HUD-5369-B.pdf

This is a HUD Form 5369-B, a standard federal form used for certifications and representations in connection with HUD programs and contracts. The form applies to entities and jurisdictions working with the Department of Housing and Urban Development on funded projects and initiatives. The document serves as a formal declaration by the applicant or contractor regarding their compliance with federal requirements, eligibility status, and organizational certifications necessary for participation in HUD-funded activities. The form requires authorized representatives to attest to various regulatory compliance matters, including civil rights adherence, environmental compliance, and financial management standards. Submission of the HUD-5369-B is typically required as part of the application or contracting process for HUD grants, loans, or cooperative agreements.

The HUD-5369-B functions as a mandatory certification document that establishes the legal and regulatory compliance posture of the submitting entity. Completion and signature of this form by authorized officials confirms the entity's commitment to federal program requirements, including compliance with Fair Housing Act provisions, Section 504 of the Rehabilitation Act, Title VI of the Civil Rights Act, and other applicable federal statutes. The form also addresses financial management capacity, organizational capability, and the absence of disqualifying factors such as debarment or suspension from federal contracts. While the form does not contain specific pricing, quantities, or project timelines relevant to the City of Tucson's GPS vehicle tracking procurement, it represents a prerequisite compliance document that would accompany any formal bid response or funding application related to HUD-supported initiatives.