Prospect Place CDBG Subrecipient Agreement SignedCity of Northampton Vendor Contract Cover Sheet
Contract #:
(To Accompany All City Contracts to City Auditor, Purchasing and Mayor’s Office)
1.Department and/or Division Name: Office of Planning & Sustainability
2. Vendor Name: Valley Community Development
3. Munis Vendor I.D.#: 22835 Department Contract # (if any):
5. Source and Amount of Funds: Please Fill in Below
Source: (Please check all that apply)
Account Name: Account Number:
Amount: Total Per Source
Grant – CDBG CDBG – Housing 2103175 578105 23 $86,651.77 $86,651.77
Grant – CDBG CDBG – Housing 2103175 578105 22 $132,375.48 $132,375.48
Grant – CDBG CDBG – Housing 2103175 578105 21 $39,231.29 $39,231.29
Grant – CDBG CDBG – Housing 2103175 578105 20 $27,674.44 $27,674.44
Total of Contract $285,932.00
5.Period of Contract Coverage (If Applicable): July 1, 2022 – June 30, 2023
6.Brief Description of Goods and/or Services being provided: Acquire former NorthamptonRehabilitation and Nursing Center at 737. Bridge Road. Valley CDC will use other fundingsources to rehabilitate the building and create 60 affordable housing units.
7.Does the vendor have a Northampton Office:X Yes __ _ No (if local) Taxes owed: Yes X No
8. Please list time and dates that contracts were delivered: 8/0/2022 4:10 PM
Signature Date
Department Head, Carolyn Misch
Auditor, Joyce Karpinski
Chief Procurement Officer, Joe Cook
Finance Director, Charlene Nardi
Mayor Gina-Louise Sciarra
Mayor’s/CP docs/Procedures/VENDOR.COVER SHEET.UPDATED.6-02 cp
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8/31/2022 | 9:22 AM EDT
8/31/2022 | 9:42 AM EDT
8/31/2022 | 2:57 PM EDT
9/1/2022 | 8:02 AM EDT
9/1/2022 | 7:23 PM EDT
102-23
CITY OF NORTHAMPTON
MASSACHUSETTS
COMMUNITY DEVELOPMENT BLOCK GRANT
SUBRECIPIENT AGREEMENT
between
THE CITY OF NORTHAMPTON
and
Valley Community Development
PROGRAM/PROJECT: Prospect Place Acquisition
MA FISCAL YEAR 2023/FFY FY 2022
AMOUNT: $285,932.00
TERM: July 1, 2022 – June 30, 2023
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COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM CONTRACT
This AGREEMENT is made this 23rd day of August, 2022, by and between the City of
Northampton, through its Office of Planning & Sustainability, 210 Main Street, Northampton,
MA 01060 hereinafter referred to as GRANTEE, and Valley Community Development , 256
Pleasant Street, Northampton, MA 01060 hereinafter referred to as the SUBRECIPIENT, for
utilization of Community Development Block Grant (CDBG) Program funds.
WHEREAS: On August 22, 1974, the 93rd Congress of the United States of America enacted
the Housing and Community Development Act of 1974; and
WHEREAS: Public Law 93-383 provides for a program of Community Development Block
Grants relating to housing, urban development and other purposes; and
WHEREAS: The GRANTEE has entered into an agreement with the United States Department
of Housing and Urban Development for the purpose of conducting a Community
Development Block Grant Program with federal financial assistance under Title I
of the Housing and Community Development Act of 1974, as amended; and
WHEREAS: Pursuant to such agreement, the GRANTEE wishes to support activities to prevent
the physical deterioration of neighborhoods through public improvements, to
eliminate slums and blight, and to assist persons with low and moderate incomes
through the provision of public service and economic development programs;
NOW, THEREFORE, in furtherance of the objectives set forth above and in consideration of the
mutual promises of the parties to this AGREEMENT contained herein, the GRANTEE and the
SUBRECIPIENT do hereby agree as follows:
1. SCOPE OF SERVICES
The SUBRECIPIENT does hereby agree to perform and render the services and/or operate
the programs described in Appendix A, Scope of Services, attached hereto and made a
part hereof in accordance with all the terms of said Appendix.
2. BUDGET
The GRANTEE will pay to the SUBRECIPIENT the sum specified in Appendix B, Budget,
attached hereto and made a part hereof, which will constitute full and complete
compensation for all materials delivered or furnished, for all services rendered, and for
all tasks to be accomplished under the Scope of Services. The SUBRECIPIENT will not
expend more than said amount for those purposes and shall spend them for the purposes
stated and in the manner described in the Budget. No funds received by the
SUBRECIPIENT under this AGREEMENT shall be spent for any other purpose or in any
other manner without the written consent of the GRANTEE. The GRANTEE reserves the
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right to reduce or terminate the Budget under this AGREEMENT in the event that the
funds awarded hereunder are used for ineligible activities as defined in HUD regulations
or in this AGREEMENT. The GRANTEE shall have the final decision as to the eligibility of
an activity, subject to said regulations. All public service activity administrative costs must
be spent during this program year. The GRANTEE will reimburse the SUBRECIPIENT for
work completed upon receiving invoices for the work and for projects involving housing
rehabilitation, obtaining an Affordable Housing Restriction from the SUBRECIPIENT.
3. TERM
Services under this AGREEMENT shall commence on July 1, 2022 and shall terminate on
June 30, 2023. If there is a specific sequence in which the Scope of Services is to be
performed or certain target dates which must be met therein, or commencement or
completion dates which differ from those contained in this paragraph, said information
shall be contained in a schedule included as part of Appendix A - Scope of Services. Dates
contained in Appendix A –Scope of Services, shall be controlling and shall supersede any
conflicting dates contained in the body of this AGREEMENT.
4. ADMINISTRATIVE PROCEDURES
The SUBRECIPIENT hereby agrees to comply in all respects with all of the duties,
responsibilities, and requirements imposed by this AGREEMENT and the GRANTEE. The
SUBRECIPIENT further agrees to comply with the applicable uniform administrative
requirements contained in CDBG regulations 24 CFR 570.502 and 2 CFR Part 200
(Uniform Administrative Requirements, Cost Principles and Audit Requirements for
Federal Awards).
