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R-39-99 Authorizing and Directing the Filing of an Application Under the 1998 Cook County Community Development Block Grant Program for Set-Aside Infrastructure Improvement FundsVILLAGE OF LEMONT RESOLUTION R -39 -99 DATE OF APPROVAL 6/14/99 A RESOLUTION AUTHORIZING AND DIRECTING THE FILING OF AN APPLICATION UNDER THE 1998 COOK COUNTY COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM FOR SET -ASIDE INFRASTRUCTURE IMPROVEMENT FUNDS BE IT RESOLVED by the President and Board of Trustees of the Village of Lemont, Cook, Will and DuPage Counties, Illinois , as follows: WHEREAS, a request is hereby made to the County of Cook, Illinois, for Community Development Block Grant (CDBG) set aside funds for Program Year 1998 in the amount of ($200,000.00) for the following project: PROJECT AMOUNT Public Utility and Roadway Improvements $200,000.00 as identified in the Village's CDBG application; and WHEREAS, the Village President is hereby authorized to sign the application and various forms contained therein, and the Village Clerk is hereby directed to attest to said signature, and the Village President is further authorized to make all required submissions and do all things necessary to make application for the funds requested above in this Resolution, a copy of which application is on file in the office of the Village Clerk; and WHEREAS, the Village President is hereby authorized to certify that matching funds which have been identified as supporting its project as set out within its application will be made available upon the approval of the projects by the County of Cook, Illinois or the prorated share thereof; and WHEREAS, this resolution shall be in full force and effect from and after its passage, approval and publication in pamphlet form in the manner as provided by law. MAY 28 '99 02:12PM ANTONOPOULCS FROM : PHONE N0. : 630 243 0958 May. 27 1999 : iPM P4 PASSED AND APPROVED BY THE PRESIDFNTAND BOARD OF TRUSTEES OF THE VILLAGE OF LEMONT. COOK. WILL AND DU PAGE COUNTIES, ILLINOIS on this 1 L' +-' day of Ju n L- 1999. John Beiik Debby Blazer Keith Latz Connie Markiewicz Rick Rimbo Mary Studebaker Attest/ CHARLENE SMOLLBN Village Clerk Approved by me this day of . 1; `9. w J KY Village Prestd HARLENE M. SMOLLEN, 'Village Clerk Prepared by: Planning Department Yllage of Lemont . 4I8 Main Street Lemont, B60439 LEMONT State of Illinois Cook, Will and DuPage Counties VILLAGE OF LEMONT TO ALL WHOM THESE PRESENTS SHALL COME, GREETINGS: This is to certify that I, Charlene Smollen, am the duly elected, qualified and acting Clerk of the Village of Lemont, Cook, Will and DuPage Counties, Illinois; that I am the keeper of the files, records, and seal of said Village; that the following is a true, perfect and correct copy of: Minutes of a Public Hearing regarding Cook County Development Block Grant Application for infrastructure improvements for Lemont Senior Housing project. as it appears from the files in my office now remaining. I further state that this certification is issued under my hand and seal of the Village of Lemont as provided for in 65 ILCS 5/1 -2 -5 and 5/1 -2 -6. In Witness Whereof, I have hereunto set my hand and caused to be affixed the Corporate Seal of the Village of Lemont, Cook, Will and DuPage Counties, Illinois, Dated at Lemont, Illinois this 14th day of June 1999 CHARLENE SMOLT FN, Village Clerk Return to: Village Clerk Village of Lemont 418 Main Street Lemont, IL 60439 -3788 MINUTES VILLAGE BOARD MEETING June 14, 1999 - 7:30 PM MINUTES of a regular public meeting of the President and Board of Trustees of the Village of Lemont, Cook, DuPage and Will Counties, Illinois, held at the Village Hall, 418 Main Street, Lemont, Illinois, in said Village at 7:30 PM on the 14th day of June, 1999. I. CALL TO ORDER. The Temporary Chairman called the meeting to order and directed the Village Clerk to call the roll. Upon roll call, the following answered present: Keith Latz, Temporary Chairman, and Trustees Benik, Blatzer, Markiewicz, Studebaker. Trustee Rimbo was absent. II. PUBLIC HEARING REQUIREMENTS. A motion was made by Trustee Markiewicz, seconded by Trustee Studebaker, to open a Public Hearing on June 14, 1999 at 9:27 p.m., regarding a Cook County Community Development Block Grant Application for infrastruture improvements for Lemont Senior Housing project. Voice vote. _5_ ayes. Motion passed. III. PURPOSE OF THE MEETING. Scott Buening, Community Development Director, explained the purpose of the Public Hearing and entered into the record a copy of the notice of the meeting that was published in the Lemont Metropolitan on May 27, 1999. Mr. Buening stated that the purpose of the Public Hearing was for the Village to receive input into the application for Cook County Community Development Block Grant funds for infrastructure improvements for the Lemont Senior Housing project in Lemont. He introduced Mr. Michael Pizzuto to explain the process. IV. CDBG PROCESS. Mr. Michael Pizzuto of the Stough Group presented an overview of the Lemont Senior Housing project and discussed the process for applying for CDBG funds under the economic development set -aside grant process. V. QUESTIONS AND DISCUSSION. Village trustees asked various questions regarding the application and the dollar amounts involved, particularly the matching fund portion of the grant. Questions were directed to Mr. Pizzuto who responded for the Stough Group. VI. ADJOURNMENT. There being no public comment, at 9:58 p.m., a motion was made by Trustee Markiewicz, seconded by Trustee Blatzer, to adjourn the Public Hearing. Voice vote: 5 ayes. Motion passed. COOK COUNTY COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM SUBGRANTEE APPLICATION FORM 1999 utive fficer °s SMature autr00n Date of Submittal John H. Stroger, Jr., President Cook County Board of Commissioners Prepared by Cook County Department of Planning and Development December, 1998 INTRODUCTION COOK COUNTY COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM PY 1999 SUBGRANTEE APPLICATION FORM TABLE OF CONTENTS Page. COOK COUNTY COMMUNITY DEVELOPMENT BLOCK GRANT STAFF NON - MUNICIPAL APPLICANT CHECKLIST MUNICIPAL APPLICANT CHECKLIST v PART 1 - GENERAL INSTRUCTIONS 1 Form A - Application Summary 2 Form B - Project Summary Form Instructions ,, , , , , , ,,,, , , , , , , 3 Project Summary Form 6 Project Completion Schedule 7 Line Item Budget Instructions 8 Line Item Budget Sheets . 9 Form C - Citizen Participation Record .... , . • . • ...... • , 0 .. 11 Form D - Assurances • 12 Form E - Fair Housing Action Plan Instructions . , .. , ... , • a a a , , 18 Fair Housing Action Plan , , , , ,,,, , , , , , 20 Form F - Homeless Continuum of Care Participation Plan . . . . • . • 21 Form G - Application Resolution Instructions , , , , , , ,, , , , , ,, , , • 231 Sample Resolution - Not- for - Profit ,, , , , ,, , ,, , , , • , 24. Sample Certification - Not- for - Profit . . ... . .. . ..... . • . 25 Sample Ratifying Resolution - Not- for - Profit . , . , , . . , 26 • • Sample Resolution - Municipal /Governmental , . , , , , , . , 27 Sample Ratifying Resolution - Municipal /Governmental . 28 PART 2 - SPECIAL INSTRUCTIONS 29 Section A - Housing and Residential Rehabilitation Related Activities . . , • 30 Section B - Economic Development Activities , . , . , , , , . . . . . . . 