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DocuSign Envelope ID:AE68B1 88-71 FF-460C-806B-14DOE6AB7F8A <br /> Assistance Award/Amendment U.S.Department of Housing and <br /> Urban Development <br /> Office of Administration <br /> 1.Assistance Instrument 2.Type of Action <br /> ®Cooperative Agreement ❑Grant ❑Award ®Amendment <br /> 3.Instrument Number 4.Amendment Number 5.Effective Date of this Action 6.Control Number <br /> FF204K204022 1 TIN: 56-6000327 <br /> 7.Name and Address of Recipient 8.HUD Administering Office <br /> Orange County Department of Human Rights and Relations U.S.Department of HUD/FHEO <br /> 300 W.Tryon Street Five Points Plaza, 1611 Floor <br /> P.O.Box 8181 40 Marietta Street <br /> Hillsborough,NC 27278 Atlanta,GA 30303-2806 <br /> DUNS#: 044041796 <br /> 8a.Name of Administrator 8b.Telephone Number <br /> Carlos Osegueda 678-732-2905 <br /> 10.Recipient Project Manager 9.HUD Government Technical Representative <br /> Annette Moore,Director,Orange County Dept.HHR Anne Marie Dolce <br /> 11.Assistance Arrangement 12.Payment Method 13.HUD Payment Office <br /> ❑Cost Reimbursement ❑Treasury Check Reimbursement Fort Worth Field Accounting <br /> ❑Cost Sharing ❑Advance Check P.O.Box 2905 <br /> ®Fixed Price ®Automated Clearinghouse Ft.Worth,TX 76113-2905 <br /> 14.Assistance Amount 15.HUD Accounting and Appropriation Data <br /> Previous HUD Amount $10,000.00 15a.Appropriation Number 15b.Reservation number <br /> ............................................................................................................................................................................................... <br /> HUD Amount this action $0 8620/210144(I,20) FHEO-04-20-01 <br /> ............................................................................................................................................................................................... <br /> Total HUD Amount $10,000:00 Amount Obligated $10,000:00 <br /> ........ ............................................. .................................................................. . ............................ ................................................... <br /> Recipient Amount $0.00 Obligation by this action $0.00 <br /> Total Instrument Amount $10,000.00 Total Obligation $10,000.00 <br /> 16.Description <br /> This instrument authorizes the following funds to be obligated to the Agency. <br /> The Cooperative Agreement/Amendment is comprised of the following <br /> documents: <br /> Fund Code Description Amount Obligated in <br /> this Action 1. Cover Page-HUD-1044 <br /> 2. Attachment A:Statement of Work and Payment Schedule <br /> TIN Case Processing(Carryover Funds $0.00 <br /> TIN Case Processing Current Funds $0.00 The performance period for this Agreement begins May 1.2020 and <br /> ends January 31,2021. The funds obligated by this instrument expire <br /> TIN Post-Cause Supplement(Carryover) $0.00 on September 30,2025. The recipient must comply with all rules and <br /> TIN Post-Cause Supplement Current Funds $0.00 regulations in accordance with the Fair Housing Assistance Program <br /> regulations(24 CFR§115),the Memorandum of Understanding <br /> ADC Administrative Costs $0.00 between the Recipient and HUD(including all subsequent addenda), <br /> TRG Training $0.00 and the FY2020 Partnership funds award guidance. <br /> PA1 Partnership $0.00 <br /> SEE Special Enforcement Effort $0.00 <br /> Total $0.00 <br /> 17. ® Recipient is required to sign and return three(3)copies 18.❑ Recipient is not required to sign this document. <br /> of this document to the HUD Administering Office <br /> 19.Recipient(By Name) 20.HUD(By Name) <br /> Bonnie B.Hammersley, Carlos Osegueda,Regional Director <br /> Orange County Manager Region IV,Office of FHEO/CAO <br /> Signature&Title Date(mm/dd/yyyy) Signature&Title Date(mm/dd/yyyy) <br /> FDocuSigned by: County Manager 12/1/2020 DocuSigned by: <br /> Regional Director 1/15/2021 <br /> 1�etn,ln,it, �awtwtt,v sl t 11 �av{as (9 sst�u�,�a� <br />