HomeMy WebLinkAboutItem 05 IGA for Human ServicesAGENDA ITEM SUMMARY
Meeting Date:
Meeting Type:
Staff Contact/Dept.:
Staff Phone No:
Estimated Time:
11/7/2022
Regular Meeting
Erin Fifield/DPW
541-726-2302
Consent Calendar
SPRINGFIELD Council Goals: Encourage Economic
CITY COUNCIL Development and
Revitalization through
Community Partnerships
ITEM TITLE: LANE COUNTY COMMUNITY DEVELOPMENT BLOCK GRANT
INTERGOVERNMENTAL AGREEMENT (IGA)
ACTION Authorize the City Manager to execute the Intergovernmental Agreement (IGA) for
REQUESTED: Human Services with Lane County for the allocation of Community Development
Block Grant funds in FY23.
ISSUE The Human Services Commission (HSC) is an intergovernmental committee made
STATEMENT: up of Lane County, Eugene, and Springfield elected officials, which collectively
manages the funding of human services.
For FY23, City Council approved $102,346 in Community Development Block
Grant (CDBG) funds to support public services.
ATTACHMENTS: Attachment 1: Lane County CDBG IGA FY23
DISCUSSION/ The Human Services Commission addresses basic needs of low-income residents in
FINANCIAL the realms of health and human services. Springfield, Eugene, and Lane County
IMPACT: pool their state and federal grants and general fund contributions to be administered
by Lane County Health and Human Services Division. Lane County contracts with
public and nonprofit human service providers to address specific community needs.
100% of Springfield's CDBG allocation to Lane County goes directly to the service
providers and is not used to pay for Lane County staff to administer the grants. This
allocation will pay for the staff delivery costs at four local nonprofits serving low-
income residents in Springfield: Catholic Community Services, Food for Lane
County, Relief Nursery, and Hope and Safety Alliance (formerly WomenSpace).
This IGA authorizes payment of Springfield's CDBG allocation to the HSC for
FY23.
INTERGOVERNMENTAL AGREEMENT
FOR USE OF COMMUNITY DEVELOPMENT BLOCK GRANT FUNDS
FOR HUMAN SERVICES
BETWEEN: City of Springfield, a unit of local
government of the State of Oregon
(SPRINGFIELD)
DUNS #046280525
AND: County of Lane, a unit of local government
of the State of Oregon (LANE COUNTY)
DUNS #030786248
EFFECTIVE DATE: July 1, 2022
CONTRACT NUMBER: Lane County 56651 A2
Springfield C3224
RECITALS
THIS Agreement is made and entered into by the CITY OF SPRINGFIELD, a municipal corporation
of the State of Oregon, and the LANE COUNTY, a political subdivision of the State of Oregon,
hereinafter referred to as SPRINGFIELD and COUNTY, respectively.
A. ORS 190.010 and the Lane County Home Rule Charter provide that units of local government
may enter into agreements for the performance of functions and activities that a party to the
agreement, its officers or agencies, have authority to perform.
B. SPRINGFIELD desires to enter into a subrecipient agreement with COUNTY for use of
Community Development Block Grant (CDBG) funds, CFDA No. 14.218, FAIN# B -22 -MC -
41 -0002, Federal Award Date 8/23/22, Program Year 7/1/22-6/30/23, in support of human
services that address the needs of low-income persons residing within the City of Springfield.
C. SPRINGFIELD and COUNTY desire to enter into an agreement to allow for reimbursement of
eligible CDBG costs incurred by subrecipients of the COUNTY up to $102,346 for services
provided between July 1, 2022 and June 30, 2023.