31 Section C - Commercial Rehabilitation , , , , , , , , , , , , , , 33 Section D - Capital Improvements 36 Section E - Real Property Acquisition 37 ATTACHMENTS 38 1 - Matching Funds 39 2 - Maintenance of Effort 40 3 - Application Form for Real Property Acquisition 41 4 - Environmental Disclosure Due Diligence Form 46 5 - Preliminary Request for Funds - Demolition Program 48 6 - Payment Request Documentation - Demolition Program 51 6a - Court Ordered Demolition Checklist 54 6b - Consent Demolition Checklist 55 6c - Checklist for Demolition of Municipally -Owned Property ............ . 56 7 - Job Creation /Retention Form Instructions 57 Job Creation /Retention Form 58 8 - Certification of Family Income and Size .... . ............... . . 59 9 - Sources and Uses of Funds Statement ........... . ...... . 60 COOK COUNTY COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM 1999 Program Year - October 1, 1999 through September 30, 2000 INTRODUCTION SUBGRANTEE APPLICATION FORM This Subgrantee Application Form is to be used in applying for funds under the Cook County Community Development Block Grant Program for the 1999 Program Year. The form is divided into two sections: Part 1 - General Instructions Part 2 - Special Instructions Part 1 contains forms and instructions required of all applicants. Part 1 also includes samples of the resolution format that is required to be submitted with the application. Part 2 contains special instructions for submitting applications for specific project types. The special instructions in Part 2 are divided into separate sections by eligible activity. Each proiect type requires a detailed narrative describing proiect related items. Please review these special instructions and prepare the required narrative. The "Handbook of Eligible Activities" must be used in conjunction with this application form in order to prepare a grant application. All applications must be received by 4:30 o.m., Friday, February 26, 1999 at: Department of Planning and Development Cook County 69 West Washington Street, Suite 2900 Chicago, Illinois 60602 -3007 _ _ COOK COUNTY CDBG STAFF Assistance in completing the Subgrantee Application Form may be obtained by contacting the appropriate staff member listed below: HOUSING AND REHABILITATION ACTIVITIES (312) 603 -1066 Single - Family Residential Rehabilitation (1 -4 Units) Fair Housing, Planning, Homeless,Housing Counseling and Non - Municipal Public Service Projects (312) 603 -1061 (312) 603 -1059 Ted Sucharski Housing Division Sheryl Caldwell Thomas E Hinchy Elizabeth Gilbert ECONOMIC DEVELOPMENT AND INFRASTRUCTURE Thomas J. Schwertman (312) 603 -1049 Grants Manager Economic Development (312) 603 -1031 Acquisition /Displacement (312) 601 -1035 Capital Improvements and Clearance Activities (312) 603 -1033 Commercial Rehabilitation (312) 603 -1032 Citizen Participation (312) 603 -1034 Financial Accounts (312) 603 -1038 (312) 603 -1043 (312) 603 -1036 Richard Mozier Vern Witkowski Alex Stein Leslie Page -Piper Timothy Kleist Larry Weathersby Verne Wire Vitto Ezeji -Okoye Environmental Reviews (312) 603 -1034 Timothy Kleist EMERGENCY SHELTER GRANTS PROGRAM AND CONTINUUM OF CARE HOMELESS ACTIVITIES (312) 603 -1061 and (312) 603 -1058 RESOLUTIONS, CERTIFICATIONS (312) 603 -1056 li Thomas E. Hinchy Letitia Close Kathryn Samuelson Staff Attorney MUNICIPAL /GOVERNMENTAL APPLICANT CHECKLIST FOR 1999 CDBG PROGRAM NOTE: Please complete this checklist prior to mailing /submitting your application. Incomplete applications cannot be reviewed. This checklist is a guide and is not all inclusive. The County only requires one copy of the application. You may include all requested projects in one bound, tabbed and indexed application package. ❑ 1. Signed and Dated Cover Sheet. - must be signed by person authorized in the resolution. ❑ 2. Application Summary (Form A). ❑ 3. Projects listed by priority. ❑ 4. Form B for each project requested: a. Project Summary b. Project Completion Schedule c. Line Item Budget Sheets ❑ 5. Map(s) of Project Location(s). ❑ 6. Project Justification and Narrative, including statement describing why the requested projects are eligible. ❑ 7. Citizen Participation Record (Form C). ❑ 8. Affidavit of Publication (10 days). ❑ 9. Assurances (Form D). ❑ 10. Fair Housing Action Plan (Form E), if applicable. ❑ 11. Certified copy of Resolution from Governing Body authorizing execution and submission of the application (Form G). ❑ 12. Complete copy of most recent audit by CPA firm, including Notes to Financial Statements. If applicable to your specific project(s): ❑ 18. Matching Funds Certification (Attachment 1). ❑ 19. Maintenance of Effort (Attachment 2). ❑ 20. Real Property Acquisition (Attachment 3). ❑ 21. Demolition Documentation (Attachments 5, 6, 6a, 6b, 6c). ❑ 22. Job Creation or Retention Documents (Attachments 7, 8, 9). v - PART 1 GENERAL INSTRUCTIONS All applicants are required to submit one set of the following Forms and documentation in a bound and indexed application packet. No steel, three -ring binders or steel binder clips, please. Acco paper fasteners, or equivalent, are suggested: FORM A Application Summary FORM B Project Summary Form, Project Completion Schedule, and Line Item Budget Sheets FORM C Citizen Participation Record FORM D Assurances FORM E Fair Housing Action Plan FORM G Certified Resolution from Governing Board Requesting CDBG Funds PROJECT AREA MAP(S) DETAILED NARRATIVES All applicants are required to submit a detailed narrative depending on the type of project being requested. See the Special Instructions in Part 2 of this Application Handbook for applicability. Applicants are required to submit the following Forms and Attachments, if applicable. See Project Summary Form Instructions and Special Instructions for applicability. ATTACHMENT 1 Matching Funds ATTACHMENT 2 Maintenance of Effort ATTACHMENT 3 Real Property Acquisition ATTACHMENT 4 (Reserved) ATTACHMENT 5 Preliminary Request for Funds - Demolition Program ATTACHMENT 6 Payment Request Documentation - Demolition Program ATTACHMENT 7 Job Creation Form ATTACHMENT 8 Certification of Family Income and Size ATTACHMENT 9 Sources and Uses of Funds Statement 1 FORM A - _ APPLICATION SUMMARY For communities with a low- and moderate - income population of Tess than 51 %, Cook County will accept no more than two (2) proiect applications, the total of which can not exceed $350.000. Communities with a city -wide concentration of low and moderate income persons exceeding 51 % may apply for up to four (4) project applications, the total of which cannot exceed $800,000. Regional residential rehabilitation agencies may apply for two (2) projects, not to exceed $1,000,000. In the space provided below, summarize the entire 1999 CDBG application by listing the following information: Project Area PY 1999 Project Project Census Tract(s) CDBG Funds Priority Type Block Group(s) Requested 1. Lemont Senior Housing 2. 3. 4. 5. 17031 8240.01 (2) $200,000.00 Total TOTAL PY 1999 Number of CDBG Funds Requested Proiects Requested # 1 $ 200,000.00 2 FORM B PROJECT SUMMARY FORM INSTRUCTIONS A separate Project Summary Form, Project Completion Schedule, Line Item Budget, and Detailed Project Narrative must be completed for each project. Applications for CDBG funds should be indexed according to the binding instructions shown on Page 1. 