12 - HOME Program Update of Contract Signatories

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TEXAS DEPARTMENT OF HOUSING AND COMMUNITY AFFAIRS HOME Prouram Contract Svstem. Access Reauest Form Contract Administrator Name: City of Paris ............ Physical Address (street, city, zip): 135 1` St. SE, Paris, 75460 Mailing Address: 135 11t St. SE, Paris, TX 75460 HOME Contract OR RSP Agreement Number: RSP #2019-0013 . . . . ...... . ........... . ............ . . . . . ....... Administrator's Fiscal Year Begins: 10/1 Administrator Phone Number: 903-784-9202 Email: gpadl@paristexas.gov Administrator Tax ID #: 75-600006359 .... ...... ' Administrator's Fiscal Year Ends: 9/30 Contract Execution Individual authorized to execute a contract on behalf of Contract Administrator. Also has authority to enter and approve project set-ups and draw requests. - - ------ - --- —Tit, ....... Name: Grayson Path e: City Manager - - - -, ... .. . .. ..... ....... Phone: 903-784-9202 Fax: 903-785-1798h ....... . .. .... . ... . .... ...... 1 - .Lmail: gpath@paristexas.gov I certify that all individuals identified in this document are authorized to perform the functions as specified. Si * rsatureo"'"--ed..._d"—s'" f Authorized Xminitrator Repres ive t'_'_ ""' . .......................................... ................ Jae Certifying- Officer or Authorized Officer (Multifainfly Program) for Environmental Clearance Individual responsible for ensuring completion of required Environmental Clearance procedures. (Must have legal authority to represent Contract Administrator in a Court of Law) Name: Grayson Path E Add El Remove Title: City Manager ... ......... Phone: 903-784-9002 Fax: 903-785-8519 Email: gpath@paristexas.gov Signature: .............. . .............................. .......... __ Date: Data Entry and A1212roval Authorizations Individuals authorized to enter and approve project set-ups or draw requests. Note: An individual who enters an activity set-up or draw request cannot be the same individual who approves that transaction. .............. . . . .... ........... - Name 1: Carla Easton Add r-1 Remove r Title: City Engineer Contract System ID #: Phone: 903-784-9292 1 Email: ceaston@paristexas".'gov Signature: Date: 12/18/19 Name 2: Gene Anderson Add ❑ Remove J T i t I e: Finance nce ... ...... .. ...... .......... Contract System 1[D #: Phone: 903784-9304 , , , , ,,Director..... "'', Email: ganderson@paristexasmn�.gov Signature:Date: . .. . Consultant Information and Authorization ....... . . .. Note: Consultants may enter data into TDHCA Contract System, and approve set-ups and/or draw requests. . .................. Organization Name and Address: Resource Management & Consulting Co. , P.O. - -- - --------- Box 6031 , Paris, TX 75461 Phone: 903-784-6439 Fax 903-784-2940 Email: rachelt-con @gransutlant.com erson Authorized to Title: Consultant Perform Data Entry: Charles Edwards AddRemove E-mail: charles@grant-consultant.com Contract System ID#: cadm125889 Contract Administrator Authorizes: set-up activity Z approve set-up activity (check box(s) that apply) enter draw request approve draw request Consultant Signature: Date: - Individual Authorized to Title: Consultant Perform Data Entry: Rachel Edwards ®Add E] Remove E -Mail: rachel@grant-consultant.com Contract S,)LstgM_W# cadm125889 Contract Administrator Authorizes: set-up activity . . . ..... approve set-up activity (check box(s) that apply) enter draw request approve draw request Consultant Signature: Date: WARNING: TITLE 18, Section 1001 of the U.S. Code states that a person is guilty of a felony for knowingly and, willingl), making false or fraudulent statements to any department . . . . ...... ... . . . ...... of the United States Government. .. .... .. .................... Texas Department of Housing and Community Affairs Page I of I Form 02.01 – HOME Contract System Access Request Form Revised 7-2013