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2016
Obsolete
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2017
Valid as of 9/1/2017 |
Complete TxCDBG Implementation Manual (Select forms are ONLY available below)
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| Chapter
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Form No.
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Form Description
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Availability
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Availability
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Table of Contents
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Acronym List
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Section A Community Development Program Overview
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| Chapter 1 Administration and Reporting |
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1 Admin. and Reporting
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A102 |
Administrative Activities Checklist
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| 1 Admin. and Reporting |
A103
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Filing System
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1 Admin. and Reporting
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A104 |
Quarterly Progress Report
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Discontinued |
| 1 Admin. and Reporting |
A104 DR
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Disaster Relief Quarterly Report (1 Year)
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Chapter 2 Financial Management
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2 Financial Management
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A201
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Sample Signatory Resolution |
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2 Financial Management
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A202 |
Depository-Authorized Signatories Designation
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2 Financial Management
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A203 |
Request for Payment
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2 Financial Management
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A206
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Balance Adjustment Notice
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2 Financial Management
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A207 |
Backup for Eligible Costs
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2 Financial Management
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A208 |
TxCDBG Match Calculator |
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2 Financial Management
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A209 |
Direct Deposit Form 74-176 |
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Chapter 3 Environmental Review
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3 Environmental Review
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A301
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Request for Exemption from SHPO Review
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3 Environmental Review
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A302
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Full Environmental Assessment (EA) Checklist
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3 Environmental Review
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A303
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Exempt or Categorical Exclusion Not Subject to 58.5
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3 Environmental Review
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A304
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Categorical Exclusion Subject to 58.5
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3 Environmental Review
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A305
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Sample NOI / RROF
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3 Environmental Review
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A306 |
Sample Notice of FONSI
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| 3 Environmental Review |
A307
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Floodplain Early Notice and Explanation Sample
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| 3 Environmental Review |
A308 |
Sample Request for Release of Funds (RROF)
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| 3 Environmental Review |
A309 |
Summary of Levels of Environmental Review & Documentation Required in ERR |
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Chapter 4 Contract Special Conditions
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4 Contract Special Conditions
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A401 |
Certification of Pre-Construction Approvals
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Chapter 5 Procurement Procedures
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5 Procurement Procedures
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A503 |
Financial Interest Report (FIR)
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| 5 Procurement Procedures |
A504 |
Small Purchase Procurement Record
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5 Procurement Procedures
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A505 |
TDA Construction Contract Change Order
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| 5 Procurement Procedures |
A506
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Request for Project-Specific Proposal Form |
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| 5 Procurement Procedures |
A507 |
Response from Service Provider Form |
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| 5 Procurement Procedures |
A508 |
Evaluation of Proposals Form |
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| 5 Procurement Procedures |
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Frequently Asked Questions (FAQ) TxCDBG Conflict of Interest Provisions |
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Chapter 6 Acquisition
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6 Acquisition
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A600
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Initial Acquisition Report
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6 Acquisition
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A601 |
Acquisition Report
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6 Acquisition
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A602 |
HUD Appendix 30 - Guideform - Notice to Owner Involuntary Acquisition
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6 Acquisition
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A603 |
HUD Appendix 31 - Guideform - Voluntary Acquisition Informational Notice - Agencies w/o E.D.
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6 Acquisition
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A604 |
HUD Appendix 32 - Voluntary Acquisition Informational Notice - Agencies with E.D.
