Subpart A, and with all conditions required 
in the process of the environmental assessment. An Environmental Review Record 
(ERR) shall be completed before taking any physical action on a site or entering 
into Agreements. If federal funds are involved in an activity, then neither federal 
nor non-federal funds may be expended or committed by Agreement (conditional 
or not) for activities related to this project including design work, until the County 
provides written authorization based on approval of an ERR. 
8.2 
Air and Water - The Subrecipient agrees to comply with the following requirements 
insofar as they apply to the performance of this Agreement: 
8.2.1 Clean Air Act, 42 U.S.C. § 7401, et seq., as amended. 
8.2.2 Federal Water Pollution Control Act, as amended, 33 U.S.C. § 1251, et 
seq., as amended, 1318 relating to inspection, monitoring, entry, reports 
and information, as well as other requirements specified in said Section 
114 and Section 308 and all regulations and guidelines issued thereunder. 
8.2.3 Environmental Protection Agency (EPA) regulations pursuant to 40 C.F.R. 
Part 50, as amended. 
8.2.4 The Subrecipient agrees to comply with conditions set forth by the Air 
Quality Department or other County agency, as required. 
8.3 
Flood Disaster Protection - In accordance with the requirements of the Flood 
Disaster Protection Act of 1973 (42 U.S.C. § 4001), the Subrecipient shall assure 
that for activities located in an area identified by FEMA as having special flood 
hazards, flood insurance under the National Flood Insurance Program is obtained 
and maintained as a condition of financial assistance for acquisition or construction 
purposes. (In the case of housing, the homeowner must obtain and maintain flood 
insurance as a condition of funding, or funds may not be utilized.)  
8.4 
Historic Preservation - The Subrecipient agrees to comply with the Historic 
Preservation requirements set forth in the National Historic Preservation Act of 
1966, as amended (16 U.S.C. § 470) and the procedures set forth in 36 C.F.R. 
Part 800, Advisory Council on Historic Preservation Procedures for Protection of 
Historic Properties, insofar as they apply to the performance of this Agreement. In 
general, this requires concurrence from the State Historic Preservation Office for 
all rehabilitation and demolition of historic properties that are fifty (50) years old or 
older, or that are listed or eligible for the National Register of Historic places, or 
places included on any state or local historic property inventory or any 
archaeological findings. 
8.5 
Release of Funds (ROF) - No funds may be encumbered prior to the completion 
of the Environmental Review. The Environmental Review Record (ERR) must be 
completed before any funds are obligated. Funding also is conditioned upon the 
completion of the ERR of every activity site by address. The responsibility for 
certifying the appropriate Environmental Review Record and ROF shall rest with 
the County. It is the responsibility of the Subrecipient to notify the County, and to 
refrain from making any commitments and expenditures on a site until a Release

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SPECIAL PROVISIONS 
 
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of Funds has been issued by the County. Failure to meet these conditions will 
mean that requested funds will not be disbursed. 
 
9.0 
TIMELY IMPLEMENTATION  
The Subrecipient agrees that timely implementation of the activity is essential. The 
Subrecipient agrees that implementation of activities including design/development or 
construction (or both) shall commence not later than 60 calendar days after the execution 
of this Agreement.  
 
10.0 
OPERATION & MAINTENANCE  
Upon completion of the activity, the Subrecipient or other party, if identified, shall assume 
sole responsibility for continuing operation and maintenance of the activity described in 
Work Statement. 
 
11.0 
OFFSET FOR DAMAGES 
In addition to all other remedies at law or equity, the County may offset from any money 
due to the Subrecipient any amounts the Subrecipient owes to the County for damages 
resulting from breach or deficiencies in performance of the Agreement.  
 