5. TERMINATION OF AGREEMENT
(A) Termination of AGREEMENT for Cause: In accordance with 2 CFR 200.339
(Termination), if the SUBRECIPIENT materially fails to fulfill its obligation under
this AGREEMENT in a timely and proper manner, for any cause, or shall violate any
of the terms or conditions of this AGREEMENT, then the GRANTEE reserves the
option to terminate this AGREEMENT. Written notice of such termination shall be
sent to the SUBRECIPIENT at its last known business address by certified mail,
return receipt requested, or such other method of notification which shall insure
that the SUBRECIPIENT has actual notice of the termination. Said written notice
shall specify the effective date of the termination and will state that the
termination decision may be considered in evaluating future applications. Notice
shall be given not less than fifteen (15) days before said effective date. The
SUBRECIPIENT hereby agrees that in such event, all records, documents, assets,
and property of any nature whatsoever or wheresoever situated, prepared or
purchased by said SUBRECIPIENT with CDBG funds under this AGREEMENT shall,
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at the option of the GRANTEE, become the property of the GRANTEE. Upon
request, the SUBRECIPIENT shall secure said property and deliver same to the
GRANTEE immediately. The SUBRECIPIENT shall be entitled to receive just and
equitable compensation for any work satisfactorily completed to the date of
termination. Notwithstanding the above, the SUBRECIPIENT shall remain liable to
the GRANTEE for damages, and the GRANTEE may withhold any payments to the
SUBRECIPIENT until such time as the exact amount of damages to the GRANTEE
from the SUBRECIPIENT is determined.
(B) Suspension of AGREEMENT for cause. The GRANTEE may suspend this
AGREEMENT in accordance with 2 CFR 200.338 (Remedies for Noncompliance) if
the SUBRECIPIENT materially fails to comply with its terms and conditions.
Notification of suspension shall be given in the same manner as notification of
termination described in Paragraph (A), supra. The GRANTEE shall specifically list
the reasons for the suspension and shall indicate the date by which the
SUBRECIPIENT must take corrective action and the action to be taken, if
appropriate. The SUBRECIPIENT, at the expiration of the corrective time period or
at such earlier date as it feels corrective action has been completed, shall request
a review. If the GRANTEE finds that the SUBRECIPIENT has adequately corrected
any non-compliance, it shall reinstate the AGREEMENT. If the GRANTEE finds non-
compliance still exists, it may extend the time for correction or may proceed to
terminate the AGREEMENT, whichever option is, in the GRANTEE'S judgment,
most advantageous for the CDBG program.
(C) Termination of AGREEMENT other than for cause. The GRANTEE may terminate
this AGREEMENT at any time if it deems it in the best interest of the GRANTEE or
the CDBG program to do so, and / or if funds are not made available from HUD.
Notification of termination shall be given as specified in Paragraph (A), supra. The
SUBRECIPIENT shall be paid all sums attributable to the portion of the Scope of
Services completed as of the termination date. Such termination shall be the sole
discretion of the GRANTEE and may include, but is not limited to, the need to
reallocate CDBG funds as a result of natural or other disasters which directly
threaten public health and safety.
(D) In accordance with 2 CFR 200.339, the SUBRECIPIENT may terminate the
Agreement by sending written notification setting forth the reasons for such
termination, the effective date and, in the case of partial termination, the portion
to be terminated. However, if the GRANTEE determines in the case of partial
termination that the award will not accomplish the purposes for which the award
was made, the GRANTEE may terminate the award in its entirety.
(E) In accordance with 2 CFR 200.339, the GRANTEE may terminate this AGREEMENT
with the consent of the SUBRECIPIENT, in which case the two parties must agree
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upon the termination conditions, including the effective date and, in the case of
partial termination, the portion to be terminated.
6. RECORDS
The SUBRECIPIENT agrees to maintain and to provide as required in this AGREEMENT the
following accounts and records: appropriation/expenditure records, encumbrance
records (if applicable), cash receipt and disbursements register, journal, General Ledger
and Cost Accounts, and an inventory of capital equipment, personal property, and/or real
property purchased with CDBG funds. In support of said accounts and records, the
SUBRECIPIENT further agrees to maintain and provide: certified time sheets or time
cards, copies of approved purchase requisitions, copies of approved purchase orders,
copies of signed receiving documents, originals of standard invoices or receipts or
vouchers by which payments are made, cancelled checks, bank reconciliations, monthly
trial balances and monthly balance sheets. The SUBRECIPIENT further agrees to maintain
separate records for Community Development Block Grant fund transactions and
documentation that the activity meets the national objective of benefiting low- and
moderate-income persons. The SUBRECIPENT further agrees to provide access to these
records not more than five (5) days after receipt of a written request from the GRANTEE.
7. RECORD RETENTION
In accordance with 2 CFR 200.333-200.337 (Record Retention and Access), the
SUBRECIPIENT shall retain and secure for a minimum period of three (3) years from the
date of submission of the annual performance and evaluation report all financial records,
supporting documents, statistical records and all other records pertinent to the CDBG
Program. Records shall be retained beyond said three (3) year period if audit findings
have not been resolved or if there is litigation or a claim pending in connection with the
program. In that case, records shall be retained until final resolution of any pending audit,
litigation, or claim.
It is further agreed that records for non-expendable property which was acquired with
CDBG funds shall be retained for three (3) years after its final disposition. Records for any
displaced parties shall be retained for a period of three (3) years after said parties have
received final payment. The GRANTEE reserves and retains the option to request transfer
of certain records to its custody when it determines that said records possess long-term
retention value. The SUBRECIPIENT shall transfer these records to the GRANTEE not more
than fifteen (15) days after receipt of a written request from the GRANTEE.
The SUBRECIPIENT agrees that it shall include similar record keeping provisions in any
agreements it may make with sub-recipient sub-awardees for use of CDBG funds.
8. AUDIT REQUIREMENTS
The GRANTEE and the U.S. Department of Housing & Urban Development (HUD) shall
have immediate access to any and all books, documents, papers, reports, records and files
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of the SUBRECIPIENT and its sub-recipient sub-awardees which are pertinent or relevant
to the subject grant program for the purpose of making or conducting an audit,
examination, excerpts and transcripts. The SUBRECIPIENT agrees that the GRANTEE shall
be guaranteed similar audit rights as to the records of all sub-recipient sub-awardees. The
GRANTEE reserves the right to determine the frequency and scope of audits. Any costs
incurred by the GRANTEE as a result of any needed audit of the SUBRECIPIENT’S records
for current and past years will be paid by the SUBRECIPIENT within 30 days of billing.
9. BUDGET ADJUSTMENTS
The SUBRECIPIENT herewith agrees not to revise, adjust or modify the attached budget
and schedule without prior approval from the Community Development Planner. The
SUBRECIPIENT further agrees to expend funds in accordance with line items, listed in
Appendix B Budget and the time schedule in the Scope of Services (Appendix A), if
applicable. Requests to revise, adjust or modify the project budget and schedule shall be
submitted in writing to the GRANTEE’S Community Development Planner. Any approved
budget modifications will require amending the contract.
10. REQUESTS FOR PAYMENT
Requests for payment for expenses incurred shall be submitted to the Office of
Planning & Sustainability through the SUBRECIPIENT Neighborly portal at
https://portal.neighborlysoftware.com/northamptonma/Participant for processing.
Payment requests shall be in the form of an itemized invoice as promulgated in the
Scope of Services (Appendix A) with the amounts as indicated in the Program Budget
(Appendix B). A cover letter is NOT required. The GRANTEE shall provide payment for
said payment requests in a timely fashion, subject to the availability of funds from and
the approval by the United States Department of the Treasury.