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6 Acquisition
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A605 |
Sample Notice of Agreement to Donate |
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6 Acquisition
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A606 |
Sample Notice to Owner for Donations of Easements and Rights of Way
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| 6 Acquisition |
A607 |
Sample Just Compensation Determination Statement
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6 Acquisition
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A608
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Sample Owner Release Form for Donated Property
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6 Acquisition
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A609 |
Sample Written Purchase Offer
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6 Acquisition
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A610 |
Administrative Settlement Guideform
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Chapter 7 Davis-Bacon Labor Standards
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7 Labor Standards
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A701
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Appointment of Labor Standards Officer (LSO)
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7 Labor Standards
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A702 |
Wage Rate Issuance Notice
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7 Labor Standards
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A703 |
Ten Day Confirmation Notice
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7 Labor Standards
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A704 |
Pre-construction Conference Report
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7 Labor Standards
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A705 |
Request for Additional Classification and Rate
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7 Labor Standards
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A706 |
Labor Standards Record (LSR)
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Discontinued |
| 7 Labor Standards |
A706-supp |
Labor Standards Record Additional Subcontractor Verification
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Discontinued |
7 Labor Standards
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A707 |
Record of Employee Interview
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| 7 Labor Standards |
A708
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Sample DOL Payroll Form
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| 7 Labor Standards |
A709
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Certificate of Construction Completion (COCC)
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7 Labor Standards
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A710 |
Final Wage Compliance Report (FWCR)
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7 Labor Standards
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A711
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Davis-Bacon Coverage Chart
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| 7 Labor Standards |
A712 |
Notice of Payroll Violation
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| 7 Labor Standards |
A713 |
Notice of Determination to Assess Liquidated Damages |
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| 7 Labor Standards |
A714 |
Waiver Request |
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Chapter 8 Force Account Labor
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8 Force Account Labor
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A800
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Alternate Force Account Times Sheet
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8 Force Account Labor
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A801 |
Personnel Cost Calculation Sheet
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| 8 Force Account Labor |
A802 |
Equipment Cost Calculation Sheet
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8 Force Account Labor
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A803 |
Administrative Personnel Time Sheet
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8 Force Account Labor
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A804 |
Construction Personnel Time Sheet
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| 8 Force Account Labor |
A806 |
Multiple TxCDBG Contracts Personnel Time Sheet
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8 Force Account Labor
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A807 |
Certificate of Construction Completion for Force Account
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8 Force Account Labor
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A808
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Request to Use Force Account Labor
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Chapter 9 [RESERVED]
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Chapter 10 Civil Rights Requirements
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10 Civil Rights Requirements
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A1001 |
Sample Equal Opportunity Guidelines for Construction Contractors
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| 10 Civil Rights Requirements |
A1002 |
Sample Section 3 Plan
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10 Civil Rights Requirements
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A1003 |
Sample Excessive Force Policy
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| 10 Civil Rights Requirements |
A1004 |
Sample Section 504 Policy Against Discrimination based on Handicap and Grievance Procedure
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10 Civil Rights Requirements
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A1005 |
Sample Notices - Civil Rights
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| 10 Civil Rights Requirements |
A1006 |
Section 504 Self-Evaluation Review
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10 Civil Rights Requirements
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A1007 |
Sample Fair Housing Month Proclamation
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10 Civil Rights Requirements
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A1008 |
Designation Form for Civil Rights Officer
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10 Civil Rights Requirements
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A1009 |
Sample Fair Housing Public Service Announcement
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10 Civil Rights Requirements
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A1010 |
Limited English Proficiency Sample Plan
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10 Civil Rights Requirements
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A1011 |
Section 3 Annual Report
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10 Civil Rights Requirements
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A1011 |
FY 2017 Section 3 Annual Report |
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10 Civil Rights Requirements
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A1012 |
Prime Contractor - Section 3
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| 10 Civil Rights Requirements |
A1013 |
Sample Citizen Participation Plan
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10 Civil Rights Requirements
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A1014 |
Sample Civil Rights Resolution
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10 Civil Rights Requirements
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A1015
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Sample Fair Housing Policy
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10 Civil Rights Requirements
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A1016 |
Civil Rights Responsibilities Checklist
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10 Civil Rights Requirements
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A1017 |
Civil Rights Affidavit of Posting
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Chapter 11 Contract Amendments
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11 Contract Amendments
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A1101 |
Contract Amendment - Modification Request
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Chapter 12 Contract Closeout
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12 Contract Closeout
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A1200 |
Project Completion Report (PCR)
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Chapter 13 Monitor Review
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13 Monitor Review
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A1301 |
Monitor Checklist
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| 13 Monitor Review |
A1302
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Self-Monitoring Review Checklist and Certification
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Chapter 14 Audit Requirements
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14 Audit Requirements
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A1401
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Audit Certification Packet
