Chapter 1: Project Start-Up
- Exhibit 1-A: Sample Management Plan (PDF) (Word)
- Exhibit 1-B: Sample Management Plan Administered by Local Staff (PDF) (Word)
- Exhibit 1-C: Sample Management Plan Administered by a Consultant (PDF) (Word)
- Exhibit 1-D: Signature Certification Form (PDF) (Word)
- Exhibit 1-E: Designation of Depository Form (PDF) (Word)
- Exhibit 1-F: Guidelines on Firm Commitment of Non-CDBG Funding (PDF) (Word)
- Exhibit 1-G: Project Start-Up Checklist (PDF) (Word)
Chapter 2: Environmental Review
- Exhibit 2-A1: Designation of Environmental Certifying Official (PDF) (Word)
- Exhibit 2-B2: CDBG Environmental Review Requirements Checklist (PDF) (Word)
- Exhibit 2-C: Statutory Checklist of Applicable Statutes and Regulations (PDF) (Word)
- Exhibit 2-D: Eight-Step Decision Making Process (PDF)
- Exhibit 2-E: Documentation of Eigh-Step Decision Making Process (PDF)
- Exhibit 2-F: Early Public Notice for Floodplains and/or Wetlands (PDF) (Word)
- Exhibit 2-G: Notice of Explanation for Floodplains and/or Wetlands (PDF) (Word)
- Exhibit 2-H: Historic Preservation Review Process (PDF)
- Exhibit 2-I: Notice to State Historic Preservation Office (PDF) (Word)
- Exhibit 2-J: Finding of Categorical Exclusion (PDF) (Word)
- Exhibit 2-K: Notice of Intent to Request Release of Funds (NOI/RROF) (PDF) (Word)
- Exhibit 2-L: Request for Release of Funds (RROF) for a Finding of Categorical Exclusion (PDF) (Word)
- Exhibit 2-M: Consolidated Environmental Assessment (EA) Form (PDF) (Word)
- Exhibit 2-N: Combined Notice: Finding of No Significant Impact and Notice of Intent to Request Release of Funds (FONSI/NOI/RROF) (PDF) (Word)
- Exhibit 2-O: NOI/RROF and FONSI/NOI/RROF Distribution List (PDF) (Word)
- Exhibit 2-P: Finding of Exemption for All Project Activities (PDF) (Word)
- Exhibit 2-Q: Request for Release of Funds (RROF) for an Environmental Assessment (PDF) (Word)
- Exhibit 2-R: Finding of Exemption for All Project Activities (for Certain Categorically Excluded Activities) (PDF) (Word)
- Exhibit 2-S: Contacts for Environmental Resources (PDF)
- Exhibit 2-T: Combined FONSI/NOI/RROF for SRF/CDBG Jointly-Funded Projects (PDF) (Word)
- Exhibit 2-U: Combined FONSI/NOI/RROF for USDA RD/CDBG Jointly-Funded Projects (PDF) (Word)
- Exhibit 2-V HUD LEAD-Based Paint Requirements for Housing Rehabilitation (PDF)
- Exhibit 2-W: Lead-Based Paint Requirements for Homebuyer Assistance (PDF)
- Exhibit 2-X: Acknowledgement of Receipt (PDF) (Word)
- Exhibit 2-Y: Lead-Based Paint Notices (PDF) (Word)
- Exhibit 2-Z: Asbestos Consultants, Contractors, and Laboratories (PDF)
- Exhibit 2-AA: Statement of Need for Re-Evaluation of Environmental Assessment (PDF) (Word)
- Exhibit 2-BB: Site-Specific Checklist (PDF) (Word)
- Exhibit 2-CC: HUD Guide to Environmental Compliance (PDF)
Chapter 3: Procurement
- Exhibit 3-A: Sample RFP for Management Services (PDF) (Word)
- Exhibit 3-B: Sample RFP for Engineering Services (PDF) (Word)
- Exhibit 3-C: Sample Advertisement for RFP/RFQ (PDF) (Word)
