HomeMy WebLinkAboutBOB BURNINSURANCE NOT REQUIRCD
„N(`4 v 6 j% WCLEP OV PROCEED
,.rr F COUNCI!_
SANTA ANA CARES FOR LANDLORDS
RENTAL ASSISTANCE GRANT AGREEMENT
A-2020-158-38
�• C Ufl(�1(C �Cn�d � c� S►n a,w ��4
This Rental Assistance Grant Agreement ("Agreement") is hereby made and entered into this
9th day of November, 2020, by and between the City of Santa Ana, a charter city and municipal
corporation organized and existing under the Constitution and laws of the State of California
("City"), and Bob Burn, Owner ("Landlord" or "Property Owner").
RECITALS:
A. On March 27, 2020, a special allocation of funds was authorized by the Coronavirus Aid,
Relief, and Economic Security Act ("CARES Act"), Public Law 116-136, Section 601(a) of
the Social Security Act, to prevent, prepare for, and respond to the coronavirus ("COVID-
19") pandemic.
B. On August 4, 2020, the Santa Ana City Council authorized the City Manager to utilize
CARES Act funding for various programs in response to the COVID-19 pandemic, including
the Santa Ana CARES for Landlords Rental Assistance Program, which is aimed at assisting
tenants within the City of Santa Ana that have been affected by COVID-19 and need
assistance in surviving and recovering through this pandemic.
C. The CARES for Landlords Rental Assistance Program was established as an emergency
response to the COVID-19 pandemic to disburse funds to Landlords throughout the City of
Santa Ana to provide financial assistance on behalf of their tenants who have been unable to
pay their rent as a result of the COVID-19 pandemic (said "Program").
D. Said Program has been structured in such a manner as will ensure that such assistance is
determined to be necessary in response to the COVID-19 public health emergency and
otherwise satisfies the requirements of the CARES Act and other applicable law.
E. Said Program will provide Landlord with financial assistance to cover past due monthly rent
since April 1, 2020, for tenants who have been impacted by COVID-19, provided that the
Landlord agrees to certain restrictions detailed herein.
WHEREFORE, it is agreed by and between the parties that the foregoing Recitals are a
substantive part of this Agreement and the following terms and conditions are approved and together
with all exhibits hereto, shall constitute the entire Agreement between the City and Landlord:
I. PROGRAM PROVISIONS
A. Landlord. Landlord is the owner of residential rental property in the City of Santa
Ana commonly referred to as: Santa Ana Condo Rental and located at: 1032 N. Cabrillo Park
Dr. , Unit B, Santa Ana, Ca, 92701("Property").
B. Impacted Tenants. Tenants residing at the Property who have lost jobs, had their work
hours reduced, or have experienced a loss of income due to the economic or health impacts of
COVID-19, and as a result have been unable to maintain their rent payments under their lease
agreements, and meet all requirements detailed in this Agreement ("Impacted Tenants'), are eligible
for rent assistance pursuant to said Program, as detailed on the Impacted Tenants List attached hereto
as Exhibit A and incorporated herein by reference.
C. Grant Funds. Pursuant to this Agreement, the City will pay Landlord a total amount
not to exceed $2,000.00 ("Grant Funds"), for rental relief assistance for the Landlord's hnpacted
Tenants, as detailed in Exhibit A.
The Grant Funds will be disbursed directly to Landlord in a one-time
electronic payment from the City after the Landlord provides the City with
required W-9 and banking information to receive the disbursement of Grant
Funds.
2. Landlord acknowledges that the source of funding for said Program is the
federal CARES Act, considers the Grant Funds to be a necessary expense
incurred due to the COVID-19 public health emergency, and that the Grant
Funds meet the other requirements for the use of fund payments under section
601(d) of the Social Security Act, as outlined in the CARES Act.
The Grant Funds must be applied to the past due rent amounts of the Impacted
Tenants, and no other use of said Grant Funds is allowed.
4. The Grant Funds utilized for said Program have been appropriated to the City
pursuant to the CARES Act, and any use of the Grant Funds by the Landlord
are subject to the rules and regulations of the CARES Act. Additionally, all
Grant Funds will be subject to the availability of CARES Act funding.
Accordingly, The City reserves the right to reduce the amount of Grant Funds
to Landlord, or to completely terminate this Agreement, in the City's sole
discretion, if there is a reduction in CARES Act Funds provided to the City.
