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OMB Approval Number: 2506-0180
                                                                                  (Expiration Datei   9/3 0   /2009)



     Substantial Amendment to Cook Counfy's Consolidated Plan 2008 Action Plan
       for the Homelessness Prevention and Rapid Re-Housing Program (HPRP)

    Grantees eligible to receive funds under the Homelessness Prevention and Rapid Re-
    Housing Program (HPRP) are required to complete a substantial amendrnent to their
    Consolidated Plan 2008 Action Plan. This form sets forth the required format for this
    substantial amendment. A completed form is due to HUD within 60 days of the
    publication of the HUD HPRP notice.

    To aid grantees in meeting this submission deadline, the HPRP Notice reduces the
    requirement for a 30-day public comrhent period to no less than 12 calendar days for this
    substantial amendment. With this exception, HPRP grantees are required to follow their
    Consolidated Planzs cittzenparticipation process, including consultation wittr the
   Continuum of Care (CoC) in the appropnatejurisdiction(s). Grantees are also required to
   coordinate HPRP activities with the CoC's strategies for homeless prevention and ending
   homelessness. To maximize transparency, HUD strongly recommends that each grantee
   post its substantial amendment materials on the grantee's official website as the materials
   are developed.


  A complete submission contains the following three documents:

       1) A signed    and dated SF-424,

      2)   A completed form HUD-40119 (this form), and
      3)   Signed and dated General Consolidated Plan and HPRP certifications.


 For additional information regarding the HPRP program, visit the HUD Homelessness
 Resource Exchange (www.hudhlgj!&). This site will be regularly updated to include
 IIPRP resources developed by HUD and its technical assistance providers.


 The information collection requirements contained in this application have been submitted to the Office of,
 Management and Budget (OlvtB) for review under the Paperwork Reduction Act of 1995 (44 U.S.C. 3501-
 3520). This agency may not collect this infor,mation, and you are not required to complete this form, unless
 it displays a currently valid OMB control number.

 Information is submitted in accordance with the regulatory øuthority contained in each progrqm rule. The
 i4formationwill be used to rate øpplications, determine eligibility, and estoblish grant amounts.

 Public reporting burden for this collection of information is estimated to be 16 hours, including the time for
 reviewing insfructions, searching existing data sources, gathering and maintaining the data needed, and
 cornpleting and reviewing the collection of information. This information is required to obtain benefits. To
the extent that any information collected is of a confidential nature, there will be compliance wÍth Privacy
Act requirements. However, the substantial amendment to the Consolidated Plan 2008 Action Plan does not
request the submission of such information.

Warning: HUD will prosecute false claims and statements. Conviction may result in criminal and/or civil
penalties. (18 U.S.C. 1001, 1010, l0l2;31U.S.C. 3729,3802)



                                                                                               HUD-40119
Substantial Amendment to Cook County's Consolidated Plan 2008 Action Plan for
           the Homelessness Prevention and Rapid Re-Housing Program (HPRP)


   .4.. General Information



   Grantee Name                        Cook Countv Board of Commissioners

  Name of Entity or Department         Cook County Planning and Development
  Administering Funds
  TIPRP Contact Person                 Gloria Mullons
  (person to answer questions about
  this amendment and HPRP)
  Title                                Planner

  Address Line   I                     69 W. Washington

 Address Line2                         Suite 2900

 Cify, State,Zip     Cod,e            Chicago, IL

 Telephone                            312-603-1006

 Fax                                  3tL603-9856
 Email Address                        gmullons@cookcountygov.com

 Authorized Official                  Todd H. Stroger
 (if different from Contact Person)
 Title                                President, Cook County Board of Commissioners

 Address Line   I                     Attention: Bruce Washington & Maurice S. Jones
Address Line2                         69 W. V/ashington, Floor 29

City, State,Zip Coile                 Chicago,   IL   6A602

Telephone                             3n-6A3-1073

Fax                                   3t2-603-9732

Email ^{ddress                        mrj ones@cookcountygov.com

Web Address where this Form is        www.co.cook.i[.us
Posted


Amount Grantee is Eligible fo Receive*              $4,121,046
Amount Grantee is Requesting                    s4,121,046
*Amounts are available at http://www.hud.sov/recovery/homelesspreventrecov.xls




                                                                            HUD-40119
Substantial Amendment to Cook County's Consolidated PIan 2008 Action Plan for
          the Homelessness Prevenfion and Rapid Re-Housing Program (HPRP)


   B.    Citizen Participation and Public Comment

        1.   Briefly describe how the grantee followed its citizen participation plan regarding
             this proposed substantial amendment (limit 250 words).

             Response: Notice will be made available to encourage participation from citizens of
             suburban Cook County via Cook County's website. Cook County will also post
             Notice in the Chicago Sun-Times newspaper to be published for general circulation
             throughout Cook County and the State of Illinois in said newspapers. Cook County
             will also make the Notice available for public review and comment in the following
             public libraries: Arlington Heights Public Library, Banington Area Library,
             Bellwood Public Library, Berwyn Public Library, LaGrange Public Library,
          LaGrange Park Public Library, Lemont Public Library, Matteson Public Library,
          Midlothian Public Library, Oak Park Public Library, Orland Fark Public Library,
          Park Ridge Public Library, South Holland Public Lifuary and the Winnetka Public
          Library.
                                     ,1




     2.   Provide the appropriate response regarding this substantial amendment by checking
          one of the following options:


               I   Grantee did not receive public comments.
               I   Grantee received and accepted all public comments.
               I  Grantee received public comments and did not accept one or more of the
               comments.

          Cook Counfy wiII make notations to this section, when the information
          becomes available.

    3.   Provide a swnmary of the public comments regarding this substantial amendment.
         Include a sununary of any comments or views not accepted and the reasons for
         non-acceptance.

         Response:    cook county will summarizetheinformation as it becomes
         available.




C. Distribution     and Administration- of Funds

Rerninder: The HPRP grant will be made by means of a grant agreement executed by FIUD
and the grarrtee. The three-year deadline to expend funds begins when HUD signs the grant
agreement. Grantees should ensure that sufficient plaruring is in place to begin to expend
funds shortly after gtantagreement.




                                                                                    HUD-40119
Substantial Amendment to Cook County's Consolidated Plan 2008 Action Plan for
         the Homelessness Prevention and Rapid Re-Housing Program (HPRP)


     l.    Check the process(es) that the grantee plans to use to select subgrantees. Note that a
           subgrantee is defined as the orgarlzation to which the grantee provides HPRP
           funds.

           ffi   Competitive Process
           I     Formula Allocation
           X     Other   (Specify:        Dirçct Allocarion

          See #3. below     for further explanation.

     2.   Briefly describe the process(es) indicated in question I above (limit 250 words).

          Response: Cook County intends to make grant awards to subrecipents through an
          R-FP Process. However, Cook County also reserves the right to make direct grants
          to current subrecipients of ESG, CDBG and or HOME funds, independent of and
          outside of the RFP process.

    3.    Briefly describe the process the grantee plans to use, once HUD signs the grant
          agreement, to allocate funds available to subgrantees by September 30, 2009, as
          required by the HPRP Notice (limit 250 words).

         Response: Cook County will use an RFP process for the purposes of identiffing
         and selecting subrecipients. Cook County may elect to award funds directly to one
         or more of Cook County existing subgrantees, independent of the RFP Process.
         Additionally, Cook County may utilize a portion of the HPRP funds to administer
         one or more of the eligible activities in-house. Cook County plans to have all
         subrecipient agreements executed by September 18, 2009.

    4.   Describe the grantee's plan for ensuring the effective and timely use of HPRP grant
         funds on eligible activities, as outlined in the HPRP Notice. Include a description
         of how the grantee plans to oversee and monitor the adr,ninistration and use of its
         own HPRP funds, as well as those used by its subgrantees (limit 500 words).

