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Duplication of Benefits Certification for CDBG-CV funds A duplication of benefits occurs when a person, household, business, government, or other entity receives financial assistance from multiple sources for the same purpose, and the total assistance received for that purpose is more than the total need for assistance. Duplication of benefits occurs when Federal financial assistance is provided to a person or entity through a program to address losses and the person or entity has received (or would receive, by acting reasonably to obtain available assistance) financial assistance for the same costs from any other source (Including insurance), and the total amount received exceeds the total need for those costs. The CARES Act requires HUD to ensure that there are adequate procedures In place to prevent any duplication of benefits as required by section 312 of the Stafford A,ct, as amended by section 1210 of the Disaster Recovery Reform Act of 2018 (division D of Public Law 115-254; 42 U.S.C. 5121 et seq.) and all applicable Federal Register notices, including FR-6218-N-01. HUD requires each grantee to have procedures to place to prevent the duplication of benefits when it provides financial assistance with CDBG-CV funds. Grant funds may not be used to pay for a cost if another source Of financial assistance is available to pay for the same cost. This certification must be completed by any subreciplent, Individual or family, business, direct beneficiary, or other entity that receives assistance and serves to document compliance with the CARES Act requirement to ensure that there are adequate procedures In place to prevent any duplication of benefits as required by section 312 of the Stafford Act, as amended by section 1210 of the Disaster Recovery Reform Act of 2018 (division D of Public Caw 115-254; 42 U.S,C.5121 et seq.) and all applicable Federal Register notices, including FR-8218-N-01. I, David Lugo t CEO of MOMS Orange County (Name/title of business owner(s), sub grantee (Public Social Service Entity),: sub recipient, direct beneficiary, other entity) Hereby certify that: A. The Community Development Block Grant -CV Funds, awarded to: MOMS Orange County through the Coronavirus Aid, Relief and Economic Security Act (CARES Act) does not duplicate/replace any other funds, and/or any funds from the following sources: 1. The Paycheck Protection Program 2. Unemployment compensation benefits 3. Insurance claims/proceeds 4. Federal Emergency Management Agency (FEMA) funds 5. Small Business Administration funds 6. Other Federal, State or local funding 7. Other nonprofit; private sector; or charitable funding. B. Further, this executed certification serves to acknowledge that any subgrantee, subrecipient, individual or family, business, direct beneficiary, or other entity understands and agrees that the CDBG-CV funds must be repaid if It is determined that such assistance is determined to be duplicative. Signature and date of: Business owner(s), sub grantee (Public Social Service Entity), subreciplent, direct beneficiary, or other entity DHCD original Version 9.2.2020 —This form maybe subject ro change pending additional HUD guidance.