12.0 
ADDITIONAL CERTIFICATIONS AND WARRANTIES 
12.1 
The Subrecipient agrees that it undertakes hereby the same obligations as the 
County has undertaken to HUD pursuant to the Annual Action Plan and 
Assurances. The Subrecipient shall hold the County harmless and indemnify it 
against any damage or other liability which the Subrecipient may incur with respect 
to HUD as a result of any failure on the part of the Subrecipient to comply with the 
requirements of any such obligation.  
12.2 
The Subrecipient shall sign Attachment 5 – Specific CDBG Certifications. 
12.3 
The obligations undertaken by the Subrecipient are further clarified in the Section 
5 Attachments. These certifications include, but are not limited to: 
12.3.1 The Housing and Community Development Act of 1974 (P.L. 93-383) as 
amended by the Housing and Urban Rural Recovery Act of 1983 (P.L. 98-
181), the Housing and Community Development Act of 1987, and the 
Cranston-Gonzalez National Affordable Housing Act (P.L. 101-625); 
12.3.2 Regulations of the Department of Housing and Urban Development relating 
to Community Development Block Grants (Title 24, Chapter V, Part 570 of 
the Code of Federal Regulations (C.F.R.), commencing at Section 570.1); 
12.3.3 Title VI of the Civil Rights Act of 1964 (P.L. 88-352) as amended; Title VIII 
of the Civil Rights Act of 1968 (P.L. 90-284) as amended; Section 109 of 
the Title I of the Housing and Community Development Act of 1974 as 
amended; EXECUTIVE ORDER 11063, as amended; and any HUD 
regulations heretofore issued or to be issued to implement these authorities 
related to Civil Rights; 
12.3.4 The requirements of Executive Orders 11625 and 12432 regarding Minority 
Business Enterprise, and 12138 regarding Women’s Business Enterprise, 
and regulations in 2 C.F.R. § 200.321 and of Section 281 of the National 
Housing Affordability Act. 
12.3.5 Section 504 of the Rehabilitation Act of 1973 as amended and the 
Americans With Disabilities Act, of 1990; 
12.3.6 Fair Housing Amendments Act of 1988; 
12.3.7 The Uniform Relocation Assistance and Real Property Acquisition Policies 
Act of 1970 (P.L. 91-646) and the Uniform Relocation Act Amendments of

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1987 (Title IV, P.L. 100-17, April 2, 1987 and regulations adopted to 
implement that Act pursuant thereto Title 24, C.F.R. Part 42 as amended; 
12.3.8 The Architectural Barriers Act of 1969 (42 U.S.C. Section 4151-4157); 
12.3.9 The Hatch Act relating to the conduct of political activities (Chapter 15 of 
Title 5, U.S.C.); 
12.3.10 
Section 902 of the Housing and Community Development 
Amendments of 1978 (P.L. 95-557);  
12.3.11 
Executive Order 11246 and the regulations issued pursuant thereto 
(41 C.F.R. Chapter 60) relating to nondiscrimination in employment and 
contracting opportunities;  
12.3.12 
The Labor Standards Regulations set forth in 24 C.F.R., Part 
570.603; the Davis-Bacon Act as amended; the provisions of Contract 
Work Hours and Safety Standards Act; the Copeland “Anti-Kickback” Act 
(40 U.S.C. § 276a-276a-5; 40 U.S.C. § 327 and 40 USC § 276c) and all 
other applicable federal, state and local laws and regulations pertaining to 
labor standards insofar as those acts apply to the performance of this 
Agreement. The Subrecipient shall maintain documentation that 
demonstrates compliance with hour and wage requirements of this part. 
Such documentation shall be made available to the County for review upon 
request; 
12.3.13 
Executive Order 13166 entitled “Improving Access to Services for 
Persons with Limited English Proficiency” pursuant to Title VI of the Civil 
Rights Act; and 
12.3.14 
The Drug-Free Workplace Act of 1988 as it applies to this activity; 
12.3.15 
The Subrecipient shall warrant and cause its Subcontractors to 
warrant compliance with immigration laws and regulations at A.R.S. §§ 41-
4401 and 23-214. 
12.3.16 
Subrecipients that are governmental entities (including public 
agencies) shall comply with the requirements and standards of: 
12.3.16.1 
2 C.F.R. § 225, "Cost Principles for State, Local and Indian 
Tribal Governments", and  
12.3.16.2 
2 C.F.R. § Part 200 including Subpart D – Post Federal 
Award Requirements, Subpart E – Cost Principles, and Subpart F 
– Audits. 
12.3.17 
Subrecipients that are non-profits shall comply with the 
requirements and standards of: 
12.3.17.1 
2 C.F.R. Part 230, "Cost Principles for Nonprofit 
Organizations", or 2 C.F.R. 220, "Cost Principles for Educational 
Institutions", as applicable,  
12.3.17.2 
OMB Circular A-134, “Financial Accounting Principles and 
Standards” and  
12.3.17.3 
2 C.F.R. § Part 200 including Subpart D – Post Federal 
Award Requirements, Subpart E – Cost Principles, and Subpart F 
– Audits. Audits shall be conducted annually.  
12.3.18 
This Agreement shall not void or affect the validity of any other 
provision of this Agreement. 
12.3.19 
The Parties agree that this Agreement and the terms, conditions 
and sums payable under this Agreement are subject to any changes or 
limitations which may be required by HUD and the CDBG Program 
regulations.