11. WITHHOLDING PAYMENTS
Payments to the SUBRECIPIENT are subject to compliance with this AGREEMENT. Failure
to submit completed US Department of Labor Weekly payroll forms if applicable will
result in payments being held. Other violations of this Agreement as specified in Article
23 of this Agreement, Breach of Contract, will result in payments being held until
corrective measures have been made and approved by the GRANTEE.
12. REPORTING REQUIREMENTS AND PERFORMANCE MEASUREMENT
A Performance Measurement system established by HUD as a standardized process to
gather information, measure program results, and quantify the benefit of programs to
individuals and families with low- and moderate-incomes, has been incorporated into this
Agreement (Appendix C). The SUBRECIPIENT shall complete and submit these reports to
the GRANTEE through the Neighborly online system at
https://portal.neighborlysoftware.com/northamptonma/Participant on a quarterly basis.
Reports are due (15) days following the end of each quarter. Quarters start and end on
the following dates:
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1st Quarter: July 1st - September 30th
2nd Quarter: October 1st - December 31st
3rd Quarter: January 1st - March 31st
4th Quarter: April 1st - June 30th / Final Annual Report
Final Annual Report
In addition to the 4th quarter accomplishments, a summary of accomplishments for the
entire program year must be provided.
The information provided in the Quarterly Reports is reported in HUD’s Integrated
Disbursement and Information System (IDIS) and is included in the Consolidated Annual
Performance and Evaluation Report (CAPER), which is reviewed by HUD for consistency
with federal regulations and the GRANTEE’S Consolidated Plan. The GRANTEE shall
perform an evaluation of the SUBRECIPIENT’s performance of the Scope of Services
herein stated, based on site monitoring visits, program reports submitted by the
SUBRECIPIENT, and any other information deemed appropriate.
13. GRANT CLOSE OUT PROCEDURES
The GRANTEE reserves the right to issue procedures which shall control close out
activities for the Grant Project. These procedures shall conform to CDBG regulation 24
CFR 570.509 and the Uniform Administrative Requirement 2 CFR 200.343 (Closeout).
Observance of these procedures shall be mandatory.
14. RIGHTS RESERVED
The GRANTEE reserves the right to change any reporting, auditing, or other administrative
requirements contained in the AGREEMENT if current requirements imposed on CDBG
recipients are altered or changed by Federal or State agencies.
15. CONFIDENTIALITY OF RECORDS
The GRANTEE reserves the right to access the non-confidential records of the
SUBRECIPIENT and its sub-recipient sub-awardees in accordance with provisions of
Massachusetts General Laws and Federal regulations. Records classified as confidential
shall be provided with the written consent of the individual involved.
The SUBRECIPIENT shall not prevent or hinder public access to records related to the
receipt, expenditure, and use of CDBG funds, provided said records are subject to the
public records access statutes of the Commonwealth of Massachusetts or the Fair
Information Practices Act.
16. DOCUMENTS INCORPORATED
All appendices, exhibits, attachments and addenda attached herewith are incorporated
by reference and made a part of this agreement.
17. DISBURSEMENT SCHEDULE FOR FUNDS RECEIVED BY SUBRECIPIENT
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The SUBRECIPIENT hereby agrees to disburse Community Development Block Grant funds
it received to vendors, employees, and sub-recipient sub-awardees in a timely fashion,
subject to the availability of funds from HUD. The SUBRECIPIENT acknowledges that there
can be no interest earned on CDBG funds.
18. INDEMNIFICATION
The SUBRECIPIENT shall indemnify and hold harmless, the GRANTEE and all of its officers,
agents, and employees against all suits, claims or liabilities of every nature, arising out of,
or in consequence of, the acts or omissions of the SUBRECIPIENT, its employees, agents,
sub-contractors, or sub-recipient sub-awardees in connection with their rendering of
services under this AGREEMENT and will, at the SUBRECIPIENT'S own cost and expense,
defend any and all such suits and actions.
19. APPROVAL OF THIRD PARTY AGREEMENTS
The GRANTEE reserves the right to approve all sub-recipient sub-awardees receiving
CDBG funds through the SUBRECIPIENT and to approve agreements with sub-recipient
sub-awardees which are funded in whole or in part with CDBG funds. All sub-awardees
must have a UEI number and have an active registration with SAM.gov. The
SUBRECIPIENT shall not delegate, assign or transfer any of its duties delineated in the
scope of services without prior written consent from the GRANTEE.
20. AFFIRMATIVE ACTION GOALS
The SUBRECIPIENT shall endeavor to incorporate the policies of the GRANTEE in regard
to its goals of hiring 6.9% minorities and handicapped in recruiting personnel in
connection with this grant and in meeting any HUD national affirmative action goals.
21. DISCRIMINATION
Under Title VI of the Civil Rights Act of 1964, no person shall, on the grounds of race, color,
sex, age or national origin, be excluded from participation in, be denied the benefits of,
or be subjected to discrimination under any program or activity receiving Federal financial
assistance. The SUBRECIPIENT shall comply with said Title VI, and with all other federal
or state statutes or executive orders banning discrimination or discriminatory practices.
The SUBRECIPIENT shall require any sub-awardees to similarly comply with said statutes
or orders.
22. SUPERVISION
All services and/or work to be performed by the SUBRECIPIENTS or its sub-awardees shall
be conducted, carried out, and completed subject to the approval of the Community
Development Planner (GRANTEE). Any amendments or modifications must be duly
requested in writing to the Community Development Planner and, if approved, are
effective upon formal execution of an amendment to this AGREEMENT. All services
and/or work shall be subject to each provision of this AGREEMENT.
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23. BREACH OF CONTRACT
If a SUBRECIPIENT or sub-recipient sub-awardee is in breach of contract or violation of
the rules and regulations of the City of Northampton’s Community Development Block
Grant program, the GRANTEE reserves the right to withhold further funding, demand
return of unexpended funds, terminate this AGREEMENT and seek further administrative
and/or legal relief to assure and guarantee full compliance with the intent and purpose
of the Housing and Community Development Act of 1974, as amended.
24. POLITICAL ACTIVITY PROHIBITED
None of the funds, materials, property or services provided directly or indirectly under
this AGREEMENT may be used for any partisan political activity or to further the election
or defeat of any candidate for public office, nor may any personnel employed in the
administration of the Community Development Block Grant Program be engaged in the
conduct of political activity during working hours nor use the office so held in order to
assert political influence.
25. LOBBYING PROHIBITED
None of the funds provided under this AGREEMENT shall be used for publicity purposes
designed to support or defeat legislation pending before the Congress or any other
legislative body.
No federally 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 any 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.
If any funds other than Federally 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.