         Response: With the exception              of the five
                                                        percent (5%) reservation of
      administrative costs, Cook County plans to provide grants to subrecipients for the
      remaining portion of the HPRP grant funds. Notwithstanding foregoing provision,
      Cook County reserves the right to perform one or more of the eligible activities in-
      house. Cook County has traditionally funded subrecipients through its Emergency
      Shelter Grants Program and the CDBG. Cook County believes that it has an
     adequate pool of agencies and other resources within Cook County to discuss use
     of the HPRP grant funds. Cook County plans to have various meetings with
     existing and potential parhrers throughout the County, to ensure effective and
     timely use of the HPRP grturLt ñ¡nds. Cook County has also taken steps towards
     creating a centralized communications network, to help connect subrecipients and
     Program beneficiaries with HPRP grant funds. Cook County will designate both


4                                                                                 HUD-40119
Substantial Amendment to Cook Countyos Consolidated Plan 2008 Action Plan for
         the Homelessness Prevention and Rapid Re-Housing Program (HPRP)


        administrative and accounting staff to oversee and monitor the administration and
        use of its own HPRP funds. Additionally, Cook County, plans to integrate the
        HPRP into its existing process, which includes a data base management system to
        monitor Program activity and reporting.




D. Collaboration

     1. Briefly
              describe how the grantee plans to collaborate with the local agencies that
       can serve similar target populations, which received funds under the American
       Recovery and Reinvestment Act of 2009 from other Federal agencies, including the
       U.S. Departments of Education, Health and Human Services, Horneland Security,
       and Labor (limit 250 words).

         Response: Cook County will continue to work with the homelessness prevention
         community, other participating jwisdictions as well as other local agencies to
         ensure an effective use of the grant funds. Cook County has been in discussions
         with the legal community, the Continuum(s) of Care, and other grantees. Cook
         County has been strategizing with these groups for the best use of the HPRP grant
        funds. Additionally, Cook County's Department of Planning and Development has
      'been working with other intergovenmental agencies of Cook County (i.e., the
        President's Office of Employment and Training, etc.). Through these internal and
'       external collaborations, we will be able to maximize the use of the FIPRP grant
        funds and avoid duplication of services. A key issue that continues to surface
        around homelessness prevention is the need to have a centralized method of
        communication to facilitate the flow of information and serviees to Progtam
        beneficiaries. Cook Counfj' believes that a Homelessness Prevention Call Center
       will address this need. Cook County plans to utilize a portion of the HPRP firnds to
       establish a Call Center for homclessness prevention within the five regional areas
       of suburban Cook County. The Program will benefit eligible IIPRP beneficiaries.
       Call Center workers will be able to quickly ¿Nsess the needs of Program
       beneficiaries, make referrals and transfer calls to the appropriate agencies
       (governmental, non-profit, etc.). Through a centralized point of communication,
       Cook County will enable the efficient channeling of resources to Program
      beneficiaries for the prevention of homelessness. Cook County plans to have the
      Call Center operational by October 15, 2009.

 2. Briefly describe how the grantee plans to collaborate with appropriate
      Continuum(s) of Care and mainstream resources regarding HPRP activities (limit
      250 words).

     Response: Cook County has and will participate in comrnunity discussions with
     the Continuum(s) of Care and mainstream resorrces regarding HPRP activities.
     Cook County has already begun a dialog with such groups. On March 23,2009,
     members of the Cook County staff attended an initial HPRP meeting, hosted by the


                                                                             HUD-40119
Substantial Amendment to Cook County's Consolidated Plan 2008 Action PIan for
         the Homelessness Prevention and Rapid Re-Housing Program (HPRP)


           City of Chicago. The meeting, facilitated by HUD and the Corporation for
           Supportive Housing, included a discussion of the HPRP guidelines. On April 9,
           2009, members of the Cook County staff attended a subsequent HPRP meeting.
           The meeting, hosted.by the City of Berwyn, was attended by various non-profit
           groups, member of the Continuum(s) of Care, and other Entitlement community
           representatives. Cook County will build upon its existing relationships with the
           Continuum(s) of Care, and will work to link the existing homelessness prevention
           network with other communitv resources.


     3.    Briefly describe how HPRP grant funds for financial assistance and housing
           relocation/stabilizationservices will be used in amarTnet that is consistent with the
           grantee's Consolidated Plan (limit 250 words).

         Response: Cook County's Consolidated and Annual Action Plan identifies three
         key objectives:     (l)to ensure decent and affordable housing; (2) to end
         homelessness in suburban Cook County; and (3) to establish and maintain a
         suitable living environment for its citizens and expand economic opportunities.
         Cook County will utilize the FI?RP funds to expand existing services related to
        financial assistance and relocation/stabilization services. Cook County will be able
        to increase the level and types (rent, utilities, moving expenses, security deposits,
        storage fees, emergency shelter, etc.) of financial assistance to families, through
        subsidies. Additionally, Cook County will utilize the funds to provide grants to
        subrecipients in order to ensure that the necessary wraparound services are
        provided to Program beneficiaries. The additional funding will also be utilized to
        enable intensive case management, credit repair, legal assistance, mitigation,
        housing search and placement, outreach and engagement (including the creation of
        a rapid response system), as well as any other activity allowable under the HPRP.

E. Estimated Budget Summary

HUD requires the grantee to complete the following table so that participants in the cltizen
participatioR prooess may see the grantee's preliminary estimated amounts for various
HPRP activities. Enter the estimated budget amounts for each activity in the appropriate
column and row. The grantee will be required to report actual amounts in subsequent
reporting.

HPRP Estimated Budget Summary
                                      Homelessness           Rapid Re-         Total Amount
                                       Prevention             housing            Budgeted
Financial Assistancel               s800,000             $1,200,000           $2,000,000
Housing Relocation and              8854,471             s 854,471            s|,708,942
Stabilization Services2
Subtotal                            s1,654,471           s2,054,471           s3,708,942


                                                                                   HUD-40119
Substantial Amendment to Cook Count5r's Consolidated Plan 2008 Action Plan for
        the Homelessness Prevention and Rapid Re-Housing Program (HPRP)


 (add previous two rows)


 Data Collection and Evaluation3                                             $   206,052.00
 Administration (up to   5Yo   of allocation)                                $   206,052.00
 Total HPRP Amount Budgeteda                                                 $4,121,046.00

 rFinancial
           assistance includes the following activities as detailed in the HPRP Notice:
 short-term rental assisûance, medium-term rental assistance, security deposits, utility
 deposits, utility payments, moving cost assistance, and motel or hotel vouchers.

2Housing
           relocation and stabilization services include the following activities as detailed in
 the FIPRP Notice: case management, outreach, housing search and placement, legal
 Services, mediation, and credit repair.

3Data
      collection and evaluation includes costs associated with operating HUD-approved
 homeless management information systems for purposes of collecting undupticated
 counts of homeless persons andanalyzing patterns of use of HPRP funds.

aThis
        amount must match the amount entered in the cell on the table in Section A titled
"Amount Grantee is Requesting."




