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FINAL 2019 Effective 9/1/2019 |
FINAL 2020
Effective 9/1/2020 |
| Complete TxCDBG Implementation Manual (Select forms are ONLY available below) |
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| Chapter |
Form No. |
Form Description |
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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 |
A101 |
Affidavit of Posting - Citizen Participation Public Hearing |
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| 1 Admin. and Reporting |
A102 |
Administrative Activities Checklist |
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| 1 Admin. and Reporting |
A103 |
Filing System |
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| 1 Admin. and Reporting |
A104 DR |
Disaster Relief Quarterly Report (1 Year) |
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| Chapter 2 Financial Management |
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| 2 Financial Management |
A201 |
Sample Signatory Resolution |
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| 2 Financial Management |
A202 |
Depository-Authorized Signatories Designation |
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| 2 Financial Management |
A203 |
Request for Payment |
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| 2 Financial Management |
A206 |
Balance Adjustment Notice |
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| 2 Financial Management |
A207 |
Backup for Eligible Costs |
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| 2 Financial Management |
A208 |
TxCDBG Match Calculator |
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| 2 Financial Management |
A209 |
Direct Deposit Form 74-176 |
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| Chapter 3 Environmental Review |
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| 3 Environmental Review |
A301 |
Request for Exemption from SHPO Review |
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| 3 Environmental Review |
A302 |
Full Environmental Assessment (EA) Checklist |
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| 3 Environmental Review |
A303 |
Exempt or Categorical Exclusion Not Subject to 58.5 |
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| 3 Environmental Review |
A304 |
Categorical Exclusion Subject to 58.5 |
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| 3 Environmental Review |
A305 |
Sample NOI / RROF |
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| 3 Environmental Review |
A306 |
Sample Notice of FONSI |
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| 3 Environmental Review |
A307 |
Floodplain Early Notice and Explanation Sample |
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| 3 Environmental Review |
A308 |
Request for Release of Funds (RROF) and Certification Form - HUD Form 7015.15 |
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| 3 Environmental Review |
A309 |
Summary of Levels of Environmental Review & Documentation Required in ERR |
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| 3 Environmental Review |
A310 |
Sample Affidavit of Posting - Environmental (NEW!) |
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3 Environmental Review
|
A311 |
Locations Not Eligible to Request Section 106 Exemption |
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| Chapter 4 Contract Special Conditions |
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| 4 Contract Special Conditions |
A401 |
Certification of Pre-Construction Approvals |
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| Chapter 5 Procurement Procedures |
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| 5 Procurement Procedures |
A503 |
Financial Interest Report (FIR) |
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| 5 Procurement Procedures |
A504 |
Small Purchase Procurement Record |
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| 5 Procurement Procedures |
A505 |
TDA Construction Contract Change Order |
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| 5 Procurement Procedures |
A506 |
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 |
A600 |
Initial Acquisition Report |
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| 6 Acquisition |
A601 |
Acquisition Report |
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| 6 Acquisition |
A602 |
HUD Appendix 30 - Guideform - Notice to Owner Involuntary Acquisition |
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| 6 Acquisition |
A603 |
HUD Appendix 31 - Guideform - Voluntary Acquisition Informational Notice - Agencies w/o E.D. |
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| 6 Acquisition |
A604 |
HUD Appendix 32 - Voluntary Acquisition Informational Notice - Agencies with E.D. |
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| 6 Acquisition |
A605 |
Sample Notice of Agreement to Donate |
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| 6 Acquisition |
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 |
A608 |
Sample Owner Release Form for Donated Property |
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| 6 Acquisition |
A609 |
Sample Written Purchase Offer |
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| 6 Acquisition |
A610 |
Administrative Settlement Guideform |
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| Chapter 7 Davis-Bacon Labor Standards |
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| 7 Labor Standards |
A701 |
Appointment of Labor Standards Officer (LSO) |
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| 7 Labor Standards |
A702 |
Wage Rate Issuance Notice |
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| 7 Labor Standards |
A703 |
Ten Day Confirmation Notice |
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| 7 Labor Standards |
A704 |
Pre-construction Conference Report |
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| 7 Labor Standards |
A705 |
Request for Additional Classification and Rate |
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| 7 Labor Standards |
A707 |
Record of Employee Interview |
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| 7 Labor Standards |
A708 |
Sample DOL Payroll Form |
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| 7 Labor Standards |
A709 |
Certificate of Construction Completion (COCC) |
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| 7 Labor Standards |
A710 |
Final Wage Compliance Report (FWCR) |
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| 7 Labor Standards |
A711 |
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 |
A800 |
Alternate Force Account Times Sheet |
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| 8 Force Account Labor |
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 |
A803 |
Administrative Personnel Time Sheet |
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| 8 Force Account Labor |
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 |
A807 |
Certificate of Construction Completion for Force Account |
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| 8 Force Account Labor |
A808 |
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 |
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 |
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 |
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 |
A1007 |
Sample Fair Housing Month Proclamation |
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| 10 Civil Rights Requirements |
A1008 |
Designation Form for Civil Rights Officer |
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| 10 Civil Rights Requirements |
A1009 |
Sample Fair Housing Public Service Announcement |
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| 10 Civil Rights Requirements |
A1010 |
Limited English Proficiency Sample Plan |
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| 10 Civil Rights Requirements |
A1011 |
FY 2021 Section 3 Annual Report |
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| 10 Civil Rights Requirements |
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 |
