Chapter 6: Labor Standards and Construction Management
Attachment 6-1 Request for Determination of Wage Rate
Attachment 6-2 Notification of Public Works Project -State Prevailing Wage Request
Attachment 6-3 Goals for Female and Minority Participation
Attachment 6-4 Outline of preconstruction conference
Attachment 6-5 Commonly Asked Questions Concerning Equal Opportunity
Attachment 6-6 Contractor Employee Breakdown
Attachment 6-7 - EEO Poster - English
Attachment 6-7 Part 1 - WH 1321 Davis Bacon Poster
Attachment 6-7 Part 2 Safety Poster New - English
Attachment 6-8 PreConstruction Report Format
Attachment 6-9 Notice to Proceed
Attachment 6-10 Payroll Falsification Indicators
Attachment 6-11 Payroll Form WH347
Attachment 6-12 Statement of Compliance Form
Attachment 6-13 Record of Employee Interview form - HUD 11
Attachment 6-14 Federal Labor Standards Complaint Intake Form HUD Form 4731
Attachment 6-15 Construction Oversight Checklist
Chapter 7: Acquisition
All acquisitions should include:
Attachment 7-1: Sample Acquisition Log of Contacts
Voluntary acquisition should include:
Attachment 7.2 Disclosure to Sellers with Voluntary Arms Length Transaction
Attachment 7-3: Sample Acknowledgement Waiver of Acquisition and Relocation Rights and Benefits under URA
Involuntary acquisitions should include:
Attachment 7-4: Sample Notice to Owner
Attachment 7-5: "When a Public Agency Acquires Your Property" brochure
Attachment 7-6: Sample Notice of Intent to Acquire
Attachment 7-7: Sample Statement of the Basis for the Determination of Just Compensation
Attachment 7-8: Sample Notice of Intent Not to Acquire (as appropriate)
Attachment 7-9: Sample Site Acquisition Chart
Attachment 7-10: Short Form Appraisal Report for Easement Takings (Sample)
Attachment 7-11: Guide for Preparing Appraisal Scope of Work
Attachment 7-12: Sample Agreement for Appraisal Services
Attachment 7-13: Sample Invitation to Accompany an Appraiser
Attachment 7-14: Sample Review of Appraisal
Attachment 7-15: Sample Written Offer to Purchase
Attachment 7-16: Sample Statement of Settlement Costs
Attachment 7-17: Real Property Acquisition Checklist (Sample)
Chapter 8: Relocation, Displacement and One-for-One Replacement
ATTACHMENT 8-1: SAMPLE GUIDEFORM NOTICE TO PROSPECTIVE TENANTS
ATTACHMENT 8-2: URA RELOCATION FLOW CHART WITH TRIGGER DATES
ATTACHMENT 8-3: SAMPLE GUIDEFORM RESIDENTIAL ANTIDISPLACEMENT AND RELOCATION PLAN
ATTACHMENT 8-4: SAMPLE GUIDEFORM GENERAL INFORMATION NOTICE – RESIDENTIAL TENANT THAT WILL NOT BE DISPLACED
ATTACHMENT 8-5: SAMPLE GUIDEFORM GENERAL INFORMATION NOTICE – RESIDENTIAL TENANT TO BE DISPLACED
ATTACHMENT 8-6: SAMPLE HOUSEHOLD CASE RECORD