1. Enter the Applicant's name and address. Enter the name and telephone number of the person who will ultimately be responsible for carrying out the project. This person must be a village employee. Consultants may be used for specific tasks (i.e., engineering, architecture, legal). However, program administration and compliance are the responsibility of the Subgrantee. Please indicate the correct area code. 2. Enter the appropriate Project Title from the following list of eligible activities, along with an identifying project location (e.g., Street Construction - Maple Avenue; from Park Street to Oak Place): A. Housing and Residential Rehabilitation Related Activities: Single - Family Rehabilitation Fair Housing Activities Housing Counseling Activities B. Economic Development Infrastructure Improvements: Competitive C. Commercial Rehabilitation D. Capital Improvements /Facilities: Site Improvements Street Reconstruction Alley Reconstruction Curb and Gutter Reconstruction Streetlighting - Municipal Controlled Parking Facility Site Improvements Water Supply* - Sanitary Sewers* Flood and Storm Drainage Facilities* - Recreational Facility Architectural Barrier Removal (ADA Compliance) - Matching Grant (for CDBG eligible activity) *Funding limited to areas that are at least 51% low and moderate income. E. Demolition /Clearance F. Real Property Acquisition G. Public Services H. Planning Grants 3 PROJECT SUMMARY FORM INSTRUCTIONS (FORM B) (Continued) 3. Leave Blank 4. Leave Blank 4.a. Proiect Priority If more than one project is being applied for, note the priority of the proposed project (1 = Highest). 5. Budget Authority Enter the full dollar amount you are requesting. Round off to the nearest dollar. 6. Matching Funds Enter amount and source of matching funds which will be available during the 1998 program year to directly assist in carrying out the proposed project. Applicants claiming matching funds must submit ATTACHMENT 1 - MATCHING FUNDS for each funding source. If funded, you will be required to document use of matching funds. 7. Self- explanatory 8. Displacement If "yes" is checked - STOP - this project is not eligible. 9. Eligibility Review the introduction" and check only one eligibility item. 10. Project Area /Mao Enter the census tract(s) and block group(s) of the area for the proposed project. Enter the percentage of low /mod income households for each census tract and block group. All applicants must attach a man clearly identifying the project area. 11. Narrative 11 a. Identify the designated project area by street names or by boundary area (i.e., in an area bounded by Smith and Jones Streets, 10th and 15th Avenues). 11b. Describe the nature and scope of the proposed project and why the proposed project should be funded. 4 11c. Specify the exact work to be completed in numerical terms for each project related item. Provide a target date by which the anticipated accomplishment will be achieved. Both the quantitative measure of the accomplishment and the target date should reflect only those CDBG funds requested for the current program year (PY 1999). Do not include anticipated accomplishments which rely on funds budgeted in previous program years or on anticipated future revenues. The following are examples of anticipated accomplishments and target dates: "Substantial rehabilitation of 5 dwelling units by 9/2000 ". "Reconstruction of 1,000 linear feet of sidewalk by 10/2000 ". "Acquisition of 5 parcels of land for mini -park by 6/2000 ". 12. Complete the "Project Completion Schedule ". 13. Complete the "Line Item Budget Sheets" as instructed. 14. Leave Blank 15. Leave Blank 16. Attach required Special Instruction Sheets depending on the type of project requested (See Part 2: Special Instructions beginning on page 27). 5 FORM B - PROJECT SUMMARY 1999 Program Year - October 1, 1999 through September 30, 2000 1. SUBGRANTEE: ADDRESS: PROJECT MANAGER: 2. PROJECT TITLE: 3. PROJECT NUMBER: 5. 6. Village of Lemont 418 Main Street, Lemont, IL 60439 Scott Buening TELEPHONE: (630) 257 -1595 Lemont Senior Housing: Infrastructure Improvements 4. ACCOUNT NUMBER: BUDGET AUTHORITY: $ 200,000.00 5a. PROJECT PRIORITY: MATCHING FUNDS: $ 876,864.00 SOURCE(S): TIF; Tax Credits SUMMARY PROJECT DESCRIPTION: 7. Acquisition Required: 8. Displacement Required: 9. Eligibility: LMI: 10. Project Area /Map: [ l YES [ ] YES Area Benefit Limited Clientele Housing Activity Job Creation /Retention CENSUS TRACT(S) BLOCK GROUP(S) 17031 8240.01 2 11. Narrative: a) Designated Project Area: SEE ATTACHED NARRATIVE b) Project Description: SEE ATTACHED NARRATIVE c) Specific Anticipated Accomplishments: SEE ATTACHED NARRATIVE 12. See attached "Project Completion Schedule." 13. See attached "Line Item Budget Sheets." 14. Environmental Review Status: Slum & Blight Area [ Spot [ PERCENT LOW /MOD INCOME 100% (limited clientele) 15. AMENDMENT 6 DATE: VILLAGE OF LEMONT 1999 COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM PROJECT NARRATIVE AND JUSTIFICATION Project Area: North of Main Street, south of the I & M Canal, east of Holmes Street in Lemont, Illinois. Project Scope and Purpose: Installation of storm sewers, water mains, street, curb, gutter and sidewalks associated with construction of low and moderate - income senior citizen housing development. Project necessary to provide affordable housing for Lemont senior citizens, and to complement housing and commercial redevelopment efforts underway in the area. Specific Accomplishments Anticipated by 11/00:1 • 10,000 cubic yards topsoil stripped. • 44,000 cubic yards earth embankment /fill installed. • 750 linear feet curb and gutter removal and replacement. • 20 manholes installed. • 18 catch basins installed. • 2,810 linear feet storm sewer installed. ■ 1,000 linear feet sanitary sewer installed. • 1,850 linear feet water main installed. • 4 fire hydrants installed • 1,7200 linear feet trench backfilled. • 285 square yards bituminous removal and replacement. • 3100 square feet sidewalk removal and replacement. • 7,500 square yards base course installed. • 6,500 square yards binder course installed. • 6,500 square yards surface course installed • 3,730 linear feet curb and gutter installed. • 15,000 square feet sidewalk installed. ■ 10,000 square yards sodding installed. Eligibility /Justification: This project will assist in the provision of 43 units of low and moderate - income senior citizen housing, serving a limited clientele that is 100% eligible. This project is an eligible infrastructure improvements project. The list includes but is not limited to the items in this section. See attached engineer's estimate for complete itemization of specific anticipated accomplishments. ID rl 0 N ID 0 M 0 0 9- 0 0 0 4) 3 N .r. • O. CO 0 01 Prepared by Trkla, Pet igrew, Men & Payne 0 c FIGURE 1 PROJECT BOUNDARY DOWNTOWN LEMONT 1Ya3C INCREMENT.FINANCING PROJECT L.emont,I(linois . . Ilaummw S NIOR HOUSING ««a «« p; OJECT BOUNDARY scale 0 •`„j150' 300' north 2.' • • co a vzr rn 3 k0:6T 66/90/90 E660'ON XI /XI LEMONT SENIOR HOUSING COMMUNITY ILLINOIS AND SHCHICAN CANAL SEOPOSLD HISTORIC PATHWAY AREA PROPOSED LXTLNSION 2' NORTH SCAM rwi LAND USE DATA SITE AREA 5.30 AC.* DWELLING UNITS 43 PARKING SPACES 63** 1.4 SP. /D.U. GROSS DENSITY. 8.1 D.U./AC. • *INCLUDES 10 HANDICAP STALLS MAIN STREET ILLINOIS CENTRAL RR. 4 CROTE ST. IIIt IltJ 00 00 • z 0 0 Fr". 