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12-183
Resolution No. 12 -183 RESOLUTION AUTHORIZING EXECUTION OF A COMMUNITY DEVELOPMENT BLOCK GRANT SUB - RECIPIENT AGREEMENT WITH THE RENZ ADDICTION COUNSELING CENTER BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF ELGIN, ILLINOIS, that Sean R. Stegall, City Manager, and Kimberly A. Dewis, City Clerk, be and are hereby authorized and directed to execute a community development block grant sub - recipient agreement on behalf of the City of Elgin with the Renz Addiction Counseling Center for window replacement, a copy of which is attached hereto and made a part hereof by reference. s/ David J. Kaptain David J. Kaptain, Mayor Presented: December 14, 2012 Adopted: December 14, 2012 Omnibus Vote: Yeas: 7 Nays: 0 Attest: s/ Kimberly Dewis Kimberly Dewis, City Clerk AGREEMENT BETWEEN THE CITY OF ELGIN AND RENZ ADDICTION COUNSELING CENTER This AGREEMENT is entered into as of the 14th day of December _, 2012, by and between the CITY OF ELGIN, an Illinois municipal corporation (hereinafter called "GRANTEE" or "CITY ") and the BENZ ADDICTION COUNSELING CENTER,., a not- for -profit corporation incorporated pursuant to the laws of the State of Illinois, (hereinafter called "SUB- RECIPIENT ") having a principal place of business at One American Way, Elgin, Illinois 60120. L RECITALS A. CITY has applied for Community Development Block Grant funds (hereinafter referred to as "CDBG funds ") from the United States Department of Housing and Urban Development (hereinafter called "HUD ") as provided by the Housing and Community Development Act of 1974, as amended (P.L. 93 -383) (hereinafter called "ACT "). B. CITY has considered and approved the application of SUB - RECIPIENT for CDBG funds allotted to CITY for distribution to SUB - RECIPIENT. C. The CITY and SUB - RECIPIENT enter into this Agreement pursuant to their respective powers to enter into such agreements, as those powers are defined in the Illinois Constitution and applicable statutes. 11. SCOPE OF THE PROJECT A. SUB - RECIPIENT hereby agrees to perform, in a timely fashion, the activities provided for herein, and those previously defined in the application and project description dated December 14, 2011, submitted by the SUB- RECIPIENT entitled "Window Replacement Project" a copy of which is attached hereto as Exhibit "A" and incorporated herein by this reference (hereinafter referred to as the "PROJECT "). The SUB - RECIPIENT was awarded a grant for Fiscal Year (FY) 2012 -2013. B. All funding provided to SUB - RECIPIENT shall be used solely to replace all existing windows with a new energy efficient windows, of the Renz Addiction Counseling Center buildings at One American Way and Two American Way, Elgin, Illinois. About 1,024 low and moderate - income Elgin families will benefit from the Renz Center's program in its 2012 -2013 fiscal year. The subject building will serve 94 percent low and moderate income persons as defined by 24 CFR 570.208 (a) (2) (i) (A). Such funding shall be used only to replace 2 lobby picture windows and 80 double -hung windows, and other costs associated with the above activ ties as are consistent with the scope and intent of the PROJECT and are pre- approved by CITY staff. C. The SUB - RECIPIENT shall comply with administrative and procurement requirements as applied to the Community Development Block Grant program in accordance with 24 CFR 85: Paoe I of 19 L The Bid Specifications shall include all specifications and pertinent attachments and shall define the items or services in order for the bidder to properly respond. 2. The SUB- RECIPIENT shall submit the Bid Specifications and plans to the City's Community Development Department for staff's approval prior to advertising in a local newspaper and the Dodge Construction News. 3. The SUB - RECIPIENT shall include in the invitation for bids, the statement "Minorities and women contractors are encouraged to submit bids." The SUB - RECIPIENT shall purchase a I" x 3" space in the Dodge Construction News Classified Section specifically inviting Minority Business Entity /Women Business Entity (MBE/WBE) firms to submit bids. 4. All bids will be publicly opened at the time and place prescribed in the invitation for bids. 5. The SUB - RECIPIENT shall provide the City's Community Development Department with a copy of the classified advertisement and the results from the bid opening. 6. The contract award will be awarded, in writing, to the lowest responsive and responsible bidder. Any or all bids may be rejected, if there are sound documented reasons. D. The SUB - RECIPIENT shall comply with the Federal Labor Standards and Prevailing Wage Rates as applied to the Community Development Block Grant Program in accordance with Title 29 of the Code of Federal Regulations, Part 5: After the start of the described work, the SUB - RECIPIENT shall provide to the City's Community Development Department staff, weekly reports of the contractor and/or subcontractors at the job site. The SUB - RECIPIENT shall conduct employee interviews of the contractor and/or subcontractors at the job site. Originals of all documents required for compliance with the Federal Labor Standards shall be supplied to the City's Community Development Department. 3. SUB - RECIPIENT shall erect a sign in a prominent place at the job site crediting the City of Elgin and HUD for funding of the PROJECT by including the following statement: "Funding for the Project has been provided, in part, by the City of Elgin from the U.S. Department of Housing and Urban Development's Community Development Block Grant Program." E. Quarterly Progress Reports 1. The SUB - RECIPIENT shall provide a Quarterly Progress Report to the CITY each quarter, reporting on the status of the PROJECT in relation to the Project Implementation Schedule. The quarterly progress reports shall begin upon the signing of this Agreement, and be based on the CDBG program year, beginning on June 19t and ending on May 3191 of the following year. The quarterly progress report shall be submitted until the completion of the project or until directed to discontinue such reports in writing by the CITY. Page 2 of 19 2. Quarterly progress reports shall be due on the 10 "' day of the month following, the end of the quarter, for the previous quarter's activities. The SUB- RECIPIENT shall use a form provided by the Community Development Department and shall include all required information about the number of clients served each quarter (by race, income, and the number of female headed households). F. Request for Payment The SUB - RECIPIENT shall provide the City's Community Development Department, prior to the start of construction, with an itemized fist of all estimated expenditures. This list (on a State of Illinois Engineer's Pay Estimate form BLR -283 or equivalent) shall show expected quantities and unit prices for each item. 2. Request for payment shall be submitted on a timely basis. Each request for payment sent to the CITY shall be accompanied by said payment estimate form signed by the SUS - RECIPIENT'S authorized representative and showing the work completed. Changes to items on the pay estimate form must be authorized, in writing, by the SUB - RECIPIENT (on a State of Illinois Request for Approval of Change in Plans Form BLR -228 or equivalent), and a copy of such authorization shall be submitted to the City's Community Development Department before payment pursuant to such changes is made. G. Prior to the expenditure of CDBG funds, the SUB - RECIPIENT shall meet with the City's Community Development Department staff to establish acceptable documentation and guidelines regarding requests for payment for the activities described in the Scope of Work. No payment of CDBG funds will be made by the CITY without the required documentation. H. SUB - RECIPIENT shall record and report monthly to the CITY all program income (as defined in 24 CFR 570.500(a)) generated by activities carried out with CDBG funds made available under this Agreement. Any such program income shall be returned to the CITY. Written request for an exception to this section must be made in writing to the CITY's Community Development Department. Such request shall describe why the SUB - RECIPIENT needs the income, the specific activities the SUB - RECIPIENT will undertake with the funds, and how the SUB- RECIPIENT will report income and expenditures to the CITY. A written response to the request will be provided to the SUB- RECIPIENT from the CITY. The use of any program income by the SUB - RECIPIENT shall comply with the requirements set forth at 24 CFR 570.504. By way of further limitations, to the extent any such income is used during the Agreement period for activities permitted under this Agreement, SUB- RECIPIENT shall reduce requests for additional funds by the amount of any such program income balances on hand. All unexpended program income shall be returned to the CITY at the end of this Agreement period. Any interest earned on cash advances from the U.S. Treasury and from funds held in a revolving fund account is not program income and shall be remitted promptly to the CITY. III. AMOUNT AND TERMS OF GRANT Page 3 of 19 A. The CITY shall distribute to SUB - RECIPIENT, as SUB - RECIPIENT'S portion of the total grant received by the CITY and in consideration of SUB - RECIPIENT'S undertaking to perform the PROJECT, a maximum of $33,000 (hereinafter "Grant Funds "), to be paid in the manner set forth herein at Section VII. B. This PROJECT shall be identified by the following project and account numbers: Project No. 154846 and Account No. 230 - 0000 - 791.93 -36 in the amount of $33,000, which identifying numbers shall be used by SUB- RECIPIENT on all payment requests. C. In the event the services identified in Section II, Scope of the Project of this Agreement or other eligible services for low and moderate income individuals and households are no longer provided at the Renz Addiction Counseling Center, One American Way, Elgin, due to actions by the SUB - RECIPIENT, the SUB - RECIPIENT shall reimburse the U.S. Department of Housing and Urban Development or the CITY for project activities undertaken in whole or in part with CDBG funds at a rate of 6.7% for each year and portion of each year remaining on the ten -year useful life of the facility improvements. The ten -year compliance period shall begin on the commencement date of this Agreement. This provision shall not be construed as limiting the CITY from asserting any claims against the Renz Addiction Counseling Center, for the breach of any other terms of this Agreement. D. Upon project completion as specified in Section II, Scope of the Project, any remaining CDBG project funds shall be available for reallocation by the CITY to another eligible CDBG project. If SUB - RECIPIENT materially fails to comply with any term of this award, the SUB - RECIPIENT shall repay to the CITY all funds used for ineligible activities. E. A minimum of 51 percent of the persons served on an annual basis shall be at or below 80 percent of the Median Family Income in order for the SUB - RECIPIENT to maintain eligibility for the CDBG funds provided for herein. Said income levels shall be updated and revised annually to conform to levels set by the U. S. Department of Housing and Urban Development. Failure to meet the aforementioned minimum 51 percent threshold shall require SUB- RECIPIENT to reimburse the CITY for funds expended, in whole or in part, for project activities. F. Changes in the scope of services, budget, or method of compensation contained in this Agreement, unless otherwise noted, may only be made through a written amendment to this Agreement, executed by the SUB- RECIPIENTT and CITY. IV. SUB - RECIPIENT'S COMPLIANCE WITH THE ACT A. CITY shall assist SUB - RECIPIENT'S making application for CDBG funds. B. SUB - RECIPIENT shall abide by the ACT, and all HUD rules and regulations promulgated to implement the ACT. C. SUB - RECIPIENT shall, upon request of CITY, (1) assist in the completion of an environmental review and (2) complete certifications showing equal employment opportunity compliance including equal employment opportunity certification with Page 4 of 19 reference to the PROJECT, as set forth in Exhibit "C" attached hereto and made a part hereof. D. SUB - RECIPIENT, in performing under this Agreement, shall: Not discriminate against any worker, employee, or applicant, or any member of the public, because of race, creed, color, sex, age or national origin, nor otherwise commit an unfair employment practice; and 2. Take affirmative action to insure that applicants are employed without regard to race, creed, color, sex, age or national origin, with such affirmative action in- cluding, but not limited to the following: Employment, upgrading, demotion or transfer, termination, recruitment or recruitment advertising, layoff or termination, rates of pay or other forms of compensation, selection for training, including apprenticeship. E. SUB - RECIPIENT shall permit CITY and HUD to conduct on -site reviews, examine personnel and employment records and to conduct any other procedures or practices to assure compliance with the provisions of this Agreement. SUB - RECIPIENT agrees to post in conspicuous places available to employees and applicants for employment notices setting forth the provisions of this non - discriminatory clause. F. SUB- RECIPIENT shall comply with all laws and state and federal rules and regulations, including but not limited to those regarding a direct or indirect illegal interest on the part of any employee or elected official of the SUB - RECIPIENT in the PROJECT or payments made pursuant to this Agreement. G. SUB- RECIPIENT hereby warrants and represents that neither the project, including but not limited to any funds provided pursuant thereto, nor any personnel employed in the administration of the program shall be in any way or to any extent engaged in the conduct of political activities in contravention of Chapter 15 of Title 5, United States Code, referred to as the Hatch Act. H. SUB - RECIPIENT shall maintain records to show actual time devoted and costs incurred, in relation to the PROJECT, and shall prepare and submit quarterly progress reports which describe the work already performed and anticipated during the remaining time of the PROJECT. Upon fifteen (15) days notice from the CITY, originals or certified copies of all time sheets, billings, and other documentation used in the preparation of said progress reports shall be made available for inspection, copying, or auditing by the CITY at any time during normal business hours, at 150 Dexter Court, Elgin, Illinois. SUB - RECIPIENT shall adopt the audit requirements of the Office of Management and Budget (hereinafter "OMB ") Circular A -133, "Audits of Institutions of Higher Learning and Other Non -Profit Institutions." SUB- RECIPIENT shall submit to the CITY one copy of said audit report. SUB - RECIPIENT shall permit the authorized representatives of the CITY, HUD and the Comptroller General of the United States to inspect and audit all data and reports of the SUB - RECIPIENT relating to its performance under this Agreement. SUB - RECIPIENT and CITY shall at all times