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SPECIAL PROVISIONS 
 
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12.3.20 
This Agreement constitutes the entire agreement between the 
Parties with respect to the subject matter hereof, and all prior agreements, 
representations, statements, and undertakings are hereby expressly 
cancelled.

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SECTION 3 
 
WORK STATEMENT 
 
 
 
 
 
 
Maricopa County 
 
Human Services

SECTION 3 
WORK STATEMENT 
 
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1.0 
SCOPE OF WORK 
The Subrecipient shall comply with the following service requirements: 
 
1.1 
Facility - Emergency Shelter Services:   
1.1.1 Provide shelter services for homeless persons for 365 days in Maricopa 
County, where household origin or prior residence is outside the City of 
Phoenix. 
1.1.2 The Subrecipient shall be accessible for shelter services every day of the 
year.  
1.1.3 Operate the emergency shelter, with other public and private funds. 
1.1.4 Comply with applicable state and local zoning, fire, environmental, health, 
and safety standards and regulations. 
1.1.5 Ensure that facility is safe, secure, clean, in good repair, and building has 
proper ventilation and heating/cooling systems. 
1.1.6 Maintain a fire safety and emergency evacuation plan for clients, staff, 
and volunteers that include at least the following elements: 
1.1.6.1 Posted evacuation plan,  
1.1.6.2 Individualized evacuation plan for clients, staff, and volunteers 
with disabilities, 
1.1.6.3 Fire drills, conducted at least quarterly, and 
1.1.6.4 Fire extinguishing and detection systems that conform to local 
building and fire codes. 
1.1.7 Ensure that appropriate training/access to first aid equipment and 
supplies are available in case of a medical emergency. 
1.1.8 Provide access to a telephone and post emergency telephone numbers 
conspicuously near the telephone. 
1.1.9 Maintain adequate staff to provide for the supervision and wellbeing of 
clients at all times. 
1.1.10 Ensure sleeping areas and operational procedures comply with applicable 
Occupational Safety and Health Administration (“OSHA”) Standards, 
specifically Section 1910. 
1.1.11 Provide equal access per American with Disabilities Act to programs and 
services for individuals with disabilities in compliance with the Americans 
with Disabilities Act. The Subrecipient shall provide reasonable 
accommodation for clients in the following categories: visual impairments, 
hearing impairments, mobility impairments, and/or mental impairments. 
1.1.12 The Subrecipient shall comply with Fair Housing Act and provide equal 
access to Housing and Urban Development (HUD) programs regardless 
of sexual orientation or gender identity 24 C.F.R. Parts 5, 200, 203, 236, 
400, 570, 574, 882, 891, and 982. 
1.1.13 The Subrecipient shall deliver contracted services in compliance with the 
HUD ESG Rule 24 C.F.R. Parts 91 and 576. 
 