1 r 3 0 01 t0 10 0 01 U1 .J. N N C cf 0 I 0 0 1 0 ID 0 520,000` 628) 1 4,615,4351 107,3361 May -22 -99 01 :50P Pizzuto Home Office 5/21/99 Lemont Senior Housing 43 Units Development Budget Soft Costs: Land Costs Architectural & Engineering Fees: Architect Fees Engineering Fees Survey Fees Legal Total Architectural & Engineering Interim Costs: Construction Insurance Bridge Loan Fcc Inspection Fees Real Estate Taxes Total Interim Costs Financing Fees & Expenses Title & Recording Counsel's Fees (TIF) Total Financing Fees & Expenses Other Soft Costs: Accountant Cost Certification Appraisal Fees Environmental Studies Site and Market Study Marketing Fees Performance Bond Permits Tax Credit Fees Trust Fund Aplication Fee Total Other Soft Costs Replacement Reserves and Escrow R/E Tax and Insurance Escrow Replacement Reserve Total Financing Fees & Expenses Syndication Costs O rganizational/Partncrship Tax Opinion Total Syndication Costs Developer Fees & Overhead 6.5% Total Soft Costs including Land TOTAL DEVELOPMENT COSTS 630 662 0146 P -03 32,000 33,000 67,100 55,000 187,1001 43 12,093 744 767 1,560 1,279 4,351 f 19,000 0 4,000 18,000 41,0001 442 0 93 419 9531 15,000 12,000 349 279 27,0001 5,000 4,000 25,000 5,709 8,500 27,000 12,946 22,228 500 116 93 581 133 198 628 301 517 12 110,8831 2,579 25,000 30,000 581 698 55,000 1,279 10,000 7,000 17,0001 260,000 233 163 395 6,0471 1,217,983 28,3251 05/22/99 13:56 TX /RX NO.0921 P.003 • May -22 -99 01 :50P Pizzuto Home Office 630 662 0146 5121/99 43 Units Site Costs: Storm Drains 99,631 2,317 Concrete Service Walks 45,004) 1,047 Road Work 207,465 4,825 Site Lighting 64,500 1,500 Earthwork 8 238,494 5,546 Watcrmain 66,134 1,538 Sanitary Sewers 65,580 1,525 Utilities 8,600 200 Fencing 19,350 450 Landscaping 105,350 2,450 Irrigation 26,660 620 1 946,7641 22,018 Lemont Senior Housing Development Budget Budgeted Cost/Unit Building. Excavation Footings & Foundations Carpentry Masonry Insulation Roofing Siding & Sophit Plumbing HVAC Electrical Flooring Gutters & Downspouts Drywall Appliances Painting Finish Labor Fixtures & Supplies Other Hard Costs: Construction Profit 3% Contract Overhead 2% General Conditions 6% Total Hard Costs 55,900 1,300 210,700 4,900 731,000 17,000 193,500 4,500 29,670 690 39,689 923 43,000 1,000 198,746 4,622 148,350 3,450 144,910 3,370 56,330 1,310 17,200 400 95,030 2,210 40,420 940 44,075 1,025 20,640 480 44,849 1,043 2,114,0091 49,1631 91,817 61,215 183,646 2,135 1,424 4,271 336,6791 7,830 In-3,397,4521 79,011 05/22/99 13:56 TX /RX NO.0921 P.002 P_02 • May -22 -99 01:51P Pizzuto Home Office 630 662 0146 P_04 Lemont Senior Housing Pro Forma Sources and Uses May 21, 1999 Sources during construction: Total Per Unit 1st Mortgage HOME 1,300,000 30,233 3.0% interest 40 yr amort. 2nd LHDA Trust Fund 500,000 11,628 3.0% interest 40 yr amort. Cook County Grant 200,000 4,651 0.0% interest 40 yr term. T¢ 250,000 5,814 Syndication Equity 1,892,973 44,023 Developer Fee 260,000 6,047 Developer Equity 212,462 4,941 Total Sources 4.615.435 107336 Sources after completion: Total Per Unit 1st Mortgage HOME 1,300,000 30,233 3.0% interest 40 yr amort. 2nd 1HDA Trust Fund 500,000 11,628 3.0% interest 40 yr amort. Cook County Grant 200,000 4,651 0.0% interest 40 yr term. TIF 250,000 5,814 Syndication Equity 2,103,304 48,914 Developer Equity 262,131 6.096 Total Sources 4.615.435 107336 Tax Credit Reservation 303,507 .70 for the credits, 90% Equity during construction 05/22/99 13:56 TX /RX N0.0921 P.004 • .May -22 -99 01 :51P Pizzuto Home Office 630 662 0146 S-17 -1999 3:08PM PROM BOG INC 630 629 9809 SECT ENGINEER'S OPH 1ON OF PROBABLE COST FOR PUBLIC IMPROVEMENTS Lemont Senior living Facility prepiwed for The Stough Group prapaind by The BaisamolOison Engineering Company 17- May -99 DESCRIPTION i 1 EARTHWORK/PONDS/WALLS 2 PAVING 3 STORM SEWER 4 SANITARY SEWER 5 WATERMAIN 6 MISCELLANEOUS COST $ 570,785 $ 222,455 $ 99,630 $ 45.600 3 08.150 $ 50,000 TOTAL $ 1.054630 NOT INCLUDING: ENGINEERING FEES UTILITY COMPANY COSTS BUILDINGS exP 43+1 Page 1 of 7 05/22/99 13:56 TX /RX NO.0921 P.005 P_05 P. 2 • May -22 -99 01 :51P Pizzuto Home Office 5 -17 -1999 3.09PM FROM 80G INC 630 629 9809 SECTION 1- EARTWORK ITEM DESCRIPTION 1 TOPSOIL STRIPPING 2 EARTH EXCAVATION 3 EARTH EMBANKMENT FILL 4 S TOPSOIL PLACEMENT 6 SILT FENCE 6 STRAW BALES 7 SODDING 8 PAVEMENT REMOVAL 9 CLEARING AND GRUBBING 10 TREE REMOVAL II FILTER FABRIC 630 662 0146 UNIT QUANTITY CY 10000 CY 1173 CY 44000 CY 10000 LF 10000 EA 10 SY 10000 SY 200 LS 1 INCH DIA 180 EA 30 Page 2cf7 UNIT COST $ 2.00 3.00 $ 10.00 $ 3.00 $ 2.00 $ 2.00 $ 4.00 $ 30.00 $ 5,000.00 $ 18.00 $ 100.00 SUBTOTAL 05/22/99 13:56 TX /RX NO.0921 P.06 P. � COST $ 20,000.00 $ 3,525.00 $ 440000.00 $ 30,000.00 $ 20,000.00 $ 20.00 $ 40,000.00 $ 6,000.00 $ 5,000.00 $ 3,240.00 $ 3,000.00 $ 570,785.00 P.006 • May -22 -99 01 :51P P'zzuto Horne 0'F -rlce 5 -17 -1999 3: 091:3m FROM BOG INC 630 629 9809 SECTION 2 • PAVING 630 662 0146 P_07 P_4 ITEM DESCRIPTION UNIT QUANTITY UNIT COST COST 1 12 A-" TE SASE COURSE SY 7500 $ 8.00 $ 60,000.00 2 2" BITUMINOUS BINDER COURSE SY 6600 $ 4.00 $ 26.000.00 3 2" BITUMINOUS SURFACE COURSE SY 6500 $ 4.20 $ 27,300.00 4 BITUMINOUS PRIME COAT GAL 4000 $ 1.20 $ 4,900.00 5 B-6.12 CURS AND GUTTER LF 3730 $ 12.50 $ 46.825.00 6 5" PCC SIDEWALK SF 15000 $ 3.00 $ 45,000.00 T CURB AND GUTTER REMOVAL LF 60 $ 400 $ 240.00 8 FINE GRADE SUB BASE SY 7500 $ 1.00 5 7,500.00 9 STRIPING LS 1 $ 5.000.00 $ 5.000.00 SUBTOTAL '�. Page 3of7 05/22/99 13:56 TX /RX NO.0921 P.007 • May -22 -99 01:51P Pizzuto Home Office 5-17 -1999 3:09PM FROM BOG INC 630 629 9809 SECTION 3 - STORM SEWER ITEM DESCRIPTION 1 4' DIA MANHOLE 2 4' DIA CATCH BASIN 3 2' DIA INLET 4 2' DIA CATCH BASIN 5 SPECIAL MANHOLE 8 12" FLARED END SECTION 7 18" FLARED END SECTION 8 12" STORM SEWER 0 15" STORM SEWER 10 18" STORM SEWER 11 21" STORM SEWER 12 48" STORM SEWER 13 TRENCH BACKFILL 14 SLOPE SOX INLET WI GRATE 15 ADJUST CATCH BASIN 16 ADJUST MANHOLE TTWrri;q;;cVTTOI Page 4 of 7 630 662 0146 P_08 P. 5 QUANTITY UNIT COST COST 5 $ 1,200.00 $ 6,000.00 11 $ 1,200.00 $ 13,200.00 5 $ 800.00 $ 4,000.00 7 $ 1,000.00 $ 7,000.00 1 $ 3,000.00 $ 3,000.00 3 $ 1,000.00 $ 3,000.00 1 $ 1.400.00 $ 1,400.00 900 $ 13.00 $ 11,700.00 390 3 17.00 $ 6530.00 350 $ 21.00 $ 7,360.00 90 $ 25.00 $ 2,250.00 s0 s 80.00 $ 4.800.00 1000 $ 20.00 $ 20,000.00 2 $ 4,000.00 $ 8.000.00 3 $ 300.00 i 900.00 1 $ 400.00 3 400.00 SUBTOTAL ' $ 09,830.00 05/22/99 13:56 TX /RX NO.0921 P.008 • May -22 -99 01:52P Pizzuto Home 0-Ffice S -17 -1999 3:12PM FROM BOG INC 630 629 9809 SECTION 4 - SANITARY SEWER 630 662 0146 P_09 1A.1= ITEM DESCRIPTION UNIT QUANTITY UNIT COST COST 1 CONNECT TO EXISTING MANHOLE EA 1 $ 1.000.00 $ 1,000.00 2 4' DIA MANHOLE EA 14 $ 1,200.00 $ 16,800.00 3 8' PVC SDR 26 SEWER LF 1000 $ 17.00 $ 17,000.00 4 6" SERVICE - SHORT EA 5 $ 200.00 $ 1,000.00 6 6" SERVICE - LONG EA 6 $ 600.00 $ 4,800.00 6 TRENCH BACKFILL LF 200 $ 15.00 $ 3,000.00 7 TESTING LS 1 $ 2,000.00 $ 2,000.00 SUBTOTAL $ 45,600.00 Page5of7 05/22/99 13:56 TX /RX NO.0921 P.009 • May -22 -99 01:52P Pizzuto Horne Office 5 -17 -1999 3:10PM FROM BOG INC 630 629 9809 630 662 0146 P_11 P. 8 SECTION 6 - MISCELLANEOUS ITEM DESCRIPTION UNIT QUANTITY UNIT COST COST 1 SHOREUN T1ON IS 1 $ 4.000.00 $ 4.000.00 2 HYDROSEEDINC3 LS 1 $ i 000 0 $ t.000.00 3 RETATINING WALLS SF 3000 $ 15.00 $ 45,000.00 4 5 6 7 8 9 SUBTOTAL $ 50,000.00 Page 7 of 7 05/22/99 13:56 TX /RX NO.0921 P.011 • May -22 -99 01:52P Pizzuto Home Office 630 662 0146 6-17 -1999 3:10PM FROM BOG INC 630 629 9809 SECTION 5 - WATERMAIN P_10 P. 7 ITEM DESCRIPTION UNIT QUANTITY UNIT COST COST 1 8X10 PRESSURE CONNECTION EA 2 $ 2600.00 $ 5,600,00 2 8" VALVE IN VAULT EA 4 $ 1,500.00 $ 6,000,00 3 FIRE HYDRANT I COMPLETE EA 4 $ 1.800.00 $ 8,400.00 4 2" SHORT SERVICE EA 8 $ 500.00 $ 4,000.00 5 2" LONG SERVICE EA 2 S 900.00 $ 1,800.00 6 8" DUCTILE IRON WATERMAIN LF 1850 $ 18.00 $ 33,300 00 7 TRENCH BACKFILL IF 520 $ 15.00 $ 7,800.00 8 ADJUST VALVE EA 2 $ 400.00 $ 800.00 9 1" SHORT SERVICE EA 1 $ 450.00 i +450,00 SUBTOTAL $ 86,150.00 Page 6 of 7 05/22/99 13:56 TX /RX NO.0921 P.010 • FORM B Subgrantee: Village of Lemont Project Title: Lemont Senior Housing: Infrastructure Improvements Priority /Project No.: i PROJECT COMPLETION SCHEDULE Note: "Month 1" represents the first month after receipt of the "Notice to Proceed ". MONTH 1: MONTH 2: MONTH 3: MONTH 4: MONTH 5: MONTH 6: MONTH 7: MONTH 8: MONTH 9: MONTH 10: SCHEDULED WORK Submit Plans and Specifications to Cook County Advertise for bids Award Contracts Await favorable weather Await favorable weather Await favorable weather to commence construction to commence construction to commence construction Await favorable weather to commence construction Construction ongoing Construction ongoing Construction ongoing MONTH 11: Project Complete MONTH 12: MONTH 13: MONTH 14: MONTH 15: MONTH 16: MONTH 17: MONTH 18: Project Complete. 