Once the Grant Funds are paid by the City and received by the Landlord, the
Landlord shall provide a letter to each Impacted Tenant, with a copy to the
City, informing the Impacted Tenant that their rent owed since April 1, 2020,
has been paid by said Program. Additionally, all backup documentation will
be sent by the Landlord to the City to verify that the rent arrears has been paid
for the Impacted Tenants.
D. Grant Term. This Agreement shall take effect on the date first written above, and
continue as long as Landlord is required to comply with any applicable terms, obligations or
requirements of this Agreement. ("Grant Term").
II. ELIGIBILITY REQUIREMENTS
A. Landlord Representations and Warranties. As a prerequisite for participating in said
Program, Landlord confirms that the following is true and correct:
2
Landlord is the owner of the Property, which includes residential rental units
in the jurisdiction of the City of Santa Ana.
2. Landlord is a business authorized to operate in the City of Santa Ana.
3. The lease of residential units at the Property involves written lease agreement
between the Impacted Tenants and the Landlord.
4. The rental units at the Property are full and complete rental units, not
individual bedrooms, garage units, or accessory dwelling units.
5. All property taxes on the Property are paid and up to date.
6. All provisions of and information provided in Landlord's Application,
including any exhibits, for said Program submitted to City, incorporated
herein by reference, are true and correct in all material respects.
Landlord certifies its revenue loss or rent loss at the Property due to COVID-
19 as detailed in the Certification of Loss of Rent due to the Coronavirus
attached hereto as Exhibit B and incorporated herein by this reference.
8. Landlord certifies that it has read the Housing Quality Standards included in
the Landlord/Property Owner Certification attached hereto as Exhibit C and
incorporated herein by this reference, and certifies that, to the best of
Landlord's knowledge, the applicable residential rental units' subject to this
Program meet the Housing Quality Standards listed therein.
9. Landlord has full right, power and lawful authority to accept the Grant Funds
hereunder and to abide by all obligations as provided herein, and the
execution, performance and delivery of this Agreement by Landlord, or a
property management company on behalf of Landlord, has been fully
authorized by all requisite actions on the part of the Landlord.
10. To the best of Landlord's knowledge, Landlord's execution, delivery and
adherence to its obligations under this Agreement will not constitute a
default or a breach under any contract, agreement or order to which
Landlord is a party or by which it is bound.
11. Landlord has no intention to sell the Property, and is not the subject of any
current or threatened bankruptcy proceeding that would affect the Property.
12. Landlord is not the subject of any current or threatened litigation that would
or may materially affect the Property.
B. Impacted Tenants Representations and Warranties. As a prerequisite for participating
in said Program, Landlord confirms to the best of its knowledge that the following is true and correct
with respect to the Impacted Tenants:
The Landlord has received written notice from the Impacted Tenants that they
have lost jobs, had their work hours reduced, or have experienced a loss of
income due to the economic or health impacts of COVID-19.
2. The Impacted Tenants have been unable to maintain their rent payments under
their lease agreements due to COVID-19 and have past due rent since April 1,
2020.
The Impacted Tenants have not received a Housing Choice Voucher or other
government rental assistance, including rental assistance from the City, since
April 1, 2020.
4. None of the Impacted Tenants have a pattern of lease violations, and the
Landlord was not intending to evict any of the Impacted Tenants.
Each Impacted Tenant occupied the applicable residential unit on the Property
between April 1, 2020, and the effective date of this Agreement.
M. REQUIRED DOCUMENTS
A. Documentation. As a prerequisite for participating in said Program, Landlord shall
provide and confirm the veracity of the following documentation to the City:
bnpacted Tenants List attached as Exhibit A.
2. Certification of Loss of Rent due to the Coronavirus attached as Exhibit B.
Landlord/Property Owner Certification attached hereto as Exhibit C
4. Copy of the lease agreement and a copy of the Verification of loss income for
the Impacted Tenants as required by the City. (1 Verification copy per every
10 Impacted tenants)
The Landlord certifies that they have a Copy of the documentation on file for
each Impacted Tenant that demonstrates the Impacted Tenant has lost their
job, had their work hours reduced, or has experienced a loss of income due to
the economic or health impacts of COVID-19, and who have been unable to
maintain their rent payments under their lease agreement.
6. Any additional documentation as reasonably requested by the City to confirm
compliance with said Program.
C1
B. Confidentiality. Without prejudice to any other provisions of this Agreement,
Landlord shall, where applicable, maintain the confidential nature of information provided to it
concerning Impacted Tenants, in accordance with the requirements of federal and state law.
