1
2
3SAMPLE CONTRACT
U.S. DEPARTMENT OF HOUSING
OMB Approval No. 2577-0229
AND URBAN DEVELOPMENT
Expiration Date: 04/30/2015
ADMINISTRATIVE
OFFICE OF PUBLIC AND INDIAN HOUSING
PARTNERSHIP AGREEMENT
Instructions for completing this form: This form is provided to applicants as a sample to
use for formalizing agreements with the organization that will serve as the applicant’s
Contract Administrator. Troubled PHAs and resident associations must submit a
Contract Administrator Partnership agreement with their application and the agreement
must be for the full term of the grant. Applicants may elect to use this form, a modification
thereof, or their own form provided that the same information is contained therein.
Grant to which you are applying
:
I. General Terms
This partnership agreement is made and entered into by and between the applicant,
__________________________________ (name of applicant’s organization) and
__________________________________(name of Contract Administrator’s organization)
the Contract Administrator (CA), (e.g., the local public housing authority (PHA) or other
non-profit organization), hereinafter referred to as “CA”.
WHEREAS, the applicant is submitting the proposal for a Resident Opportunity and Self-
Sufficiency (ROSS) or Neighborhood Networks (NN).
WHEREAS, the applicant agrees to comply with all terms and conditions expressed in
HUD’s NOFA, applicable provisions of 24 CFR 964 or 24 CFR 984 (for FSS applicants),
provisions of the grant agreement entered into with HUD, and provisions contained in this
Partnership Agreement.
WHEREAS, the CA supports the applicant’s ROSS/NN application and agrees to provide
technical assistance to the applicant in accordance with HUD’s NOFA, HUD regulations and
provisions contained in this agreement.
WHEREAS, pursuant to the commitment made by the CA, this agreement is executed outlining
the type, scope and extent of services that the CA will provide to the applicant if the grant is
funded. If HUD does not fund the grant, this agreement shall be null and void.
II. Roles and Responsibilities
A. Grant Oversight
Under the direction of the applicant, the CA agrees to oversee the administration of the
ROSS or NN grant. This includes financial management, procurement, completing the
semi-annual reports, and ensuring that all grant activities are completed successfully within
the grant period. In meeting these commitments, the CA agrees to abide by the provisions of
24 CFR Parts 964/984, 45, 84, and 85 and the following OMB Circulars as applicable:
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form HUD-52755 (12/2005)
SAMPLE CONTRACT
U.S. DEPARTMENT OF HOUSING
OMB Approval No. 2577-0229
AND URBAN DEVELOPMENT
Expiration Date: 04/30/2015
ADMINISTRATIVE
OFFICE OF PUBLIC AND INDIAN HOUSING
PARTNERSHIP AGREEMENT
Instructions for completing this form: This form is provided to applicants as a sample to
use for formalizing agreements with the organization that will serve as the applicant’s
Contract Administrator. Troubled PHAs and resident associations must submit a
Contract Administrator Partnership agreement with their application and the agreement
must be for the full term of the grant. Applicants may elect to use this form, a modification
thereof, or their own form provided that the same information is contained therein.
Grant to which you are applying
:
I. General Terms
This partnership agreement is made and entered into by and between the applicant,
__________________________________ (name of applicant’s organization) and
__________________________________(name of Contract Administrator’s organization)
the Contract Administrator (CA), (e.g., the local public housing authority (PHA) or other
non-profit organization), hereinafter referred to as “CA”.
WHEREAS, the applicant is submitting the proposal for a Resident Opportunity and Self-
Sufficiency (ROSS) or Neighborhood Networks (NN).
WHEREAS, the applicant agrees to comply with all terms and conditions expressed in
HUD’s NOFA, applicable provisions of 24 CFR 964 or 24 CFR 984 (for FSS applicants),
provisions of the grant agreement entered into with HUD, and provisions contained in this
Partnership Agreement.