7 Line Item Budget Subgrantee: Village of Lemont Project Title: Lemont Senior Housing: Infrastructure Improvements Priority /Project No.: 1 CDBG MATCHING II. PROJECT ACTIVITY FUNDS FUNDS TOTAL Capital Improvement Construction $700.000 $746.764 $946.764 Single Family Rehabilitation Commercial Rehabilitation Economic Development Demolition /Clearance Acquisition /Relocation Fair Housing Activities Housing Counseling Activities Planning Grant Total Project Activity III. PROJECT DELIVERY $200,000 $ 746,764 $946,764 CDBG MATCHING FUNDS FUNDS TOTAL Staff Salaries Fringe Office Rent /Utilities Office Supplies Postage Printing Publication Notices Supplies Other: Project Travel ($0.315 per mile) Professional Services Architect Engineering $33,000 $33.000 Legal Accounting (excludes Single Audits) $ 5,000 $ 5,000 Other: Survey; Environmental 92,100 � $92,100 Total Project Delivery $ $ 130,100 $ 130,100 IV. GRAND TOTAL $ 200,000 $ 876,864 $ 1,076,864 10 FORM C CITIZEN PARTICIPATION RECORD CERTIFICATION THAT CITIZEN PARTICIPATION REQUIREMENTS HAVE BEEN MET A. Publication of Public Notices 1. Newspaper(s): Lemont Metropolitan 2. Dates: May 27, 1999 3. Attach Affidavit of Publication. B. Listing of Neighborhood Meetings 1. Location(s): Village of Lemont Village Hall 418 Main Street, Lemont, IL 60439 2. Dates: June 14, 1999 3. Method of Meeting Notification: Newspaper 4. Include minutes or notes taken and hearing certification. C. Listing of Municipality -Wide Meeting(s) 1. Location(s): Village Hall 418 Main Street, Lemont, IL 60439 2. Dates: June 14, 1999 3. Method of Meeting Notification: Newspaper 4. Include minutes or notes taken and hearing certification. D. Listing of Groups advised of Meetings during CDBG Application Process: N/A E. Performance Hearing (Not applicable for first time applicants) 1. Location(s): N/A 2. Dates: 3. Method of Meeting Notification: 4. Include minutes or notes taken and hearing certification or indicate date this was previously mailed to the County: F. Attach one copy of the Subgrantee's Citizen Participation Plan. 11 • -Press Publications Legai -Department:-: 112 S. York,Rd. Elmhurst, IL 60126 (630) 834-0900 27 Newspapers Serving Chicago's Western Suburbs 2571550 Village of Lemont 418 Main St. Lemont Date Description 05-27-99 IL 60439 Legal Notice 2265 CDBG Funds Lemont Metropolitan May 27, 1999 Total Please Remit Attn: Legal Department. Please return 2nd copy with remittance. Amount $88.00 $88.00 V-1 MI /999 ,rothy Bratko, agent of Press Publications Inc., HEREBY CERTIFIES that she .s the Classified Advertising manager of the Lemont Metropolitan, - That Said Lemont Metropolitan is a secular newspaper and has been published weekly in the Village of Lemont County of Cook, Will and County of DuPage and State of Illinois, continuously for more than one year prior to, on and since the date of the first publication of the notice hereinafter referred to and is of general circulation throughout the county and the State. That said manager hereby certifies that the paper is a newspaper as defined in Section 5 of Chapter 100 of the Illinois Revised Statutes (1961). That a notice, of which the annexed printed slip is a true copy was published one times in said Lemont Metropolitan namely, once each week for one successive weeks and that the first publication of said notice as aforesaid was made in said newspaper, dated and published on the 27th day of May A.D. 1999 and the last publication thereof was made in said newspaper, dated and published on the 27th day of May A.D. 1999 IN WITNESS WHEREOF, the undersigned has caused this certificate to be signed this 27th day of May A.D. 1999 Dorothy Bratko, Classified Advertising Manager of Press Publications 'OFFICIAL SEAL" LINDA M. SIEBOLDS NOTARY PUBLIC, STATE OF ILLINOIS My Commission Expires 3 -18 -02 -1","r-44141115141- Publication Fee $88.00 Reference Number #2265 NOTICKAW- JUWEDEAREN _ . . VILLA OF Lilt( ,. r�..,� -OMMUlNITY DEVELOPMENT, BLOCK GIANT PROGRAM The Village of Lemont will hold a public hearing on Monday, June 14, 1999 at 7:30 p.m. in the Board Room of the. Village of Lemont, 418 Main Street, Lemont, Illinois. The purpose of the meeting is to present the Village of Lemont's- application for set aside: Community Development Block Grant funds for the construction of public utility and street improvemenitsrt along Talcott Avenue from Holmes Street to a ( pon- approximately 960 feet east of Holmes Street By the Order of Charlene M. Smollen Village Clerk May 27, 1999 Lemont Metropolitan 2265 djs VILLAGE OF LEMONT COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM Economic Development Set -Aside 1999 APPLICATION CITIZEN PARTICIPATION PLAN Pursuant to Section 508 of the Title I Housing and Community Development Act of 1974 (as amended in 1990) the Village of Lemont must have a written Citizen Participation Plan which provides a framework for public participation. The Village of Lemont's Citizen Participation process of the CDBG program is as follows: 1. The Village held a public hearing on June 14, 1999 in order to present the CDBG Application. Lemont Metropolitan 2. The meeting was announced on 5/27 , 1999 in the Newspaper, which is a publication of local circulation. 3. Citizens were welcome to make comments or suggestions any time prior to submission of the Application. 4. The Village has allowed for technical assistance to representatives of low and moderate - income persons, and for other eligible applicants. 5. The Village Board at the June 14, 1999 regular meeting of the Lemont Village Board approved a resolution approving the Application. 6. A copy of the Application will remain on file in the Village Clerk's office for review and comment throughout the program year. FORM D ASSURANCES The Applicant hereby assures and certifies that it will comply with the regulations, policies, guidelines and requirements with respect to the acceptance and use of Federal funds for this federally- assisted program. Further, the Applicant gives assurances and certifies with respect to the grant that: A. It possesses legal authority to make a grant submission and to execute a community development and housing program. B. Prior to submission of its application to Cook County, the Applicant is following a detailed citizen participation plan which meets citizen participation requirements under 24 CFR Section 91.105, prepared its final statement of Community Development and projected use of funds, and made the application available to the public, as required by 24 CFR Section 91.105. C. It is following a detailed citizen participation plan which: 1. Provides for and encourages citizen participation, with particular emphasis on participation by persons of low and moderate income who are residents of slum and blighted areas, and of areas in which funds are proposed to be used, and provides for participation of