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RESOLUTION NO. 3J9o
A RESOLUTION of the City Council of the City of
Bremerton, Washington, adopting the 2008 CDBG/HOME Policy
Plan.
WHEREAS, the City of Bremerton is an entitlement community which receives a
Community Development Block Grant (CDBG) each year from the Department of Housing and
Urban Development, and also receives funding from HUD's Home Investment Partnerships
(HOME) fund via an interlocal agreement with Kitsap County; and
WHEREAS, the City of Bremerton is required to establish a Policy Plan for the
City's management of its HUD entitlement, including outlining the citizen participation plan,
application and review processes, and eligibility and implementation requirements for grant
funded projects; and
WHEREAS, the City of Bremerton currently has an established CDBG/HOME
Policy Plan which is reviewed annually, and any required changes are presented to Council for
approval; and
WHEREAS, the Department of Community Development CDBG/HOME staff
recommends adopting changes to the 2007 CDBG/HOME Policy Plan which would impact the
application and review process for HOME funds to make it more competitive; NOW
THEREFORE,
THE CITY COUNCIL OF THE CITY OF BREMERTON, vi ASHINGTON,
DOES HEREBY RESOLVE AS FOLLOWS:
SECTION 1. The recitals and findings of fact set forth in this resolution are
hereby incorporated as if fully set forth herein.
SECTION 2. The DRAFT 2008 CDBG/HOME Policy Plan attached hereto is
hereby adopted as the 2008 CDBG/HOME Policy Plan.
SECTION 3. Severa b ilitv. If anyone or more sections, subsections, or
sentences of this Resolution are held to be unconstitutional or invalid, such decision shall not
affect the validity of the remaining portion of this Resolution and the same shall remain in full
force and effect.
1
2008 CDBG/HOME Policy Plan
SECTION 4. Effective Date. This Resolution shall take effect and be in force
immediately upon its passage.
~PASSED by the City Council of the City of Bremerton, Washington this~
dayof ~ ,2007.
4L2' .
~~
R ER A. LUBO r ,-,ty Attorney
APPROVED AS TO FORM:
R:\Legal\Legal\Resolutions\Community Development\2008 Policy Plan.doc
2
2008 CDBG/HOME Policy Plan
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[B)~EME~lfON
Department of Community Development
2008 CDBG/HOME POLICY PLAN
and
APPLICATION FOR FUNDING
2008 CDBG/HOME PLAN AND ApPLICATION
Contents
CD BG/HOM E Pol icy Plan ........... ......... ................... ......... ........ .......................... i i i
STAFF CONTACTS ............................................................................................ iii
2008 CDBG/HOME Allocation Schedule .......................................................... iv
CDBG/HOME Public Service Citizen Advisory Committee ............................. v
CDBG/HOME Capital, Planning & HOME Citizen Advisory Committee.......... v
2008 Proposed Distribution of CDBG/HOME Funds....................................... vi
COt" n P t"' t'o PI ..
I Ize ar IClpa I n an................................................................................. VII
Five Year Consolidated Plan ................................. Error! Bookmark not defined.
Other Citizen Participation Opportunities ............ Error! Bookmark not defined.
PART I 2008 CDBG/HOME ALLOCATION - GENERAL INFO ......................... 1
PART II 2008 CDBG/HOME ALLOCATION POLiCy......................................... 6
PART III 2008 CDBG NATIONAL OBJECTIVES AND ELIGIBILITY REQS....18
PART IV 2008 CDBG/HOME APPLICATIONS.................................................. 27
_PU B lIC/H U MAN SERVICES APPLICATION......... ........... .................. .............
_PLAN NI NG APPLICATION ...... ............. .......... ............. ......... .......... .......... ........
_CAPITAL PROJECTS APPLICATION ..............................................................
_HOM E PROJ ECTS APPLICATION . ........... ............. ........... ........ .......... ............
2008 CDBG/HOME PLAN AND ApPLICATION
11
CDBG/HOME STAFF CONTACTS
Marie Vila, Program Administrator
Telephone:
Fax:
E-Mail:
Mailing address:
(360) 473-5375
(360) 473-5278
marie.vila@cLbremerton.wa.us
City of Bremerton
Department of Community Development
345 6thth Street, Suite 600
Bremerton, WA 98337-1873
Program Coordinator
Telephone:
Fax:
Mailing address:
2008 CDBG/HOME PLAN AND ApPLICATION
(360) 473-5211
(360) 473-5278
City of Bremerton
Department of Community Development
345 6th Street, Suite 600
Bremerton, WA 98337-1873
111
2008 COSG I HOME ALLOCATION SCHEDULE
Monday
04/02/2007
Wednesday
04/25/2007
Wednesday
05/02/2007
Friday
05/04/2007
Wednesday
06/06/2007
Friday
07/20/2007
Thursday
08/02/2007
Mon-Fri
07/23/2007
-08/17/2007
08/27/2007
Monday
Mon-Fri
09/17/2007
-09/21/2007
09/21/2007
09/26/2007
Friday
Wednesday
Tuesday
10/9/2007
Wednesday
10/10/2007
Wednesday
10/24/2007
Wednesday
11/07/2007
Friday
Tuesday
11/09/2007
01/01/2008
2008 CDBG/HOME PLAN AND ApPLICATION
Advertise Availability of 2008 Draft Policy Plan
(Ad to be placed in The Sun) www.cLbremerton.wa.us
Present Proposed 2008 Policy Plan/New Advisory Board Members
at City Council Study Session, City Council Office, Suite 600
5:00PM
Bremerton City Council Public Hearing on 2008 Policy Plan
345 6th Street, 5:30 PM
Final 2008 Policy Plan and Application Packet Available
345 6th Street, Suite 600, DCD www.cLbremerton.wa.us
Technical Assistance Meeting
City Council Chambers, 345 6th Street, 1 sl Floor
Applications Due in City of Bremerton, by 5:00 p.m.
DCD, 345 6th Street, Suite 600 (Postmark is not acceptable)
Citizen Advisory Committee Member Training
City Council Chambers, 345 6th Street, 1 st Floor
Staff Technical Review
Application Package to Citizen Advisory Committees
Citizen Advisory Committee Review and Interviews
Citizen Advisory Committee Recommendations to DCD Staff
Advertise funding recommendations and Public Comment period;
funding recommendations posted on City's website
Public Meeting to Comment on Funding Recommendations
DCD Conference Room, 345 6th Street, 3:00 PM
City Council Committee meeting on Funding Recommendations
Publish DRAFT Action Plan to HUD
Present Proposed 2008 Funding Recommendations at City Council
Study Session, City Council Office, Suite 600 5:00PM
City Council Hearing on Funding Recommendations
345 6th Street, 5:30PM
Annual Action Plan to HUD
Program Year Begins
IV
COBG PUBLIC SERVICE CITIZEN ADVISORY COMMITTEE
Position
Term
. 1 Member from the City at large
Judy Friedberg-Nerf
1/1/06-12/31/08
. 2 Members from the West Bremerton Area
Open position
Faye Flemister
1/1/07-12/31/09
1/1/04-12/31/07
. 2 Members from the East Bremerton Area
Barbara Mail
Ronald Smith
1/1/06-12/31/08
1/1/04-12/31/07
From then on 3 year staggered terms
CDBG CAPITAl,ECONOMIC DEVELOPMENT AND PLANNING CITIZEN
ADVISORY COMMITTEE; HOME PROJECTS COMMITTEE
. 1 Councilmember (appointed by the Council President)
Dianne Robinson
1/1/07 -12/31/07
. 1 Planning Commissioner (appointed by Commission President)
Open position 1/1/07 -12/31/07
Three Community Members appointed by the Mayor:
. 1 Member from the City at large
Joyce Davison
1/1/06-12/31/08
. \1 Member from the West Bremerton Area
Anne Strange
1/1/06-12/31/08
. 1 Member from the East Bremerton Area
Mike Eversole
1/1/04-12/31/07
From then on 3 year staggered term
2008 CDBG/HOME PLAN AND ApPLICATION
v
2008 PROPOSED DISTRIBUTION OF CDBG FUNDS
Estimated Funding Available for the 2008 COBG Allocation Process
Tentative Estimate of 2008
Entitlement
Tentative Program Income (PI)
Available
Total Entitlement + PI
524,000
20,000
544,000
Reallocated Funds prior year projects:
Total Available for allocation
o
544,000
Available for 2006 Public Service (15% of entitlement + PI )
Available for COB DCD 2006 Planning and Admin (20% of entitlement + PI)
Available for Capital Projects and Economic Development
( 65% of entitlement + PI + recaptured capital project funds)
Total Entitlement + PI
81,600
108,800
353,600
544,000
2008 PROPOSED DISTRIBUTION OF HOME FUNDS
2007 HOME Allocation
2007 Program Income
2008 HOME Allocation
Total Entitlement + PI
422,250
63,897
422,250
1,067,790
Available for American Dream Downpayment Initiative (2006, 2007)
Available for COB DCD Planning and Admin (10% of 2006-2007 entitlement, after ADDI)
Available for CHDO Projects (15% of 2007 & 2008 entitlement)
Available for COB Down Payment Assistance Program commitment
Available for any HOME Project
Total Entitlement + PI
17,000
82,750
124,125
100,000
743,915
1,067,790
2008 CDBG/HOME PLAN AND ApPLICATION
VI
CITIZEN PARTICIPATION PLAN
INTRODUCTION
The City of Bremerton has received federal Community Development Block Grant
(CDBG) funds for over 20 years. During the period 1992 through 1995 the City deferred
its status to allow Kitsap County to become an urban county entitlement. The City
regained its entitlement status in 1996. The City has formed a consortium with Kitsap
County for the period of 2005-2008 and beyond under the HOME program in order to
better assure the receipt of funds.
Each year the City of Bremerton is eligible to receive CDBG and HOME funds. There are
specific rules and regulations governing the allocation and use of the funds, including
provisions for citizen involvement in decision making.
The City of Bremerton is committed to assuring opportunities for citizen involvement in
decisions concerning activities taking place within their communities. The citizen
participation plan outlines opportunities for citizen involvement in community
development and housing programs.
While the citizen participation plan gives citizens maximum opportunity to participate in
the planning, implementation and assessment of housing and community development
programs, final authority for development, modification and execution of programs lies
with the Bremerton City Council.
APPLICABLE PROGRAMS
The programs covered by the citizen participation plan are the Community Development
Block Grant (CDBG) Program and the HOME Program.
PURPOSE
The purpose of the Citizen Participation Plan is to provide an ongoing mechanism to
ensure widespread citizen participation whereby all citizens have an opportunity to fully
express their needs and wishes for community improvement. Special efforts will be
made to encourage participation of:
low and moderate income persons, particularly those living in slum and blighted
areas and residents of predominately low and moderate income neighborhoods.
minorities and non-English speaking persons, as well as persons with disabilities.
This plan provides opportunities for representation of all of the citizens of the City of
Bremerton by allowing them to have a voice in the decision-making process and giving
them greater power and control over activities taking place within their communities.
2008 CDBG/HOME PLAN AND ApPLICATION
VB
DIEFINITHONS
CITIZEN ADVISORY COMMITTEES (CAe)
Two five-member committees established by the Mayor consisting of citizens
representing East and West Bremerton and the City at-large. The Citizen Advisory
Committees assist the Department of Community Development in reviewing CDBG and
HOME applications, interviewing applicants and recommending annual project allocation
decisions to the Bremerton City Council. One committee recommends funding for Public
Service activities and is fully comprised of appointees by the Mayor. The other
recommends funding for Capital, Economic Development and Planning projects. Two of
its five committee members are appointed ex officio from the City Council and the
Planning Commission, and the other three are appointees of the Mayor.
COMMUNITY OR PUBLIC MEETING
A meeting hosted by the Department of Community Development to obtain citizens'
views and opinions concerning planning, implementation, or assessment of activities. At
least ten days before any scheduled meeting, the date, location and time will be
advertised in The Kitsap Sun and on the City's website at www.cLbremerton.wa.us.
KITSAP REGIONAL COORDINATING COUNCIL (KRCC)
Comprised of three Kitsap County Commissioners and the Mayors of Port Orchard and
Poulsbo, Mayors and City Council Representatives from Bremerton and Bainbridge
Island, and representatives of the Port Gamble S'Klallam Tribe and Suquamish Tribe.
The KRCC is responsible for establishing policies for the overall administration of the
HOME program.
DEPARTMENT OF COMMUNITY DEVELOPMENT (DCD)
The City of Bremerton Department of Community Development.
TECHNICAL ASSISTANCE MEETING
A meeting hosted by the Department of Community Development to inform citizens and
funding applicants of technical aspects of the CDBG and HOME programs and to review
application requirements for the upcoming year. At least ten days before the scheduled
meeting, the date, location and time will be advertised in The Kitsap Sun and on the
City's website at www.cLbremerton.wa.us.
PUBLIC HEARING
A hearing hosted by the Bremerton City Council. Notice of public hearings will be
published in accordance with the City's policy for publishing notices. Whenever practical,
the DCD will publish a notice of the hearing in The Kitsap Sun and on the City's website
if it relates to the programs covered under this plan.