1.2 
Staffing 
1.2.1 The Subrecipient shall ensure: 
1.2.1.1 Staff are available to assist individuals that may face language 
barriers; 
1.2.1.2 Staff are culturally-competent and sensitive to the needs of the 
individuals seeking services; 
1.2.1.3 Staff are provided training about secondary trauma, CPR, conflict 
resolution, communicable diseases, and mandatory reporting; and

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WORK STATEMENT 
 
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1.2.1.4 Staff obtain immunizations and health screenings  
 
1.3 
Operations 
1.3.1 The Subrecipient shall: 
1.3.1.1 Maintain a daily census of residents in the facility using the 
Homeless Management Information System (HMIS) database 
collection system. 
1.3.1.2 Maintain a log of any client whose personal items are stored on 
site if the Subrecipient stores personal items for clients.  If no 
items are stored for clients, then no log is required.  
1.3.1.3 Post, distribute, and maintain documentation of the following 
documents with culturally appropriate language and access to 
translation services for clients as needed. 
1.3.1.4 Program description including conditions for termination.  
1.3.1.5 Residents’ rights and responsibilities including grievance process. 
1.3.1.6 Notice of availability of reasonable accommodation for individuals 
with disabilities.  
1.3.1.7 Agree to share client level records with the County including 
HMIS data records through the HMIS system and in accordance 
with approved Continuum of Care (CoC) data sharing policies 
and procedures.  
1.3.1.8 Share aggregate data at the request of the County. The County 
will provide 5 business days’ advance notice for any ad hoc report 
requests and will not make custom report requests without an 
agreed timeline from the Subrecipient. 
 
1.4 
Administration 
1.4.1 The Subrecipient shall be responsible for hiring, managing, training, and 
terminating staff as necessary, in accordance with the Subrecipient’s 
established policy and procedures. 
1.4.2 The Subrecipient will ensure staff training commensurate with role and 
responsibility.  
1.4.3 The Subrecipient shall partner with other service providers to ensure that a 
diverse array of services and activities are available to clients. 
1.4.4 The Subrecipient shall report any incidents that may involve a liability 
issue or may leave the County open for public scrutiny by telephone to 
County Community Development staff as soon as possible following 
occurrence/notification. 
 
1.5 
Program Requirements: 
1.5.1 The Subrecipient shall: 
1.5.1.1 Ensure clients have access to safe and secure shelter, basic 
needs and access to services. 
1.5.1.2 Maintain a policy manual that includes: the program mission and 
goals, shelter policy and procedures, population served, case 
management policy and procedures, non-discrimination policy, 
fingerprinting procedure, confidentiality statement, Department of 
Child Safety policy, rules and procedures, and client termination 
policies. 
1.5.1.3 Work to achieve a 20-day average length of stay in alignment with 
the HEARTH Act system goal.

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WORK STATEMENT 
 
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1.5.1.4 Attend a minimum of 75% of CoC meetings, up to and including 
attendance and participation in CoC Board, Committee, or other 
approved ad hoc CoC subcommittee.    
1.5.1.5 Participate in annual Point in Time Street Count coordinated by 
the Maricopa Regional Continuum of Care Board and HUD 
census requirements. 
 
1.6 
Case Management  
1.6.1 The Subrecipient will provide Case Management based on the 
determination by the Subrecipient of both the programmatic and funding 
availability of providing the services. The Subrecipient shall: 
1.6.1.1 Establish and maintain eligible homeless certification within 72 
hours of entry. 
1.6.1.2 Provide written policies and procedures for Case Management 
program including eligibility criteria, enrollment and assignment 
protocols. 
1.6.1.3 Ensure Case Management has been assigned for clients who: 
1.6.1.3.1 Are chronically homeless (HUD); and 
1.6.1.3.2 Have a length of stay more than 90 days 
1.6.2 Collect and maintain documents for housing readiness and coordination 
including, but not limited to, all clients enrolled in Case Management 
project. 
1.6.3 Facilitate connection to state licensed mental health and chemical 
dependency treatment program as necessary. 
1.6.4 Ensure case management staff attends annual SPDAT training. 
1.6.5 Enter client information into Homeless Management Information Systems 
(“HMIS”) or other CoC approved comparable database in accordance 
with CoC timeliness standard.  
 