A1014 |
Sample Civil Rights Resolution |
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| 10 Civil Rights Requirements |
A1015 |
Sample Fair Housing Policy |
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| 10 Civil Rights Requirements |
A1016 |
Civil Rights Responsibilities Checklist |
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| 10 Civil Rights Requirements |
A1017 |
Civil Rights Affidavit of Posting |
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| 10 Civil Rights Requirements |
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Policy Issuance 20-01 (revised 9/13/21) |
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10 Civil Rights Requirements
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Policy Issuance 20-01 - Revised 10.2.2 Section 3 Requirements (Updated 9/13/21) |
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10 Civil Rights Requirements
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A1021 |
Sample Section 3 Service Area (Updated 8/17/21) |
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10 Civil Rights Requirements
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A1022 |
Employer Certification Form (Excel version) Updated 9/13/21 |
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10 Civil Rights Requirements
|
A1023 |
Certification as Section 3 Business |
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10 Civil Rights Requirements
|
A1024 |
Section 3 Sample Presentation to Local Community New! |
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| Chapter 11 Contract Amendments |
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| 11 Contract Amendments |
A1101 |
Contract Amendment - Modification Request |
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| Chapter 12 Contract Closeout |
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| 12 Contract Closeout |
A1200 |
Project Completion Report (PCR) (Updated 9/1/21 to reflect updated Sec. 3 reporting requirements) |
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| Chapter 13 Monitor Review |
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| 13 Monitor Review |
A1301 |
Monitor Checklist |
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| 13 Monitor Review |
A1302 |
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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Audit Certification Form Online Submission |
Click HERE |
Click HERE |
| 14 Audit Requirements |
A1402 |
Sample Request for Proposals for Audit Services |
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| Section B Planning |
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| B Planning |
B1 |
Sample Environmental Exemption Letter - Best practice |
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| B Planning |
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 |
B5 |
Sample Request for Proposals, Cover Letter |
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| B Planning |
B6 |
Sample Request for Proposals for Planning Services |
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| B Planning |
B7 |
Sample Proposal Rating Sheet for Planning Services |
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| B Planning |
B8 |
Planning Quarterly Progress Report |
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| B Planning |
B10 |
Sample Public Hearing Notice |
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| B Planning |
B11 |
Beneficiary Report for Planning & Capacity Building Fund |
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| B Planning |
B12 |
Sample Closeout Letter |
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| B Planning |
B13 |
Planning Monitoring Checklist |
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| Section C Housing Rehabilitation |
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| C Housing Rehabilitation |
C1 |
Housing Annual Beneficiary Report Instructions |
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| C Housing Rehabilitation |
C2 |
Sample Housing Rehabilitation Guidelines |
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| C Housing Rehabilitation |
C2a |
Status of Compliance with Lead-Based Paint Regulations |
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| C Housing Rehabilitation |
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 |
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 |
C6 |
Housing Rehabilitation Case File Review |
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| C Housing Rehabilitation |
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 |
CII1 |
OSSF Instructions |
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| CII OSSF |
CII2 |
Sample OSSF Guidelines |
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| CII OSSF |
CII2.A |
Yardline Assistance Guidelines Template |
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| CII OSSF |
CII3 |
OSSF Checklist |
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| CII OSSF |
CII504 |
OSSF Small Purchase Procurement Record |
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| CII OSSF |
CII505 |
Construction Contract Change Order |
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| CII OSSF |
CII709 |
Certificate of Construction Completion for OSSF Projects |
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| CII OSSF |
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 |
D5 |
Quarterly Employee Certification Report (ECR) |
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| D Texas Capital Fund |
D7 |
2020 TCF Survey Questionnaire (Family Income/Size Certification) |
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| D Texas Capital Fund |
D7 |
2020 TCF Survey Questionnaire (Family Income/Size Certification) en Español |
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| D Texas Capital Fund |
D8 |
TCF Aggregate Benefit Report |
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| D Texas Capital Fund |
D9 |
SMRF Loan Certification Form |
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| D Texas Capital Fund |
D10 |
SMRF Underwriting Certification |
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| D Texas Capital Fund |
D11 |
SMRF Loan Expense Ledger |
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| D Texas Capital Fund |
D1200 |
TCF Project Completion Report (PCR) |
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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 |
F1 |
STEP Volunteer Time Distribution Sheet |
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| F STEP |
F2 |
STEP Equipment-Materials Time Distribution Sheet |
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| F STEP |
F3 |
STEP Equipment Cost Calculation Sheet |
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| F STEP |
F4 |
STEP Contract Amendment Checklist |
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| F STEP |
F5 |
STEP Certificate of Construction Completion |
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| F STEP |
F6 |
STEP 24 CFR Part 70 Use of Volunteers |
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| Appendices (Word Versions only) |
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| Appendix A |
Links to Resources including State and Federal Regulations |
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| Appendix B |
Required Contract Provisions |
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| Appendix C |
Sample Code of Conduct Policy |
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| Appendix D |
Sample Administration Services RFP Packet |
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| Appendix E |
Sample Engineering Services RFQ Packet |
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| Appendix F |
Sample Construction Bid Packet |
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| Appendix F* |
HUD-4010 Required Contract Provisions |
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| Appendix G |
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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