However, Landlord shall submit to City all records requested.
C. City Review. City will review the information and documents provided by Landlord
to ensure that Grant Funds are used for authorized purposes in compliance with all laws, regulations,
and the provisions of this Agreement, including exhibits. Landlord shall provide adequate
cooperation to the City to permit the same to determine Landlord's conformity with the terms of this
Agreement.
D. Failure to Produce Documentation. Failure of Landlord to provide any of the required
documentation will cause City to withhold all or a portion of a request for Grant Funds, or return the
entire request to Landlord, until such documentation has been received and approved by City.
IV. LANDLORD OBLIGATIONS
A. Restrictions. As a condition of receiving Grant Funds under said Program, Landlord
shall be subject to the following restrictions:
Upon receipt of rental assistance Grant Funds from the City covering 80% of
the Impacted Tenants' past due rent since April 1, 2020, Landlord shall forgive
the remaining 20% of the rent owed (also referred to as "rent arrears", "rent
debt" and/or "back rent") by the Impacted Tenants, as well as any late fees or
other assessments or penalties related to such back rent, from April 1, 2020
through the effective date of this Agreement.
2. Landlord shall not charge or collect any late fee or other assessment or penalty
from any Impacted Tenant for the City's payment of rent arrears for the
Impacted Tenant from April 1, 2020, and continuing for six (6) months from
the effective date of this Agreement.
3. Landlord shall not increase the rent on any Impacted Tenant for at least six (6)
months from the date of the Agreement.
4. Landlord shall not attempt to evict or commence eviction proceedings against
any Impacted Tenant for late or non-payment of rent for at least six (6) months
from the date of the Agreement.
5. In the event a tenant listed on the "Impacted Tenant List" (Exhibit A), has
received payment from the City of Santa Ana from the Rental Relief program
for Tenants, I certify I will inform the City of Santa Ana and reimburse the
duplicate payment back to the City of Santa Ana.
V. VIOLATION OF TERMS AND CONDITIONS
A. Inaccurate Information or Documentation. In the event any information or
documentation provided for either the Landlord or any Impacted Tenant is determined to not be true
or accurate, Landlord shall immediately inform the City of such determination and reimburse the
applicable Grant Fund payment back to the City. In the case that the City determines such
inaccuracies, the City shall provide notice of the same to Landlord with a demand correction and for
return of the applicable Grant Fund payment, as necessary.
B. Violation of Landlord Obligations. hi the event that Landlord violates any of the
restrictions in Article IV above, Landlord shall immediately cease and desist any such activities, and
shall be required to return any Grant Funding received by the Landlord to the City. However, for any
Grant Funding returned under this section, the Impacted Tenants shall still receive credit for payment
of any applicable rent arrears, and all obligations of Article IV above shall remain active Landlord
obligations in spite of returning the Grant Funding.
C. Fraud. Landlord shall immediately report all suspected or known instances and facts
concerning possible fraud, abuse or criminal activity related to said Program under this Agreement.
D. Remedies. Landlord agrees that if Landlord violates any of the terms and conditions
of this Agreement, or if Landlord provides inaccurate information or documentation, Landlord agrees
to remedy the acts or omissions causing the disallowance and repay City all Grant Funds received in
violation thereof. If Landlord engaged in fraudulent activity to obtain and/or justify distribution of
the Grant Funds paid hereunder, Landlord shall be required to reimburse the City of all such funds
that were obtained under fraudulent circumstances.
1. If action to correct any inaccurate information or documentation and return
the applicable Grant Funds is not taken by Landlord within a reasonable
period, the City may terminate this Agreement for default and initiate
collection procedures for the applicable Grant Funds and for any costs
incurred by the City because of Landlord's default.
2. City reserves the right to pursue any and all other applicable remedies against
Landlord for any actions determined by the City in its sole discretion to be
fraudulent.
VI. GENERAL PROVISIONS
A. Conflict oflnterest. Landlord covenants that it presently has no interests and shall not
have interests, direct or indirect, which would conflict in any manner with payment of Grant Funds
specified under this Agreement.
B. Non -Discrimination. Landlord shall not discriminate because of race, color, creed,
religion, sex, marital status, sexual orientation, age, national origin, ancestry, or disability, as defined
and prohibited by applicable law, with respect to any application of said Program.