The undersigned shall require that the language of this certification be included in the
award documents for all sub-recipient sub-awardees at all tiers (including subcontracts,
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sub-grants, and contracts under grants, loans, and cooperative agreements) and that all
SUBRECIPIENTS shall certify and disclose accordingly.
26. IDENTIFICATION
All advertisements, notifications, publications, signs, brochures, and other promotional
or informational material shall identify the program and/or project as being funded by
the CITY OF NORTHAMPTON - COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM.
27. INTEREST OF PUBLIC OFFICIALS
No member, officer, or employee of the GRANTEE, or its designees or agents, no member
of the governing body of the City of Northampton, and no other public official of the
GRANTEE who exercises any functions or responsibilities with respect to the program
during his/her tenure or one year thereafter, shall have any interest, direct or indirect, in
any contract or sub-contract, or the proceeds thereof for work to be performed in
connection with the program assisted under this AGREEMENT.
28. INTEREST OF FEDERAL OFFICIALS
No member of or delegate to the Congress of the United States, and no Resident
Commission, shall be admitted to any share or part of this AGREEMENT or to any benefit
to arise from the same.
29. COMPLIANCE WITH AIR AND WATER ACTS
The SUBRECIPIENT hereby stipulates that any facility to be utilized in the performance of
the AGREEMENT or sub-contract is not listed on the List of Violating Facilities issued by
the Environmental Protection Agency (EPA pursuant to 40 CFR 15.20).
The SUBRECIPIENT hereby agrees to comply with all the requirements of the Clean Air
Act, as amended (42 USC 7401-7671q.) and the Federal Water Pollution Control Act, as
amended (33 USC 1251-1387), relating to inspection, monitoring, entry, reports and
information, as well as all other requirements, and regulations and guidelines issued
thereunder.
As a condition for the award of this AGREEMENT, the SUBRECIPIENT hereby further agrees
that prompt notice will be given of any notification received from the Director, Office of
Federal Activities, EPA, indicating that a facility utilized or to be utilized for the Contract
is under consideration to be listed on the EPA List of Violating Facilities.
The SUBRECIPIENT agrees that it will include or cause to be included the criteria and
requirements in paragraph (1) through (4) of this section in every non-exempt sub-
contract and requiring that the SUBRECIPIENT will take such action as the Government
may direct as a means of enforcing such provisions.
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30. COMPLIANCE WITH OTHER LAWS
a) The SUBRECIPIENT shall comply, when applicable, with the following acts, laws,
regulations and executive orders and all amendments now in effect or as may be
amended during the term of this contract as described in:
1. 2 CFR Part 200 Appendix II Uniform Administrative Requirements, Cost Principles,
and Audit Requirements for Federal Awards (formerly OMB Circulars A-21, A-87,
A-89, A-102, A110, A-122, and A-133);
2. Civil Rights Act Of 1964 - Public Law 88-352;
3. Civil Rights Act Of 1968 - Public Law 90-284;
4. Equal Opportunity in Housing - Executive Order 11063;
5. Section 109 of the Housing and Community Development Act of 1974;
6. Equal Employment Opportunity Act - 41 CFR Part 60, Executive Order 11246;
7. National Environmental Policy Act of 1969;
8. Flood Disaster Protection Act of 1973;
9. Executive Order 11246 Equal Employment Opportunity;
10. Lead-based Paint Poisoning Protection Act;
11. Executive Order 12372, Intergovernmental Review of Federal Programs;
12. Energy Policy and Conservation Act (42 U.S.C. 6201;
13. Byrd Anti-Lobbying Amendment (31 U.S.C. 1352);
14. Procurement of recovered materials 2 CFR 200.322.
15. Davis-Bacon Act, as amended (40 USC 3141-3148) and as supplemented by the
Department of Labor Regulations (29 CFR Part 5);
16. Section 3 of the Housing and Urban Development Act of 1968;
17. Contract Work Hours and Safety Standards Act (40 USC 3701-3708);
18. Copeland “Anti-Kickback Act (40 USC 3145) and as supplemented by the
Department of Labor Regulations (29 CFR Part 3);
19. Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970;
b) The SUBRECIPIENT shall comply with requirements established by the Office of
Management and Budget (OMB) concerning the Unique Entity Identifier (UEI), the
Systems of Award Management database in accordance with 2 CFR 180 which
implements Executive Orders 12459 and 12689 (Debarment and Suspension), and the
Federal Funding Accountability and Transparency Act at (2 CFR part 170). FFATA specifies
that the following data be captured and reported within 30 days of award for each Federal
award and sub-award of $25,000 or more (awards to municipal departments are exempt).
These key data elements are required:
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1. The name of the entity receiving the award
2. The amount of the award
3. Information on the award including transaction type, funding agency, the North
American Industry Classification System code (NAICS) or Catalog of Federal
Domestic Assistance (CFDA) number, program source, and an award title
descriptive of the purpose of each funding action
4. The location of the entity receiving the award and the primary location of
performance under the award including the city, state, congressional district,
and country
5. A unique identifier of the entity receiving the award and of the parent entity of
the recipient, should the entity be owned by another entity
6. The names and total compensation of the five highest-paid officers of an entity
if, in the preceding fiscal year, that entity received: 80% or more of its annual
gross revenues in Federal awards, $25,000,000 or more in annual gross revenues
from Federal awards, and the public does not already have access to data on
executive compensation through reports filed under section 13(a) or 15(d) of the
Securities Exchange Act of 1934, or section 6104 of the Internal Revenue Code of
1986
7. Any other relevant information as specified by OMB 2 CFR 200
31. FINANCIAL MANAGEMENT SYSTEM
In accordance with 2 CFR 200.302 AND 200.303 (Financial Management and Internal
Controls), the SUBRECIPIENT hereby agrees to establish and/or maintain a Financial
Management System that provides for:
• Accurate, current and complete disclosure of the financial results of the Grant
Program in accordance with Federal and GRANTEE reporting requirements. HUD
requires reporting on an accrual basis. If the SUBRECIPIENT's accounting records
are not kept on that basis, the SUBRECIPIENT shall develop such information
through an analysis of the documentation on hand.
• Records which identify adequately the source and application of funds for grant-
supported activities. These records shall contain information pertaining to grant
awards, authorizations, obligations, unobligated balances, assets, liabilities,
outlays and income.
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• Effective control over and accountability for all funds, property, and other assets.
The SUBRECIPIENT shall adequately safeguard all such assets and shall assure
that they are used solely for authorized purposes.
• Comparison of actual expenditures with budgeted amounts, also relation of
financial information to performance or productivity data.
• Procedures for determining the allowability and allocability of costs in
accordance with the provisions of 2 CFR 200.403 – 200.405.
• Provide documentation for indirect cost rate determination and calculation of
directs vs. indirect cost for draw request to GRANTEE
• Accounting records which are supported by source documentation.
• Audits to be made by the GRANTEE, or its representative, to determine at
minimum, the fiscal integrity of financial actions and reports and the compliance
with laws, regulations, and administrative requirements.