2008 CDBG/HOME PLAN AND ApPLICATION
Vlll
Five Year Consolidated Plan
The Consolidated Plan is the result of a process set forth by the Department of Housing
and Urban Development (HUD) to provide a planning and application process for the
Community Development Block Grant (CDBG) and HOME programs within a single
document. The Kitsap County HOME Consortium is required to submit the Consolidated
Plan for the HOME participating jurisdiction (which consists of Kitsap County and the
City of Bremerton). The Consolidated Plan, which is in place until 2010, is available
online at http://www.cLbremerton.wa.us/displaV.php?id=790 or a copy can be requested
from the City of Bremerton Department of Community Development.
There are a number of specific elements in the Consolidated Plan, including:
an assessment of housing needs (primarily of low and moderate income people)
and needs of homeless people;
an analysis of the City of Bremerton and Kitsap County's housing market;
a discussion of the City of Bremerton and Kitsap County's strategies, priority
needs, and objectives for housing and community development activities; and
two action plans, one that describes the activities Kitsap County will undertake to
address priority needs during the next program year utilizing HOME, CDBG, and
Public Housing Comprehensive Grant funds and one that describes the activities
the City of Bremerton will undertake to address priority needs during the next
program year utilizing CDBG funds.
Governments, service providers, citizens, and non-profit/profit agencies are encouraged
to identify needs and priorities, assist in the development of strategies, and to participate
in the annual allocation process. Following are specific opportunities available for
citizens to participate in the development of the information to be incorporated in the
Consolidated Plan, which is updated every five years.
1. At least one community meeting will be held to obtain the views of citizens, public
agencies, and other interested parties concerning housing and community
development needs, including non-housing community development needs and
priorities during development of the plan.
2. The Department of Community Development will specifically consult with appropriate
social service agencies regarding the housing and community development needs
and priorities of children, elderly persons, persons with disabilities, homeless
persons and other persons served by such agencies.
3. The Department of Community Development will coordinate with the Bremerton
Housing Authority (BHA) and Kitsap County Consolidated Housing Authority
(KCCHA) to encourage participation of residents of public and assisted housing and
other low income residents of targeted revitalization areas, in the process of
developing and implementing the Consolidated Plan.
4. Agencies working with low and moderate income persons, particularly those living in
slum and blighted areas and residents of predominately low and moderate income
neighborhoods, minorities, non-English speaking persons, and persons with
disabilities will be contacted to encourage participation in the development of the
Consolidated Plan.
2008 CDBG/HOME PLAN AND ApPLICATION
IX
Annual Allocation Process I Action Plan Submission
The City of Bremerton conducts a competitive annual process to determine allocation of
CDBG and HOME funds. The public is encouraged to participate in the process and its
end product, the submission of an annual Action Plan to the Department of Housing and
Urban Development.
1. The Department of Community Development will place an advertisement in The
Kitsap Sun announcing the acceptance of applications for funding under the
HOME/CDBG program.
2. At least one mandatory technical assistance training will be held within the City of
Bremerton. During the meetings, the Community Development Department will
provide information to citizens concerning who can apply for funds, funds expected
to be available, the estimated amount of funds that will benefit low and moderate
income persons, the range of activities that may be undertaken, priorities for funding,
application submission requirements, the application deadline, and how decisions
concerning funding will be made. Applications will be made available in a format
accessible to persons with disabilities upon request.
Applications may be obtained from, and must be submitted to, the City of Bremerton
Department of Community Development, 345 6th Street, Suite 600, Bremerton, W A
98337-1873. 360-473-5375. Applications are also available on the City of Bremerton
website: http://www.ci.bremerton.wa.us/displav . php?id=864
Staff at the Department of Community Development is available to provide
technical assistance to citizens and organizations concerning the submission of
applications.
The Department of Community Development will review applications to
determine compliance with technical requirements.
The Citizen Advisory Committee will review all proposals and interview
applicants.
3. Applicants are encouraged to take part in a review of their application by appointment
no later than two weeks before the application due date. This review will be
conducted by DCD staff and cover only the technical requirements of the application.
4. Applicants will be interviewed by the Citizens Advisory Committee.
5. Applicants submitting proposals will be notified in writing whether or not the Citizen
Advisory Committee has recommended their proposal for funding. The notification
will include the date, time and place of the public hearing before the Bremerton City
Council.
6. A summary of the draft Action Plan will be published in The Kitsap Sun and on the
City's website, and copies will be available at public libraries listed in the resource
section of this plan and the City of Bremerton office. The summary will describe the
contents and purpose of the action plan, and include a list of locations where copies
of the entire proposed plan may be examined, along with the date, location, and time
of the Bremerton City Council Public Hearing to adopt the plan. Citizens will be
2008 CDBG/HOME PLAN AND ApPLICATION
x
provided a period of at least 30 days to review and comment on the plan. Comments
or views of citizens will be considered at the public hearing, and a summary of any
comments or views not accepted and the reasons therefore, will be attached to the
final consolidated plan which will be submitted to HUD.
5. The Department of Community Development will submit the Action Plan, including
the projects proposed to be funded, to the Department of Housing and Urban
Development no later than November 30th of each calendar year.
2008 CDBG/HOME PLAN AND ApPLICATION
Xl
Other Citizen Participation Opportunities
IMPLEMENTATION
Each CDBG / HOME funded program is unique and may receive some form of citizen
involvement during the implementation phase. Each project is subject to citizen
involvement but will use a form appropriate to the project's purpose.
AMENDMENTS TO THE ANNUAL ACTION PLAN
Citizens will be notified and have an opportunity to comment on any substantial changes
or amendments proposed to the Annual Action Plan.
A substantial change which requires an amendment to the final statement consists of:
A change in the amount to be expended on a project equal to a 10% increase or
decrease to the total CDBG/HOME allocation in a specific project.
Canceling an approved project or adding a new project.
A change to the purpose, scope, location or beneficiaries of the project as
defined in the application for funds.
Amendments to the Action Plan will be recommended by the DCD and acted upon by
the City of Bremerton City Council at a regularly scheduled Public Hearing. Notice of the
proposed amendment will be published in The Sun and on the City's website at least
thirty (30) days prior to the Public Hearing to allow for public comment prior to
implementation of the proposed amendment. Comments or views of citizens will be
considered at the public hearing, and a summary of any comments or views not
accepted and the reasons therefore, will be attached to the substantial amendment of
the final consolidated plan which will be submitted to HUD.
Any request for a change in the amount to be expended equal to or less than 10%
increase or decrease to the CDBG/HOME allocation in a specific project shall not be
considered a substantial amendment requiring citizen notification. However, prior written
consent of the CDBG Administrator is required. The change must be submitted by the
grantee in writing and shall specifically state the reasons for the requested increase or
decrease. All budget requests will be reviewed and approved or denied by the CDBG /
HOME Program Administrator.
PERFORMANCE REPORTS
1. The City of Bremerton will prepare and submit a Consolidated Annual Performance
and Evaluation Report (CAPER) to HUD no later than April 15th of each year for the
previous calendar year.
2. Availability of the CAPER for public review will be published in The Kitsap Sun and
copies will be available on the City's website, at public libraries listed in the resource
section of this plan and at the City of Bremerton office.
3. Citizens will be provided a period of at least 15 days to review and comment on the
CAPER. Comments or views of citizens will be considered in the report, and a
summary of any comments or views not accepted and the reasons therefore, will be
attached to the CAPER and submitted to HUD.
2008 CDBG/HOME PLAN AND ApPLICATION
Xll
GENERAL INFORMATION
TECHNICAL ASSISTANCE
Any citizen may contact the Department of Community Development for technical
assistance in relation to programs described in this Plan. The Department will help
citizens understand CDBG and HOME funded programs, the procedures for submitting.
proposals, the Citizen Participation Plan and other program requirements so they can
effectively participate in CDBG /HOME programs and the funding process.
COMPLAINTS
All written citizen complaints will be referred to the appropriate person(s) or agencies for
action. Under normal circumstances, the Department of Community Development will
respond to the person making the complaint within 15 days. All complaints and
responses will be kept on file.
DISPLACEMENT
Proposals for CDBG and HOME funded projects that are likely to cause displacement of
people or businesses are discouraged. Any proposal for funds that is likely to cause
displacement must include relocation assistance payments in the budget. Relocation
assistance must be provided consistent with the federal Uniform Relocation Act.
EFFECTIVE DATE
This plan became effective January 1, 1996, and will remain in effect as long as
Community Development Block Grant activities are ongoing or until superseded or
modified by a new plan.
RESOURCES
If you have questions concerning the programs identified, or would like copies of
this plan or any related Federal regulations, please contact:
CDBG Program Administrator:
City of Bremerton
345 6th Street, Suite 600
Bremerton, WA 98337-1873
(360)473.5211.
A copy of policies described in this plan will be available for review at the
following Library:
Bremerton
1301 Sylvan Way
Bremerton, WA 98310
(360) 377-7601
A notification will be placed in the following newspaper which is the paper of
record at least ten days before a public meeting is held concerning a program
described in this plan:
The Kitsap Sun
2008 CDBG/HOME PLAN AND ApPLICATION
X11l
Notices may also be published on the City's website www.cLbremerton.wa.us.
The notice will indicate when and where the public meeting will be held. Meetings
are often held at the following location
Norm Dicks Government Center
345 6th Street
Bremerton, W A
The following local planning department may be contacted concerning planning
issues:
City of Bremerton Department of Community Development
Andrea Spencer, Director
345 6th Street, Suite 600
Bremerton, W A 98337-1873
360-473-5283
2008 CDBG/HOME PLAN AND ApPLICATION
XIV
Part I 2008 CDBG/HOME ALLOCATION - GENERAL INFORMATION
CDBG and HOME funds are Federal funds. Use of Federal funds may affect the way your
agency does business. If you are applying for Federal funds for the first time, you are strongly
encouraged to meet with CDBG staff to discuss Federal regulations.
What is the Community Development Block Grant (CDBG) Program?
The program is authorized by Title I of the Community Development Act of 1974.
Federal funds are provided to local governments to assist in the development of decent
housing, a suitable living environment, and expanded economic opportunities primarily for
persons of low and moderate income.
CDBG funds must be used for activities determined by the federal government to be eligible,
however the local government determines which eligible use is appropriate in the community.
· The City of Bremerton is an "entitlement city" and receives an annual CDBG allocation from
the federal government.
. The City accepts applications from various organizations to implement CDBG activities.
. Each application, at a minimum must meet the three threshold requirements. It must: 1) be
implemented by an eligible applicant/recipient; 2) be eligible under the CDBG program
requirements (24 CFR parts 570.201-270.207); 3) meet one of the three national objectives;
and 4) be complete as of the due date.
How much money is available?
See page vi for funding and distribution information
Who is an eligible applicant/recipient?
Eligible applicant/recipients include:
City departments
Other local public agencies
Public and private nonprofit organizations (501 (c)(3)
Section 301 (d) small business investment companies
Local Community Based Development Organizations as described in 24 CFR 270.204(c)
Private for- profit organizations may implement certain economic development and micro
enterprise activities.
Faith based organizations consistent with the President's initiative
Additionally applicants must:
· Demonstrate an active governing body or board of directors with skills and experience to
provide oversight, leadership and direction to the agency;
· Demonstrate the legal, financial, and programmatic ability to administer the proposed
project; and,
· Meet the City's requirements for contracting agencies such as insurance requirements, audit
and financial requirements.
CDBG/HOME PLAN AND ApPLICATION
PAGE 1
What are the three National Objectives?
An eligible CDBG activity must either:
Principally benefit low and very low income households;
Reduce or prevent slum and blight; or,
Meet an urgent need
The National Objectives are included in the CDBG regulations at 24 CFR 570.208 and
described in detail in Part III of this package.
What are eligible activities?
Eligible activities are defined in the CDBG program regulations at 24 CFR 570.201- 570.207.
More information concerning eligible activities, and special circumstances relating to the
activities, can be found in Part III of this package. A list of some of the activities follows:
· Acquisition of real property by purchase, lease or donation
· Acquisition, construction, reconstruction, rehabilitation or installation of public facilities and
improvements
· Code enforcement in deteriorated or deteriorating areas
· Clearance, demolition and removal and rehabilitation of buildings and improvements
· Removal of material and architectural barriers in certain situations
· Public services (including labor, supplies and materials) including but not limited to those
concerned with employment, crime prevention, child care, health, drug abuse, education,
energy conservation, welfare or recreation needs
. Planning activities
· Assistance to Community Based Development Organizations (CBDO) to carry out projects
· Assistance to carry out economic development projects
· Housing services such as housing counseling and energy auditing
· Assistance to facilitate and expand homeownership opportunities for low and very low
income people
o Lead based paint hazard evaluation and reduction
The following activities generally are not eligible for CDBG funding:
o New residential housing construction, except in special circumstances
· Regular government operations
· Buildings such as city halls, police stations, or other buildings primarily for the general
conduct of government
· Income payments such as payments to individuals or families for food, clothing, or rent,
except in certain circumstances
· Political activities
· Vehicles and/or Equipment
Are there rules or regulations that I should consider when thinking about submitting an
application?
All projects are subject to environmental review, civil rights compliance, and procurement
requirements. Some of the other things that may affect the amount you request, and your
project, are labor standards, relocation, local hire, the Americans with Disabilities Act, and audit
requirements.
What constitutes a complete application?
