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Everett Housing Authority 6/26/2024
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Everett Housing Authority 6/26/2024
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Last modified
6/28/2024 10:53:48 AM
Creation date
6/28/2024 10:53:39 AM
Metadata
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Contracts
Contractor's Name
Everett Housing Authority
Approval Date
6/26/2024
Department
Community Development
Department Project Manager
Vicki Dorway
Subject / Project Title
Request for Release of Funds (RROF) for EHA Ben Young Senior Apartments
Tracking Number
0004407
Total Compensation
$0.00
Contract Type
Agreement
Contract Subtype
Other Agreements
Retention Period
6 Years Then Destroy
Imported from EPIC
No
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Previous editions are obsolete form HUD-7015.15 (1/99) <br />4. After considering the type and degree of environmental effects identified by the environmental review completed for the p roposed <br />project described in Part 1 of this request, I have found that the proposal did did not 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 publi c <br />in accordance with 24 CFR 58.70 and as evidenced by the attached copy (copies) or evidence of posting and mailing procedure . <br />6. The dates for all statutory and regulatory time periods for review, comment or other action are in compliance with proce dures and <br />requirements of 24 CFR Part 58. <br />7. In accordance with 24 CFR 58.71(b), the responsible entity will advise t he recipient (if different from the responsible entity) of <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 196 9 <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 -making and action that have been assumed by the responsible <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 of the Responsible Entity <br />X <br />Title of Certifying Officer <br />Mayor <br />Date signed <br />Address of Certifying Officer <br />City of Everett <br />2930 Wetmore Ave, Ste 10A <br />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 <br />conditions, procedures and requirements of the environmental review and to advise the responsible entity of any proposed chan ge in <br />the scope of the project or any change in env ironmental conditions in accordance with 24 CFR 58.71(b). <br />Signature of Authorized Officer of the Recipient <br />X <br />Title of Authorized Officer <br />Interim Executive Director <br />Date signed <br />We, the undersigned, certify under penalty of perjury that the information provided above is true and correct. WARNING: Anyone who <br />knowingly submits a false claim or makes a false statement is subject to criminal and/or civil penalties, including confineme nt for up to 5 <br />years, fines, and civil and administrative penalties. (18 U .S.C. §§ 287, 1001, 1010, 1012, 1014; 31 U.S.C. §3729, 3802) <br />06/26/2024 <br />06/26/2024 <br />Attest:
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