Contract - CDBG Federal Grant - 11/24/2020 OMB Number:4040-0004
Expiration Date: 12/31/2022
Application for Federal Assistance SF-424
'1.Type of Submission: '2.Type of Application: 'If Revision,select appropriate letter(s):
Fj Preapplication F]New B: Decrease Award
n Application n Continuation 'Other(Specify):
®Changed/Corrected Application ®Revision
3.Date Received: 4.Applicant Identifier:
11/25/2020
5a.Federal Entity Identifier: 5b.Federal Award Identifier:
TX 484674 B-20-MC-48-0514
State Use Only:
6.Date Received by State:�� 7.State Application Identifier:
8.APPLICANT INFORMATION:
'a.Legal Name: CITY OF ROUND ROCK
'b.Employer/Taxpayer Identification Number(EIN/TIN): 'c.Organizational DUNS:
74-6017485 1027407920000
d.Address:
Streetl: 221 EAST MAIN STREET
Street2:
`City: ROUND ROCK
County/Parish WILLIAMSON
`State: TX: Texas
Province:
'Country: USA: UNITED STATES
Zip/Postal Code: 78664-5271
e.Organizational Unit:
Department Name: Division Name:
PLANNING & DEVELOPMENT SERVICE COMMUNITY DEVELOPMENT
f.Name and contact information of person to be contacted on matters involving this application:
Prefix: Mrs. `First Name: ELIZABETH
Middle Name: G.
Last Name: ALVARADO
Suffix:
Title: CDBG COORDINATOR
Organizational Affiliation:
*Telephone Number: 512-341-3328 Fax Number:
'Email: EALVARADO@ROUNDROCKTEXAS.GOV
�o2c�-o34s
Application for Federal Assistance SF-424
*9.Type of Applicant 1:Select Applicant Type:
C: City or Township Government
Type of Applicant 2:Select Applicant Type:
Type of Applicant 3:Select Applicant Type:
Other(specify):
'10.Name of Federal Agency:
US DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT
11.Catalog of Federal Domestic Assistance Number:
14.218 -�
CFDA Title:
COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM FOR ENTITLEMENT COMMUNITIES
*12.Funding Opportunity Number:
Title:
13.Competition identification Number:
Title:
14.Areas Affected by Project(Cities,Counties,States,etc.):
Add Attachment Delete Attachment View Attachment
*15.Descriptive Title of Applicant's Project:
FY 2020-2021 CDBG ANNUAL ACTION PLAN.
Attach supporting documents as specified in agency instructions.
Add Attachments Delete Attachrnenfs View Attachments 1
Application for Federal Assistance SF-424
16.Congressional Districts Of:
.a.Applicant 31ST *b.Program/Project 31ST
Attach an additional list of Program/Project Congressional Districts if needed.
Add Attachment Delete Attachment View Attachment
17.Proposed Project:
`a.Start Date: 10/01/2020 'b.End Date: 09/30/2021
18.Estimated Funding(;):
'a.Federal 675,397.00
b.Applicant
"c.State -�
*d.Local 1 �^
e.Other
`f. Program Income
'g.TOTAL 675,397.00
*19.Is Application Subject to Review By State Under Executive Order 12372 Process?
a.This application was made available to the State under the Executive Order 12372 Process for review on
F] b.Program is subject to E.O. 12372 but has not been selected by the State for review.
® c.Program is not covered by E.O. 12372.
*20.Is the Applicant Delinquent On Any Federal Debt? (If'"f es,"provide explanation in attachment.)
❑Yes ®No
If"Yes",provide explanation and attach
Add Attachment Delete Attachment View Attachment
21.*By signing this application,1 certify(1)to the statements contained in the list of certifications**and(2)that the statements
herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to
comply with any resulting terms if I accept an award.I am aware that any false,fictitious,or fraudulent statements or claims may
subject me to criminal,civil,or administrative penalties.(U.S.Code,Title 218,Section 1001)
® **IAGREE
"The list of certifications and assurances, or an internet site where you may obtain this list, is contained in the announcement or agency
specific instructions.