• A systematic method to assure timely and appropriate resolution of audit
findings and recommendations.
• Adherence to any other relevant sections as specified in OMB 2 CFR 200.
32. PROGRAM INCOME
The SUBRECIPIENT shall comply with the regulations for reporting and managing program
income as set out in 24 CFR 570.504.
33. ASSUMPTION OF LOSS AND LIABILITY
The SUBRECIPIENT herein warrants and agrees that if the GRANTEE, through its
monitoring process and/or the U.S. Department of Housing and Urban Development, or
its successor agency determines that any payment to the SUBRECIPIENT or
SUBRECIPIENT’S beneficiaries was not in accordance with HUD statutes, regulations or
guidelines, and if HUD requests repayment, then the SUBRECIPIENT shall repay the
DocuSign Envelope ID: 9E111A6D-CC90-4923-88F5-E0726DB6FADE
disputed or incorrect payment to the GRANTEE within 60 days of the City’s written
request for reimbursement to the SUBRECIPIENT. This paragraph shall survive the
expiration of this contract.
34. TAX COMPLIANCE CERTIFICATION
Pursuant to M.G.L. Chapter 62C, Section 49A, the SUBRECIPIENT certifies under the
penalties of perjury that she/he/they have, to their best knowledge and belief complied
with the law of the Commonwealth relating to taxes, reporting of employees and
contractors, and withholding and remitting child support.
35. ADA COMPLIANCE
The SUBRECIPIENT must insure compliance with the Americans with Disabilities Act (ADA)
and the Architectural Barriers Act (ABA).
36. REVERSION OF ASSETS
In accordance with CDBG regulation 24 CFR 570.503(b)(7) and OMB regulations 2 CFR
200.313 (Equipment). Real Property is governed by 24 CFR 570.200(j) and 24 CFR 570.505.
The SUBRECIPIENT declares that any real property or equipment acquired or improved
with CDBG funds shall continue to be used in a manner which provides a direct benefit to
low and moderate income persons and is consistent with the Scope of Services attached
to and made part of this Agreement. If at any time such real property or equipment is not
used in a manner which provides a direct benefit to low and moderate income persons or
if such real property is disposed of by the SUBRECIPIENT, the total amount of CDBG
assistance utilized by the SUBRECIPIENT to purchase or improve said real property or
equipment shall revert back to the GRANTEE. Furthermore, the SUBRECIPIENT, at the
conclusion of this Agreement or in the case of termination of the Agreement by the
GRANTEE, shall transfer to the GRANTEE any and all CDBG funds on hand and any
accounts receivable attributable to the use of CDBG funds.
37. The Contractor certifies that a.) neither it nor any of its subcontractors have been subject
to a federal-criminal or state-criminal or civil-judgement, administrative citation, final
administrative determination, order or debarment resulting from a violation of G.L. c.
149, c. 151, or the Fair Labor Standards Act within three (3) years prior to the date of the
Contract, or b.) that if it or any of its subcontractors have been subject to a federal-
criminal or state-criminal or civil-judgment, administrative citation , final administrative
determination, order or debarment resulting from a violation of G.L. c. 149, c. 151, or the
Fair Labor Standard Act within three (3) years prior to the date of the Contract, the
Contractor has provided copies of any such judgment, citation, determination or order to
the City prior to the date of the Contract and has procured a wage bond or insurance. The
Contractor certifies that while the Contract is in effect, it will report any instance of the
above to the City within five (5) days of the Contractor’s receipt.
DocuSign Envelope ID: 9E111A6D-CC90-4923-88F5-E0726DB6FADE
IN WITNESS WHEREOF, the parties have caused this Agreement to be executed on the day and
year first written above.
SUBRECIPIENT, VALLEY COMMUNITY DEVELOPMENT:
Alexis Breiteneicher, Executive Director Date
CITY OF NORTHAMPTON:
Carolyn Misch, Director Planning & Sustainability Date
Date Gina-Louise Sciarra, Mayor
APPROVED AS TO APPROPRIATION:
Joyce Karpinski, City Auditor Date
APPROVED AS Ch. 3OB COMPLIANCE:
Joe Cook, Chief Procurement Officer Date
DocuSign Envelope ID: 9E111A6D-CC90-4923-88F5-E0726DB6FADE
8/30/2022 | 4:26 PM EDT
8/31/2022 | 9:22 AM EDT
8/31/2022 | 9:42 AM EDT
8/31/2022 | 2:57 PM EDT
9/1/2022 | 7:23 PM EDT
COMPLIANCE WITH OTHER LAWS
The SUBRECIPIENT shall comply, when applicable, with the following acts, laws,
regulations and executive orders and all amendments now in effect or as may be
amended during the term of this contract as described in 570.600 (Sub-Part K) and 2 CFR
Part 200 Appendix II (formerly OMB Circulars A-21, A-87, A-89, A-102, A110, A-122, and
A-133)
http://www.ecfr.gov/cgi-bin/text-idx?tpl=/ecfrbrowse/Title02/2cfr200_main_02.tpl
https://www.law.cornell.edu/cfr/text/24/part-570/subpart-K
Uniform Administrative Requirements and Cost Principles
http://www.ecfr.gov/cgi-bin/text-idx?tpl=/ecfrbrowse/Title02/2cfr200_main_02.tpl
Section 109 of Title I of the Housing and Community Development Act of 1974
http://portal.hud.gov/hudportal/HUD?src=/program_offices/fair_housing_equal_opp/F
HLaws/109
Public Law 88-352 Civil Rights Act of 1964
https://www.archives.gov/education/lessons/civil-rights-act/
Public Law 90-284 Indian Civil Rights Act of 1968
http://www.gpo.gov/fdsys/pkg/STATUTE-82/pdf/STATUTE-82-Pg73.pdf
Executive Order 11063 Equal Opportunity in Housing, as amended by Executive
Order 12259, and implementing regulations in 24 CFR part 107
http://portal.hud.gov/hudportal/HUD?src=/program_offices/fair_housing_equal_opp/F
HLaws/EXO11063
http://www.archives.gov/federal-register/codification/executive-order/12259.html
https://www.law.cornell.edu/cfr/text/24/part-107
Davis-Bacon Act, as amended (40 USC 3141-3148) and as supplemented by the
Department of Labor Regulation 2 CFR Part 5 - Contracts in excess of $2,000
https://www.dol.gov/whd/govcontracts/dbra.htm
http://www.ecfr.gov/cgi-bin/text-
idx?SID=c961274a08c1423164e297c9d95b4e02&node=pt29.1.5&rgn=div5 (29 CFR Part 5)
Contract Work Hours and Safety Standards Act (40 USC 3701-3708)
http://uscode.house.gov/view.xhtml?path=/prelim@title40/subtitle2/partA/chapter37
&edition=prelim
Equal Employment Opportunity Act 41 CFR Part 60
https://www.dol.gov/dol/cfr/title_41/Chapter_60.htm
DocuSign Envelope ID: 9E111A6D-CC90-4923-88F5-E0726DB6FADE
*Except as otherwise provided under 41 CFR Part 60, all contracts that meet the definition