WHEREAS, the CA supports the applicant’s ROSS/NN application and agrees to provide
technical assistance to the applicant in accordance with HUD’s NOFA, HUD regulations and
provisions contained in this agreement.
WHEREAS, pursuant to the commitment made by the CA, this agreement is executed outlining
the type, scope and extent of services that the CA will provide to the applicant if the grant is
funded. If HUD does not fund the grant, this agreement shall be null and void.
II. Roles and Responsibilities
A. Grant Oversight
Under the direction of the applicant, the CA agrees to oversee the administration of the
ROSS or NN grant. This includes financial management, procurement, completing the
semi-annual reports, and ensuring that all grant activities are completed successfully within
the grant period. In meeting these commitments, the CA agrees to abide by the provisions of
24 CFR Parts 964/984, 45, 84, and 85 and the following OMB Circulars as applicable:
1
form HUD-52755 (12/2005)
OMB Approval No. 2577-0229
Expiration Date:
03/31/2011
- A-87 “Cost Principles for State, Local, and Indian Tribal Governments”;
- A-122 “Cost Principles for Nonprofit Organizations”;
- A-110 “Uniform Administrative Requirements for Grants and Other Agreements with
Institutions of Higher Education, Hospitals, and Other Nonprofit Organizations”; and
- A-133 “Audits of States, Local Governments, and Non-Profit Organizations”.
B. Grant Coordination
The CA and the applicant will meet weekly to discuss progress, problems incurred,
strategies to overcome them, specific areas of responsibility, future activities, and any
other issues as necessary.
C. Financial Responsibility
The applicant retains ultimate responsibility for all grant activites, including drawing down
funds from HUD, grant expenditures, and reporting to HUD.
D. Performance Measurement
The CA will work with the applicant to ensure that results agreed to by the applicant and
HUD are achieved. All semi-annual financial and performance reports prepared by the
CA must be reviewed and approved by the applicant prior to submission to HUD.
E. Coordinating and Building Partnerships
The CA agrees to coordinate the provision of assistance from grant partners. The CA
also agrees to work with the applicant in pursuing additional partnerships/assistance from
community organizations, government, and other organizations whose services would
benefit residents and the overall grant program. Following are suggested resources:
- Area enrichment programs
- Local Banks
- Chamber of Commerce
- Community Development Agencies
- Private Industry Council
- Local/State Health & Human Services Agencies
- Local Higher Education and Continuing Education Facilities
- Local Independent School Districts
- Social Service Organizations
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form HUD-52755 (12/2005)
OMB Approval No. 2577-0229
Expiration Date: 0
3/31/2011
F. Program Assessment and Reporting
The CA agrees to conduct or otherwise assist the applicant in assessing grant activities
based on 1) the performance measures in the applicant’s grant proposal submitted to
HUD and 2) any revisions to the assessment methodology made by the local HUD field
office. For Public Housing FSS applicants, the CA will ensure that the PHA meets its
PIC reporting requirements by reporting on the enrollment, progress, and exit of
individual families using the HUD-50058 addendum. The CA will ensure that reports
to HUD are made as required. All semi-annual financial and performance reports
prepared by the CA must be reviewed and approved by the applicant prior to submission
to HUD.
III. Contract Period
This contract is based on a period of time beginning ____________ and ending ___________ .
(NOTE: CAs must be retained for the full term of the grant.)
IV. Termination
Each party may terminate this agreement provided 60 calendar days of written notice is given
to the local HUD field office and the other party to this agreement. Applicants may terminate
this agreement based on non-compliance or non-cooperation by the CA. Termination may
only occur when all channels of resolution have been exhausted, including mediation
between the two parties. If all avenues for resolution have been exhausted, termination by
the applicant will require a two-thirds majority vote of the applicant’s Board of
Directors/Resident Council.
WITNESS OUR HANDS EFFECTIVE
Applicant Organization
Contract Administrator
Applicant Executive Director/
Executive Director
Other Authorized Representative
Date
Date
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form HUD-52755 (12/2005)
