CDBG Handbook and Forms
CDBG Handbook
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CDBG Forms
Citizen Participation
Procurement
- FORM 1: Sample Request for Proposal (rev Aug 2013)
- FORM 2: Sample Request for Proposal Publication (rev Aug 2013)
- FORM 3: Proposal Evaluation (rev Aug 2013)
- FORM 4: Sample Letter to Short Listed Firms
- FORM 5: Sample Letter to Firms Not Short Listed
- FORM 6: Interview Evaluation and Scoring Form (rev Aug 2013)
- FORM 7: Sample Letter to Selected Firm
- FORM 8: Sample Letter to Firm(s) Not Selected
- FORM 9: Sample Request for Qualifications
- FORM 10: Sample Request for Qualifications Publication
- FORM 11: Statement of Qualifications Evaluation
- FORM 12: Sample Letter to Short Listed Firms
- FORM 13: Sample Letter to Firms Not Short Listed
- FORM 14: Interview Evaluation and Scoring Form
- FORM 15: Sample Letter to Selected Firm
- FORM 16: Sample Letter to Firms not Selected
- FORM 17: Sample Invitation for Bid Publication (rev Aug 2013)
- FORM 18: Sample Bid Tabulation
- FORM 19: Sole Source Cost Price Analysis
- FORM 20: Small Purchase Request for Quotation
- FORM 21: Cost Price Analysis
Environmental Review
- FORM 1: Certificate of Exemption (rev Sept 2013)
- FORM 2: Certification of Categorical Exclusion (not subject to 58.5) (rev Sept 2013)
- FORM 3: Certification of Categorical Exclusion (subject to 58.5)
- FORM 4: Statutory Worksheet
- Instructions for FORM 4
- FORM 5: Sample Notice of Intent to Request Release of Funds
- FORM 6: Request for Release of Funds and Certification
- FORM 7: CDBG Environmental Review- Documentation Required by Agency (rev Sept 2013)
- FORM 8: Format II Environmental Review Record (rev Sept 2013)
- FORM 9: Sample Notice of Finding No Significant Impact
- FORM 10: Notice to Public of No Significant Impact on the Environment and Notice to Public of Release of Funds
- FORM 11: Notice for Early Public Review of a Proposal to Support Activity in the 100-Year Floodplain or Wetland
- FORM 12: Notice of Explanation of Project Located in a Floodplain or Wetland
- Environmental Review Flow Chart
Acquisition and Relocation
- FORM 1: Acquisition File Checklist
- FORM 2: Property Acquisition/Relocation Questionnaire
- FORM 3: Initial Notice to Property Owner
- FORM 4: URA Brochure: When a Public Agency Acquires Your Property
- FORM 4A: URA Brochure Receipt
- FORM 5: Property Appraisal Invitation
- FORM 5A: Property Appraisal Invitation Receipt
- FORM 6: Letter of Purchase Offer
- FORM 7: Waiver of Acquisition Rights with Full Donation After Appraisal
- FORM 8: Waiver of Acquisition Rights with Partial Donation After Appraisal
- FORM 9: Waiver of Acquisition Rights with Full Donation With No Appraisal
- FORM 10: Willing Buyer/Willing Seller Transaction Letter
Financial Management
- FORM 1: Federal Cash Control Register- Federal Fiscal Year
- FORM 2: Contract Obligation Control Ledger
- FORM 3: Contractor Expenditure Ledger
- FORM 4: Property Inventory Ledger
- FORM 5: Local Match Ledger
- FORM 6: Release of Funds Checklist
- FORM 6.4: Professional Service Providers (rev Aug 2013)
- FORM 6.6: Federal Funding Accountability
- FORM 7: Claim Voucher Instructions
- FORM 7: Claim Voucher Sample
- FORM 7: Claim Voucher
- FORM 8: Program Income- Quarterly Report
- FORM 9: Authorized Signature for Payment Request
Contract Development and Modification
- FORM 1: Applicant/Recipient Disclosure/Update Report
- FORM 1.5: Request for Conflict of Interest Exception
- FORM 2: Category 1 Modification Request Letter: Sample Grant Completion Extension
- FORM 3: Category 1 Modification Request Letter: Sample Request of Category 1 Other Than Time Extensions
- FORM 4: Category 2 and/or Category 3 Modification Request Budget Modification
- FORM 5: Category 2 and/or Category 3 Modification Sample Request
- FORM 6: Category 2 and/or Category 3- Notice of Grant Modification: Sample Public Notice
- FORM 7: Category 3: Grant Modification Sample Resolution
Civil Rights
- FORM 1: Civil Rights/Section 3 Officer Notification
- FORM 2: Sample Fair Housing Ordinance (rev Aug 2013)
- FORM 3: Affirmatively Furthering Fair Housing (AFFH) CDBG File Checklist (rev Aug 2013)
- FORM 4: Sample Drug Free Workplace Ordinance
- FORM 5: Resident Employment Opportunity Data
- FORM 6: Certification for Business Concerns Seeking Section 3 Preference in Contracting
- FORM 7: Examples of Efforts to Award Contracts to Section 3 Businesses
- FORM 8: Section 3 Compliance Form
- FORM 9: Certification of Accessibility
- FORM 10: Community Sample Language Access Plan for Limited English Proficiency Persons
- 2010 Language Spoken at Home
Labor Standards
- FORM 1: Labor Standards Officer Notification
- FORM 2: Initial Wage Determination Assignment Notice
- FORM 3: Pre-Bid Conference Sign-In Sheet
- FORM 4: Pre-Bid Conference Guide Acknowledgement
- FORM 5: Wage Determination Lock-In Notice
- FORM 6: Contractor/Subcontractor Verification (rev Aug 2013)
- FORM 7: Contract Award (rev Aug 2013)
- FORM 8: Preconstruction Conference Acknowledgement
- FORM 9: Wage/Fringe Benefit Certification
- FORM 10: Contractor's Certification
- FORM 11: Subcontractor's Certification
- FORM 12: Notice to Start Construction (rev Aug 2013)
- FORM 13: Monthly Payroll Report
- FORM 14: Record of Employee Interview
- FORM 15: Final Wage Compliance Report (rev Aug 2013)
- FORM 16: Final Inspection/Project Completion (rev Aug 2013)
- FORM 17: Sample In-Kind Volunteer Labor Letter
- FORM 18: Persons Approved to Complete In-Kind Donation
- FORM 19: In-Kind Donation Tracking Sheet
Reporting and Recordkeeping
Closeout and Monitoring
- FORM 1: Grantee Performance Report
- FORM 1A: Planning Grant Monitoring Checklist (rev Aug 2013)
- FORM 2: Financial Settlement/Expenditure Report
- FORM 3: Administrative Closeout
- FORM 4: Notification of Single Annual Audit
- FORM 5: Subrecepient Notification of Single Annual Audit
Online Services
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