A10. D8. CDBG-ATTBF-Stand-Alone_Reporting_Example.xlsx

XLSX spreadsheet 1 MB Posted

Attached to
Groveland RD 1654 – FY23 HUD Herbicide Release
Solicitation number
12970223R0005
Issued by

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Written by GovTribe AI ·

This is a combined synopsis/solicitation for commercial items from the USDA Forest Service seeking herbicide spraying application services to control woody shrubs, grasses and forbs on the Groveland Ranger District in Tuolumne County, California. The solicitation period will be from 9 February 2023 through 24 February 2023 with proposals due by 2359 PT on 24 February 2023. The contract type will be firm fixed price for a period of performance of 48 calendar days starting on 6 March 2023. The anticipated award date is 3 March 2023. Offerors must be registered in SAM and the NAICS code is 115310 for support activities for forestry. The solicitation number is 12970223R0005. Site visits can be arranged by contacting the COR and GTM listed in the document. The cutoff for questions is 22 February 2023.

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A11. 03_D2. MAP-FY23 Herbicide Release Units, v2_03212023.pdf PDF
A11. 03_D1. SOI,v1-12970223R0005-0003.xlsx XLSX spreadsheet
A11. 03_Sol Terms A-F_12970223R0005-0003FINAL.pdf PDF
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A11. 03_D3. DataTable_FY23HUDHerbicideREL,v2-03212023.xls XLS spreadsheet
A11. 02-D2. MAP-FY23 Herbicide Release Units, v1.pdf PDF
A11. 02_Sol Terms A-F_12970223R0005-0002.pdf PDF
A11. 02-D1. SOI,v1-12970223R0005-0002(1).xlsx XLSX spreadsheet
A11. 02-SF30_12970223R0005-0002.pdf PDF
A10. 01_Sol Terms A-F_12970223R0005-0001.pdf PDF
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A10. D6. TechProp_12970223R0005.docx DOCX document
A10. 1-SF1449andTerms_12970223R0005v2.pdf PDF
A10. D2. MAP-FY23 Herbicide Release Units.pdf PDF
A10. D5. SCA-WD1977-0727, v69, 12.27.2022.pdf PDF
A10. D7. FS 6300-11_SubkApp.doc DOC document
A10. D3. DataTable_FY23HUDHerbicideREL.xls XLS spreadsheet
A10. D1. SOI-12970223R0005.xlsx XLSX spreadsheet
A10. D4. Fire Plan_08.02.2012.pdf PDF
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Link Data B State Recipient 7a.

pmcguire: pmcguire:

Preparer's OrgContract # 7a.New Construction or Rental Rehab?Include in Sect 3 report?State Funded Contract Amount (Standard Agreement)Actual Amount of Contract or Subcontract 7b(ii)Date of Executed Contract or SubcontractContract Type Construction or non-constructionType of Trade Code 7c.Contractor or Subcontractor Business Racial/Ethnic 7d.Woman Owned Business (Yes or No) 7e.Sec. 3 7g.Contractor or Subcontractor 7i.Prime or Subcontractor Identification (ID) Number 7f. & 7h.Cntrctr/Sub NameAddressCityStateZip
United States Forest Service000$0$012/31/99000000000000
United States Forest Service000$0$012/31/99000000000000
United States Forest Service000$0$012/31/99000000000000
United States Forest Service000$0$012/31/99000000000000
United States Forest Service000$0$012/31/99000000000000
United States Forest Service000$0$012/31/99000000000000
United States Forest Service000$0$012/31/99000000000000
United States Forest Service000$0$012/31/99000000000000
United States Forest Service000$0$012/31/99000000000000
United States Forest Service000$0$012/31/99000000000000
United States Forest Service000$0$012/31/99000000000000
United States Forest Service000$0$012/31/99000000000000
United States Forest Service000$0$012/31/99000000000000
United States Forest Service000$0$012/31/99000000000000
United States Forest Service000$0$012/31/99000000000000
United States Forest Service000$0$012/31/99000000000000
United States Forest Service000$0$012/31/99000000000000
United States Forest Service000$0$012/31/99000000000000
United States Forest Service000$0$012/31/99000000000000
United States Forest Service000$0$012/31/99000000000000
United States Forest Service000$0$012/31/99000000000000
United States Forest Service000$0$012/31/99000000000000
United States Forest Service000$0$012/31/99000000000000
United States Forest Service000$0$012/31/99000000000000
United States Forest Service000$0$012/31/99000000000000
United States Forest Service000$0$012/31/99000000000000
United States Forest Service000$0$012/31/99000000000000
United States Forest Service000$0$012/31/99000000000000
United States Forest Service000$0$012/31/99000000000000
United States Forest Service000$0$012/31/99000000000000
United States Forest Service000$0$012/31/99000000000000
United States Forest Service000$0$012/31/99000000000000
United States Forest Service000$0$012/31/99000000000000
United States Forest Service000$0$012/31/99000000000000
United States Forest Service000$0$012/31/99000000000000
United States Forest Service000$0$012/31/99000000000000
United States Forest Service000$0$012/31/99000000000000
United States Forest Service000$0$012/31/99000000000000
United States Forest Service000$0$012/31/99000000000000
United States Forest Service000$0$012/31/99000000000000
United States Forest Service000$0$012/31/99000000000000
United States Forest Service000$0$012/31/99000000000000
United States Forest Service000$0$012/31/99000000000000
United States Forest Service000$0$012/31/99000000000000
United States Forest Service000$0$012/31/99000000000000
United States Forest Service000$0$012/31/99000000000000
United States Forest Service000$0$012/31/99000000000000
United States Forest Service000$0$012/31/99000000000000

