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US Dept of Housing and Urban Development 2/4/2020
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Last modified
2/4/2020 11:04:14 AM
Creation date
2/4/2020 11:04:05 AM
Metadata
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Template:
Contracts
Contractor's Name
US Dept of Housing and Urban Development
Approval Date
2/4/2020
Department
Planning
Department Project Manager
Darcie Byrd
Subject / Project Title
Compass Health Broadway Supportive Housing
Tracking Number
0002199
Total Compensation
$0.00
Contract Type
Agreement
Contract Subtype
Grant
Retention Period
6 Years Then Destroy
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Part 2.Environmental Certification(to be completed by responsible entity) <br /> With reference to the above Program Activity(ies)/Project(s),I,the undersigned officer of the responsible entity,certify that: <br /> 1. The responsible entity has fully carried out its responsibilities for environmental review,decision-making and action pertaining <br /> to the project(s)named above. s <br /> 2. The responsible entity has assumed responsibility for and complied with and will continue to comply with,the National <br /> Environmental Policy Act of 1969,as amended,and the environmental procedures,permit requirements and statutory obligations <br /> of the laws cited in 24 CFR 58.5;and also agrees to comply with the authorities in 24 CFR 58.6 and applicable State and local l <br /> laws. i <br /> 3. The responsible entity has assumed responsibility for and complied with and will continue to comply with Section 106 of the National t <br /> Historic Preservation Act,and its implementing regulations 36 CFR 800,including consultation with the State Historic Preservation <br /> Officer,Indian tribes and Native Hawaiian organizations,and the public. <br /> F <br /> 4. After considering the type and degree of environmental effects identified by the environmental review completed for the proposed F <br /> project described in Part 1 of this request,I have found that the proposal did❑did not n require the preparation and <br /> dissemination of an environmental impact statement. <br /> 5. The responsible entity has disseminated and/or published in the manner prescribed by 24 CFR 58.43 and 58.55 a notice to the public <br /> in accordance with 24 CFR 58.70 and as evidenced by the attached copy(copies)or evidence of posting and mailing procedure. r <br /> r <br /> 6. The dates for all statutory and regulatory time periods for review,comment or other action are in compliance with procedures and <br /> requirements of 24 CFR Part 58. <br /> 7. In accordance with 24 CFR 58.71(b),the responsible entity will advise the recipient(if different from the responsible entity)of a <br /> any special environmental conditions that must be adhered to in carrying out the project. <br /> As the duly designated certifying official of the responsible entity,I also certify that: <br /> 8. I am authorized to and do consent to assume the status of Federal official under the National Environmental Policy Act of 1969 <br /> and each provision of law designated in the 24 CFR 58,5 list of NEPA-related authorities insofar as the provisions of these laws <br /> apply to the HUD responsibilities for environmental review,decision-makingand action that have been assumed bythe responsible <br /> PP Y P P <br /> entity. <br /> 9. I am authorized to and do accept,on behalf of the recipient personally,the jurisdiction of the Federal courts for the enforcement <br /> of all these responsibilities,in my capacity as certifying officer of the responsible entity. <br /> Signature of Certifying Officer. the Responsible Entity Title of Certifying Officer <br /> Mayor <br /> Date signed <br /> • i <br /> ii <br /> X F b r uarJ 4. 09 D <br /> Address of Certifying Officer @ <br /> 2930 Wetmore Avenue, Suite 8A, Everett, WA 98201 <br /> Part 3.To be completed when the Recipient is not the Responsible Entity <br /> The recipient requests the release of funds for the programs and activities identified in Part 1 and agrees to abide by the special 1 <br /> conditions,procedures and requirements of the environmental review and to advise the responsible entity of any proposed change in <br /> the scope of the project or any change in environmental conditions in accordance with 24 CFR 58.71(6). <br /> Signature of Authorized Officer of the Recipient Title of Authorized Officer <br /> AIIP Executive Director i <br /> 0 / / i <br /> Date signed <br /> X February 4, 2020 <br /> Warning:HUD will prosecute false claims and statements.Conviction may result in criminal and/or civil penalties.(18 U.S.C.1001,1010,1012;31 U.S.C. e <br /> 3729,3802) <br /> i <br /> P -viqus editions are ob•.lete form HUD-7015.15(1/99) <br /> AT . ST: Office of the City Attorney <br /> APPROVED AS TO FORM ; <br /> _ A1,,.Ailatmeititl David C. Hall, City Attorney <br /> City Clerk i <br />
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