Applicants Ability to Implement Requirements
Pre-award Risk Assessment Worksheet
1. Financial Stability
YES NO NA
Comments
(Explanation of
answer/response)
a. Has the organization had changes to key
staff or positions in the past twelve (12)
months?
☐ ☐ ☐
d. What is the turnaround time for
submitting payment request to funding
entities?
☐ ☐ ☐
e. Does the organization owe any funds to
the Federal Government?
☐ ☐ ☐
g. Does agency have reserve funds? ☐ ☐ ☐
1. Management System ☐ ☐ ☐
a. Does the accounting system provide for
the recording of actual grant/contract
costs according to categories of your
approved budget, and provide for
complete disclosure?
☐ ☐ ☐
b. Has your organization had changes to
business systems in the past twelve (12)
months?
☐ ☐ ☐
c. Is there a time and effort tracking
system in place to adequately record staff
hours worked against awards?
☐ ☐ ☐
d. Describe the internal controls that are
in place to ensure compliance to contract
requirements.
☐ ☐ ☐
g. Is your organization familiar with
Federal cost principles?
☐ ☐ ☐
h. Does your organization have an
accounting manual?
☐ ☐ ☐
a. Does your organization have experience
managing grant funds, loans or other
types of financial assistance?
☐ ☐ ☐
EXHIBIT 1
ACKNOWLEDGEMENT OF REQUIRED ASSURANCES
This page must be signed and submitted with the applicant’s response to this ESG RUSH Funding Opportunity. This notification must contain the signature of the person(s) authorized to execute a contract on behalf of the organization.
Responses which do not contain a signed Acknowledgement of Required Assurances are ineligible for consideration.
By
submitting a response to this ESG RUSH Funding Opportunity and by my signature on this document, I understand and agree that any contract resulting from this solicitation will require compliance with the requirements of the contract and with the statutes, regulations, requirements and policies identified below, including but not limited to:
1. La
bor and Safety Standards
a. Drug-Free Workplace Act of 1988, 41 U.S.C. 701 et seq.; b. Federal Fair Labor Standards Act, 29 U.S.C. 201 et seq.; c. Work Hours and Safety Act of 1962, 40 U.S.C. 237-330; 40 U.S.C 3701-3708 and Department of Labor Regulations, 29 CFR, Part 5;
2. An
ti-Discrimination
a. Age Discrimination Act of 1975, Public Law 94 -135, 42 U.S.C. 6101- 07, 45 CFR Part 90, Non-discrimination in Federally Assisted Programs;
b. Americans with Disabilities Act of 1990, Public Law 101-336; c. Equal Employment Opportunity, Executive Order 11246, as amended by Executive Order 11375 and supplemented in U.S. Department of Labor Regulations, 41 CFR Chapter 60;
d. Executive Order 11246, as amended by Executive Order 11375, 11478, 12086 and 12102;
e. Handicapped Employees of Government Contractors, Rehabilitation Act of 1973, Section 503, 29 U.S.C. 793;
f. Minority Business Enterprises, Executive Order 11625, 13170, 15 U.S.C. 631; g. Minority Business Enterprise Development, Executive Order 12432, 48 CFR 32551; h. Nondiscrimination and Equal Opportunity, 24 CFR 5.105(a); i. Nondiscrimination in benefits, Title VI of the Civil Rights Act of 1964, Public Law 88- 352;
j. Nondiscrimination in Federally Assisted Construction Contracts, Executive Order 11246, 42 U.S.C. 2000e, as amended by Executive Order 11375, 41 CFR Chapter 60; k. Section 3, Housing and Urban Development Act of 1968, 12 U.S.C. 1701u (See 24 CFR 570.607(b));
l. Compliance with Federal and State laws and regulations relating to the prevention of discriminatory employment practices;
3. Office of Management and Budget Circulars
a. Compliance with Uniform Guidance (2 CFR 200), Cost Principles, and Audit Requirements for Federal Awards.
a. Lobbying and Disclosure, 42 U.S.C. 3537a and 3545 and 31 U.S.C. 1352 (Byrd Anti- Lobbying amendment); 31 U.S.C. 1352
4. Fair Housing and Equal Opportunity
a. Organization will comply with Title VI of the Civil Rights Act of 1964 (42 U.S.C. 2000(d)) and 3535(d) and regulations pursuant thereto (Title 24 CFR part I), which state that no person in the United States shall, on the ground of race, color or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discr imination under any program or activity for which the applicant receives Federal financial assistance, and will immediately take any measures necessary t o effectuate this agreement. With reference to the real property and structure(s) thereon which are provided or improved with the aid of Federal financial assistance extended to the applicant, this assurance shall obligate the applicant, or in the case of any transfer, transferee, for the period during which the real property and structure(s) are used for a purpose for which the Federal financial assistance is extended or for another purpose involving the provision of similar services or benefits.
b. It will comply with the Fair Housing Act (42 U.S.C. 3601 -19), as amended, and with implementing regulations at 24 CFR part 100, which prohibit discrimination in housing on the basis of race, color, religion, sex, disability, familial status or national origin.
5. Duplication of Benefits
A duplication of benefits occurs when a person, household, business, government, or other entity receives financial assistance from multiple sources for the same purpose, and the total assistance received for that purpose is more than the total need for assistance.
The CARES Act provides that the Secretary shall ensure there are adequate procedures in place to prevent any duplication of benefits as required by section 312 of the Robert T.
Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C. 5155) and in accordance with section 1210 of the Disaster Recovery Reform Act of 2018 (division D of Public Law 115–254; 132 Stat. 3442), which amended section 312 of the Robert T. 3 Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C. 5155). HUD will requir e each grantee to have procedures in place to prevent the duplication of benefits when it provides financial assistance with ESG-RUSH Funding Opportunity. Grant funds may not be used to pay for a particular cost if another source of financial assistance is available to fully pay for that same cost.
a. SUBGRANTEE shall ensure that program does not duplicate services provided by other federal programs.
b. SUBRANTEE shall identify any and all other sources of assistance obtained by the household or business applying for assistance.
c. SUBGRANTEE will identify any ESG-RUSH Funding Opportunity impacts of program participant, both direct and indirect.
d. SUBGRANTEE shall maintain policies and procedures for the program and participant qualification including ESG-RUSH Funding Opportunity qualification.
Conflict of Interest:
The applicant should disclose conflicts of interest, in writing, to the evaluation committee who will consider the nature of the applicant’s responsibilities and the degree of potential or apparent conflict in deciding the course of action that the applicant needs to take to remedy the conflict of interest.
Signature of Authorized Representative: __________________________ Typed Name and Title: ___________________________
Date Signed: ___________________________