Fort Walton Beach Council agenda — 06-02-09 special — reading text

p CDBG Target Areas Feet City of Fort Walton Beach Engineering Division City of Fort Walton Beach Community Development _ EM ORA Boundary Services Ciry Limits TT Y r— 7 Ie tom•- _ r r - - - - ^ T i; ,'< L _,— j t. ''- I, - - J r- —_' '•— - — - 4 1 i J 1` T `- -- -- -_ r 4 I , .-. I`_' i 1. ) I• r I f i r T- ti. I' r ` — .' -}—;. i f i L r- . TT r I- L J-1 '. I K J' -— 4 `! I-- 4  City of Ell Fort Walton Beach Neighborhoods City of Fort Walton Beach Community Development J KENWOOD Services L CI- A c1h, of F., WIft— Heath fnq-- g Q..,— G411ERS EACH Legend W.E. COMBSi, Neighborhoods F— BEAL PARKWAY 7 N ORTHWEST i,_ FERRYPARi EAST MIRACLE STRIP F— ELLIOTT' S POINT OAKLAND FERRY PARK GARNIERS BEACH KENWOOD NORTHWEST OAKLAND SEA81 EEZE BEAL PARKWAY; SEABREEZE ELLIOTT'S POINT SOUTH BAYOU WE. COMBS A- 11— EAST MIRACLE STRIP, ,-" City Limits  OMB Number: 4040 -0004 Expiration Date: 01/ 31/ 2009 Application for Federal Assistance SF- 424 Version 02 1. Type of Submission: 2. Type of Application If Revision, select appropriate letter( s) Preapplication New Application Continuation * Other (Specify) Changed /Corrected Application Revision 3. Date Received: 4. Applicant Identifier: 82007 -MC -12 -0030 5a. Federal Entity Identifier: 5b. Federal Award Identifier: State Use Only: 6. Date Received by State: 7. State Application Identifier: 8. APPLICANT INFORMATION: a. Legal Name: City of Fort Walton Beach b. Employer/ Taxpayer Identification Number ( EIN/ TIN): c. Organizational DUNS: 59- 6000323 07- 945 -5101 d. Address: Street 1: P. O. Box 4009 Street 2: City: Fort Walton Beach County: Okaloosa State: Florida Province: Country: USA Zip / Postal Code 32549 e. Organizational Unit: Department Name: Division Name: Development Services Community Development Block Grant f. Name and contact information of person to be contacted on matters involving this application: Prefix: Mrs. * First Name: Cathy Middle Name: Last Name: Ducharme Suffix: Title: Senior Staff Assistant Organizational Affiliation: Development Services Telephone Number: 850 -833 -9598 Fax Number: 850 -833 -9926 Email: cducharme@fwb. org  OMB Number: 4040 -0004 Expiration Date: 01/ 31/ 2009 Application for Federal Assistance SF- 424 Version 02 9. Type of Applicant 1: Select Applicant Type: Type of Applicant 2: Select Applicant Type: Type of Applicant 3: Select Applicant Type: Other (Specify) 10 Name of Federal Agency: U. S. Department of Housing and Urban Development 11. Catalog of Federal Domestic Assistance Number: 14 -218 CFDA Title: Community Development Block Grant 12 Funding Opportunity Number: P. L. 110 -161 Title: Community Development Block Grant ( CDBG) 13. Competition Identification Number: Title: 14. Areas Affected by Project (Cities, Counties, States, etc.): City of Fort Walton Beach, Florida 15. Descriptive Title of Applicant' s Project: The provision of services to low /moderate income residents of the City.  OMB Number: 4040 -0004 Expiration Date: 01/ 31/ 2009 Application for Federal Assistance SF -424 Version 02 16. Congressional Districts Of: a. Applicant: FL -00 1 * b. Program /Project: 17. Proposed Project: a. Start Date: * b. End Date: 18. Estimated Funding ($): a. Federal 38, 366 b. Applicant c. State d. Local e. Other f. Program Income g. TOTAL 38, 366 19. Is Application Subject to Review By State Under Executive Order 12372 Process? a. This application was made available to the State under the Executive Order 12372 Process for review on b. Program is subject to E. O. 12372 but has not been selected by the State for review. c. Program is not covered by E. 0. 12372 20. Is the Applicant Delinquent On Any Federal Debt? ( If " Yes ", provide explanation.) Yes ® No 21. * By signing this application, I certify ( 1) to the statements contained in the list of certifications ** and ( 2) that the statements herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances ** and agree to comply with any resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may subject me to criminal, civil, or administrative penalties. ( U. S. Code, Title 218, Section 1001) I AGREE The list of certifications and assurances, or an internet site where you may obtain this list, is contained in the announcement or agency specific instructions Authorized Representative: Prefix: Mr. * First Name: Robert Middle Name: Last Name: Mearns Suffix: Title: City Manager Telephone Number: 850 -833 -9504 Fax Number: 850 -833 -9640 Email: rmearns @fwb. org Signature of Authorized Representative: Date Signed: 5/ 26/ 2009 Authorized for Local Reproduction Standard Form 424 ( Revised 10/ 2005) Prescribed by OMB Circular A -102  OMB Number: 4040 -0004