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Implementation Manual, Forms and Appendices

Click HERE for a letter from the Director regarding the 2019 Revisions to the TxCDBG Project Implementation Manual.
Click HERE for chart showing the changes from the 2018 to the 2019 Manual. 

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These forms may be updated as needed.


  2018
Obsolete. For reference only.
FINAL
2019

Effective 9/1/2019 
Complete TxCDBG Implementation Manual (Select forms are ONLY available below)
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Chapter Form No.
Form Description  Availability
 
Table of Contents 
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Acronym List
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Section A Community Development Program Overview
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Chapter 1 Administration and Reporting  Download
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1 Admin. and Reporting
A102 Administrative Activities Checklist
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1 Admin. and Reporting A103
Filing System
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1 Admin. and Reporting A104 DR
Disaster Relief Quarterly Report (1 Year)
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Chapter 2 Financial Management 
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2 Financial Management
A201
Sample Signatory Resolution  Download
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2 Financial Management
A202 Depository-Authorized Signatories Designation
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2 Financial Management
A203 Request for Payment
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2 Financial Management
A206
Balance Adjustment Notice
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2 Financial Management
A207 Backup for Eligible Costs
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2 Financial Management
A208  TxCDBG Match Calculator Download Download 
2 Financial Management
 A209  Direct Deposit Form 74-176 Download Download 
Chapter 3 Environmental Review
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3 Environmental Review
A301
Request for Exemption from SHPO Review
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3 Environmental Review
A302
Full Environmental Assessment (EA) Checklist
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3 Environmental Review
A303
Exempt or Categorical Exclusion Not Subject to 58.5 
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3 Environmental Review
A304
Categorical Exclusion Subject to 58.5
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3 Environmental Review
A305
Sample NOI / RROF
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3 Environmental Review
A306 Sample Notice of FONSI
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3 Environmental Review A307
Floodplain Early Notice and Explanation Sample
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3 Environmental Review A308 Sample Request for Release of Funds (RROF)
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3 Environmental Review  A309 Summary of Levels of Environmental Review & Documentation Required in ERR Download Download 
3 Environmental Review  A310  Sample Affidavit of Posting - Environmental (NEW!)   Download 
Chapter 4 Contract Special Conditions
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4 Contract Special Conditions
A401 Certification of Pre-Construction Approvals
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Chapter 5 Procurement Procedures
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5 Procurement Procedures
A503 Financial Interest Report (FIR)
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5 Procurement Procedures A504 Small Purchase Procurement Record
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5 Procurement Procedures
A505 TDA Construction Contract Change Order
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5 Procurement Procedures  A506
Request for Project-Specific Proposal Form Download  Download  
5 Procurement Procedures A507 Response from Service Provider Form Download  Download  
5 Procurement Procedures A508 Evaluation of Proposals Form Download  Download  
5 Procurement Procedures    Frequently Asked Questions (FAQ) TxCDBG Conflict of Interest Provisions Download   Download  
Chapter 6 Acquisition 
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6 Acquisition
A600
Initial Acquisition Report
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6 Acquisition
A601 Acquisition Report
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6 Acquisition
A602 HUD Appendix 30 - Guideform - Notice to Owner Involuntary Acquisition
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6 Acquisition
A603 HUD Appendix 31 - Guideform - Voluntary Acquisition Informational Notice - Agencies w/o E.D.
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6 Acquisition
A604 HUD Appendix 32 - Voluntary Acquisition Informational Notice - Agencies with E.D.
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6 Acquisition
A605 Sample Notice of Agreement to Donate Download  Download 
6 Acquisition
A606 Sample Notice to Owner for Donations of Easements and Rights of Way
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6 Acquisition A607 Sample Just Compensation Determination Statement
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6 Acquisition
A608
Sample Owner Release Form for Donated Property
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6 Acquisition
A609 Sample Written Purchase Offer
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6 Acquisition
A610 Administrative Settlement Guideform
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Chapter 7 Davis-Bacon Labor Standards
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7 Labor Standards
A701
Appointment of Labor Standards Officer (LSO)
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7 Labor Standards
A702 Wage Rate Issuance Notice
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7 Labor Standards
A703 Ten Day Confirmation Notice
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7 Labor Standards
A704 Pre-construction Conference Report
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7 Labor Standards
A705 Request for Additional Classification and Rate
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7 Labor Standards
A707 Record of Employee Interview
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7 Labor Standards A708
Sample DOL Payroll Form
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7 Labor Standards A709
Certificate of Construction Completion (COCC)
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7 Labor Standards
A710 Final Wage Compliance Report (FWCR)
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7 Labor Standards
A711
Davis-Bacon Coverage Chart
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7 Labor Standards A712 Notice of Payroll Violation
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7 Labor Standards A713  Notice of Determination to Assess Liquidated Damages Download  Download  
7 Labor Standards A714  Waiver Request Download Download 
Chapter 8 Force Account Labor
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8 Force Account Labor
A800
Alternate Force Account Times Sheet
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8 Force Account Labor
A801 Personnel Cost Calculation Sheet
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8 Force Account Labor A802 Equipment Cost Calculation Sheet
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8 Force Account Labor
A803 Administrative Personnel Time Sheet
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8 Force Account Labor
A804 Construction Personnel Time Sheet
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8 Force Account Labor A806 Multiple TxCDBG Contracts Personnel Time Sheet
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8 Force Account Labor
A807 Certificate of Construction Completion for Force Account
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8 Force Account Labor
A808
Request to Use Force Account Labor
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Chapter 9 [RESERVED]
   