- Exhibit 3-D: Sample Professional Services Contract (PDF) (Word)
- Exhibit 3-E: Sample CDBG Supplemental Conditions (PDF) (Word)
- Exhibit 3-F: Checklist of Required Contractual Clauses (PDF) (Word)
- Exhibit 3-G: Procurement Checklist (PDF) (Word)
- Exhibit 3-H: Sample Consultant's Invoice (PDF) (Word)
- Exhibit 3-I: Compensation (PDF) (Word)
Chapter 4: Financial Management
- Exhibit 4-A: Budgetary Authority Resolution (PDF) (Word)
- Exhibit 4-B: Allowable and Unallowable CDBG Administration Costs (PDF)
- Exhibit 4-C: Request for Funds Form (PDF) (Excel)
- Instructions (PDF)
- Exhibit 4-D: Uniform Status of Funds Spreadsheet (PDF) (Excel)
- Exhibit 4-E: Uniform Invoice Tracking Spreadsheet (PDF) (Excel)
- Exhibit 4-F: Project Progress Report (PDF) (Word)
- Exhibit 4-G: Federal Regulations for Real Property (PDF)
- Exhibit 4-H: Program Income (PDF) (Word)
- Exhibit 4-I: Expenditure Review (PDF) (Word)
- Exhibit 4-J: Program Income - Title I Certification (PDF) (Word)
- Exhibit 4-K: Quarterly Update Report (PDF) (Word)
Chapter 5: Civil Rights
- Exhibit 5-A: Sample Equal Employment Opportunity Policy (PDF) (Word)
- Exhibit 5-B: Sample Section 3 Public Notice (PDF) (Word)
- Exhibit 5-C: Required Contract Language for Section 3 Responsibilities (PDF) (Word)
- Exhibit 5-D: Individual Direct Benefit Recording Form (PDF) (Word)
- Exhibit 5-E: Direct Benefit Summary Data (PDF) (Word)
- Exhibit 5-F: Tribal Newspapers and Newsletters (PDF) (Word)
- Exhibit 5-G: Applicant Summary Sheet (PDF) (Word)
- Exhibit 5-H: Interview and Hiring Form (PDF) (Word)
- Exhibit 5-I: Grantee Employment Summary (PDF) (Word)
- Exhibit 5-J: Contract Reporting Form and Instructions (PDF) (Word)
- Exhibit 5-K: Sample Letter of Work Notification to a DBE Firm (PDF) (Word)
- Exhibit 5-L: Sample Equal Employment Opportunity Poster (PDF) (Word)
- Exhibit 5-M: Sample Fair Housing Resolution (PDF) (Word)
- Exhibit 5-N: Sample Fair Housing Poster (PDF) (Word)
- Exhibit 5-O: Sample Fair Housing Handout and Complaint Pamphlet (PDF) (Word)
- Exhibit 5-P: Sample Housing Program Notice (PDF) (Word)
- Exhibit 5-Q: Sample Hatch Act Resolution (PDF) (Word)
- Exhibit 5-R: Sample Section 504 and ADA Compliant Resolution Procedures and ADA Complaint Form (PDF) (Word)
- Exhibit 5-S: Sample ADA Self-Evaluation Inventory and Transition Plan (PDF) (Word)
- Exhibit 5-T: National and State Contacts for ADA Information and Assistance (PDF) (Word)
- Exhibit 5-U: Civil Rights Responsibilities Checklist (PDF) (Word)
Chapter 6: Labor Standards
- Exhibit 6-A: Federal Labor Standards Provisions (PDF)
- Exhibit 6-B: Request for Wage Determination (PDF) (Word)
- Exhibit 6-C: Report of Additional Classification and Wage Rate (PDF) (Word)
- Exhibit 6-D: Request for Verification of Bidder Eligibility (PDF) (Word)
- Exhibit 6-E: Pre-Construction Conference Planning Guide (PDF)
- Exhibit 6-F: Federal Wage Poster (PDF)
- Exhibit 6-G: Equal Employment Opportunity Poster (PDF)
- Exhibit 6-H: Job Safety and Health Protection Poster (PDF)
- Exhibit 6-I: Weekly Payroll Report Forms (PDF)