ATTACHMENT 8-7: SAMPLE GUIDEFORM NOTICE OF ELIGIBILITY FOR RELOCATION ASSISTANCE – RESIDENTIAL TENANT
ATTACHMENT 8-8: SAMPLE GUIDEFORM NOTICE OF NONDISPLACEMENT TO RESIDENTIAL TENANT
ATTACHMENT 8-9: RELOCATION ASSISTANCE TO DISPLACED HOMEOWNERS (HUD BROCHURE)
ATTACHMENT 8-10: RELOCATION ASSISTANCE TO DISPLACED TENANTS FROM THEIR HOMES (HUD BROCHURE)
ATTACHMENT 8-11: ELDERLY WAIVER FOR RELOCATION-SAMPLE FORM
ATTACHMENT 8-12: HUD FORM 52580 SECTION 8 EXISTING HOUSING PROGRAM INSPECTION CHECKLIST
ATTACHMENT 8-13: HUD FORM 40061 – SELECTION OF MOST REPRESENTATIVE COMPARABLE REPLACEMENT DWELLING FOR PURPOSES OF COMPUTING A REPLACEMENT HOUSING PAYMENT
ATTACHMENT 8-14: SAMPLE LETTER TO RELOCATEES IN A SUBSTANDARD UNIT
ATTACHMENT 8-15: CLAIM FOR RENTAL ASSISTANCE OR DOWN PAYMENT ASSISTANCE
ATTACHMENT 8-16: SAMPLE GUIDEFORM NOTICE OF ELIGIBILITY FOR SECTION 104(D) RELOCATION ASSISTANCE – LOWER INCOME RESIDENTIAL TENANT, SECTION 8 ASSISTANCE AVAILABLE
ATTACHMENT 8-17: SAMPLE GUIDEFORM NOTICE OF ELIGIBILITY FOR SECTION 104(D) RELOCATION ASSISTANCE – LOWER INCOME RESIDENTIAL TENANT, SECTION 8 ASSISTANCE NOT AVAILABLE
ATTACHMENT 8-18: SUMMARY OF MAJOR DIFFERENCES BETWEEN 104(D) AND URA RELOCATION ASSISTANCE
ATTACHMENT 8-19: SAMPLE 90-DAY AND 30-DAY NOTICE TO VACATE
ATTACHMENT 8-20: TENANT ASSISTANCE/RELOCATION PROCESS FLOW CHART
ATTACHMENT 8-21: RESIDENTIAL MOVING EXPENSE AND DISLOCATION ALLOWANCE PAYMENT SCHEDULE
ATTACHMENT 8-22: CLAIM FOR MOVING COSTS AND RELATED EXPENSES
ATTACHMENT 8-23: CLAIM FOR RENTAL OR PURCHASE ASSISTANCE UNDER SECTION 104(D)
ATTACHMENT 8-24: SAMPLE TEMPORARY RELOCATION NOTICE
ATTACHMENT 8-25(A): SAMPLE GENERAL INFORMATION NOTICE (NON-RESIDENTIAL)
ATTACHMENT 8-25(B): SAMPLE GUIDEFORM NOTICE OF ELIGIBILITY FOR RELOCATION ASSISTANCE – BUSINESSES
Attachment 8-26 CPD HUD Info Booklet Relocation Assistance to Business HUD Form 1043
ATTACHMENT 8-27: CLAIM FOR ACTUAL REASONABLE MOVING AND RELATED EXPENSES – BUSINESSES
ATTACHMENT 8-28: CLAIM FOR FIXED PAYMENT IN LIEU OF PAYMENT FOR ACTUAL MOVING AND RELATED EXPENSES – BUSINESSES, NONPROFIT ORGANIZATIONS AND FARM OPERATIONS
ATTACHMENT 8-29: SAMPLE GRIEVANCE PROCEDURES
Attachment 8-30: One-for-One Replacement Summary Grantee Performance Report
8.30a One for One Replacement Form
8.30b One for One Replacement Instructions
ATTACHMENT 8-31: SAMPLE RELOCATION FILE CHECKLIST
Attachment 8-32 Claim Form for 180 day Homeowner
Chapter 9: Fair Housing and Equal Opportunity
ATTACHMENT 9-1: SAMPLE FAIR HOUSING RESOLUTION
ATTACHMENT 9-2: INSTRUCTIONS FOR COMPLIANCE WITH CIVIL RIGHTS TITLE VI
Attachment 9-3 Equal Opportunity Checklist
ATTACHMENT 9-4: SAMPLE SECTION 504 CHECKLIST
Attachment 9-5 Section 504 Self-Evaluation
ATTACHMENT 9-6: SAMPLE SECTION 504 TRANSITION PLAN