Chapter 10 Civil Rights Requirements 
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10 Civil Rights Requirements
A1001 Sample Equal Opportunity Guidelines for Construction Contractors
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10 Civil Rights Requirements A1002 Sample Section 3 Plan
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10 Civil Rights Requirements
A1003 Sample Excessive Force Policy
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10 Civil Rights Requirements A1004 Sample Section 504 Policy Against Discrimination based on Handicap and Grievance Procedure
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10 Civil Rights Requirements
A1005 Sample Notices - Civil Rights
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10 Civil Rights Requirements A1006 Section 504 Self-Evaluation Review
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10 Civil Rights Requirements
A1007 Sample Fair Housing Month Proclamation
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10 Civil Rights Requirements
A1008 Designation Form for Civil Rights Officer
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10 Civil Rights Requirements
A1009 Sample Fair Housing Public Service Announcement
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10 Civil Rights Requirements
A1010 Limited English Proficiency Sample Plan
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10 Civil Rights Requirements
A1011 FY 2019 Section 3 Annual Report
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10 Civil Rights Requirements
A1011 FY 2020 Section 3 Annual Report
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10 Civil Rights Requirements
A1012 Prime Contractor - Section 3
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10 Civil Rights Requirements A1013 Sample Citizen Participation Plan
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10 Civil Rights Requirements
A1014 Sample Civil Rights Resolution
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10 Civil Rights Requirements
A1015
Sample Fair Housing Policy
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10 Civil Rights Requirements
A1016 Civil Rights Responsibilities Checklist
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10 Civil Rights Requirements
A1017 Civil Rights Affidavit of Posting
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Chapter 11 Contract Amendments 
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11 Contract Amendments
A1101 Contract Amendment - Modification Request
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Chapter 12 Contract Closeout
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12 Contract Closeout
A1200 Project Completion Report (PCR)
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Chapter 13 Monitor Review
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13 Monitor Review
A1301 Monitor Checklist
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13 Monitor Review A1302
 Self-Monitoring Review Checklist and Certification
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Chapter 14 Audit Requirements
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14 Audit Requirements
A1401
Audit Certification Packet
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    Audit Certification Form Online Submission
 Click HERE Click HERE 
14 Audit Requirements
A1402 Sample Request for Proposals for Audit Services
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Section B Planning
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B Planning
B1 Sample Environmental Exemption Letter - Best practice
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B Planning
B2 Sample Filing System Guide for Planning Projects
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B Planning B4 Sample Public Advertisement for Planning Services
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B Planning
B5 Sample Request for Proposals, Cover Letter
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B Planning
B6 Sample Request for Proposals for Planning Services
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B Planning
B7 Sample Proposal Rating Sheet for Planning Services
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B Planning
B8 Planning Quarterly Progress Report
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B Planning
B10 Sample Public Hearing Notice
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B Planning
B11 Beneficiary Report for Planning & Capacity Building Fund
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B Planning
B12 Sample Closeout Letter
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B Planning
B13 Planning Monitoring Checklist
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Section C Housing Rehabilitation 
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C Housing Rehabilitation
C1 Housing Annual Beneficiary Report Instructions
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C Housing Rehabilitation
C2
Sample Housing Rehabilitation Guidelines
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C Housing Rehabilitation C2a
Status of Compliance with Lead-Based Paint Regulations
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C Housing Rehabilitation
C2b Certification of Lead-Based Paint Exemption
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C Housing Rehabilitation C3 Housing Rehabilitation Work Write-up and Cost Estimate Worksheet
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C Housing Rehabilitation
C4 Housing Rehabilitation Change Order Request Approval
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C Housing Rehabilitation C5 Housing Rehabilitation Payment Request
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C Housing Rehabilitation
C6
Housing Rehabilitation Case File Review
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C Housing Rehabilitation
C7 Summary of Major Lead-Based Paint Regulations
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C Housing Rehabilitation C8 Home Inspector Qualification Certification
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C Housing Rehabilitation C9 Sample Release of Lien Final Download Download 
Section C Part II OSSF
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CII OSSF
CII1 OSSF Instructions
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CII OSSF
 CII2 Sample OSSF Guidelines
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   CII2.A Yardline Assistance Guidelines Template   Download 
CII OSSF
 CII3 OSSF Checklist
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CII OSSF
CII504 OSSF Small Purchase Procurement Record
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CII OSSF
CII505 Construction Contract Change Order
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CII OSSF
CII709 Certificate of Construction Completion for OSSF Projects
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CII OSSF
 CII709I Certificate of Construction Completion for OSSF Projects (Individual Homeowner)
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Section D Texas Capital Fund 
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D Texas Capital Fund D1 TCF Contractor-Company Agreement Certification and Guide Download Download 
D Texas Capital Fund
D5
Quarterly Employee Certification Report (ECR)
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D Texas Capital Fund D7
2019 TCF Survey Questionnaire (Family Income/Size Certification)

