INTERIM HOUSING CONTRACT AGREEMENT
TRANSFORMING LIVES & RENEWING THE INNER YOU
This Agreement shall be evidence that the complete terms and conditions under which the parties whose
signatures appear below have agreed upon the Temporary Interim Housing Program. New Reflections, Inc. located at
634 West 95th Street. in the city of Los Angeles, CA 90044.
1.TERMS: NRI Participant understands that housing is Temporary, not permanent and Funded by Topics and could
be terminated by the funder or New Reflections, Inc. without notice based on funding or failure to adhere to ALL
program rules set forth by Hopics and New Reflections, Inc.
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I further understand there are no overnight passes except on an emergency basis. Example of emergencies:
(Hospitalization/Emergency Room or Family Death) provide proof to NRI Staff immediately upon your return to the
facility
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This agreement shall commence on
My Family Size:
Adult
Child(ren)
2. PETS: No animal, fowl, fish, reptile, and/or pet of any kind shall be kept on or about the premises
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3. ALTERATIONS: Participant shall not paint, color or ink on walls, wallpaper, alter or redecorate, change or install
locks, install antenna or other equipment, screws, fastening devices, large nails, or adhesive materials, place
signs/photos, displays, or other exhibits, on or in any portion of the premises
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4. FACILITY RULES: NRI Participant shall comply with all Interim Housing Program rules as stated on separate
addendum, but which are deemed part of this Interim Housing Agreement, and a violation of any of the Interim
Housing Rules is considered a breach of this agreement and you will be required to move out immediately.
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5. NOISE: NRI Participant agrees not to cause or allow any noise or activity on the premises which might disturb
the peace and quiet of another Participant and/or neighbors within the community. Said noise and/or activity shall
be immediate termination of this agreement & you must exit facility. EXAMPLE OF LOUD NOISE (e.g. music,
yelling, running, screaming, use of profanity, etc.)
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6. CONDITION OF PREMISES: NRI Participant acknowledges that she has examined the premises and that said
premises, all furnishings, bins, lockers, fixtures, furniture, plumbing, heating, electrical, windows, walls, bedding,
wall pictures and/or all other items provided by NRI are all clean, and in good satisfactory condition. Participant
agrees to keep the premises and all items in good order and condition and to immediately pay for costs to repair
and/or replace any portion of the above damaged by NRI- Participant or Child(ren).
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7. INSURANCE: NRI Participant acknowledges that NRI insurance does not cover personal property damage caused
by fire, theft, rain, war, acts of God (death), acts of others, and/or any other causes, nor shall NRI be held liable for
such losses
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8. ATTORNEY FEES: If any legal actions or proceedings be brought by this Temporary Interim Housing Agreement,
the NRI Participant shall be responsible for all attorney's fees, court fees, and costs in addition to other damages
awarded.
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9a. NRI PARTICIPANT AGREES: I will participate in activities identified in the case management plan and weekly
goals I set forth to secure permanent housing and I shall participate in scheduled meetings with my case manager
and weekly facility meetings.
b. I shall immediately notify NRI Staff of any circumstance(s) or event(s) that would prevent my compliance with
the terms and conditions of this Interim Housing Agreement Example: (Overnights, change work schedule).
INTERIM HOUSING CONTRACT AGREEMENT
TRANSFORMI c. I under stand that I shall refrain from any form of violence staff or others, verbal threats; including abusive
language/profanity or other forms of intimidation during my participation with this program.
d. I shall refrain from damaging or defacing of NRI property. Damaging or defacing of NRI property will result in
immediate termination. I understand this will result in immediate termination from the program and/or possible
criminal actions.
e. I understand that NRI will not be held liable for any death / accidents and/or occurrences which may occur to me
or child(ren), e.g., slips, any falls and or falls in the showers, stairs, hallways, etc.
f. I understand that I shall maintain a safe, clean, and clutter-free room and that I am required to wash my own
personal belongings once a week or immediately for (bedwetting, accidents from sickness, etc.).
g. I understand I shall refrain from all inappropriate sexual comments, or touching other participants either in a
sexual manner, or with the intent of harming and doing bodily harm will result in immediate termination.
h. I shall participate in any unlawful and/or illegal activity.
i. I understand I shall sign in at the appropriate time daily before 8 am Topics Daily Sign-In Sheet and Meal
Distribution Log writing neatly and legible if instructed to do so by NRI-Staff without hesitation or confrontation. If
not this agreement will be terminated
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10. PHOTOS/SOCIAL MEDIA/VIDEO CONSENT: I hereby grant to NRI permission to use myself or my child(ren’s)
likeness in photographs and/or video in any and all of its publications and in any and all other media, whether now
known or hereafter existing, controlled by NRI. I also understand that no royalty, fee or other compensation shall
become payable to me by reason of such use
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12. JOINTLY AND SEVERALLY: The undersigned NRI Participant are jointly and severally responsible and liable for
all obligations under this Temporary Interim Housing Agreement
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13. AGREEMENT TERMINATION: NRI- HAS THE RIGHT TO TERMINATE THIS AGREEMENT AT ANYTIME OF DAY OR
NIGHT DUE TO: {1. NON-COMPLIANCE 2. SERIOUS VIOLATION OF HOPICS/NRI INTERIM PROGRAM RULES &
REQUIREMENTS OUTLINED IN THIS AGREEMENT}.
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14. I understand and agree upon my termination/exiting this program I will remove all of my personal
belongings upon my exit date. If I leave any of my personal belongings behind it will be discarded within 24
hours of exiting unless arrangements are made & agreed upon by NRI Staff. NRI is not responsible for any of
your personal belongings left behind. NRI-is not a storage
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New Reflections, Inc. Interim Housing Program Rules and Children’s Rules and Safety
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By signing this agreement, all parties agree to the terms and conditions as described above. The
undersigned NRI Participant has read and understands Temporary Interim Housing Agreement and
hereby agrees to comply with all information outlined in this Agreement.
I Can Read
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I Understan
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I Agree to adhere to this Agreement
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