1.7 
Outcomes, Indicators, and System Measures 
1.7.1 The Subrecipient shall submit ESG Quarterly Report through the HMIS 
reporting system and submit the report on the 15th day of the month 
following the close of the quarter (i.e., April 15th for January through 
March).  
1.7.2 The Subrecipient shall be required to affect qualitative as well as 
quantitative outcome measures with respect to its target populations 
quarterly. –These measures include: 
1.7.2.1 Outcomes 
1.7.2.1.1 Increase known Exit Destination in HMIS. The 
Subrecipient and the County will review second quarter 
statistics and establish an incremental baseline target 
for determinate exit destinations in HMIS. Thereafter, 
the Subrecipient will report progress quarterly. 
1.7.2.2 Indicators 
1.7.2.2.1 Report average and length of stay (days) in emergency 
shelter (ESG Report) 
1.7.2.2.2 Provide number and percent of total clients who move 
to positive permanent housing situations; determined 
by the recorded clients in HMIS with a positive 
permanent housing placement out of the total clients 
served.

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WORK STATEMENT 
 
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1.7.2.2.3 Report the number of unduplicated clients served. 
1.7.2.2.4 Refer or give SPDAT assessment to and engage in an 
appropriate housing plan 85 percent of clients scoring 
for Permanent Supportive Housing the Vulnerability 
Index Service Prioritization Decision Tool (“VI-SPDAT”) 
for individuals within 14 days of program entry. 
1.7.2.3 System Performance Measures 
1.7.2.3.1 The Subrecipient will demonstrate a 10 percent 
reduction in returns to homelessness annually until a 
rate of less than 5 percent is achieved. 
1.7.2.3.2 The Subrecipient will demonstrate a 5 percent 
increase in positive housing outcomes for the total 
population annually until a 60 percent positive 
housing outcome is achieved (as measured by a 
percentage of positive housing outcomes to the total 
shelter population). 
 
1.8 
Program Reports 
1.8.1 The Subrecipient’s monthly payment request for reimbursement is due 
on the 15th day following the end of the month being reported (i.e., 
February 15th for January report) and will include: 
1.8.1.1 Contract Payment Request  
1.8.1.2 HMIS 0323 Demographic Report  
1.8.1.3 HMIS 0550 Exit Destination Report  
1.8.1.4 HMIS ESG Report 
1.8.1.5 HMIS Shelter Bed Utilization Report 
1.8.2 The Subrecipient will provide any other report as requested by the County 
including aggregate or client level data, through the HMIS System and 
according to approved CoC Data Sharing agreements. Such reporting 
shall be for the purposes of improving access to service. The County 
reserves the right to add, remove, or revise reporting requirements at its 
discretion. 
1.8.3 The Subrecipient will provide read only access to the project in HMIS for 
the purpose of monitoring client files no more than once per quarter. The 
Subrecipient is responsible for notifying HMIS Lead Agency and granting 
access to the County within 3 business days of monitoring notice. The 
County will provide notice 14 days prior to desk and on-site monitoring, not 
to exceed once per quarter. The County may coordinate monitoring with 
other funding partners.  
 
1.9 
Reporting Requirements  
1.9.1 Unless otherwise provided in this Agreement, reporting shall adhere to 
the following schedule: The Subrecipient shall be required to affect 
qualitative as well as quantitative performance outcome measures with 
respect to its target populations on a quarterly basis. Quarterly reports, 
are due on the 15th day of the month following the close of the quarter 
(i.e., April 15th for January to March quarter). The Subrecipient shall 
submit programmatic and financial reports to the County in the form set 
forth in this Agreement. Failure to submit timely, accurate, and complete 
reports by the designated day may result, at the option of the County, in 
retention or forfeiture of payment.