of “federally assisted construction contract” in 41 CFR Part 60 1-3 must include the equal
opportunity clause provided under 41 CFR 60 1-4 in accordance with Executive Order
1246, “Equal Employment Opportunity” (30 FR 12319, 12935, 3 CFR Part 1964-1965
Comp., p.339), as amended by Executive Order 11375, “Amending Executive Order 11246
Relating to Equal Employment Opportunity” and implementing regulations at 41 CFR Part
60, “Office of Federal Contract Compliance Programs, Equal Employment Opportunity ,
Department of Labor)
Copeland “Anti-Kickback Act (40 USC 3145) and as supplemented by the Department of
Labor Regulations (29 CFR Part 3)
https://www.dol.gov/whd/regs/statutes/copeland.htm
http://www.ecfr.gov/cgi-bin/text-idx?rgn=div5&node=29:1.1.1.1.4 (29 CFR Part 3)
National Environmental Policy Act of 1969 and 24 CFR Part 58
https://ceq.doe.gov/welcome.html#Act
Clean Air Act 42 U.S.C. 7401-7671q and Federal Pollution Water Act 33 U.S.C. 1251-1387,
as amended – for contracts in excess of $150,000
https://www.epa.gov/clean-air-act-overview/title-i-air-pollution-prevention-and-
control#ia
Flood Disaster Protection Act of 1973
https://www.fdic.gov/regulations/laws/rules/6000-2400.html
Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970;
http://www.ecfr.gov/cgi-bin/text-
idx?c=ecfr;sid=6afae2fe1827570c30473746a5505ce7;rgn=div5;view=text;node=49%3A1
.0.1.1.18;idno=49;cc=ecfr
Executive Order 11246 Equal Employment Opportunity
https://www.dol.gov/ofccp/regs/compliance/ca_11246.htm
Americans with Disabilities Act (ADA) and the Architectural Barriers Act
https://www.dol.gov/general/topic/disability/ada (Disabilities Act)
https://www.access-board.gov/guidelines-and-standards/buildings-and-sites/about-the-
aba-standards (Barriers Act)
Section 3 of the Housing and Urban Development Act of 1968
http://portal.hud.gov/hudportal/HUD?src=/program_offices/fair_housing_equal_opp/s
ection3/section3
DocuSign Envelope ID: 9E111A6D-CC90-4923-88F5-E0726DB6FADE
Lead-based Paint Poisoning Protection Act
http://uscode.house.gov/view.xhtml?path=/prelim@title42/chapter63&edition=prelim
Executive Order 12372 Intergovernmental Review of Federal Programs
http://www.archives.gov/federal-register/codification/executive-order/12372.html
Energy Policy and Conservation Act (42 U.S.C. 6201)
https://www.congress.gov/bill/94th-congress/senate-bill/622
Byrd Anti-Lobbying Amendment (31 U.S.C. 1352) - Contracts of $100,000 or more
http://uscode.house.gov/view.xhtml?req=%28%28title%3A%2831%29+AND+section%3
A%281352%29%29%29&f=treesort&fq=true&num=0&hl=true&edition=prelim&granuleI
d=USC-prelim-title31-section1352
Use of debarred, suspended or ineligible contractors or subrecipients
https://www.dol.gov/ofccp/regs/compliance/preaward/debarlst.htm (search list)
http://www.gsa.gov/portal/category/21219 (regulations)
Procurement of recovered materials 2 CFR 200.322
http://uscode.house.gov/view.xhtml?req=%28%28title%3A%2831%29+AND+section%3
A%281352%29%29%29&f=treesort&fq=true&num=0&hl=true&edition=prelim&granuleI
d=USC-prelim-title31-section1352
37 CFR 401 Rights to Inventions Made by Non-Profit Organizations and Small
Business Firms Under Government Grants, Contracts and Cooperative Agreements
http://www.ecfr.gov/cgi-bin/text-idx?tpl=/ecfrbrowse/Title37/37cfr401_main_02.tpl
Flood Disaster Protection Act and National Flood Insurance Program
https://www.law.cornell.edu/cfr/text/44/part-59
https://www.hudexchange.info/environmental-review/flood-insurance/
DocuSign Envelope ID: 9E111A6D-CC90-4923-88F5-E0726DB6FADE
Federal Award Identification Worksheet
Subrecipient’s name (must match registered
name in UEI) Valley Community Development
Subrecipient’s UEI number RWQRP47PKEV3
Federal Award Identification Number (FAIN) B-19-MC-25-0027
Federal award date 7/10/2019
CFDA number and name 14.218 Community Development Block Grants/Entitlement Grants
Grant contract’s begin date 7/1/2022
Grant contract’s end date 6/30/2023
Amount of federal funds obligated by this grant
contract $27,674.44
Total amount of federal funds obligated to the
subrecipient $285,932.00
Total amount of the federal award to the pass-
through entity (Grantor State Agency)
$ 670.267.00
Name of federal awarding agency U.S. Department of Housing and Urban Development
Name and contact information for the federal
awarding official Keith Benoit
Community Devolvement Planner
City of Northampton
210 Main St.
Northampton, MA 01060
413-587-1288 kbenoit@northamptonma.gov
Is the federal award for research and
development? No
Indirect cost rate for the federal award (See 2 C.F.R. §200.414 for information on type of indirect cost rate)
N/A
DocuSign Envelope ID: 9E111A6D-CC90-4923-88F5-E0726DB6FADE
Federal Award Identification Worksheet
Subrecipient’s name (must match registered name in UEI) Valley Community Development
Subrecipient’s UEI number RWQRP47PKEV3
Federal Award Identification Number (FAIN) B-20-MC-25-0027
Federal award date 9/7/2020
CFDA number and name 14.218 Community Development Block Grants/Entitlement Grants
Grant contract’s begin date 7/1/2022
Grant contract’s end date 6/30/2023
Amount of federal funds obligated by this grant
contract
$39,231.29
Total amount of federal funds obligated to the subrecipient $282,239.00
Total amount of the federal award to the pass- through entity (Grantor State Agency) $ 643,411.00
Name of federal awarding agency U.S. Department of Housing and Urban Development
Name and contact information for the federal
awarding official Keith Benoit
Community Devolvement Planner
City of Northampton
210 Main St. Northampton, MA 01060
413-587-1288 kbenoit@northamptonma.gov
Is the federal award for research and development? No
Indirect cost rate for the federal award (See 2 C.F.R. §200.414 for information on type of
indirect cost rate)
N/A
DocuSign Envelope ID: 9E111A6D-CC90-4923-88F5-E0726DB6FADE
Federal Award Identification Worksheet
Subrecipient’s name (must match registered
name in UEI) Valley Community Development
Subrecipient’s UEI number RWQRP47PKEV3
Federal Award Identification Number (FAIN) B-21-MC-25-0027
Federal award date 7/1/2021
CFDA number and name 14.218 Community Development Block Grants/Entitlement Grants
Grant contract’s begin date 8/9/2022
Grant contract’s end date 6/30/2023
Amount of federal funds obligated by this grant
contract $132,375.48
Total amount of federal funds obligated to the
subrecipient $285,932.00
Total amount of the federal award to the pass-
through entity (Grantor State Agency)