C. Indemnification. Landlord agrees to defend, and shall indemnify and hold harmless
the City, its officers, agents, employees, contractors, special counsel, and representatives from liability
6
from any claim that damages, just compensation, restitution, judicial or equitable relief is due by
reason of the terms of or effects arising from this Agreement and that that arise out of, pertain to, or
relate to the negligence, recklessness, or willful misconduct of the Landlord. This indemnity and hold
harmless agreement applies to all claims for damages, just compensation, restitution, judicial or
equitable relief suffered, or alleged to have been suffered, by reason of the terms of, or effects, arising
from this Agreement and that arise out of, pertain to, or relate to the negligence, recklessness, or
willful misconduct of the Landlord. Landlord further agrees to indemnify, hold harmless, and pay all
costs for the defense of the City, including fees and costs for special counsel to be selected by the
City, regarding any action by a third party challenging the validity of this Agreement, or asserting that
damages, just compensation, restitution, judicial or equitable relief due to personal or property rights
arises by reason of the terms of, or effects arising from this Agreement. City may make all reasonable
decisions with respect to its representation in any legal proceeding.
D. Exclusivity and Amendment of Agreement. This Agreement represents the complete
and exclusive statement between the parties hereto with respect to the use of City's CARES Act funds
by Landlord and contains all the covenants and agreements between the parties with respect to said
Program. Each party to this Agreement acknowledges that no representations, inducements, promises
or agreements, orally or otherwise, have been made by any party, or anyone acting on behalf of any
party, which are not embodied herein, and that no other agreement or amendment hereto shall be
effective unless executed in writing and signed by both City and Landlord.
E. Agreement Runs with the Land. All obligations and restrictions of this Agreement
shall run with the land with respect to the subject Property. No sale of the Property or assignment
of rights shall terminate or alter the legal obligations of the Property Owner pursuant to this
Agreement.
F. Waiver. No waiver of breach, failure of any condition, or any right or remedy
contained in or granted by the provisions of this Agreement shall be effective unless it is in writing
and signed by the party waiving the breach, failure, right or remedy. No waiver of any breach, failure
or right, or remedy shall be deemed a waiver of any other breach, failure, right or remedy, whether or
not similar, nor shall any waiver constitute a continuing waiver unless the writing so specifies.
G. Notices. Any notice, tender, demand, delivery, or other communication pursuant to
this Agreement shall be in writing and shall be deemed to be properly given if delivered in person or
mailed by first class or certified mail, postage prepaid, or sent by fax or other electronic
communication in the manner provided in this section, to the following persons:
TO CITY: City of Santa Ana
Steven A. Mendoza
Executive Director
Community Development Agency
20 Civic Center Plaza
P.O. Box 1988
Santa Ana, California 92702-1988
7
TO LANDLORD: Bob Burn
2025 Canyon Dr.
Fullerton, CA 92833
A party may change its address by giving notice in writing to the other party. Thereafter, any
communication shall be addressed and transmitted to the new address.
H. Laws Governing this Agreement. This Agreement shall be governed by and construed
in accordance with the laws of the State of California, and all applicable federal laws and regulations.
I. Jurisdiction -Venue. Both parties agree that Orange County, California, shall be the
venue for any action or proceeding that maybe brought or arise out of, in connection with or by reason
of this Agreement,
J. Validity and Severability. The invalidity in whole or in part of any provision of this
Agreement shall not void or affect the validity of any other provision of this Agreement. Whenever
possible, each provision of this Agreement shall be interpreted in such manner as to be effective
and valid under applicable law, but if any provision of this Agreement is held to be prohibited by
or invalid under applicable law, such provision shall be ineffective only to the extent of such
prohibition or invalidity, without invalidating the remainder of such provisions of this Agreement.
K. Miscellaneous Provisions.
Each undersigned represents and warrants that its signature herein below has
the power, authority and right to bind their respective parties to each of the
terms of this Agreement, and shall indemnify City fully, including reasonable
costs and attorney's fees, for any injuries or damages to City in the event that
such authority or power is not, in fact, held by the signatory or is withdrawn.
2. All exhibits referenced herein and attached hereto shall be incorporated as if
fully set forth in the body of this Agreement.
3. This Agreement must be signed below and may be signed in counterpart and
delivered by fax, email as a PDF (Portable Document Format) file attachment,
or by other means that displays the original or a copy of the signatures. Any
subsequent amendments may be signed and delivered in the same manner.
{Signatures on followingpage)
A-2020-158-38
IN WITNESS WHEREOF, die parties hereto have executed this Agreement as of the date and year
first above written.
