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RES 2008-0245 - Quit claim deed in lot 8 of block 2 of Jizba's Waconda addition , ok1AHA,^,4,. �4041, R's Law Department `''f�1'r't� Omaha/Douglas Civic Center ®.:o,r, 'IV 1819 Farnam Street,Suite 804 o 5.•- ' Omaha,Nebraska 68183 0804 �Aoq'r�D FEaR5r*�ry (402)444-5115 Telefax(402)444-5125 City of Omaha Paul D.Kratz Mike Fahey,Mayor City Attorney Honorable President and Members of the City Council, The attached Resolution provides for the quit claim of any interest of the City of Omaha in Lot 8 and one half of the vacated alley adjoining on the East,Block 2,Jizba's Waconda Addition to the City of Omaha, Douglas County,Nebraska. This is the second such action taken in this subdivision within approximately the last year. This action is necessary because of some mistake made regarding the platting of this subdivision by the late Jaro Z.Jizba. In the redevelopment of the property and the platting,certain interests of the City inadvertently remained on several of the lots and this Quit Claim Deed will extinguish that cloud on the title on the lot in question. The Quit Claim Deed reserves the City's interest in certain easements on the property and your favorable action on the attached Resolution is respectfully requested. Respectfully submitted, 7off'/ -D 8 obert J. Hamer DATE Deputy City Attorney Approved: Approved: ,,5117\„„,-..... .�.....,,\ 2'cf'o8 1-ye© Steven N. Jens,n, AIC , LA DATE ert G. Stubbe DATE Planning Direc r P lic Works Director j P:\LAW-COUNCIL\2008\20003v1j purchase order to Shared Service Systems in the amount of$20,621.00. P:\MAY\1002jdr.doc , APPROVED AS TO FORM: 7 e CITY ATTORNEY DATE By /0 :.4.„)��i�''"� 2.f•., •\• , Councilmember Adopted FEB 1' 2-2008 -p >'f3agez‘i 1 s City Clerk Approved- Mayor www.d ou al a sc ountvourchasi n a,org PLEASE DO NOT CALL FOR THIS INFORMATION. Quote your lowest price,best delivery and terms,F.O.B.delivery point on the item(s)listed below: QUANTITY DESCRIPTION UNIT PRICE EXTENSION The City of Omaha is seeking bids for the following medical equipment. Equipment as specified is required to match existing equipment. 100 Each DeVilbiss DV-7305P-D, AC/DC portable suction machine. BID/Each $ .2/ $ aU o� 200 Each Cardinal Health Kit Tri-Flo suction catheter kits that contain: 2 latex powder-free exam gloves, solution basin and inner wallet 14 French catheter. BID/Each $ %7• 9o2. $ /3.3- /.& All contractors can obtain a current City of Omaha Certified Protected Business Enterprise/Certified Business Enterprise(PBE/DBE)listing from the City of Omaha website at www.ci.omaha.ne.ut Click on"DEPARTMENTS",click on"HUMAN RIGHTS&RELATIONS",click on"PBE/DBE CERTIFIED DIRECTORY". All bidders awarded a contract in the amount of$5,000 or more must comply with the Contract Compliance Ordinance and have on file with the Human Rights and Relations Department the Contract Compliance Report(Form CC-1). This report shall be in effect for 24 months from the date received by the Human Rights and Relations Department. Any questions regarding the Contract Compliance Ordinance should be directed to the Human Rights and Relations Department at(402)444-5055. • Refer any questions regarding the bid or specifications directly to the Purchasing Department at(402)444-7155 or as shown on bid. (PLEASE PRINT LEGIBLY OR TYPE) Payment Terms: 11•2r %o %Firm <' Incorporated In: H>}R-ra 5—P•P-0c--e. SV S,i P/Yr 5 Delivery(or completion) Name 12 ti?rt NF}yro... Signature 0-1 ate) C /tom Calendar days following award Title Phone 3 Fax r. � CCX�it �,t7 vac) S`/3 j./ Address i /076 .S o. , o 7 tr ( )1 - ty'O 6-1 Street/PO Box City State Zip E-Mail Address cl bcontractors that can provide u reasonable justification fur delays will be grunted no-cost extensions. 