$ 693,839.00
Name of federal awarding agency U.S. Department of Housing and Urban Development
Name and contact information for the federal
awarding official Keith Benoit
Community Devolvement Planner
City of Northampton
210 Main St.
Northampton, MA 01060
413-587-1288kbenoit@northamptonma.gov
Is the federal award for research and
development? No
Indirect cost rate for the federal award (See 2 C.F.R. §200.414 for information on type ofindirect cost rate)
N/A
DocuSign Envelope ID: 9E111A6D-CC90-4923-88F5-E0726DB6FADE
Federal Award Identification Worksheet
Subrecipient’s name (must match registered
name in UEI) Valley Community Development
Subrecipient’s UEI number RWQRP47PKEV3
Federal Award Identification Number (FAIN) B-22-MC-25-0027
Federal award date 7/1/2022
CFDA number and name 14.218 Community Development Block Grants/Entitlement Grants
Grant contract’s begin date 8/17/2022
Grant contract’s end date 6/30/2023
Amount of federal funds obligated by this grant
contract $86,651.77
Total amount of federal funds obligated to the
subrecipient $285,932.00
Total amount of the federal award to the pass-
through entity (Grantor State Agency)
$ 643,411.00
Name of federal awarding agency U.S. Department of Housing and Urban Development
Name and contact information for the federal
awarding official Keith Benoit
Community Devolvement Planner
City of Northampton
210 Main St.
Northampton, MA 01060
413-587-1288 kbenoit@northamptonma.gov
Is the federal award for research and
development? No
Indirect cost rate for the federal award (See 2 C.F.R. §200.414 for information on type of indirect cost rate)
N/A
DocuSign Envelope ID: 9E111A6D-CC90-4923-88F5-E0726DB6FADE
Appendix A
Scope of Services
Project Description:
The CDBG funds for this project will be used to acquire the former Northampton
Rehabilitation and Nursing Center at 737 Bridge Road. Project will be known as Prospect
Place Acquisition. Valley CDC will use other funding sources to rehabilitate the building
and create 60 affordable housing units.
The Grantee will be responsible for:
• Report to the Office of Planning & Sustainability of any changes that would affect the
timeliness of reporting or the closing of grant
• Report to the Office of Planning & Sustainability of any changes in key staff e.g. finance
director, contractor, etc.
• Submit any additional information to the Office of Planning & Sustainability as requested
• Submit all quarterly reports, invoices, and report documents electronically, without
any sensitive personal information
• Invoices must include:
• Organization Letterhead / Logo
• Remit Address
• Brief description of items invoiced
• Invoice Number created by the sub-recipient
• Date of the invoice
The Office of Planning & Sustainability will be responsible for:
• Determine project eligibility for funding and funding availability
• Secure approval from the Mayor to allocate the funds
• Conduct all necessary Environmental Reviews
• Process invoices for payment to the Grantee/Vendor
• Input required project progress and completion information to HUD's IDIS system
and submit other relevant reports to Department of Labor, HUD, etc.
DocuSign Envelope ID: 9E111A6D-CC90-4923-88F5-E0726DB6FADE
Program Name
Program Year 2022-2023
Budget
Line Item
CDBG
Subtotals
CDBG
Allocation Other Sources
Acquisition 285,932.00$ 2,314,068.00$
Total from Each Source 285,932.00$ 2,314,068.00$
Total Program Funding 2,600,000.00$
Appendix B
Budget
Prospect Place Acquisition
DocuSign Envelope ID: 9E111A6D-CC90-4923-88F5-E0726DB6FADE
Certificate Of Completion
Envelope Id: 9E111A6DCC90492388F5E0726DB6FADE Status: Completed
Subject: DocuSign: Contract for Signature for CDBG Prospect Place Acquistion
Source Envelope:
Document Pages: 25 Signatures: 10 Envelope Originator:
Certificate Pages: 6 Initials: 0 Keith Benoit
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-05:00) Eastern Time (US & Canada)
210 Main Street
Northampton, MA 01060
kbenoit@northamptonma.gov
IP Address: 50.235.91.10
Record Tracking
Status: Original
8/30/2022 4:05:29 PM
Holder: Keith Benoit
kbenoit@northamptonma.gov
Location: DocuSign
Security Appliance Status: Connected Pool: StateLocal
Storage Appliance Status: Connected Pool: City of Northampton Location: DocuSign
Status: Original
8/30/2022 4:14:14 PM
Holder: City Signatures Processing
cpo@northamptonma.gov
Location: DocuSign
Security Appliance Status: Connected Pool: StateLocal
Storage Appliance Status: Connected Pool: City of Northampton Location: DocuSign
Signer Events Signature Timestamp
Alexis Breiteneicher
ab@valleycdc.com
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 50.212.69.90
Sent: 8/30/2022 4:14:14 PM
Viewed: 8/30/2022 4:25:54 PM
Signed: 8/30/2022 4:26:13 PM
Electronic Record and Signature Disclosure:
Accepted: 8/22/2022 4:21:36 PM
ID: f0085b8e-0578-49b1-a606-f5de8760c749
Company Name: City of Northampton
Carolyn S. Misch
cmisch@northamptonma.gov
Interim Director
City of Northampton
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 50.235.91.10
Sent: 8/30/2022 4:26:14 PM
Viewed: 8/31/2022 9:21:55 AM
Signed: 8/31/2022 9:22:38 AM
Electronic Record and Signature Disclosure:
Accepted: 6/30/2022 1:23:13 PM
ID: 090c1cc0-24d8-485d-ac10-0f699bcbfd25
Company Name: City of Northampton
Joyce Karpinski
jkarpinski@northamptonma.gov
City Auditor
City of Northampton
Signing Group: Auditor Group
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 50.235.91.10
Sent: 8/31/2022 9:22:40 AM
Viewed: 8/31/2022 9:38:53 AM
Signed: 8/31/2022 9:42:14 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Signer Events Signature Timestamp
Joe Cook
jcook@northamptonma.gov
Chief Procurement Officer
City of Northampton
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 50.235.91.10
Sent: 8/31/2022 9:22:40 AM
Viewed: 8/31/2022 2:56:46 PM
Signed: 8/31/2022 2:57:00 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Charlene Nardi
cnardi@northamptonma.gov
Finance Director
City of Northampton
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 50.235.91.10
Sent: 8/31/2022 2:57:02 PM
Viewed: 9/1/2022 8:02:02 AM
Signed: 9/1/2022 8:02:33 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Gina-Louise Sciarra
g-lsciarra@northamptonma.gov
Mayor
City of Northampton
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 50.235.91.10
Sent: 9/1/2022 8:02:36 AM
Viewed: 9/1/2022 7:23:43 PM
Signed: 9/1/2022 7:23:57 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Janet Vance
jvance@northamptonma.gov
AP/Payroll Coordinator
City of Northampton
Signing Group: CPO Group
Security Level: Email, Account Authentication
(None)
Completed
Using IP Address: 50.235.91.10
Sent: 9/1/2022 7:24:00 PM
Viewed: 9/6/2022 8:25:19 AM
Signed: 9/6/2022 8:44:05 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Carbon Copy Events Status Timestamp
Keith Benoit
kbenoit@northamptonma.gov
Community Development Planner
City of Northampton
Security Level: Email, Account Authentication
(None)
Sent: 9/6/2022 8:44:07 AM
Viewed: 9/6/2022 9:57:39 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Carbon Copy Events Status Timestamp
Alexis Breiteneicher
ab@valleycdc.com
Security Level: Email, Account Authentication
(None)
Sent: 9/6/2022 8:44:08 AM
Electronic Record and Signature Disclosure:
Accepted: 8/23/2022 1:50:54 PM
ID: 408f4dab-de24-4e64-bd8d-b1ef0af233bf
Company Name: City of Northampton