residents in low and moderate income neighborhoods as defined by the local jurisdiction; 2. Provides citizens with reasonable and timely access to local meetings, information, and records relating to the Applicant's proposed use of funds, as required by the regulations of the Secretary of HUD, and relating to the actual use of funds under the Housing and Community Development Act of 1974, as amended; 3. Provides for technical assistance to groups representative of persons of low and moderate income that request such assistance in developing proposals with the level and type of assistance to be determined by the Applicant; 4. Provides for public hearings to obtain citizen views and to respond to proposals and questions at all stages of the community development program, including at least the development of needs, the review of proposed activities, and review of program performance, which hearings shall be held after adequate notice, at times and locations convenient to potential or actual beneficiaries, and with accommodation for the disabled; 5. Provides for a timely written answer to written complaints and grievances, within 15 working days where practicable; 12 6. Identifies how the needs of non - English speaking residents will be met in the case of public hearings where a significant number of non - English speaking residents can be reasonably expected to participate. D. It has developed a community development plan, for the period specified by Cook County, that identifies community development and housing needs and specifies both short- and Tong -term community development objectives that have been developed in accordance with the primary objectives and requirements of the Housing and Community Development Act of 1974, as amended. 1. It is following a current Consolidated Community Development Plan (CP) which has been prepared by the County of Cook and which has been approved by HUD pursuant to 24 CFR Part 91, and which meets the requirements of Section 104(c)(1) of the Housing and Community Development Act of 1974, as amended, and that any housing activities to be assisted with CDBG funds will be consistent with the Consolidated Plan. 2. It has developed its application so as to give maximum feasible priority to activities which benefit low- and moderate - income families, or aid in the elimination of slums or blight. 3. It is following a current Consolidated Plan strategy which has been prepared and approved by HUD in accordance with Section 105 of the Cranston National Affordable Housing Act. E. It has developed its program so as to give maximum feasible priority to activities which benefit low- and moderate - income persons, or to aid in the elimination of slum or blight. F. It will minimize displacement of persons as a result of activities assisted with federal funds for this federally- assisted program. G. It will not attempt to recover any capital costs of public improvements assisted in whole or part under Section 106 or with amounts resulting from a guarantee under Section 108 of the Housing and Community Development Act of 1974, as amended, by assessing any amount against properties owned and occupied by persons of low and moderate income, including any fee charged or assessment made as a condition of obtaining access to such public improvements unless (1) funds received under Section 106 are used to pay the proportion of such fee or assessment that relates to the capital cost of such public improvements that are financed from revenue sources other than under Title I of the Act; or (2) for purposes of assessing any amount against properties owned and occupied by persons of moderate income, the Applicant certifies to the County that it lacks sufficient funds received under Section 106 to comply with the requirements of subparagraph (1). 13 H. Its chief executive officer, chief elected official, or other officer of the Applicant approved by Cook County: 1. Agrees that County of Cook shall assume the status of a responsible Federal official under the National Environmental Policy Act of 1969 and other authorities as specified in 24 CFR 58.5; and 2. Is authorized and consents on behalf of the Applicant and himself /herself to accept the jurisdiction of the Federal courts for the purpose of enforcement of his /her responsibility of such an official. i. The grant will be conducted and administered in compliance with the following requirements: 1. The Applicant in its municipal operations and in the administration of this Agreement will affirmatively further fair housing. 2. i. Title VI of the Civil Rights Act of 1964 (42 U.S.C. Section 2000d et seq.) and implementing regulations issued at 24 CFR Part 1; and ii. The Fair Housing Act (18 U.S.C. Section 3601, et seq.); 3. Title VIII of the Civil Rights Act of 1968 (Pub. L. 90 -284), as amended; 4. Section 109 of the Housing and Community Development Act of 1974, as amended; and the regulations issued pursuant thereto, as amended; 5. Section 3 of the Housing and Urban Development Act of 1968, as amended; 6. Executive Order 11246, as amended by Executive Order 11375 and 12086, and implementing regulations issues at 41 CFR Chapter 60, as amended; 7. Executive Order 11063, as amended by Executive Order 12259, and implementing regulations at 24 CFR Part 107, as amended; 8. Section 504 of the Rehabilitation Act of 1973 (Pub. L. 93-112), as amended, and implementing regulations issued at 24 CFR Part 8, as amended; 9. The Age Discrimination Act of 1975 (Pub. L. 94 -135), as amended, and implementing regulations when published for effect; 10. It will comply with the acquisition and relocation requirements of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, as amended, as required under Section 570.606(b) and Federal implementing regulations at 49 CFR 24; the requirements in Section 570.606(c) governing the residential antidisplacement and relocation assistance plan under section 14 -104(d) of the Act (including a certification that the Applicant is following such a plan); the relocation requirements of Section 570.606(c) governing displacement subject to section 104(k) of the Act; and the relocation requirements of Section 570.606(d) governing optional relocation assistance under section 105(a)(11) of the Act; 11. The labor standards requirements as set forth in 24 CFR Section 570.603, Subpart K and HUD regulations issued to implement such requirements, as amended; including but not limited to Davis -Bacon (40 USC 27A - 276A -5), as amended, and the Contract Work Hours and Safety Standards Act, as amended, (40 USC 327 et. seq.); 12. Executive Order 11988 relating to the evaluation of flood hazards and Executive Order 11288 relating to the prevention, control, and abatement of water pollution; 13. The National Flood Insurance Program (Section 201 (d), 42 USC 4105 (d), and the flood insurance purchase requirements of Section 102(a) of the Flood Disaster Protection Act of 1973 (Pub. L. 93 -234, 42 USC 4012a); and 14. The regulations, policies, guidelines and requirements of 24 CFR Parts 570, 84 and 85 and OMB Circulars A -87, A -122, A -128, and A -133, as applicable, as they relate to the acceptance and use of Federal funds under this federally- assisted program, and as amended from time to time. 15. The Americans with Disabilities Act, as amended from time to time (42 USC Section 12101,et. sea.) J No member, officer or employee of the Applicant, or its designees or agents, no member of the governing body of the Applicant, and no other official of such Applicant who exercises any functions or responsibilities with respect to the program during his /her tenure or for one year thereafter shall have any interest, direct or indirect, in any contract or subcontract, or the process thereof, for work to be performed in connection with the program assisted under the Grant, and that it shall incorporate, or cause to be incorporated, in all such contracts or subcontracts a provision prohibiting such interest pursuant to the purposes of this certification. The Applicant and its officers, agents, and employees will comply with 24 CFR Sections 85.36 and 570.611, as applicable. K. No funds under this Agreement will be used for, or in aid, of any personal political purpose, and it will comply with the provision of the Hatch Act which limits the political activity of employees. L. It will give HUD, the Comptroller General, and the County, or any authorized representatives of each of them, access to and the right to examine all records, books, papers, or documents related to the grant. 