All required elements are included and complete. No changes of any kind will be permitted
after the application due date. Applicants are encouraged to take part in a review of their
application by appointment no later than two weeks before the application due date. This
CDBG/HOME PLAN AND ApPLICATION
PAGE 2
review will be conducted by DCD staff and cover only the technical requirements of the
application
The application must meet HUD's three Threshold Requirements:
o The applicant is eligible as of the application due date.
o The project or activity addresses a National Objective (for CDBG applications)
o The project or activity is eligible under the CDBG or HOME program.
How do I apply?
Complete an application and submit by the application due date to:
CDBG / HOME Programs
City of Bremerton Department of Community Development
345 6th Street, Suite 600
Bremerton, W A 98337
Eligible applicants will be required to take part in an interview with the Citizen Advisory
Committee..
,Please check the 2008 CDBG/HOME Allocation Schedule on page iv for specific dates and
times.
How do I get help with the application?
Attend the mandatory pre-application Technical Assistance workshop. Please check the 2008
GDBG/HOME Allocation Schedule on page iv for specific dates and locations.
Call Marie Vila at 360-473-5375 for more information.
How will applications be reviewed and projects selected?
DCD staff will review the application to assure it is complete, the applicant and project meet the
threshold requirements, and the project is consistent with the Consolidated Plan. Projects not
rneeting the threshold requirements will be disqualified and not considered for funding. Such
projects will not be rated.
-A Citizens Advisory Committee appointed by the Mayor will review public service applications,
interview applicants, rate and rank the projects utilizing the process outlined in Part II, and
present their recommendation to the Bremerton City Council. A separate Committee, consisting
of appointees by the Mayor plus one member of the City Council and one m13mber of the
Planning Commission, will similarly review Capital, Economic Development, Planning, and
HOME applications.
A public hearing will be held and the Bremerton City Council will make the final decision
concerning activities to be recommended for funding in the 2008 Action Plan.
The 2008 Action Plan will be sent to the U.S. Department of Housing and Urban Development
(HUD) no later than November 30, 2007 for approval.
When will funds be available?
Funding- is dependent on the federal HUD budget being ratified. In "normal" years this is by
March. We will not be able to sign contracts with sub recipients until we receive a contract from
HUD. -Remember the budget is an estimate; we will not know the actual amount until after
HUD's budget is approved. Certain funds can be committed to projects after the first of the year;
please contact CDBG staff with any questions.
CDBG/HOME PLAN AND ApPLICATION
PAGE 3
What is the HOME Program?
The HOME Investment Partnerships Program was created by the National Affordable Housing
Act of 1990 (NAHA). The Housing and Community Development Act of 1992 ; the Multifamily
Property Disposition Act of 1994 made important changes to the Program.
The intent of the HOME Program is to:
o Expand the supply of decent, safe, sanitary, and affordable housing;
o Strengthen the abilities of state and local governments to provide housing;
o Expand the capacity of nonprofit community based housing development organizations;
o Leverage private sector participation in financing affordable housing.
HOME funded projects are subject to many of the same requirements as CDBG, such as
environmental review, civil rights compliance, and procurement requirements. Some of the other
things that may affect the amount you request, and your project, are labor standards, relocation,
local hiring requirements, the Americans with Disabilities Act, and audit requirements. Contact
DCD staff early in your project with questions regarding these requirements.
HOME funds also carry many requirements specific to the HOME program. These
requirements and regulations can be found at 24 CFR Part 92. If you have a HOME project in
mind, it is recommended you meet with City CDBG/HOME staff early on to make sure it would
qualify under the HOME program.
How much money is available?
Please refer to page vi for general funding and distribution information.
HOME rules for affordable housing set the maximum subsidy for each unit at the Section
221 (d)(3) limit. This limit is set by HUD's Office of Multi-Family Housing Programs.This limit is
currently set at $131,753 per unit.
In addition, the City of Bremerton has a maximum per-unit subsidy limit for homeownership
projects of $30,000 per unit for all types of units.
Match Contribution
The City of Bremerton also requires HOME projects to leverage other funding. The city requires
a minimum leveraging ratio of 1 :2, or two dollars of other funding for every HOME dollar
requested. The 1:2 match ratio may be applied to the entire project, not just to the HOME
subsidized units.
How do I apply?
Complete an application and submit by the application due date to:
CDBG / HOME Programs
City of Bremerton Department of Community Development
345 6th Street, Suite 600
Bremerton, W A 98337
Eligible applicants will be required to take part in an interview with the Citizen Advisory
Committee..
Please check the 2008 CDBG/HOME Allocation Schedule on page iv for specific dates and
times.
CDBG/HOME PLAN AND ApPLICATION
PAGE 4
What are the 'City's Priorities for Use of HOME funds?
The City will give priority to HOME projects located in the Anderson Cove and Downtown
Designated Blight Zones (please contact the Department of Community Development for a map
of these areas).
In the absence of qualified, viable projects that fit the City's vision, the City Council may elect to
set aside HOME funds for future use, including for a City-initiated affordable housing project.
What is the Process for allocation of HOME funds?
Applicants will use the HOME application format (attached). Please check the 2008
CDBG/HOME Allocation Schedule for specific due dates and times.
DCD staff will review the application to ensure it is complete, the applicant and project meet the
threshold requirements, and the project is consistent with the Consolidated Plan. Projects not
meeting the threshold requirements will be disqualified and not considered for funding. Such
projects will not be rated.
The Citizens Advisory Committee responsible for reviewing Capital, Economic Development
and Planning applications will also review HOME applications, interview applicants, rate and
rank the projects utilizing,the process outlined in Part II, and present their recommendation to
the Bremerton City Council.
A public hearing will be held and the Bremerton City Council will make the final decision
concerning activities to be recommended for funding in the 2008 Action Plan.
"The 2008 Action pian will be sent to the U.S. Department of-Housing and Urban Development
"'(HUD) by the end of November preceding the ,program year for approval.
'Where do.! get more information?
Call Betsy Howe at 473-5211 or Marie Vila at 473-5375 if you are interested in applying for
funds under the HOME Program.
CDBG/HOME PLAN AND ApPLICATION
PAGE 5
PART II 2007 CDBG I HOME ALLOCATION POLICY
How will COBG funds be distributed among various eligible activities?
Funds available for various eligible CDBG activities are determined by Federal regulations
and local priorities.
Federal regulations limit the amount of funds which can be allocated to public
service projects to 15% of the annual CDBG entitlement, plus 15% of the program
income received during the City's immediately preceding program year. The City
receives program income from the revolving housing loan program. These funds do
not impact the annual CDBG allocation. The amount available for public services will
be 15% of the federal allocation.
· The amount of funds that can be allocated to planning and administration
projects, including the overall administration of the City of Bremerton's CDBG
Program, is limited to 20% of the annual grant.
· Federal regulations require that a minimum of 70% of the annual grant funds go
to projects that directly benefit low and moderate income persons; the City's goal is
for 100% of CDBG funding to benefit low and moderate income persons.
How will HOME funds be distributed among various eligible activities?
The amount of funds that can be allocated to the overall administration of the
HOME Program is limited to 10% of the annual grant. Because the City and Kitsap
County are joined in a consortium, the City's administrative costs are limited to 5% of
the annual grant, with 5% allocated to Kitsap County for overall administration.
· 90% of the City's annual HOME grant will be allocated on a competitive basis to
eligible affordable housing projects in the City of Bremerton; at least 15% will be
allocated to activities undertaken by Community Housing Development
Organizations (CHDOs).
· Program income from the City's Downpayment Assistance Program, funded with
HOME funds from past years, will be primarily used to fund new Downpayment
Assistance loans for low and moderate income first time homebuyers in the City of
Bremerton.
Funds allocated under both the CDBG and HOME programs must meet one of the
priorities identified in the Kitsap County Consortium Consolidated Plan for 2006 through
2010. The City of Bremerton and Kitsap County are joined as a consortium in order to
receive HOME funds.
The Consolidated Plan identifies five general priorities related to housing, homeless, and
non-housing community needs to be addressed with Federal funds. Please note, that
activities that are included in the plan may not be prioritized in the City's Policy Plan. The
Consolidated Plan can be viewed in its entirety online at:
http://www.cLbremerton.wa.us/displav.php?id=790. The Consolidated Plan priorities are
listed below (the order listed does not establish any categorical priority):
CDBG/HOME PLAN AND ApPLICATION
PAGE 6
1. Homelessness
To ensure that decent, accessible, affordable, and suitable housing is available in the
County and Cities and to support services that meet the needs of individuals and
families who are homeless or at risk of homelessness, the Kitsap County community
will:
. Provide a variety of decent and safe emergency transitional and affordable
permanent housing;
. Provide adequate support through coordinated systems of: resources, outreach,
assessment, case management, provider collaboration, homelessness prevention,
and rental assistance;
. Provide critical supportive services to support housing options for the homeless.
2. Special Needs Populations*
To ensure that suitable, effective assistance is available for vulnerable persons in
special needs populations who are in need of housing, support or care services, the
Kitsap County community will:
. Maintain, improve and increase effective services and suitable housing;
. Ensure effective service delivery and housing availability through supportive
ordinances and regulations;
. Support efforts to develop an entry system for special population clients that
ensures links with appropriate diagnosis, placement, support and treatment;
. Increase and maintain the availability of effective, timely life skills training and
work preparation to promote self sufficiency.
*Special Needs Populations include individuals falling into one or more of the following categories: elderly,
frail elderly, persons with disabilities (severe mental, physical, developmental), persons living with
HIV/AIDS, persons fleeing domestic violence, persons with alcohol or other drug addiction.
3. Housinq
To ensure access to affordable, decent, safe and appropriate transitional and
permanent housing for all individuals and families, the Kitsap County community will:
. Increase the stock of affordable rental units throughout the County and City
through preservation, rehabilitation and construction
. Increase the number of new homeowners among low/moderate income
individuals and families through fair housing efforts, education, housing
counseling, financial assistance and affordable construction;
. Improve and retain existing housing stock through preservation, rehabilitation,
weatherization, accessibility and planning efforts;
. Support education and training that builds community awareness of lead-based
paint hazards and incorporate new studies and regulations into any planning for
mitigation;
. Improve the safety and livability of neighborhoods through revitalization and/or
demolition of inappropriate or dilapidated structures;
CDBG/HOME PLAN AND ApPLICATION
PAGE 7
~ Promote equal treatment of all who seek homeownership by removing
impediments to fair housing.
4. Community Development
To ensure the safe livability of neighborhoods, the preservation of important facilities,
public access to facilities and services, and planning activities, that primarily benefit
low-income persons, the Kitsap County community will:
. Support a continuum of social and health services for low/moderate income
persons in Kitsap County;
. Provide suitable access to all public buildings in the cities and County;
. Support planning and projects that preserve or increase housing for low income
and moderate income populations;
. Support local efforts toward solving public facility needs, especially those
identified in community wide planning efforts;
. Meet urgent Community Development needs, which pose a serious and
immediate risk to public health or safety.
5. Economic Development
To ensure a thriving community, with livable wage jobs and long-term economic and
social viability, the Kitsap County community will:
. Support creation and retention of livable wage jobs, and essential job preparation
skills;
. Assist low-income individuals who wish to establish, expand or stabilize a small
business by providing loans and supportive technical assistance and training;
. Revisit existing economic development plans and modify them as necessary to
develop and maintain infrastructures that encourage living wage jobs;
. Encourage and foster new businesses offering living wage jobs in the County.
What are the other policies and regulations that apply?
COSG and HOME funds are Federal funds. Use of Federal funds may affect
the way your agency does business. If you are applying for Federal funds
for the first time, you are strongly encouraged to meet with COSG I HOME
staff to discuss Federal regulations.
. Consistency with applicable City. County. and/or State Codes and Policies
To be considered for funding, projects must be consistent with adopted codes and
other applicable policies, plans and standards.
. Approval of the Implementinq Aqencv
Proposals submitted by applicants other than the Agency, City or County Department
that will implement them must be reviewed and approved by the appropriate
implementing Agency, City, or County Department prior to submittal.
CDBG/HOME PLAN AND ApPLICATION
PAGE 8
. Leqallv Bindinq Public Interest in CDBG I HOME Assisted Property
HUO requires that facilities acquired, constructed or improved with COBG and/or
HOME funds be "publicly owned" and that the COBG / HOME public interest be
protected. The public (COBG / HOME) interest will be secured, when appropriate,
through a lien on the property recorded as a deed of trust, and a promissory note
explaining the sale and change of use provisions that accompany COBG / HOME
assisted real property. The specific terms and conditions of the public interest security
agreements will vary depending on the type of project assisted.
. Restrictions on the Chanqe-of-Use of CDBG I HOME Assisted Property
All COBG recipients must agree to restrict the use of the property to the intended
purpose for which the funds were awarded for a minimum of 5 years after close out of
the project. This is to ensure compliance with HUO requirements restricting the change
in use of property acquired, constructed or improved with COBG assistance, and to
ensure continued public benefit. All HOME assisted properties must provide public
benefit during a designated Period of Affordability as described in 24 CFR part 92 F.
. Restriction on Assessments
COBG funds may not be used for public improvement projects where a portion of the
projects is to be financed by assessments to area property owners, unless the project
is structured such that COBG funds are used to pay the assessments of all low and
very low income property owners. The analysis of incomes of affected persons must
be done ahead of time and submitted as part of the application for COBG funds.