observe and comply with Title 24 CFR Part 570 and all applicable laws, ordinances or regulations of the Federal, State, County, Page 5 of 19 and local government, which may in any manner affect the performance of this Agreement. Without limiting the foregoing, the SUB - RECIPIENT shall comply with the regulations, policies, guidelines and requirements set forth in Exhibit B, attached hereto and incorporated herein by this reference. K. SUB - RECIPIENT shall transfer to the CITY any unused CDBG funds and submit all billings attributable to this Project at the time this Agreement expires. L. SUB- RECIPIENT will ensure that any real property under the SUB - RECIPIENT'S control that was acquired and/or improved in whole or in part with CDBG funds is used to meet the benefit of low and moderate income persons as defined by HUD, for a period of 10 years after the commencement of this Agreement. M. If during the 10 year period after the commencement of this Agreement, the SUB - RECIPIENT disposes of any property under the SUB - RECIPIENT'S control that was acquired and /or improved in whole or in part with CDBG funds, then the SUB - RECIPIENT will reimburse the CITY in the amount of the current fair market value of the property less any portion of the value attributable to expenditures of non -CDBG funds for acquisition of, or improvement to, the property in accordance with 24 CFR 570.503(b)(8) and 24 CFR 570.505. V. RIGHTS TO SUBCONTRACT A. SUB - RECIPIENT is herewith granted authority to subcontract all or any portion of the PROJECT to such engineers, architects, independent land use consultants, professional land planner, construction contractors or other entities as SUB - RECIPIENT shall deem appropriate or necessary and upon such terms as may be acceptable to SUB - RECIPIENT. B. Administration of any subcontracts by the SUB - RECIPIENT shall be in conformance with 24 CFR Part 570.200(d)(2) and Part 85.36. VI. SUB - RECIPIENT'S AUTHORIZATION TO ACCEPT PROPOSALS A. After the CITY has received notification that funds for the PROJECT have been released by HUD, the SUB - RECIPIENT shall be authorized to accept the proposal of any subcontractor for the PROJECT. VII. BILLING PROCEDURE A. Upon release of Grant Funds by HUD for the PROJECT, the CITY shall make disbursements to the SUB - RECIPIENT as either reimbursement for advances made by SUB - RECIPIENT or as advances for specific cash requirements of SUB - RECIPIENT for the PROJECT. All claims of SUB- RECIPIENT, whether for reimbursement or advancement, shall comply with the following requirements: SUB - RECIPIENT shall submit a listing of all disbursements of CDBG funds, on a form provided by the CITY; Page 6 of 19 2. Any claim for advancement of CDBG funds shall be limited to an amount necessary for SUB - RECIPIENT to meet specific cash requirements for the PROJECT and shall be disbursed by SUB- RECIPIENT within three (3) working days of receipt by SUB - RECIPIENT; Any request for reimbursement or advancement pertaining to work under contracts from the SUB - RECIPIENT shall include the following: a. For interim payments to contractors and subcontractors, certification that the work for which payment is requested has been performed and is in place and to the best of SUB - RECIPIENT'S knowledge, information and belief that, the quality of such work is in accordance with the contract and subcontracts, subject to: (i) any evaluation of such work as a functioning PROJECT upon substantial completion; (ii) the results of any subsequent tests permitted by the subcontract; and (iii) any defects or deficiencies not readily apparent upon inspection of the work; and b. For final payment, certification that the work has been performed in a satisfactory manner and in conformance with the contract. 4. Processing of all requests for payment shall be contingent upon the submission of the required documentation by the contractor and subcontractor to the CITY that fully complies with federal labor standards, uniform relocation act or any other applicable federal, state, or local statutes, rules or regulations. 5. SUB - RECIPIENT shall forward to CITY all billings, vouchers, and other documents representing any accounts payable, in such timely and reasonable manner as both parties shall determine; provided, however, that in no event shall such documents be forwarded to CITY later than twenty -one (21) days after SUB - RECIPIENT'S receipt of such documents. 6. SUB - RECIPIENT shall cooperate with the CITY to facilitate the maintenance of financial records by the CITY as required by Title 24 CFR 85. B. Upon submission of an acceptable claim for Grant Funds, CITY shall process such claim and shall approve such claim for payment following approval by the City's Community Development Department, for compliance with this Agreement and applicable HUD requirements. C. Except as provided for in Section IX and X herein, CITY shall pay all required payments against eligible project costs, as described in Section II.B, incurred by SUB - RECIPIENT under this Agreement. VIII. ADMINISTRATION AND REPORTING REQUIREMENTS A. SUB - RECIPIENT shall administer the Grant Funds in conformance with the regulations, policies, guidelines and requirements of OMB Circular numbers A -110, A -122, and A- 133, as they relate to the acceptance and use of federal funds for the PROJECT. Page 7 of 19 B. SUB - RECIPIENT shall submit all required information to show compliance with applicable laws, rules and regulations, as specified in this Agreement and shall submit to CITY a quarterly progress report no later than the 10th day of the month following the activity being reported. SUB - RECIPIENT shall comply with all reporting and other requirements as specified in Exhibit 'B" attached hereto and made a part of this Agreement. C. Relocation of Tenants SUB - RECIPIENT shall comply with the requirement under the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970. SUB - RECIPIENT shall maintain a separate relocation file for each displaced person business for at Least three years after the project has been completed or the person/business has received final relocation payments, whichever is later. Relocation costs must be paid to any tenant (residential or nonresidential) who occupies any building being acquired and is forced to move without cause. Waiver of rights to relocation costs can only be done by a single family homeowner. D. Management ,Plan and Operating Budget of the Facility SUB - RECIPIENT shall maintain, and keep current, a management plan and operating budget stating policies governing the operation of the facility and shall keep this plan and budget on file with the CITY. D{. TERMINATION OF AGREEMENT OR SUSPENSION OF PAYMENT A. During the implementation of the PROJECT, CITY may terminate this Agreement or may suspend payment of Grant Funds to SUB - RECIPIENT for SUB - RECIPIENT'S substantial breach of this Agreement, abandonment of the PROJECT or occurrence rendering impossible the performance by SUB - RECIPIENT of this Agreement. B. During the implementation of the PROJECT, the CITY may suspend payments of Grant Funds, due to use of funds in a manner unrelated to or in breach of this Agreement relative to, SUB - RECIPIENT'S performing the PROJECT, failure by SUB - RECIPIENT in submitting supporting information or documentation for a claim, submission by SUB - RECIPIENT of incorrect or incomplete reports, or SUB - RECIPIENT'S suspension of its pursuit of the PROJECT. C. In the event CITY elects to terminate this Agreement or to suspend payments, for any reason stated herein above in paragraph A and B of this Section IX, it shall notify the SUB - RECIPIENT, in writing, of such action, specifying the particular deficiency, at least five (5) working days in advance of any such action and establishing a time and a place for the SUB- RECIPIENT to refute the alleged deficiency at a time prior to CITY'S taking such action. After allowing the SUB - RECIPIENT the opportunity to refute or correct the alleged deficiency, if the alleged deficiency continues to exist, in the opinion of the CITY, the CITY may withhold payment of the Grant Funds until such time as the violation or breach is remedied. No action taken or withheld by the CITY under this paragraph shall relieve the SUB - RECIPIENT of its liability to the CITY for any funds expended in violation of any of the terms of this Agreement. Page 8 of 19 D. SUB - RECIPIENT shall transfer to the CITY any unused CDBG funds and submit all billings attributable to this Project at the time this Agreement terminates or is suspended. X. REMEDIES A. To the fullest extent permitted by law, SUB - RECIPIENT agrees to and shall indemnify, defend and hold harmless the CITY, its officers, employees, boards and commissions from and against any and all claims, suits, judgments, costs, attorneys fees, damages or any and all other relief or liability arising out of or resulting from or through, or alleged to arise out of, any breach of this Agreement; misuse or misapplication of funds derived pursuant to this Agreement by SUB - RECIPIENT; violation of any statutes, rules and regulations, directly or indirectly, by SUB - RECIPIENT and/or any of its agents or representatives; or any negligent acts or omissions of SUB - RECIPIENT or of SUB - RECIPIENT'S officers, employees, agents or subcontractors. In the event of any action against the CITY, its officers, employees, agents, boards or commissions covered by the foregoing duty to indemnify, defend and hold harmless, such action shall be defended by legal counsel of CITY'S choosing. The provisions of this paragraph shall survive any termination and/or expiration of this Agreement. B. In the event of loss of approved Grant Funds for the PROJECT as a result of any violation or breach of this Agreement by the CITY, misuse or misapplication of funds received from HUD unrelated to the PROJECT, or any violation of the statutes, rules and regulations of HUD, directly or indirectly, by CITY and/or any of its agents or representatives, CITY'S liability to SUB - RECIPIENT shall be limited to any funds which have previously been provided to sub - recipient pursuant to this Agreement. SUB - RECIPIENT hereby waives and releases CITY from any and all other liability pursuant to any such breach, misuse, misapplication or violation of statutes, rules or regulations. C. In the event HUD, or any other federal agency, makes any claim which would give rise to invoking the remedy provisions, as set forth in paragraph A or B of this Section X, then the CITY or SUB - RECIPIENT shall immediately notify the other party, in writing, providing the full details of the alleged violation. To the extent that any such matter is not subject to exclusive federal jurisdiction, venue for the resolution of any disputes or the enforcement of any rights arising out of or in connection with this Agreement between the CITY and SUB - RECIPIENT shall be in the Circuit Court of Kane County, Illinois. D. In addition to any remedies available to the CITY, if CITY has lost or been prevented from receiving any federal funds, other than the Grant Funds, as a result of any alleged violation of law or other breach of this Agreement by SUB - RECIPIENT, the SUB - RECIPIENT shall repay, upon demand by the CITY, such amount of Grant Funds previously disbursed or allegedly due to the SUB - RECIPIENT. XI. TIMELINESS A. Time is of the essence of this Agreement. SUB - RECIPIENT shall meet the schedule deadlines listed below. Any milestone which the SUB - RECIPIENT does not achieve within two months of the date listed will result in the SUB - RECIPIENT submitting a revised implementation schedule for approval by the City's Community Development Page 9 of 19 XII. staff. Failure to achieve these deadlines may result in the loss or reduction of grant funds at CITY's discretion. Actions Date 1. Prepare Bid Specification January 31, 2013 2. Bids Solicited March 1, 2013 3. Select Contractor May 1, 2013 4. Construction Begins June 1, 2013 5. Construction Completed December 31, 2013 B. SUB- RECIPIENT. Shall complete the PROJECT within twelve (12) months from the date of this Agreement. However, in the event of any alterations or additions or of circumstances beyond the control of SUB - RECIPIENT, which in the opinion of the Community Development Director will require additional time for completion of said expenditures, then in that case, the time of completion shall be extended by the Community Development Director by a period of time not to exceed six (6) months. C. If SUB - RECIPIENT is delayed in the completion of the PROJECT by any cause legitimately beyond its control, as determined by the CITY, such that it cannot complete the PROJECT within eighteen (18) months of the date of this Agreement, it shall immediately give written notice to the CITY of the anticipated delay, the reasons therefore and request an extension of time for completion of the PROJECT. CITY's Community Development Director shall consider any such request and shall make a recommendation to CITY's City Council as to whether in his sole discretion he considers such an extension to be reasonable and necessary, under the totality of circumstances to be required for completion of the PROJECT due to the particular circumstances. The CITY's City Council shall act upon the extension request and recommendation of the Community Development Director and notify the SUB - RECIPIENT whether the time extension is granted or denied, and the CITY's intention to exercise the remedies available herein, including but not limited to suspension of further payments. A revised implementation schedule shall be submitted by SUS - RECIPIENT if an extension is granted by the CITY. MISCELLANEOUS PROVISIONS A. AMENDMENTS - This Agreement constitutes the entire Agreement between the parties hereto. There are no other agreements, either oral or implied, between the parties hereto regarding the subject matter hereof. Any proposed change in this Agreement shall be submitted to the other party for prior approval. No modifications, additions, deletions, or the like, to this Agreement shall be effective unless and until such changes are executed, in writing, by the authorized officers of each party. B. SUBJECT TO FINArNCIAL ASSISTANCE AGREEMENT - This Agreement is made subject to financial assistance agreements between the CITY and the United States Page 10 of 19 Department of Housing and Urban Development, with the rights and remedies of the parties hereto being in accordance with any such agreements. C. ASSIGNMENT - Except as provided in Sections V and VI hereof, SUB- RECIPIENT shall not assign this Agreement or any part thereof and SUB - RECIPIENT shall not transfer or assign any Grant Funds or claims due or to become due hereunder, without the written approval of the CITY having first been obtained. D. ATTORNEY'S OPINION - If requested, SUB - RECIPIENT shall provide an opinion of its attorney, in a form reasonably satisfactory to the CITY, that all steps necessary to adopt this Agreement, in a manner binding upon SUB - RECIPIENT, have been taken by SUB - RECIPIENT, and that SUB - RECIPIENT is in compliance with applicable local, state and federal statues, rules and regulations for the purpose of complying with this Agreement. E. HEADINGS - The section headings of this Agreement are for convenience and reference only and in no way define, limit, or describe the scope or intent of this Agreement, and should be ignored in construing or interpreting this Agreement. F. The terms of this Agreement shall be severable. In the event any of the terms or provisions of this Agreement are deemed to be void or otherwise unenforceable for any reason, the remainder of this Agreement shall remain in full force and effect. G. This Agreement shall not be construed to create a joint venture, partnership, employment or other agency relationship between the parties hereto. H. Venue for the resolution of any disputes or the enforcement of any rights between the parties hereto arising out of or in connection with the terms and provisions of this Agreement shall be in the Circuit Court of Kane County, Illinois. Page 11 of 19 IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the dates recited below. CITY OF ELGIN, an Illinois Municipal Corporation ATTEST: halz Kimberly bewis City Clerk SUB- RECIPIENT: Renz Addiction Counseling Center OA American Way, Elgin, Illinois 60120 BY: f� ` Page 12 of 19 EXHIBIT A SUB - RECIPIENT'S CDBG APPLICATION Page 13 of 19 CnEE PROPOSAL APPLICATION FOR CDBG FUNDING: DEC 14 G0111 THE COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) ENTITLEMENT PROGRAM CITY OF ELGIN FISCAL YEAR 2012 -2013 JUNE 1, 2012 THROUGH MAY 311 2013 Organization Name: Renz Addiction Counseling Center Project Name: Window Replacement Project Project Address: 1 American Way, 2 "d Floor— Admin., Elgin, IL 60120 Exec Director Name: Jerry Skogmo Address: 1 American Way, 2nd Ft.