D. COUNTY will use CDBG funds according to the terms and conditions set forth herein and in
the following exhibits:
Exhibit A
Scope of Work and Budget
Exhibit B
Performance of Management Activities
Exhibit C
CDBG Regulations and Requirements
Exhibit D
Client/Households Data Report
Exhibit E
FFATA Form
Attachment 1 Page 1 of 14
AGREEMENT
1. Use of CDBG Funds for Human Services. SPRINGFIELD agrees to reimburse COUNTY for
up to $102,346 in CDBG funds for eligible costs for human services provided to low- income
persons residing within the City of Springfield. Services shall be provided by subrecipient
agencies of the COUNTY as described in Exhibit A. COUNTY's Department of Health and
Human Services shall be responsible for the general administration and management of the
human services program including service planning, monitoring, evaluation, and reporting of
contracted services as described in Exhibit B.
2. Time for Completion. COUNTY may request reimbursement for eligible costs incurred
between July 1, 2022 and June 30, 2023.
3. Consideration. Payment requests shall be based on actual costs incurred by COUNTY.
Payment requests shall be accompanied by documentation of actual expenses for eligible
CDBG public service activities. Request for payment must be made by July 30, 2023.
4. Contract Administration. Each party designates the following as its representative for
purposes of administering this contract:
CITY: Erin Fifield
Community Development Analyst
225 Fifth St, Springfield OR 97477
efifield springfield-or.gov
COUNTY: Patrick Kerr
Sr. Program Services Coordinator
151 W. 7t1, Ste 520, Eugene OR 97401
Patrick. kerr(a)-lanecountyor.gov
Either party may change its designated representative by giving written notice to the other.
5. Reporting, Records, and Inspection. COUNTY shall provide client beneficiary and financial
reports to SPRINGFIELD in accordance with federal requirements identified in Attachments
C, D, and E. COUNTY shall maintain records of its charges and supporting documentation
under this contract for a period of not less than five full fiscal years. COUNTY shall make its
records available upon request for monitoring by SPRINGFIELD and HUD as needed.
6. Indemnification. To the extent allowed by the Oregon Constitution and the Oregon Revised
Statutes, each of the parties hereto agrees to defend, indemnify, and save the other harmless
from any claims, liability or damages including attorney fees arising out of any error, omission
or act of negligence on the part of the indemnifying party, its officers, agents, or employees
in the performance of this agreement.
7. Status. In providing the services specified in this agreement (and any associated services)
both parties are public bodies and maintain their public body status as specified in ORS
30.260. Both parties understand and acknowledge that each retains all immunities and
privileges granted them by the Oregon Tort Claims Act (ORS 30.260 through 30.300) and
any and all other statutory rights granted as a result of their status as local public bodies.
Attachment 1 Page 2 of 14
8. Subcontracting. COUNTY shall enter into subrecipient agreements with agencies to perform
eligible CDBG public services in accordance with the scope of services provided in
Attachment A and HUD rules and regulations provided in Attachment C. All provisions of
this agreement shall apply to subrecipient agreements between the COUNTY and agencies
performing CDBG public services.
9. Assignment. COUNTY shall not assign this contract, in whole or in part, or any right or
obligation hereunder, without SPRINGFIELD's prior written approval.
10. Compliance with Laws. Both parties shall comply with all applicable federal, state, and local
laws, rules, ordinances, and regulations at all times related to CDBG public service activities
and subrecipient requirements including but not limited to those described in Exhibit C.
11. Conflict of Interest. No persons, as described in the following paragraph, who exercise or
have exercised any functions or responsibilities with respect to activities assisted with CDBG
funds covered in this contract, or are in a position to participate in the decision- making
process or gain inside information with regard to such activity, may obtain a personal or
financial interest or benefit from a CDBG assisted activity, or have an interest in any
contract, subcontract or agreement with respect thereto, or the proceeds thereunder, either
for themselves or those with whom they have family or business ties, during their tenure or
for one year thereafter. Persons covered in the conflict of interest provisions above include
any person who is an employee, agent, consultant, officer, or elected official or appointed
official of the COUNTY and its subrecipients.