15 M. It will comply with the lead based paint requirements of 24 CFR Part 35 issued pursuant to the Lead -based Paint Poisoning Prevention Act (42 U.S.C. 4821- 4846); and, that its notification, inspection, testing and abatement procedures concerning lead -based paint will comply with 24 CFR Section 570.608. N. If a facility is developed as a result of the assisted activities, no unreasonable fee, may be charged, for use of such facility, and such fee, if charged, must not have the effect of precluding use by low and moderate income persons. 0. No CDBG funds will be used to employ, award contracts to, or otherwise engage the services of, or fund any contract or subcontractor of recipient during any period of debarment, suspension or placement on ineligibility status under the provisions of 24 CFR Part 24 or 24 CFR Sections 85.35 or 570.609, as applicable, and Executive Order 11246, as amended by Executive Order 12086, P. It will provide a copy of its audit to the County as a "Major" recipient under The Single Audit Act of 1984, regardless of the amount of block grant funds received in any one fiscal year. Q. i. In accordance with Section 519 of Public Law 101 -144, (the 1990 HUD Appropriations Act), the Applicant, if a municipality certifies that it has adopted and is enforcing a policy prohibiting the use of excessive force by its police department against any individuals engaged in nonviolent civil rights demonstrations; ii. The Applicant, if a municipality, certifies that it has a policy of enforcing applicable state and local laws against physically barring entrance to or exit from a facility or location which is the subject of such nonviolent civil rights demonstrations within its jurisdictions; R. The Applicant certifies to the best of its knowledge and belief, that: (1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the Applicant, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement; (2) If any funds other than Federal appropriated funds have been paid or will be aid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with a Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form -LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions; 16 (3) The Applicant shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly; This certification is a material representation of fact upon which reliance was placed when this application was made and considered. Submission of this certification is a prerequisite for making or entering into a transaction pursuant to this application as imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure; S. The Applicant understands that, if it receives a grant, it will be required to comply with both the Federal Drug Free Workplace Act, if applicable, and the Illinois Drug Free Workplace Act. T. The signature of the Chief Executive Officer, Chief Elected Official or designated representative of the Applicant on the Application to which this Form D is attached is a certification of the above assurances. 17 FORM E FAIR HOUSING ACTION PLAN INSTRUCTIONS A. Section 104(b)(2) of the Housing and Community Development Act of 1974, as amended, prohibits the U.S. Department of Housing and Urban Development (HUD) from making a Community Development Block Grant unless the Grantee certifies to the satisfaction of HUD that the grant will be conducted and administered in conformity with the Civil Rights Act of 1968 (P.L. 90 -284). The 1968 Civil Rights Act requires that HUD administer all housing and community development programs in such a manner so as to affirmatively further fair housing. B. On the basis of these two provisions of law, HUD requires that Cook County must certify that it will comply with Title VIII of the Civil Rights Act of 1968, administering all programs and activities relating to housing and community development in a manner that affirmatively furthers fair housing. C. In order to fulfill this certification, Cook County, and each applicant for Community Development Grant funds must take actions each year to affirmatively further fair housing. Examples of actions available to Subgrantees to fulfill this certification include, but are not limited to, the followings 1. The enactment of a fair housing ordinance as an affirmative statement to address fair housing violations. The Northeastern Illinois Planning Commission (NIPC) has developed a model fair housing ordinance for guidance; 2. The creation of a human rights commission. NIPC has also developed a guide for establishing a human relations /rights commission. Applicants may also contact Cook County's Human Rights Commission for assistance; 3. The identification of local barriers to fair housing choices. These barriers are actions, omissions, or decisions which have the effect of restricting available housing choice because of race, color, religion, gender, disability, familial status or national origin. 4. Outreach and counseling services to those racial groups underrepresented within the jurisdiction, through advertising in minority media and contact with minority civil rights, community and religious groups; 5. The provision of education programs on fair housing and human relations for local real estate professionals, religious, civic and community leaders, government employees and others; 6. Support and assistance to fair housing groups; 7. Organizing business, religious, civic, community, and political leaders to support and act to further fair housing; and 18 8. Providing financial, legislative and other support to enable the provision of affordable and low- income housing within the jurisdiction; 9. The use of HUD affirmative marketing plans; 10. The solicitation of banks and financial institutions for the development of voluntary affirmative lending plans; 11. The encouragement of local builders, during the permit process, to provide voluntary affirmative home marketing plans; and 12. The provision of local compliance and monitoring processes. D. Each municipal Subgrantee's application submitted to Cook County must contain a completed Fair Housing Action Plan Form setting out its Fair Housing Action Plan (FHAP), describing the actions that will be taken by the Subgrantee to affirmatively further fair housing. Any intergovernmental agency funded by Cook County must submit an Action Plan from each of its participating municipalities, outlining specific actions to be taken by each community. This Plan should include, but is not limited to, one or more of the actions above. Each Subgrantee's Fair Housing Action Plan must be included as Dart of the CDBG application. Cook