- Admin, Elgin, IL 60120 Telephone #: (847) 742 -3545 Fax #: (847) 697 -5583 Email Address: jskogmo @renzcenter.org Website (if applicable): www.renzcenter.org Employer (IRS) ID #: 36- 2447195 DUNS #: 1069216870000 Contact Name: Deb Howe Title: Director of Fund Development Contact Telephone #: (847) 742 -3545 Fax #: (847) 697 -5583 Contact Email: Website (if applicable) dhowe @renzcenter.org www.renzcenter.org PROJECT FUNDING REQUEST CDBG Funds Requested $ 33,000 Funding Leveraged from other Sources 3'972 Check the category, which describes the type of funding, requested: Housing Pubic Facility Q Infrastructure Economic Development Public Service Other BRIEF PROJECT DESCRIPTION: Please provide a one - sentence .statement about your oroiect —not your organization. In an effort to reduce heating /cooling costs, diminish air leakage, and water damage problems, Renz Center would like to replace all current windows with energy - efficient windows. City of Elgin CDBG Application FY 201 2 -2013 Application Page 15 CONSTRUCTION PROJECTS ONLY Public Improvements /Construction Activity Application Form Window Replacement Project Project Name /Title; Renz Addiction Counseling Center Agency Name: 1 American Way, 2 °d Fl. Admin. Agency Address: City; Elgin State: IL Zip: 60120 1. Project Description (Attach additional sheets as necessary.) a. Provide a detailed description of the facilities to be provided or improved. Identify major components of proposed work and state estimated quantities: Renz Center is headquartered in (2) two - storied brick buildings that were built in 1487. We propose to replace 2 lobby picture windows and 80 double -hung windows in both buildings in an effort to lower our energy bills, diminish air leakage, and eliminate condensation problems. The Center's original windows are in desperate need of replacement. We've had to nail many upper windows shut because the springs inside have broken beyond repair and can no longer hold the window open. Many windows are cracking, wood is rotting due to condensation problems, and finger joints are separating due to weather. See Attachment A: Project Description b. Indicate the primary function of the facilities to be provided or improved: Center is dedicated to the prevention, intervention and treatment Services is located in the 2 American Way facility, where adolescents and adults receive alcohol /drug on and counseling. Administration and Prevention Services are located in the 1 American Way building. :ion Services provides alcohol, tobacco, and other drugs education to school -aged youth, in addition to c. Readiness to Proceed: you have an architect /engineer under contract? It so provide name. Yes ✓No (ii) Do you have preliminary plans /drawings completed (if so, attach)? Yes ✓No (ii) Do you have project cost estimates completed (if so attach)? ✓Yes No (using Davis Bacon Wage Rate and Labor Standards) See Attachment B: Project Cost Estimates Please note that any costs incurred prior to the award and environmental review process cannot be reimbursed to the applicant. e. Provide evidence of site control. Copy of the deed. If property is not owned provide a copy of the lease. Agreement and letter from owner approving proposed work. See Attachment C: Deed City of Elgin CDBG Application FY 2012 -2013 Application Page 16 CONSTRUCTION PROJECTS ONLY 2. Project Location: Renz Addiction Counseling Center a. Project Address /Location: (Include photographs) 1 American Way, Elgin, IL 60120 and 2 American Way, Elgin, IL 60120 See Attachment D: Photos Census Tract(s): 8044.02 Block Group(s): Block Group 1– Block 1003 i I _ b. indicate if the project is located in, or will have any impact on, the following: ( Please indicate Yes or No) i National egis er Historic District (11)'Designateci e an s rea ni an se onmgZfia`nge — Yes Vi No Yes G.nNo Yes © No I if yes, explain: If yes, explain: If yes, explain: (ivj Environmental Hazards Yes -Z No If yes, explain: I c. Provide a time line for the project and current status of project progression: Construction Bid Period: Start Date: Completion Date: Obtain bids from window companies April 2012 May 2012 Award bid and schedule project May 2012 June 2012 Replace windows at 2 American Way August 2012 August 2012 Replace windows at I American Way September 2012 September 2012 3. Currently, we have obtained 3 estimates. With grant approval, we will move forward and formal bids. as a. Describe the existing problems or conditions to be corrected by the proposed activity. Identify the persons affected by these conditions. Explain how the project benefits low and moderate income people. See Attachment E: Project Benefits b. Describe in quantifiable terms the goals to be achieved by your project during the proposed funding period, and how the recipients of your services will be benefited or changed. coal 1: Reduce heating /cooling monthly bills by at least 25 %, according to Consumer Energy Center. ioal 2: Diminish air leakage by replacing current windows with airtight sealed windows urrently, 94% of Renz Center's Clinical Services clientele earns less than 80% of the area median come, as determined by HUD User Data Sets. towering our heating /cooling bills will allow us to use funds towards client treatment. City of Elgin CDBG Application FY 2012 -2013 Application Page 17 CONSTRUCTION PROJECTS ONLY *The line items in column Aare a guide. Items may be added or deleted depending on the type of project. City of Elgin CDBG Application FY 201 2 -2013 App cation Page 18 CONSTRUCTION PROJECTS ONLY 1. Construction Procurement Guidelines for private non - profit construction projects All construction contracts in excess of $2,000 will be subject to federal Davis -Bacon Wage Rates and Labor Standards provisions. A schedule of current prevailing wage rates and fringe benefits is available at the Illinois Department of Labor at www. state.H.us \aeencv \idol \rates \evenmo \kane9999.htm $25,000 - $99,999 Projects over $25,000 require Newspaper Advertisement Public Solicitation of Contractor Bids in Elgin Standard Times. Federal requirements for Davis -Bacon and Minority and Women Business Enterprise Participation (MBE /WBE) compliance will be applicable. Federal Section 3 and City of Elgin Minority Workforce Requirements are not applicable for contracts under $100,000. The lowest qualified bid representing the complete scope of work from a QUALIFIED CONTRACTOR will be considered. $100,000 + Projects over $100,000 require Newspaper Advertisement Public Solicitation of Contractor Bids in Elgin Standard Times. Federal requirements for Davis -Bacon and Minority and Women Business Enterprise Participation (MBE /WBE) compliance will be applicable. Federal Section 3 and City of Elgin Minority Workforce Requirements will be applicable for contracts over $100,000. Bond Requirement — 100 %Payment and Performance Bonds. The lowest qualified bid representing the complete scope of work from a QUALIFIED CONTRACTOR will be considered. City of Elgin CDBG Application FY 2012-2013 Application Page 19 2. PROJECT ELIGiBILTY SECTION A. This project is located in 8044.02 Census Tract(s) (Identify tract by number) (website — Factfinder.census.eov) B. This project meets at least ONE of the HUD national objectives listed below (please check all applicable; discussion and definitions available on page 6 of the packet): ✓ 1. Benefits low /moderate income individuals /households ._.____ 2. Addresses the prevention or elimination of slums or blight _ 3. Meets a particularly urgent community development need. C. Check all statements that describe HOW this project or activity meets one of the National Objectives above: LIM Area Benefit: the project meets the identified needs of L/M income persons residing in an area where at least 51% of those residents are L/M income persons. The benefits of this type of activity are available to all persons in the area regardless of income. Examples: street improvements, water /sewer lines, neighborhood facilities, facade improvements in neighborhood commercial districts. LIM Limited Clientele: the project benefits a specific group of people (rather than all the residents in a particular area), at least 51% of whom are L/M income persons. The following groups are presumed to be L /M: abused children, elderly persons, battered spouses, homeless, handicapped, illiterate persons. Examples: construction of a senior center, public services for the homeless, meats on wheels for elderly, construction of job training facilities for the handicapped. LIM Housing: the project adds or improves permanent residential structures that will be occupied by L/M income households upon completion. Housing can be either owner or renter occupied units in either one family or multi - family structures. Rental units for L/M income persons must be occupied at affordable rents. Examples: acquisition of property for permanent housing, rehabilitation of permanent housing, conversion of non - residential structures into permanent housing. LIM Jobs: the project creates or retains permanent jobs, at least 51% of which are taken by L/M income persons or considered to be available to L/M income persons. Examples: loans to pay for the expansion of a factory, assistance to a business which has publicly announced its intention to close w /resultant loss of jobs, a majority of which are held by LIM persons. MicroEnterpriseAssistance: the project assists in the establishment of a microenterprise or assists persons developing a microenterprise. (A microenterprise is defined as having five or fewer employees, one or more of whom owns the business.) This activity must benefit low /moderate income persons, area or jobs as defined in previous sections. NOTE: List is continued on the following page... City of Elgin CDBG Application FY 201 2 -2013 Application Page 20 Sham or Blighted Area: the project is in a designated slum /blight area and the result of this project addresses one or more of the conditions that qualified the area. Spot Blight: the project will prevent or eliminate specific conditions of blight or physical decay outside a slum area. Activities are limited to clearance, historic preservation, rehabilitation of buildings, but only to extent necessary to eliminate conditions detrimental to public health and safety. Examples: historic preservation of a public facility threatening public safety, demolition of a deteriorated, abandoned building. D. Project Category [check one]: Acquisition of Real Property Disposition of Real Property ✓ Public Facilities and improvements (e.g., homeless shelter, water and sewer facilities, flood and drainage improvements, fire protection facilities /equipment, community, senior and health centers, parking, streets, curbs, gutters and sidewalks, parks and playgrounds.) Privately -owned Utilities Public Service (i.e., a new service or an increase in the level of a service) Relocation Payments and Assistance to Displaced Persons Removal of Architectural Barriers, Handicapped Accessibility Housing Rehabilitation Historic Preservation Commercial or Industrial Rehabilitation, including facade improvements and correction of code violations. Special Economic Development or assistance to micro - enterprises. City of Elgin CDBG Application FY 201 2 -2013 Application Page 21 3. IMPACT ON APPLICABLE GOALS, NEEDS, AND OBJECTIVES The Five -Year Consolidated Plan identifies both priority needs in the community and strategies to address these needs. The need for your proposed project will be determined by identifying how the project impacts upon the adopted Consolidated Plan Priority Needs. Therefore, applications should provide a clear explanation of how the project impacts upon the adopted Consolidated Plan Priority Needs. Greater consideration will be given to projects that provide a clear description of the project with supporting data and methodology of how the project will meet the Consolidated Plan Priority Needs. Please identify the category and activity applicable to your proposal, using that table as your guide: Example: ❑ Public Services Activity: Youth Transportation Homelessness Activity Infrastructure Activity Window Replacement Affordable Housing Activity Public Facilities Activity Planning & Capacity Building Activity The City of Elgin has identified ten strategic goals to reflect the City's ongoing commitment to the community. Greater consideration will be given to projects that provide a clear description of the project with supporting data and methodology of how the project will meet the City's strategic goals. Please identify ALL the categories applicable to your proposal: ✓A Safe Community Quality Housing Neighborhood Vitality River as a Resource Economic Growth and Diversified Tax Alive Downtown Base Financially Stable City Government Recreational, Leisure and Cultural ✓ Customer Service ✓Opportunities for all Citizens Diverse Management Staff PROPOSED PROJECT ACCOMPLISHMENTS Please briefly describe proposed accomplishment(s) if funding is awarded: (Accomplishments must be described in terms of households served, people served businesses created, housing units created, jobs created or public facilities undertaken. Example: This program will serve 485 LMi individuals, this program will create 25 jobs, etc.) PROPOSED ACCOMPLISHMENTS: Window Replacement Project will serve 1,024 clients and 40 staff members, of those 961 persons are ..or 94 %. We also propose to hire a local business to complete the project. A. What is the total estimated number of persons to be served by this project? B. What is the total estimated number of LMI persons to be served by this project? 