- Exhibit 6-J: Contractor Payroll Information (PDF)
- Exhibit 6-K: Employee Interview Form (PDF) (Word)
- Instructions (PDF)
- Exhibit 6-L: Labor Standards Definitions (PDF)
- Exhibit 6-M: Volunteer Certification Form (PDF) (Word)
- Exhibit 6-N: Contractor's Receipt of Required Program Materials (PDF) (Word)
- Exhibit 6-O: Making Davis Bacon Work: A Contractor's Guide to Prevailing Wage Requirements for Federally-Assisted Construction Projects (PDF)
- Exhibit 6-P: Certification of Labor and Civil Rights Compliance and Authorization for Payment (PDF) (Word)
Chapter 7: Acquisition and Relocation
- Exhibit 7-A: Public Invitation for Acquisition of Real Property (PDF) (Word)
- Exhibit 7-B: Voluntary Agreement Between Grantee and Seller (PDF) (Word)
- Exhibit 7-C: Voluntary Acquisition File Checklist (PDF) (Word)
- Exhibit 7-D: Preliminary Acquisition Notice (PDF) (Word)
- Exhibit 7-E: Agreement for Appraisal Services (PDF) (Word)
- Exhibit 7-F: Sample Appraisal Report Review Form (PDF) (Word)
- Exhibit 7-G: Written Offer to Purchase (PDF) (Word)
- Exhibit 7-H: Final Notice to Acquire by Negotiations (PDF) (Word)
- Exhibit 7-I: Uniform Relocation Act Acquisition File Checklist (PDF) (Word)
- Exhibit 7-J: Typical Acquisition Process Under the Uniform Relocation Act (PDF)
- Exhibit 7-K: Waiver of Procedures and Rights under the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 (PDF) (Word)
- Exhibit 7-L: "When a Public Agency Acquires Your Property" (PDF)
- Exhibit 7-M: Anti-Displacement and Relocation Assistance Plan (PDF)
Chapter 8: Economic Development
- Exhibit 8-A: Supplemental CDBG-ED Conditions for Loan Documents (PDF) (Word)
- Exhibit 8-B1: Sample Funding Assistance Agreement (PDF) (Word)
- Exhibit 8-B2: Sample Funding Assistance Agreement (PDF) (Word)
- Exhibit 8-C: Sample Local Government RLF Plan and Loan Application (PDF) (Word)
- Exhibit 8-D: Calculation of Benefit to LMI Persons and Race/Ethnicity Category Form (PDF) (Word)
- Exhibit 8-E: Employment Tracking & Direct Benefit Summary (Excel)
- Instructions (PDF)
- Exhibit 8-F1: Sample Hiring and Training Plan (PDF) (Word)
- Exhibit 8-F2: Sample Customized Training Plan (PDF) (Word)
- Exhibit 8-G: Loan Portfolio Data Report Form (PDF) (Word)
- Exhibit 8-H1: Sample Sub-Recipient Agreement for RLF Project (PDF) (Word)
- Exhibit 8-H2: Sample Sub-Recipient Agreement for non-RLF Project (PDF) (Word)
- Exhibit 8-J1: Sample Management Plan - Local Government (PDF) (Word)
- Exhibit 8-J2: Sample Management Plan - Third Party for Loan (PDF) (Word)
- Exhibit 8-J3: Sample Management Plan - Third Party for Grant (PDF) (Word)
- Exhibit 8-K: Request for Payment & Status of Funds Report (PDF) (Word)
- Exhibit 8-L: Employee Training Tracking Form (PDF) (Excel)
Chapter 9: Construction Management
- Exhibit 9-A: Architect's Certification: Compliance with Minimum Standards for Accessibility (PDF) (Word)
- Exhibit 9-B: CDBG Supplemental General Conditions and Federal Labor Standards Provisions (PDF) (Word)
