HomeMy WebLinkAbout2024 SF-424 signed OMB Number:4040-0004
Expiration Date:12/31/2022
Application for Federal Assistance SF-424
`1.Type of Submission: 2.Type of Application: If Revision,select appropriate letter(s):
Preapplication ❑New
❑N Application ❑0 Continuation Other(Specify):
❑ Changed/Corrected Application ❑Revision
`3.Date Received: 4.Applicant Identifier:
[8116/24
5a.Federal Entity Identifier: 5b. Federal Award Identifier:
State Use Only:
6.Date Received by State: L� 7.State Application Identifier:
B.APPLICANT INFORMATION:
`a.Legal Name: [CITY OF TWIN FALLS
`b.Employer/Taxpayer Identification Number(EIN/TIN): `c.UEI:
182-6000270, [ TTHBY9UBVKL9
d.Address:
`Streetl: 12031MAIN AVENUE EAST
Streetl:
City: [TWIN FALLS
County/Parish:
`State: ID
Province:
`Country: [USA: UNITED STATES
Zip/Postal Code: 183301
e.Organizational Unit:
Department Name: Division Name:
CITY MANAGERS OFFICE
f.Name and contact information of person to be contacted on matters involving this application:
Prefix: LMR. •First Name: [TRAVIS
Middle Name: ` J
`Last Name: I ROTHWEILER
Suffix:
Title [CITY MANAGER
Organizational Affiliation:
Telephone Number: 1208-735-7271 Fax Number:
Email: [TROTHWEILER@TFID.ORG
Application for Federal Assistance SF-424
*9.Type of Applicant 1:Select Applicant Type:
C:CITY OR TOWNSHiIP GOVERNMENT,
Type of Applicant 2:Select Applicant Type:
Type of Applicant 3:Select Applicant Type:
*Other(specify):
*10.Name of Federal Agency:
U.S.DEPARTMENT OF HOUSING AND URBAN,DEVELOPMENT
11.Catalog of Federal Domestic Assistance Number:
14-218
CFDA Title:
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG)/ENTITLEMENT GRANT
*12.Funding Opportunity Number:
N/A
*Title:
N/A
13.Competition Identification Number:
N/A
Title:
N/A
14.Areas Affected by Project(Cities,Counties,States,etc.):
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*15.Descriptive Title of Applicant's Project:
CITY OF TWIN FALLS 2024 ANNUAL ACTION PLAN
Attach supporting documents as specified in agency instructions.
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l
Application for Federal Assistance SF-424
16.Congressional Districts Of:
*a.Applicant 'b.Program/Project 2
Attach an additional list of Program/Project Congressional Districts if needed.
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17.Proposed Project:
*a.Start Date: 10/01/24 'b.End Date: 9/30/25
18.Estimated Funding($):
*a.Federal 1341,417.00
*b.Applicant
*c.State
*d.Local
*e.Other
*f. Program Income
*g.TOTAL
*19.I,APpfication SoNect to Review By State Under Executive Order 12372 Process.
❑ a.This application was made available to the State under the Executive Order 12372 Process for review on
❑ b.Program is subject to E.O.12372 but has not been selected by the State for review.
❑E c.Program is not covered by E.O. 12372.
*20.Is the Applicant Delinquent On Any Federal'Debt? (it"Yes,"provide exptlanation in attachment)
Yes FE-]No
If"Yes", provide explanation and attach
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21.*By signing this application,I certify(1)to the statements contained in the list of certifications**and (2)that the statements
herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to
comply with any resulting terms if I accept an award.I am aware that any false,fictitious,or fraudulent statements or claims may
subject me to criminal,civil,or administrative penalties.(U.S.Code,Title 218,Section 1001)
F **I AGREE
**The list of certifications and assurances, or an internet site where you may obtain this list, is contained in the announcement or agency
specific instructions.
Authorized Representative:
Prefix: MR *First Name: TRAVIS
Middle Name:
*Last Name: ROTHWEILER
Suffix:
*Title: CITY MANAGER
*Telephone Number: 208-735-7271 Fax Number:
*Email: I TROTHWEILER@TFID.ORG
*Signature of Authorized Representative: r `Date.Signed:
r'