12. Financial Procedures. Both parties shall comply with the requirements and standards of
2 CFR 200 and 225 and those described in Attachment C.
13. Notices. Any notices permitted or required by this contract shall be deemed given when
personal delivered or upon deposit in the United States mail, postage fully prepaid, certified,
return receipt requested and addressed to the representative designated in Section 4. In
addition, if directions for telephonic or electronic transmission (fax or email) are set forth
below, notices may be delivered by fax or email. Notices sent by certified mail will be deemed
delivered three business days after placement in the mail and notices sent by fax or email
will be deemed when successful transmission is electronically confirmed.
14. Arbitration. Any controversy regarding the terms and conditions of this agreement shall be
submitted to arbitration. Any party may request arbitration by written notice to the other. If
the parties cannot agree on a single arbitrator within fifteen days from the giving of notice,
each party shall within five days select a person to represent that party and the two
arbitrators shall immediately select a third impartial person to complete a three member
arbitration panel. If the two arbitrators cannot agree within fifteen days on the third arbitrator,
then either party may petition the Presiding Judge of the Lane County Circuit Court to select
the third arbitrator. The panel shall conduct the arbitration in accordance with the provisions
of ORS Chapter 33, or the corresponding provisions of any such future law. The arbitrator(s)
shall assess all or part of the cost of the arbitration, including attorney fees, to any or all
parties.
15. Integration. This contract embodies the entire agreement of the parties. There are no
promises, terms, conditions or obligations other than those contained herein. This contract
shall supersede all prior communications, representations or agreements, either oral or
written, between the parties. This contract shall not be amended except in writing, signed
by both parties.
Attachment 1 Page 3 of 14
16. Interpretation. This contract shall be governed by and interpreted in accordance with the
laws of the State of Oregon.
17. Anti -Lobbying. COUNTY certifies, to the best of its knowledge and belief, that:
a. No Federal appropriated funds have been paid or will be paid, by or on behalf of the
undersigned, to any person for influencing or attempting to influence an officer or
employee of an agency, a Member of Congress, an officer or employee of Congress,
or an employee of a Member of Congress in connection with the awarding of any
Federal contract, the making of any Federal grant, the making of any Federal loan,
the entering into of any cooperative agreement, and the extension, continuation,
renewal, amendment, or modification of any Federal contract, grant, loan, or
cooperative agreement.
b. If any funds other than Federal appropriated funds have been paid or will be paid to
any person for influencing or attempting to influence an officer or employee of any
agency, a Member of Congress, an officer or employee of Congress, or an employee
of a Member of Congress in connection with this Federal contract, grant, loan, or
cooperative agreement, the undersigned shall complete and submit Standard Form -
LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions.
CITY OF SPRINGFIELD
Nancy Newton
Springfield City Manager
Date:
REVIEWED & APPROVED
AS TO FORM
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DATE:
SPRING FI ELI) CITY ATFORNEY'S OFFICE
LANE COUNTY
Steve Mokrohisky
County Administrator
Date:
4
Attachment 1 Page 4 of 14
EXHIBIT A
SCOPE OF WORK AND BUDGET
Subject to terms and conditions of the Agreement, COUNTY shall use $102,346 in CDBG funds
for CDBG eligible public services described below. Funds shall be used for personnel expense
of employees working directly on the funded program identified and no indirect charges shall be
allowed.