12. Subcontractors ngrec to provide ussistwncc in ICAC forensic cases for departments in the surrounding geographical urea. 13. Subcontractors agree 10 pwticipatc in periodic meetings conducted by the Nebraska Slate Patrol relating to ICAC investigtuiats and grant matters, I4, Subcontractors agree to comply with the Internet Crimes Against Children Policy and Procedures and Nebraska State Patrol Computer Crimes Lnhoratory Procedure tvlwwul, A copy of these documents.will ha providedhy Ile Ncbrn;aka State Patrol to the Subcontractor. 15. Any publicity of this project will include an acknowledgment of funding by the Nebraska State Patrol. A copy of such publicity shall he sent to the Nebraska State Patrol. When issuing statements,press rehouses,requests for prupuculs, bid solicitations and oiler documents describing projects or programs funded in whole or In pin with Federal money,,all subcontractors receiving Federal funds shill clearly stutc(a)the percentage u1't4 total cult of the program of project which will be liuuunccd with Federal money,and(b)the dollar amount of federal funds liar the project or program, 1h. The subcontractor agrees that any publication (written, visual or sound, excluding press releases, newsletters and issue analysis) issued by the subcontractor describing programs or projects bladed in whole or in part\rant federal funds shall contain the following alutcmenC "fins project was Supported by Gran)il awarded by the Office of-Juvenile Justice and Delinquency U.S. Department of Justice. Points of viel.'or opinions contained within this document are those of the tauthorlund ddolnot nece.55arilyice olJustice rcpre,cs, olfiuhul position or policies of the U.S.Department ofiustiee,' )reprc;;cat the — , . __ Q dtur , reject DirectorDate — or11,innl /Teller;Subeo/UruchJr keep eulrpfiur,vcnnlc, �.Lyiuv..mi aei 9Z0,ST0'd • 066171717172017:01 92T7H:172017 WIIOII'1 a1IH3 Od0:W0eU L :TI 8002-2T-33A . • • . - • . • • - . ed only by States that are smaller and larger families. being administered in a centralized State HOME 3. 50-60 Percent of Area Median means a household Program. Enter the 3-digit county code for the county in whose adjusted income exceeds 50 percent and does which the project is located. not exceed 60 percent of the median family income for 3. Number of Tenants Assisted. Enter the total number the area, as determined by HUD with adjustments for of tenants to be assisted by this activity. smaller and larger families. Page 3 of 4 form HUD-40095(02/2003) QUIT CLAIM DEED KNOW ALL MEN BY THESE PRESENTS: THIS DEED,made this f 5- day of ?a... u/ ,2008,AD,between the CITY OF OMAHA,a Municipal Corporation in the State of Nebraska,herein known as CITY,in consideration of the sum of One and no/100 dollars($1.00)in hand paid,does hereby grant,bargain,sell,convey,and confirm for unto Andrew Jizba, Successor Trustee of the Jaro Z.Jizba Trust#1,hereinafter referred to"Grantee",the following described real estate,situated in the County of Douglas and State of Nebraska,to-wit: LOTS AND ONE HALF OF THE VACATED ALLEY ADJOINING ON THE EAST,BLOCK 2,JIZBA'S WACONDA ADDITION TO THE CITY