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DocuSign Envelope ID: E1A0E30C-7C28-45F5-8C00-3FE5E3A80950 202401002 grant management system and must be satisfactorily completed and submitted to the Department for review no later than December 31, 2022. The Department reserves the right to cancel the contract if these special conditions are not submitted within this specified time frame. §2.01 NAHTF Program Grantee Information. The Recipient must complete a NAHTF Program Grantee Information form within the AmpliFund grant management system for Departmental review as prescribed. §2.02 NAHTF Authorization to Request Funds. The Recipient must complete a NAHTF Authorization to Request Funds form signed in blue ink and uploaded to the AmpliFund grant management system as prescribed by the Department. §2.03 Fair Housing. The Recipient must complete a NAHTF Fair Housing form within the AmpliFund grant management system identifying the project's fair housing representative's name and contact information. The Recipient must submit a description of the action it will take during the course of the Project to fulfill any requirements to affirmatively further fair housing. Following the completion of such action, the Recipient must also submit documentation demonstrating the action that was actually taken, including the details of such action (e.g., when the action occurred, who participated, who benefitted, etc.). The requirement to submit documentation demonstrating the action that was actually taken needs not be submitted within the time frame for completion of the special conditions, but such documentation must be submitted prior to closing of the award. §2.04 Nebraska Uniform Residential Landlord and Tenant Act. The Recipient must submit their proposed tenant selection process and proposed lease agreement. The Recipient shall comply with the State of Nebraska's Uniform Residential Landlord and Tenant Act (Neb. Rev. Stat. §§76-1401 – 76-1449). It is the Recipient's responsibility to seek advice from legal counsel to ensure compliance with the Uniform Residential Landlord and Tenant Act for matters including, but not limited to, tenant selection and lease agreements. §2.05 Program Guidelines The Recipient must submit program guidelines, specific to this award only. The program guidelines must be in compliance with the requirements of the Program and any other policies issued by the Department. §2.06 Rental Project Pro Forma. The Recipient must submit a rental project pro forma ("Pro Forma") for the Department's approval. The Pro Forma must be in compliance with the requirements of the Program and any other policies issued by the Department. The Pro Forma must include unit information (including unit rents), a development cost schedule, annual operating expense information, sources and NAHTF 23-TFRH-34010—Page 5 of 18