61 C. What is the anticipated percentage of LMI persons to be served by this project? 4% City of Elgin CDBG Application FY 2012-2013 Application Page 22 4. ACTIVITY DESCRIPTION: Please answer the following questions in the space provided. A. Provide a detailed description of the proposed activity including how the activity will address the community need you have indicated. Identify whether the activity is new, ongoing, or expanded from previous years. After 24 years, the windows at Renz Addiction Counseling Center are in need of replacement. They are not energy - efficient, and are starting to fall apart. Several windows have broken springs, and cracked windowpanes due to condensation problems. Energy - efficient windows benefit the Center and its clients by: 1. Lowering our monthly heating /cooling bills by at least 25 %, according to the Consumer Energy Center. 2. Eliminating space heaters currently used in offices and counseling /group rooms 3. Reduce distracting outside noises 4. Provide added security 5. Provide added comfort by keeping the temperature consistent throughout the building As a result of this new Window Replacement Project activity, Renz Center facilities will be more energy- and cost- efficient. Renz Center has a responsibility to maintain and improve when possible, thus allowing us to use our funding (the majority of it public /governmental) more wisely. We are constantly considering cost - effective strategies to use funding dollars more economically. B. identify who will benefit from the proposed activity (e.g. homeless, youth, seniors, disabled, et cetera). if designed to benefit persons of L/M income, describe the process you will use to identify these persons and ensure that the activity meets this objective. (An LMl certification form is included in the RFP Packet). Renz Center serves adolescents and adults needing alcohol /drug education or counseling, alcohol abuse /addiction treatment, DUI services, problem and compulsive gambling treatment, and /or children of alcoholics /addicts counseling. We serve individuals and family members as young as 4 years old. We also have specialized programs for individuals involved in the court /legal system, school district 300 and females— giving priority to pregnant women. Our Prevention Services program provides alcohol /drug prevention education services for students in school district U -46 and 300. Programming is offered during the school day, after - school and during the summer. Our HIV /AIDS prevention program reaches out to the general population as well as high -risk populations. Renz Center strives to assist low- income individuals, and make treatment affordable and accessible. By utilizing insurance, Medicaid and /or a sliding fee scale, no one is denied service because of an inability to pay. On our Intake Form, clients are asked questions regarding income, language spoken, etc. Currently, 94% of Clinical Services clientele earns less than 80% of Median Family Income Guidelines as determined by HUD under the 2012 -2013 CDBG Action Plan. Serving a large Hispanic community, SO% of our clientele are from this ethnic origin. Identify the accomplishments you intend to achieve with this activity. Provide an activity timeframe /schedule (include start, completion dates, and other significant stages). Ultimately, the outcome of the Window Replacement Project is to lower our monthly utility bills by putting in energy - efficient windows. Major tasks to complete the project include: Task Completion Dates Obtain bids from window companies May 2012 Obtain bids from window companies May 2012 Award bid and schedule project June 2012 Replace windows at 2 American Way August 2012 Replace windows at 1 American Way September 2012 City of Elgin CDBG Application FY 201 2 -2013 Application Page 23 5. ORGANIZATIONAL CAPACITY Please answer the following questions in the space provided. A. Provide an overview of your organization including length of time in existence. Attach a list of current officers and board members with terms. Since 1961, Renz Center's mission has been to provide early intervention, outpatient and intensive outpatient treatment programs for substance abuse and problem gambling. We also offer prevention education for alcohol /drugs and HIV /AIDS. Renz Center is a full- service agency that offers: Clinical Services, which include Outpatient and Intensive Outpatient Adolescent Services; Family Programs — including children of alcoholics; Outpatient and Intensive Outpatient Adult Services; Passage Program for Women — including free childcare; DUI Services, and Problem and Compulsive Gambling Programs. Prevention Services include youth alcohol, drug and tobacco prevention education programs— during school, afterschool and summer programming provided, and HIV Prevention Education Services — education, outreach, risk - reduction counseling, and free HIV testing. See Attachment E: Board of Directors List Describe your organization's experience in successfully conducting this type of activity. Identify any skills, current services, or special accomplishments that demonstrate your capacity for success. Since opening our doors 50 years ago, Renz Center has had several expansion and re- modeling projects as we have grown to meet the needs of our community. During Executive Director Jerry Skogmo's 15 year tenure with the agency, he has improved the financial health of the agency significantly and gained experience with purchasing and remodeling buildings. Mr. Skogmo was instrumental in the agency's move from rental space to the purchase of 2 American Way in 1999, and again in acquiring 1 American Way in 2008. The agency completed the CDBG rehabilitation of 1 American Way in 2009. C. Identify the person(s) responsible for program and financial management of the activity. Identify all other persons involved in this activity noting whether these positions are current or new, pending this award. Renz Center's Executive Director Jerry Skogmo will be responsible for the Window Replacement Project's financial management and coordination. Mr. Skogmo has been with Renz Center for 15 years. City of Elgin CDBG Application FY 201 2 -2013 Application Page 24 D. Identify any other agencies /partners in this activity and define the roles and responsibilities of these partners. For the Windows Replacement Project, Renz Center will not be working with other agencies or partners. It is our intention to hire a local business to complete the project should they come in with the lowest bid. E. Demonstrate that the proposed activity is economically feasible and can be implemented in a timely cost effective manner within the proposed program year. Renz Center's executive director has already obtained 3 bids from local window companies and is ready to choose the best quote and move forward with the Window Replacement Project. Because many clients receive treatment in the evening hours, the Project will be implemented during the day and /or on weekends as to not disrupt services. It is Renz Center's management's goal to have the project completed no later than the end of August 2012. F. Oftentimes projects that receive an award of CDBG funding are actually awarded less than the amount originally requested. This requires the submission of a revised budget and a description of how it will carry out the proposed activity with reduced funding prior to the commitment of any funding. Please indicate here whether your proposed activity could be undertaken with a reduced commitment of funding and if so, please highlight how that would affect the scope of services you are proposing. In the event of limited funding, Renz Center would replace only the windows with the greatest need. Any remaining money would be used to replace the windows at our 2 American Way building first to ensure greater energy - efficiency. City of Elgin CDBG Application FY 201 2 -2013 Application Page 25 6. FINANCIAL The City encourages CDBG funds to be utilized as gap funding. A gap is defined as the amount of funding necessary to run a program after all other funding sources have been identified, thus leveraging is very important in the application process. ACTIVITY BUDGET Please answer the following questions in the space provided. You may reference and attach an additional page if necessary. A. Complete the Budget Summary chart. More detailed budgets may be attached (and are strongly recommended) in support of the proposal. B. Identify sources of leveraged funding for this activity. Include the status of these funds (i.e. cash on hand, grants received, planned fund - raising, etc.). Attach copies of funding commitment letters or other evidence of funding support. C. Leverage — Consideration will be given to the amount of non -CDBG funds committed to the project. (Category Breakdown CDBG Leveraged Funds Source of Total Funds Leveraged Funds Personnel* Contractual Services $33,000 $3,907 Cash reserves 6,907 (Specify) i C Rent & Utilities Communications i Travel Other Soecifv: I I City Permits 65 1$65 i , 1 i Total CDBG Reouest $33,000 i $33,000 3,972 Total other Funds $3,972 Grand Total ( $ 36,972 *NOTE: Please complete Budget Detail Chart on page 26 if personnel costs are included in your proposal. City of Elgin CDBG Application FY 201 2 -2013 Application Page 26 BUDGET DETAIL This section provides back -up for each line item shown in the Budget Summary Chart. Please make certain this detailed breakdown is consistent with the Program Budget. Round up to the nearest hundred. Please note: A job description for each person must be provided. A Note about the Staff /Salary Breakdown: Please show all proposed staff positions funded with CDBG funds that relate to the proposed activity, if multiple staff members have the same position /title, list separately (For example: Counselor 1, Counselor 2). Use an additional sheet if necessary. You must submit lob descriptions with your application for each position title identified below. Example: Current $25,000 $5,000 $30,000 x 40% Case manager x x X X is this a Annual Total %Time Spent on Total Position Position current or Annual Fringe Annual x this CDBG Cost Requested Title proposed salary Benefits Salary Project /Program from CDBG position? Example: Current $25,000 $5,000 $30,000 x 40% Case manager x x X X c X $12,000 A. Oftentimes projects that receive an award of CDBG funding are actually awarded less than the amount originally requested. This requires the submission of a revised budget and a description of how it will carry out the proposed activity with reduced funding prior to the commitment of any funding. Please indicate here whether your proposed activity could be undertaken with a reduced commitment of funding and if so, please highlight how that would affect the scope of services you are proposing. In the event of limited funding, Renz Center would replace only the windows in immediate need. And while this would not be the most energy - efficient, it would provide some cost - effective savings. City of Elgin CDBG Application FY 201 2 -2013 Application Page 27 A. THRESHOLD CERTIFICATION In order for your application to be accepted, in addition to the application itself, your organization must submit the following items to the Office of Housing and Community Development no later than 5:00 PM on FRIDAY DECEMBER 18 2011 An original application with all questions completed along with one copy that is 3 -hole punched and clipped [not bound] of the completed application. (Only the original must include the requested support documents such as the articles of incorporation and the current list of your Board of Directors.) The following attachments /certifications: (if you have not submitted an application in the last two years OR if the information has changed) Articles of Incorporation Current List of Board of Directors Certified Organization Audit /Financial Statements of most recent year a. Copy of OMB A -133 Audit (Required if $300,000 in aggregate Federal funds expended), or b. Financial statements audited by a CPA (only if not qualified for A -133), or C. Profit and Loss Statement for most recently completed fiscal year and General Ledger printout (only first time applicants or those who do not meet above criteria may submit) -IRS 501(c)(3) Designation Letter (Pending letters will not be accepted) Current Fiscal Year Agency Budget, including all funding sources v/Job Descriptions per budget detail. r An Executed Statement of Applicant Form. An Executed Signature Authorization Form. Conflict of Interest Disclosure Form. I hereby confirm that this packet contains all materials required. Executive Director Signature and Printed Name Authorized Signer City of Elgin CDBG Application Fy 201 2 -2013 Application Page 28 B. STATEMENT OF APPLICANT The undersigned acknowledges the following: 1. That, to the best of its knowledge and belief, all factual information provided is true and correct and all estimates are reasonable. 2. That no revised proposals /applications may be made in connection with this application once the deadline for applications has passed. 3. That the City of Elgin may request or require changes in the information submitted, and may substitute its own figures, which it deems reasonable for any or all figures provided. That the applicant will participate in required interview for project assessment and cooperatively assist in the review process. 4. That, if the project(s) is recommended and approved by the Mayor and City Council, the City reserves the right to reduce and /or cancel the allocation if federal entitlements are cancelled, reduced, or rescinded. 5. The City of Elgin reserves the right not to fund any submittals received. 6. By submission of this application, the organization agrees to abide by the federal regulations applicable to this program. 7. That, if the project(s) is funded, the organization agrees to abide by the City's locally established policies and guidelines 8. That past program and financial performance will be considered in reviewing this application. 9. That services are to be provided at no cost to citizens during the grant period. All program income (i.e.: fees, repayments, foreclosures, etc.) must be remitted to the City. 10. That, if the project(s) is funded, the City or a designated agency may conduct an accounting system inspection to review internal controls, including procurement and uniform administrative procedures, prior to issuance of payments for projected expenditures. 11. That, if project(s) is funded, the City will perform an environmental review prior to the obligation of funds. 12. That, if a project is funded, a written agreement that includes a statement of work, records retention and reporting, program income procedures, local and federal requirements, circumstances that would trigger grant suspensions and terminations, and reversions of assets would be required between the organization and the City. 13. That a project's funding does not guarantee its continuation in subsequent action plans. 