CONTRACTOR ACCEPTANCE. As the signatory named below, I certify to the following: ▪ I have the authority to sign on behalf of the company contracting for this project ▪ I have read this Section 3 Compliance Plan and intend to comply with the Section 3 Act and Regulations, as well as the guidelines of this Plan ▪ I am aware of the employment, training, and contracting goals stated herein and agree to work with the City of Pueblo to reach those goals The contract for this firm is less than $100,000; The contract for this City Department is less than $100,000; The contract for this Sub-recipient or Developer is less than $ 200,000; I understand that while a contract at this threshold of assistance does not hold responsibilities by this company to implement the City’s Policies and Procedures in equal measure to the City, we will work together with the City to ensure compliance, to the greatest extent feasible, through the awarding of contracts for work and services to Section 3 business concerns and to provide training and employment opportunities to Section 3 residents as noted below. Further, I agree to immediately report any changes in this plan, including but not limited to, changes in the dollar amounts of contracts awarded and staffing needs. I acknowledge that project cost increases or cost overruns that bring the total contract above the federal threshold limits ($200,000/$100,000 for developers & contractors, respectively) will engage the Section 3 Act and Regulations on the project. In the event the project total exceeds the federal threshold, my entity or firm and applicable subcontractors will, to the greatest extent feasible, comply with the City’s Section 3 Policies. Signature: Title: Company: Date: Signature: Date: ▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇, Director Department of Housing & Citizen Services, City of Pueblo A Section 3 worker seeking the preference in training and employment provided by this part shall certify, or submit evidence to the recipient (DHCS), contractor, or subcontractor, if requested, that the person is a Section 3 worker, as defined in Section 75.5. Please note below how you believe you’re eligible for Section 3 preference and provide a photo ID and proof of current residency: I am a resident of Pueblo public housing Based on the chart below, I am a low-income resident whose full-time address is in the City of Pueblo Pueblo, CO MSA – FY 2021 Income Limits – Median Income $61,400 Gross Household Income 41,200 47,050 52,950 58,800 63,550 68,250 72,950 77,650 Further preference is requested as a resident of the project neighborhood Certification for Worker Seeking Section 3 Preference in Training and Employment: I, , am a legal resident of the City of Pueblo, Colorado and the United States of America (as evidenced by the attached Affidavit of Lawful Presence) and meet the income eligibility guidelines for a low- or very-low-income person as published above. My permanent address is: I have attached the following documentation as evidence of my status: 1) Copy of Pueblo Housing Authority lease 2) Copy of receipt of public assistance 2) Copy of Evidence of participation 4) Other evidence (name on line below) in a public assistance program Signature Date Signature Date Title WARNING: Title 18, Section 1001 of the U.S. Code states that a person is guilty of a felony for knowingly and willingly making false or fraudulent statements to any department of the United States Government.
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CONTRACTOR ACCEPTANCE. As the signatory named below, I certify to the following: ▪ I have the authority to sign on behalf of the company contracting for this project ▪ I have read this Section 3 Compliance Plan and intend to comply with the Section 3 Act and Regulations, as well as the guidelines of this Plan ▪ I am aware of the employment, training, and contracting goals stated herein and agree to work with the City of Pueblo to reach those goals 🞏 The contract for this firm is less than $100,000; 🞏 The contract for this City Department is less than $100,000; 🞏 The contract for this Sub-recipient or Developer is less than $ 200,000; I understand that while a contract at this threshold of assistance does not hold responsibilities by this company to implement the City’s Policies and Procedures in equal measure to the City, we will work together with the City to ensure compliance, to the greatest extent feasible, through the awarding of contracts for work and services to Section 3 business concerns and to provide training and employment opportunities to Section 3 residents as noted below. Further, I agree to immediately report any changes in this plan, including but not limited to, changes in the dollar amounts of contracts awarded and staffing needs. I acknowledge that project cost increases or cost overruns that bring the total contract above the federal threshold limits ($200,000/$100,000 for developers & contractors, respectively) will engage the Section 3 Act and Regulations on the project. In the event the project total exceeds the federal threshold, my entity or firm and applicable subcontractors will, to the greatest extent feasible, comply with the City’s Section 3 Policies. Signature: Title: Company: Date: Signature: Date: ▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇, Acting Director Department of Housing & Citizen Services, City of Pueblo A Section 3 worker resident seeking the preference in training and employment provided by this part shall certify, or submit evidence to the recipient (DHCS), contractor, or subcontractor, if requested, that the person is a Section 3 workerresident, as defined in Section 75.5135.5. Please note below how you believe you’re eligible for Section 3 preference and provide a photo ID and proof of current residency: 🞏 I am a resident of Pueblo public housing 🞏 Based on the chart below, I am a low-income resident whose full-time address is in the City of Pueblo Pueblo, CO MSA – FY 2021 Income Limits – Median Income $61,400 Gross Household Income 41,200 47,050 52,950 58,800 63,550 68,250 72,950 77,650 $38,150 $43,600 $49,050 $54,500 $58,900 $63,250 $67,600 $71,950 □ Further preference is requested as a resident of the project neighborhood Certification for Worker Resident Seeking Section 3 Preference in Training and Employment: I, , am a legal resident of the City of Pueblo, Colorado and the United States of America (as evidenced by the attached Affidavit of Lawful Presence) and meet the income eligibility guidelines for a low- or very-low-income person as published above. My permanent address is: I have attached the following documentation as evidence of my status:
1) Copy of Pueblo Housing Authority lease 2) Copy of receipt of public assistance 2) Copy of Evidence of participation 4) Other evidence (name on line below) in a public assistance program Signature Date Signature Date Title WARNING: Title 18, Section 1001 of the U.S. Code states that a person is guilty of a felony for knowingly and willingly making false or fraudulent statements to any department of the United States Government.
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