Att B Stand Alone

PAGE 1
Attachment B - MBE/WBE Stand-Alone Report (for Contractors and Subcontractors)

CDBG Annual Performance Report

Reporting Period July 1, 2021 through June 30, 2022

DUE DATE: Monday, August 1, 2022

CDBG Recipient Name United States Forest Service Preparer's Name

Contractor or Subcontractor Name Preparer's Organization

Date Preparer's Telephone # g

1) This form must be completed by all ALL Contractors and Subcontractors with contracts (regardless of dollar amount) that were executed during the reporting period. 2) CDBG Recipients must distribute and collect the "Attachment B - Stand-Alone Report" to all Contractors and Subcontractors to report all contracts and subcontracts executed during the reporting period. It is the CDBG Recipient's responsibility to ensure that they collect this information from their Contractors and Subcontractors. (NOTE: Enter the codes in columms 8 and 9 which indicate the racial/ethnic and gender characteristics of the owner(s) and controller(s). If 51% or more is not owned and controlled by any single racial/ethnic or gender category, enter the code which is most appropriate.)

1. CDBG Standard Agreement Number / Program Income 2. Does this Activity involve any Construction or Rehab.? Y or N 3. Total CDBG Award Amount (including all activities and admin) 4. Contract or Subcontract Amount* (see note below) 5. Contract or Subcontract Execution Date (mm/dd/yy) 6. Contract Type (Construction or Non-Construction) 7. Trade Code Type 8. Contractor or Subcontractor Business Racial/Ethnic Code 9. Women- Owned Business? Y or N 10. Section 3 Business? Y or N JBermude: See Sec 3 tab for definition.

11. Contractor (C) or Subcontractor(S) and IRS Employer ID # (EIN) 12. Contractor/Subcontractor Information

1
2
3
40
5
6
7
8
C or SEIN (Not SSN) Must be 9 digits

Administrator: If you do not have an EIN, enter 000000000 (9 zeros) in lieu of your Social Security Number.

Do not enter your SS #.NameAddressCityStateZip Code
0

ERROR:#REF!

*Dollar amount must be listed even if contract is "Based on Performance" or "Estimate."

Attachment B - MBE/WBE Stand-Alone Report (for Contractors and Subcontractors)PAGE 2
CDBG Annual Performance Report
Reporting Period July 1, 2021 through June 30, 2022

CDBG Recipient Name United States Forest Service Preparer's Name

Contractor or Subcontractor Name Preparer's Organization

1. CDBG Standard Agreement Number 2. Does this Activity involve any Construction or Rehab.? Y or N 3. Total CDBG Award Amount (including all activities and admin) 4. Contract or Subcontract Amount* (see note below) 5. Contract or Subcontract Execution Date (mm/dd/yy) 6. Contract Type 7. Trade Code Type 8. Contractor or Subcontractor Business Racial/Ethnic Code 9. Women- Owned Business? Y or N 10. Section 3 Business? Y or N

11. Contractor (C) or Subcontractor(S) and IRS Employer ID # (EIN) 12. Contractor/Subcontractor Information

C or S EIN (Not SSN) Must be 9 digits Administrator: If you do not have an EIN, enter 000000000 (9 zeros) in lieu of your Social Security Number.

Do not enter your SS#. Name Address City State Zip Code

1-Construction1-New Construction
2-Non-Construction2-Substantial Rehabilitation
3-Repair
4-Service
5-Project Management
Yes6-Professional Services
1-WhiteNo7-Tenant Services
2-Black/African American8-Education/ Training
3-Asian9-Architect/ Engineering/ Appraisal
4-American Indian/Alaskan NativeC
5-Nat. Hawaiian/Other Pacific IslanderS
6-Am. Indian/Alaskan Nat. & White
7-Asian & White
8-Black/African American & White
9-Am. Indian/Alaskan & Black/African
10-Other Multi-Racial
11-Governmental Agency
12-Non Profit
*Dollar amount must be listed even if contract is "Based on Performance" or "Estimate."
Attachment B - MBE/WBE Stand-Alone Report (for Contractors and Subcontractors)PAGE 3
CDBG Annual Performance Report
Reporting Period July 1, 2021 through June 30, 2022

CDBG Recipient Name United States Forest Service Preparer's Name

Contractor or Subcontractor Name Preparer's Organization

1. CDBG Standard Agreement Number 2. Does this Activity involve any Construction or Rehab.? Y or N 3. Total CDBG Award Amount (including all activities and admin) 4. Contract or Subcontract Amount* (see note below) 5. Contract or Subcontract Execution Date (mm/dd/yy) 6. Contract Type 7. Trade Code Type 8. Contractor or Subcontractor Business Racial/Ethnic Code 9. Women- Owned Business? Y or N 10. Section 3 Business? Y or N

JBermude: See Sec 3 tab for definition.

Administrator: If you do not have an EIN, enter 000000000 (9 zeros) in lieu of your Social Security Number.

Do not enter your SS#. 11. Contractor (C) or Subcontractor(S) and IRS Employer ID # (EIN) 12. Contractor/Subcontractor Information

C or S EIN (Not SSN) Must be 9 digits Administrator: If you do not have an EIN, enter 000000000 (9 zeros) in lieu of your Social Security Number.

Do not enter y0ur SS#.

Administrator: If you do not have an EIN, enter 000000000 (9 zeros) in lieu of your Social Security Number.

Do not enter your SS #.