14. Provide written signatory authority from the organization's governing body indicating who can execute contracts and amendments on its behalf. Statement of Applicant continued on following page. City of Elgin CDBG Application FY 201 2 -2013 Application Page 29 15. Agrees to abide by the City of Elgin's Conflict of Interest policy. Items of concern would include staff members serving on the Board of Directors, staff members' families serving on the Board of Directors, and other matters that may give the appearance of a conflict of interest. U.S. Code Title 18, Section 1001, provides that a fine of up to $10,000 or imprisonment for a period not to exceed five years, or both, shall be the penalty for willful misrepresentation and the making of false, fictitious statements, knowing same to be false. By signature below, the applicant acknowledges the above in its name on this 15th December t 2011. Renz Addiction Counseling Center Name of Organization a Executive Director (Title) day of City of Elgin CDBG Application FY 201 2 -2013 Application Page 30 C. SIGNATURE AUTHORIZATION FORM The Board of Directors of Renz Addiction Counseling Center does hereby resolve that on December 1, 2011 (Dote), the Board reviewed the Application for Community Development Block Grant Funds to be submitted to the City of Elgin Community Development Department for funding consideration for the fiscal year 2012 -2018 and in a proper motion and vote approved this application for submission. The Board further certifies that the organization making this application has compiled with all applicable laws and regulations pertaining to the application and Is a non - profit organization, tax - exempt and Incorporated in the State of Illinois, Renz Addiction Counseling Center (Nome of organization requesting CDBG funds) hereby proposes to provide the services or project identified in the Scope of Services in accordance with this application for Community Development Block Grant Funds. If this application is approved and this organization receives CDBG funding from the City of Elgin, this organization agrees to adhere to all relevant Federal, State and local regulations and other assurances as required by the City. Furthermore, as the duly authorized representative of the organization, I certify that the organization is fully capable of fulfilling its obligation under this application as stated herein. I further certify that this application and the information contained herein are true, correct and complete. person(s) to have signatory authority regarding this grant: / Title Title L, V'/. lan Jones, Board President President/Board of Directors (or other authorized person) Date U.S. Code Title 18, Section 1001, provides that a fine of up to $10,000 or imprisonment for a period not to exceed five years, or both, shall be the penalty for willful misrepresentation and the making of false, fictitious statements, knowing some to be false. City of Elgin CDBG Application FY 201 2 -2013 Application Page 31 Conflict of Interest The standards in OMB Circular A -110, Subpart C. provide that no employee, officer, or agent shall participate in the selection, award, or administration of a contract supported by Federal funds if a real or apparent conflict of interest would be involved. Such a conflict would arise when an employee, officer, or agent, any member of his or her immediate family, his or her partner, or an organization which employs or is about to employ any of the parties indicated herein, has a financial or other interest in the firm selected for an award. The CDBG regulations at 24 CFR 570.611 and HOME regulations at 24 CFR 92.356 provide that no person who is an employee, agent, consultant, officer, or elected official or appointed official of the recipient or subrecipient that are receiving CDBG or HOME funds and (1) who exercises or has exercised any functions or responsibilities with respect to activities assisted with CDBG funds; or (2) who is in a position to participate in a decision - making process or gain inside information with regard to these activities, may obtain a financial interest from a CDBG- assisted or HOME- assisted activity, or have any interest in any contract, subcontract, or agreement with respect thereto, or the proceeds there under, either for themselves or those with whom they have family or business ties, during their tenure or for one (1) year thereafter. A disclosure of the nature of any perceived or actual conflict must be made prior to the execution of agreements utilizing CDBG or HOME. IF NO CONFLICT EXISTS, COMPLETE THE FOLLOWING: Xf certify that no conflict of interest exists between the City of Elgin and (name of organization) Renz Addiction Counseling Center EX I certify that no conflict of interest exists between the subcontractors of Renz Addiction Counseling Center IF A POTENTIAL CONFLICT EXISTS, COMPLETE THE FOLLOWING: I certify that a potential conflict of interest may exist between the City of Elgin and (name of organization) I certify that a potential conflict of interest may exist between (name of subcontractor) and (name of organization) Describe the nature of the conflict of interest below. Identify the individual, employment and the conflict or potential conflict, and their affiliation with your organization. /2' /3 Signature of Authorized Agency Official Date Jerry Skogmo, Executive Director Typed Name and Title City of Elgin CDBG Application FY 201 2 -2013 Application Page 32 City of Elgin — FY2012.2013 Community Development Block Grant Attachment A: Project Description Renz Addiction Counseling Center Project Description Provide a detailed description of the facilities to be provided or improved. Identify major components of proposed work and state estimated quantities: Renz Center is headquartered in (2) two- storied brick buildings that were built in 1987. We propose to replace 10 lobby picture windows and 80 double -hung windows in both buildings in an effort to lower our energy bills, diminish air leakage, and eliminate water damage due to condensation problems. The Center's original windows are in desperate need of replacement. We've had to nail many upper windows shut because the springs inside have broken beyond repair and can no longer hold the window open. Many windows are cracking, and finger joints are separating due to weather changes. In choosing an energy- efficient replacement window, we are considering three types of energy flow, including: 1. Non -solar heat losses and gains in the form of conduction, convection, and radiation 2. Solar heat gains in the form of radiation 3. Airflow, both intentional (ventilation) and unintentional (infiltration) As a result of these energy- efficient factors, we would like to replace our double -hung windows with the following energy - efficiency requirements: U- Factor* (U.S. /I -P): 0.30 Solar Neat Gain Coefficient: 0.28 Visible Transmittance: 0.51 Air Leakage (U.S. /I -P): 0.2 *A window's thermal performance, which can be measured at the center of glass, is rated with a U factor or its overall ability to resist heat flow. All replacement windows will be custom manufactured and welded with high quality UPVC white /carmei oak vinyl interior and white exterior, 7/8" high performance insulated glass with Low E Argon gas and % screens. Installation will also include: • Measuring the window openings • Removal of existing windows • Installation of new windows • Caulking the interior and exterior with caulk and capping exterior • Removal of all job - related debris SUBMITTED BY: Feldco Factory Direct, LLC 125 E. Canton St Des Plaines, IL 60018 Phone: (708) 437-4310 Fax; (847) 293 -3488 Dwalker @4Feldco.com PROPOSAL SUBMITTED TO: Deb Howe Renz Addiction Counseling Center One American Way Elgin, IL 60120 847/742 -3545 x236 Multi - Family Division .• WORK TO BE PERFORMED AT; One American Way & Two American Way Elgin, IL 60120 Attachment B Project Cost Estimates 1 of 3 December 6, 2011 SCOPE OF WORK: We hereby propose to furnish all materials and provide all labor necessary for the completion of the installation of 90 windows into 90 openings: • 80 sizes: 36 "x54" SgAka Set%esa Model DH755 double hung replacement windows. • 10 sizes: Various Sa¢!ua Sezeeso Model PW7 picture windows located in foyers. Limited Lifetime Transferable Warranty included with all above products. All windows to be custom manufactured and welded with high quality UPVC white vinyl interior and white exterior, 7/»" high performance insulated glass with Low E Argon gas and 1/2 screens. Installation induces: measuring the window openings, removal of existing windows, installation of new windows, caulking the interior and exterior with caulk and capping exterior while being responsible for the removal of all job related debris. Wood out stops are required to install all new windows properly. All woodwork will be unfinished pine. NOTES: 1. Any alteration /deviation from the estimated quantities of work described here involving additional costs will be executed only upon written orders; such additional costs will be in addition to those in the estimate. 2. Window blinds to be removed and installed by others. 3. Furniture and other personal items within 5 feet of the window opening are to be moved /replaced by others. 4. All pricing is subject to change if quantities change. Pricing below is based on two different color schemes: a. White in /white out double hung windows @ $338.56 ea. b. White in /White out picture windows @ $418.95 ea. c. Carmel Oak in /white out double hung windows @ $396.54 ea. d. Carmel Oak in /White out picture windows @ $518.40 ea. 5. Pricing is based on lead free conditions. 6. Feldoo Factory Direct, LLC is an EPA certified lead safe contractor. 7. Proper certification from ownership is required for our files to document that this property is lead free. 8. Installation schedule could be subject to monthly phasing based on payment schedule request. 9. Drywall repair or touch -up painting is not included in this proposal, 10, Feldco to procure necessary permits. Permit fees will be added to the project cost and due upon final payment. TERMS AND CONDITIONS: All material is guaranteed to be as specified and the above work to be performed in accordance with the specifications submitted for above work and completed in a substantial and workmanlike manner for the sum of $31,274.00 (White in /white out) and the sum of $36,906.00 (Carmel Oak in /White out) with payments made as agreed upon below: White in /Whiteout Cannel Oak in /Whiteout • $15,637.00 $18,453.00 50% deposit due at signing of contract • $15,637.00 $18,453.00 50% upon completion of window installation Initials: _ Feldco Factory Direct, LLC • 125 E. Oakton Street . Des Plaines, Illinois 60018 , 866/444 -5326 , ax aiwx ct Multi - Family Division .• WORK TO BE PERFORMED AT; One American Way & Two American Way Elgin, IL 60120 Attachment B Project Cost Estimates 1 of 3 December 6, 2011 SCOPE OF WORK: We hereby propose to furnish all materials and provide all labor necessary for the completion of the installation of 90 windows into 90 openings: • 80 sizes: 36 "x54" SgAka Set%esa Model DH755 double hung replacement windows. • 10 sizes: Various Sa¢!ua Sezeeso Model PW7 picture windows located in foyers. Limited Lifetime Transferable Warranty included with all above products. All windows to be custom manufactured and welded with high quality UPVC white vinyl interior and white exterior, 7/»" high performance insulated glass with Low E Argon gas and 1/2 screens. Installation induces: measuring the window openings, removal of existing windows, installation of new windows, caulking the interior and exterior with caulk and capping exterior while being responsible for the removal of all job related debris. Wood out stops are required to install all new windows properly. All woodwork will be unfinished pine. NOTES: 1. Any alteration /deviation from the estimated quantities of work described here involving additional costs will be executed only upon written orders; such additional costs will be in addition to those in the estimate. 2. Window blinds to be removed and installed by others. 3. Furniture and other personal items within 5 feet of the window opening are to be moved /replaced by others. 4. All pricing is subject to change if quantities change. Pricing below is based on two different color schemes: a. White in /white out double hung windows @ $338.56 ea. b. White in /White out picture windows @ $418.95 ea. c. Carmel Oak in /white out double hung windows @ $396.54 ea. d. Carmel Oak in /White out picture windows @ $518.40 ea. 5. Pricing is based on lead free conditions. 6. Feldoo Factory Direct, LLC is an EPA certified lead safe contractor. 7. Proper certification from ownership is required for our files to document that this property is lead free. 8. Installation schedule could be subject to monthly phasing based on payment schedule request. 9. Drywall repair or touch -up painting is not included in this proposal, 10, Feldco to procure necessary permits. Permit fees will be added to the project cost and due upon final payment. TERMS AND CONDITIONS: All material is guaranteed to be as specified and the above work to be performed in accordance with the specifications submitted for above work and completed in a substantial and workmanlike manner for the sum of $31,274.00 (White in /white out) and the sum of $36,906.00 (Carmel Oak in /White out) with payments made as agreed upon below: White in /Whiteout Cannel Oak in /Whiteout • $15,637.00 $18,453.00 50% deposit due at signing of contract • $15,637.00 $18,453.00 50% upon completion of window installation Initials: _ Feldco Factory Direct, LLC • 125 E. Oakton Street . Des Plaines, Illinois 60018 , 866/444 -5326 Note: Pricing reflects the replacement of all windows at one time. Not Included: Touch up painting, structural framing and cost of permlt(s) TBD at time of application. If the project is unable to be completed, due to Feldco Factory Direct, LLC being denied access to any window for a period of seven (7) days or more, payment will be due and the window /or windows will be installed when access is provided. Upon completion of the installation, no more than 10% of the value of the contract shall be held against minor repairs, caulking touch- ups, glass and screen repairs or other minor services related to the project. The Owner agrees that in the event The Owner does not pay Feldco Factory Direct, LLC within the terms of payment, any expense Feldco incurs collecting on this account will be billed to and paid by The Owner. There will be a finance charge of 1.80/0 per month on invoices not paid within 15 days. This is an annual rate of 21,6 0/c. Should it become necessary, Feldco Factory Direct, LLC may, at its sole discretion, retain legal services to collect any payment due to Feldco Factory Direct, LLC, Feldco Factory Direct, LLC will not honor warranties until balance is paid in full. All materials remain the property of Feldco Factory Direct, LLC until balance is paid in full. Any alteration /deviation from the work described here involving additional costs will be executed only upon written orders; such additional costs will be in addition to those in the estimate. Feldco Factory Direct, LLC assumes no responsibility for delays created by strikes, accidents, weather conditions, or other delays beyond the control of Feldco Factory Direct, LLC. Feldco Factory Direct, LLC will take out workman's compensation and public liability insurance. The Owner will carry fire, tornado, and other insurance on installed windows. ACCEPTANCE OF PROPOSAL I have read the above proposal and understand and accept it. I authorize Feldco Factory Direct, LLC to do the work specified. I will pay as outlined above. This agreement is not binding until accepted by Feldco Factory Direct, LLC. I understand that by my acceptance, this proposal becomes a legally binding agreement between Feldco Factory Direct, LLC and myself. This proposal contains the entire agreement. NOTE: This proposal may be revised or withdrawn if not accepted before 1/31/2012 OWNER'S /AGENT SIGNATURE: Feldco Factory Direct LLC SIGNATURE: 0 e . .w�. -! ". 