ATTEST:
DAISY GOMEZ
Clerk of the Council
APPROVED AS TO FORM:
SONIA R. CARVALHO
City Attorney
By: RYAN O. HODGE
Assistant City'Attomey
RECOMMENDED FOR APPROVAL:
STEVEN MENDOZA
Executive Director
Community Development Agency
CITY OF SANTA ANA
i. STRVE RIDGEr
City Manager
LANDLORD:
Bob Bum
Owner
1032 N. Cabrillo Park Dr. Unit B
Santa Ana, CA 92701
:\
IMPACTED TENANTS LIST
10
Impacted Tenants List (Exhibit A)
this List will bacons E401ill A of Ilia rdnanl Aununrnonl Ilia/ you will anion Info with Itin City of Bantu Ano
Ilousahnlds with a Houxlnu Cltolco vouchor, shin known ON ,Socdlorr 0, or Ihnan who rncolvo other
uovonrmonl rental assistance are riot ollulblo I anarrle that you pion to evil,'/ Oro not allulbho Il la your
doclalun toinclude which tenants quollry on (film flat Plonso onsuro you have Q a slgnod copy of flra
I onao Aureornont vodlying nocupenay tot all lananlm on Ilia Impactor/ Tenants Lis( for whom you are
soaking usslslanco. 2) douumontollon on file for all tenants on fbo Impaclord Tenants List Had
duruonstreto Ilret Ilre tenant has boon Impaclorl by Coronavlrum and have lost/ohs, had their work hours
niducml, or /lava asperlanred a lose of Income due to Ilia oronotnlr, or health Impacts of Coronavbue and
who have boon unable to molndnln their real paynrsnte undor their loamo ogroomenls Insufficient or
rnlaeing dncunionfnllon may cause a delay hi prorossing nr, In some comes, a denial of Ilia application
Additional dorumnrunflon may he requested dudng Ilia review of your application I hereby offasl that Ilia
hnpnclud Tenants Iwod below will be relonsad front any ramalning obligation for any ronl orroors owed
(20%) hollowing payment by Ilia City of Santa Ana (I1096)
�IGeJrdatrnaUaaLa/atr.may111z.suU¢d(farLBi.aBaearafuapr>�rfafiattLellgatrarLlrzragLauWlanllam.
Planealnrlada.Via rnft&wminfaanaMLb&w grutlmma.Il Fxld�lfd_-1'iyvarlxNatn>t�
Property Name: SUw-4 -_fa-e (1r,0
Property Address: r�aa_t_=+li _C1. .a1 a Park *f/3r 5am�& qNa 0A•
Tax ID for Payment: tt .I S s N
Full Name of Tenant
(as stated on the Lease)
Address of Tenant's Rental Unit
Total Amount
of Rent Arrears
Owed
W 1l l
eW
$ y
--------
$
- —
---_
Total Amount of Assistance
Requested
$ i, S 0 s
nuu auununm puyus n nucussary. if you nave multiple properties and you are unable to
accept payment on behalf of nil of them, please list each property separately and provide the
name of the property at the lop of each list.
(&1'4--C�Qr3md 011000 {ril'i Nly u — rs/l0 Loss e#W
Coronavlrus Emergency Rental Relief Fund for Landlords Page 13
Application
i ij% I�SI
F1�1�1
I
1�41
1 1
1 1 S 1
}fY)1
1•
;,�� 3 '!��
111111111I:(111
1�`�xl
�1 11 ;$1 [111111'11Ify1 I1-)l I111 I �„yl
y( Ae
O 1
1
gl*i4tlfe �1 1 Iry
1 1 1 1 1
rY 3 4`
ly 1 PI 1
l 1� Iy j 1"S
$-la 1 1�1
3' I$ `°$1
tll
'Ii
�: 1
IIK.
YI Y`Igl
41 �f yl
-I1
1
1 1
�1�11�
1 1
13{ 1441igvI
I1
1 p 1 11 1
*T
1
ilYle
Itp
£il twTT
1} +{
O
1
�l
it {GI 1 ,`L�;M1"4a1
IS ii pi i�1�;4�,1'�1 �1 I��I�1'�SrSUI 11�I.y1 1.Y.S1
n
1
I
1
1
1
1 1
I I
1 1
1 1
I I
1 I
1 1 1
1
1
1 I
1 1
1
1
1 I
1 �.