Name Address City State Zip Code

*Dollar amount must be listed even if contract is "Based on Performance" or "Estimate."

Select CDBG Recipient
A
Alameda, County of
Alturas, City of
Amador, County of
American Canyon, City of
Anderson, City of
Angels, City of
Angels Camp, City of
Arcata, City of
Artesia, City of
Arvin, City of
Atwater, City of
Auburn, City of
Avenal, City of
B
Bakersfield, City of
Beck Group, Inc. dba Beck Group Forest Products Consulting
Bellflower, City of
Benicia, City of
Biggs, City of
Bishop, City of
Blue Lake, City of
Brawley, City of
Buena Park, City of
Butte, County of
C
Calaveras, County of
Calexico, City of
California City, City of
California Conservation Corps (CDBG-NDR)
California Dept. of Forestry & Fire Protection
Calimesa, City of
Calipatria, City of
Calistoga, City of
Capitola, City of
Ceres, City of
Chowchilla, City of
Clearlake, City of
Coachella, City of
Coalinga, City of
Colfax, City of
Colusa, City of
Colusa, County of
Corcoran, City of
Corning, City of
Crescent City, City of
D
Del Norte, County of
Del Rey Oaks, City of
Delano, City of
Dinuba, City of
Dixon, City of
Dorris, City of
Dos Palos, City of
Duarte, City of
Dunsmuir, City of
E
El Centro, City of
El Dorado, County of
El Monte City of
Etna, City of
Eureka, City of
Exeter, City of
F
Farmersville, City of
Fernandeño Tataviam Band of Mission Indians
Ferndale, City of
Firebaugh, City of
Fort Bragg, City of
Fort Jones, Town of
Fortuna, City of
Fowler, City of
G
GCR, Inc.
Glenn, County of
Gonzales, City of
Grass Valley, City of
Greenfield, City of
Gridley, City of
Grover Beach, City of
Guadalupe, City of
Gustine, City of
H
Hanford, City of
Hollister, City of
Holtville, City of
Humboldt, County of
Huron, City of
I
Imperial, City of
Imperial, County of
Inyo, County of
Ione, City of
J
Jackson, City of
K
Kashia Band of Pomo Indians
King City, City of
Kings, County of
L
La Mirada, City of
Laguna Woods, City of
Lake, County of
Lake Elsinore, City of
Lakeport, City of
Lassen, County of
Lawndale, City of
Lemoore, City of
Lincoln, City of
Lindsay, City of
Live Oak, City of
Livingston, City of
Long Beach, City of
Loomis, City of
Los Altos Hills, Town of
Los Angeles, City of
Los Angeles, County of
Los Banos, City of
Loyalton, City of
M
Madera, County of
Mammoth Lakes, Town of
Maricopa, City of
Marina, City of
Mariposa, County of
Marysville, City of
McFarland, City of
Mendocino, County of
Merced, County of
Mission Viejo, City of
Modoc, County of
Mono, County of
Montague, City of
Montebello, City of
Monterey, County of
Morro Bay, City of
Mountain View, City of
Mount Shasta, City of
N
Napa, County of
Nevada City, City of
Nevada, County of
Newman, City of
O
Orange Cove, City of
Orland, City of
Oroville, City of
P
Pacific Grove, City of
Paradise, Town of
Parlier, City of
Pismo Beach, City of
Placer, County of
Placerville, City of
Plumas, County of
Plumas Crisis Intervention & Resource Center
Plymouth, City of
Point Arena, City of
Portola, City of
R
Red Bluff, City of
Redding, City of
Ridgecrest, City of
Rio Dell, City of
Rio Vista, City of
Riverbank, City of
Rural Community Assistance Corporation (CDBG-NDR)
S
Sacramento HRA
Salinas, City of
San Benito, County of
San Joaquin, City of
San Juan Bautista, City of
San Juan Capistrano, City of
Sand City, City of
Sanger, City of
San Mateo, County of
Santa Barbara, City of
Santa Cruz, County of
Saratoga, City of
Scotts Valley, City of
Scotts Valley Band of Pomo Indians
Shasta Lake, City of
Shasta, County of
Sierra Nevada Conservancy
Sierra, County of
Siskiyou, County of
Solano, County of
Soledad, City of
Sonora, City of
South El Monte, City of
South Gate, City of
South Lake Tahoe, City of
Stanislaus, County of
St. Helena, City of
Suisun City, City of
Susanville, City of
Sutter, County of
T
Taft, City of
Tehama, City of
Tehama, County of
Trinity, County of
Truckee, Town of
Tulare, County of
Tulelake, City of
Tuolumne, County of
Twentynine Palms, City of
U
Ukiah, City of
United States Forest Service
V
Ventura, County of
Vernon, City of
W
Walnut, City of
Wasco, City of
Weed, City of
West Sacramento, City of
Westminster, City of
Westmorland, City of
Wheatland, City of
Williams, City of
Willits, City of
Willows, City of
Winters, City of
Woodlake, City of
Y
Yolo, County of
Yorba Linda, City of
Yreka, City of
Yuba, County of
Yurok Indian Housing Authority

&8&D

&"Arial,Regular"&8 2021-22 CDBG APR (04/27/2022) &"Arial,Regular"&8Attachment B - MBE/WBE Stand-Alone Report &"Arial,Regular"&8Page &P of 3