114A 11:11 • Feldco Factory Direct, LLC . 125 E. Oakton Street - Des Plaines, Illinois 60018 , 666/444 -5326 08/!9/2007 01:42 18475721333 Attachment B Project Cost Estimates 2 of 3 CHICAGO,.,,, WINDOW PROS One Northfield Plaza December 9, 2011 Suite 300. . Northfield,'[t 60093 888-308-9050 - Office 847 °5724333 - pax To Whom It May Concern: 1 want to thank you again for allowing our company to come out and provide you with a window estimate. I think you can see that we have a superior product and offer a great value. If you need any additional information or have other questions please contact me anytime through email or phone. The following is the break down on the window estimate and the description of the woribeing performed, along with the warranties. ALL windows are Climate Solutions tip 8000 series; (80) double hung ,& (10) - picture. . windows, Color inside is - Cherry; color outside is - White. Frames and sashes are 100% uPVC, four point fission welded, with titanium dioxide & impact modifiers for strength and durability, Frames are insulated with polyurethane. Frame width I's 3.5 ", Glass is double strength (1 /8 ")• double pane with 366hp triple low -e with neat self clean and argon gas fill. Spacer is the Super Spacer system, All locks are recessed stealth style, cam action Truth. Operatingmechanism is the constant force, balance '. system. Half screens on the double hungs. Night vents, triple fin wool mylar:weather stripping, pocket header, bulb seal on bottom sash, sloped weathered sill. Lifetime Warranty, AiI Double Flung windows have a U- Factor of .29 and a Solar,lieat,Coefi'xcient of .20 All Picture windows have a U- Factor of .28 and a Solar Heat Cdefficient of .22 08/19/2007 01:42 18475721333 Installation includes, replacement of any rotten wood where needed. Heavy fiberglass insulation around the window units, filler wood where needed, aluminum capping and Quad sealant around the window units,, interior quarter round in bare pine, disposal of all old windows and -job related debris. Lifetime Warranty on Labor TOTAL INVESTMENT = $49,500.00 in'cherry. $45000.00 in White. We are charging the same price per window due to the special pricing we are giving you. This quote can be adjusted accordingly if the picture windows are not to be done at the same time Sincerely,' Chicago Windo os DG Hdme'Remodeling of Illinois, Inc. Attachment B Project Cost Estimates 3 of 3 From: Kevin Brown [mailto:kbrown @cascoonline.com] Sent: Tuesday, December 13, 20113:54 PM To: 'Deb Howe' Subject: Casco Industries: Quotation Deb, The quotation breakdown is as follows (Material cost reflects 80 double hung windows only): Product Price (Before 7.5% Tax) Labor Involved Vinyl Replacement Windows $20,000.00 Removing existing window (Entire window unit that fits into (Internal Components and the existing opening of your Frame), Install new current windows. Made out of vinyl.) Includes extension jamb High Labor return to fill existing jamb area (Primed). Labor for the installation of the 80 double hung units would cost no more than $300 per window ($24,000 Total). This number is a estimate only for budget numbers. Once a product has been chosen a tighter number can be issued. Additional windows in the foyer areas would add slightly to this number. Please give me a call if you have questions. Kevin Brown Casco Industries, Inc. Office: 847- 741 -9595 (x5026) Fax: 847 -741 -5065 Cell: 847- 652 -1977 kbrown@cascoonline.com www.cascoonline.com This a -mad, including any anaehrnears, is bnended solelvfor the person or• enlity to which it is addressed and may eontain confodenhal, proprietary and /or non - public material. Eveepi as stated above, any review, re- rransmissian, dissemlmrion or other use of or taking of any action in reliance upon this information by persons or entities other their an intended redpient is prohibited lfyou receive this in error, please so norhy the sender and delete the material from any media and destroy anyprinmuls or copies. APlease do not print this email unless you really need to. Attachment n C-- Deeds-2 Amencan Way, Elgin SBERWITS DEED (Judicial Sale) 9564 735 The Grantor, , Se $. 5, M/0256 63 001 Page 1 of 4 Officer & Sons, Inc., Selling 1999 -06 —Pi 1 s= £/5:22 Officer pursuant to as Amended Gook County Recorder 27.00 'i Judgment of Foreclosure and Order of Sale entered on April SA, 1999,i�f by the Circuit Court of Cook County, in Case No. 98 CH 15705, 1 44564736 entitled Nortfiside Comfy icy Bank v Northside Comamgy Bark as Trustee under-l= Agreement dates/ December 15 1997 gad kum as Thist *number 2213 e* al.. and pursuant to which the private sale of the land hereinafter descnbed was approved and confirmed, hereby conveys to RENZ ADDICTION COUNSELING CENTER, an Illinois not for profit corporation, certain land located in Elgiu, Illinois, and being more particularly described in Exhibit A attached hereto and incorporated herein by reference, to have and to hold forever. This conveyance is being made and accepted subject to easements, conditions and restrictions of record affecting the Property. CITY OF ELGtlJ t„t pEAL ESTATE !,� EXECUTED as of the day of June, I999. TwAttsER STAMP Benj. E. an &Sons, Fnc Au ran Se ices cup Robert Roggeveen, President FIRSTAME AN TITLE GfDEA 995x;4'735 STATE OF ILLINOIS) ) SS. COUNTY OF COOK) I, uA6k4eV Al ,F3%2t C�! �J$ , a notary public in mad for said County in the State aforesaid, DO HEREBY CERTIFY that RCBERT ROGGEVEEN, President of Benj. E. Sherman 6'c Sons, Inc. Auction Services Grwp, an Ifiinois corporation, personally known to me to be the same person whose nane is subscribed to the foregoing instrument and the President of such corporation, apleared before me on this day in person and acknowledged that he signed and deliveral said instrument pursuant to proper authority given by such corporation, as his friz and voluntary act and deed for the uses and purposes therein set forth GIVEN under my hand and notarial seal this _ 3�66 day of _T114%4 1919. "OFFICIAL SEAL" Gregory N. Brackens notary public, State of Ignois My Commission Expires 10110/01 r My Commission Expires: �C' ,A This instrument prepared by: Richard P. Blessen, Esq. Quarles & Brady LLC 500 W. Madison Street, Suite 3700 Chicago, Illinois 60661 34a-5 LnVAI, L'E$CRIPTION: =IBIT A PARCEL 1: 99564735 LOTS 3 AND 4 IN CAMPUS EAST, BEING A SUBDIVISION OF THAT PART OF THE SOUTH 4ALF OF SECTION 7, TOWNSHIP 41 NORTH, RANGE 91 EAST OF THE THIRD PRINCIPAL MERIDIAN ACCORDING TO THE PLAT THEREOF RECORDED OCTOBER 25, 1998 AS DOCUMENT 88- 4919781 SITUATED IN THE CITY OF ELGIN, COOK COUNTY, ILLINOIS, PARCEL 2: NON - EXCLUSIVE EASEMENT FOR THE BENEFIT OF PARCEL 1 AS CREATED BY THE DECLARATION OF EASEMENT RECORDED OCTOBER 06, 1987 AS DOCUMENT 87542238 OVER THE FOLLOWING DESCRIBED LAND: THAT PART OF THE SOUTH HALF OF SECTION 71 TOWNSHIP 41 NORTH, RANGE 9 EAST OF THE THIRD PRINCIPAL MERIDIAN, DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHEAST QUARTER CORNER OF LORD'S PARK, BEING ALSO THE NORTHWEST CORNER OF THE EAST HALF OF THE NORTHWEST QUARTER OF SECTION 18; THENCE SOUTH 88 DEGREES 38 MINUTES 00 SECONDS WEST, ALONG THE NORTH LINE OF LORD'S PIRK, A DISTANCE OF 4.10 FEET (RECORD AND MEASURED) ; THENCE NORTH 02 DEGREES 14 MINUTES 23 SECONDS EAST, A DISTANCE OF 556.25 FEET ( RECORD BEING NORTH 02 DEGREES 25 MINUTES EAST, 556.20 FEET) TO THE SOUTHERLY RIGHT -OF -WAY 11NE OF STATE ROUTE 58; THENCE SOUTH 89 DEGREES 03 MINUTES 46 SECONDS EAST, ILONG SAID RIGHT -OF -WAY LINE A DISTANCE OF 164.28 FEET TO THE POINT OF BEGINNING; THENCE SOUTH 02 DEGREES 22 MINUTES 27 SECONDS WEST A DISTANCE OF 161.84 FEET; THENCE NORTH 87 DEGREES 13 MINUTES 30 SECONDS WEST, A DISTANCE OF 163.86 FEET; THENCE SOUTH 02 DEGREES 14 MINUTES 23 SECONDS EAST, A DISTANCE OF 54.14 FEET; THENCE SOUTH 87 DEGREES 41 MINUTES 13 SECONDS EAST, A DISTANCE OF 314.98 FEET; THENCE NORTH 02 DEGREES 28 MINUTES 40 SECONDS EAST, A DISTANCE OF 51.60 FEET; THENCE NORTH 87 DEGREES 13 MINUTES 30 ',CONDS WEST, A DISTANCE OF 120,35 FEET; THENCE NORTH 02 DEGREES 22 WNUTES .' SECONDS EAST, A DISTANCE OF 162.83 FEET TO THE SAID SOUTHERLY RIGHT -OF -WAY LINE OF STATE ROUTE 58; THENCE NORTH 89 DEGREES 03 MINUTES 46 SECONDS WEST, ALONG SAID RIGHT -OF -WAY LINE, A DISTANCE OF 31.01 FEET TO THE POINT OF BEGINNING, BEING SITUATED IN THE CITY OF ELGIN, COOK COUNTY, ILLINOIS. 06 -07- 302 -067 06 -07- 302 -068 995 &4135 STATEMEFT BY GRANTOR M GRANTEE The Grantor or his Agent affirms that, to the best of his knowledge, the name of the Grantee shown on the Deed or Assignment of Beneficial Interest in a land trust is either a natural person, an Illinois corporation or foreign corporation authorized to do business or acquire and hold title to real estate in Illinois, a partnership authorized to do business or acquire and hold title to real estate in Illinois, or other entity recognized as a person and authorized to do business or acquire title to real estate\'under the laws of %t e tote of Illinois. Dated �/ f -/ ___, 19 signature: Gr, ntor or Agent Subscribed and sworn to before me OK by the said AL" this ay f _ 9CKI Notary Pub1 . Illinois r k �j 11/91n9 The Grantee or his Agent affirms and verifies tliat the name of the Grantee shown on the Deed or Assignment of Beneficial Interest in a land trust is either a natural person, an Illinois corporation or foreign corporation authorized to' do business or acquir9y'and hold title to real estate. in Illinois,, a partnership authorized to do business or acquire and hold title to real estate in Illinois, or other entity recognized as a person and authorized to do business or acquire and hold title to real estate under the 141.=, of the State of I liyro�its. l) Dated Signature° G antes or Agent Subscribed and sa n to before mmmee� n "OFFICIALSEALf by the said __- -PT%"i 1 r LISA I., LA ACKI this day f _ .taryP N0. i' Notary Public IsslonExpires 11/9/99 NOTE: Any person who knowingly submits a false statement concerning the identity of a Grantee shall be guilty of a Class C misdemeanor for the first offense and of a Class A misdemeanor for subsequent offenses. (Attach to Deed or'ABI to be recorded in Cook County, Illinois, if exempt under the provisions of Section 4 of the Illinois Real Estate Transfer Tax Act.) °nn-ivivo),- d'e l J 6.�1`tl"i S=+ �f �•1"d:ll`�311t iV3.�l�% ncr^nmr);:R OF DEEDS REGIS I RAR DR TDRRENS TITLES TRUSTEE'S DEED TO CORPORATION (ILLINOIS) Above Space for Recorder's Use Only This Agreement made this 30TH day of NOVEMBER, 2007, between JOSEPH N. MICHELOTTI, AS TRUSTEE UNDER TRUST AGREEMENT DATED JULY 2, 1997 AND DESIGNATED THE JOSEPH N. MICHELOTTI DECLARATION OF TRUST, AS TO AN UNDIVIDED '/z INTEREST AND SHIRLEY J. MICHELOTTI, AS TRUSTEE UNDER TRUST AGREEMENT DATED JULY 2,1997 AND DESIGNATED THE SHIRLEY J. MICHELOTTI DECLARATION OF TRUST, AS TO AN UNDIVIDED '/: INTEREST, Grantor and RENZ ADDICTION COUNSELING CENTER a corporation created and existing under and by virtue of the Laws of the State of ILLINOIS, having its principal office at the following address 2 AMERICAN WAY, ELGIN, ILLINOIS 60120 the following described Real Estate situated in the County of COOK in the State of Illinois, Grantee (s) WITNESSES: The Grantor(s) in consideration of the sum of ($10.00) TEN dollars receipt whereof is hereby acknowledged, and in pursuance of the power and authority vested in the Gramor(s) as said Trustee(s) and of every other power and authority the Granter(s) hereunto enabling, do(es) hereby convey a warranty /quit claim deed unto the Gramee(s), in fee simple, the following described real estate: PARCEL 1: LOT 2 IN CAMPUS EAST BEING A SUBDIVISION OF PART OF THE SOUTH %2 OF SECTION 7, TOWNSHIP 41 NORTH, RANGE 9 EAST OF THE THIRD PRINCIPAL MERIDIAN IN COOK COUNTY, ILLINOIS ACCORDING TO THE PLAT THEREOF RECORDED OCTOBER 25, 1988 AS DOCUMENT 88491978. PARCEL 2: EASEMENT FOR INGRESS AND EGRESS APPURTENANT TO AND FOR THE BENEFIT OF PARCEL I AS SET FORTH IN DECLARATION OF EASEMENT RECORDED AS DOCUMENT 87542238. together with the tenements, hereditament and appurtenances thereunto belonging or in any wise appertaining. Permanent Real Estate Index Number(s): 06 -07- 302 -066 -0000 Address(es) of real estate: 1 AMERICAN WAY, ELGIN, IL 60120 IN WITNESS WHEREOF, the grantors, as trustees as aforesaid, _ hereunto set their hand and seal on the day and year first above written. ' (, ✓ .L _(SEAL) SEPH N. MICHELOTTL AS TRUSTEE AS AFORESAID Y (ti �d .. _.. (SEAL) SHIRLE)Y�7 K C'IIELO'CCI, AS TRUSTEE AS AFORESAID Al 33 -, /�d�7/ S �i�y State of Illinois, County of MCHENRYss. I, the undersigned, a Notary Public in and for said county, in the State aforesaid, DOES HEREBY CERTIFY that JOSEPH N. MICHELOTTI, AS TRUSTEE AND SHIRLEY J. MICHOLETTI, AS TRUSTEE, personally known to me to be the same persons whose names are subscribed to the foregoing instrument, appeared before me this day in person, and acknowledged that they signed, sealed and delivered the said instrument as their free voluntary act as such trustees, for the uses and purposes therein set forth. Given under my hand and official seal, this 301h day of NOVEMBER, 2007. NICIAL SEA L STEVEN G ENGlIS1i NOTARY P'JaLIC - STA T E OF 0_�IMO�S MY COtMJSSIDN EXPIRES:07I131pA Commission expires _ This instrument was prepared by: - STEVEN G. ENGLISH, ATTORNEY AT LAW 20 N. WALKUP AVE, CRYSTAL LAKE, IL 60014 MAIL TO: ARY PUBLIC SEND SUBSEQUENT TAX BILLS TO: MR. KENNETH MILES RENZ ADDITION COUNSELING CENTER ATTORNEY AT LAW I AMERICAN WAY 11N333 WILLIAMSBURG DRIVE ELGIN. IL 60120 ELGIN, IL 60124 RECORDER'S OFFICE BOX NO. 0 TICOR TITLE INSURANCE COMPANY ORDERNUMBER: 2000 004004817 SC STREET ADDRESS: ONE AMERICAN WAY CITY: ELGIN COUNTY: COOK COUNTY TAXNUMBER: 06-07-302-066-0000 LEGAL DESCRIPTION: PARCEL 1: LOT 2 IN CAMPUS EAST BEING A SUBDIVISION OF PART OF THE SOUTH 1/2 OF SECTION 71 TOWNSHIP 41 NORTH, RANGE 9 EAST OF THE THIRD PRINCIPAL MERIDIAN IN COOK COUNTY, ILLINOIS ACCORDING TO THE PLAT THEREOF RECORDED OCTOBER 25, 1988 AS DOCUMENT 88491978. PARCEL 2: EASEMENT FOR INGRESS AND EGRESS APPURTENANT TO AND FOR THE BENEFIT OF PARCEL 1 AS SET FORTH IN DECLARATION OF EASEMENT RECORDED AS DOCUMENT 87542238 AGENT: STEVEN G. ENGLISH, P.C. =AM City of Elgin — FY2012 -2013 Community Development Block Grant Attachment D: Photos We've had to nail the upper window in order to keep the window from closing. Renz Addiction Counseling Center Finger joints are separating, thus causing window seals to break. Storm window and screen clips are broken beyond repair. City of Elgin — PY2012 -2013 Community Development Block Grant Attachment D: Photos Renz Addiction Counseling Center Condensation Warping City of Elgin — FY2012 -2013 Community Development Block Grant Attachment D: Photos Renz Addiction Counseling Center Maintenance Issues We've had to nail windows together to keep them from falling apart; many of which have started to corrode. Many windows are missing clips to keep them in place. City of Elgin — FY2012 -2013 Community Development Block Grant Attachment E: Project Benefits Renz Addiction Counseling Center Project Benefits Describe the existing problems or conditions to be corrected by the proposed activity. Identify the persons affected by these conditions. Explain how the project benefits low and moderate income people. After 24 years, the windows at Renz Addiction Counseling Center are in need of replacement. They are not energy- efficient, and are startingto fall apart. Seals are broken, condensation has warped the wood, and in many windows we've had to nail the upper window shut to keep it closed. Energy - efficient windows benefit the Center and its clients by: 1. Lowering our monthly heating /cooling bills by at least 25 %, according to the Consumer Energy Center. With the added cost savings, Renz Center can continue to offer clients treatment and prevention services on a sliding -fee scale. 