. Guidelines for Evaluation and Selectinq Economic Development Proiects
The City of Bremerton will utilize the guidelines provided at 24 CFR 570.209 relative to
project costs and financial requirements and standards for evaluating public benefit.
+ Equal Opportunity
All COBG proposals must comply with federal, state, local laws, and executive orders
which prohibit discrimination on the grounds of race, creed, color, national origin, sex,
sexual orientation, age, marital status, or the presence of any disability. ~iscrimination
is prohibited in the provision of a service or facility funded with COBG / HOME funds,
and in all other aspects of administering a COBG / HOME proposal including
contracting, procurement, and employment.
. MinimizinQ the Loss of low and Very Low Income DwellinQ Units
Any COBG / HOME proposal that would directly result in any occupied or vacant low
and very low income dwelling units being (1) demolished, or (2) converted to a use
other than as low and very low income housing must include a realistic plan to provide
replacement housing within three years of the commencement of the demolition or
rehabilitation relating to conversion.
. Minimizinq Displacement and Providinq Relocation Assistance
It is the policy of the City of Bremerton COBG / HOME Program to discourage COBG /
HOME proposals that would cause displacement of people or businesses. Any
proposal for COBG / HOME funds that is likely to cause displacement must include
CDBG/HOME PLAN AND ApPLICATION
PAGE 9
relocation assistance payments in the budget. Relocation assistance must be provided
consistent with the federal Uniform Relocation Act.
. Federal WaQe Rates (Davis-Bacon)
Pursuant to the Davis-Bacon Act, federal wage rates apply to almost all construction
projects over $2,000. Applications that involve construction must consider Davis-
Bacon wage rates in the budget.
There are few exceptions to the Davis-l3acon Act such as public agency use of force
account crews and the rehabilitation of single family homes and small multi-family
buildings.
. Federal Audit ReQuirements
Private non-profit agencies expending $500,000 or more in federal funds annually
(whether CDBG / HOME alone or CDSG / HOME in conjunction with other federal
funds) must have an annual audit conducted by an independent auditor in accordance
with OMB A-133 Audit Standards for Private Non-Profit Organizations. Agencies are
responsible to meet this audit requirement.
. Environmental Review
All CDBG / HOME projects must comply with the National Environmental Policy Act
(NEPA). NEPA clearance must be obtained from the City of Bremerton and/or Kitsap
County before any funds are committed in a CDBG / HOME funded project.
. Lead-Based Paint Abatement
Any proposed homeownership, rental housing, rehabilitation or acquisition project that
involves a (1) pre-1978 structure, and (2) would likely house a child age 6 or less must
be informed of the possible hazards of lead based paint and a plan must be developed
for addressing the presence of lead based paint under 24 CFR 35.105. Costs for
abatement must be included in the rehabilitation budget.
. SupplantinQ
Federal regulations prohibit using CDBG / HOME funds to supplant (replace or
substitute for) local funds for public services or ongoing responsibilities of general local
government. The intent of this federal regulation is to prevent local government from
using the availability of federal CDBG / HOME dollars as an excuse to reduce local
funding commitments.
. Architectural Barriers Act (ABA) and the Americans with Disabilities Act (ADA)
The ABA requires certain buildings or other facilities that receive Federal funds to be
designed, constructed or altered in accordance with standards that insure accessibility
to, and use by physically handicapped people. The ADA provides comprehensive civil
rights to individuals with disabilities in the areas of employment, public
accommodations, State and local government services, and telecommunications. It
further requires that facilities for first occupancy are readily accessible and that
architectural and structural barriers are removed when possible in existing facilities.
CDBG/HOME PLAN AND ApPLICATION
PAGE 10
. Familv Policv Principles
In the early 1990s the State of Washington conducted a number of focus groups
throughout the State. Approximately 400 people, who were receiving human services
at the time were asked to describe the characteristics of services that would be most
effective for them. The Family Policy Principles reflect their collective response, and
form the basis for the Washington State Human Service Policy. The principles, which
have been incorporated in the rating of applications, are listed next:
Family-oriented services and supports that:
· Respond to the changing nature of families;
· Respond to what individuals and families say they need, and
· Meet those needs in a way that maintains their dignity and respects their choices.
Culturally relevant services and supports that:
· Explicitly recognize the culture and beliefs of each family and use these as
resources on behalf of the family;
· Provide equal access to culturally unique communities in planning and programs,
and day-to-day work, and actively address instances where clearly
disproportionate needs exist; and
· Enhance every culture's ability to achieve self-sufficiency and contribute in a
productive way to the larger community.
Coordinated services that:
· Develop strategies and skills for collaborative planning, problem solving, and
service delivery;
'" Encourage coordination and innovation by providing both formal and informal
ways for people to communicate and collaborate in planning and programs;
· Allow clients, vendors, community people, and other agencies to creatively
provide the most effective, responsive, and flexible services; and
· Commit to an open exchange of skills and information; and expect people
throughout the system to treat each other with respect, dignity, and
understanding.
Locally planned services and supports that:
· Operate on the belief that each community has special characteristics, needs
and strengths;
'" Include a cross-section of local community partners from the public and private
sectors, in the planning and delivery of services and supports; and
· Support these partners in addressing the needs of their communities through
both short range and long range planning and in establishing priorities within
state and federal standards.
Community based prevention that:
· Encourages and supports state residents to create positive conditions in their
communities to promote the well being of families and reduce crises and the
need for future services.
CDBG/HOME PLAN AND ApPLICATION
PAGE 11
Outcome-based services and suppor1ts that:
II Include a fair and realistic system for measuring both short-range and long-range
progress and determining whether efforts make a difference;
It Use outcomes and indicators that reflect the goals that communities establish for
themselves and their children;
o Works towards these goals and outcomes at all staff levels and in every agency;
and
. Provide a mechanism for informing the development of program policies.
Customer service that:
o Provides a climate that empowers staff to deliver quality programs and services;
. Is provided by courteous, sensitive, and competent professionals; and
o Uphold the dignity and respect of individuals and families by providing
appropriate staff recognition, information, training, skills and support.
Creativity that:
" Increases the flexibility of funding and programs to promote innovation in
planning, development, and provision of quality services; and simplifies and
reduces or eliminates rules that are barriers to coordination and quality services
How will Projects be selected for funding?
All applications will be reviewed and rated against the City of Bremerton policies for the
use of these funds. The Review Team, which will consist of COBG program staff, the City
Auditor, and a Citizens' Advisory Committee, will review the submission requirements,
agency capacity, and the program/project. An interview with the Citizens' Advisory
Committee will also be considered. The review process is summarized below:
Step 1 - Submission Requirements
COBG / HOME Staff will review the application to ensure:
. Application is complete. NOTE: No changes or additions will be allowed after
the due date. Refer to the 2008 COBG/HOME Allocation Schedule on page iv for
due dates and times.
o Applicant meets eligibility requirements as of the application due date.
. Project or activity addresses a national objective (for COBG projects)
. Project or activity is eligible under the COBG / HOME program(s).
o Project is consistent with the Consolidated Plan and Priority Needs.
Step 2 - Technical review
A review team, composed of COBG staff and the City Auditor, will review the
orqanizational capacity of the agency (see rating sheet on page 14), and the fiscal
capacity of the agency (see rating sheet on page 15). Performance records of previous
COBG or HOME recipients will also be considered. Results of this review will be shared
with the applicants and with the Citizens' Advisory Committee before interviews.
CDBG/HOME PLAN AND ApPLICATION
PAGE 12
Step 3 - Project Proposal Review and Interviews
The Citizens' Advisory Committee (CAC) assigned to each group of projects will review all
applications, meet with CDBG staff to review technical scoring, and conduct agency
interviews. They will consider Priority Needs, project and agency effectiveness and
readiness, Family Policy Principles, and the mix of overall requests. Agency interviews will
be 20 minutes long and consist of ten minutes for the applicant agency to present their
request in a format of their choice, and another ten minutes for questions and answers
with the CAC. Applicants are encouraged to keep their presentations succinct in order to
make the best use of their time. Any materials distributed during the interview will be
collected afterward and will not be considered part of the official application.
The CAC will deliberate using the Citizen Advisory Committee Application Review Sheet
on page 16 and compile a list of funding recommendations.
These recommendations will be presented and discussed at a public meeting. The
recommendations will then be presented to the Bremerton City Council at a Public
Hearing. The final funding decision will be made by the City Council at the same Public
Hearing. CDBG / HOME staff will submit the Final Action Plan to HUD no later than the
end of November preceding the program year.
Please ~refer to the 2008 CDBG/HOME Allocation Schedule on page iv for specific dates,
times and locations.
CDBG/HOME PLAN AND ApPLICATION
PAGE 13
ORGANIZATIONAL CAPACITY
Name of Applicant
[Board and Staff Profile . 0-20 Points Score
,
Board reflects a diverse representation of the community including minority
and consumer participation, professionals from the community at large,
persons with low incomes, and consumer advocates 0-10 Points
Board membership provides sufficient . . for community
opportumtIes
participation (i.e. board vacancies, size and term length) 0-10 Points
!hganizationalChart .. .. .. ... 0-15Point~
Organizational structure of the agency is clearly defined 0-5 Points
Program is adequately staffed / supervised 0-5 Points
Chart reflects sufficient staffing and structure for the requested services /
project identified in the application 0-5 Points
!hganizatiolullData 0-10 Points
,
Includes documentation that authorizes organization to conduct CDBG/HOME
acti vi ties (i.e. 501(c)(3), public charter, business license, etc.), along with
Statement of Experience, IRS 990, and Secretary of State CHO-l and Annual
Report 0-5 Points
Proposed Project aligns with the Mission Statement 0-5 Points
NOIl..Discrirhinati6riPoliCies 0-5Point~
Agency has adopted a policy of non-discrimination based on handicap, gender,
race, etc. for all staff, volunteers, clients and participants, and does not deny
program benefits for any persons needing reasonable accommodation
0-5 Points
Total Rating:
Comments:
Reviewer: Title: Date:
CDBG/HOME PLAN AND ApPLICATION
PAGE 14
ORGANIZATIONAL FINANCIAL MANAGEMENT
Name of Applicant
lFOrNon-Profits Only 0-15 Point~ Score
IRS 990 is consistent with submitted audit and Secretary of
State Annual Report 0-5 Points
Secretary of State CHO-l Form (for non-profits) is consistent with
submitted audit and Secretary of State Annual Report 0-10 Points
Secretary of State Non-Profit Corporate Annual Report is consistent
with submitted audit and agency's own annual report 0-5 Points
Organizations other than Non-Profits 0-15 Points
Records and program documents support investment in activities to
Benefit low-income individuals 0-5 Points
Organization clearly demonstrates reinvestment in community 0-5 Points
Demonstrates compliance with Generally Acceptable Accounting
Principles 0-5 Points
For All Organizations 0-35 Points
Audit of Financial Statements
Agency has independent review or audit by a CPA (as required by HUD) for the last
fiscal year
Independent Review 0-5 Points
OR Audit 0-10 Points
Audit or financial statement demonstrates adequate financial management
(includes Management report)
Independent Review 0-5 Points
OR Audit 0-10 Points
Annual Report
Agency's Annual Report is completed for the last fiscal year 0-15 Points
Total Rating:
Comments:
Reviewer: Title: Date:
CDBG/HOME PLAN AND ApPLICATION
PAGE 15
CITIZEN ADVISORY BOAR:D APPUCA TION REVIEW SHEET
1. Review of Organizational Capacity Report:
Are there remaining questions from the review sheet?
2. Review of Organizational Financial Management:
Are there remaining questions from the review sheet?
3. Review of Application:
A. Narrative Questions
I. Does the proposed project fit within the organization's mission
and history?
II. Does the project description:
1. Address a national objective and community need?
2. Show that the project will address a significant portion
of the identified unmet need with the requested funds?
3. Show that the requesting agency will partner with other
community agencies?
4. Address the needs of low and very low income people?
iii. Does the project's outreach plan and history demonstrate
opportunities for persons with disabilities, limited English
speaking, and minority clients to gain access to the project?
IV. What will be the positive changes projected for this project and
can they be documented, evaluated and monitored?
B. Are project budget and resources adequate and reasonable for the
expected outcome(s)?
C. Are the program goals and outcomes clear and specific?
D. Does the project fit within the agency's Mission Statement?
E. Has the organization successfully managed CDBG / HOME funds
effectively in past grants?
F. Does the Annual Report reflect a well run organization with the
capacity to manage the proposed project?
G. If funding request is to support the salary of a position does the job
description reflect the requested need within the project?
H. Does the salary summary reflect an adequate and balanced salary
structure?
I. Does the annual report support the activities described in the
application and does the report reflect a commitment to the goals of
the CDBG program?
J. Does the project's history demonstrate a commitment and well
thought out plan and need?
K. For Capital Projects, does the Operating / Management Plan
demonstrate the ability of the organization to carry out and maintain
the proposed project?
CDBG/HOME PLAN AND ApPLICATION
PAGE 16
L. For Capital Projects, does the operating budget / proforma provide
for a realistic ongoing financial support of the proposed project?
M. For Capital Projects requiring a relocation plan, does the plan meet
the required criteria and is it fully presented?