HCD CDBG

State of California

BF

Link Data F

United States Forest Service16-NDR-11694Professionals000Select Y/NSelect Y/NSelect Y/NFALSEFALSEFALSEFALSEFALSE0
United States Forest Service16-NDR-11694Office & Clerical000
United States Forest Service16-NDR-11694Sales000
United States Forest Service16-NDR-11694Operatives000
United States Forest Service16-NDR-11694Service Workers000
United States Forest Service16-NDR-11694Technicians000
United States Forest Service16-NDR-11694Craft Workers000
United States Forest Service16-NDR-11694Officials & Managers000
United States Forest Service16-NDR-11694Laborers000
United States Forest Service16-NDR-116940000
United States Forest Service16-NDR-116940000
United States Forest Service16-NDR-116940000
United States Forest Service16-NDR-116940000
United States Forest Service16-NDR-116940000

Att F Stand Alone

Attachment F - Section 3 Stand-Alone Report (for Contractors & Subcontractors)

CDBG Annual Performance Report

Reporting Period July 1, 2021 through June 30, 2022

DUE DATE: Monday, August 1, 2022

Provide information for all Section 3 Employment and Procurement Opportunities:
CDBG Recipients are required to file a Section 3 Report for each active Standard Agreement involving the construction or rehabilitation of a CDBG-assisted project. CDBG Recipients will distribute the "Attachment F - Stand-Alone Report" to each Contractor and Subcontractor who has a contract exceeding $100,000, even if the contract was executed in the prior reporting period. The "Attachment F - Stand-Alone Report" must be filed annually, including the final fiscal year in which the CDBG Project Completion Report is filed, regardless of whether CDBG funds were expended or when the contract was executed.
You need to answer "Yes" to one of the questions.

GENERAL INFORMATION STOP! There should only be one "Yes" answer to the three questions. Each business entity must complete a separate Section 3 form.

Prior to providing these pages to the contractor(s), fill in the fields below. FALSE

Select Y/N26ERROR:#REF!
1.CDBG Recipient:CDBG Contract Number:Is this form for this entity?NOYes
,Town ofNoNo
United States Forest Service16-NDR-11694
30ERROR:#REF!
2.Contractor's Business Name:Contract Amount with ContractorIs this form for this entity?Select Y/NEH452
3.Subcontractor's Business Name:Contract Amount with SubcontractorIs this form for this entity?Select Y/N
4.Person Completing this form:Phone #Email:
You have answered "Yes" to both questions above; you do not need to complete the rest of this form for this contract. Submit this page with your completed APR to CDBG@hcd.ca.gov.
EH501
5.Organization Name:
FALSE0FALSE0
EH566
PART I: EMPLOYMENT AND TRAINING
FALSE0
, City ofFALSE0
, County of
1. During the reporting period, did you have any Section 3 Employees or any New Hires?, Town of
, City of
FALSE0, County of
, Town of

FALSE 0

The chart below must itemize the Section 3 Employees, Non-Section 3 Employees, New Hires, etc. who were employed as a result of this award.
Job Category Definitions (Move cursor over job category to read definition)
FALSE0

Professionals emunoz: Occupations requiring either college graduation or experience of such kind and amount as to provide a comparable background. Includes: accountants and auditors, airplane pilots and navigators, architects, artists, chemists, designers, dieticians, editors, engineers, lawyers, librarians, mathematicians, natural scientists, registered professional nurses, personnel an labor relations specialists, physical scientists, physicians, social scientists, teachers, surveyors and kindred workers.

Office & Clerical emunoz: Includes all clerical-type work regardless of level of difficulty, where the activities are predominantly non-manual though some manual work not directly involved with altering or transporting the products is included. Includes: bookkeepers, collectors (bills and accounts), messengers and office helpers, office machine operators (including computer), shipping and receiving clerks, stenographers, typists and secretaries telegraph and telephone operators, legal assistants, and kindred workers.

Sales emunoz: Occupations engaging wholly or primarily in direct selling. Includes: advertising agents and sales workers, insurance agents and brokers, real estate agents and brokers, stock and bond sales workers, demonstrators, sales workers and sales clerks, grocery clerks, and cashiers/checkers, and kindred workers.

Operatives (Semiskilled)
emunoz: Workers who operate machine or processing equipment or perform other factory-type duties of intermediate skill level which can be mastered in a few weeks and require only limited training. Includes: apprentices (auto mechanics, plumbers, bricklayers, carpenters, electricians, machinists, mechanics, building trades, metalworking trades, printing trades, etc.), operatives, attendants (auto service and parking), blasters, chauffeurs, delivery workers, sewers and stitchers, dryers, furnace workers, heaters, laundry and dry cleaning operatives, milliners, mine operatives and laborers, motor operators, oilers and greasers (except auto), painters (manufactured articles), photographic process workers, truck and tractor drivers, knitting, looping, taping and weaving machine operators, welders and flame cutters, electrical and electronic equipment assemblers, butchers and meat cutters, inspectors, testers and graders, hand packers and packagers, and kindred workers.Service Workers

emunoz: Workers in both protective and non-protective service occupations. Includes: attendants (hospital and other institutions, professional and personal service, including nurse's aides, and orderlies), barbers, char workers and cleaners, cooks, counter and fountain workers, elevator keepers, stewards, janitors, police officers and detectives, porters, waiters and waitresses, amusement and recreation facilities attendants, guides, ushers, public transportation attendants, and kindred workers.

Technicians emunoz: Occupations requiring a combination of basic scientific knowledge and manual skill which can be obtained through 2 years of post high school education, such as is offered in many technical institutes and junior colleges, or through equivalent on-the-job training. Includes: computer programmers, drafters, engineering aides, junior engineers, mathematical aides, licensed, practical or vocational nurses, photographers, radio operators, scientific assistants, technical illustrators, technicians (medical, dental, electronic, physical science), and kindred workers.