Agency
Description of Service
Budget
Catholic Community
Community Service Center
$39,649
Catholic Community
Services, Springfield
OASIS Homeless Family Access Center
$16,199
FOOD for Lane County
Hunger Relief — Food Distribution
$24,222
Relief Nursey
Patent Education
$14,247
Hope & Safety Alliance
Access Center for Victims of Domestic
$8,029
Total
$102,346
5
Attachment 1 Page 5 of 14
EXHIBIT B
PERFORMANCE OF MANAGEMENT ACTIVITIES
The Human Services Commission provides coordination for the Eugene and Springfield
City Councils and the Lane County Board of Commissioners on matters concerning human
services policy, planning and funding, including:
• Pursues regional cooperation in the planning, funding and delivery of human services
• Engages in research and makes recommendations for regional partners' funding,
planning, policy, programs and partnerships on emergent issues and concerns in the
area of human services
• Develops recommendations on priorities for the allocation of regional resources to meet
identified human needs
• Evaluates and makes recommendations on all submitted jurisdictional requests for
funding of human services
• Develops and manages a variety of community resources to maximize the benefit on
human needs
• Guides and optimizes the use of partners' resources in addressing major community
issues and concerns
• Evaluates and reviews the performance of individual human service agencies
• Develops a regional plan for human service efforts supported by local government,
ensuring community involvement
• Coordinates with other groups and human service planning agencies and organizations
• Reviews city and county actions which may affect the availability and quality of human
service delivery in the county
• Encourages collaboration in seeking regional solutions to human service needs
• Encourages caring and action on human needs in the community by raising awareness
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Attachment 1 Page 6 of 14
COUNTY agrees to carry out the following activities in order to manage the Human Services
Commission Program operations:
I. Contract Monitoring
A. Conduct quarterly monitoring of agency contracts compliance by reviewing minutes
and financial statements.
B. Conduct semiannual review of program progress reports.
C. Review annual audits.
D. Conduct biennial site visits to all subcontracted agencies.
E. Provide technical assistance as needed to agencies in solving problems affecting
their contract performance.
II. Accounting
A. Set-up payment schedule for subcontractors.
B. Track receipt of revenues from Springfield and disbursements of the funds
to subcontracted agencies.
C. Bill city of Springfield.
III. General Manaaement
A. Prepare annual budget, monitor and adjust as necessary.
B. Prepare annual program and fiscal reports for the Human Services Commission and
all reports required by other funding agencies.
C. Make records available to city of Springfield as requested.
D. Conduct human services and homeless assistance planning process
E. Perform resource development activities.
F. Staff the Human Services Commission, Poverty and Homelessness Board and
related subcommittees.
G. Coordinate program activities.
H. Promote and maintain public relations with other community organizations and the
general public.
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Attachment 1 Page 7 of 14
Exhibit C
COMMUNITY DEVELOPMENT BLOCK GRANT AGREEMENT
REGULATIONS AND REQUIREMENTS
COUNTY shall provide a process for allocating federal Housing and Community
Development Block Grant (CDBG) funds to operate social service agencies serving
extremely low-income, very low-income and low-income persons in the city of
Springfield. COUNTY shall, through their Human Services Commission (HSC) process,
select agencies appropriate for funding. COUNTY Department of Health and Human
Services (H&HS) shall provide ongoing administration and implementation of contracts
with agencies for services at no charge to CDBG from July 1, 2022 through June 30,
2023. H&HS shall manage contracts, monitor, evaluate, and pay agencies directly for
public services based on the terms and conditions set forth herein and in Exhibit D and
Exhibit E.
2. COUNTY shall select agencies for funding with CDBG funds that either: 1) provide a new
service; or 2) demonstrate a quantifiable increase in the service level provided in the
prior twelve (12) months. This increase must be demonstrated using quantifiable "units of
measure"; for example, "meals provided" or "nights of shelter". Once an agency has met
one of these tests, the agency can continue to receive subsequent CDBG funding.
3. COUNTY shall review agency/county contracts, including but not limited to, agency
Program Agreements (scope of work) and CDBG budgets, and shall verify CDBG
eligibility of HSC selected agencies with SPRINGFIELD prior to COUNTY entering
into contracts for CDBG funds.
4. COUNTY shall require that all contracts between COUNTY and CDBG funded agencies
shall include a description/scope of work to be performed, a schedule for completing the
work, and a budget. Contracts shall provide a separate description/scope (service
indicators) and budget for services provided with CDBG funds. COUNTY shall require
that items shall be in sufficient detail to provide a sound basis to effectively monitor
performance under this contract.
COUNTY shall require that all services provided by CDBG funds must either serve
Springfield residents of extremely low, very low or low-income directly or serve a
Springfield area where at least 51 % of the residents are extremely low, very low or
low-income.