1 1 1 1 1
1 1
1 I I' I I I
I
�" I
1
I
i
ter
t +A r ttf
to ter �»
to to I
to
I
A to +i,
h I I I I r I I
>�tr; ttr r ter t»
I 1
ts� ter
U►
.�{}ar
+ 1�1'�'1 1 i l`t°4n1= 1.-"�1#„�1 ��1
{^I.A*'-b-
"
'
•
Ila
�
1
OI
oI
1
1
I
1 1
1 1
I I
I
I 1
1 1
I I I
I
1 1
1 I
I
I I I I
1 1 I
1 1 1
1 1 I
I I I I I I
1
1
I
I I
1 1
1 I
I I
I I I I
1
1
I
I I
1 1
I 1
I I
1 1 1 1
1 1 I 1
1 1 1 I
I I I
1 1 I I I I 1 1
1
1
I
1 1
1
1
I
1 1 1
O
O
1
OI
11
1 I
I I
'
C)1
1
1
1 1
1 1
1 I
1 1
1
1 I
1 I I
1 1 1
1
1
1 1
1 1
I
1
I I
1 1
1 I I
11 I 1 1
1
I
1
1
O
�y
'OQ
OI
1
1 I
I I
1 1
1 1 1
1
1 I
I
1 1
1 1 1 1
1
$•�
5^}fl
M;
W
1
1
1 1
I
1 1
I 1
1 1
1 1 1
I 1 1
I
1
1 1
1 1
I
1
1 1
I 1
1 1 I 1
1 1 1 1
1
1
1
1
N
O
1
I
1 1
1 1
1 1
1 1 1
1
1 1
1
1 1
1 1 1
1
1
I
1 1 1
1
1 1
1
1 1
1 I 1 1
1
1
a
I
I
I I
I I
{{�1'{�'}I'VI'b'}I
I I I I 1 I
{{}I �' 1 �1
1 1 1 I 1 1 1 1 I
{{}I'�1 {f}I � {f�i {�}I {fl;
1 1
1 1
1 1 1
1
1 1
1
1 1
0
01
QI
1
1
1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1
1 1 I
1 1
1 1
1
1
1
1 1
1 1
1 1
1
1
I 1
1 1
1 1
1 1 I 1
1 1 I
I 1 1
1
1
1
1
1
1
O
d
�Y
1
1
1 1
1
1 1 1 1
1 1
1 1 1 1
1 1
1 1 I I
1 1
I
1 1 I 1 1
1 1 1
1 1
1
1 1 1 1
1 1
I I I I
I I I I I f I I
I I
I I I
p
y
�
OI
1
1
1 1
1 I
1 1 1
1
I 1
1
1 1
I 1 1
1
1
O.
1
�1
1
1 1
1 1
1 I
1 1
1
1 I 1
1
I I
I
1 1
1 1 1 I
1
1
O
io
1
I
1 I 1
1
1
1
1 1
1 1 1 1
1
1
Z =R\
MI5
W
�
1
I
1
1
1
1
1
1
1 I
1 I
I 1
1 I
1 1
1 1
1 1
1
1 I
1 1
1 1
1 1
1 1 1
1
1 1 1
1
1
1
1
1 1
1 1
1 1
I
1
I I
1
1 I
1 1 1
1 1 1 1
I
1
1
1
1
"O
1
tfr1 l
1 1
�r1 �rI
I 1
v+1 'En],
1 1
t� tfrl
1 I
1 1 1
+»I � I
1
1
enI
1 1
1 I
�rI �
1
I
�I t�1
1
I 1
t>?j
1 1 1
1 1 1 1
v3�
1
1
1
1
3
CN
i
C)i
O, to
N
�1
i'
1
1
i i
I I
i i
11
i i
1 1 I
i i i
I I
i i
I
I
I I
i i
I I I I
i i i i
I
i
I
Ln
LL
i
(u�`
n§
I
1
1
1
1
1
1 1
1 1
1 1
1 1
1 I
1 1
1 1
I 1
1 1
I 1 1
1 1
1 1 I
1
1
1
1 1
1 1
1 1
1
I
1 1
1
I 1
1 1 1 1
1 1 1 1
1 1 1 1
1
1
1
1
1
1
xxCC
1
I
1 1
1 1
1 1
1 1 1
I
1 1
1
1 1
1 1 1 1
1
1
1
1 1
1 1
1 1
1 1 1
1
1 1
1
I 1
1 1 1 1
I
1
}�
p`
C 1
1
1
1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1
1 1 1
1 1 1
1 I 1
1
1
1
1
1 1
1 1
1 1
1 1
1
1
1
1
1 1
1 1
1 1
1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1
1
1
I
1
1
1
1
®I
I
I 1
1 1
1 1
1 I 1
1
1 1
1
1 1
1 1
1 1
1
1
1
I 1
1 1
1 1
1 1
1
1 1
1
1 1
1 1 1 1
1
1
I
1
1 1
1 1
1 1
1 1
1
1 1
1
1 1
1 1
1
1
••1�.1�
�"
UI
1
1 1
1
1 1
I 1 1
1
1 1
I
1 1
1 1
}no
1
1
1
He a
.�
f.