                                                                                 HUD-40119
Substantial A.mendment to Cook Counú¡r's Consolidated PIan 2008 Action PIan for
             the Homelessness Prevention and Rapid Re-Housing program (HPRP)


  F. .A.uthorized Sisnaúure

  By signing this applicatioÍ I ceftiry (l) to the statements conained in the list of
 certifications and Q) that the st¿tements herein are true, complete, and accurate to the best
 of
    1r knowledge. I also provide the required assurances andìgree to comply with any
 resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent
 statemenfs or claims may subject me to criminal, civil, or administrative penalties. (U.S.
 Code, Title 218, Section l00l



           fll
Sígnaf ure./,Aufhorizn.dOffictaj
                                                                         4/ 28/200q
                                                                      Date

President of Cook County Board of Conmissioners
Title




                                                                                Ht-ÏD-40119
OMB Number:4040-0004
                                                                                                                                          Expiration Date: 01/3 l/2009

     Application for Federal Assistance SF-424
                                            '                                   *
       1. Type of Submission:                   2. Type of   Application:           lf Revis¡on, select appropriate lette(s):

          Preapplication                   I     ttew
                                                                                . Other (Specify)
        Application                        n     Cont¡nuation

          Chan ged/Corrected Application
                                           !     Revision

       3. Date Rece¡ved:

                                            808 -rJN-        r_7 -   00l-
                                                                                       5b. Federal Award ldent¡f¡er:




     6. Date Received by State:                         7. State Appl¡câtion ldent¡fier:




                           Cook Count      Board of Comrnissioners
  * b. EmployerÆaxpayer
                        ldent¡ficalion Number (ElNiTlN):

     36-6006541                                                                       o07884302


 . Slreet     1:
                            69 West                     on
     Street 2:
 *
     CitY:
                            808 -UC- 17- 00r.
     County:
 *
     State:

     Province:

 'Country:                                                                  USA: UNITED STATES
. Zip / Postal Code:




                                                                                    Division Name:
Department of Planning and Development                                               Bureau of Capital, Planníng & Facilities                       Management

f. Name and contact ¡nformat¡on of person to be contacted on matters ¡nvolv¡ng th¡s appl¡cation:

                                                                * F¡rst Name:
Pref¡x:
                                                                                    I MâIrrì aê                                                                   ¡



Middle Name:          S.
. Lest Name:
                      ,Jones
Suffix:




                                                                                                FaxNumber:        f-tur,                              . ----1
                                                                                                                                "*-rr=,
                   mri ones@cookcount             .   com
OMB Number:4040-0004
                                                                             Exoirat¡on Date: 0ll31i2009

         Application for Federal Assistance SF424

         9. Type of Applicant I - Select Appticant Type:

         B-
         Type of Applicânt 2- Select Applicant Type:



     Type of Applicant 3- Select Applicânt Type:




                 rtment of             1      and Urban    De
     I   l.   Catalog of Federal Domestic Ass¡stence Number:

         L+-Za I



     Homelessness Prevention and Rapid Re-Housing program (HpRp)
 * 12. Fund¡ng Opportuntty
                           Number:


 t       ïtle:




 13. Compet¡tion ldent¡f¡cat¡on Numbe¡:



Title:




14. Areas Affected by Project (Cities, Counties, Stetes, etc.):




" 15. Descriptive Title ofApplicant.s project:

Cook County HpRp: Homelessness Prevention & Rapid - Rehousing Program as defined
under Title XII of the American Recoverv & Reinvestment Act of 2009 (Recovery
Act) .
OMB Number:4040-0004
                                                                                                                                             Exoiration Date:   01 I31l2OOg


           Application for Federal Assistance S,F424

           '16.   Congressional D¡str¡cts Of:
           *a.Applicant 1 through l-1 &           13                                                'b. Prograrn/Project 1 Èhrough L1 &           13

        Attâch an addit¡onal list of prograrn/project Congressional Distr¡cts if needed.



        17. Proposed Project:
       *a.starrDate:
                             lìñ;oot

       *
           a. Federal
       * b. Applicant

       * c.
            State
       - d. Local

   *
           e. Other

   'f.       Progrem lncome

   'g.       TOTAL
                                                         l_

   '   19. ls Appl¡cation subject to Rev¡ew By state under Execut¡ve order 12372 process?

            a. This application was made evailable to the State under the Execiltive Order 12322 process for r."u¡.*   onl------l
            b. Program is subject to E.o. 12372bu| has not been selected by the state for fev¡ew.

           c. Progrem is not covered by E-O. 12372.

  . 20. ls
           the Appt¡cant Del¡nquent on Any Federal Debt? (if          'yes", provlde explanat¡on.)


  21. *By sign¡ng th¡s appl¡cat¡on, I
                                    certrT (ll to the statements conta¡ned ¡n füe l¡st of certif¡cat¡ons- and (2) that the statements
  herein are true, complete and accurate to the best of my knowtedge, I also prov¡de the required assuiances *and agree to
  comply w¡th any resutting terms ¡f I accept an award. I am aware that any false, fict¡tious, or fraudulent statements or claims
  may subject me to cr¡m¡naf, c¡vll, or admin¡strative penalt¡es. (u.s. code, Titie 2lg, section lool)


 *' The list of cert¡ficat¡ons
                               and assurErnces, or en intemet site where you may obtain th¡s list, ¡s contained in the ennouncement or agency
 spec¡fic instruclions.




 Prefix:

 Middle Name:
                           H.
 'Last Name:               st
 Suffx:


                                 r                            rd of                          s]-oners
                                     372) 603-


                                                                                                                4/28/2009
Author¡zed for Local Reproduction                                                                                             Standard Fom 424 (Revised 1ol2o05')
                                                                                                                                    Prescribed by OMB Circular A-1 02
OMB Number:4040-0004
                                                                                                                               Expiration Date: 01i31/2009

Application for Federal Assistance             5F424                                                                                        Version 02
* Applicant Federal Debt
                         Del¡nquency Explanat¡on

The following field should contain an explanation if the Applicant organization is delinquent on any Federal Debt. Maximum number of
characters that can be entered is 4,000. Try and avo¡d extra spaces and can¡age retums to maxim¡ze the availability of space.
I{omelessness Prevention and Rapid Re-Housing Program (IIPRP)
                                                 Certifications


        The HPRP Grantee certifies that:

    .Consolidated Plan     -   It is following   a current   tlUD-approved Consolidated Plan or
    CHAS.

    Consisúency with FIan - The housing activities to be undertaken ryift IIPRP funds are
    consistent with the stategic plan.


                      -
   Coa.fideatialÍ ty, Itwill develop and implemenf procedures to ensure:
   (I)
     The confidentiality of records perfaining to any individual provided wifh assistanoe;


   ffiO*u, the address or location of,any assisted housing will not be rnade public, except to
  the extcnt that this pro,hibition contradicts a preexisting privacy policy of the grant€q

   Discharge Policy - A eertifioation tl.nt the State or jurisdiction has establishd a policy
  for tl,re discharge ofpersons from pub'licly fuuded institlrtions or systenrs of,ca¡e (such as
  health care åcilities,, fostcr car€ or other )¿ouih.facilitics,or corrcction prograrru and
  institutions) inorder to preve.nt such diseharge fro¡.n immediately resulting in
  homelessness for such per:sons.

 EnÆS- It wilt comply with IdUD's standards forparticipation in a local    Itrorneless
 Management I¡¡for¡nation Syster,n and t&e collection ærd reporting of client-level
 inforr¡ration.




                                                                             4/28/2009
Signæure/AuÉro¡izd        Otrtcial                                         Date

Pres    ident of - Gook jpUn_ty       Boa_rd     of-Comís s íoners
rirlé
GENERAL CERTTFTCATIONS FOR STATE OR LOCAL GOVERNMENT FOR TTTE
       IIOMELESSNESS PREVENTION AND RAPID RE-HOUSING PROGRAM (TIPRP)

 In accordance with the applicable statutes and the regulations goveming the consolidated plan
 regulations, the st¿te, territory, or local government certifies that:

 Affirmatively Further Fair Housing The state, territory, or local government will
                                          -
 affirmatively furttrer fair housing, which means it will conduct an analysis of impediments to fair
 housing choice within the jurisdiction or state, take appropriate actions to overcome the effects of
any irnpediments identified through that analysis, uuà mai-ntain records reflecting that analysis and
actions in this re$ard.