4. Overall Rating:
High Priority; would like to see funded
Needed Project; should be funded if funding is available
Not a priority; should not be funded
CDBG/HOME PLAN AND ApPLICATION
PAGE 17
PART III 2008 CDSG NATIONAL OBJECTIVES
AND ELIGIBILITY REQUIREMENTS
As stated in Part I, each CDBG activity must meet a national objective and must be
eligible in order to be funded. The following information is provided to assist you in
defining the eligibility and national objective that your activity meets and the type of
information you need to provide to the City. Specific regulations that govern the CDBG
program are available in our office. HOME funded projects need not meet a national
objective.
What are the National Objectives? (Benefit Criteria)
An eligible CDBG activity must either (1) principally benefit low and very low income
households, (2) reduce or prevent slum and blight, or (3) meet an urgent need. The vast
majority of the City's CDBG activities are designed to benefit low and very low income
persons and households. The following provides some detail on the way(s) in which
CDBG projects can meet a national objective. More information on the three CDBG
National Objectives can be found at 24 CFR Part 570.208.
I. Principally benefit low and very low income
A. Area Benefit
B. Limited Clientele
(1) At least 51 % of beneficiaries are low or very low income persons/households
(a) Presumed Benefit
(b) Agency Requires Client Information
(c) Income Eligibility Requirement (Direct Benefit)
(d) Nature/location
(2) Removal of Architectural Barriers
(3) Assistance to Owners of Micro enterprises
(4) Employment Support Services
C. Housing Activities (Residential)
D. Job Creation or Retention - Economic Development
II. Reduce or Eliminate Slum or Blight
A. Area Basis
B. Spot Basis
III. Meet an Urgent Community Need
Potential applicants must be able to demonstrate that their proposed CDBG activity
addresses one of these national objectives in one of several ways described below.
I. Benefit low and Very low Income Persons
To meet this national objective, an applicant must document that the proposed project
will benefit predominantly low and very low income persons or households. A low
income person/household is one whose annual income does not exceed 80% of the
area median income for the City of Bremerton. The following shows income limits by
household size for the City of Bremerton.
CDBG/HOME PLAN AND ApPLICATION
PAGE 18
INCOME LIMITS
NUMBER IN EXTREMELY LOW VERY LOW INCOME LOW INCOME
HOUSEHOLD INCOME (BELOW (31 % - 50% MFI*) (51 % - 80% MFI*)
30% M FI*)
1 $13,800 $23,000 $36,800
2 $15,750 $26,300 $42,050
3 $17,750 $29,550 $47,300
4 $19,700 $32,850 $52,550
5 $21,300 $35,550 $56,750
6 $22,850 $38,100 $60,950
7 $24,450 $40,750 $65,150
8 $26,000 $43,350 $69,350
*MFI = Median Family Income is determined periodically by the Department of Housing
and Urban Development (HUD) on the basis of state and local earnings data and is
published for cities and counties. These figures represent percentages of MFI for
Bremerton - Silverdale Metropolitan Statistical Area (MSA) published by HUD March
20,2007. The Median Family Income for Bremerton - Silverdale MSA is $65,700 for a
four-person household.
There are several different ways that CDBG activities can benefit low, very low, and
extremely low income persons:
A. Area Benefit
This is defined as an activity, the benefits of which are available to all residents in a
particular area, where at least 51 % of the residents are low, very low and extremely
low income persons. In addition, the area must be orimarilv residential.
Examples of area benefit activities include parks (that serve the immediate area),
water and sewer projects, sidewalks and streets, and other public improvements that
are available to all residents in a particular area.
Applicants must:
0' Attach a map with the boundaries of the project's service area delineated (the
surrounding geographic area in which all or most of the people benefiting
from the project reside):
0' Explain why that particular geographic area is the service area for the project;
0' Indicate on the map residential and commercial areas within the service area
boundary; and
0' Provide documentation that 51 % or more of the residents within the service
area are low very low and extremely low income persons/households.
CDBG/HOME PLAN AND ApPLICATION
PAGE 19
If you would like assistance in determining if your project is in a low income area,
please contact us at 473-5211 or 473-5375.
B. Limited Clientele
1. An activity which benefits a limited clientele, at least 51 % of whom
are low or very low income persons/households. There are four
types of activities in this category:
a. Presumed Benefit An activity may benefit one of the following groups who
are presumed by HUD to be principally low and very low income: abused
children, battered spouses, elderly persons, handicapped persons, homeless
persons, illiterate persons, and mi~lrant farm workers.
Applicants must:
0' Demonstrate that the facility or service is designed for and used
predominantly by one of the groups identified above.
b. AQencv Requires Client Information Which Shows 51 % or More
are Low. Very low and Extremelv Low Income For example, community
health clinic and most other agencies keep information on client income and
family size. The information will be able to document whether or not 51 % or more
of the clientele are persons whose family income does not exceed low, very low
and extremely low income limits for Kitsap County. Note: Income qualification
criteria from other programs (such as state poverty guidelines) may be
substituted provided those criteria are at least as restrictive as the HUD income
limits.
Applicants must:
0' Provide documentation of the total number of clients/households served
in 2006 (if this is an existing service);
0' State what percent of the clients/households served in 2006 were low or
very low income (or met criteria that are stricter);
0' Provide a copy of the income qualification criteria that were used to
screen clients and to determine the percent that were low and very low
income;
0' Provide a copy of the client intake form highlighting the questions
regarding family size and income levels; and
0' Agree to maintain documentation of the client's incomes for the CDBG
contract period.
c. Income EliQibilitv Requirements (Direct Benefit) This means that the
agency uses income screening to limit the benefits of the CDBG funded activity
to only those persons who are low and very low income. For example, a housing
counseling program would screen potential clients and use the CDBG funds to
pay for the counseling only of those who are income eligible.
Applicants must:
0' Screen clients by family size and income;
0' Provide a copy of the client intake form highlighting the questions
regarding family size and income levels; and
CDBG/HOME PLAN AND ApPLICATION
PAGE 20
0" Describe how the program/project would limit the benefits of the CDBG
funded activity exclusively to low and very low income
persons/households.
d. Nature/Location of Activity Allows Conclusion of Primarily Low
and Very Low Income Benefit This means that the activity is of such a
nature and in such a location that it may be concluded that the clientele will be
primarily low and very low income; for example, a food bank near an assisted
housing project.
Applicants must:
0" Explain how the nature, and if applicable, the location of the proposed
project, establishes that it is used primarily for low and very low income
persons.
2. Removal of Architectural Barriers
A project which removes material or architectural barriers which restrict the
mobility and accessibility of elderly or handicapped persons to publicly owned
and privately owned non-residential buildings, facilities and improvements, and
the common areas of residential structures containing more than one dwelling
unit is considered a limited clientele activity. Note: This refers to the removal of
existing barriers. It does not apply to new construction.
3. Assistance to Owners of Micro enterprises
When assistance is to be provided to a micro enterprise (a commercial enterprise
that has five or fewer employees, one or more of whom owns the enterprise) the
owner must qualify as low or moderate income. Note: for micro enterprise
projects under the limited clientele national objective justification, the low and
moderate income threshold applies only to the owner; there are no income
requirements for the workers the owner employs.
4. Employment Support Services
If CDBG assistance is only provided for training or supportive services (peer
support programs, counseling, child care, transportation, and other similar
services) to assist business(es), the percentage of low and moderate income
persons assisted may be less than 51 % if the proportion of the total cost borne
by CDBG funds is no greater than the proportion of the total number of persons
assisted who are low or moderate income. For example: A new business moves
into town and begins an on-site day care program for workers. The total cost of
the day care is $10,000. There are 40 children, 3 of which meet qualifications as
low and moderate income. The maximum amount chargeable to the CDBG
program is $750.00. ($10,000/40 =$250 X 3 = $750).
Applicants must:
0" Maintain data documenting the total cost of the service, Screen clients by
family size and income; and provide a copy of the client intake form
highlighting the questions regarding family size and income levels.
CDBG/HOME PLAN AND ApPLICATION
PAGE 21
C. Housinq Rehabilitation Activities (Residential)
These are activities providing or improving permanent residential structures which
are or will be occupied by low and very low income households. It does not include
group homes or shelters for the homeless, which are considered limited clientele
activities.
Applicants must:
0' Screen households for family size and income eligibility. If a residential
structure contains two dwelling units, at least one must be occupied by
low or moderate income households. If it contains more than 2 units, at
least 51 % must be occupied by low and moderate income households.
D. Job Creation or Retention Activities
These are economic development activities which are designed to create or retain
permanent jobs, where at least 51 % of the jobs, computed on a full-time equivalent
basis, can be documented to employ low and very low income persons for the
geographic area where it is located. There are very specific elements of this
national objective. Please contact the Community Development staff to
discuss your project prior to submitting an application.
II. Reduce or Eliminate Slum and Blight
An activity may meet the national objective of reducing or eliminating slum and blight,
instead of benefiting low and very low income people. There are two different ways
that CDBG activities can meet this second national objective.
A. Area Basis
A project must be located in an area defined as a slum or blighted area under
state or local law; the conditions which qualified the area as slum or blight must
be on record; and the project must specifically address one or more of these
conditions.
B. Spot Basis
A CDBG project to eliminate slum and blight on a spot basis (for example,
outside of a locally designated slum or blighted area) must be limited to activities
necessary to eliminate specific conditions posing a threat to the public health or
safety. The health or safety hazard must be identified, and the scope of the
project must be limited to correcting the hazard.
III. Meet an Urgent Communifty Need
Use of this category is extremely rare. It is designed only for activities that
alleviate emergency conditions. Urgent need activities must meet the following
criteria:
· The existing conditions must pose a serious and immediate threat to the
health and/or welfare of the community;
CDBG/HOME PLAN AND ApPLICATION
PAGE 22
. The existing conditions are of recent origin or recently became urgent
(generally, within the past 18 months);
. The recipient is unable to finance the activity on its own; and
. Other sources of funding are not available.
What are Eligible Activities?
To be considered for funding, a CDBG proposal must also be an eligible activity under
the federal CDBG regulations. A variety of activities serving low and very low income
people are eligible activities as well as any special requirements or limitations that apply
to use of CDBG funds.
The applicant should recognize that the City may have local priorities within each of
these categories of federally eligible activities that reflect local needs. Local priority
policies are described in Part II of this document.
.:. Acquisition of real property in whole or in part by public agencies or private non-profit
organizations which is:
· blighted, deteriorated, deteriorating, undeveloped, or inappropriately developed
from the standpoint of sound community development and growth;
· appropriate for rehabilitation or conservation activities; and,
· appropriate for the preservation or restoration of historic sites, the beautification
of urban land, the conservation of open spaces, natural resources and scenic
areas; the provision of recreational opportunities, or the guidance of urban
development;
.:. Acquisition, construction, reconstruction or installation (including design-features and
improvements that promote energy efficiency of these) of public works facilities
(except of buildings for the general conduct of government), and site or other
improvements;
.:. Code enforcement in deteriorated or deteriorating areas where such enforcement
together with public and private improvements or services are expected to arrest the
decline of the area;
.:. Clearance, demolition, removal, and rehabilitation (including rehabilitation which
promotes energy efficiency) of buildings and improvements, such as interim
assistance, and financing of public or private acquisition for rehabilitation, and
rehabilitation of privately owned properties, including the renovation of closed school
buildings;
.:. Special projects directed to the removal of material and architectural barriers which
restrict the mobility and accessibility of elderly and handicapped persons;
.:. Relocation payments and assistance to individuals, families or businesses displaced
permanently or temporarily by a CDBG funded project consistent with the Federal
Uniform Relocation Act;
.:. Public/human services, including but not limited to those concerned with
employment, crime prevention, child care, health, drug abuse, education, energy
CDBG/HOME PLAN AND ApPLICATION
PAGE 23
conservation, welfare or recreation needs, if such services have not been provided
by the unit of general local government (through funds raised by such unit, or
received by such unit from the State) during any part of the twelve-month period
immediately preceding the date of submission of the CDBG Action Plan;
.:. Planning activities necessary to:
· develop a comprehensive community development plan;
develop policy-planning management capacity to rationally and effectively
determine needs, set long and short term objectives, devise programs and
activities to meet these objectives, and carry out management, coordination, and
monitoring of activities necessary for effective planning implementation;
.:. Provide assistance including loans and grants for activities carried out by public and
private non-profit organizations including:
· acquisition of real property;
· acquisition, construction, reconstruction, rehabilitation and installation of certain
public facilities, site improvements and utilities; and commercial or industrial
buildings or structures and other commercial or industrial real property
improvements; and
planning;
.:. Assistance to Community Based Development Organizations (CBDO) to carry out
neighborhood revitalization, community economic development, or energy
conservation. A CBOO is an organization with specific characteristics such as: it is
organized under State or local law to engage in community development activities;
has as its primary purpose the improvement of the physical, economic or social
environment of the area; may be either non profit or for profit provided any monetary
profit to its shareholders must be only incidental to its operation; it must maintain at
least 51% of its governing body's membership for low and moderate income
residents of its geographical area of operation, owners or senior officers of private
establishments, or representatives of low and moderate income neighborhood
organizations located in the area of operation. The Development staff is available to
review other requirements with entities interested in becoming CBDOs.