SECTION 3 
WORK STATEMENT 
 
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1.9.2 The Subrecipient shall submit to the County all final program and fiscal 
reports no later than the designated date to be determined by the County, 
following the termination or expiration of this Agreement. Failure to submit 
final program and fiscal reports within the designated time period may 
result, at the option of the County, in forfeiture of final payment. 
1.9.3 The Subrecipient shall submit shall submit HMIS Consolidated Annual 
Performance and Evaluation Report (CAPER (Annually).  
1.9.4 The Subrecipient will provide an Quarterly Performance Report on CDBG 
Activities on or before July 15th. 
1.9.5 The Subrecipient shall submit documentation annually in compliance with 
24 C.F.R. §576.201 ESG matching requirement no later than July 15th.

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A New Leaf 
 
 
 
 
SECTION 4 
 
COMPENSATION 
 
 
 
 
 
 
Maricopa County 
 
Human Services

SECTION 4 
COMPENSATION 
 
Page 38 of 46 
A New Leaf 
1.0 
FUNDING 
1.1 
Funding for this Agreement is through the following federal Catalog of Federal 
Domestic Assistance (CFDA) programs: 
$39,330 - 14.218 Community Development Block Grant, and 
$90,000 - 14.231 Emergency Solutions Grant 
 
2.0 
COMPENSATION 
2.1 
Subject to the availability and authorization of funds for the explicit purposes set 
forth in this Agreement, the County shall compensate the Subrecipient for 
services rendered. 
 
3.0 
BUDGET 
3.1 
The Agreement budget amount shall not exceed the amount listed on Page 1 of 
this Agreement.  
3.2 
The Subrecipient shall be reimbursed for the line items identified in the attached 
budget, Attachment 1.  
 
4.0 
REIMBURSEMENT 
4.1 
The Subrecipient shall submit for reimbursement by the 15th day of the month 
following month end close out. 
4.2 
Sufficient backup shall also be attached to a reimbursement claim, such as a 
General Ledger or a detailed Expenditure Report, with the included charges 
identified.  
4.3 
Request for reimbursement shall be submitted to: 
4.3.1 
Maricopa County Human Services Department  
Housing and Community Development Division  
Attn: Scott Hall  
234 North Central Avenue, Suite 3000,  
Phoenix, Arizona 85004.  
4.4 
The County shall reimburse the Subrecipient on a Net 0 payment standard. 
 
5.0 
FINAL REIMBURSEMENT UPON CONTRACT TERMINATION 
5.1 
Upon termination of this Agreement at the date identified on Page 1 of this 
Agreement, or as may be amended, the Subrecipient shall submit the final 
reimbursement request.  
5.1.1 
This request shall be submitted no later than 30 days after the termination 
date except as noted immediately below. 
5.1.2 
If the termination date is between June 10 and June 30, the final 
reimbursement request shall be submitted by July 10. 
5.1.3 
The final progress report, and any other required reports that may be 
applicable such as the program income report shall be submitted with the 
final reimbursement request.

Page 39 of 46 
A New Leaf 
 
 
 
 
SECTION 5 
 
ATTACHMENTS 
 
 
 
 
 
 
Maricopa County 
 
Human Services

SECTION 5 
ATTACHMENTS 
 
 
Page 40 of 46 
A New Leaf 
ATTACHMENT 1 
Budget 
 
 
 
 BUDGET  
CONTRACT SERVICE:  
CONTRACT PERIOD:   
NAME:  
7/1/2020 to 6/30/2021
A New Leaf, Inc.
 
 
I.
PERSONNEL
TOTAL
Number of
FTE
Total Salary for the
% Allocated Service
SERVICE
COUNTY
Positions
Level
Position Title
Contract Period
MCHSD Percentage
COST
COST
1
1
SOAR Benefit Specialist
35,297.60
$                    
100%
$35,297.60
$35,297.60
1
1.00
Intake Specialist
27,040.00
$                    
50%
$27,040.00
$13,520.00
1
1.00
Housing Specialist
32,052.80
$                    
25%
$32,052.80
$8,013.20
 
