Finance Committee

PLACE OF PERFORMANCE:

The work described above shall be performed at: Southern NH HIV/AIDS Task Force, 77 Northeastern
Boulevard, Nashua, NH 03062.

TIME PERIOD:

INDEPENDENT CONTRACTOR AGREEMENT
Housing Opportunities for Persons With AIDS (HOPWA) Grant

AGREEMENT made this 1* day of May 2018 by and between the City of Nashua (hereinafter “City”) —
Division of Public Health & Community Services (hereinafter “DPHCS) whose address is 229 Main Street,
Nashua, NH 03060 and Southern NH HIV/AIDS Task Force (hereinafter “Contractor”) whose address is 77
Northeastern Boulevard, Nashua, NH 03062.

SERVICES TO BE PERFORMED:

es) THE CITY OF NASHUA “The Cate City’

Division of Pubke Health and Community Services
Office of the Derector

TO: Daniel Kooken, Purchasing Manager

FROM: Bobbie D. Bagley, Director of Division of Public Health & Community Services

SUBJECT: — City of Nashua and Southern NH HIV/AIDS Task Force Independent Contract
Agreement

DATE: May 16, 2018

=) THE CITY OF NASHUA “The Gate City"

Finanectal Services

Purchasing Department

May 10, 2018
Memo #18-142

TO: MAYOR JIM DONCHESS
FINANCE COMMITTEE

SUBJECT: INDEPENDENT CONTRACT AGREEMENT WITH SOUTHERN NH HIV/AIDS TASK

FORCE (VALUE: $382,297)
DEPARTMENT: 171 COMMUNITY SERVICES; FUND: GRANT FUNDS

Please see attached communication from Bobbie Bagley, Director of Public Health & Community Services
dated May 16, 2018 for the information related to this contract award.

OMB Approval No. 2506-0133
exp. 12/31/2017

r

Detaiied Project Budget & Housing Outputs (each organization)

OMB Approval No. 2506-0133
exp. 12/31/2017

Detailed Project Budget & Housing Outputs (each organization)

supportive housing O

OMB Approval No. 2506-0133
exp. 12/31/2017

Application Budget Summary (al! applicants)

OMB Approval No. 2506-0133
exp. 12/31/2017

Final Approved Form HUD-40110-B FY17 Renewal Budget

Grantee Name (“Grantee”): City of Nashua
Unique Entity Identifier (DUNS Number): 066758343

Insert application package page number 1 Form HUD-40110-B (Expiration Date 12/31/2010)

ARTICLE XVIII. Grant-specific Conditions

The following conditions are put on this grant due to deficiencies in the submitted Renewal
Application:

A. The final approved budget for this award is attached to this grant agreement. The grantee
must implement this grant in accordance to this final approved budget, unless an
amendment is executed.

ARTICLE XIV. Contact Information

A. HUD notifications to the Grantee under this Agreement shall be sent through GMM,
unless the Grantee otherwise notifies HUD in writing.

B. Grantee notifications, including requests for amendments to this Agreement, shall be
addressed through GMM.