CDBG CLOSE OUT by fV6BI2

VIEWS: 5 PAGES: 5

									                                 CDBG CLOSE OUT
                                   CHECK LIST
                              (FOR ADECA USE ONLY)

Grantee:                                       Project No:
Project Description:




Contact Person:                                Phone No:

   I. Final Inspection
             1.        Was there a Final Inspection Certification for all Prime
                       Contractors?
                                            Yes              No         N/A
             Comments:




             2.        Was the final inspection form sent to Jim Tinney (contact Jim
                       Tinney to verify that all outstanding documents have been
                       received and engineering review activities have been
                       completed)?

                                            Yes              No         N/A
             Comments:




   II. Newspaper Advertisement for Notice of Completion (for all prime
       contractors): The ad must run for four consecutive weeks. Thirty days
       after the last ad runs, the final payment can be made to the contractor.
       Therefore, close out documents cannot be submitted until at least 30 days
       after the last ad ran in the paper. Contracts for less than $50,000 have
       different rules, so please check policy letter 16. The date of the first ad
       must not have been prior to the date of the Final Inspection Certification.
                                            Yes              No         N/A
             Comments:




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III. Final Wage Compliance Report:
                                     Yes         No            N/A

         Comments:




IV. Section 3 and Minority Contracting Reports – The date of the
    closeout letter and the CDBG closeout grant amount determines
    whether a closeout Form 2516 for the fiscal year (October –
    September) or a Form 60002 for the program year (April – March)
    is due.
         1.     Has the final Form 2516 (Contracts and Subcontracts)
                for all projects including planning been received?
                                     Yes         No            N/A

         2.     Has the final Form 60002 (Section 3 Summary Report) for all
                projects of $200,000 or more CDBG dollars at closeout been
                received?
                                     Yes         No            N/A

V. Close Out Public Hearing
         1.     Newspaper advertisement (hearing should not be held prior
                to the date on the Final Inspection Certification):
                                     Yes         No            N/A
         Comments:




         2.     Minutes of hearing: Yes          No            N/A

         Comments:




         3.     List of attendees:   Yes         No            N/A

         Comments:




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          4.     Is there a detailed narrative describing project accomplishments
                 and are there photographs of the project and/or beneficiaries
                 (electronic):
                              Yes            No            N/A
          Comments:


                                     ________________________________

VI. List of Applicants Form
          1.     Is there a list of applicants form for housing and economic
                 development projects?
                                     Yes            No            N/A
          Comments:




          2.     Is the number of jobs created/houses rehabilitated consistent
                 with the application?
                                     Yes            No            N/A
          Comments:




VII.      Households Assisted Form (housing projects only)
                                     Yes            No            N/A
          Comments:




VIII.     Hook-up Certification
          1.     Is there a hookup certification executed by the chief elected
                 official for water and sewer projects only?
                                     Yes            No            N/A
          Comments:




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                                                                           1-12
         2.    Is the number of hookups consistent with the application?
                                     Yes           No            N/A
         Comments:




IX. Performance Assessment Report
         1.    Cover sheet:                       Yes            No
         Comments:




         2.    Direct benefit activities sheet:   Yes            No
         Comments:




         3.    Performance Measures Summary sheets (pgs 3-6):
                                                  Yes            No
         Comments:




   X.    CDBG Budget/Final Financial Form
         1.    Is the CDBG Budget/Final Financial Form properly
               completed?
                                                  Yes            No
         Comments:


         2.    If a final draw is submitted with the close out, note in the
               comments section of the draw that, “acceptable close out
               documents have been received.”




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                                                                          1-12
XI.     Internal Close Out Forms and Procedures
        1.      Has the project been monitored?
                                                  Yes          No
        2.      Have the data input forms for monitoring and close out been
                completed?
                                                  Yes          No
        3.      Have all monitoring findings been resolved?
                                    Yes              No        N/A
        4.      CDBG Budget/Final Financial Report signed by ADECA?
                                    Yes              No        N/A
        5.      Has Close out letter been written?
                                                  Yes          No
        Comments:




        6.      Has concurrence on the close out letter been received from
                ADECA’s Engineer (water, sewer, drainage, street, rail
                projects only)?
                                    Yes              No        N/A
        Comments:




XII.    Other Comments (formal amendment, etc.)
        Comments:



XIII.   Program Supervisor’s Signature
        Date:




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