Craft Workers
emunoz: Manual workers of relatively high skill level having a thorough and comprehensive knowledge of the processes involved in their work. Exercise considerable independent judgment and usually receive an extensive period of training. Includes: the building trades, hourly paid supervisors and lead operators who are not members of management, mechanics and repairers, skilled machining occupations, compositors and typesetters, electricians, engravers, painters (construction and maintenance), motion picture projectionists, pattern and model makers, stationary engineers, tailors an tailoresses, arts occupations, hand painters, coaters, bakers, decorating occupations, and kindred workers.Officials & Managers

emunoz: Occupations requiring administrative and managerial personnel who set broad policies, exercise overall responsibility for execution of these policies, and direct individual departments or special phases of a firm's operations. Includes: officials, executives, middle management, plant managers, department managers, and superintendents, salaried supervisors who are members of management, purchasing agents and buyers, railroad conductors and yard masters, ship captains, mates and other officers, farm operators and managers, and kindred workers.

emunoz: Includes all clerical-type work regardless of level of difficulty, where the activities are predominantly non-manual though some manual work not directly involved with altering or transporting the products is included. Includes: bookkeepers, collectors (bills and accounts), messengers and office helpers, office machine operators (including computer), shipping and receiving clerks, stenographers, typists and secretaries telegraph and telephone operators, legal assistants, and kindred workers.

emunoz: Manual workers of relatively high skill level having a thorough and comprehensive knowledge of the processes involved in their work. Exercise considerable independent judgment and usually receive an extensive period of training. Includes: the building trades, hourly paid supervisors and lead operators who are not members of management, mechanics and repairers, skilled machining occupations, compositors and typesetters, electricians, engravers, painters (construction and maintenance), motion picture projectionists, pattern and model makers, stationary engineers, tailors an tailoresses, arts occupations, hand painters, coaters, bakers, decorating occupations, and kindred workers.

emunoz: Workers in both protective and non-protective service occupations. Includes: attendants (hospital and other institutions, professional and personal service, including nurse's aides, and orderlies), barbers, char workers and cleaners, cooks, counter and fountain workers, elevator keepers, stewards, janitors, police officers and detectives, porters, waiters and waitresses, amusement and recreation facilities attendants, guides, ushers, public transportation attendants, and kindred workers.

emunoz: Occupations requiring either college graduation or experience of such kind and amount as to provide a comparable background. Includes: accountants and auditors, airplane pilots and navigators, architects, artists, chemists, designers, dieticians, editors, engineers, lawyers, librarians, mathematicians, natural scientists, registered professional nurses, personnel an labor relations specialists, physical scientists, physicians, social scientists, teachers, surveyors and kindred workers.

Laborers (Unskilled) emunoz: Workers in manual occupations which generally require no special training who perform elementary duties that may be learned in a few days and require the application of little or no independent judgment. Includes: garage laborers, car washers and greasers, groundskeepers and gardeners, farm workers, stevedores, wood choppers, laborers performing lifting, digging, mixing, loading and pulling operations, and kindred workers.

Other emunoz: Any other job Category not listed.

For the program activity(ies) the CDBG Recipient has funded, there is no need to complete the rest of this form. Submit this page with your completed APR to CDBG@hcd.ca.gov.

ET73

A. Job Category B. Number of New Hires Juanita Bermudez: New Hire = a full-time employee for a new permanent, temporary, or seasonal position that is created as a result of HUD funding (CDBG Award).

C. Number of New Hires that are Section 3 Residents Juanita Bermudez: Section 3 Residents = -Public housing residents including persons with disabilities.

-Low or Very Low Income Families living in the area where the Section 3 covered project is being built or rehabilitated.

emunoz: Workers who operate machine or processing equipment or perform other factory-type duties of intermediate skill level which can be mastered in a few weeks and require only limited training. Includes: apprentices (auto mechanics, plumbers, bricklayers, carpenters, electricians, machinists, mechanics, building trades, metalworking trades, printing trades, etc.), operatives, attendants (auto service and parking), blasters, chauffeurs, delivery workers, sewers and stitchers, dryers, furnace workers, heaters, laundry and dry cleaning operatives, milliners, mine operatives and laborers, motor operators, oilers and greasers (except auto), painters (manufactured articles), photographic process workers, truck and tractor drivers, knitting, looping, taping and weaving machine operators, welders and flame cutters, electrical and electronic equipment assemblers, butchers and meat cutters, inspectors, testers and graders, hand packers and packagers, and kindred workers.

emunoz: Occupations requiring a combination of basic scientific knowledge and manual skill which can be obtained through 2 years of post high school education, such as is offered in many technical institutes and junior colleges, or through equivalent on-the-job training. Includes: computer programmers, drafters, engineering aides, junior engineers, mathematical aides, licensed, practical or vocational nurses, photographers, radio operators, scientific assistants, technical illustrators, technicians (medical, dental, electronic, physical science), and kindred workers.

D. Number of Section 3 Trainees Juanita Bermudez: Section 3 Trainee = Section 3 residents who were trained in connection with the CDBG award.

Juanita Bermudez: New Hire = a full-time employee for a new permanent, temporary, or seasonal position that is created as a result of HUD funding (CDBG Award).

emunoz: Workers in manual occupations which generally require no special training who perform elementary duties that may be learned in a few days and require the application of little or no independent judgment. Includes: garage laborers, car washers and greasers, groundskeepers and gardeners, farm workers, stevedores, wood choppers, laborers performing lifting, digging, mixing, loading and pulling operations, and kindred workers.

emunoz: Occupations engaging wholly or primarily in direct selling. Includes: advertising agents and sales workers, insurance agents and brokers, real estate agents and brokers, stock and bond sales workers, demonstrators, sales workers and sales clerks, grocery clerks, and cashiers/checkers, and kindred workers.