.:. Provide assistance to private, for-profit entities, when the assistance is appropriate to
carry out an economic development project (that shall minimize to the extent
practical, displacement of existing businesses and jobs in neighborhoods) that:
· create or retain jobs for low and very low income people;
· prevents or eliminates slums and blight;
. meets urgent needs;
· creates or retains businesses owned by community residents;
assists businesses that provide goods or services needed by, and affordable to,
low and very low income residents;
provide technical assistance to promote any of the activities described above;
.:. Provide technical assistance to public or non-profit entities to increase the capacity of
that entity to carry out eligible neighborhood revitalization or economic development
activities;
CDBG/HOME PLAN AND ApPLICATION
PAGE 24
.:. Housing services such as housing counseling, energy auditing, preparation of work
specifications, loan processing, inspections, tenant selection, management of tenant
based rental assistance and other services related to assisting owners, tenants,
contractors, and other entities participating or seeking to participate under COBG or
under Title II of the Cranston-Gonzales National Affordable Housing Act;
.:. Provide assistance to public and private organizations, agencies and other non-profit
and for profit entities to enable such entities to facilitate economic development by:
. providing credit such as through direct loans and loan guarantees, establishing
revolving loan funds, and facilitating peer lending programs for the establishment,
stabilization and expansion of micro enterprises;
. providing technical assistance, advice and business support services (including
assistance, advice, and support relating to developing business plans, securing
funping, conducting marketing, and otherwise engaging in micro-enterprise
activities) to owners of micro-enterprises and persons developing micro-
enterprises; and
providing general support, such as peer support programs, counseling, child
care, transportation, and other similar services. to owners of micro-enterprises
and persons developing micro-enterprises;
.:. Provide direct assistance to facilitate and expand homeownership among persons of
low and very low income by using such assistance to:
subsidize interest rates and mortgage principal amounts for low and very low
income homebuyers;
. finance the acquisition by low and very low income homebuyers of housing that
is occupied by the homebuyers;
. acquire guarantees for mortgage financing obtained by low and very low income
homebuyers from private lenders, except that funds may not be used to directly
guarantee such mortgage financing and grantees may not directly provide such
guarantees;
. provide up to 50% of any down payment required from low and very low income
homebuyers; or
. pay reasonable closing costs normally associated with the purchase of a home
incurred by a low or very low income homebuyer.
.:. Lead based paint hazard evaluation and reduction, as defined in Section 104 of the
Residential Lead Based Paint Hazard Reduction Act of 1992.
What are Ineligible Activities?
(9 New Residential Housing Construction - COBG funds .generally cannot be used to
construct new residential housing units, although activities in support of new housing
construction may be eligible. (exception: CBOOs may use COBG funds for new
housing construction) Please note that group homes and shelters are not considered
residential housing and are eligible for COBG for new construction.
(9 Regular Government Operations - COBG funds cannot be used to fund the ongoing
responsibilities of general local government.
CDBG/HOME PLAN AND ApPLICATION
PAGE 25
IS) Government Buildings - Government buildings such as city halls, police stations, jails
and other buildings predominantly for the general conduct of government are not
generally eligible for CDBG assistance. A major exception is rehabilitation to remove
architectural barriers, which is eligible, even in government buildings.
IS) Income payments - CDBG funds cannot be used for income payments such as
payments for income maintenance or housing allowances.
IS) Political Activities - CDBG funds cannot be used to finance the use of facilities or
equipment for political purposes or to engage in other partisan political activities.
IS) Purchase of vehicles and equipment.
CDBG/HOME PLAN AND ApPLICATION
PAGE 26
PART IV 2007 COBG I HOME APPLICATIONS
INTRODUCTION:
Applications have been designed to gather necessary information about your
organization and _project to determine compliance with federal CDBG requirements and
consistency with local policies for use of funds. Applications should be clear and
concise.
ApPLICATION DUE DATE:
Applications must be received (postmark NOT acceptable) bv the due date at:
City of Bremerton
Department of Community Development
345 6th Street, Suite 600
Bremerton, W A 98337-1873
ApPLICATION SUBMISSION
Four separate application packages are provided in this section. The application you use
will be determined based on the type of project you are proposing.
Activity Type Required Attachments
CDBG Public Service A,B,C
CDBG Planning A,B,C
CDBG Capital Projects A,B,E
HOME Housing A,B,D
Each application consists of 3 components:
. 2008 CDBG Funding Application Form
. Response to Narrative Questions
. Attachments
. Provide one original application submission and one full copy consisting of the 3
components described above (include all attachments).
. Provide "five additional copies of the application submission consisting of:
1. 2008 CDBG or HOME Funding Application Form
2. Response to Narrative Questions
3. Project Feasibility Attachment (C, D, or E, depending on the application
category)
Technical Assistance
A mandatory Technical Assistance training will be provided by staff. See the 2008
CDBG/HOME Allocation Schedule on page iv for specific dates, times and locations..
CDBG/HOME PLAN AND ApPLICATION
PAGE 27
.cs. U If V @fl
[B)f~~M~~lO.N
2008 Community Development Block Grant
PUBllC/HUlfVlAN SERVICES
APPllCA TION
Use this application for projects or programs which involve public
services delivered to low-income Bremerton Residents.
COBG PUBLIC SERVICE APPLICATION
Application Contents I Checklist
2008 COBG Funding Application Form
Response to Narrative Questions
Attachments
Attachment A (Organizational Capacity)
A-1 An organizational chart showing all staff, board members and volunteer positions
A-2 Organizational Data (Le. 501 (c)(3), public charter, bylaws or business license #)
A-3 Non-Discrimination Policies
Attachment B (Organizational Financial Management)
B-1 Most Recent Monthly financial statement including year-to-date information.
B-2 Most recent Financial Audit or Financial Statement prepared by a CPA including
findings. If your audit exceeds 50 pages, please include and executive summary and
one full copy of the audit.
B-3 A statement of experience including operating statements and lender references and
record of performance, qualifications, capacity to carry out the project described in
this application and the agency's capacity to manage grants.
B-4 IRS 990 (for non-profits)
B-5 Secretary of State CHO-1 Form (for non-profits) also known as the Charitable
Solicitations Renewal Form.
B-6 Secretary of State Non-Profit Corporate Annual Report (for non-profits)
Attachment C (Project Feasibility)
**C-1
**C-2
**C-3a
**C-3b
**C-4
**C-5
C-6
C-7
**C-8
C-9
**C-10
**C-11
C-12
Total Budget, Form 1
2007 Agency Budget, Form 2
Sources of Financing
Uses of Financing
Agency Staff and Board Profile including names, addresses and associations.
Program Goals and Outcome Data
Commitment letters from other funding sources for this project
Job Description (if requesting funding for personnel)
National Objective and Eligibility Determination
Mission Statement
Agency CDBG/HOME History Form
Salary Summary for entire Agency
Annual Report.
**Form provided within packet
2008 COBG FUNDING APPLICATION FORM
Check the appropriate box to Identify the type of funds for which you are applying:
D Public Service D Planning D Capital Improvement
CDBG Fund Request
$
Project Title
(If this project has been previously funded, please use the same title)
Project Description Funds will be used to (25 words or less with specific numbers/goals):
Project Location (physical address)
Geographic Service Area
Census Tract(s)
Number of Unduplicated People Directly Benefiting from this Project
Applicant Name
Mailing Address
Agency Director
Name
e-mail address
Telephone #
Staff Contact
Name and Title
e-mail address
Telephone and Fax #
Federal Tax 1.0. #
Type of Organization:
Public Agency
Private 1N0nprofit
Other (Specify)
Are you a Certified Housing Development Organization (CHDO) or Certified Community Based
Development Organization (CBDO)? DYes D No
If not, are you planning on becoming a Certified CHDO or CBDO? DYes D No
Authorized Signature
Date
PUBLIC SERVICE APPLICATION
Narrative Questions
Following each question are instructions to guide the type of information requested. Please
type your responses and begin each page with the corresponding question number. The entire
section must be limited to four (4) single sided pages of Times New Roman 12 point type.
Additional pages will not be considered.
1. Provide a brief history of the agency I organization. When, how and by whom was the
organization formed? How has it evolved and changed over the years? Give a brief
description of your current programs and tell how they inter-relate.
2. Describe the project I program for which you are seeking funds. Include the following
information:
a. Proiect Specifics: Give a description of the proposed project including services that will
be provided. Does the project address health and safety issues?
!1. Community Need: Is the project you are proposing identified / prioritized in a community
or agency plan? If so, explain how and identify the plan. Estimate the unmet need for
this service in the community being served. How much of the unmet need will the
program address?
c. Partners: Will you develop partnership agreements with other community agencies to
accomplish this project? What will be the nature of these partnerships?
d. Tarqet Population: Who will be served? Describe the client population by geography. If
the project serves Kitsap County as a whole, provide the percentage of clients living in
Bremerton that will be served.
~ Client Income: How does this project target low and very low income populations?
1, Funds: How will the requested funds be used? Be specific. Explain how you
determined costs and the status of other funding. .
3. Describe the outreach plan to be used to ensure that eligible persons have access to
your project I program. Include a discussion about outreach and access to persons with
disabilities, limited English speaking, and minority clients. What is your organization's
history in serving these populations?
4. What will change in the lives of individuals, families, and the community as a result of
this funding? How do you know that your program / project will be effective? Site
evidence of other successful models, or your own track record as examples of successful
results. How will the change be documented, monitored and evaluated?
5. Describe your organization's incorporation of family policy principles as described on
pages 11-12 of this packet.
Staff & Board Total Senior & Low
Racial Categories l: >- Income Total
Profile C-4 .1:... Minorities
... .-
w CJ Totals
Z(f) c Q) ..... C Q) Q) Q) 0
ow C etS .c Q) co ."!: - C > C (/) Q) -0
etS .:Y. --0 .:Y..c .c ~06 ~ etS , ;:( co .2 Q) .c >,
i=o: u (/) o C c~3: 3: u '';::: Q) . -u-
C.!Q ---etS z "S E etS etS c
<(0 "t: C c- "t: C C 'C ;':'u co>, c ~
- etS etS<( etS (/) etS<(06 - etS etS ___ C <( ~ Q)>, Q) C .~ Q) 0
0....(9 <( u .gc ~ Q) := .~ C Q) 06 <( u .~ c etS :~ .c LL ."!: ~ ,"!:: o Q) '"C..__c
~w Q) ~ 'C C > etS c..i Q; etS.<:: c ~'C Q) Q;.~ ~ ~ .....co .~ etS - (; - (; U) Q) ...J E -~cOQ)
- u Q) etS Q) etS ._ etS U Q) .-::: u Q) .- c a. o N o 0
UI- *"~etS .c u .;g c .;g C ~"D::J~()
.c .!Q E '00 E "5 1ii etSetSll.. E"51ii '00 etSE.c E -0 .!Q .!Q E - etS .c (/) o .- o .- w:;:; (/) U o c 8 Q) C
u<( 3: a:l<( <( <(Ez ZI..... <(Ez <( 05<(3: <(E<(06a:l<( oa: WI I-~ I-~ ;:(0 ;:(E I-=>~a.o
OU
Directors
Administrators
Professionals
Technicians
Protective Service
Worker
Para Professionals
Office-Clerical
Skilled Craft
Service Maintenance
Volunteers
Other
Affirmative Action: What is your organization doing to increase or maintain appropriate representation of race, gender, age, income that supports your
organization's unbiased treatment of volunteers, (including Board members) or staff. (IE Hiring practices, advertising, promotion, & job applicants)?
Attachment C-3(a)
Sources of Financing - All Project Funding Sources
A
N
P . t N
\gency ame rolec ame
Source (Name) Committed Conditional Tentative
Federal:
CDBG $ $ $ (Application
- - amount)
- $ $ $
- - -
State:
$ - $ - $
-
-
$ $ $
- - -
-
Local:
- $ $ $
- - -
$ $ $
- - - -
Applicant:
$ $ $
- - - -
$ $ $
- - - -
Private:
$ $ $ -
- - -
$ $ $
- - - -
In-kind:
- $ $ $ -
- -
$ $ $
- - - -
Subtotals: $ $ $
- - -
TOTAL ALL FUNDING SOURCES $
-
Attachment C-3(b)
Use of Financing .. All Funding Sources
Aqencv Name Proiect Name
Project Cost Amount CDBG/HOME CDBG/HOME Other Source of
(County) (City) Funds
PERSONNEL
Managers
Staff
SUBTOTAL
SUPPLIES/EQUIPMENT
Office Supplies
Equipment
SUBTOTAL
'ADMINISTRATION
Advertising
Audit
Insurance/Bonds
Postage/Printing
Rent/Utilities
Communication
Training/Travel
Transportation
SUBTOTAL
ACQUISITION COSTS
Acquisition
SUBTOTAL
DEVELOPMENT SOFT COSTS
Appraisal
Design and A & E
Processing/Settlement and Financing
Marketing
Operating Reserve
SUBTOTAL
DEVELOPMENT HARD COSTS
Clearance/Demolition
Construction
Rehabilitation
Improvements
SUBTOTAL
OTHER COSTS
Relocation
Operating/Maintenance expenses
SUBTOTAL
TOTAL PROJECT COST
ATTACHMENT C-8
National Objective and Eligibility Determination
Agency Name
Project Name
Indicate the national objective your project meets. Attach the documentation
specified for the national objective (refer to PART III of this manual).
