Common use of Direct Benefits Information Clause in Contracts

Direct Benefits Information. (Keep year-to-date running total for annual report submitted to HUD) New People Served this Quarter: Or Households Served this Quarter: YTD Total People/Households Served: (YTD total should equal YTD ethnicity totals) Income Xxxxx 0xx Xxxxxxx 0xx Xxxxxxx 0xx Xxxxxxx 0xx Quarter Year to Date Extremely Low (30% of AMI) Low (50% of AMI) Moderate (80% of AMI) Non-Low/Moderate (more than 80% AMI) Reporting performance measures for Public Services and Public Facilities. See the guidance below for assistance. 0xx Xxxxxxx 0xx Xxxxxxx 0xx Xxxxxxx 0xx Quarter Year to Date Public Services: New or Continuing Access to Service or Benefit Improved access to Service or Benefit Service or Benefit Received are No Longer Substandard Public Facilities and Improvements (Acquisition, Construction, Rehab): New Access to Facility/Infrastructure Improved Access to Facility/Infrastructure Served by Facility/Infrastructure that is No Longer Substandard Total YTD Quarter Report Non-Hispanic Hispanic 4th Quarter Total YTD Quarter Report Non-Hispanic Hispanic 3rd Quarter Total YTD Quarter Report Non-Hispanic Hispanic 2nd Quarter Total YTD Quarter Report Non-Hispanic Hispanic 1 Quarter White White White White Black/ African American Black/ African American Black/ African American Black/ African American Asian Asian Asian Asian American Indian / Alaskan Native American Indian / Alaskan Native American Indian / Alaskan Native American Indian / Alaskan Native Native Hawaiian/ Other Pacific Islander Native Hawaiian/ Other Pacific Islander Native Hawaiian/ Other Pacific Islander Native Hawaiian/ Other Pacific Islander American Indian / Alaskan Native & White American Indian / Alaskan Native & White American Indian / Alaskan Native & White American Indian / Alaskan Native & White Asian & White Asian & White Asian & White Asian & White Black/ African American & White Black/ African American & White Black/ African American & White Black/ African American & White Am. Indian / Alaskan Native & Black/ African American Am. Indian / Alaskan Native & Black/ African American Am. Indian / Alaskan Native & Black/ African American Am. Indian / Alaskan Native & Black/ African American Other Multiracial Other Multiracial Other Multiracial Other Multiracial Demographic Information by Race and Ethnicity (demographic totals must be the same as the totals for income). CDBG-CV Public Service Agreement AREA BENEFIT REPORTING (IF NOT DIRECT BENEFIT – MUST REPORT THE AREA BENEFIT) Report of Census Tract and Block Group Income Levels (Report all Census Tracts and Block Groups) Census Tract/Block Group LM Population

Direct Benefits Information. (Keep year-to-date running total for annual report submitted to HUD) New People Served this Quarter: Or Households Served this Quarter: YTD Total People/Households Served: (YTD total should equal YTD ethnicity totals) Income Xxxxx 0xx Xxxxxxx 0xx Xxxxxxx 0xx Xxxxxxx 0xx Quarter Year to Date Extremely Low (30% of AMI) Low (50% of AMI) Moderate (80% of AMI) Non-Low/Moderate (more than 80% AMI) Reporting performance measures for Public Services and Public Facilities. See the guidance below for assistance. 0xx Xxxxxxx 0xx Xxxxxxx 0xx Xxxxxxx 0xx Quarter Year to Date Public Services: New or Continuing Access to Service or Benefit Improved access to Service or Benefit Service or Benefit Received are No Longer Substandard Public Facilities and Improvements (Acquisition, Construction, Rehab): New Access to Facility/Infrastructure Improved Access to Facility/Infrastructure Served by Facility/Infrastructure that is No Longer Substandard Total YTD Quarter Report Non-Hispanic Hispanic 4th Quarter Total YTD Quarter Report Non-Hispanic Hispanic 3rd Quarter Total YTD Quarter Report Non-Hispanic Hispanic 2nd Quarter Total YTD Quarter Report Non-Hispanic Hispanic 1 Quarter White White White White Black/ African American Black/ African American Black/ African American Black/ African American Asian Asian Asian Asian American Indian / Alaskan Native American Indian / Alaskan Native American Indian / Alaskan Native American Indian / Alaskan Native Native Hawaiian/ Other Pacific Islander Native Hawaiian/ Other Pacific Islander Native Hawaiian/ Other Pacific Islander Native Hawaiian/ Other Pacific Islander American Indian / Alaskan Native & White American Indian / Alaskan Native & White American Indian / Alaskan Native & White American Indian / Alaskan Native & White Asian & White Asian & White Asian & White Asian & White Black/ African American & White Black/ African American & White Black/ African American & White Black/ African American & White Am. Indian / Alaskan Native & Black/ African American Am. Indian / Alaskan Native & Black/ African American Am. Indian / Alaskan Native & Black/ African American Am. Indian / Alaskan Native & Black/ African American Other Multiracial Other Multiracial Other Multiracial Other Multiracial Demographic Information by Race and Ethnicity (demographic totals must be the same as the totals for income). CDBG-CV Public Service Agreement Development Template AREA BENEFIT REPORTING (IF NOT DIRECT BENEFIT – MUST REPORT THE AREA BENEFIT) Report of Census Tract and Block Group Income Levels (Report all Census Tracts and Block Groups) Census Tract/Block Group LM Population