COUNTY shall direct agencies providing direct services to determine eligibility of
clients/households according to the most current HUD Family Income Guidelines for
Springfield, Oregon. The Income Guidelines are updated annually by the U.S.
Department of Housing and Urban Development at
https://www.huduser.gov/portal/datasets/il.html.
5. COUNTY shall perform ongoing monitoring and site visits. COUNTY shall maintain
documentation of agency services provided and payments received.
COUNTY shall require that agencies, which provide "direct" benefits, maintain
documentation on unduplicated clients/households receiving services funded by
CDBG. Documentation shall include information on residency, income, ethnic data,
race, female head of household, and disability status. A sample client/household
Attachment 1 Page 8 of 14
documentation collection sheet is attached as Exhibit D. Client/household information
shall be compiled and submitted to SPRINGFIELD quarterly, no later than the last day
of the month following the end of the quarter.
6. COUNTY shall require that any program income generated through COUNTY
contracts using CDBG funds shall be reported to SPRINGFIELD, and upon
approval, committed to the CDBG funded project to advance eligible objectives.
7. SPRINGFIELD reimbursement to COUNTY of CDBG funds shall not exceed $102,346
for services provided by eligible social service agencies as detailed in attached Exhibit
- A. COUNTY shall forward to SPRINGFIELD monthly agency service performance
reports in conjunction with payment reimbursement requests based on actual
expenses incurred by agencies in the performance of those services.
8. SPRINGFIELD will review performance reports and reimbursement requests for cost
eligibility and appropriateness, based on the approved CDBG detailed budget in
County/agency contracts. Reimbursement payment items must be properly
documented and available for review. Should SPRINGFIELD determine agency
services or reimbursement requests to be unacceptable, SPRINGFIELD shall withhold
outstanding reimbursement payments until corrective action is completed. Should
SPRINGFIELD determine any cost to be ineligible and/or inappropriate for CDBG
funds, said cost shall not be reimbursed to COUNTY. Should SPRINGFIELD
determine COUNTY to have materially failed to comply with any term of contract,
SPRINGFIELD may suspend or terminate social services contract management
responsibility of CDBG funded agencies.
9. COUNTY shall maintain records of its charges to SPRINGFIELD under this contract for a
period of not less than five full fiscal years following COUNTY'S completion of this
contract. Upon reasonable advance notice, SPRINGFIELD or its authorized
representatives may from time to time inspect, audit, and make copies of any of
COUNTY'S records that relate to this contract. If any audit by SPRINGFIELD discloses
that payments to COUNTY were in excess of the amount to which COUNTY is entitled
under this contract, COUNTY shall promptly pay to SPRINGFIELD the amount of such
excess. If the excess is greater than 1% of the contract amount, COUNTY shall also
reimburse City its reasonable costs incurred in performing the audit.
10. COUNTY shall comply, and shall require compliance by agencies selected for CDBG
funding, with all applicable federal, state, and local laws, rules, ordinances, and
regulations at all times and in the performance of the work.
COUNTY shall comply with the policies, guidelines, requirements, and standards of 2
CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit
Requirements of Federal Awards and 2 CFR 225 Cost Principles for State, Local, and
Indian Tribal Governments.
COUNTY shall require compliance by social service agencies with the requirements and
standards of 2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit
Requirements of Federal Awards and 2 CFR 230, Cost Principles for Non -Profit
Organizations.
COUNTY shall comply, and shall require compliance by agencies selected for CDBG
funding, with the requirements and standards of HUD Section 504 of the Rehabilitation
Attachment 1 Page 9 of 14
Act of 1973 (as amended). As a subrecipient of SPRINGFIELD CDBG, COUNTY and
CDBG funded agencies are designated as recipient organizations as it applies to
Section 504 regulations.