OF OMAHA,DOUGLAS COUNTY,NEBRASKA TO HAVE AND TO HOLD the above described premises,together with all the tenements,hereditaments, and appurtenances thereunto belonging,unto said Grantee and its successors and assigns forever. And the CITY, for itself and its successors does or do hereby covenant with the said Grantee, and its successors and assigns that neither they,nor any person in their name and behalf shall or will hereafter claim or demand any right or title to the said premises or any part thereof,but they and every one of them shall by these presents be excluded and forever barred. RESERVING unto the said CITY,its successors and assigns,within and only within the easement areas shown on Exhibit"A",the right to maintain,operate,repair and renew sanitary and storm sewers&drainage ways now existing therein and in the future to construct, maintain, repair and renew additional or other sewers or drainage ways;on or below the surface of the ground.That no buildings,improvements including fences or other structures shall be placed in,on,over or across said easement without express written approval of the CITY.The CITY will replace or rebuild any and all damage to improvements caused by CITY exercising its rights of inspecting, maintaining or operating said sewers, drainage ways, except that damage to, or loss of trees and shrubbery will not be compensated for by CITY • THE CITY OF OMAHA,A MuniCcij�dal Corporation as caused these presents to be executed by its Mayor and its Corporate Seal to be affixed hereto this [J his day of ,2008. THE CITY OF OMAHA, A Municipal Corporation (Corporate Seal) By ,i 01;4442 MAYOR ATTEST- CITY CLERK APPROVED AS TO FORM: STATE OF NEBRASKA) SS DEPUTY CITY.ATTOPMEY COUNTY OF DOUGLAS) On this J5- day of ,2008,before me,a Notary Public in and for said County,personally came 'k C e"`�'1 1,, ,Mayor of the City of Omaha,a Municipal Corpor ion,and ' QQ City Clerk of said Corporation, to me personally known to be the respective officers of said corporation and the identical persons whose names are affixed to the foregoing instrument,and acknowledged the execution thereof to be their respective voluntary act and deed as such officers and the voluntary act and deed of said Corporation,and the Corporate Seal of said Corporation to be thereto affixed by its authority. WITNESS my hand and Notarial Seal the day and year last above written. 1 LLr+,l v1, 8�Z 4 0 NOTARY PUBLIC Notary Seal: 4..; LROTARY-State of Nebraska + TAMMY BIODROWSKI My Comm.Bp.Sep1.4,2011 the Human Rights and Relations Department at(402)444-5055. • Refer any questions regarding the bid or specifications directly to the Purchasing Department at(402)444-7155 or as shown on bid. (PLEASE PRINT LEGIBLY OR TYPE) Payment Terms: 11•2r %o %Firm <' Incorporated In: H>}R-ra 5—P•P-0c--e. SV S,i P/Yr 5 Delivery(or completion) Name 12 ti?rt NF}yro... Signature 0-1 ate) C /tom Calendar days following award Title Phone 3 Fax r. � CCX�it �,t7 vac) S`/3 j./ Address i /076 .S o. , o 7 tr ( )1 - ty'O 6-1 Street/PO Box City State Zip E-Mail Address cl bcontractors that can provide u reasonable justification fur delays will be grunted no-cost extensions. 12. Subcontractors ngrec to provide ussistwncc in ICAC forensic cases for departments in the surrounding geographical urea. 13. Subcontractors agree 10 pwticipatc in periodic meetings conducted by the Nebraska Slate Patrol relating to ICAC investigtuiats and grant matters, I4, Subcontractors agree to comply with the Internet Crimes Against Children Policy and Procedures and Nebraska State Patrol Computer Crimes Lnhoratory Procedure tvlwwul, A copy of these documents.will ha providedhy Ile Ncbrn;aka State Patrol to the Subcontractor. 