Direct Benefits Information. (Keep year-to-date running total for annual report submitted to HUD) New People Served this Quarter: Or Households Served this Quarter: YTD Total People/Households Served: (YTD total should equal YTD ethnicity totals) Income Xxxxx 0xx Xxxxxxx 0xx Xxxxxxx 0xx Xxxxxxx 0xx Quarter Year to Date Extremely Low (30% of AMI) Low (50% of AMI) Moderate (80% of AMI) Non-Low/Moderate (more than 80% AMI) Reporting performance measures for Public Services and Public Facilities. See the guidance below for assistance. 0xx Xxxxxxx 0xx Xxxxxxx 0xx Xxxxxxx 0xx Quarter Year to Date Public Services: New or Continuing Access to Service or Benefit Improved access to Service or Benefit Service or Benefit Received are No Longer Substandard Public Facilities and Improvements (Acquisition, Construction, Rehab): New Access to Facility/Infrastructure Improved Access to Facility/Infrastructure Served by Facility/Infrastructure that is No Longer Substandard Total YTD Quarter Report Non-Hispanic Hispanic 4th Quarter Total YTD Quarter Report Non-Hispanic Hispanic 3rd Quarter Total YTD Quarter Report Non-Hispanic Hispanic 2nd Quarter Total YTD Quarter Report Non-Hispanic Hispanic 1 Quarter White White White White Black/ African American Black/ African American Black/ African American Black/ African American Asian Asian Asian Asian American Indian / Alaskan Native American Indian / Alaskan Native American Indian / Alaskan Native American Indian / Alaskan Native Native Hawaiian/ Other Pacific Islander Native Hawaiian/ Other Pacific Islander Native Hawaiian/ Other Pacific Islander Native Hawaiian/ Other Pacific Islander American Indian / Alaskan Native & White American Indian / Alaskan Native & White American Indian / Alaskan Native & White American Indian / Alaskan Native & White Asian & White Asian & White Asian & White Asian & White Black/ African American & White Black/ African American & White Black/ African American & White Black/ African American & White Am. Indian / Alaskan Native & Black/ African American Am. Indian / Alaskan Native & Black/ African American Am. Indian / Alaskan Native & Black/ African American Am. Indian / Alaskan Native & Black/ African American Other Multiracial Other Multiracial Other Multiracial Other Multiracial Demographic Information by Race and Ethnicity (demographic totals must be the same as the totals for income). CDBGCDBG Agreement 2023-CV Public Service Agreement 2025 CD22-0149 AREA BENEFIT REPORTING (IF NOT DIRECT BENEFIT – MUST REPORT THE AREA BENEFIT) Report of Census Tract and Block Group Income Levels (Report all Census Tracts and Block Groups) Census Tract/Block Group LM Population

Direct Benefits Information. (Keep year-to-date running total for annual report submitted to HUD) New People Served this Quarter: Or OR Households Served this Quarter: YTD Total People/Households Served: (YTD total should equal YTD ethnicity totals) Income Xxxxx Levex 0xx Xxxxxxx 0xx Xxxxxxx 0xx Xxxxxxx 0xx Quarter Xxxrter Year to Date Extremely Low (30% of AMI) Low (50% of AMI) Moderate (80% of AMI) Non-Low/Moderate (more than 80% AMI) Reporting performance measures for Public Services and Public Facilities. See the guidance below for assistance. 0xx 1st Xxxxxxx 0xx Xxxxxxx 0xx Xxxxxxx 0xx Quarter Xxxrter Year to Date Public Services: New or Continuing Access to Service or Benefit Improved access to Service or Benefit Service or Benefit Received are No Longer Substandard Public Facilities and Improvements (Acquisition, Construction, Rehab): New Access to Facility/Infrastructure Improved Access to Facility/Infrastructure Served by Facility/Infrastructure that is No Longer Substandard Total YTD Quarter Report Non-Hispanic Hispanic 4th Quarter Total YTD Quarter Report Non-Hispanic Hispanic 3rd Quarter Total YTD Quarter Report Non-Hispanic Hispanic 2nd Quarter Total YTD Quarter Report Non-Hispanic Hispanic 1 Quarter White White White White Black/ African American Black/ African American Black/ African American Black/ African American Asian Asian Asian Asian American Indian / Alaskan Native American Indian / Alaskan Native American Indian / Alaskan Native American Indian / Alaskan Native Native Hawaiian/ Other Pacific Islander Native Hawaiian/ Other Pacific Islander Native Hawaiian/ Other Pacific Islander Native Hawaiian/ Other Pacific Islander American Indian / Alaskan Native & White American Indian / Alaskan Native & White American Indian / Alaskan Native & White American Indian / Alaskan Native & White Asian & White Asian & White Asian & White Asian & White Black/ African American & White Black/ African American & White Black/ African American & White Black/ African American & White Am. Indian / Alaskan Native & Black/ African American Am. Indian / Alaskan Native & Black/ African American Am. Indian / Alaskan Native & Black/ African American Am. Indian / Alaskan Native & Black/ African American Other Multiracial Other Multiracial Other Multiracial Other Multiracial Demographic Information by Race and Ethnicity (demographic totals must be the same as the totals for income). CDBGCDBG Agreement 2023-CV Public Service Agreement 2025 CD22-0149 AREA BENEFIT REPORTING (IF NOT DIRECT BENEFIT – MUST REPORT THE AREA BENEFIT) Report of Census Tract and Block Group Income Levels (Report all Census Tracts and Block Groups) Census Tract/Block Group LM Population