The CDBG Recipient is required to complete this Section 3 Report (Attachment F) for the CDBG contract listed above. Submit all Section 3 reports with your completed APR to CDBG@hcd.ca.gov.

`
ET791
Professionals
Office & Clerical
Sales
OperativesFor the program activity(ies) the CDBG Recipient has funded, there is no need to complete the rest of this form. Submit this page with your completed APR to CDBG@hcd.ca.gov.
Service Workers
TechniciansSelect Job Category
Craft WorkersCraft Workers
Officials & ManagersLaborersET91
LaborersOther
Other - List additional Job Categories belowOffice & Clerical
Operatives
Technicians
Professionals
Officials & Managers
Sales
Service Workers
Continue completing this form. In addition, distribute the "Attachment F - Stand-Alone Report" to all contractors and subcontractors with contracts and subcontracts greater than $100,000 for completion, even if the contract or subcontract was entered into prior to the reporting period.It is the CDBG Recipient's responsibility to distribute the "Attachment F - Stand-Alone Report" to all contractors and subcontractors. The CDBG Recipient must submit all "Attachment F - Stand-Alone Reports" with their APR submission to HCD.NOTE: Even if the CDBG Recipient did not have any Section 3 employees, new hires, or entered into any contracts during the 2013-2014 reporting period, the CDBG Recipient is still required to ascertain whether the contractors and subcontractors had any Section 3 employees, new hires, or entered into any contracts during this reporting period.
ET113
Attachment F - Section 3 Stand-Alone Report (for Contractors & Subcontractors)PAGE 2Contractor

CDBG Annual Performance Report

Subcontractor
1You must complete Part I below and Part III. Part II does not have to be completed.
Reporting Period July 1, 2021 through June 30, 2022

2 You do not need to complete the rest of this form. Submit pages 1 and 2 with your completed APR to CDBG@hcd.ca.gov

CDBG Recipient:United States Forest ServiceCDBG Contract Number:16-NDR-11694
ET131Continue completing this form, including the chart below.

ET134 You do not need to complete the chart below, but must complete Parts II and III which follow.

Contractor's Business Name

Subcontractor's Business Name 2 3 g ERROR:#VALUE! 3

1 1 ERROR:#NAME? ERROR:#VALUE!

PART II: CONTRACTS AWARDED

ERROR:#VALUE!

1. During the reporting period, did you enter into any new contracts (regardless of dollar amount)?

1
1
Construction1
Non-Construction1
1
1
1
2.If yes to question #1, did you list all new contracts entered into during the reporting period on Attachment B of the APR?1
1
1
1
1
8FE167Continue completing this form. Skip question #2 below and continue with Part III.
You must complete the chart below and then continue completing the form.
YFE170
1
1
1
1
PART III: SUMMARY OF EFFORTS MADEYou do not need to complete the rest of this form. Submit pages 1 and 2 with your completed APR to CDBG@hcd.ca.gov.
1
You do not need to complete the rest of this form. Submit pages 1 and 2 with the completed APR to CDBG@hcd.ca.gov.

Meeting Section 3 Goals Outlined by HUD: The Section 3 Goals are defined under #14 "Numerical Goals" in the attached Glossary. 9 FE186

Part I

1.1NFE191You do not need to complete the chart below, but must complete Parts II and III which follow.
1. Training and Employment:
Were at least 30% of your total new hires Section 3 residents?Select Y/NDo not list contractors if contract amount does not exceed $100,000.1
1
1
1
1
2. Awarding Contracts:6FE203Please complete the "Attachment B - Stand-Alone Report;" you must enter the required information for all new contracts entered into during the reporting period. After completion, submit the "Attachment B - Stand-Alone Report" with the APR to HCD.
a.Were at least 10% of the total dollar amount of (all Section 3-covered) construction contracts over $100,000 Section 3 businesses?1
awarded to Section 3 businesses?Select Y/N
2
b.Were at least 3% of the total dollar amount of (all Section 3-covered) non-construction contracts awarded to Section 32
businesses?Select Y/N
1

3. Indicate below the efforts made by the entity completing this form to direct the employment and other economic opportunities generated by the CDBG award toward low- and very low-income persons, particularly those who are recipients of government assistance for housing. EU217 3 3

ERROR:#REF!
aFALSE
Check all that apply:bFALSE
cFALSE
dFALSE
eFALSE

Attempted to recruit low-income residents through local advertising media, signs prominently displayed at the project site, contacts with community organizations and public or private agencies operating within the metropolitan area (or Non-metropolitan County) in which the Section 3-covered program or project is located, or by similar methods;

Participated in a HUD program or other program(s) that promotes the training or employment of Section 3 residents;
Part II
1.1
Participated in a HUD program or other program(s) that promotes the award of contracts to business(es) that meet the definition of Section 3 business concerns;

Continue completing this form. Skip question #2 below and continue with Part III.

EQ280

Coordinated with the Youth Build Programs administered in the metropolitan area in which the Section 3 covered project is located; and/or

Please complete Attachment B of the APR; you must enter the required information on the chart for all new contracts entered into during the reporting period. Attachment B must be submitted with your APR to HCD.

