GENERAL THRESHOLD REQUIREMENTS CHECKLIST

Please answer the following questions. Refer to the 2017 HUD NOFA for additional information as needed. An authorized representative of the organization must sign and date the Checklist. The completed and signed checklist must be uploaded into the agency 2017 NOFA Dropbox by the AUGUST 18, 2017.

Agency Name:

Yes	No	N/A	GENERAL THRESHOLD REQUIREMENTS CHECKLIST
Does the Applicant have an active registration in SAM? Please provide a copy of the SAM tracking or information page.
Do the DUNS, Tax ID, and applicant name/address on the E-snaps application match what is in SAM?
Has the applicant registered in E-snaps? Please provide a copy of the registration information showing the authorized registrants.
Does the Applicant have any unresolved civil rights matters as defined in the General NOFA “Resolution of Outstanding Civil Rights Matters?” If any of these stated conditions can be answered “yes,” please provide a detailed description as an attachment to the General Threshold Requirements Attachments section below.
Has the Applicant been debarred or suspended from doing business with the Federal Government, or is the Applicant proposed to be disbarred from doing business with the Federal Government?
Is the Proposed Project consistent with the Consolidated Plan? Provide a reference to the section and page(s) in the Consolidated Plan for the jurisdiction in which the proposed project will be located. Include this as an attachment to the General Threshold Requirements Attachments section below.
Does the Applicant have any unresolved delinquent Federal debt? If yes, please provide a detailed description as an attachment to the General Threshold Requirements Attachments section below.
Has an Independent Audit been completed for the applicant agency during the last 18 months? Please submit a copy of the audit in the assigned agency Dropbox.
All non-profit applicants must attach evidence of organizational eligibility (501(c)(3) verification letter for the applicant agency and all sub-recipients. Please submit a copy of the audit in the assigned agency Dropbox.
Do the Applicant and all sub-recipients agree to comply with all Fair Housing and Civil Rights Laws?
Does the Applicant agree to affirmatively further fair housing, as defined by HUD in the General NOFA?
Does the Applicant agree to ensure meaningful access to their programs and activities for persons with Limited English Proficiency?
If the proposed project involves rehabilitation or new construction, does the Applicant agree to comply with Section 3 of the HUD Act of 1968, 12 USC 1701u and 24 CFR Part135? If not applicable, indicate “N/A” in the box to the left. The 2017 HUD CoC NOFA local process will not approve requests for HUD CoC funds for acquisition, rehabilitation, or new construction. Projects with alternate resources for these costs may submit a request for other CoC eligible activities as described in the NOFA.
Will the project comply with either 24 CFR 85.36(e) or 24 CFR 84.44(b)?
Does the Applicant agree to comply with Section 508 of the Rehabilitation Act to make technology accessible to disabled clients you may serve?
If the Proposed Project involves the acquisition of real property and displacements resulting from the acquisition, rehabilitation, or demolition of real property, does the Applicant agree to comply with the Uniform Relocation Assistance (URA)? If not applicable, indicate “N/A” in the box to the left.
Has the Applicant provided evidence of a current Code of Conduct already recognized by HUD or included a current Code of Conduct with their application that will be submitted to HUD? Provide a copy as an attachment to the General Threshold Requirements Attachments section below either (a) a screen-shot of HUD’s webpage that shows your agency on the approved list, or (b) a copy of your current Code of Conduct that will be submitted via E-Snaps. Please note that HUD has specific requirements for Codes of Conduct.
If the Applicant is a state agency or agency of a political subdivision of a state, or contracting with such an agency for work performed under a HUD-assisted contract, do they agree to comply with Section 6002 of the Solid Waste Disposal Act? If none of the above, indicate “N/A” in the box to the left.
Does the applicant agree to participate as requested in HUD-funded research or evaluation?
Does the Applicant agree to comply with the limits on costs as defined in the NOFA?
Does the Applicant commit to participation in the local HMIS system?
Does the Applicant commit to participating in the local Coordinated Entry System (CES)?
If the Proposed Project includes physical development activities such as: property acquisition, rehabilitation, conversion, demolition, leasing, repair, or construction, does the Applicant agree to comply with all applicable environmental review requirements? If not applicable, indicate “N/A” in the box to the left.
Does the Applicant agree to comply with the Prevention of Family Separation provisions as described by HUD? (if applicable)
Does the Applicant agree to comply with the HUD requirement for a Drug Free Workplace as defined in the General NOFA?
Does the Applicant agree to comply with the HUD requirement for safeguarding of resident / client files as defined in the General NOFA?
Is the Applicant aware of and willing to comply with the rules and requirements of the Transparency Act?
Does the Applicant agree to comply with the Equal Access to Housing Regardless of Sexual Orientation or Gender Identity requirement?
Does the Applicant agree to comply with Lead-Based Paint Requirements?

FY2017 HUD COC NOFA

NEW PROJECT REQUIREMENTS ATTACHMENT CHECKLIST

Agency Name:

Check “Yes” if the attachment has been uploaded to your assigned agency Dropbox. Check “N/A” if the item not applicable.

Yes	N/A
Copy of successful System for Award Management (SAM) registration or tracking page, including name of Authorized Representative
Verification of Data Unique Numbering System number issued by Dun and Bradstreet. (This may be included on the SAM tracking page).
Proof of registration in the E-snaps system.
Explanation regarding any unresolved civil rights matters as defined in the General NOFA “Resolution of Outstanding Civil Rights Matters,” section. If any of these stated conditions can be answered “yes,” please attach a detailed explanation. If not applicable, indicate “N/A” in the box to the left.
Explanation regarding any unresolved delinquent Federal debt. If the Applicant has any unresolved delinquent Federal debt, please attach a detailed explanation. If not applicable, indicate “N/A” in the box to the left.
Copy of agency’s most recent agency audit that complies with 2 CFR 200 (formerly A-133 audit).
Evidence of Applicant Code of Conduct. Applicant must provide one of the following: A screen shot of HUD’s webpage that shows your agency on the approved list, or A copy of your current Code of Conduct that has been attached to your Project Applicant Profile in E-snaps.
Organizational and any sub-recipient(s’) Eligibility Verification: 501(c)3
Attach signed statement on agency letterhead and signed by the agency’s executive officer indicating that the responses and documents provided in the e- Snaps and Dropbox are factual and subject to penalties for perjury as described in HUD Regulations.

As an authorized representative of the organization listed above, I have verified and attest to the content of General Threshold Requirements Checklist and Attachments Checklist as submitted.

Name and Position of Representative:

Signature:	Date: