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❑ Planning: Outline the community benefit in a brief narrative. <br /> # r r <br /> In accordance with federal regulations, CDBG funds may not be used to directly or indirectly employ, award <br /> contracts to, or otherwise engage the services or any contractor or Subrecipient during any period of <br /> debarment, suspension, or placement of ineligibility status. <br /> Will you hire a contractor or consultant? ❑■ Yes ❑ No <br /> If yes, complete the following information: <br /> 1. Name of consultant /firm and owner: <br /> Not yet determined <br /> 2. How were they selected? <br /> 3. Is the consultant /firm already under contract with your organization? <br /> ❑ Yes ❑■ No <br /> 4. Is this consultant /firm a women or minority owned business? <br /> ❑ Yes 0 No <br /> If you are unable to complete this section at the time of application, all contracts must be reviewed for <br /> debarment before a CDBG release of funds, contact Anoka County with updated information. <br /> Attach the following documents: <br /> [] Acknowledgement of receipt of Anoka County Section Plan 2010 (available at <br /> http: / /ww2.anokacounty.us /v3 cd /doing- business /Section3.aspx - download and read the Section 3 <br /> Plan, acknowledgement is last page of Plan) <br /> ❑ Section 3 Action Plan (available at http: / /ww2.anokacounty.us /v3 cd /doing- <br /> business /Section3Forms.aspx ) <br /> k4�;avRi•! fi'��! hie� AN�. .9�� �a &. .w- :.:P�,7�i:3Y " ,�•. <br /> The following documents are required to be attached, if applicable, with the application submission <br /> ❑ Resolution of governing body requesting funds or board minutes approving submission of <br /> application <br /> ❑ Supporting documentation such as, survey, Phase 1 /11 Environmental, census data, etc <br /> ❑ If Nonprofit - State and Federal Tax Exemption Determination letter - 501(c)(3) <br /> ❑ List of Board of Directors /Council or Trustees for Nonprofit applications <br /> ❑ Project Timeline or schedule <br /> ❑ Building /area information and photographs <br /> ❑ Appraisals <br /> ❑ Phase Level Environmental Report <br /> Anoka County CDBG Application <br /> ll �� <br />