EQ287
Other. Please describe below.
You must complete the "Attachment B - Stand-Alone Report" in its entirety and submit with the APR to HCD. Continue completing this form.
2.1EQ304

EQ312 Continue completing this form.

Select CDBG Recipient
A
Alameda, County of
Alturas, City of
Amador, County of
American Canyon, City of
Anderson, City of
Angels, City of
Angels Camp, City of
Arcata, City of
Artesia, City of
Arvin, City of
Atwater, City of
Auburn, City of
Avenal, City of
B
Bakersfield, City of
Beck Group Inc., dba Beck Group Forest Products Consulting
Bellflower, City of
Benicia, City of
Biggs, City of
Bishop, City of
Blue Lake, City of
Brawley, City of
Buena Park, City of
Butte, County of
C
Calaveras, County of
Calexico, City of
California City, City of
California Conservation Corps (CDBG-NDR)
California Dept. of Forestry and Fire Protection
Calimesa, City of
Calipatria, City of
Calistoga, City of
Capitola, City of
Ceres, City of
Chowchilla, City of
Clearlake, City of
Coachella, City of
Coalinga, City of
Colfax, City of
Colusa, City of
Colusa, County of
Corcoran, City of
Corning, City of
Crescent City, City of
D
Del Norte, County of
Del Rey Oaks, City of
Delano, City of
Dinuba, City of
Dixon, City of
Dorris, City of
Dos Palos, City of
Duarte, City of
Dunsmuir, City of
E
El Centro, City of
El Dorado, County of
El Monte, City of
Etna, City of
Eureka, City of
Exeter, City of
F
Farmersville, City of
Fernandeño Tataviam Band of Mission Indians
Ferndale, City of
Firebaugh, City of
Fort Bragg, City of
Fort Jones, Town of
Fortuna, City of
Fowler, City of
G
GCR Inc.
Glenn, County of
Gonzales, City of
Grass Valley, City of
Greenfield, City of
Gridley, City of
Grover Beach, City of
Guadalupe, City of
Gustine, City of
H
Hanford, City of
Hollister, City of
Holtville, City of
Humboldt, County of
Huron, City of
I
Imperial, City of
Imperial, County of
Inyo, County of
Ione, City of
J
Jackson, City of
K
Kashia Band of Pomo Indians
King City, City of
Kings, County of
L
La Mirada, City of
Laguna Woods, City of
Lake, County of
Lake Elsinore, City of
Lakeport, City of
Lassen, County of
Lawndale, City of
Lemoore, City of
Lincoln, City of
Lindsay, City of
Live Oak, City of
Livingston, City of
Long Beach, City of
Loomis, City of
Los Altos Hills, Town of
Los Angeles, City of
Los Angeles, County of
Los Banos, City of
Loyalton, City of
M
Madera, County of
Mammoth Lakes, Town of
Maricopa, City of
Marina, City of
Mariposa, County of
Marysville, City of
McFarland, City of
Mendocino, County of
Merced, County of
Mission Viejo, City of
Modoc, County of
Mono, County of
Montague, City of
Montebello, City of
Monterey, County of
Morro Bay, City of
Mountain View, City of
Mount Shasta, City of
N
Napa, County of
Nevada City, City of
Nevada, County of
Newman, City of
O
Orange Cove, City of
Orland, City of
Oroville, City of
P
Pacific Grove, City of
Paradise, Town of
Parlier, City of
Pismo Beach, City of
Plumas Crisis Intervention & Resource Center
Placer, County of
Placerville, City of
Plumas, County of
Plymouth, City of
Point Arena, City of
Portola, City of
R
Red Bluff, City of
Redding, City of
Ridgecrest, City of
Rio Dell, City of
Rio Vista, City of
Riverbank, City of
Rural Community Assistance Corporation (CDBG-NDR)
S
Sacramento HRA
Salinas, City of
San Benito, County of
San Joaquin, City of
San Juan Bautista, City of
San Juan Capistrano, City of
Sand City, City of
Sanger, City of
San Mateo, County of
Santa Barbara, City of
Santa Cruz, County of
Saratoga, City of
Scotts Valley, City of
Scotts Valley Band of Pomo Indians
Shasta Lake, City of
Shasta, County of
Sierra, County of
Sierra Nevada Conservancy
Siskiyou, County of
Solano, County of
Soledad, City of
Sonora, City of
South El Monte, City of
South Gate, City of
South Lake Tahoe, City of
St. Helena, City of
Stanislaus, County of
Suisun City, City of
Susanville, City of
Sutter, County of
T
Taft, City of
Tehama, City of
Tehama, County of
Trinity, County of
Truckee, Town of
Tulare, County of
Tulelake, City of
Tuolumne, County of
Twentynine Palms, City of
U
Ukiah, City of
United States Forest Service
V
Ventura, County of
Vernon, City of
W
Walnut, City of
Wasco, City of
Weed, City of
West Sacramento, City of
Westminster, City of
Westmorland, City of
Wheatland, City of
Williams, City of
Willits, City of
Willows, City of
Winters, City of
Woodlake, City of
Y
Yolo, County of
Yorba Linda, City of
Yreka, City of
Yuba, County of
Yorok Indian Housing Authority

&8&D

&"Arial,Regular"&8 2021-22 CDBG APR (04/27/2022) &"Arial,Regular"&8Attachment F - Section 3 Stand-Alone Report &"Arial,Regular"&8Page &P of 2

HCD CDBG

State of California

Att F, Sec 3 Instrs-Glossary

Attachment F - Section 3 General Instructions PAGE 1

CDBG Annual Performance Report

Attachment F - Section 3 General Instructions PAGE 2

CDBG Annual Performance Report

Part IV: Glossary – Section 3 (24 CFR 135.5)

1 Employment Opportunities Generated by Section3 Covered Assistance Rehabilitation and construction positions pursuant to the activities covered by Section 3, plus management and administrative jobs (including architectural, engineering or related professional services required to prepare plans, drawings, specifications or work write-ups) and jobs directly related to the administrative support of these activities (e.g. construction manager, relocation specialist, payroll clerk, etc.)