Drug-Free Workplace -- It wilt or will continue to provide      a drug-ftee   worþlace by:
     1. Publishing   a súatement noti$ing employees that the unlawful r,nanufacture, distribution,
          dispensing, possession, or u,se of a controlled substance is prohibited i¡r the grantee's
          worþlace and specifying fhe actions that will be taken against employees for violation of
          such prohibition;
     2.   Esf¿blishing an ongoing dnrg-fiee awareness pxograÌrr to inforrn employees about:
           (Ð    The dangers of drug abuse in the worþlace;
           (b}   The grantee's polioy of,maintaining a drug-free worþlace;
           (c)   Any available drug counseling, rehabilitatisn,and eu,rplope assistance programs;
                 and
           (d)   The penalties that may be imposed upon ernployees for drug abuse violations
                 occurring in the workplace;
 3. ìfaking it a requirenrent tha.t each employee   to be engaged in the perfonnance of the grant
       be given a copy of the statement required Uy paragrapnl;
 4- Notifring    the ernployee in úhe statement required   by -pragraph   I that,as a condition of
      enrp,loyrnent under the granf the employee will    _
          (a) Abide by the terms of úhe staternent; arld
          (b) Notit the employær in writing of his orþer conviction for a violation of a criminal
              drug stahrte ooatuiîä$ ín ttrè worlþlace nolater tñan five calendar days after strch
              conviction;
5- Notiffing     the agency in writirrg, within ten calendar days after receivi,ng notice under
      subparagraph 4(b) ftom an enrployee or otherwisu receir.ing actual nofiee of sueh
     conviction. Ernployers of,convicted employees nrustprovide notice, inolud,ing position
     titXe, to every grant offroer or other designee on whose grant activity thc convicted
     enrptroyee was working un'less the Federal agenoy has ãesigna,ted acentral point fbr the
     receipt of sueh notices. Notice shall include the identi,fication nur,nbe(s) of each affeoted
     grant;
6-   Taking one of the following aotions, within 30 calendør days ofreceiving notice under
     suöparagraph 4(bù with respect to any emproyee who is so convicted -
      (a) Taking appropriate persormel action against sueh an employee, up to and including
          termination, consistent with the requirements of the Rehabilitation Act of 1973,as
          ar-nended; or
.            (b) Requiring such ernployee to participate satisfactorily in a drug abuse assistance or
                           rehabilitation program approved for such purposes by a Federat, state, or local health,
                           law enforcement, or other appropriate ug"à"g
                7'   Making a good faiftr effo'rt to continue to rnaint¿in a dr,ug-free worþlace though
                     implementation ofparagraphs l, 2, 3,4, 5 and 6.

          Ánti-Lobbying
                             -   To the best of the state, territory, or local govenunenf's knowledge and belief:

               1. No Federal appropriated  funds have been paid or will be paid, by or on behalf of i! to any
                 person for influencing or attempting to influence
                                                                   an officèr or enrployee of any a5ency, a
                 Member of Congress, an officer or employee of Congress, or an .*ployæ of aMember of
                 Congress in connection with tAe awarCing of anyped'eral conûacÇ the rnaking of any
                 Fede¡¿l 8rant, the rnaking of any Federal     io*,
                                                                 thr entcringinto ofany cooperafive
                 agreeneenÇ and the extensior4 continuation, renewal,
                                                                       amendrnenÇ or modificøtion of,any
                 Federatr eontract, gænt, loa4 orcooperative agreer,ncnfi

           2. Ifatty  funds other than Federal appropriated, fi¡nds havc been paid or will bo paid to any
                person f,or inûuencing or attempting to influenoe
                                                                  ar officer or ernptoyee of any agency; a
               fufenúcr of Congr,ess, au officcr or ãrnptoyee of Congress, or an            of a Member of
               Congress in co¡noction with th,is Federal ðontract, grã"t, Iã-, or"*ploy".
                                                                                   cooporative agreeme,nt, it
               wifl oornplete and submít St¿adard Forr¡r-LLL, .Disclosr¡¡e Forrn to R.pn* Lobbying" in
               aeco¡dance with its inshuctions; and

          3.   It wilt require ürat the la'nguage of pa,ragrapûs I and Z ef tÌris certification be included in
               tIæ award docurnents for atrt subawards a,t àtt Cro (including subcontracß, subgr,ants', and
               contracts unde,r granß, loans, and cooperative agre€Erents) and th¿t all subrooipients shatl
               eertify and displose accordingty.

    Autåorify of Incal Governm,enÇ Sú¡te, or Terrttory The submission of the eonsolidated plan
    is autho,rized,turder state law aa'd loeel law (as applicaille]aûd
                                                                      -
                                                                        tho jurisdiction or state possossos
        tegøl auÉhori.fy úo carq¡r out tre pfag¡a¡ns under tlhe consolidat"d pfr" for which it is seeking
    the
   fundthg, in aocordar,rce with apptrioable- HUD r,egula,tions.

   Cons*steney wtúh Plan -- The hotrsing activities to be und,m¡aken with FIPRF ftrnds a¡e consisûent
  $/iÉrfu sfrategic plan.

  Sectisn 3 -- It will comply, with section 3 of the Hou*ing aurd {.Irban DeveloBment Act            of 1968,
  and implernenting regulatious at2,f CFR part 1 35.




                                                                               4   /28 1 2009
 Signatwiel Autlrorized Offi eial                                          Date


Presídent of Cook County Böard of Commissíoners
Tí,tlc
APPENDIX TO CERTIFICATIONS

 INSTRUCTIONS CONCERNING LOBBYING AND DRUG-FREE WORKPLACE REQUIREMENTS                                              :


A. Lobbying Certification

          This certification is a material representation of fact upon which reliance was placed when this transaction
          was made or entered into. Submission of this certification is a prerequisigfor making or enteringinto this
          tr¿nsacfion imposed by section L3L,tttle 31, U.S. Code. Any person whõ fails to file the required
          certification shall be subject to a civil penalty of not less ttran $t0,0OO and not more than $100,000 for each
          such failu¡e.

B. ÐruÊr-Free'Worþlace Certification

          l-        By signing and/or submitting this application or grant agreement, the grantee is providíng the
                    ce¡fification.
        2.            certification is a material representatioil of, faat upon urhieh reliance is placed when the agency
                    Thæ
                 awards the grant.   If,it is l¿ter deterrnined that the grantee knowingly rendered a false certification, or
                 otherwise violates the requirernents of the Drug-Free Worþlace Acl HUD, in addition to any oúer
                 remedies av¿ilable to the Federal Govemrnent,uray takeaction authorized under the Drug-Free
                 üorþlace Act.
        3.      W'ork?laces under grants, for grantees other than individuals, need not be identified oIl the
                certification. If knowrU they may be identified in the gr,aat applicatior,r. If the granæe does not ideartiS
                tåe workplaces at the time of apptication, or upon aw.ar{ if there is no applicatioq the grantee must
                keep the identþ of the worþlace(s) on file in its ofüoe and nrake the infor,matisn av¿ilsble for
                Federal inspection. Faih¡re to identi$ all known worþtaces constitr¡tes a violationof the gralrtee's
                drug-free woiþlace reqtriromenb.

     4.         Worþace identifications rnust include the acn¡al ad&ess of buildings (or parfs of buildings) or other
                sites where work under the grant takes pl acø. Cate1oúcal descriptions may be used (c.g., atrl veåicles
                ofa mass hansit authority or State highway departnrent while inoperatior¡ State enrployees in each
               Iocal unemploynrent of,fice, performers ia eonoert halls or radio stations).

     5.        If the worþlace identified to the agency char,rges during the perfor,mance of the grant, the gr,antee
               shall infon:n the ageney of the change(s), ifit præviousþ i¿ent¡nø the worlçlaces in questioa (see
               palagraph three).

    6-         The Grantee rna¡r insert in the space provided below the site(s) for the perforrrance of work done irl
               eonnecfion with the speei^fic grant:


    Place ofPerforrnance         (ftreet   address, city, county, s¡¿¡s,   -ip   eode)
                                 69' I'Iest Washi'ngtor'r'                 Suite         2900
                                 ChÍcago,,          Illinois          60642-
   check
               -*    if there are worþlaces on file ttrat are not identified       here

   The eertification       with regardto the drug-free workplace is required by 24 CFR pùrtlr4,subparf F.

