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AGENDA PACKET_2021-11-02
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AGENDA PACKET_2021-11-02
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City Clerk
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EXHIBIT 2 <br />56 <br />AppendixK <br />SecondRoundCY2020HAPSet-AsideRemaining$60MillionforCategory2aUnforeseen <br />Circumstances <br />AdjustmentsforIncreasedCostsfromCY2020Category2a-UnforeseenCircumstances <br />NameofPHA: <br />PHANumber: <br />ExecutiveDirector: <br />CHECKALLBOXESTHATAPPLY <br />Category2a:UnforeseenCircumstances <br />UnforeseenCircumstanceis duetoCOVID-19. <br />Unforeseen Circumstance is due to a circumstance unrelated to COVID-19, which is described within the <br />attachednarrative. <br />Documentation requirements and Deadlines for each of the above categories are contained in Section 14 <br />ofthis notice. <br />ThiscertificationmustbesignedbytheappropriatePHAofficialand returned. <br />Certification:I,, hereby certify that the HCV Program experienced increased renewal costs <br />in CY 2020 due to the unforeseen circumstances of COVID-19 or those described in the attached narrative, as <br />applicable. <br />Iadditionallyherebycertifythatalltheinformationstatedherein,aswellasanyinformationprovidedinthe <br />accompaniment herewith, is true and accurate. Warning: Anyone who knowingly submits a false claim or <br />makesafalsestatementissubjecttocriminaland/orcivilpenalties,includingconfinementforupto5years, <br />fines,andcivilandadministrativepenalties(18U.S.C.§§287,1001,1010,1012;31U.S.C.§3729,3802). <br />Signature of Executive Director and Date <br />Contact Nameand PhoneNumber <br /> <br />
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