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D Texas Capital Fund
D7 2019 TCF Survey Questionnaire (Family Income/Size Certification) en Español

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D Texas Capital Fund D8 TCF Aggregate Benefit Report
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D Texas Capital Fund
D9 SMRF Loan Certification Form Download Download 
D Texas Capital Fund D10 SMRF Underwriting Certification Download Download 
   D11 SMRF Loan Expense Ledger   Download 
D Texas Capital Fund
D1200
TCF Project Completion Report (PCR)
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Section E Self-Help Centers
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Section F Small Towns Environment Program STEP
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F STEP
F1
STEP Volunteer Time Distribution Sheet Download  Download  
F STEP F2 STEP Equipment-Materials Time Distribution Sheet
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F STEP
F3 STEP Equipment Cost Calculation Sheet
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F STEP F4 STEP Contract Amendment Checklist
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F STEP
F5 STEP Certificate of Construction Completion
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F STEP
F6
STEP 24 CFR Part 70 Use of Volunteers
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Appendices (Word Versions only)
   
Appendix A
Links to Resources including State and Federal Regulations
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Appendix B
Required Contract Provisions Download Download
Appendix C
Sample Code of Conduct Policy
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Appendix D
Sample Administration Services RFP Packet
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Appendix E
Sample Engineering Services RFQ Packet
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Appendix F
Sample Construction Bid Packet
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Appendix F*
 HUD-4010 Required Contract Provisions
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Appendix G
Sample Material Bid
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Appendix H Pre-Application Procurement Q&A Download Download
Appendix I Conflict of Interest Policy Download Download
 
POLICY ISSUANCE 19-01 Revised version posted 4/1/2019