.
k�
I
I
1
I
1
1
1 1
1 I
1
1 1
1 1
1 1
1 1
1 1
I 1
I 1 1
1 1 1
1 1 1
1
1
1
1 1
1 1
1 1
1
I
I
1 1
1 1
1 1
1 1 1 I
1 1 1 1
1 I 1 1
1
1
1
1
1
1
1
1
1 1
1 1
1 1
1 i 1
1
W'v
1 1
1
I
1 1 1 1
1
1
cC
1
1
1 1
1 1
1 I
I 1 1
1
1 1
1
1
1 I 1 1
1
1
"2
t
1 r
1
1
1
1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1
1 1 1
1
1
1 1
1 1
1
1
1
I 1
1 1 1
1 1 1 1
1
1
1
1
Y
F1
k
1
l
1
1
I 1
1 1
1 1
1 1
1 1
1 I
1 1 1
1 1 1
1
1
1
I 1
I
1
1 1
I
1 1 1 I
1
1
4y,it
L'�"�'4pY'
it .�
'
"a1i
1
=
I
'
I I
I I
1 I
I I I
I
I I
1
1
I 1
I I 1 1
1 I I 1
1
1
1
1
ry �u
xpk b
�^�-
.
1�
i
I
I
i i
I I
i i
1 1
I i
1 1
i i i
1 1 I
1
1 1
1
1 1
1 I 1 1
1
1
�1� `y£°T la
]y/
1
1
1
1 1
1 1
1
I I
1 1
I 1
1 1 I
1 1 1
1
I
I 1
I I
1
1
1 1
I 1
1 1 1 1
1 1 1
1
1
1
1
b �• {n
•yy
1
c 1
I
1
1 1
1 1
1 1
I 1
1 1
1 1
I 1 1
1 1 1
1
I
1 1
I 1
I
I
1 1
1
1 I 1 1
1 1 1 1
1
1
1
1
e�•••.tw
i•Y
�$z
1
1
I I
1 1
1 1
1 1 I
1
1
1 1
1 1 I 1
1
1
fit}
Z �4
"
}�
min
{JlJ 1
^1
`1
W 1
1
1
1
1
1 1
I 1
1
1 1
1 I
1 1
1 I
1 1
1 1
I I
1 1
1 1
1 1 1
1 1 1
1 I
1 1 I
1
1
1
I
1 I
1 1
1 I
1 1
I
1
1
1
1 1
1 1
1
1 I
1 1 1
I I 1 1
1 1 1
1 1 I 1
1
I
1
1
1
1
1
1
lu
:.
ax i
CERTIFICATION OF LOSS OF RENT
DUE TO THE CORONAVIRUS
11
Certification of Loss of Rent due to the Coronavirus (Exhibit B)
The City is required to verify your revenue loss or rent loss due to the Coronavirus to
confirm that the City's payment is necessary. Exhibit B of the template Agreement is
the following documentation to demonstrate that the landlord has experienced a loss of
rent due to the Coronavirus during this same period last year compared to this year.
This information should include the entire property. If you have multiple properties and
you are unable to accept payment on behalf of all of them, please list each property
separately and provide the name of the property at the top of each list.
• Property Name: c AO R ew r1 l
• Property Address: t 0 3 2 - oR CO Q S ,—4 A � 4
Tax ID for Payment: a�4
• Total rent payments received between January 1, 2019 to June 30, 2019:
$ 9, apa
• Total rent payments received between January 1, 2020 to June 30, 2020.
$ '1, s a o
• Difference in Revenue I Rent between 2019 to 2020 (Subtract 2020 from 2019):
($ r Soo ) = Revenue Loss or Rent Loss due to the Coronavirus
This program is supported with Federal funding. According to Title 18, Section
1001 of the U.S. Code, it is a felony for any person to knowingly and willingly
make false or fraudulent statement to any department of the United States
Government. By providing my signature below, I certify under penalty of perjury,
that all the information on this application is correct to the best of my knowledge
and belief, and I acknowledge that such information is subject to verification.
also acknowledge that my failure to provide necessary documents within a
reasonable period of time or falsification of this information shall be grounds for
my denial of assistance, and that I may be subject to prosecution under the law. I
authorize the release of said information to local, State and/or Federal agencies
and to City Santa Ana staff within five years of this date.
