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HUD-5369-A 1992-2024 free printable template

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U.S. Department of Housing and Urban Development Office of Public and Indian Housing Representations Certifications and Other Statements of Bidders Public and Indian Housing Programs Previous edition is obsolete form HUD-5369-A 11/92 Table of Contents Clause Page Certificate of Independent Price Determination Contingent Fee Representation and Agreement Certification and Disclosure Regarding Payments to Influence Certain Federal Transactions Organizational Conflicts of Interest Certification...
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How to fill out hud form 5369 a

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How to fill out HUD 5369 A:

01
Gather all necessary information and documents required to complete the form.
02
Start by filling out the top section of the form, providing the project name, location, and any other requested details.
03
Move on to the "Contractor/Vendor Information" section and enter the required information about the contractor or vendor involved.
04
In the "Complete and Accurate Payment" section, provide the payment details such as the project item, description, quantity, unit price, and total amount due.
05
Fill out the "Funds Certification" section, ensuring that the appropriate certifications and signatures are provided.
06
Review the completed form for accuracy and completeness.
07
Submit the HUD 5369 A form as instructed by the relevant authorities.

Who needs HUD 5369 A:

01
Contractors or vendors who are involved in projects that require reporting and verification of payments.
02
Government agencies or authorities responsible for managing and overseeing projects that involve federal funding.
03
Any entity or individual required to comply with HUD (Department of Housing and Urban Development) regulations related to project payments.

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HUD 5369-A is a form used by the U.S. Department of Housing and Urban Development (HUD) for the Section 8 Tenant-Based Assistance Program. It is the "Application for Housing Assistance Payments" form, which is filled out by tenants who wish to participate in the program. The form collects information about the household size, income, and other relevant details to determine eligibility for rental assistance.
HUD Form 5369-A, "Instructions for Completing the Section 3 Summary Report" is typically filled out by recipients of financial assistance from the U.S. Department of Housing and Urban Development (HUD). This form is used to report on the employment and economic opportunities provided to low-income individuals and businesses through HUD-funded projects. Specifically, entities that are required to fill out HUD Form 5369-A include: 1. Grantees and contractors receiving financial assistance from HUD. 2. Public housing agencies (PHAs) that administer HUD programs. 3. Nonprofit organizations that receive funding from HUD. 4. For-profit entities that have received HUD funding. These entities must complete the Section 3 Summary Report (HUD Form 5369-A) and submit it to HUD as part of their reporting requirements.
To fill out HUD Form 5369-A, also known as the "Instructions to Offerors, Non-Construction," follow the steps below: 1. Familiarize yourself with the form: Understand the purpose and requirements of the form before filling it out. This form provides instruction to offerors (potential vendors) on how to submit proposals or bids for non-construction contracts with the U.S. Department of Housing and Urban Development (HUD). 2. Enter the solicitation number: Write the solicitation number, which uniquely identifies the procurement opportunity, in the designated space at the top of the form. 3. Indicate the date of the solicitation: Enter the date of the solicitation release in the space provided. This is the date when the opportunity was officially announced to potential offerors. 4. Fill in general instructions: The form contains several sections with instructions to offerors. Read these instructions carefully and follow them accordingly. Record any additional instructions given by HUD, if applicable. 5. Provide a table of contents: Include a table of contents listing the major headings and page numbers for your proposed document. This helps organize your submission and allows reviewers to quickly find relevant information. 6. Fill out section I: This section collects general information about the offeror. Provide the following details: - Offeror's legal name - DUNS number (Data Universal Numbering System) - Offeror's mailing address - Business type (e.g., corporation, partnership, sole proprietorship) - Point of contact's name, email address, telephone number, and fax number 7. Fill out section II: This section collects information related to the offeror's proposal. Provide details such as: - Proposed solution: Describe the approach you will take to meet the requirements stated in the solicitation. - Key personnel: Provide details of the personnel who will be in charge of the project/service, including their roles, qualifications, and relevant experience. - Past performance: Outline your organization's relevant past performance, including contracts, projects, or services similar to the solicitation. - Cost: Provide pricing information, including your proposed costs and any supporting documentation required by the solicitation. 8. Fill out section III: This section focuses on special instructions. If there are any HUD-specific requirements or specific instructions related to the solicitation, provide them in this section. 9. Fill out section IV: In this section, offerors should detail any proposed deviations from the solicitation requirements. If you plan to propose alternative solutions or suggest changes to the solicitation, describe them here. 10. Review and submission: Before submitting, carefully review the completed form to ensure accuracy and completeness. Ensure that all required attachments, supporting documents, or certifications mentioned in the solicitation are also included. Submit the completed HUD Form 5369-A along with your proposal according to the instructions provided by HUD in the solicitation document. Remember, these steps are a general guide to filling out HUD Form 5369-A. Always follow the specific instructions provided in the solicitation document and seek clarification from the relevant HUD representatives if needed.
HUD 5369-A is a form known as the "Instructions to Offerors—Non-Construction" issued by the U.S. Department of Housing and Urban Development (HUD). It is used to provide instructions and guidelines to individuals or entities submitting offers or proposals for non-construction projects or contracts with HUD. The purpose of this form is to ensure that offerors have a clear understanding of the requirements and procedures involved in the bidding or proposal process. It helps in promoting fairness, transparency, and compliance with HUD regulations in the procurement process.
HUD 5369-A: "User-Program Summary" is a form used by the U.S. Department of Housing and Urban Development (HUD) in the administration of federal grant programs. This form is typically completed by recipients of the grant funding, such as state or local government agencies or non-profit organizations, to provide summary information on how the grant money is being utilized. The information required to be reported on HUD 5369-A includes: 1. Grantee Information: This section requires the basic identification of the grantee, including the name, address, and contact information of the organization receiving the funds. 2. Funding Program Information: Here, the grantee must identify the specific HUD program under which the grant was awarded. This includes providing the grant number, program name, and reporting period details. 3. Brief Program Summary: In this section, the grantee is expected to provide a brief narrative summary that describes the objectives, activities, and outcomes of the funded program. The focus should be on the accomplishments and progress made during the reporting period. 4. Financial Summary: This part requests financial information related to the grant, including the amount of funds awarded, how much has been expended to date, and any remaining funds. It may also require details about program income, matching funds, or other financial aspects of the grant. 5. Performance Measures: The grantee is asked to report on specific performance measures that were agreed upon when the grant was awarded. This may include metrics related to the program's effectiveness, efficiency, or other relevant outcomes. The grantee should describe the progress made toward meeting these performance measures. 6. Program Questions: This section contains critical questions related to the program, which may vary depending on the specific grant program. The grantee must provide updated information on specific program activities, beneficiaries, outputs, and outcomes, as well as any changes or challenges encountered. 7. Certification and Signature: The form concludes with a certification statement that must be signed and dated by an authorized representative of the grantee organization, affirming the accuracy and completeness of the information provided. It is essential to note that the specific requirements and content of HUD 5369-A may vary depending on the grant program, funding source, and the reporting period. Grantees should refer to the instructions provided by HUD and adapt the form accordingly to ensure compliance.
HUD Form 5369-A is used to request the release of funds from the U.S. Department of Housing and Urban Development (HUD) for certain programs. While there is no specific information available regarding penalties for the late filing of this form, it is advisable to contact HUD or refer to their guidelines, regulations, or specific program terms to understand any consequences or penalties associated with late filing.
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