- Exhibit 9-C: Letter of Transmittal of Construction Contract Checklist and Proposed Bid Document (PDF) (Word)
- Exhibit 9-D: Notice of Contract Award and Pre-Construction Conference (PDF) (Word)
- Exhibit 9-E: Contract Award Report and 1% Gross Receipts Witholding Report (PDF)
- Exhibit 9-F: Sample Sub-Recipient Agreement for an Affordable Housing Project with Multiple Funding Sources (PDF) (Word)
- Exhibit 9-G: Sample Interlocal Agreement for an Affordable Housing Project with Multiple Funding Sources (PDF) (Word)
- Exhibit 9-H: Construction Contractor Registration Law (PDF)
- Exhibit 9-I: Sample Sub-Recipient Agreement (PDF) (Word)
- Exhibit 9-J: Checklist for CDBG Review of Construction Bid Documents (PDF) (Word)
- Exhibit 9-K: Contractor Reporting Form (PDF) (Word)
- Exhibit 9-L: Section 3 Summary Report (PDF) (Word)
- Exhibit 9-M: Construction Management Checklist (PDF) (Word)
- Exhibit 9-N: Sample Agreement for Owners of Low- and Moderate-Income Occupied Residential Property (PDF) (Word)
- Exhibit 9-O: Notice of Security Interest in Real Property to Secure Repayment of Water/Wastewater System Assessment Assistance (PDF) (Word)
Chapter 10: Non-Competitive Housing Rehabilitation
- Exhibit 10-A: Sample Abstract of Sub-Recipient Agreement (PDF) (Word)
- Exhibit 10-B: CDBG PAR Guidance (PDF) (Word)
- Exhibit 10-C: CDBG Pre-Acquisition Checklist (PDF) (Word)
- Exhibit 10-D: CDBG Property Specific Rehab Checklist (PDF) (Word)
- Exhibit 10-E: Sanoke CDBG Rehab Project Request (PDF) (Word)
- Exhibit 10-F: CDBG Rehab Income Verification Form (PDF) (Word)
- Exhibit 10-G: Sample CDBG Rehab Sub-Recipient Agreement (PDF) (Word)
- Exhibit 10-H: Sample CDBG Rehab Detailed Site Budget (PDF) (Excel)
- Exhibit 10-I: Sample CDBG Rehab Preliminary General Site Budget (PDF) (Word)
- Exhibit 10-J: Sample CDBG Rehab Property Specific Implementation Schedule (PDF) (Word)
- Exhibit 10-K: Sample CDBG Rehab URA GIN Notice (PDF) (Word)
- Exhibit 10-L: Sample Voluntary Construction Statement for Rehab by Owner (PDF) (Word)
- Exhibit 10-M: Sample Voluntary Rehab Participation Form (PDF) (Word)
- Exhibit 10-N: Sample CDBG Rehab Owner Notice of Voluntary Acquisition - No Eminent Domain (PDF) (Word)
- Exhibit 10-O: Sample CDBG Rehab Owner Notice of Voluntary Acquisition - With Eminent Domain (PDF) (Word)
Chapter 11: Project Monitoring
Chapter 12: Project Closeout
- Exhibit 12-A: Project Completion Report Instructions (PDF)
- Exhibit 12-B: Final Performance Report (PDF) (Word)
- Exhibit 12-C1: Certification of Completion and Final Status of Funds Report (PDF) (Word)
- Exhibit 12-C2: Conditional Closeout Certification (PDF) (Word)
- Exhibit 12-C3: Final Closeout Certification (PDF) (Word)
- Exhibit 12-D: Direct Benefit Summary Data (PDF) (Word)
- Exhibit 12-E: Contract Reporting Form (PDF) (Word)
- Exhibit 12-F: Indirect Benefits Reporting Form (PDF) (Word)
- Exhibit 12-G: Calculation of CDBG Funds Used to Benefit LMI Households and Citation of National CDBG Objectives (PDF) (Word)
- Exhibit 12-H: Section 3 Summary Report Form (PDF) (Word)