2. towering our monthly energy bills by eliminating space heaters and electric fans currently used in offices and counseling /group rooms. As a result of poorly insulated windows, space heaters have become a necessity to keep a constant temperature during the cold /warm months. This will also reduce utility costs. 3. Reduce distracting outside noises. Renz Center is a smoke -free campus, which pushes smokers outside. It's often difficult for clients to focus on treatment or participate in prevention education sessions when conversations, traffic, children playing, day care next door, etc. can be heard outside through the poorly insulated windows. 4. Provide added security. Clients and staff can feel more secure knowing that the windows in Renz Center are not easy to unlock and open like the current degraded windows. New, heavier windows would be more difficult to break and open. Security features also reduce risk of children falling out of windows. 5. Provide added comfort. Clients could concentrate on treatment in a temperature appropriate room that is consistent throughout the building. It's often difficult for clients to concentrate when they feel uncomfortable. In FY10, Renz Center's Clinical Program served 1,024 adolescents and adults. With offices in Elgin, St. Charles and Streamwood, Renz Center's service area is central /northern Kane and western Cook Counties in Illinois —which includes 54 different local cities and communities. Currently, 94% of Clinical Services clientele earns less than 80% of Median Family Income Guidelines as determined by HUD under the 2012- 2013 CDBG Action Plan. Serving a large Hispanic community, 50% of our clientele are from this ethnic origin. Attachment F BENZ ADDICTION COUNSELING CENTER Board of Directors List BOARD OF DIRECTORS T:ABOARD\DIRlist 10.21.201 Ldoc NaW B all Terim Expires Daytime WON President Dr. Ian Jones VP Clinical Performance December yeg October Sherman Fospital Sherman Hospital `04 11 1425 N. Randall Road Elgin, IL 60123 224- 783 -8116 Vice President Jobe Esposito Vice President June June First Community Bank Fast Community Bank 105 111 165 South Randall Road Elgin, IL 60123 847 - 622 -8800 Secretary/ Michael Walsh Retired April April 12865 Rock Creek Circle, 'IYeasurer Certified Public Accountant 109 112 Huntley, IL 60142 847 - 515 -8821 Director Allen Belanger Lutheran Minister- Interim December December 943 Manchester Court Ministry 406 112 South Elgin, IL 60177 Metropolitan Chicago 847- 888 -8172 S od/E.L.C.A. Director James Lamkm City of St. Charles Police Julie ` 10 June ` 1.3 1221 Falcon Ridge Drive Chief Elgin, IL 60124 630- 514.2120 Director Laura Newman Director of Human November February Mitutoyo America Corp. Resources `03 111 965 Corporate Blvd. Mitutoyo America Corp Aurora, IL 60502 630- 723 -3570 Cell: 312339 -9179 Director Sherry Totzke Collection/Account Rep October October Zurich Zurich North America 105 111 1400 American Way Schaumburg IL 60194 847- 240 -4492 Director Brian Monson Vice President December December STC Capital Bank Commercial Relationship 110 116 460 South I" Street Manager St. Charles, Illinois 60174 STC Capital Bank Director Patricia Arroyo Supervisor April `11 April `14 Provena Saint Joseph Hospital Interpreting Services and 77 North Aulite Street Community Health Mission Elgin, IL 60123 -4912 Services 847- 695 -3200, ext. 5179 Provena Saint Joseph 847- 931 -5550 fax Ho itat Direc or Mary Hyatt Retired May 11 May `14 39W280 Happy Hills Road St. Charles, IL 60175 630 -584 -3397 Director Claudia Martinez Teacher Oct. 11 Oct. 114 1661 S. Andrews Circle Streamwood high School Elgin, IL 60123 314- 4974951 DIRECTOR Ron Razowsky Retired 625 Wood Ridge Court EMERITUS Elgin, IL 60123 847 - 888 -3774 T:ABOARD\DIRlist 10.21.201 Ldoc C•212 File Number 4029 -279 -9 Attachment G Articles 0 Jnncorporation a'* ARTICLES OF AMENDMENT TO THE ARTICLES OF INCORPORATION OF RENZ ADDICTION COUNSELING CENTER �r k n'� tr � V• � V FM k� pY' 4 INCORPORATED UNDER THE LAWS OF THE STATE OF ILLINOIS HAVE BEEN FILED IN THE OFFICE OF THE SECRETARY OF STATE AS PROVIDED BY THE GENERAL NOT FOR PROFIT CORPORATION ACT OF ILLINOIS, IN FORCE JANUARY Io A.D. 1987. r r April 49 91 r and r Awu ed r. r 15th .. l l� co v� n; ?P f �dj lam• ^l• C G CA :l C= C SECAS ARY O STaT ✓^� / v 4 61 V E I FORM NP-35 tTo Be Filed n Duplimte ARTICLES OF AMENDMENT Filing Fee 125.00 to the ARTICLES OF INCORPORATION underthe GENERAL NOT FOR PROFIT CORPORATION ACT To Secretary of State Springfield, Illinois {DO NOT WRITE IN THIS SPACE) Date c'f � , � G / Filing Fee i Clerk The undersigned corporation, for the purpose of amending its Articles of Incorporation and pursuant to the provisions of Section 35 of the "General Not For Profit Corporation Act" of the State of Illinois, hereby executes the following Articles of Amendment: I - 1: 2. The name of the corporation is: RPn2 Add i r+i nn Cniin P) i no Center There arc no members, having voting rights with respect to amendments: (Insert "no" or "same'°) (Strike pamgrophs (a), (b), or (c) that are not applicable) { 1 eb Niel MOO (c) At a meeting of directors (members having no voting rights with respect to amendments) held on A i l 25 , 19 91 , same receiving the votes of a majority of the directors then in office, the following amendments were adopted in the manner prescribed by the "General Not For Profit Corporation Act!' of the State of Illinois: See Rider A attached hereto. F " (over) C rr e, J C C: C r\ or psychiatry. RIDER A Article 6. The Corporation shall not engage in the practice of medicine The Corporation is organized and shall be operated as a not- for - profit corporation exclusively for charitable, educational and scientific purposes. Notwithstanding the foregoing or any other provision of these Articles or the By -Laws of the Corporation: (a) No part of the net earnings of the Corporation shall inure to the benefit of, or be distributable to, its directors, officers or other private persons, except that the Corporation shall be authorized and empowered to pay reasonable compensation for services rendered and to make payments and distributions in furtherance of the purposes set forth above. (b) No substantial part of the activities of the Corporation shall be the carrying on of propaganda, or otherwise attempting, to influence legislation (except to the extent permitted pursuant to an election made under Section 501(h) of the Internal Revenue Code of 1486, as amended (or the corresponding provision of any future United States internal revenue law (the "Code ")), and the Corporation shall not participate in or intervene in (including the publishing or distribution of statements) any political campaign on behalf of, or in opposition to,�any aandidate,fort,pubiic office. :L ? a ^� i w r„n a (c) The Corporation shall not carry on any activities not permitted to be carried on (A) by a corporation exempt from federal income tax and described in Section 501(c)(3). of the Code or (B) by a corporation contributions to which are deductible under Section 170(c)(2) of the Code. Upon dissolution or liquidation of the Corporation, all remaining assets of the Corporation after paying or making provision for the payment of all of the liabilities of the Corporation (except any assets held upon condition requiring return, transfer or other conveyance in the event of dissolution, which assets shall be returned, transferred or conveyed in accordance with such requirements) shall be distributed to Community Concern, Inc., an Illinois not- for -profit corporation ("Community Concern ") or its successor, provided that it is then in existence and qualified as a tax-exempt organization described in Section 501(c)(3) of the Code, and otherwise to Human Development Corporation, an Illinois not - far - profit corporation ( "HDC ). In the event that neither Community, Concern (or its successor) nor HDC (or its successor) is then in existence and so qualified, the Board of Directors of the Corporation shall dispose of such assets exclusively for the purposes of the Corporation by transferring such assets to such organization or organizations organized and operated exclusively for charitable, scientific, or educational purposes and qualified as a tax - exempt organization or organizations described in Section 501(c)(3) of the Code, as the Board of Directors of the Corporation shall determine. Any of such assets not so disposed of shall be disposed of by the court . of getteral jurisdiction of the county in which the principal office of the Corporation is then Iocated, exclusively u J 2 C c,. c E for the purposes of the Corporation in such manner, or to such tax- exempt organization or organizations described in Section 501(c)(3) of the Code, as said court shall determine. Article 7. The Corporate Member of the Corporation shalt be Community Concern, Inc., an Illinois not - for - profit corporation. The Corporation shall have no other members. The Corporate Member of the Corporation shall have such powers as are provided for in these Articles and the By -Laws of the Corporation. The Corporate Member of the Corporation atone shall have the authority to (i) appoint the persons who shall be authorized, from time to time, to act as the Directors r 1 of this Corporation and to remove any or all of said individuals and (ii) alter, amend or repeal the By -Laws of the Corporation or adopt new By -Laws of the Corporation. t Additionally, any proposed action by the Directors of this Corporation to (i) amend the Articles of Incorporation of this Corporation or (t3) authorize the merger, consolidation or dissolution of this Corporation shall require the prior approval of the Corporate Member. 125ardr RK .k� k. !• "7""' •Q-e �6 � a 3 a GJ C.n 0 O m Attachment H Department of the Treasury IRS 501 (e)(3) Designation Letter 00 I Intermd Revenue Service P.O. Box 2508 In reply refer to: 0248226129 Cincinnati OH 45201 Mar. 31, 2009 LTR 4168C EO 36- 2447195 000000 00 000 00019107 BODC: TE 002006 RENZ ADDICTION COUNSELING CENTER TWO AMERICAN WAY ELGIN IL 60120 -4341 Employer Identification Number: 36- 2447195 tax- exempt Person to Contact: Ms. K. Hilson Toll Free Telephone Number: 1- 877 - 829-5500 Dear Taxpayer: This is in response to your request of Mar. 20, 2009, regarding your tax- exempt status. Our records indicate that a determination letter was issued in May 1965, that recognized you as exempt from Federal income tax, and discloses that you are currently exempt under section 501(:)(3) of the Internal Revenue Code. Our records also indicate you are not a private foundation within the meaning of section 509(a) of the Code because you are described in section(s) 509(a)(1) and 170(b)(1)(A)(vi). Donors may deduct contributions to you as provided in section 170 of the Code. Bequests, legacies, devises, transfers, or gifts to you or for your use are deductible for Federal estate and gift tax purposes if they meet the applicable provisions of sections 2055, 2106, and 2522 of the Code. If you have any questions, please call us at the telephone number shown in the heading of this letter. Sincerely yours, Michele M. Sullivan, Oper. Mgr, Accounts Management Operations I Attachment I Audited Financial Statement independent Auditor's Report do Sahedule.ofExpenditares of Federal inwards i4 >n Non -Cu=t Assess. ' .. Plectgas 32eceivab3e,*'an- Ctirrent Portion - 21,388 23,38% To Assets 2,844,923 $` 20 3,40d $ 3,050;324 L3A$ILYTIES AND A'E'I' A'SSE'�f'S ? 6 6 Gutrent Liabilities; r Accpunis`Payabte $: $7,679 S - $ r •53,679 r c' Current'Portiori Df,Long -Term Debt 94�a 19 94, 319 �.' Accrued cpmpensatton �. 32,907 ' r 12,907 1 `. ,Socrued Real Estate Tart as 34,724 r 34,72,4 ' Accrued Vacation pay_ - 56,034 56,034 1 Total Current Liabilities - 255;463. 25.5 Long -Term ,Liabilities: phtMorFgagasPaysb lo,LessCurrentPortionAbove. 900,873 - 900,873 -` TaYa[Liabillnes 3,336,336 7,25b,336 • unteatiotedNet,Assets 108,587 1,688,387 Temporarily Restricted Not Assets 205,401 203,` ,401 Total Net Assets 588,587 2055401 6 L893,988 Total Liabil ties and Nat Akssets $ ' 2,844,423 $ 205,403 $ 3,050,324. See Independent Auditors Report. The accompanying notes are ata ntegrak part ofthese financial statements 2 % t6213 7493 ' - 020483 £tnployeeAssistanceServipesb240 ,6,240, ;. , Total Pregnant StN ices 11 ^ 9,89.1095 1,897,495 Supporting Servtcts,-Managentow and-General 3$5,809 385,809 Rentals ptnse- OneAmeiican Way: '$2;385 82,323 Total9:xptnses 2,359;229 - 2,359,229 £ xcessofPubfipBupportsndOtherRevenueo 'verExptnses 103,649' - ,11,291 114,380 NetAssets, Beginning ofyear 3,595,672 ` "394,t70 1,789,842 Pripr Period Adjustment (10,734) I r(I 0,734) Net Assets, as;;estated 1,384;938 ^ -- 194,170 147908 Net Assets, $nd of Year" $ 1,68$;587 ^ $ x:261401 $ , -:: 1,893,988 66 r 66 99 91 1 9 96 66 6 See Independent,Auditor's Report. L , The accompanying notes are an integral part of these financial statements. 3 k 9 I The .Center receivps a eigufiCM aMd4ht of ;its support from.feHera�, state and focal . ';A:�e�ui� iuyiva.