Authorized Representative:
Prefix: Mr. 'First Name: CRAIG
Middle Name:
*Last Name: MORGAN
Suffix: I
`Title: MAYOR
*Telephone Number: 512-218-5410 Fax Number.
'Email: CRAIGMORGAN@ROUNDROCKTEXAS.GOV
*Signature of Authorized Representative: / "Date Signed: Z
i
ASSURANCES - CONSTRUCTION PROGRAMS OMB Number:4040-0009
Expiration Date:02/28/2022
Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for
reducing this burden,to the Office of Management and Budget, Paperwork Reduction Project(0348-0042),Washington, DC 20503.
PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT
AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY.
NOTE: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the
Awarding Agency. Further, certain Federal assistance awarding agencies may require applicants to certify to additional
assurances. If such is the case, you will be notified.
As the duly authorized representative of the applicant:, I certify that the applicant:
1. Has the legal authority to apply for Federal assistance, 8. Will comply with the Intergovernmental Personnel Act
and the institutional, managerial and financial capability of 1970(42 U.S.C. §§4728-4763)relating to prescribed
(including funds sufficient to pay the non-Federal share standards of merit systems for programs funded
of project costs)to ensure proper planning, under one of the 19 statutes or regulations specified in
management and completion of project described in Appendix A of OPM's Standards for a Merit System of
this application. Personnel Administration (5 C.F.R. 900, Subpart F).
2. Will give the awarding agency,the Comptroller General 9. Will comply with the Lead-Based Paint Poisoning
of the United States and, if appropriate,the State, Prevention Act(42 U.S.C. §§4801 et seq.)which
the right to examine all records, books, papers, or prohibits the use of lead-based paint in construction or
documents related to the assistance; and will establish rehabilitation of residence structures.
a proper accounting system in accordance with
generally accepted accounting standards or agency 10. Will comply with all Federal statutes relating to non-
directives. discrimination.These include but are not limited to: (a)
Title VI of the Civil Rights Act of 1964(P.L. 88-352)
3. Will not dispose of, modify the use of, or change the which prohibits discrimination on the basis of race,
terms of the real property title or other interest in the color or national origin; (b)Title IX of the Education
site and facilities without permission and instructions Amendments of 1972, as amended(20 U.S.C. §§1681
from the awarding agency. Will record the Federal 1683, and 1685-1686),which prohibits discrimination
awarding agency directives and will include a covenant on the basis of sex; (c)Section 504 of the
in the title of real property acquired in whole or in part Rehabilitation Act of 1973,as amended(29) U.S.C.
with Federal assistance funds to assure non- §794),which prohibits discrimination on the basis of
discrimination during the useful life of the project. handicaps; (d)the Age Discrimination Act of 1975, as
4. Will comply with the requirements of the assistance amended(42 U.S.C. §§6101-6107),which prohibits
awarding agency with regard to the drafting, review and discrimination on the basis of age; (e)the Drug Abuse
approval of construction plans and specifications. Office and Treatment Act of 1972(P.L. 92-255), as
amended relating to nondiscrimination on the basis of
5. Will provide and maintain competent and adequate drug abuse; (f)the Comprehensive Alcohol Abuse and
engineering supervision at the construction site to Alcoholism Prevention, Treatment and Rehabilitation
ensure that the complete work conforms with the Act of 1970(P.L. 91-616), as amended, relating to
approved plans and specifications and will furnish nondiscrimination on the basis of alcohol abuse or
progressive reports and such other information as may be alcoholism; (g)§§523 and 527 of the Public Health
required by the assistance awarding agency or State. Service Act of 1912(42 U.S.C. §§290 dd-3 and 290 ee
3), as amended, relating to confidentiality of alcohol
6. Will initiate and complete the work within the applicable and drug abuse patient records; (h)Title VIII of the
time frame after receipt of approval of the awarding agency. Civil Rights Act of 1968(42 U.S.C. §§3601 et seq.), as
7. Will establish safeguards to prohibit employees from amended, relating to nondiscrimination in the sale,
using their positions for a purpose that constitutes or rental or financing of housing; (i)any other
presents the appearance of personal or organizational nondiscrimination provisions in the specific statue(s)
conflict of interest, or personal gain. under which application for Federal assistance is being
made; and(j)the requirements of any other
nondiscrimination statue(s)which may apply to the
application.