D Principally benefit low and very low income
D Area Benefit
D Limited Clientele
D At least 51% of beneficiaries are low or very low income
persons/households (identify a, b, c, or d below; documentation will be
determined by the letter selected)
(a)D Presumed Benefit
(b)D Agency Requires Client Information
(c)D Income Eligibility Requirement (Direct Benefit)
(d)D Nature/location
D Removal of Architectural Barriers
D Assistance to Owners of Micro enterprises
D Employment Support Services
D Housing Activities (Residential)
D Job Creation or Retention - Economic Development
D Reduce or eliminate Slum or Blight
Identify how you think your project is eligible according to COBG requirements.
Part 11/ provides additional information concerning eligibility requirements.
D Acquisition of real property
D Acquisition, construction reconstruction or installation of public works facilities
D Code enforcement
D Clearance, demolition, removal, and rehabilitation of buildings and improvements
D Removal of material and architectural barriers which restrict the mobility and
accessibility
D Public/human service
D Planning activities
D Assistance to Community Based Development Organizations (CBDO)
D Economic development project
D Housing services
D Assistance to facilitate economic development
D Assistance to expand homeownership
D Lead based paint hazard evaluation and reduction
**Please attach documentation showing how your agency complies with
National Objective requirements. Please see Part III of this manual or contact
COBG staff for further information.
Resources
Staff
Violence Prevention
Curriculum
Partnerships:
University, Counseling
Center, Sheriff, Schools
Participants
4
PROCESS
Activities
Delivery of violence
prevention curriculum in
the schools (pre-K
through 4th Grade)
Intensive Violence
prevention groups to
high risk youth
DARE
Family empowerment
~
Attachment C-5
Outcome Evaluation
Outputs
4-6 hours of violence
prevention education for
1890 students
480 students recei ve
intensive prevention
training in 10 week
groups of 6- I 0 students
each
185 at-risk families
receive outreach
assistance.
~
Outcomes
Improvement in healthy
peer social
communication
reduction of violent
behaviors in schools
improved school related
behaviors
increase in family support
consumer satisfaction
OUTCOME
Goals
Violence prevention
Resources
4
PROCESS
Activities
Attachment C-5
Outcome Evaluation
Outputs
Outcomes
+-
OUTCOME
Goals
Attachment C-10
Agency CDBG/t-IOME History Form
Agency Name
Project Name
Provide a history of your agency's management of CDBG and/or HOME Projects since
2002.
Year Project Dollar Funds CDSG or HOME City or County
Amount Expended by Funds
06/30/07
CDBG 0 COUNTY 0
HOME 0 CITY 0
CDBG 0 COUNTY 0
HOME 0 CITY 0
CDBG 0 COUNTY 0
HOME 0 CITY 0
CDBG 0 COUNTY 0
HOME 0 CITY 0
CDBG 0 COUNTY 0
HOME 0 CITY 0
CDBG 0 COUNTY 0
HOME 0 CITY 0
CDBG 0 COUNTY 0
HOME 0 CITY 0
What is the agency's insurance program for general liability/officers and
board/volunteers, etc.? Please attach a copy of your current policy.
Does the agency have any threatened or pending litigation?
No Yes (if yes, attach explanation)
Does the agency have any audit or IRS problems?
No Yes (if yes, attach explanation)
Authorized Signature
Date
ATTACHMENT C-11
Salary Summary Public Service Projects
Agency Name:
Project Name
Description 2008 Projected
Budget
Number of professional FTEs
Number of clerical FTEs
Number of all other FTEs
Salary Information
Salary of Director
Salaries of Professional Staff
Salaries of Clerical Staff
Other Salaries Description
Description
Description
Description
Totals
Total Payroll Cost (including payroll taxes)
Total Cost of Benefits
Total Cost of Retirement
Total Salary and Fringe Costs
"~'Ol]u @[?
[a~[EM[E~iO~
2008 Community Development Block Grant
PLANNING APPLICATION
Use this application for projE~cts or programs which involve the
development or implementation of community plans.
COBG PLANNING APPLICATION
Application Contents I Checklist
2008 COBG Funding Application Form
Response to Narrative Questions
Attachments
Attachment A (Organizational Capacity)
A-1 An organizational chart showing all staff, board members and volunteer positions
A-2 Organizational Data (Le. 501 (c)(3), public charter...)
A-3 Non-Discrimination Policies
Attachment B (Organizational Financial Management)
B-1 Most recent monthly financial statement
B-2 Most recent Financial Audit or Financial Statement prepared by a CPA, including
findings.
B-3 A statement of experience including operating statements and lender references and
record of performance, qualifications, and capacity to carry out the project described in
this application
B-4 IRS 990 (for non-profits)
B-5 Secretary of State CHO-1 Form (for non-profits)
B-6 Secretary of State Non-Profit Corporate Annual Report (for non-profits)
Attachment C (Project Feasibility)
C-1 Project History
C-2 Commitment letters from other funding sources for this project
**C-3a Sources of Financing
**C-3b Uses of Financing
**C-4 Agency CDBG/HOME History form
C-5 Mission Statement
**C-6 Salary Summary
C-7 Annual Report
**C-8 Agency Board and Staff Profile including names, addresses and associations
**Form provided within packet
2008 CDSG FUNDING APPLICATION FORM
Check the appropriate box to Identify the type of funds for which you are applying:
D Public Service D Planning D Capital Improvement
CDBG Fund Request
$
Project Title
(If this project has been previously t'unded, please use the same title)
Project Description Funds will be used to (25 words or less with specific numbers/goals):
Project Location (physical address)
Geographic Service Area
Census Tract(s)
Number of Unduplicated People Directly Benefiting from this Project
Applicant Name
Mailing Address
Agency Director
Name
e-mail address
Telephone #
Staff Contact
Name and Title
e-mail address
Telephone and Fax #
Federal Tax I.D. #
Type of Organization:
Public Agency
Private Nonprofit
Otherr (Specify)
Are you a Certified Housing Development Organization (CHDO) or Certified Community Based
Development Organization (CBDO)? 0 Yes 0 No
If not, are you planning on becoming a Certified CHDO or CBDO? 0 Yes 0 No
Authorized Signature
Date
PLANNING APPLICATION
Narrative Questions
Please type your responses and begin each page with the corresponding question number. The
entire section must be limited to four (4) single sided pages of Times New Roman, 12 point type.
Additional pages will not be considered.
Briefly describe your project: (3 to 4 sentences)
1. Describe the anticipated results of the planning activity. Explain if the plan will result in the
development of specific community priorities.
2. Describe who will benefit from implementation of the planning effort and how they will
benefit.
3. Describe if you are collaborating or coordinating with other agencies to develop the plan.
Attach documentation if available.
4. Does the plan promote neighborhood and local improvements? Explain.
Staff & Board >- Senior & Low
:!:: Total
Racial Categories u Total
Profile C-8 l: Minorities Income Totals
..c:
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00 <(- I- _ Cl.. 0
Directors
Administrators
Professionals
Technicians
Protective Service
Worker
Para Professionals
Office-Clerical
Skilled Craft
Service Maintenance
Volunteers
Other
Affirmative Action: What is your organization doing to increase or maintain appropriate representation of race, gender, age, income that supports your
organization's unbiased treatment of volunteers, (including Board members) or staff. (IE Hiring practices, advertising, promotion, & job applicants)?
Attachment C-3(a)
Sources of Financing - All Project Funding Sources
A
N
P . t N
1gency ame roJec ame
Source (Name) Committed Conditional Tentative
Federal:
CDBG $ $ $ (Application
- - Amount)
- $ $ $
- - -
State:
$ $ $
- - -
-
$ $ $
- - -
-
Local:
- $ $ $
- - -
- $ - $ $
- -
Applicant:
- $ $ $
- - -
$ $ $
- - - -
Private:
- $ - $ - $ -
- $ - $ - $ -
In-kind:
- $ - $ $ -
-
$ $ $
- - - -
Subtotals: $ $ $
- - -
TOTAL ALL FUNDING SOURCES $
-
Attachment C-3(b)
Use of Financing .. All Funding Sources
Aqencv Name Proiect Name
Project Cost Amount CDBG/HOME CDBG/HOME Other Source of
(County) (City) Funds
PERSONNEL
Managers
Staff
SUBTOTAL
SUPPLIES/EQUIPMENT
Office Supplies
Equipment
SUBTOTAL
*ADMINISTRATION
Advertising
Audit
Insurance/Bonds
Postage/Printing
Rent/Utilities
Communication
TraininglTravel
Transportation
SUBTOTAL
ACQUISITION COSTS
Acquisition
SUBTOTAL
DEVELOPMENT SOFT COSTS
Appraisal
Design and A & E
Processing/Settlement and Financing
Marketing
Operating Reserve
SUBTOTAL
DEVELOPMENT HARD COSTS
Clearance/Demolition
Construction
Rehabilitation
Improvements
SUBTOTAL
OTHER COSTS
Relocation
Operating/Maintenance expenses
SUBTOTAL
TOTAL PROJECT COST
*If your agency has an administrative overhead rate pre-approved, please attach documentation.
Attachment C-4
Agency CDBG/HOME History Form
Agency Name
Project Name
Provide a history of your agency's management of CDBG and/or HOME Projects since 2002
Year Project Dollar Funds CDSG or HOME City or County
Amount Expended by Funds
06/30/07
CDBG D COUNTY D
HOME D CITY D
CDBG D COUNTY D
HOME D CITY D
CDBG D COUNTY D
HOME D CITY D
CDBG D COUNTY D
HOME D CITY D
CDBG D COUNTY D
HOME D CITY D
CDBG D COUNTY D
HOME D CITY D
CDBG D COUNTY D
HOME D CITY D
What is the agency's insurance program for general liability/officers and
board/volunteers, etc.?
Does the agency have any threatened or pending litigation?
No Yes (if yes, attach explanation)
Does the agency have any audit or I RS problems?
No Yes (if yes, attach explanation)
Authorized Signature
Date
ATTACIHMENT C-6
Salary Summar~v Planning Projects
Agency Name:
Project Name
Description 2008 Projected
Budqet
Number of professional FTEs
Number of clerical FTEs
Number of all other FTEs
Salary Information
Salary of Director
Salaries of Professional Staff
Salaries of Clerical Staff
Other Salaries Description
Description
Description
Description
Totals
Total Payroll Cost (including payroll taxes)
Total Cost of Benefits
Total Cost of Retirement
Total Salary and Fringe Costs
~OlJU @[?
[a~LEMLE~lON
2008 Community Development Block Grant
CAPITAL PROJECTS APPLICATION
Use this application for projects which involve public facilities or the
acquisition, rehabilitation, and/or construction of real property.
CDSG CAPITJt\l APPUCA TION
Application Contents I Checklist
2008 COBG Funding Application Form
Response to Narrative Questions
Attachments
Attachment A (Organizational Capacity)
A-1 An organizational chart showing all staff, board members and volunteer positions
A-2 Organizational Data (i.e. 501 (c)(3), bylaws, public charter or business license #)
A-3 Non-Discrimination Policies
Attachment B (Organizational Financiial Management)
B-1 Most recent monthly financial statement including year-to-date information
B-2 Most recent Financial Audit or Financial Statement prepared by a CPA including
findings. If your audit exceeds 50 pages, please include an executive summary and
one copy of the full audit.
B-3 A statement of experience including operating statements and lender references and
record of performance, staff qualifications, and capacity to carry out the project
described in this application.
B-4 IRS 990 (for non-profits)
B-5 Secretary of State CHO-1 Form (for non-profits), also known as the Charitable
Solicitations Renewal Form.
B-6 Secretary of State Non-Profit Corporate Annual Report.
Attachment E (Project Feasibility)
Sources of Financing
Use of Financing
Commitment letters from other funding sources for this project
Management Plan
National Objective and Eligibility Determination
Preliminary Environmental Review Checklist
Purchase and Sale Agreement, if applicable
Operating Pro Forma
Plans and Specs for the Project
Relocation Plan, if appropriate
Neighborhood Notification Plan, if appropriate
Mission Statement
Agency CDBG/HOME History Form
Salary Summary
Annual Report (if your report exceeds 50 pages, please include five summaries and one
copy of the full report)
**E-15 Agency Board and Staff Profile with names, addresses and associations
**Form provided within packet
**E-1 a
**E-1 b
E-2
E-3
**E-4
**E-5
E-6
E-7
E-8
E-9
E-10
E-11
**E-12
**E-13
E-14
2008 CDSG FUNDING APPLICATION FORM
Check the appropriate box to Identify the type of funds for which you are applying:
D Public Service D Planning D Capital Improvement
CDBG Fund Request
$
Project Title
(If this project has been previously funded, please use the same title)
Project Description Funds will be used to (25 words or less with specific numbers/goals):
Project Location (physical address)
Geographic Service Area
Census Tract(s)
Number of Unduplicated People Directly Benefiting from this Project
Applicant Name
Mailing Address
Agency Director
Name
e-mail address
Telephone #
Staff Contact
Name and Title
e-mail address
Telephone and Fax #
Federal Tax I.D. #
Type of Organization:
Public Agency
Private Nonprofit
Other (Specify)
Are you a Certified Housing Development Organization (CHDO) or Certified Community Based
Development Organization (CBDO)? DYes D No
If not, are you planning on becoming a Certified CHDO or CBDO? DYes D No
Authorized Signature
Date
CAPITAL At\PPUCATION
Response to Narrative Questions
Following each question are instructions to guide the type of information requested. Please type
your responses and begin each page with the corresponding question number. The entire section
must be limited to four (4) single sided pages of Times New Roman 12 point type. Additional
pages will not be considered.
