2013-01-09 Set Agenda & Handouts

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❑ Map or sketch of project area ❑ Professional certification, analysis of feasibility and /or cost estimate ❑ Letters of support/Project commitment letters ❑ Acknowledgement of receipt of Anoka County Section Plan 2010 ❑ Section 3 Action Plan ❑ Budget proposal — using the Excel document provided on the Web site A copy of the applicant's Audit, Management & Compliance Report and Certificate of Liability insurance will be required before the Subrecipient Agreement can be completed. 0 I hereby acknowledge that by applying for CDBG funds, this activity may require compliance in the following areas: • Utilization of minority and women contractors • Labor Standards provisions (Davis -Bacon Act) • Uniform Relocation Act and Section 104(d) • Section 3 • Environmental Regulations • Flood Insurance • Lead -Based Paint Assessment and /or Remediation or Abatement • Debarred, suspended and ineligible contractors and subrecipients • Handicapped accessibility • Title VI of the Civil Rights Act of 1964 • Title VIII of the Civil Rights Act of 1969 - Fair Housing Act DUNS #: 113481704 If not disclosed on this application the DUNS number will be required upon the finalization of the Subrecipient Agreement. I certify that the information contained in this application is true and correct and that it contains no misrepresentations, falsifications, intentional omissions, or concealment of material facts and that the information given is true and complete to the best of my knowledge and belief. I further certify that no contracts have been awarded, funds committed or construction begun on the proposed program, and that none will be prior to issuance of a Release of Funds by the program Administrator. O Signature of Authorized Official Mike Jeziorski Print name of Authorized Official Finance Director Title 1/14/13 Date Anoka County CDBG Application • Cl/