COUNTY shall require that no person be excluded from participation in or be denied
benefits of or be subjected to discrimination in any programs, activities, facilities,
housing, or employment opportunities based on race, color, national origin, religion, sex,
age, familial status, or handicap in accordance with P.L. 88-352 (Title VI), P.L. 90-
284 (Title VIII), Executive Order (E.O.) 11063, as amended by E.O. 12259, Section
109 of the Act, E.O. 11246, as amended by E.O. 12086, and Section 3 of the Act.
11. COUNTY shall require access to COUNTY and contractor social service agency records
and financial statements, as necessary, to provide effective monitoring and evaluation of
program performance. Upon reasonable advance notice, SPRINGFIELD or its
authorized representatives may from time to time inspect, audit, and make copies of any
of COUNTY and/or CDBG funded social service agencies records that relate to this
contract.
12. Should COUNTY select to fund public services provided by a religious organization,
COUNTY shall require that the following conditions are met and terms incorporating these
conditions are set out in an agreement between COUNTY and the providing agency.
If an Agency represents that it is, or may be deemed to be, a religious or denominational
institution or organization, or an organization operated for religious purposes, which is
supervised or controlled by, or in connection with a religious or denominational
institution or organization, then Agency certifies that:
a. Agency agrees to provide public services in a manner free from religious
influence;
b. Agency will not discriminate in employment practices based on religion;
c. Agency will not discriminate against program applicants based on religion;
d. Agency will not give preference to certain religions in the provision of housing
and services;
e. Agency will provide no religious instructions while providing the public services;
f. Agency will not provide religious services or other forms of proselytizing while
providing the public services; and
g. Agency will exert no other religious influence in providing housing or services.
13. COUNTY agrees to abide by, and shall agencies selected for CDBG funding to abide
by, the provisions of 2 CFR 200, 225 and 24 CFR 570.611, which include (but are not
limited to) the following:
a. COUNTY shall maintain a written code or standards of conduct that shall govern
the performance of its officers, employees or agents engaged in the award and
administration of contracts supported by Federal funds.
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Attachment 1 Page 10 of 14
b. No employee, officer or agent of COUNTY shall participate in the selection, or in
the award, or administration of, a contract supported by Federal funds if a
conflict of interest, real or apparent, would be involved.
c. No covered persons who exercise or have exercised any functions or
responsibilities with respect to CDBG-assisted activities, or who are in a position
to participate in a decision-making process or gain inside information with regard
to such activities, may obtain a financial interest in any contract, or have a financial
interest in any contract, subcontract, or agreement with respect to the CDBG-
assisted activity, or with respect to the proceeds from the CDBG-assisted activity,
either for themselves or those with whom they have business or immediate family
ties, during their tenure or for a period of one (1) year thereafter. For
purposes of this paragraph, a "covered person" includes any person who is an
employee, agent, consultant, officer, or elected or appointed
official of the COUNTY and subrecipient agencies.
14. COUNTY shall complete and submit to SPRINGFIELD, Exhibit "E" attached hereto
"Federal Funding Accountability and Transparency Act (FFATA) Data Collection Form,"
and COUNTY shall require all subrecipients to complete a like form and submit to
COUNTY prior to disbursement of any funds. COUNTY will report to FSRS — Federal
Funding Accountability and Transparency Act Subaward Reporting System — any
subreciepient receiving equal to or great than $30,000 in federal funding during the
contract year.
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Attachment 1 Page 11 of 14
EXHIBIT D
CDBG INFORMATION -SPRINGFIELD
ONLY INCLUDE INDMDUALS & HOUSEHOLDS THAT DIRECTLY BENEFIT FROM CDBG FUNDING
Agency:
Program:
SP Name:
Reporting Period:
Activity:
NOTE: NUMBERS REPORTED FOR CDBG FUNDING ARE FOR THE FISCAL YEAR BEGINNING JULY 1 AND ENDING
JUNE 30, THEREFORE, EACH JULY 1ST START OVER ATO.