� ?Thank you for the opportunity to serve you and for your referrals!" ® ' Reportable conditions identified that amdot 60604gred tb be . materdgl'waaklies es? . Xes ': X No , + 'IVTOnbompllancerr}atcrialto financial statements noted? L9,J Yes X INTO'. FY:dGPBI �Vi'aPi;S Internal eowrol over ma3orprAgratza�: M4enal•wcaknesses identifi ed? Yes X No "Reportable conditions identified that are notn6nsWered to:be znafenal weaknesses? Yes XO'; Type of auditor's report issued on;conpliance. fbranajorprograms: i3nyualified ` Are audit findings disclosed that are required to be reported ip acooriiance with section 530ajo£Crcnlar -]337 Yes X' into Idgatification Ofmajor programs: CFI)A Numbers Name of Federal program or i IuSex Substance Abuse prevention and.Treanhent BIQOk Gxrant 93 243 Substance Abuse prevention and Treatment Blooic Grant' Dollar tlir eft ld used to distinguish % betweep Type A and Type B pxogmms: ¢390;000 fuditee qua3tfaed as le}v risk auditee: X ,.. Yes No , 16 rENZ expaess nc� apiuiou vn.zi.: ca+f r .2iilSs. ts3:3ATC'13CJ1� C"0.7TS1.7G,C`L,\zx'PJt. IL I DamgBjsstnss I L l L ILL B�scatearri8' la I Db130l1 Y Not Tor. i'rofit Tasoaver:Tcua Cosgptad*Icthertkaahospftal CotYtact L L .Jm i 9KMIvfO,XvfA Ts3ie _ p rrr37'tvp. l)IR G i3R ' A,{Mress Lfne 7l 1 Lill ILL L "I LIM EIbt =4VA. Aaar.,,T,ess'iine2 Gltu,,�, Sfaie:'ZitD .EtaCxII�T IL KQ9Z0 konc (847 -232 ,z' 232 LL ILL lZmalkdomm :org EMedl Secondary % L Ton zeenser @fenzpenter,asg Valid TIicpayer TypeS are: Cosporatian ether 21 an haspftaf PlospitslL. #ridiv2t3ua3 ' 1 ?ar�nerskiip Qificg alllucattan gfQ &bhia 3';S snxcE , $a?g Fraprietorship:. Unit di Cau tty Gpyetdmans - unit O�i4lutkip)�gl �oVernme}tt i3siiof $fatea'�prnilaent lit3verStY, CoTlegn of Junior Coi ?ege Unaudited 21 Attaclnnent T Agency Budget Renz Addiction Counseling Center Current Fiscal Year 2012 Agency Budget Revenue State Contracts 1,046,773,28 Federal Grants 711,400.00 179;750.00 United Way 10,000.00 215,000.00 Local Township Grants 146,500.00 387,568.28 Other Local Grants 28,700.00 2,310,498.28 Contributions & Fundraising 49,000.00 10,000.00 Service Contracts & Client Fees 250,825.00 45,666.72 Other Income 67,300,00 66,000.00 Total 2,310,498.28 17,560.00 Expenses Personnel 1,528,180.00 Contractual 179;750.00 Occupancy 215,000.00 Program Supplies /Services 387,568.28 Total 2,310,498.28 Funding Sources Illinois - D.A.S.A. 807,053.72 Illinois Public Health 164,719.56 Illinois - Minority Grant 757000.00 Federal - SAMHSA 708.900.00 Aids Foundation Global Initiative 27500.00 United Way Kane County 10,000.00 St. Charles Mental Health 45,666.72 Hanover Park 66,000.00 City of Elgin 17,560.00 Schaumburg Township 5,500.00 Geneva Community Chest 1,200.00 District 300 60,000.00 EAS Contracts 16,325.00 U.S Probation and Pretrial 16,000.00 Sheridan Correctional Center 1,500.00 Second Chance 67000.00 Kane County Juvenile Drug Court 33,000.00 Client Fees 1357000.00 Third Party Payments 34,000.00 Contributions 25,000.00 Fundraising 247000.00 Rental Income 20,100.00 Other 35,473.28 Total 2,310,498.28 www.RenzCcnter.org One American Way Erin, It 601201 (847) 742 3546 Fax: (847f 697 -5543 OUTPATIENT OFFICES Two American Way Elgin, IF 60120 (847) 742 -3545 Fax: (847) 7423559 TED: (847) 742 -0242 December 15, 2011 Denise Momodu Community Development Department 150 Dexter Court Elgin, IL 60120 Dear Ms. Momodu: DEC 14 2011 CITY OF ELGIN Thank you for the opportunity to submit an application to the City of 309 Walnut street Elgin's Community Development Block Grant Program. In response St. Charles, 11 60174 to CDBG Program's request, I have enclosed a co of the following tese)s1a -barb g q copy g Fax: (630) 513-6892 attachments to be included with our application: 1515 Burgundy Parkway A. Project Description Streamwood, IL 60107 B. Project Cost Estimates (630) 837 -6445 Fax: (630) 817 -7184 C. Deeds D. Photos Passage Program E. Project Benefits Two American Way F. Board of Directors List Elgin, 1601201 1847) 742 -3545 G. Articles of Incorporation Fax: (847} 697 -5685 H. IRS 501 (c)(3) Designation Letter I. Audited Financial Statement PREVENTION OFFICE J. Agency Budget One American Way Elgin, u- 60120 Thank you again for your assistance, and I look forward to hearing (847) 742;3545 Fax: (847) 697 -2719 from you. If you have any questions, please call me at (847) 742 -3545 or through email at dhowe @renzeenter.org. EMPLOYEE ASSISTANCE SERVICES Sincerely, One American Way Elgin, IL 60120 { p� (847) 742-4033 Fax: (847' 697 -5583 "° V Deb Howe Marketing & Development Director Restoring Hope & Recovering Lives .. . For A Healthier, Safer Community EXHIBIT B ASSURANCES The SUB - RECIPIENT hereby warrants and represents that it will comply with the regulations, policies, guidelines and requirements with respect to the acceptance and use of CDBG funds in accordance with the ACT and the City of Elgin policies. Also, the SUB- RECIPIENT certifies with respect to the grant that: It possesses legal authority to make a grant submission to the CITY and to execute a community development and housing program; 2. Its governing body has duly adopted or passed as an official act, a resolution, motion or similar action authorizing the person identified as the official representative of the SUB - RECIPIENT to execute this Agreement, all understandings and assurances contained herein, and directing the authorization of the person identified as the official representative of the SUB - RECIPIENT to act in connection with the execution of this Agreement and to provide such additional information as may be required. 3. Prior to submission of its application to the City, the SUB - RECIPIENT has: (A) Met the citizen participation requirements of 570.301(b) and has provided citizens with: (1) The estimate of the amount of CDBG funds proposed to be used for activities that will benefit persons of low and moderate income; and (2) Its plan for minimizing displacement of persons as a result of activities assisted with CDBG funds and to assist persons actually displaced as a result of such activities; (B) Prepared its application in accordance with the policies of the City of Elgin and made the application available to the public; 4. The grant will be conducted and administered in compliance with: (A) Title VI of the Civil Rights Act of 1964 (Pub. L. 88 -352 42 U.S.C. Sec 2000d et seq.) and implementing regulations issued at 24 CFR Part I; (B) Title VIII of the Civil Rights Act of 1968 (Pub. L. 90 -208), as amended; and that the SUBGRANTEE will administer all programs and activities related to housing and community development in a manner to affirmatively further fair housing; (C) Section 109 of the Housing and Community Development Act of 1974, as amended; and the regulations issued pursuant hereto; (D) Section 3 of the Housing and Urban Development Act of 1968, as amended; (E) Executive Order 11246 -Equal Opportunity, as amended by Executive Orders 11375 and 12086, and implementing regulations issued at 41 CFR Chapter 60; (F) Executive Order 11063 -Equal Opportunity in Housing, as amended by Executive Order 12259, and implementing regulations at 24 CFR Part 107; Page 14 of 19 (G) Section 504 of the Rehabilitation Act of 1973 (Pub. L. 93 -112), as amended, and implementing regulations when published in effect; (H) The Age Discrimination Act of 1975 (Pub. L. 94 -135), as amended, and implementing regulations when published for effect; (I) The relocation requirements of Title 11 and the acquisition requirements of Title III of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, as amended, and the implementing regulations at 24 CFR Part 42, as required under 24 CFR 570.606; (J) The labor standards requirements as set forth in 24 CFR Part 570, Subpart K and HUD regulations issues to implement such requirements; (K) Executive Order 11988 relating to the evaluation of flood hazards and Executive Order 11738 relating to the prevention, control and abatement of water pollution; (L) The flood insurance purchase requirements of Section 102(a) of the Flood Disaster Protection Act of 1973 (Pub. L. 93 -234); (M) The Fair Housing Act (42 U.S.C. 3601 -20); Its notification, inspection, testing and abatement procedures concerning lead -based paint will comply with 570.608; and 6. When a grant is in excess of $100,000 it will comply with all applicable standards, orders, or requirements issued under Section 308 of the Clean Air Act (42 U.S.C. 1857(h), Section 508 of the Clean Water Act (33 U.S.C. 1368), Executive Order 11738, and Environmental Protection Agency regulation (40 CFR Part 15), which prohibit the use under nonexempt Federal contracts, grants or loans, of facilities included on the EPA list of Violating Facilities. The provision shall require reporting of violations to the County, HUD, and to the AESOP Assistant Administrator for Enforcement (EN -329). It has developed its application so as to give maximum feasible priority to activities which benefit low and moderate income families or aid in the prevention or elimination of slums or blight; (the application may also include activities which the SUB - RECIPIENT certifies are designed to meet other community development needs having a particular urgency because existing conditions pose a serious and immediate threat to the health or welfare of the community, and other financial resources are not available); It is following the current City of Elgin Consolidated Plan which has been approved by HUD pursuant to 570.306; and 9. It will not attempt to recover any capital costs of public improvements assisted in whole or in part with funds provided under Section 106 of the ACT or with amount resulting from a guarantee under Section 108 of the ACT by assessing any amount against properties owned and occupied by persons of low and moderate income, including any fee charged or assessment made as a condition of obtaining access to such public improvements, unless: (1) funds received under Section 106 of the ACT are used to pay the proportion of such fee or assessment that relates to the capital costs of such public improvements that are financed from revenue sources other than Page 15 of 19 under Title I of the ACT; or (2) for proposes of assessing any amount against properties owned and occupied by low and moderate income persons, the SUB - RECIPIENT certifies that it lacks sufficient funds received under Section 106 of the ACT to comply with the requirements of subparagraph (1) above, 10. The SUB - RECIPIENT certifies that it will provide a drug -free workplace by: (A) Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession or use of a controlled substance is prohibited in the SUB - RECIPIENT's workplace and specifying the actions that will be taken against employees for violation of such prohibition; (B) Establishing a drug -free awareness program to inform employees about: (1) The dangers of drug abuse in the workplace; (2) The SUB- RECIPIENT's policy of maintaining a drug -free workplace; (3) Any available drug counseling, rehabilitation, and employee assistance programs; and (4) The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace. (C) Making it a requirement that each employee to be engaged in the performance of the grant be given a copy of the statement required by paragraph (A); (D) Notifying the employee in the statement required by paragraph (A) that, as a condition of employment under the grant, the employee will: (1) Abide by the terms of the statement; and (2) Notify the employer of any criminal drug statute conviction for a violation occurring in the workplace no later than five days after such conviction; (E) Notifying the City of Elgin's Community Development Department within ten (10) days after receiving notice under subparagraph (D)(2) from an employee or otherwise receiving actual notice of such conviction; (F) Taking one of the following actions, within 30 days of receiving notice under subparagraph (D)(2), with respect to any employee who is so convicted: (1) Taking appropriate personnel action against such an employee, up to and including termination; or (2) Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal, State, or local health, law enforcement, or other appropriate agency; (G) Making a good faith effort to continue to maintain a drug -free workplace through implementation of paragraphs (A), (B), (C), (D), (E) and (F). 11. It has adopted and is enforcing a policy prohibiting the use of excessive force by law enforcement agencies within its jurisdiction against any individuals engaged in nonviolent civil rights demonstrations. Page 16 of 19 12. In regards to lobbying, the SUB- RECIPIENT certifies: (A) No Federal appropriated funds have been paid or will be paid, by or on behalf of the SUB - RECIPIENT, 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. (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 the 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. (C) The SUB - RECIPIENT shall require that the language of this certification be included in the award documents for all sub - awards at all tiers (including subcontracts, sub - grants, and contracts under grants, loans, and cooperative agreements) and that all sub - recipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. Page 17 of 19 EXHIBIT C EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION Community Development Block Grant Program City of Elgin The undersigned understands and agrees that it is a SUB - RECIPIENT of the Community Development Block Grant Program of the CITY. The undersigned also agrees there shall be no discrimination against any employee who is employed in carrying out work from the assistance received from the CITY and HUD, or against any applicant for such employment, because of race, color, religion, sex, age or national origin, including but not Iimited to employment, upgrading, demotion or transfer; recruitment or recruitment advertising; lay off or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The SUB - RECIPIENT further agrees to the following: (1) It will incorporate or cause to be incorporated into any grant contract, loan, grant insurance or guarantee involving Federally assisted construction work, or modification thereof, which is paid for in whole or in part with funds obtained from the Community Development Block Grant program, the language contained in HUD Equal Employment Opportunity Regulations at 42 CFR 130.15(b), in Executive Order 11246, as amended by Executive Orders 11375 and 12006, and implementing regulations issued in 41 CFR Chapter 60. (2) It will be bound by said equal opportunity clause with respect to its own employment practices when it participates in any Community Development Block Grant Program construction. (3) It will assist and cooperate actively with the CITY, HUD, and the Secretary of Labor in obtaining the compliance of contractors and subcontractors with the equal opportunity clause and the rules, regulations and relevant orders of the Secretary of Labor. (4) It will furnish the CITY, HUD, and the Secretary of Labor such information as they may require for the supervision of such compliance, and will otherwise assist the CITY and HUD in the discharge of primary responsibility for securing compliance. (5) It will refrain from entering into any contract or contract modification subject to Executive Order 11246 of September 24, 1965, with a contractor debarred from or who has not demonstrated eligibility for government contracts and federally assisted construction contracts pursuant to the Executive Order. (6) It will carry out such sanctions and penalties for violation of the equal opportunity clause as may be imposed upon contractors and subcontractors by the Secretary of Labor, the CITY or HUD. (7) In the event that SUB - RECIPIENT fails or refuses to comply with the undertaking, the CITY, or HUD may take any or all of the following actions: cancel, terminate or suspend, in whole or in part, this grant, refrain from extending any farther assistance to the SUB - RECIPIENT until satisfactory assurance of future compliance has been received; and refer the case to 14UD for appropriate legal proceedings. Page 18 of 19 SUB - RECIPIENT: Renz Addiction Counseling Center n One American Way, Elgin, Illinois 60120 BY: Director DATE/ / / I ( l - ] D - ( Z� ATTEST: Page 19 of 19