15. Any publicity of this project will include an acknowledgment of funding by the Nebraska State Patrol. A copy of such publicity shall he sent to the Nebraska State Patrol. When issuing statements,press rehouses,requests for prupuculs, bid solicitations and oiler documents describing projects or programs funded in whole or In pin with Federal money,,all subcontractors receiving Federal funds shill clearly stutc(a)the percentage u1't4 total cult of the program of project which will be liuuunccd with Federal money,and(b)the dollar amount of federal funds liar the project or program, 1h. The subcontractor agrees that any publication (written, visual or sound, excluding press releases, newsletters and issue analysis) issued by the subcontractor describing programs or projects bladed in whole or in part\rant federal funds shall contain the following alutcmenC "fins project was Supported by Gran)il awarded by the Office of-Juvenile Justice and Delinquency U.S. Department of Justice. Points of viel.'or opinions contained within this document are those of the tauthorlund ddolnot nece.55arilyice olJustice rcpre,cs, olfiuhul position or policies of the U.S.Department ofiustiee,' )reprc;;cat the — , . __ Q dtur , reject DirectorDate — or11,innl /Teller;Subeo/UruchJr keep eulrpfiur,vcnnlc, �.Lyiuv..mi aei 9Z0,ST0'd • 066171717172017:01 92T7H:172017 WIIOII'1 a1IH3 Od0:W0eU L :TI 8002-2T-33A . • • . - • . • • - . ed only by States that are smaller and larger families. being administered in a centralized State HOME 3. 50-60 Percent of Area Median means a household Program. Enter the 3-digit county code for the county in whose adjusted income exceeds 50 percent and does which the project is located. not exceed 60 percent of the median family income for 3. Number of Tenants Assisted. Enter the total number the area, as determined by HUD with adjustments for of tenants to be assisted by this activity. smaller and larger families. Page 3 of 4 form HUD-40095(02/2003) • WARNING: THIS DRAWING CANNOT BE LEGALLY USED TO INSTALL A FENCE OR ANY OTHER STRUCTURE ON THIS PROPERTY. AND IS NOT INTENDED TO BE A LAND SURVEY AS DEFINED BY STATE STATUTES. li M on Et Immon 0 15 30 Scale: 1"=30' s$ LOT 10I VERNON I 0-'6 9s c' O 15.00'VACATED ALLEY CIRCLE `�F�A`s� ORDINANCE NO:36477 1--- 1 l' -Iio \ DATED:01/06/2004 75 L. 75 R=50.00'L=37.81' I LOT 10 LC=N68°20'14"E 36.91'7 \ LEE C.MORROW AND VELLA M.MORROW WARRANTY DEED ...... / \ INSTRUMENT NO.2005111098 I LOT 11 I KEYSTONE BLOCK WALLS ALONG DRIVE AND[WIRY 110' \\ \ I- I 'CONCRETE \\ I I O BL CK 21 DRIVEWAY ' 'p \ \ I 5 I 1 44 '40.9 46' ' e I �LOT 11 2.0 , \ CO • 5052 VERNON CIRCLE 1z3 o PERMANENT DRAINAGE I LOT 7 0. EASEMENT GRANTED TO THE v1 C/) I I , ? 53 y CITY OF OMAHA. rvI u) 2.7' 1W 1 \��`�'9 Iw o� j DECK�1� \ � � u'p,, a a1 W o( \ \� I~0n. 1 Cl_ JIZBA'S WAKONDA AD ITION��?' >01 LOT 12 lx ILOT 8 \ ` Iw�I ANDREW JIZBA \ Z ZI I 10.50 WARRANTY DEED �p \ IW�I o INSTRUMENT NO:2007117399 ' \ \II, 3�� : ( _. I \ N90°00'00"E 21.00'SANITARY SEWER EASEMENT 'T GRANTED TO THE CITY OF OMAHA 7.50' _ y I_i 5.00'OPPD.OWEST AND 5.00'DRAINAGE EASEMENT I I CABLE COMPANY EASEMENT GRANTED TO THE CITY OF OMAHA I at LOT 13 LOT 9 I I 8.00 5.00'OPPD,OWEST AND OPPD,OWEST AND CABLE COMPANY EASEMENT o 0 0 CABLE COMPANY EASEMENT I o� o O I t.41- f 1(� O I 23.r N89°47 01 W 161.50' - - 37.4' N WINDOW CRETESTCANTILEVER • LEGEND CURTIS AVENUE CONCRETE STOOP 3'X20'CANTILEVER IMINSIMMIIIIIIIIIt t4;.