Housing Support Program

Housing Support Program Agreement

This Housing Support Program Agreement ("Agreement") is entered into by and between the parties identified below for the provision of limited housing-related support and associated services under the terms set forth herein.

Parties

Recitals

WHEREAS, Provider operates a Housing Support Program to prevent homelessness and stabilize households by providing temporary financial assistance, coordination with landlords, and supportive services to eligible individuals and families; and

WHEREAS, Participant has applied for and qualifies for limited assistance under the Program and agrees to comply with Provider's program requirements, documentation procedures, and reporting obligations described in this Agreement; and

WHEREAS, the parties desire to set forth the terms, obligations, and limitations governing the provision of such housing support.

Scope of Support

Provider will provide the types of assistance checked below and as further described in the program file. Provider's obligation to provide support is subject to availability of funds, verification of eligibility, and Provider policies.

Payment Terms

Total Funding Cap: $ — Provider's aggregate financial obligation under this Agreement shall not exceed the amount entered above.

Payment Schedule and Disbursement: Payments will be made in accordance with Provider policy and only upon receipt of required documentation. Payments will be made to: . Provider may require direct payment to third parties (landlord, utility company) as a condition of assistance.

Documentation Required for Payment: Participant must provide invoices, receipts, landlord statements, or other documentation sufficient to substantiate the expenditure. Failure to provide documentation may result in denial of payment or requirement to reimburse Provider.

Late or Overdue Reimbursements: If Participant receives funds improper to which Participant is not entitled, Participant shall promptly repay such funds. Provider may charge a late administrative recovery fee of $ or % of the overdue amount, at Provider's discretion.

Term and Termination

Term Commencement Date: . Term End Date: . The Agreement terminates on the earlier of the End Date or exhaustion of funding.

Termination for Cause: Either party may terminate this Agreement immediately for material breach by the other party, including fraud, failure to provide required documentation, or misuse of funds. Termination for convenience by Provider requires written notice of days to Participant.

Confidentiality

Provider and Participant acknowledge that information collected for eligibility, payments, and case management is confidential. Provider will maintain records consistent with applicable privacy laws and program policy. Participant authorizes Provider to share necessary information with landlords, service providers, and funders for the purpose of administering assistance. Except as required by law, neither party shall disclose the other's confidential information without prior written consent.

Reporting, Records and Audit

Participant must retain and submit receipts and documentation of expenditures for a period of from the date of assistance and shall make such records available to Provider upon request. Provider may audit records to verify compliance.

Indemnification and Limitation of Liability

Participant agrees to indemnify and hold harmless Provider, its officers, employees, and agents from claims arising from Participant's misrepresentation, intentional misconduct, or willful failure to comply with this Agreement. Provider's liability under this Agreement is limited to payment obligations expressly set forth herein; Provider shall not be liable for incidental, consequential, or punitive damages.

Governing Law

This Agreement shall be governed by and construed in accordance with the laws of the state where Provider administers the Program, without regard to conflict of law principles.

Entire Agreement; Amendment

This Agreement constitutes the entire understanding of the parties with respect to the subject matter and supersedes all prior oral or written agreements. Any amendment or modification must be in writing and signed by both parties.

Participant Certification

By signing below, Participant certifies that the information provided to Provider in support of this request for assistance is true and correct to the best of Participant's knowledge; that funds will be used only for the uses described in this Agreement; and that Participant will comply with Provider's program rules and documentation requests. Participant understands that false statements or misrepresentation may result in termination of assistance and requirement to repay funds.

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