Unduplicated Individuals
INDIVIDUAL RACE & ETHNICITY
July -Sept I Oct -Dec I O
JulJan-Mar I Apr -June I YTD
YTD YTD Combined
White
Non Hispanic 0
0
Hispanic 0
Black/African American
Non Hispanic 0
0
Hispanic 0
Black/African American &White
Non Hispanic 0
0
Hispanic 0
Asian
Non Hispanic 0
0
Hispanic 0
Asian &White
Non Hispanic 0
0
Hispanic 0
American Indian/Alaska Natiw
Non Hispanic 0
0
Hispanic 0
American Indian/Alaska Native & White
Non Hispanic 0
0
Hispanic 0
American Indian/Alaska Native & Black
Non Hispanic 0
0
Hispanic 0
Native Hawaiian/Other Pacific Islander
Non Hispanic 0
0
Hispanic 0
Other Racial Combination
Non Hispanic 0
0
Hispanic 0
Race Unknown/Refus ed/Other and Non -His panic/Non-Latino 0
Race Unknown/Refus ed/Other and Hispanic/Latino 0
Race Known & Ethnicity Unknown/Refus ed 0
Race & Ethnicity Unknown/Refus ed/Other 0
Total Individuals 0 0 0 0 0
Total Hispanic Individuals 0 0 0 0 0
INCOME LEVEL (based on household income)
Income Level - Extremely Low -30%
0
Income Level - Low- 50%
0
Income Level - Moderate -80%
0
Total Individuals
0 0 0 0 0
OTHER
Disabled Individuals 0
Female Head of Household 0
YTD
YTD # of Springfield individuals provided with X
Annual goal of Springfield individuals provided with X 0
of annual goal #DIV/0!
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Attachment 1 Page 12 of 14
EXHIBIT E
Federal Funding Accountability and Transparency Act (FFATA)
Data Collection Form
Federal funds that require compliance with the Federal Funding Accountability and Transparency Act support this
agreement between the City of Springfield and your organization. The purpose of the Transparency Act is to make
information available online so the public can see how recipients spend federal funds.
Your organization must have a Data Universal Numbering System (DUNS®) number to comply with the act and be eligible
to enter into this agreement. If you do not already have one, you may get a DUNS number free of charge by contacting
Dun and Bradstreet at www.dnb.com._ City of Springfield also encourages registration with the System for Award
Manage- ment (SAM) to reduce data entry by both the City and your organization. You may register with SAM free of
charge at
www.sam.gov. City will report information about your organization and this agreement to the federal government as required
by Title 2 CFR, Part 25. The public can view this information on the federal government website www.USASpending.gov.
Recipient Information
1. Legal Name
2. DUNS Number
Lane County
030-786-2480000
3. Principle Place of Performance
151 W. 7th
3a. City
3b. State, Zip+4
Eugene
OR 97401
3c. Congressional District
3d. Country
04
4. Are you registered in SAM? X YES. Skip to signature block. Sign, date and return. NO. Continue with 5.
5. In the preceding fiscal year did your organization:
a. Receive 80% or more of annual gross revenue from federal contracts, subcontracts, grants, loans,
subgrants, and/or cooperative agreements; and
b. $25,000,000 or more in annual gross revenues from federal contracts, subcontracts, grants, loans,
subgrants, and/or cooperative agreements; and
c. The public does not have access to information about the compensation of the executives through periodic
reports filed with the IRS or the Security and Exchange Commission per 2 CRF Part 170.330.
NO. Skip to signature block. Sign, date and return.
YES. You must report the following information for the five (5) most highly compensated executives in your
organization. Sign, date and return.
Name of Official
Position Title
Total Compensation Amount*
1.
2.
3.
4.
5.
*Note: "Total compensation" means the cash and noncash dollar value earned by the executive during the
subrecipient's past fiscal year. (For more information, see 17 CFR 229.402 (C)(2)).
By signing this document, the Authorized Representative attests to the information above.
Signature of Authorized Representative Print Name Date
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Attachment 1 Page 13 of 14
Please sign and return this document. City of Springfield will not pay any invoices until it receives this completed and signed form
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Attachment 1 Page 14 of 14