Landlord Name (Print): o <Q wr Date: 0 /z 1
Landlord Signature: Date: ��z r /zd
Coronavirus Emergency Rental Relief Fund for Landlords
Application
Page 14
EXHIBIT C
LANDLORD/PROPERTY OWNER CERTIFICATION
(HOUSING QUALITY STANDARDS)
12
Landlord I Property Owner Certification
Property Managers or Owners must certify below that the Information provided below Is
true and accurate and any CARES for Landlords funds received for any tenant will be
applied in accordance with the approval of their application. Property Managers or
Owners must acknowledge that they have read the Housing Quality Standards below and
certify that, to the best of their knowledge, the units for which CARES for Landlords funds
are being applied meet the Housing Quality Standards listed below. In situations Involving
manufactured homes where the applicant is paying space rent, landlords or owners of the
manufactured home community must certify as to the habitability of the land on which the
manufactured home is located. Random inspections may occur and must be permitted
v by the Property Manager or Owner.
Housina Quality Standards•
• There must be a working smoke detector In every single bedroom and the
common area. There must also be a carbon monoxide detector In the common
area.
Living Room:
• There are at least two working outlets or one working outlet and one working light
fixture.
• There are no known electrical hazards.
• Windows and doors that are accessible from the outside are lockable.
• There is at least one window and ALL the windows are free of signs of severe
deterioration and have no missing or broken panes In each room of the
apartment.
• The ceiling is sound and free from hazardous defects.
• The walls are sound and free from hazardous defects.
• The floor is sound and free from hazardous defects.
• All interior surfaces are free of cracking, scaling, peeling, chipping, and loose
paint. In addition, all were treated and covered to prevent the exposure of lead
based paint hazards.
• Weather stripping is present and in good condition on all windows and exterior
doors.
Kitchen:
• There are at least two working outlets or one working outlet and one working light
fixture.
• There are no known electrical hazards.
• Windows and doors that are accessible from the outside are lockable.
• There is at least one window and ALL the windows are free of signs of severe
deterioration and have no missing or broken panes in each room of the
apartment.
• The ceiling is sound and free from hazardous defects.
Coronavirus Emergency Rental Relief Fund for Landlords Page 15
Application
• The floor is sound and free from hazardous defects.
• All interior surfaces are free of cracking, scaling, peeling, chipping, and loose
paint. In addition, all were treated and covered to prevent the exposure of lead
based paint hazards.
• Weather stripping Is present and In good condition on all windows and exterior
doors.
• There is a working oven and a stove (or range) with top burners.
• There is a refrigerator that works and maintains a temperature low enough so
foods do not spoil over a reasonable time.
• The kitchen sink has hot and cold running water.
• There is a space to prepare food.
Bathroom:
• There are at least two working outlets or one working outlet and one working light
fixture.
• There are no known electrical hazards.
• Windows and doors that are accessible from the outside are lockable.
• There Is at least one window and ALL the windows are free of signs of severe
deterioration and have no missing or broken panes in each room of the
apartment.
• The ceiling is sound and free from hazardous defects.
• The walls are sound and free from hazardous defects.
• The floor is sound and free from hazardous defects.
• All interior surfaces are free of cracking, scaling, peeling, chipping, and loose
paint. In addition, all were treated and covered to prevent the exposure of lead
based paint hazards.
• Weather stripping is present and in good condition on all windows and exterior
doors.
• There is a working toilet in the unit for exclusive private use.
• There is a working, permanently installed wash basin with hot and cold running
water.
• There is a working tub or shower with hot and cold running water.
• The bathroom has operable windows or a working vent system.
I also acknowledge that the City makes no representation or warranty regarding the
condition of any property or rental unit for which CARES for Landlords assistance is
received and that issuance of CARES for Landlords funding on behalf of any tenant to
any property manager or owner should not be construed as the City's acceptance of any
property condition(s) or approval of the terms of any lease that has been provided as a
part of this application.
Landlord Name (Print):� M Li3L.-r Date: r f o 4,
Landlord Signature: A oYt- �1,�� � Date: f o/z C /za
Coronavirus Emergency Rental Relief Fund for Landlords
Application
Page 16
47*7 •1, -