   7.     Definitions of terrns in the Nonprocuremeat Suspension and Debarment cofrrïron rule and Drtrg-Free
          Worþlace comrnon rule apply to this eertification. Crrantees'attention is eatrled, in pártieular, to the
          folÍowing definitions frorn tÌrese n¡les:
oconholled
              substance" rReans a conholled substance in schedules I
  through V of the Controlled Substances Act (21U.S.C. BI2) andas further
  defined by regulation (2   I CFR t 308. t I rhrough I 308. I 5);
  "Conviction" means a finding of guilt (including a plea of nolo
  contendere) orimpos-ition of sentence, or both, by any judicial body
  charged with the responsibility to determine vioútions of the Federal or
  State criminal drug statutes;

 'criminal drug statute" means a Federal or non-Federal cnminal süatute
 ínvolving the manufacture, dishibution, dispensing, use, or possession of
 any contolled substance;

 "Employee" mean.ç the employee of a grantee directþ engaged in the
 perfonnance of work trnder a grant, includ,ing: (i) AII "di¡èct charge"
 employees; (iÐ aU "indirect charge" employees unless their impaet or
 involvement is insignifrcant to the perfor.mance of the grant; ao¿ (i¡Ð
templrarype.rsonnel ¡nd consultants who a¡e directly engaged in the
performanee of work under the grant alld who are oû the grantee's payroll.
This deûnition doee not include workers not on the pa¡noi,l of tåe grantee
(e.g., volunteers; eveo if used to meet a matching requirement; oonsultang
on independent conhaetors nst oa the granfeets payroll; or employees   of
subrecipiørb or subconhactors in covãred worþlaces).