�... 40.9 2 0,i` WINDOW WELL 4.6' -4 WINDOW CANTILEVER '''.t+r "" 2.0' ry - BUILDING 5052 VERNON CIRCLE 12.3o FOOTPRINT CONTAINS ` 11 53.2 1,138 SQUARE FEET , ---,: A.ck,.-4 (• — X— WOOD FENCE ERIC A.SCHABEN %f.'"- 1. .608 • PINS FOUND DECEMBER 13, 20071.;"% �?1/2"REBAR UNLESS NOTED DATE ~-�;�_:••: I e 4;a E&A CONSULTING GROUP, INC.ENGINEERING•PLANNING•FIELD SERVICES AS BUILT SURVEY sn ram»2wsmetI°Mawrf 68,54NOM(W2)895-000 LOT 8, BLOCK 2, AS BUILT BOOK:3676,PAGE 34 JIZBA'S WAKONDA ADDITION Drawn by: JHVD'Chkd by: (Date:12/13/07 Job No.:P2006.423.002 Sheet No.: 1 of 1 5052 VERNON CIRCLE ial Seal the day and year last above written. 1 LLr+,l v1, 8�Z 4 0 NOTARY PUBLIC Notary Seal: 4..; LROTARY-State of Nebraska + TAMMY BIODROWSKI My Comm.Bp.Sep1.4,2011 the Human Rights and Relations Department at(402)444-5055. • Refer any questions regarding the bid or specifications directly to the Purchasing Department at(402)444-7155 or as shown on bid. (PLEASE PRINT LEGIBLY OR TYPE) Payment Terms: 11•2r %o %Firm <' Incorporated In: H>}R-ra 5—P•P-0c--e. SV S,i P/Yr 5 Delivery(or completion) Name 12 ti?rt NF}yro... Signature 0-1 ate) C /tom Calendar days following award Title Phone 3 Fax r. � CCX�it �,t7 vac) S`/3 j./ Address i /076 .S o. , o 7 tr ( )1 - ty'O 6-1 Street/PO Box City State Zip E-Mail Address cl bcontractors that can provide u reasonable justification fur delays will be grunted no-cost extensions. 12. Subcontractors ngrec to provide ussistwncc in ICAC forensic cases for departments in the surrounding geographical urea. 13. Subcontractors agree 10 pwticipatc in periodic meetings conducted by the Nebraska Slate Patrol relating to ICAC investigtuiats and grant matters, I4, Subcontractors agree to comply with the Internet Crimes Against Children Policy and Procedures and Nebraska State Patrol Computer Crimes Lnhoratory Procedure tvlwwul, A copy of these documents.will ha providedhy Ile Ncbrn;aka State Patrol to the Subcontractor. 15. Any publicity of this project will include an acknowledgment of funding by the Nebraska State Patrol. A copy of such publicity shall he sent to the Nebraska State Patrol. When issuing statements,press rehouses,requests for prupuculs, bid solicitations and oiler documents describing projects or programs funded in whole or In pin with Federal money,,all subcontractors receiving Federal funds shill clearly stutc(a)the percentage u1't4 total cult of the program of project which will be liuuunccd with Federal money,and(b)the dollar amount of federal funds liar the project or program, 1h. The subcontractor agrees that any publication (written, visual or sound, excluding press releases, newsletters and issue analysis) issued by the subcontractor describing programs or projects bladed in whole or in part\rant federal funds shall contain the following alutcmenC "fins project was Supported by Gran)il awarded by the Office of-Juvenile Justice and Delinquency U.S. Department of Justice. Points of viel.'or opinions contained within this document are those of the tauthorlund ddolnot nece.55arilyice olJustice rcpre,cs, olfiuhul position or policies of the U.S.Department ofiustiee,' )reprc;;cat the — , . __ Q dtur , reject DirectorDate — or11,innl /Teller;Subeo/UruchJr keep eulrpfiur,vcnnlc, �.Lyiuv..mi aei 9Z0,ST0'd • 066171717172017:01 92T7H:172017 WIIOII'1 a1IH3 Od0:W0eU L :TI 8002-2T-33A . • • . - • . • • - . ed only by States that are smaller and larger families. being administered in a centralized State HOME 3. 