2 Housing and Community Development Assistance Any financial assistance provided or otherwise made available through a HUD housing or community development program through any grant, loan, loan guarantee, cooperative agreement, or contract, and includes community development funds in the form of CDBGs, and loans guaranteed under Section 108 of the HCD Act of 1974, as amended. HCD assistance does not include financial assistance provided through a contract of insurance or guaranty.

3 Service Area The geographical area in which the persons benefiting from the “Section 3 Covered Project” reside. The “Service Area” shall not extend beyond the unit of general local government in which the “Section 3 Covered Assistance” is expended.

4 New Hires Full-time employees for permanent, temporary, or seasonal employment opportunities.

5 Recipient Any entity which receives “Section 3 Covered Assistance,” directly from HUD or from another recipient and includes, but is not limited to, any State, unit of local government, PHA, IHA, Indian tribe, or other public body, public or private non-profit organization, private agency or institution, mortgagor, developer, limited dividend sponsor, builder, property manager, community housing development organization, resident management corporation, resident council, or cooperative association. Recipient also includes any successor, assignee or transferee of any such entity, but does not include any ultimate beneficiary under the HUD program to which section 3 applies and does not include contractors.

6 Section 3 Businesses A business concern that is (1) 51% or more owned by Section 3 residents, (2) whose permanent, full-time employees include persons, at least 30% of whom are currently Section 3 residents, or within three years of the date of first employment with the business concern were Section 3 residents, or (3) that provides evidence of a commitment to subcontract in excess of 25% of the dollar award of all sub-contracts to be awarded to business concerns that meet the qualifications of (1) and (2) above.

7 Section 3 Covered Contract A contract or subcontract (including a professional service contract) awarded by a CDBG Recipient or “Contractor” for work generated by the expenditure of “Section 3 Covered Assistance,” or for work arising in connection with a “Section 3 Covered Project.”

8 Section 3 Covered Project The construction, reconstruction, conversion or rehabilitation of housing (including reduction and abatement of lead-based paint hazards), other public construction which includes buildings or improvements (regardless of ownership) assisted with housing or community development assistance.

Attachment F - Section 3 General Instructions PAGE 3

CDBG Annual Performance Report

9 Section 3 Covered Assistance Assistance provided under any HUD housing or community development program that is expended for work arising in connection with (i) Housing rehabilitation (including reduction and abatement of lead-based paint hazards, but excluding routine maintenance, repair and replacement); (ii) Housing construction; or (iii) Other public construction project (which includes other buildings and improvements, regardless of ownership).

10 Contractor Any entity which contracts to perform work generated by the expenditure of “Section 3 Covered Assistance,” or for work in connection with a “Section 3 Covered Project.”

11 Subcontractor Any entity (other than a person who is an employee of the contractor) which has a contract with a contractor to under-take a portion of the contractor’s obligation for the performance of work generated by the expenditure of “Section 3 Covered Assistance,” or arising in connection with a “Section 3 Covered Project.”

12 Section 3 Resident - Public housing residents including persons with disabilities.

- Low or Very Low Income Families living in the area where is being build or rehabilitated.

13 Section 3 Trainee Section 3 residents who were trained in connection with the award.

14 Numerical Goals l Training and Employment: you may demonstrate compliance by committing to employ Section 3 residents for 30% of the aggregate number of new hires each year;

l Awarding Contracts: you may demonstrate compliance by committing to award Section 3 business concerns l at least 10% of the total dollar amount of all Section 3-covered construction contracts over $100,000 (rehabilitation and new construction); and l at least 3% of the total dollar amount of all Section 3-covered non-construction contracts (i.e., landscaping or professional services contracts such as architectural, environmental, or legal services).

END OF DOCUMENT

&"Arial,Regular"&8 2021-22 CDBG APR (04/27/2022) &"Arial,Regular"&8Contractor/Subcontractor - Section 3 Reporting Instructions &"Arial,Regular"&8Page &P of 3

Who is required to Report Section 3 Activities?

1. CDBG Recipients (Non-Entitlement Cities and Counties) who have an active CDBG award exceeding $200,000 for the following activities: Business Assistance, Microenterprise Assistance, Housing Project – Multi-Family, Public Improvements, Public Improvements in Support of Housing (New Construction), Public Facilities;

2. Contractors and Subcontractors of CDBG Recipients with construction or rehabilitation contracts exceeding $100,000.

What Should You Report?

Part I: Employment opportunities for Section 3 employees and new hires as a direct result of federally funded Section 3 activities (rehabilitation or new construction). This should include individuals hired by the CDBG Recipient, the General Contractor, and Subcontractors on the job.

Part II: Contracts and subcontracts arising in connection with the construction or rehabilitation of a CDBG-assisted project. Complete the form and answer the questions pertaining to construction and non-construction contracts. Include all contracts, even if the contract amount is less than $100,000.

Part III: For the CDBG Recipient, General Contractor, and Subcontractors to report their Section 3 efforts and policies.

HCD CDBG

State of California image1.jpeg image2.jpeg image3.jpeg

File details come from the government source that posted it. Updated .