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Download
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Audit Certification Form Online Submission
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Click Here
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14 Audit Requirements
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A1402 |
Sample Request for Proposals for Audit Services
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Section B Planning
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B Planning
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B1 |
Sample Environmental Exemption Letter - Best practice
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B Planning
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B2 |
Sample Filing System Guide for Planning Projects
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| B Planning |
B4 |
Sample Public Advertisement for Planning Services
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B Planning
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B5 |
Sample Request for Proposals, Cover Letter
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B Planning
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B6 |
Sample Request for Proposals for Planning Services
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B Planning
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B7 |
Sample Proposal Rating Sheet for Planning Services
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B Planning
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B8 |
Planning Quarterly Progress Report
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B Planning
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B10 |
Sample Public Hearing Notice
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B Planning
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B11 |
Beneficiary Report for Planning & Capacity Building Fund
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B Planning
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B12 |
Sample Closeout Letter
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B Planning
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B13 |
Planning Monitoring Checklist
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Section C Housing Rehabilitation
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C Housing Rehabilitation
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C1 |
Housing Annual Beneficiary Report Instructions
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C Housing Rehabilitation
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C2
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Sample Housing Rehabilitation Guidelines
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| C Housing Rehabilitation |
C2a
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Status of Compliance with Lead-Based Paint Regulations
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C Housing Rehabilitation
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C2b |
Certification of Lead-Based Paint Exemption
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| C Housing Rehabilitation |
C3 |
Housing Rehabilitation Work Write-up and Cost Estimate Worksheet
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C Housing Rehabilitation
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C4 |
Housing Rehabilitation Change Order Request Approval
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| C Housing Rehabilitation |
C5 |
Housing Rehabilitation Payment Request
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C Housing Rehabilitation
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C6
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Housing Rehabilitation Case File Review
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C Housing Rehabilitation
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C7 |
Summary of Major Lead-Based Paint Regulations
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| C Housing Rehabilitation |
C8 |
Home Inspector Qualification Certification
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| C Housing Rehabilitation |
C9 |
Sample Release of Lien Final |
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Section C Part II OSSF
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CII OSSF
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CII1 |
OSSF Instructions
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CII OSSF
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CII2 |
Sample OSSF Guidelines
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CII OSSF
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CII3 |
OSSF Checklist
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CII OSSF
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CII504 |
OSSF Small Purchase Procurement Record
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CII OSSF
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CII505 |
Construction Contract Change Order
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CII OSSF
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CII709 |
Certificate of Construction Completion for OSSF Projects
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CII OSSF
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CII709I |
Certificate of Construction Completion for OSSF Projects (Individual Homeowner)
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Section D Texas Capital Fund
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| D Texas Capital Fund |
D1 |
TCF Contractor-Company Agreement Certification and Guide |
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D Texas Capital Fund
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D5
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Quarterly Employee Certification Report (ECR)
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Download
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| D Texas Capital Fund |
D7
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2018 TCF Survey Questionnaire
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| D Texas Capital Fund |
D8 |
TCF Aggregate Benefit Report
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Download
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D Texas Capital Fund
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D9 |
TCF Quarterly Progress Report
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Download |
Discontinued |
D Texas Capital Fund
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D1200
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TCF Project Completion Report (PCR)
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Download
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Section E Self-Help Centers
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Section F Small Towns Environment Program STEP
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F STEP
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F1
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STEP Volunteer Time Distribution Sheet |
Download
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| F STEP |
F2 |
STEP Equipment-Materials Time Distribution Sheet
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F STEP
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F3 |
STEP Equipment Cost Calculation Sheet
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| F STEP |
F4 |
STEP Contract Amendment Checklist
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F STEP
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F5 |
STEP Certificate of Construction Completion
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F STEP
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F6
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STEP 24 CFR Part 70 Use of Volunteers
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Appendices (Word Versions only)
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Appendix A
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Links to Resources including State and Federal Regulations
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Appendix B
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Required Contract Provisions |
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Appendix C
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Sample Code of Conduct Policy
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Appendix D
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Sample Administration Services RFP Packet
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Appendix E
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Sample Engineering Services RFQ Packet
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Appendix F
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Sample Construction Bid Packet
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Appendix F*
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HUD-4010 Required Contract Provisions
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Appendix G
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Sample Material Bid
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| Appendix H |
Pre-Application Procurement Q&A |
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| Appendix I |
Conflict of Interest Policy |
|
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