Previous Edition Usable Authorized for Local Reproduction Standard Form 424D(Rev.7-97)
Prescribed by OMB Circular A-102
11. Will comply,or has already complied,with the Federal actions to State(Clean Air)implementation
requirements of Titles II and III of the Uniform Relocation Plans under Section 176(c)of the Clean Air Act of
Assistance and Real Property Acquisition Policies Act of 1955, as amended(42 U.S.C. §§7401 et seq.); (g)
1970(P.L. 91-646)which provide for fair and equitable protection of underground sources of drinking water
treatment of persons displaced or whose property is under the Safe Drinking Water Act of 1974, as
acquired as a result of Federal and federally-assisted amended(P.L. 93-523); and, (h)protection of
programs.These requirements apply to all interests in real endangered species under the Endangered Species
property acquired for project purposes regardless of Act of 1973, as amended(P.L. 93-205).
Federal participation in purchases.
12. Will comply with the provisions of the Hatch Act(5 U.S.C. 16. Will comply with the Wild and Scenic Rivers Act of
p y 1968(16 U.S.C.§§1271 et seq.)related to protecting
§§1501-1508 and 7324-7328)which limit the political components or potential components of the national
activities of employees whose principal employment wild and scenic rivers system.
activities are funded in whole or in part with Federal funds.
17. Will assist the awarding agency in assuring compliance
13. Will comply, as applicable,with the provisions of the Davis- with Section 106 of the National Historic Preservation
Bacon Act(40 U.S.C.§§276a to 276a-7),the Copeland Act Act of 1966, as amended(16 U.S.C. §470), EO 11593
(40 U.S.C. §276c and 18 U.S.C. §874), and the Contract (identification and protection of historic properties), and
Work Hours and Safety Standards Act(40 U.S.C.§§327- the Archaeological and Historic Preservation Act of
333)regarding labor standards for federally-assisted 1974(16 U.S.C.§§469a-1 et seq).
construction subagreements.
18. Will cause to be performed the required financial and
14. Will comply with flood insurance purchase requirements of compliance audits in accordance with the Single Audit
Section 102(a)of the Flood Disaster Protection Act of 1973 Act Amendments of 1996 and OMB Circular No.A-133,
(P.L.93-234)which requires recipients in a special flood "Audits of States, Local Governments,and Non-Profit
hazard area to participate in the program and to purchase Organizations."
flood insurance if the total cost of insurable construction
and acquisition is$10,000 or more. 19. Will comply with all applicable requirements of all other
15. Will comply with environmental standards which may be Federal laws, executive orders, regulations, and policies
prescribed pursuant to the following: governing this program.
p p g: (a)institution of
environmental quality control measures under the National 20. Will comply with the requirements of Section 106(g)of
Environmental Policy Act of 1969(P.L. 91- the Trafficking Victims Protection Act(NPA)of 2000, as
190)and Executive Order(EO) 11514; (b)notification amended(22 U.S.C.7104)which prohibits grant award
of violating facilities pursuant to EO 11738; (c) recipients or a sub-recipient from (1) Engaging in severe
protection of wetlands pursuant to EO 11990; (d) forms of trafficking in persons during the period of time
evaluation of flood hazards in floodplains in accordance that the award is in effect(2) Procuring a commercial
with EO 11988; (e)assurance of project consistency sex act during the period of time that the award is in
with the approved State management program effect or(3) Using forced labor in the performance of the
developed under the Coastal Zone Management Act of award or subawards under the award.
1972(16 U.S.C.§§1451 et seq.); (f)conformity of
SIGNATUR5 OF AUTHORIZED CERTIFYING OFFICIAL TITLE
Mayor
i
APPLICA ORG ZATION DATE SUBMITTED
City of Round Rock
SF-424D(Rev.7-97)Back