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HHRP substantial amendment

  • 1. OMB Approval Number: 2506-0180 (Expiration Datei 9/3 0 /2009) Substantial Amendment to Cook Counfy's Consolidated Plan 2008 Action Plan for the Homelessness Prevention and Rapid Re-Housing Program (HPRP) Grantees eligible to receive funds under the Homelessness Prevention and Rapid Re- Housing Program (HPRP) are required to complete a substantial amendrnent to their Consolidated Plan 2008 Action Plan. This form sets forth the required format for this substantial amendment. A completed form is due to HUD within 60 days of the publication of the HUD HPRP notice. To aid grantees in meeting this submission deadline, the HPRP Notice reduces the requirement for a 30-day public comrhent period to no less than 12 calendar days for this substantial amendment. With this exception, HPRP grantees are required to follow their Consolidated Planzs cittzenparticipation process, including consultation wittr the Continuum of Care (CoC) in the appropnatejurisdiction(s). Grantees are also required to coordinate HPRP activities with the CoC's strategies for homeless prevention and ending homelessness. To maximize transparency, HUD strongly recommends that each grantee post its substantial amendment materials on the grantee's official website as the materials are developed. A complete submission contains the following three documents: 1) A signed and dated SF-424, 2) A completed form HUD-40119 (this form), and 3) Signed and dated General Consolidated Plan and HPRP certifications. For additional information regarding the HPRP program, visit the HUD Homelessness Resource Exchange (www.hudhlgj!&). This site will be regularly updated to include IIPRP resources developed by HUD and its technical assistance providers. The information collection requirements contained in this application have been submitted to the Office of, Management and Budget (OlvtB) for review under the Paperwork Reduction Act of 1995 (44 U.S.C. 3501- 3520). This agency may not collect this infor,mation, and you are not required to complete this form, unless it displays a currently valid OMB control number. Information is submitted in accordance with the regulatory øuthority contained in each progrqm rule. The i4formationwill be used to rate øpplications, determine eligibility, and estoblish grant amounts. Public reporting burden for this collection of information is estimated to be 16 hours, including the time for reviewing insfructions, searching existing data sources, gathering and maintaining the data needed, and cornpleting and reviewing the collection of information. This information is required to obtain benefits. To the extent that any information collected is of a confidential nature, there will be compliance wÍth Privacy Act requirements. However, the substantial amendment to the Consolidated Plan 2008 Action Plan does not request the submission of such information. Warning: HUD will prosecute false claims and statements. Conviction may result in criminal and/or civil penalties. (18 U.S.C. 1001, 1010, l0l2;31U.S.C. 3729,3802) HUD-40119
  • 2. Substantial Amendment to Cook County's Consolidated Plan 2008 Action Plan for the Homelessness Prevention and Rapid Re-Housing Program (HPRP) .4.. General Information Grantee Name Cook Countv Board of Commissioners Name of Entity or Department Cook County Planning and Development Administering Funds TIPRP Contact Person Gloria Mullons (person to answer questions about this amendment and HPRP) Title Planner Address Line I 69 W. Washington Address Line2 Suite 2900 Cify, State,Zip Cod,e Chicago, IL Telephone 312-603-1006 Fax 3tL603-9856 Email Address gmullons@cookcountygov.com Authorized Official Todd H. Stroger (if different from Contact Person) Title President, Cook County Board of Commissioners Address Line I Attention: Bruce Washington & Maurice S. Jones Address Line2 69 W. V/ashington, Floor 29 City, State,Zip Coile Chicago, IL 6A602 Telephone 3n-6A3-1073 Fax 3t2-603-9732 Email ^{ddress mrj ones@cookcountygov.com Web Address where this Form is www.co.cook.i[.us Posted Amount Grantee is Eligible fo Receive* $4,121,046 Amount Grantee is Requesting s4,121,046 *Amounts are available at http://www.hud.sov/recovery/homelesspreventrecov.xls HUD-40119
  • 3. Substantial Amendment to Cook County's Consolidated PIan 2008 Action Plan for the Homelessness Prevenfion and Rapid Re-Housing Program (HPRP) B. Citizen Participation and Public Comment 1. Briefly describe how the grantee followed its citizen participation plan regarding this proposed substantial amendment (limit 250 words). Response: Notice will be made available to encourage participation from citizens of suburban Cook County via Cook County's website. Cook County will also post Notice in the Chicago Sun-Times newspaper to be published for general circulation throughout Cook County and the State of Illinois in said newspapers. Cook County will also make the Notice available for public review and comment in the following public libraries: Arlington Heights Public Library, Banington Area Library, Bellwood Public Library, Berwyn Public Library, LaGrange Public Library, LaGrange Park Public Library, Lemont Public Library, Matteson Public Library, Midlothian Public Library, Oak Park Public Library, Orland Fark Public Library, Park Ridge Public Library, South Holland Public Lifuary and the Winnetka Public Library. ,1 2. Provide the appropriate response regarding this substantial amendment by checking one of the following options: I Grantee did not receive public comments. I Grantee received and accepted all public comments. I Grantee received public comments and did not accept one or more of the comments. Cook Counfy wiII make notations to this section, when the information becomes available. 3. Provide a swnmary of the public comments regarding this substantial amendment. Include a sununary of any comments or views not accepted and the reasons for non-acceptance. Response: cook county will summarizetheinformation as it becomes available. C. Distribution and Administration- of Funds Rerninder: The HPRP grant will be made by means of a grant agreement executed by FIUD and the grarrtee. The three-year deadline to expend funds begins when HUD signs the grant agreement. Grantees should ensure that sufficient plaruring is in place to begin to expend funds shortly after gtantagreement. HUD-40119
  • 4. Substantial Amendment to Cook County's Consolidated Plan 2008 Action Plan for the Homelessness Prevention and Rapid Re-Housing Program (HPRP) l. Check the process(es) that the grantee plans to use to select subgrantees. Note that a subgrantee is defined as the orgarlzation to which the grantee provides HPRP funds. ffi Competitive Process I Formula Allocation X Other (Specify: Dirçct Allocarion See #3. below for further explanation. 2. Briefly describe the process(es) indicated in question I above (limit 250 words). Response: Cook County intends to make grant awards to subrecipents through an R-FP Process. However, Cook County also reserves the right to make direct grants to current subrecipients of ESG, CDBG and or HOME funds, independent of and outside of the RFP process. 3. Briefly describe the process the grantee plans to use, once HUD signs the grant agreement, to allocate funds available to subgrantees by September 30, 2009, as required by the HPRP Notice (limit 250 words). Response: Cook County will use an RFP process for the purposes of identiffing and selecting subrecipients. Cook County may elect to award funds directly to one or more of Cook County existing subgrantees, independent of the RFP Process. Additionally, Cook County may utilize a portion of the HPRP funds to administer one or more of the eligible activities in-house. Cook County plans to have all subrecipient agreements executed by September 18, 2009. 4. Describe the grantee's plan for ensuring the effective and timely use of HPRP grant funds on eligible activities, as outlined in the HPRP Notice. Include a description of how the grantee plans to oversee and monitor the adr,ninistration and use of its own HPRP funds, as well as those used by its subgrantees (limit 500 words). Response: With the exception of the five percent (5%) reservation of administrative costs, Cook County plans to provide grants to subrecipients for the remaining portion of the HPRP grant funds. Notwithstanding foregoing provision, Cook County reserves the right to perform one or more of the eligible activities in- house. Cook County has traditionally funded subrecipients through its Emergency Shelter Grants Program and the CDBG. Cook County believes that it has an adequate pool of agencies and other resources within Cook County to discuss use of the HPRP grant funds. Cook County plans to have various meetings with existing and potential parhrers throughout the County, to ensure effective and timely use of the HPRP grturLt ñ¡nds. Cook County has also taken steps towards creating a centralized communications network, to help connect subrecipients and Program beneficiaries with HPRP grant funds. Cook County will designate both 4 HUD-40119