 
Other Direct Service Staff (case 
managers, support partners, etc.),
program management (Program 
Supervisors and Program Managers) 
and overnight shelter staff
1,263,453.00
$               
4%
$1,263,452.80
$0.00
 
 
 
 
 
 
$0.00
 
 
 
 
 
 
$0.00
 
 
 
 
 
 
$0.00
3
TOTAL:
$1,357,843.20
$56,830.80
 
 
 
II.     
EMPLOYEE RELATED EXPENSES
TOTAL
COUNTY
ITEM
BASIS
COST
COST
FICA; SS; state; Unemployment 
Insurance; Worker's Compensation; 
Health Benefits (Medical/Dental, 
etc.); Life Insurance; Long Term 
Disability; Cafeteria 125 Plan 
Retirement/401K Program; 
Employee Assistance Program; 
Employee Recruitment & Retention 
22.67% of salary budget
4.2%
$307,823.05
$12,883.54
 
$307,823.05
$12,883.54
 
 
 
III.   
PROFESSIONAL AND OUTSIDE SERVICES
TOTAL
COUNTY
ITEM
BASIS
COST
COST
Audit; IT; other professional services
0
$32,725.00
$0.00
 
TOTAL:
$32,725.00
$0.00
IV.
TRAVEL/MILEAGE 
TOTAL
COUNTY
ITEM
BASIS
COST
COST
 
Employee Mileage Reimbursement/ 
Vehicle Maintenance
$1,705.58 per month
0%
$20,467.00
$0.00
TOTAL:
$20,467.00
$0.00
V.
MATERIALS AND SUPPLIES
TOTAL
COUNTY
ITEM
BASIS
COST
COST
Supplies includes office supplies, 
kitchen/ bathroom supplies, 
marketing materials, printing, as 
well as postage & courier services.
$2,230 per month
15.90%
$26,759.00
$4,256.66
TOTAL:
$26,759.00
$4,256.66
Homelessness Programs

SECTION 5 
ATTACHMENTS 
 
Page 41 of 46 
A New Leaf 
 
 
 
VI.
OPERATING SERVICES
TOTAL
COUNTY
ITEM
BASIS
COST
COST
 
Non-Payroll Insurance
$5,597.25 per month
22.30%
$67,167.00
$15,000
Communication
$3329.08 per month
0.00%
$39,949.00
$0
 
Occupancy
$22,229 per month
11.40%
$266,748.00
$30,359
 
Client Expenses
$21,172.25 per month
0%
$254,067.00
$0
 
Conferences
$2,528 per year
0%
$2,528.00
$0.00
Depreciation
$23,838 per month
0%
$286,056.00
$0.00
In-Kind
$48,725.58 per month
0%
$584,707.00
$0.00
Other Program Expenses
$24,018.87 per month
0%
$258,491.00
$0.00
TOTAL:
$1,759,713.00
$45,359.00
VII.
EQUIPMENT
TOTAL
COUNTY
ITEM
BASIS
COST
COST
 
Equipment maintenance & repair, 
Software Maintenance, Telephone 
system service, and
$3578.50 per month
23%
$42,942.00
$10,000.00
water service system
$0.00
TOTAL:
$42,942.00
$10,000.00
TOTAL DIRECT COST:
$3,548,272.25
$129,330.00
VIII.
 
INDIRECT
TOTAL
COUNTY
ITEM
BASIS
COST
COST
 
Management and General
13.1% of program budget
0%
$463,112.00
$0.00
 
$0.00
 
TOTAL:
$463,112.00
$0.00
 
SUBTOTAL ADMIN COST:
$463,112.00
$0.00
TOTAL SERVICE COST:
$4,011,384.25
$129,330.00

SECTION 5 
ATTACHMENTS 
 
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A New Leaf 
 
ATTACHMENT 2

SECTION 5 
ATTACHMENTS 
 
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A New Leaf 
ATTACHMENT 3

SECTION 5 
ATTACHMENTS 
 
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ATTACHMENT 4

SECTION 5 
ATTACHMENTS 
 
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A New Leaf 
ATTACHMENT 5 
 
Specific CDBG Certifications 
 
The Subrecipient certifies that: 
 
Citizen Participation -- It is in full compliance and following a detailed citizen participation plan 
that satisfies the requirements of 24 C.F.R. 91.105. 
 