50-60 Percent of Area Median means a household Program. Enter the 3-digit county code for the county in whose adjusted income exceeds 50 percent and does which the project is located. not exceed 60 percent of the median family income for 3. Number of Tenants Assisted. Enter the total number the area, as determined by HUD with adjustments for of tenants to be assisted by this activity. smaller and larger families. Page 3 of 4 form HUD-40095(02/2003) C-25A CITY OF OMAHA LEGISLATIVE CHAMBER Omaha,Nebraska • RESOLVED BY THE CITY COUNCIL OF THE CITY OF OMAHA: WHEREAS,in the platting of Jizba's Waconda addition to the City of Omaha,certain interests of the City of Omaha in certain private lots remained due to inadvertence and error in the replat that created such addition; and, WHEREAS, except for certain easements to be reserved to the Cityof Omaha, the p City of Omaha has no real interest in such property and its apparent interest constitutes a cloud on the title to the same; and, WHEREAS,it is appropriate for the City to remove such cloud by conveyance of the Quit Claim Deed to the developer's estate of Lot 8 and one half of the vacated alley adjoining on the east, Block 2 Jizba's Waconda Addition to the City of Omaha, Douglas County,Nebraska NOW,THEREFORE,BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF OMAHA: THAT, it does hereby authorize the execution and delivery of a Quit Claim Deed to Lot 8 and one half of the vacated alley adjoining on the East,Block 2,Jizba's Waconda Addition to the City of Omaha,Douglas County,Nebraska,conveying the same unto Andrew Jizba, Successor Trustee of the Jaro Z. Jizba Trust#1. APPROVED AS TO FORM: CITY ATTORNEY DATE P:\LAW-COUNCIL\2008\20004v1j By/0444F,.. &)1.un t 1 Cocimember Adopted F B 1 2 2008 /�O City Clerk • pia/of Approved.( ' _ , Mayor 4 INSTRUMENT NO:2007117399 ' \ \II, 3�� : ( _. I \ N90°00'00"E 21.00'SANITARY SEWER EASEMENT 'T GRANTED TO THE CITY OF OMAHA 7.50' _ y I_i 5.00'OPPD.OWEST AND 5.00'DRAINAGE EASEMENT I I CABLE COMPANY EASEMENT GRANTED TO THE CITY OF OMAHA I at LOT 13 LOT 9 I I 8.00 5.00'OPPD,OWEST AND OPPD,OWEST AND CABLE COMPANY EASEMENT o 0 0 CABLE COMPANY EASEMENT I o� o O I t.41- f 1(� O I 23.r N89°47 01 W 161.50' - - 37.4' N WINDOW CRETESTCANTILEVER • LEGEND CURTIS AVENUE CONCRETE STOOP 3'X20'CANTILEVER IMINSIMMIIIIIIIIIt t4;.�... 40.9 2 0,i` WINDOW WELL 4.6' -4 WINDOW CANTILEVER '''.t+r "" 2.0' ry - BUILDING 5052 VERNON CIRCLE 12.3o FOOTPRINT CONTAINS ` 11 53.2 1,138 SQUARE FEET , ---,: A.ck,.-4 (• — X— WOOD FENCE ERIC A.SCHABEN %f.'"- 1. .608 • PINS FOUND DECEMBER 13, 20071.;"% �?1/2"REBAR UNLESS NOTED DATE ~-�;�_:••: I e 4;a E&A CONSULTING GROUP, INC.ENGINEERING•PLANNING•FIELD SERVICES AS BUILT SURVEY sn ram»2wsmetI°Mawrf 68,54NOM(W2)895-000 LOT 8, BLOCK 2, AS BUILT BOOK:3676,PAGE 34 JIZBA'S WAKONDA ADDITION Drawn by: JHVD'Chkd by: (Date:12/13/07 Job No.:P2006.423.002 Sheet No.: 1 of 1 5052 VERNON CIRCLE ial Seal the day and year last above written. 