County will review these Plans for acceptability before a subgrantee's application for funds is approved. A FHAP is required from the municipality in which the project site is located, and must be certified by the governing body of that municipality before submission to Cook County. At a minimum the FHAP must have identifiable steps and actions set out in a timetable and for which the applicant will be responsible during the CDBG Program Year. FHAP performance will be reviewed by Cook County at the completion of the Program Year with the submission of the Subgrantee Performance Report and monitored throughout the year. If the Subgrantee has recently passed a Fair Housing Ordinance, a certified copy must be submitted with the application. If the Ordinance has been amended since the last CDBG application, a certified copy of the amended ordinance must accompany the application. Subgrantees who require technical assistance to complete the FHAP can contact the Cook County Commission on Human Rights at (312) 603 -1100, Jennifer Vidis, Executive Director. E. All fair housing ordinances need to be updated to include "handicap" and "familial status" on the list of impermissible bases for housing discrimination regarding Fair Housing Amendments Act of 1988 ( "FHAA ") 42 USCA Section 3601 et. seq. PLEASE NOTE: The definition of "handicap" includes persons who have tested HIV - positive. It also includes people suffering from impairments as a result of prior use or addiction to an illegal controlled substance. (Unlike the ADA, the FHAP does not exempt religious organizations from its accessibility requirements). 19 FORM E FAIR HOUSING ACTION PLAN (PROGRAM YEAR 1999) SUBGRANTEE: Village of Lemont In order to fulfill our obligation as a Cook County CDBG Subgrantee and certify our efforts to affirmatively further fair housing, this applicant is currently or will undertake the following actions: SEE ATTACHMENT (PP. 21 -22) 6 -L4 -99 Date 20 FAIR HOUSING ACHIEVEMENTS (PROGRAM YEAR 1999) SUBGRANTEE: VILLAGE OF LEMONT The Village of Lemont continues to uphold its Fair Housing Ordinance. which was updated late in 1993 to include provisions recommended by the Northeastern Illinois Planning Commission to protect the housing rights of the mentally handicapped and families with children. During the last program year, the Village advertised and promoted the Fair Housing Ordinance. The Village promoted the Fair Housing Ordinance in the Village Newsletter and also advertised on Mediaone Cable the Fair Housing Ordinance on Channel 6, the local access cable channel for Lemont Township. The Village has increased code enforcement activities significantly since 1994, when first undertaken by the municipality. Through these efforts, the Village has been able to identify several eligible participants for rehab assistance. The code compliance efforts required no structures to be permanently evacuated during 1998 due to substandard living conditions and code violations. The Village continues to work closely with Lemont Township and local church Rroups to find alternative housing for residents when required. The Village has been working with residents in obtaining CDBG assistance through Financial Community Development Corporation to rehab the deficient structures to a habitable condition, thus retaining affordable housing in the community. During the previous program year. the Village headed a new committee to study local housing situations with low to moderate income households. The group in the future may also review problems relating to upholdingthe Fair Housing Ordinance. •ossibl evolvin! into a Human Ri hts Commission. This f. rou. consists of several Village Departments, including Community Development, Building, Public Works and Police, the Lemont Fire Protection District, the Emergency Services and Disaster Agency. the Lemont Park District, Lemont Township, and the local church council. The initial goal of this group would be to respond to situations where low and moderate income households are displaced either by Acts of God or by involuntary displacement due to unsafe housing conditions. This group would respond to such actions by finding alternative housing, financial assistance and providing other aid as necessary. Currently there is no official plan for these organizations to act for low and moderate income housing situations. The ultimate goal is to have an integrated crisis response team in place for such situations. 21 Another goal of this commission could be to review situations where the Fair Housing Ordinance is violated or is not being upheld. Issues that may be reviewed by this commission could include: 1) reviewing possible restrictions or barriers to fair housing in the Village. 2) researching why few minorities live in the Village. and 3) respond to any complaints of violations of the Fair Housing Ordinance. The Village has been actively involved in attending the SHIM group meetings since the organization's creation. This group. as well as the PLOWS group. actively supports fair and affordable housing for seniors of low and moderate income. During 1998. the Village approved final plat approvals for a new. 43 unit senior housing development in the downtown area. This development would provide for lower than market rents and would be restricted to senior citizens and their spouses only. Construction will begin in spring of 1999. 22 ATTACHMENTS 38 ATTACHMENT 1 MATCHING FUNDS Matching funds are defined as any local, County, State, Federal (other than CDBG), or private funds used in conjunction with CDBG funds to implement or construct a proposed project. Please note that in Form D - Assurances, paragraph (I), the use of special assessments against orooertv owned and occupied by low and moderate income persons is prohibited. A separate Attachment 1 must be filled out to document matching funds entered on each Form B - Project Summary. NOTE: Matching funds must be used prior to CDBG funds for capital improvement projects. In the event that the proposed project is funded at a lesser amount than requested, the matching funds will be reduced in the same proportion. For example, if you request $100,000 with a $30,000 (30 %) match, and actually receive $50,000 in block grant funds, your required match will be $15,000 (30% x $50,000). NOTE: Subgrantees are urged to use additional matching funds whenever possible. 1. Project Type: Lemont Senior Housing 2. Project Priority: 1 3. Amount of Matching Funds to Assist Project: $ 400,000 $ 476,864 4. Source(s) of Matching Funds to Assist Project: (a) 5. Timetable of Availability of Matching Funds: 8/1/99 - 1 /1 /01 TIF (b) Tax Credits 6. Designated Use of Matching Funds: Curbs, gutters, sidewalks, roadway construction; street lighting; water main: storm sewer The Chief Executive Officer of the applicant certi ies the availability of the Bove matching funds by signing in the designated area bel. unic°paI /y gen y seal is the required. ATTEST: 6 - 'q f9 Date 39 Village of Lei6ont Municipality /Agency Date ATTACHMENT 2 MAINTENANCE OF EFFORT AFTER PROJECT COMPLETION CDBG funds cannot be used for on -going maintenance, building operations and staffing requirements associated with projects constructed or rehabilitated with the assistance of CDBG funds. Please provide the following information concerning these costs: 1. AMOUNT OF ANNUAL FUNDS REQUIRED FOR MAINTENANCE OF EFFORT: $ 3,500 2. SOURCE OF FUNDS: Developer operating reserve 3. DESIGNATED USE OF FUNDS (i.e. utilities, staff, equipment, maintenance): Plowing; shovelling; crack fill 40