CITY COUNCIL
AMENDED ERRATA SHEET
CITY OF PACIFIC GROVE
300 Forest Avenue, Pacific Grove, California 93950
TO:
FROM:
MEETING DATE:
SUBJECT:
HONORABLE MAYOR AND MEMBERS OF CITY COUNCIL
Sandra Kandell, City Clerk/DEI Coordinator
05/17/2023
City Council Meeting Agenda- AMENDED Errata Sheet
Attached is additional information for your consideration at the May 17th City Council Meeting:
Agenda Item Information Provided/Corrected
11C Amendment application form referenced in the draft resolution; and previous application. (See attachment and link.)
Attachments
Revision Amendment Request Form
CA HCD Revision / Amendment Request Form
CA HCD Revision / Amendment Request Form
Please complete the form below to request revisions or amendments to your CDBG-CV Standard Agreement under California Department of Housing and Community Development guidelines. A separate form must be completed for each agreement/award.
Part 1: Requested Revision / Amendment for:
Award Number:
Contractor/Grantee:
Grant Administrator (CDBG-CV) OR
CDBG Representative (Annual CDBG):
Person Completing Form:
Complete the Part 2: Contract Revisions and/or Part 3: Amendments sections below.
Remember, revisions do not require a new Standard Agreement, while amendments do.
Part 2: Contract Revisions
Choose revision types (Scope of Work, Timeline or Milestone, Beneficiaries or Other) and complete entries for those revisions.
Scope of Work Revision (Choose Itemize the Scope of Work and/or Change the Scope of Work)
Itemize the Scope of Work
Original Scope of Work: Proposed Itemized Scope of Work:
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CA HCD Revision / Amendment Request Form
Change the Scope of Work in a manner that does not change the overall budget, National Objective, or change type and does not reduce the number of estimated beneficiaries. If your request impacts these areas, STOP. You must request an Amendment.
Original Scope of Work: Proposed Scope of Work:
Timeline or Milestone Revision
Proposed revisions may only affect intermediate milestones; they MAY NOT affect start and end dates. An Amendment is required to change start or end date.
Original Milestones: Proposed Milestones:
Beneficiaries Revision
To qualify as a revision, proposed adjustments must increase the estimated number of beneficiaries WITHOUT increasing or decreasing the scope of work and WITHOUT changing the overall budget.
Original Estimated Increased Number
Number of Beneficiaries: of Beneficiaries:
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CA HCD Revision / Amendment Request Form
Other (Please Explain)
Original Item: Proposed Change:
Part 3: Contract Amendment
Include in this section adjustments that change the scope in a manner that requires a change to the awarded activity budget, including adding funds from other State CDBG funded activities, other CDBG-CV allocations, adding Program Income, and reducing funds from either State CDBG awarded funds or Program Income.
Contract Amendments must be fully executed by BOTH the Grantee and the CA HCD prior to implementation. Adjustments MAY NOT be implemented prior to execution unless CA HCD has provided written notice authorizing the Grantee to proceed.
Choose amendment type(s) (Scope of Work, Budget and Scope of Work, Beneficiaries, or Other) and complete entries for these amendments.
Scope of Work Amendment (Choose EITHER Add Scope or Reduce Scope) Add Scope beyond what was included in the original application Original Scope of Work: Proposed Scope of Work:
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CA HCD Revision / Amendment Request Form
Reduce Scope such that the activity is materially different from that in the original application.
Original Scope of Work: Proposed Scope of Work:
Budget and Scope of Work Amendment (Choose Change of Scope requiring adding funds, Change of Scope requiring reducing funds, and/or Budget Change.) Change to the Scope of Work that requires a change to awarded activity budget including ADDING FUNDS from other State CDBG funded activities or other CDBG-CV allocations or adding Program Income. Complete both the scope and budget information below.
Original Scope of Work: Proposed Scope of Work:
Budget Change
Original Scope of Work: Proposed Scope of Work:
Awarded Funds Total Funds Awarded Funds Total Funds
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CA HCD Revision / Amendment Request Form
Change to the Scope of Work that requires a change to awarded activity budget including REDUCING FUNDS from either State CDBG awarded funds or Program Income. Complete both the scope and budget information below.
Original Scope of Work: Proposed Scope of Work:
Budget Change
Original Scope of Work: Proposed Scope of Work:
Awarded Funds Total Funds Awarded Funds Total Funds
Budget change to awarded activity budget including adding funds from other CDBG-CV, CDBG annual funds, or Program Income allocation. If the budget line items (such as activity or activity delivery) are moved WITHOUT increasing or decreasing the overall budget, complete the Revision section instead.
Budget Changes
Original Scope of Work: Proposed Scope of Work:
Awarded Funds Total Funds Awarded Funds Total Funds
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CA HCD Revision / Amendment Request Form
Beneficiaries Amendment
Proposed adjustments should reduce the estimated beneficiary counts. If the number of beneficiaries is being increased WITHOUT increasing or decreasing the scope of work and WITHOUT changing the overall budget, complete the Revision section instead.
Original Estimated
Number of Beneficiaries:
Reduced Number of
Beneficiaries:
Other (Please Explain)
Original Item: Proposed Change:
Amendment Justifications and Assurances
Please include the following information for the proposed amendment.
1. Identify the reasons for the proposed amendment(s).
2. List steps being taken to avoid any future amendment(s) request(s) for the same reason(s).
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CA HCD Revision / Amendment Request Form
Part 4: Grantee Approval and Acknowledgment
I approve the revision or amendment requested above. I acknowledge that if revisions are approved, they will be automatically incorporated into our current Standard Agreement. All other provisions of the agreement shall remain unchanged. I also acknowledge that if an amendment is approved, it must be fully executed by both the Grantee and the Department prior to implementation.
Name of Designated Official: Title of Designated Official:
Signature of Designated Official: Date:
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