Community Development Plan -- Its consolidated housing and community development plan 
identifies community development and housing needs and specifies both short-term and long-
term community development objectives that provide decent housing, expand economic 
opportunities primarily for persons of low and moderate income. (See C.F.R. 24 570.2 and C.F.R. 
24 Part 570) 
 
Following a Plan -- It is following a current consolidated plan (or Comprehensive Housing 
Affordability Strategy) that has been approved by HUD.  
 
Use of Funds -- It has complied with the following criteria: 
1. 
Maximum Feasible Priority. With respect to activities expected to be assisted with CDBG 
funds, it certifies that it has developed its Action Plan so as to give maximum feasible 
priority to activities which benefit low- and moderate-income families or aid in the 
prevention or elimination of slums or blight. The Annual Action Plan may also include 
activities which the Subrecipient certifies are designed to meet other community 
development needs having an urgency because existing conditions pose a serious and 
immediate threat to the health or welfare of the community, and other financial resources 
are not available);  
2. 
Overall Benefit. The aggregate use of CDBG funds including Section 108 guaranteed 
loans during program year(s) 2020, 2021, 2022 (a period specified by the Subrecipient 
consisting of one, two, or three specific consecutive program years), shall principally 
benefit persons of low and moderate income in a manner that ensures that at least 70 
percent of the amount is expended for activities that benefit such persons during the 
designated period; 
3. 
Special Assessments. It shall not attempt to recover any capital costs of public 
improvements assisted with CDBG funds including Section 108 loan guaranteed funds by 
assessing any amount against properties owned and occupied by persons of low- and 
moderate-income, including any fee charged or assessment made as a condition of 
obtaining access to such public improvements. 
 
However, if CDBG funds are used to pay the proportion of a fee or assessment that relates to the 
capital costs of public improvements (assisted in part with CDBG funds) financed from other 
revenue sources, an assessment or charge may be made against the property with respect to the 
public improvements financed by a source other than CDBG funds. 
 
The Subrecipient shall not attempt to recover any capital costs of public improvements assisted 
with CDBG funds, including Section 108, unless CDBG funds are used to pay the proportion of 
fee or assessment attributable to the capital costs of public improvements financed from other 
revenue sources. In this case, an assessment or charge may be made against the property with 
respect to the public improvements financed by a source other than CDBG funds. Also, in the 
case of properties owned and occupied by moderate-income (not low-income) families, an 
assessment or charge may be made against the property for public improvements financed by a

SECTION 5 
ATTACHMENTS 
 
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A New Leaf 
source other than CDBG funds if the Subrecipient certifies that it lacks CDBG funds to cover the 
assessment. 
 
Excessive Force -- It has adopted and is enforcing: 
1. 
A policy prohibiting the use of excessive force by law enforcement agencies within its 
jurisdiction against any individuals engaged in non-violent civil rights demonstrations; and 
2. 
A policy of enforcing applicable state and local laws against physically barring entrance to 
or exit from a facility or location which is the subject of such non-violent civil rights 
demonstrations within its jurisdiction; 
 
 
Compliance with Anti-discrimination laws -- The grant shall be conducted and administered in 
conformity with title VI of the Civil Rights Act of 1964 (42 U.S.C. § 2000d), the Fair Housing Act 
(42 U.S.C. §§ 3601-3619), and implementing regulations. 
 
 
Lead-Based Paint -- Its notification, inspection, testing, interim controls, and abatement 
procedures concerning lead-based paint shall comply with the requirements of 24 C.F.R. 
§570.608; 
 
Compliance with Laws -- It shall comply with all applicable laws. 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Signature/Authorized City Official 
 
 
 
 
Date 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Printed/Typed Name  
 
 
 
 
 
Title 
 
 
 
 
 
 
 
 
 
 
Subrecipient Name