  • 5. Substantial Amendment to Cook Countyos Consolidated Plan 2008 Action Plan for the Homelessness Prevention and Rapid Re-Housing Program (HPRP) administrative and accounting staff to oversee and monitor the administration and use of its own HPRP funds. Additionally, Cook County, plans to integrate the HPRP into its existing process, which includes a data base management system to monitor Program activity and reporting. D. Collaboration 1. Briefly describe how the grantee plans to collaborate with the local agencies that can serve similar target populations, which received funds under the American Recovery and Reinvestment Act of 2009 from other Federal agencies, including the U.S. Departments of Education, Health and Human Services, Horneland Security, and Labor (limit 250 words). Response: Cook County will continue to work with the homelessness prevention community, other participating jwisdictions as well as other local agencies to ensure an effective use of the grant funds. Cook County has been in discussions with the legal community, the Continuum(s) of Care, and other grantees. Cook County has been strategizing with these groups for the best use of the HPRP grant funds. Additionally, Cook County's Department of Planning and Development has 'been working with other intergovenmental agencies of Cook County (i.e., the President's Office of Employment and Training, etc.). Through these internal and ' external collaborations, we will be able to maximize the use of the FIPRP grant funds and avoid duplication of services. A key issue that continues to surface around homelessness prevention is the need to have a centralized method of communication to facilitate the flow of information and serviees to Progtam beneficiaries. Cook Counfj' believes that a Homelessness Prevention Call Center will address this need. Cook County plans to utilize a portion of the HPRP firnds to establish a Call Center for homclessness prevention within the five regional areas of suburban Cook County. The Program will benefit eligible IIPRP beneficiaries. Call Center workers will be able to quickly ¿Nsess the needs of Program beneficiaries, make referrals and transfer calls to the appropriate agencies (governmental, non-profit, etc.). Through a centralized point of communication, Cook County will enable the efficient channeling of resources to Program beneficiaries for the prevention of homelessness. Cook County plans to have the Call Center operational by October 15, 2009. 2. Briefly describe how the grantee plans to collaborate with appropriate Continuum(s) of Care and mainstream resources regarding HPRP activities (limit 250 words). Response: Cook County has and will participate in comrnunity discussions with the Continuum(s) of Care and mainstream resorrces regarding HPRP activities. Cook County has already begun a dialog with such groups. On March 23,2009, members of the Cook County staff attended an initial HPRP meeting, hosted by the HUD-40119
  • 6. Substantial Amendment to Cook County's Consolidated Plan 2008 Action PIan for the Homelessness Prevention and Rapid Re-Housing Program (HPRP) City of Chicago. The meeting, facilitated by HUD and the Corporation for Supportive Housing, included a discussion of the HPRP guidelines. On April 9, 2009, members of the Cook County staff attended a subsequent HPRP meeting. The meeting, hosted.by the City of Berwyn, was attended by various non-profit groups, member of the Continuum(s) of Care, and other Entitlement community representatives. Cook County will build upon its existing relationships with the Continuum(s) of Care, and will work to link the existing homelessness prevention network with other communitv resources. 3. Briefly describe how HPRP grant funds for financial assistance and housing relocation/stabilizationservices will be used in amarTnet that is consistent with the grantee's Consolidated Plan (limit 250 words). Response: Cook County's Consolidated and Annual Action Plan identifies three key objectives: (l)to ensure decent and affordable housing; (2) to end homelessness in suburban Cook County; and (3) to establish and maintain a suitable living environment for its citizens and expand economic opportunities. Cook County will utilize the FI?RP funds to expand existing services related to financial assistance and relocation/stabilization services. Cook County will be able to increase the level and types (rent, utilities, moving expenses, security deposits, storage fees, emergency shelter, etc.) of financial assistance to families, through subsidies. Additionally, Cook County will utilize the funds to provide grants to subrecipients in order to ensure that the necessary wraparound services are provided to Program beneficiaries. The additional funding will also be utilized to enable intensive case management, credit repair, legal assistance, mitigation, housing search and placement, outreach and engagement (including the creation of a rapid response system), as well as any other activity allowable under the HPRP. E. Estimated Budget Summary HUD requires the grantee to complete the following table so that participants in the cltizen participatioR prooess may see the grantee's preliminary estimated amounts for various HPRP activities. Enter the estimated budget amounts for each activity in the appropriate column and row. The grantee will be required to report actual amounts in subsequent reporting. HPRP Estimated Budget Summary Homelessness Rapid Re- Total Amount Prevention housing Budgeted Financial Assistancel s800,000 $1,200,000 $2,000,000 Housing Relocation and 8854,471 s 854,471 s|,708,942 Stabilization Services2 Subtotal s1,654,471 s2,054,471 s3,708,942 HUD-40119
  • 7. Substantial Amendment to Cook Count5r's Consolidated Plan 2008 Action Plan for the Homelessness Prevention and Rapid Re-Housing Program (HPRP) (add previous two rows) Data Collection and Evaluation3 $ 206,052.00 Administration (up to 5Yo of allocation) $ 206,052.00 Total HPRP Amount Budgeteda $4,121,046.00 rFinancial assistance includes the following activities as detailed in the HPRP Notice: short-term rental assisûance, medium-term rental assistance, security deposits, utility deposits, utility payments, moving cost assistance, and motel or hotel vouchers. 2Housing relocation and stabilization services include the following activities as detailed in the FIPRP Notice: case management, outreach, housing search and placement, legal Services, mediation, and credit repair. 3Data collection and evaluation includes costs associated with operating HUD-approved homeless management information systems for purposes of collecting undupticated counts of homeless persons andanalyzing patterns of use of HPRP funds. aThis amount must match the amount entered in the cell on the table in Section A titled "Amount Grantee is Requesting." HUD-40119
  • 8. Substantial A.mendment to Cook Counú¡r's Consolidated PIan 2008 Action PIan for the Homelessness Prevention and Rapid Re-Housing program (HPRP) F. .A.uthorized Sisnaúure By signing this applicatioÍ I ceftiry (l) to the statements conained in the list of certifications and Q) that the st¿tements herein are true, complete, and accurate to the best of 1r knowledge. I also provide the required assurances andìgree to comply with any resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent statemenfs or claims may subject me to criminal, civil, or administrative penalties. (U.S. Code, Title 218, Section l00l fll Sígnaf ure./,Aufhorizn.dOffictaj 4/ 28/200q Date President of Cook County Board of Conmissioners Title Ht-ÏD-40119
  • 9. OMB Number:4040-0004 Expiration Date: 01/3 l/2009 Application for Federal Assistance SF-424 ' * 1. Type of Submission: 2. Type of Application: lf Revis¡on, select appropriate lette(s): Preapplication I ttew . Other (Specify) Application n Cont¡nuation Chan ged/Corrected Application ! Revision 3. Date Rece¡ved: 808 -rJN- r_7 - 00l- 5b. Federal Award ldent¡f¡er: 6. Date Received by State: 7. State Appl¡câtion ldent¡fier: Cook Count Board of Comrnissioners * b. EmployerÆaxpayer ldent¡ficalion Number (ElNiTlN): 36-6006541 o07884302 . Slreet 1: 69 West on Street 2: * CitY: 808 -UC- 17- 00r. County: * State: Province: 'Country: USA: UNITED STATES . Zip / Postal Code: Division Name: Department of Planning and Development Bureau of Capital, Planníng & Facilities Management f. Name and contact ¡nformat¡on of person to be contacted on matters ¡nvolv¡ng th¡s appl¡cation: * F¡rst Name: Pref¡x: I MâIrrì aê ¡ Middle Name: S. . Lest Name: ,Jones Suffix: FaxNumber: f-tur, . ----1 "*-rr=, mri ones@cookcount . com
  • 10. OMB Number:4040-0004 Exoirat¡on Date: 0ll31i2009 Application for Federal Assistance SF424 9. Type of Applicant I - Select Appticant Type: B- Type of Applicânt 2- Select Applicant Type: Type of Applicant 3- Select Applicânt Type: rtment of 1 and Urban De I l. Catalog of Federal Domestic Ass¡stence Number: L+-Za I Homelessness Prevention and Rapid Re-Housing program (HpRp) * 12. Fund¡ng Opportuntty Number: t ïtle: 13. Compet¡tion ldent¡f¡cat¡on Numbe¡: Title: 14. Areas Affected by Project (Cities, Counties, Stetes, etc.): " 15. Descriptive Title ofApplicant.s project: Cook County HpRp: Homelessness Prevention & Rapid - Rehousing Program as defined under Title XII of the American Recoverv & Reinvestment Act of 2009 (Recovery Act) .
  • 11. OMB Number:4040-0004 Exoiration Date: 01 I31l2OOg Application for Federal Assistance S,F424 '16. Congressional D¡str¡cts Of: *a.Applicant 1 through l-1 & 13 'b. Prograrn/Project 1 Èhrough L1 & 13 Attâch an addit¡onal list of prograrn/project Congressional Distr¡cts if needed. 17. Proposed Project: *a.starrDate: lìñ;oot * a. Federal * b. Applicant * c. State - d. Local * e. Other 'f. Progrem lncome 'g. TOTAL l_ ' 19. ls Appl¡cation subject to Rev¡ew By state under Execut¡ve order 12372 process? a. This application was made evailable to the State under the Execiltive Order 12322 process for r."u¡.* onl------l b. Program is subject to E.o. 12372bu| has not been selected by the state for fev¡ew. c. Progrem is not covered by E-O. 12372. . 20. ls the Appt¡cant Del¡nquent on Any Federal Debt? (if 'yes", provlde explanat¡on.) 21. *By sign¡ng th¡s appl¡cat¡on, I certrT (ll to the statements conta¡ned ¡n füe l¡st of certif¡cat¡ons- and (2) that the statements herein are true, complete and accurate to the best of my knowtedge, I also prov¡de the required assuiances *and agree to comply w¡th any resutting terms ¡f I accept an award. I am aware that any false, fict¡tious, or fraudulent statements or claims may subject me to cr¡m¡naf, c¡vll, or admin¡strative penalt¡es. (u.s. code, Titie 2lg, section lool) *' The list of cert¡ficat¡ons and assurErnces, or en intemet site where you may obtain th¡s list, ¡s contained in the ennouncement or agency spec¡fic instruclions. Prefix: Middle Name: H. 'Last Name: st Suffx: r rd of s]-oners 372) 603- 4/28/2009 Author¡zed for Local Reproduction Standard Fom 424 (Revised 1ol2o05') Prescribed by OMB Circular A-1 02
  • 12. OMB Number:4040-0004 Expiration Date: 01i31/2009 Application for Federal Assistance 5F424 Version 02 * Applicant Federal Debt Del¡nquency Explanat¡on The following field should contain an explanation if the Applicant organization is delinquent on any Federal Debt. Maximum number of characters that can be entered is 4,000. Try and avo¡d extra spaces and can¡age retums to maxim¡ze the availability of space.
