2020 Grantee Handbook Exhibits

A-2 Request for Release of Funds and Certification

A-3 Authorized Signature Form

A-4 Electronic Funds Transfer Enrollment Form

A-5 Vendor Information Form

A-6 IRS Form W-9

A-7 Cash Receipts Journal

A-8 Cash Disbursements Journal

A-9 LCDBG Property Register

A-11 Budget Reconciliation Report

A-12 LCDBG Budget Revision Report

A-13 Request for Payment

A-14 Certification of Exemption for HUD Funded Projects

A-15 Compliance Documentation Checklist

A-16 Certification of Categorical Exclusion (Not Subject to §58.5)

A-17 Certification of Categorical Exclusion (Subject to §58.5)

A-18 Worksheet for Preparing 24 CFR §58.5 Statutory Checklist

A-19 Statutory Checklist: Compliance with 24 CFR §58.5

A-21 Environmental Assessment Signature Form

A-22 Environmental Assessment Checklist

A-35 Verification of Professional Services Eligibility

A-36 Architect's Certification: Compliance with Minimum Standards for Accessibility by the Physically Handicapped

A-37 Intergovernmental Cooperative Agreement

A-42 Verification of Contractor's Bonding/Insurance

A-44 Qualification Certification for Resident Project Representative

A-46 City-Parish Employment

A-51 Section 3 Contractor/Subcontractor Eligibility Form

A-54 Section 3 Complaint Register

A-56 Fair Housing Assessment

A-58 Section 504 Assurance

A-61 Request for Program Amendment

B-1 Appointment of Labor Compliance Officer

B-3 Initial Wage Decision Request (Optional)

B-5 Verification of Wage Decisions and Contractor Eligibility

B-6 Notice of Contract Award

B-7 HUD Form 4320-A

B-8 Wage Rate Sheet

B-9 Verification of Posting Requirements

B-10 Record of Employee Interview Form

B-12 Payroll Form and Statement of Compliance

B-14 Payroll Deduction Authorization

B-15 Notice of Restitution Due

B-16 Labor Standards Enforcement Report

C-4 Statement of Settlement Costs

C-6 Property and/or Servitude Acquisition Waiver

C-12 Voluntary Acquisition Policy

C-13 Acquisition Composite List

E-5 Applicant Data Form

E-5 Certificate of Completion

E-5 Final Grant Progress Form

E-5 Final Wage Compliance Report

E-5 Housing Opportunities Form

E-5 Miscellaneous Information Form

E-5 Program Beneficiary Form

E-5 Program Completion Cover Sheet

E-5 Section 3 Summary Report

Exemption Determination

Statutory Checklist - Compliance with 24 CFR 58-5

Statutory Checklist