ATTACHMENT 9-7: SAMPLE GRIEVANCE PROCEDURES FOR COMPLAINTS
Attachment 9-8 Fair Housing Complaint Information
ATTACHMENT 9-9: SAMPLE POLICY OF NON-DISCRIMINATION ON THE BASIS OF DISABILITY STATUS
ATTACHMENT 9-10: PROJECT BENEFICIARY PROFILE FORM
Attachment 9-11 Project Benefit Profile Instructions
ATTACHMENT 9-12: LOCAL GOVERNMENT EMPLOYMENT WORK FORCE ANALYSIS
Chapter 10: Housing
ATTACHMENT 10-1: COUNSELING REPORT, HOMEOWNER MAINTENANCE/LIFE SKILLS EDUCATION
ATTACHMENT 10-2: SAMPLE RATING AND RANKING CRITERIA ADVERTISEMENT AND SAMPLE RATING AND RANKING CRITERIA FOR VOLUNTARY PROGRAMS
ATTACHMENT 10-3: SAMPLE PROGRAM GUIDELINES
ATTACHMENT 10-4: SAMPLE REAL ESTATE MORTGAGE
ATTACHMENT 10-5: SAMPLE PROMISSORY NOTE
ATTACHMENT 10-6: SAMPLE APPLICANT RELEASE TO OBTAIN VERIFICATION OF INCOME
ATTACHMENT 10-7: PART 5 (SECTION 8) ANNUAL HOUSEHOLD INCOME CALCULATION FORM
ATTACHMENT 10-8: SAMPLE HOMEOWNER AUTHORIZATION FOR AGENCY TO ACT AS AGENT FOR HOMEOWNER
ATTACHMENT 10-9: SAMPLE GRIEVANCE PROCEDURES
ATTACHMENT 10-10: SAMPLE CDBG REHABILITATION ASSISTANCE APPLICATION
ATTACHMENT 10-11: “PROTECT YOUR FAMILY FROM LEAD IN YOUR HOME” PAMPHLET
Attachment 10-12 Verification of Receiving Lead Based Paint Pamphlet
Attachment 10-13 Work Write-Up and Cost Estimate Format
Attachment 10-14 KHC Specs for New Homes
ATTACHMENT 10-15: LEAD SAFE HOUSING RULE BRIEFING PACKET
ATTACHMENT 10-16: LEAD SAFE HOUSING REQUIREMENTS SCREENING WORKSHEET PARTS 1 4
Attachment 10-17: HUD EPA Notice and Guidance
Attachment 10-17a Guidance on HUD-EPA Abatement Letter
ATTACHMENT 10-18: SAMPLE NOTICE OF LEAD HAZARD EVALUATION
ATTACHMENT 10-19: SAMPLE NOTICE OF PRESUMPTION
ATTACHMENT 10-20: SAMPLE REHABILITATION GRANTING AGREEMENT
ATTACHMENT 10-21: SAMPLE CONTRACT PACKAGE FOR REHABILITATION
ATTACHMENT 10-22: SAMPLE NOTICE TO PROCEED
ATTACHMENT 10-23: SAMPLE PRE-CONSTRUCTION CONFERENCE CHECKLIST
ATTACHMENT 10-24: SAMPLE NOTICE OF ACCEPTANCE OF WORK
ATTACHMENT 10-25: SAMPLE CERTIFICATION OF INSPECTION
ATTACHMENT 10-26: SAMPLE CHANGE ORDER REQUEST
ATTACHMENT 10-27: SAMPLE NOTICE OF LEAD HAZARD REDUCTION ACTIVITIES
ATTACHMENT 10-28: SAMPLE CONTRACT TERMINATION AND RELEASE OF LIEN FORM
ATTACHMENT 10-29: PROJECT BENEFIT PROFILE BY PERSON AND BY HOUSEHOLD
ATTACHMENT 10-30: SAMPLE CERTIFICATION OF 60 DAY FOLLOW-UP INSPECTION
ATTACHMENT 10-31: SAMPLE REHABILITATION PROGRAM FILE CHECKLIST
Attachment 10-32: Sample Development Plan
Attachment 10-32a Urban Renewal Plan
Attachment 10-32b Urban Renewal Plan
Attachment 10-32c Urban Renewal Plan
Attachment 10-32d Urban Renwal Plan
ATTACHMENT 10-33: SAMPLE SHORT FORM DEVELOPMENT PLAN FOR VOLUNTARY REHABILITATION/RECONSTRUCTION
Chapter 11: Economic Development