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 8/30/2022 4:14:14 PM
Certified Delivered Security Checked 9/6/2022 8:25:19 AM
Signing Complete Security Checked 9/6/2022 8:44:05 AM
Completed Security Checked 9/6/2022 8:44:08 AM
Payment Events Status Timestamps
Electronic Record and Signature Disclosure
ELECTRONIC RECORD AND SIGNATURE DISCLOSURE
From time to time, City of Northampton (we, us or Company) may be required by law to provide
to you certain written notices or disclosures. Described below are the terms and conditions for
providing to you such notices and disclosures electronically through the DocuSign system.
Please read the information below carefully and thoroughly, and if you can access this
information electronically to your satisfaction and agree to this Electronic Record and Signature
Disclosure (ERSD), please confirm your agreement by selecting the check-box next to ‘I agree to
use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign
system.
Getting paper copies
At any time, you may request from us a paper copy of any record provided or made available
electronically to you by us. You will have the ability to download and print documents we send
to you through the DocuSign system during and immediately after the signing session and, if you
elect to create a DocuSign account, you may access the documents for a limited period of time
(usually 30 days) after such documents are first sent to you. After such time, if you wish for us to
send you paper copies of any such documents from our office to you, you will be charged a
$0.00 per-page fee. You may request delivery of such paper copies from us by following the
procedure described below.
Withdrawing your consent
If you decide to receive notices and disclosures from us electronically, you may at any time
change your mind and tell us that thereafter you want to receive required notices and disclosures
only in paper format. How you must inform us of your decision to receive future notices and
disclosure in paper format and withdraw your consent to receive notices and disclosures
electronically is described below.
Consequences of changing your mind
If you elect to receive required notices and disclosures only in paper format, it will slow the
speed at which we can complete certain steps in transactions with you and delivering services to
you because we will need first to send the required notices or disclosures to you in paper format,
and then wait until we receive back from you your acknowledgment of your receipt of such
paper notices or disclosures. Further, you will no longer be able to use the DocuSign system to
receive required notices and consents electronically from us or to sign electronically documents
from us.
All notices and disclosures will be sent to you electronically
Electronic Record and Signature Disclosure created on: 3/26/2020 7:44:12 AM
Parties agreed to: Alexis Breiteneicher, Carolyn S. Misch, Alexis Breiteneicher
Unless you tell us otherwise in accordance with the procedures described herein, we will provide
electronically to you through the DocuSign system all required notices, disclosures,
authorizations, acknowledgements, and other documents that are required to be provided or made
available to you during the course of our relationship with you. To reduce the chance of you
inadvertently not receiving any notice or disclosure, we prefer to provide all of the required
notices and disclosures to you by the same method and to the same address that you have given
us. Thus, you can receive all the disclosures and notices electronically or in paper format through
the paper mail delivery system. If you do not agree with this process, please let us know as
described below. Please also see the paragraph immediately above that describes the
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How to contact City of Northampton:
You may contact us to let us know of your changes as to how we may contact you electronically,
to request paper copies of certain information from us, and to withdraw your prior consent to
receive notices and disclosures electronically as follows:
To contact us by email send messages to: apagan@northamptonma.gov
To advise City of Northampton of your new email address
To let us know of a change in your email address where we should send notices and disclosures
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in the body of such request you must state: your previous email address, your new email
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To request delivery from us of paper copies of the notices and disclosures previously provided
by us to you electronically, you must send us an email to apagan@northamptonma.gov and in the
body of such request you must state your email address, full name, mailing address, and
telephone number. We will bill you for any fees at that time, if any.
To withdraw your consent with City of Northampton
To inform us that you no longer wish to receive future notices and disclosures in electronic
format you may:
i. decline to sign a document from within your signing session, and on the subsequent page,
select the check-box indicating you wish to withdraw your consent, or you may;
ii. send us an email to apagan@northamptonma.gov and in the body of such request you must
state your email, full name, mailing address, and telephone number. We do not need any other
information from you to withdraw consent.. The consequences of your withdrawing consent for
online documents will be that transactions may take a longer time to process..
Required hardware and software
The minimum system requirements for using the DocuSign system may change over time. The
current system requirements are found here: https://support.docusign.com/guides/signer-guide-
signing-system-requirements.
Acknowledging your access and consent to receive and sign documents electronically
To confirm to us that you can access this information electronically, which will be similar to
other electronic notices and disclosures that we will provide to you, please confirm that you have
read this ERSD, and (i) that you are able to print on paper or electronically save this ERSD for
your future reference and access; or (ii) that you are able to email this ERSD to an email address
where you will be able to print on paper or save it for your future reference and access. Further,
if you consent to receiving notices and disclosures exclusively in electronic format as described
herein, then select the check-box next to ‘I agree to use electronic records and signatures’ before
clicking ‘CONTINUE’ within the DocuSign system.
By selecting the check-box next to ‘I agree to use electronic records and signatures’, you confirm
that:
You can access and read this Electronic Record and Signature Disclosure; and
You can print on paper this Electronic Record and Signature Disclosure, or save or send
this Electronic Record and Disclosure to a location where you can print it, for future
reference and access; and
Until or unless you notify City of Northampton as described above, you consent to
receive exclusively through electronic means all notices, disclosures, authorizations,
acknowledgements, and other documents that are required to be provided or made
available to you by City of Northampton during the course of your relationship with City
of Northampton.