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25D - AGMT - HOUSING AIDS PRGM
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25D - AGMT - HOUSING AIDS PRGM
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Last modified
5/3/2012 3:36:14 PM
Creation date
5/3/2012 2:54:34 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Community Development
Item #
25D
Date
5/7/2012
Destruction Year
2017
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3. Administrative Subrecipient Information <br />Use Chart 3 to provide the following information for each subrecipient with a contract/agreement of $25,000 or greater that <br />assists project sponsors to carry out their administrative services but no services directly to client households. Agreements <br />include: grants, subgrants, loans, awards, cooperative agreements, and other forms of financial assistance; and contracts, <br />subcontracts, purchase orders, task orders, and delivery orders. (Organizations listed may have contracts with project sponsors) <br />These elements address requirements in the Federal Funding and Accountability and Transparency Act of 2006 (Public Law 109- <br />282). <br />Note: Please see the definitions for distinctions between project sponsor and subrecipient. <br />Note: If any information does not apply to your organization, please enter N/A. <br />Subrecipient Name Parent Company Name, ifapplicable <br />Name and Title of Contact at Subrecipient <br />Email Address <br />Business Address <br />City, State, Zip, County <br />Phone Number (with area code) Fax Number (include area code) <br />Employer Identification Number (EIN) or <br />Tax Identification Number (TIN) <br />DUN & Bradstreet Number (DUNS): <br />North American Industry Classification <br />System (NAICS) Code <br />Congressional District of Subrecipient's <br />Business Address <br />Congressional District of Primary Service <br />Area <br />City (ies) and County (ies) of Primary Service <br />Area(s) Cities Counties <br />Total HOPWA Subcontract Amount of this <br />Organization for the operating year <br />Previous editions are obsolete Page 3 form HUD-40110-D (Expiration Date: 10/31/2014) <br />25D-18
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