  • 13. I{omelessness Prevention and Rapid Re-Housing Program (IIPRP) Certifications The HPRP Grantee certifies that: .Consolidated Plan - It is following a current tlUD-approved Consolidated Plan or CHAS. Consisúency with FIan - The housing activities to be undertaken ryift IIPRP funds are consistent with the stategic plan. - Coa.fideatialÍ ty, Itwill develop and implemenf procedures to ensure: (I) The confidentiality of records perfaining to any individual provided wifh assistanoe; ffiO*u, the address or location of,any assisted housing will not be rnade public, except to the extcnt that this pro,hibition contradicts a preexisting privacy policy of the grant€q Discharge Policy - A eertifioation tl.nt the State or jurisdiction has establishd a policy for tl,re discharge ofpersons from pub'licly fuuded institlrtions or systenrs of,ca¡e (such as health care åcilities,, fostcr car€ or other )¿ouih.facilitics,or corrcction prograrru and institutions) inorder to preve.nt such diseharge fro¡.n immediately resulting in homelessness for such per:sons. EnÆS- It wilt comply with IdUD's standards forparticipation in a local Itrorneless Management I¡¡for¡nation Syster,n and t&e collection ærd reporting of client-level inforr¡ration. 4/28/2009 Signæure/AuÉro¡izd Otrtcial Date Pres ident of - Gook jpUn_ty Boa_rd of-Comís s íoners rirlé
  • 14. GENERAL CERTTFTCATIONS FOR STATE OR LOCAL GOVERNMENT FOR TTTE IIOMELESSNESS PREVENTION AND RAPID RE-HOUSING PROGRAM (TIPRP) In accordance with the applicable statutes and the regulations goveming the consolidated plan regulations, the st¿te, territory, or local government certifies that: Affirmatively Further Fair Housing The state, territory, or local government will - affirmatively furttrer fair housing, which means it will conduct an analysis of impediments to fair housing choice within the jurisdiction or state, take appropriate actions to overcome the effects of any irnpediments identified through that analysis, uuà mai-ntain records reflecting that analysis and actions in this re$ard. Drug-Free Workplace -- It wilt or will continue to provide a drug-ftee worþlace by: 1. Publishing a súatement noti$ing employees that the unlawful r,nanufacture, distribution, dispensing, possession, or u,se of a controlled substance is prohibited i¡r the grantee's worþlace and specifying fhe actions that will be taken against employees for violation of such prohibition; 2. Esf¿blishing an ongoing dnrg-fiee awareness pxograÌrr to inforrn employees about: (Ð The dangers of drug abuse in the worþlace; (b} The grantee's polioy of,maintaining a drug-free worþlace; (c) Any available drug counseling, rehabilitatisn,and eu,rplope assistance programs; and (d) The penalties that may be imposed upon ernployees for drug abuse violations occurring in the workplace; 3. ìfaking it a requirenrent tha.t each employee to be engaged in the perfonnance of the grant be given a copy of the statement required Uy paragrapnl; 4- Notifring the ernployee in úhe statement required by -pragraph I that,as a condition of enrp,loyrnent under the granf the employee will _ (a) Abide by the terms of úhe staternent; arld (b) Notit the employær in writing of his orþer conviction for a violation of a criminal drug stahrte ooatuiîä$ ín ttrè worlþlace nolater tñan five calendar days after strch conviction; 5- Notiffing the agency in writirrg, within ten calendar days after receivi,ng notice under subparagraph 4(b) ftom an enrployee or otherwisu receir.ing actual nofiee of sueh conviction. Ernployers of,convicted employees nrustprovide notice, inolud,ing position titXe, to every grant offroer or other designee on whose grant activity thc convicted enrptroyee was working un'less the Federal agenoy has ãesigna,ted acentral point fbr the receipt of sueh notices. Notice shall include the identi,fication nur,nbe(s) of each affeoted grant; 6- Taking one of the following aotions, within 30 calendør days ofreceiving notice under suöparagraph 4(bù with respect to any emproyee who is so convicted - (a) Taking appropriate persormel action against sueh an employee, up to and including termination, consistent with the requirements of the Rehabilitation Act of 1973,as ar-nended; or
  • 15. . (b) Requiring such ernployee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by a Federat, state, or local health, law enforcement, or other appropriate ug"à"g 7' Making a good faiftr effo'rt to continue to rnaint¿in a dr,ug-free worþlace though implementation ofparagraphs l, 2, 3,4, 5 and 6. Ánti-Lobbying - To the best of the state, territory, or local govenunenf's knowledge and belief: 1. No Federal appropriated funds have been paid or will be paid, by or on behalf of i! to any person for influencing or attempting to influence an officèr or enrployee of any a5ency, a Member of Congress, an officer or employee of Congress, or an .*ployæ of aMember of Congress in connection with tAe awarCing of anyped'eral conûacÇ the rnaking of any Fede¡¿l 8rant, the rnaking of any Federal io*, thr entcringinto ofany cooperafive agreeneenÇ and the extensior4 continuation, renewal, amendrnenÇ or modificøtion of,any Federatr eontract, gænt, loa4 orcooperative agreer,ncnfi 2. Ifatty funds other than Federal appropriated, fi¡nds havc been paid or will bo paid to any person f,or inûuencing or attempting to influenoe ar officer or ernptoyee of any agency; a fufenúcr of Congr,ess, au officcr or ãrnptoyee of Congress, or an of a Member of Congress in co¡noction with th,is Federal ðontract, grã"t, Iã-, or"*ploy". cooporative agreeme,nt, it wifl oornplete and submít St¿adard Forr¡r-LLL, .Disclosr¡¡e Forrn to R.pn* Lobbying" in aeco¡dance with its inshuctions; and 3. It wilt require ürat the la'nguage of pa,ragrapûs I and Z ef tÌris certification be included in tIæ award docurnents for atrt subawards a,t àtt Cro (including subcontracß, subgr,ants', and contracts unde,r granß, loans, and cooperative agre€Erents) and th¿t all subrooipients shatl eertify and displose accordingty. Autåorify of Incal Governm,enÇ Sú¡te, or Terrttory The submission of the eonsolidated plan is autho,rized,turder state law aa'd loeel law (as applicaille]aûd - tho jurisdiction or state possossos tegøl auÉhori.fy úo carq¡r out tre pfag¡a¡ns under tlhe consolidat"d pfr" for which it is seeking the fundthg, in aocordar,rce with apptrioable- HUD r,egula,tions. Cons*steney wtúh Plan -- The hotrsing activities to be und,m¡aken with FIPRF ftrnds a¡e consisûent $/iÉrfu sfrategic plan. Sectisn 3 -- It will comply, with section 3 of the Hou*ing aurd {.Irban DeveloBment Act of 1968, and implernenting regulatious at2,f CFR part 1 35. 4 /28 1 2009 Signatwiel Autlrorized Offi eial Date Presídent of Cook County Böard of Commissíoners Tí,tlc
  • 16. APPENDIX TO CERTIFICATIONS INSTRUCTIONS CONCERNING LOBBYING AND DRUG-FREE WORKPLACE REQUIREMENTS : A. Lobbying Certification This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisigfor making or enteringinto this tr¿nsacfion imposed by section L3L,tttle 31, U.S. Code. Any person whõ fails to file the required certification shall be subject to a civil penalty of not less ttran $t0,0OO and not more than $100,000 for each such failu¡e. B. ÐruÊr-Free'Worþlace Certification l- By signing and/or submitting this application or grant agreement, the grantee is providíng the ce¡fification. 2. certification is a material representatioil of, faat upon urhieh reliance is placed when the agency Thæ awards the grant. If,it is l¿ter deterrnined that the grantee knowingly rendered a false certification, or otherwise violates the requirernents of the Drug-Free Worþlace Acl HUD, in addition to any oúer remedies av¿ilable to the Federal Govemrnent,uray takeaction authorized under the Drug-Free üorþlace Act. 3. W'ork?laces under grants, for grantees other than individuals, need not be identified oIl the certification. If knowrU they may be identified in the gr,aat applicatior,r. If the granæe does not ideartiS tåe workplaces at the time of apptication, or upon aw.ar{ if there is no applicatioq the grantee must keep the identþ of the worþlace(s) on file in its ofüoe and nrake the infor,matisn av¿ilsble for Federal inspection. Faih¡re to identi$ all known worþtaces constitr¡tes a violationof the gralrtee's drug-free woiþlace reqtriromenb. 4. Worþace identifications rnust include the acn¡al ad&ess of buildings (or parfs of buildings) or other sites where work under the grant takes pl acø. Cate1oúcal descriptions may be used (c.g., atrl veåicles ofa mass hansit authority or State highway departnrent while inoperatior¡ State enrployees in each Iocal unemploynrent of,fice, performers ia eonoert halls or radio stations). 5. If the worþlace identified to the agency char,rges during the perfor,mance of the grant, the gr,antee shall infon:n the ageney of the change(s), ifit præviousþ i¿ent¡nø the worlçlaces in questioa (see palagraph three). 6- The Grantee rna¡r insert in the space provided below the site(s) for the perforrrance of work done irl eonnecfion with the speei^fic grant: Place ofPerforrnance (ftreet address, city, county, s¡¿¡s, -ip eode) 69' I'Iest Washi'ngtor'r' Suite 2900 ChÍcago,, Illinois 60642- check -* if there are worþlaces on file ttrat are not identified here The eertification with regardto the drug-free workplace is required by 24 CFR pùrtlr4,subparf F. 7. Definitions of terrns in the Nonprocuremeat Suspension and Debarment cofrrïron rule and Drtrg-Free Worþlace comrnon rule apply to this eertification. Crrantees'attention is eatrled, in pártieular, to the folÍowing definitions frorn tÌrese n¡les:
  • 17. oconholled substance" rReans a conholled substance in schedules I through V of the Controlled Substances Act (21U.S.C. BI2) andas further defined by regulation (2 I CFR t 308. t I rhrough I 308. I 5); "Conviction" means a finding of guilt (including a plea of nolo contendere) orimpos-ition of sentence, or both, by any judicial body charged with the responsibility to determine vioútions of the Federal or State criminal drug statutes; 'criminal drug statute" means a Federal or non-Federal cnminal süatute ínvolving the manufacture, dishibution, dispensing, use, or possession of any contolled substance; "Employee" mean.ç the employee of a grantee directþ engaged in the perfonnance of work trnder a grant, includ,ing: (i) AII "di¡èct charge" employees; (iÐ aU "indirect charge" employees unless their impaet or involvement is insignifrcant to the perfor.mance of the grant; ao¿ (i¡Ð templrarype.rsonnel ¡nd consultants who a¡e directly engaged in the performanee of work under the grant alld who are oû the grantee's payroll. This deûnition doee not include workers not on the pa¡noi,l of tåe grantee (e.g., volunteers; eveo if used to meet a matching requirement; oonsultang on independent conhaetors nst oa the granfeets payroll; or employees of subrecipiørb or subconhactors in covãred worþlaces).