1 LLr+,l v1, 8�Z 4 0 NOTARY PUBLIC Notary Seal: 4..; LROTARY-State of Nebraska + TAMMY BIODROWSKI My Comm.Bp.Sep1.4,2011 the Human Rights and Relations Department at(402)444-5055. • Refer any questions regarding the bid or specifications directly to the Purchasing Department at(402)444-7155 or as shown on bid. (PLEASE PRINT LEGIBLY OR TYPE) Payment Terms: 11•2r %o %Firm <' Incorporated In: H>}R-ra 5—P•P-0c--e. SV S,i P/Yr 5 Delivery(or completion) Name 12 ti?rt NF}yro... Signature 0-1 ate) C /tom Calendar days following award Title Phone 3 Fax r. � CCX�it �,t7 vac) S`/3 j./ Address i /076 .S o. , o 7 tr ( )1 - ty'O 6-1 Street/PO Box City State Zip E-Mail Address cl bcontractors that can provide u reasonable justification fur delays will be grunted no-cost extensions. 12. Subcontractors ngrec to provide ussistwncc in ICAC forensic cases for departments in the surrounding geographical urea. 13. Subcontractors agree 10 pwticipatc in periodic meetings conducted by the Nebraska Slate Patrol relating to ICAC investigtuiats and grant matters, I4, Subcontractors agree to comply with the Internet Crimes Against Children Policy and Procedures and Nebraska State Patrol Computer Crimes Lnhoratory Procedure tvlwwul, A copy of these documents.will ha providedhy Ile Ncbrn;aka State Patrol to the Subcontractor. 15. Any publicity of this project will include an acknowledgment of funding by the Nebraska State Patrol. A copy of such publicity shall he sent to the Nebraska State Patrol. When issuing statements,press rehouses,requests for prupuculs, bid solicitations and oiler documents describing projects or programs funded in whole or In pin with Federal money,,all subcontractors receiving Federal funds shill clearly stutc(a)the percentage u1't4 total cult of the program of project which will be liuuunccd with Federal money,and(b)the dollar amount of federal funds liar the project or program, 1h. The subcontractor agrees that any publication (written, visual or sound, excluding press releases, newsletters and issue analysis) issued by the subcontractor describing programs or projects bladed in whole or in part\rant federal funds shall contain the following alutcmenC "fins project was Supported by Gran)il awarded by the Office of-Juvenile Justice and Delinquency U.S. Department of Justice. Points of viel.'or opinions contained within this document are those of the tauthorlund ddolnot nece.55arilyice olJustice rcpre,cs, olfiuhul position or policies of the U.S.Department ofiustiee,' )reprc;;cat the — , . __ Q dtur , reject DirectorDate — or11,innl /Teller;Subeo/UruchJr keep eulrpfiur,vcnnlc, �.Lyiuv..mi aei 9Z0,ST0'd • 066171717172017:01 92T7H:172017 WIIOII'1 a1IH3 Od0:W0eU L :TI 8002-2T-33A . • • . - • . • • - . ed only by States that are smaller and larger families. being administered in a centralized State HOME 3. 50-60 Percent of Area Median means a household Program. Enter the 3-digit county code for the county in whose adjusted income exceeds 50 percent and does which the project is located. not exceed 60 percent of the median family income for 3. Number of Tenants Assisted. Enter the total number the area, as determined by HUD with adjustments for of tenants to be assisted by this activity. smaller and larger families. Page 3 of 4 form HUD-40095(02/2003) bciDo n m o - C En CD a N pzj O, Uro Q O0 O 0 H rn 2CC N C 0 •-CD te) Q vo 0 o O E C7 o CS" AD iTh CDt e� ..+ G. -+ CD A a C 1 S N o v, n �', 1 . ps P.,' t . \ y C0 °° O � C� O N 0" O� ° a x . ° a •1 r! 2 5' a, `< r co o a a� Q 2. w a �, uv c V) o v)o n - CD a `frD • �, N z. cu A' E. ,-s a) :s x CCD - E • CD a. .. CD C a 00 CCD two • \ �1v . , .., .._. ......_ . , GI 4 ,,.,k . , • $1,500.00