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Hand in Hand 5/4/2023
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6 Years Then Destroy
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2023
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Hand in Hand 5/4/2023
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Entry Properties
Last modified
9/6/2023 10:37:52 AM
Creation date
6/6/2023 2:29:12 PM
Metadata
Fields
Template:
Contracts
Contractor's Name
Hand in Hand
Approval Date
5/4/2023
Council Approval Date
4/28/2021
End Date
12/31/2023
Department
Community Development
Department Project Manager
Kembra Landry
Subject / Project Title
2022 CDBG CV agreement with Hand in Hand
Tracking Number
0003741
Total Compensation
$40,554.16
Contract Type
Agreement
Contract Subtype
Grant Agreement (City as Grantor)
Retention Period
6 Years Then Destroy
Imported from EPIC
No
Document Relationships
Hand in Hand 9/5/2023 Amendment 1
(Contract)
Path:
\Records\City Clerk\Contracts\6 Years Then Destroy\2023
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2022CDBG CV Agreement <br />Exhibit C <br />City of Everett <br />Community Development Block Grant Program CARES Funds (CDBG-CV) <br />Duplication of Benefits Reporting Form <br />The Duplication of Benefits (DOB) Reporting form is used to assist the City of Everett in administering <br />the Community Development Block Grant-CV to subrecipients. Forms will help to verify all funding an <br />agency has received for COVID-19 Pandemic National Emergency in order to eliminate any duplication <br />of benefits. You should only report on the information related to the program supported by this <br />agreement. <br />lnstructions: <br />ldentify below all sources of active federal, state, or other public fund awards that the agency has <br />received as a result of the COVID-19 Pandemic National Emergencyto support the program within this <br />agreement. lf you received COVID-19 funds and they do not support the program receiving City of <br />Everett CDBG-CV funds, please do not list them below. <br />Source of Funds #1 <br />Lender/Grant Provider Name Click or tap here to enter text <br />Purpose Click or tap here to enter text <br />Amount Click or tap here to enter text. <br />!Government Loan <br />! Nonprofit Grant <br />nPrivate Loan <br />n Government Grant lGovernment Forgivable Loan <br />nNonprofit Loan nNonprofit Forgivable loan <br />nOther: Click or tap here to enter text. <br />Source of Funds #2 <br />Source of Funds #3 <br />Lender/Grant Provider Name Click or tap here to enter text. <br />Purpose Click or tap here to enter text. <br />Amount Click or tap here to enter text. <br />nGovernment Loan <br />n Nonprofit Grant <br />!Pr¡vate Loan <br />n Government Grant lGovernment Forgivable Loan <br />nNonprofit Loan lNonprofit Forgivable Loan <br />!Other: Click or tap here to enter text. <br />Lender/Grant Provider Name Click or tap here to enter text <br />Purpose Click or tap here to enter text <br />Amount Click or tap here to enter text <br />IGovernment Loan <br />n Nonprofit Grant <br />nPrivate loan <br />n Government Grant nGovernment Forgivable Loan <br />nNonprofit Loan lNonprofit Forgivable Loan <br />nOther: Click or tap here to enter text. <br />Duplication of Benefits Reporting Form
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