1. Provide a brief history of the agency I or~lanization. When, how and by whom was the
organization formed? How has it evolved and changed over the years? Give a brief description of
your current programs and tell how they inter-rE~late.
2. Describe the project I program for which )fou are seeking funds. Include the following
information:
a. Proiect Specifics: Give a description of the proposed project including services that will be
provided. Does the project address health and safety issues?
.Q., Community Need: Is the project you are proposing identified / prioritized in a community or
agency plan? If so, explain how and idE!ntify the plan. Estimate the unmet need for this
service in the community being served. How much of the unmet need will the program
address?
c. Partners: Will you develop partnership agreements with other community agencies to
accomplish this project? What will be the nature of these partnerships?
d. Tarqet Population: Who will be served? Describe the client population by geography. If
the project serves Kitsap County as a whole, provide the percentage of clients living in
Bremerton that will be served.
e. Client Income: How does this project target low and very low income populations?
t Funds: How will the requested funds be used? Be specific. Explain how you determined
costs and the status of other funding.
3. Describe the outreach plan to be used to Emsure that eligible persons have access to your
project I program. Include a discussion about outreach and access to persons with disabilities,
limited English speaking, and minority clients. What is your organization's history in serving these
populations?
4. What will change in the lives of individuals, families, and the community as a result of
this funding? How do you know that your pro~lram / project will be effective? Site evidence of
other successful models, or your own track record as examples of successful results. How will the
change be documented, monitored and evaluated?
5. Describe your organization's incorporation 'of family policy principles as described on
pages 11-12 of this packet.
6. Describe your organization's constructiol11 management and property management
experience. What project(s) has the organization constructed in the past and how large were they
in physical size, complexity and cost compared to the proposed project? Has your organization
received Federal funding for previous construction projects? Discuss the experience of the staff
who will be assigned to construction management, record keeping and facility maintenance once
completed. Give a brief project schedule and estimate when the CDBG funds will be used. Provide
a brief maintenance plan, including how maintenance will be funded.
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Attachment E-1 (a)
Sources of Financing - J~II Project Funding Sources
Agency Name
Project Name
Source (Name) Clommitted Conditional Tentative
Federal:
- $ -- $ - $ -
- $-- $ - $-
State: $ $ $
-- - -
-
$-- $ - $-
-
Local:
- $ -- $ - $ -
- $-- $ - $ -
Applicant:
- $ -- $ - $ -
- $ -- $ - $-
Private:
- $-- $ - $ -
- $-- $ - $-
In-kind:
- $ -- $ - $-
- $-- $ - $ -
Subtotals: $- $ $
TOTAL ALL FUNDING SOURCES $ -
Attachment E-1 (b)
Use of Financing - All Funding Sources
A
N
P . t N
~qencv ame rOlec ame
Project Cost Amount CDBG/HOME CDBG/HOME Other Source of
(County) (City) Funds
PERSONNEL
Managers
Staff
SUBTOTAL
SUPPLIES/EQUIPMENT
Office Supplies
Equipment
SUBTOTAL
*ADMINISTRATION
Advertising
Audit
Insurance/Bonds
Postage/Printing
Rent/Utilities
Communication
Training/Travel
Transportation
SUBTOTAL
ACQUISITION COSTS
Acquisition
SUBTOTAL
DEVELOPMENT SOFT COSTS
Appraisal
Design and A & E
Processing/Settlement and Financing
Marketing
Operating Reserve
SUBTOTAL
DEVELOPMENT HARD COSTS
Clearance/Demolition
Construction
Rehabilitation
Improvements
SUBTOTAL
OTHER COSTS
Relocation
Operating/Maintenance expenses
SUBTOTAL
TOTAL PROJECT COST
ATTACIHMENT E-4
National Objective and Eligibility Determination
Agency Name
Project Name
Indicate the national objective your project meets. Attach the documentation
specified for the national obiective (refl~r to PART III of this manual).
o Principally benefit low and very low income
o Area Benefit
o Limited Clientele
o At least 51 % of beneficiaries are low or very low income
persons/households (identify a, b, c, or d below; documentation will be determined by
the letter selected)
(a)O Presumed Benefit
(b)O Agency Requires Client Information
(c)O Income Eligibility RElquirement (Direct Benefit)
(d)O Nature/location
o Removal of Architectural Barriers
o Assistance to Owners of Microenterprises
o Employment Support Services
o Housing Activities (Residential)
o Job Creation or Retention - Economic Development
o Reduce or eliminate Slum or Blight
· Identify how you think your project iis eligible according to CDBG
requirements.
Part 11/ provides additional information concerning eligibility requirements.
o
o
o
o
o Removal of material and architectural barriers which restrict the mobility and
accessibility
o Public/human service
o Planning activities
o Assistance to Community Based Development Organizations (CBDO)
o Economic development project
o Housing services
o Assistance to facilitate economic dl3velopment
o Assistance to expand homeownership
o Lead based paint hazard evaluation and reduction
Acquisition of real property
Acquisition, construction reconstruction or installation of public works facilities
Code enforcement
Clearance, demolition, removal, and rehabilitation of buildings and improvements
**Please attach documentation showing how your agency complies with
National Objective requirements. Please see Part III of this manual or contact
CDBG staff for further information.
Attachment E-5
CDBG Capital Projects
Preliminary Environmental Review Questionnaire
At the site under consideration for the project, please make an observation for each of the
seven Compliance Factors listed below. Enter a "Y" for Yes or "N" for No in the space for the
given condition. Fill in the blank with the appropriate answer for all other questions.
Project Name and Address:
ENVIRONMENTAL COMPLIANCE FACTORS
1.) HISTORIC PRESERVATION
. Does the project involve a building greater than 50 years old?
· If yes, does the project involve rehabilitation of some sort?
· Are you aware of any historically significant events that have taken place
at the site?
Note: If the structure is greater than 50 years old and rehabilitation is
proposed, the State Historic Preservation Officer (SHPO) must be contacted
(as well as any local historic office). If the property is on the National
Register of Historic Places (NRHP), eligible for listing, located in a Historic
District, or adjacent to a NHRP, additional action may be required.
2.) FLOODPLAIN MANAGEMENT
. Is the property where the proposed project is located in a Coastal High
Hazard Area, flood way or have a finished floor below the 100 year flood
plain?
. Does the project propose the development of impervious surfaces (roof
or concrete)?
o If yes, approximately how many square feet of impervious surface will be
developed?
Note: Property in a flood plain will require flood insurance. If you need help
making this determination, you may contact the City of Bremerton,
Community Development Office at (360) 473-5211 for information regarding
the Floodplain areas of Bremerton.
3.) COASTAL ZONE MANAGEMENT
o Is the proposed project site within 200 ft. of the Ordinary High Water
Mark?
"Ordinary high water mark" on all lakes, streams, and tidal water is that
mark that will be found by examining the bed and banks and ascertaining
where the presence and action of waters are so common and usual, and so
long continued in all ordinary years, as to mark upon the soil a character
distinct from that of the abutting upland, in respect to vegetation as that
condition exists on June 1, 1971, as it may naturally change thereafter, or as
it may change thereafter in accordance with permits issued by a local
government or the department PROVIDED, That in any area where the
ordinary high water mark cannot be found, the ordinary high water mark
adjoining salt water shall be the line of mean higher high tide and the
ordinary high water mark adjoining fresh water shall be the line of mean high
water.
4.) WETLANDS PROTECTION
· Does the site or the adjacent areas of the proposed project have the
appearance of a swamp, marsh, or slough?
· Does the project appear to be wet (standing water) at any time of the
year?
5.) NOISE
o Is the proposed project site within 1,000 feet of a Highway (usually a four
lane road)
· or within 3,000 feet of a Railroad?
6.) ENDANGERED SPECIES
· Is the proposed project site a habitat area for any endangered species?
7.) AIR
o Do you know if the proposed project site has any asbestos located on
the property?
8.) HAZARDS
A.) Explosive or Flammable Tanks
· Does the site for the proposed project have any visible storage tanks for
a flammable substance with in a quarter (1/4) of a mile?
· Is the proposed site within a quarter (1/4) of a mile from a loading
terminal for a flammable substance?
· Does the proposed site have high pressure gas lines or overhead
transmission lines present within 200 square feet?
B.) Hazardous Waste
· Will the proposed project be located on fill land?
· If yes, what materials were used for the fill?
· Is the project area on or near a site suspected of posing a potential
environmental hazard such as a dump, land fill, or industrial location
containing hazardous wastes?
9.) LAND USE HISTORY
· What, if any, prior uses existed on the property?
I UNDERSTAND THAT UPON SUBMITTAL OF THIS APPLICATION, NO FURTHER FUNDS,
OF ANY KIND, CAN BE SPENT ON THIS PROJECT UNTIL A HUD APPROVED
ENVIRONMENTAL REVIEW IS COMPLETE. FUNDS BEING SPENT ON THE PROJECT
AFTER APPLICATION SUBMITTAL COULD JEOPARDIZE THE ELIGIBILITY OF THE
PROJECT FOR HUD FUNDS.
Note: A "Yes" response to any of these questions may be an indicator that some form of
mitigation could be required for the project.
Signature of Agency Director
Name (PRINTED)
Date
Attachment E-12
Agency CDBG/tiOME History Form
Agency Name
Project Name
Provide a history of your agency's management of CDBG and/or HOME Projects since 2002.
Year Project Dollar Funds CDBG or HOME City or County
Amount Expended Funds
by 06/30/07
CDBG D COUNTY D
. HOME D CITY D
CDBG D COUNTY D
HOME D CITY D
CDBG D COUNTY D
HOME D CITY D
CDBG D COUNTY D
HOME D CITY D
CDBG D COUNTY D
HOME D CITY D
CDBG D COUNTY D
HOME D CITY D
CDBG D COUNTY D
HOME D CITY D
What is the agency's insurance program for general liability/officers and board/volunteers, etc.?
Please attach a copy of your current policy.
Does the agency have any threatened or pending litigation?
No Yes (if yes, attach explanation)
Does the agency have any audit or IRS problems?
No Yes (if yes, attach explanation)
Authorized Signature
Date
ATTACHMENT E-13
Salary Summary Capital Projects
Agency Name
Project Name
Description 2008 Projected Budget
Number of professional FTEs
Number of clerical FTEs
Number of all other FTEs
Salary Information
Salary of Director
Salaries of Professional Staff
Salaries of Clerical Staff
Other Salaries Description
Description
Description
Description
Totals
Total Payroll Cost (including payroll taxes)
Total Cost of Benefits
Total Cost of Retirement
Total Salary and Fringe Costs
~DLf:u @[P
~~[EM[E~lON
2008 Community Development Block Grant
HOME PROJE(~T APPLICATION
Use this application for projects which provide decent, affordable
housing through construction, rehabilitation, rental and
homeownership subsidies
HOME APPLICATION
Application Contents / Checklist
2007 /2008 HOME Funding Application Form
Response to Rating Factors
Attachments
Attachment A (Organizational Capacity)
A-1 An organizational chart showing all staff, board members and volunteer positions
A-2 Organizational Data (i.e. 501 (c)(3) , public charter...)
A-3 Non-~iscrimination Policies
Attachment B (Organizational Financial Management)
B-1 Most recent monthly financial statement including year-to-date information
B-2 Most recent Financial Audit or Financial Statement prepared by a CPA, including
findings. If your audit exceeds 50 pages, please include an executive summary and
one copy of the full audit.
B-3 A statement of experience including operating statements and lender references and
record of performance, qualifications, capacity to carry out the project described in
this application, and capacity to manage grants.
B-4 IRS 990 (for non-profits)
B-5 Secretary of State CHO-1 Form (for non-profits)
B-6 Secretary of State Non-Profit Corporate Annual Report (for non-profits)
Attachment D (Project Feasibility)
0-1 Commitment letters from other funding sources for this project
0-2 Management Plan
0-3 Plans and Specs for the Project
0-4 Relocation Plan, if appropriate
**0-5 Preliminary Environmental Review Checklist
**0-6 Agency COBG/HOME History Form
**0-7 Salary Summary
0-8 Annual Report. If your report exceeds 50 pages, please include a summary and one
copy of the full report. Include Agency Mission Statement
**0-9 Agency Board Profile, attach the names and addresses of Board Members
**Form provided within packet
2007 /2008 HOME FUNDING APPLICATION FORM
HOME Funding Request
$
Project Title
(If this project has been previously funded, please use the same title)
Project Description Funds will be used to (25 words or less with specific numbers/goals):
Project Location (physical address)
Geographic Service Area
Census Tract(s)
Number of Unduplicated People Directly Benefiting from this Project
Applicant Name
Mailing Address
Agency Director
Name
e-mail address
Telephone #
Staff Contact
Name and Title
e-mail address
Telephone and Fax #
Federal Tax 1.0. #
Type of Organization:
Public Agency
Private Nonprofit
Other (Specify)
Are you a Certified Housing Development Organization (CHDO)?
If not, are you planning on becoming a Certified CHDO?
DYes D No
DYes D No
Authorized Signature
Date
CITY OF BREMERTON
HOME PROJECT RATING FACTORS
1. Applicant Profile
Applicant Profile (see attached instructions):
2. Projected use of HOME funds -- Proposed Project
Proposed project: Tenure of recipients: check one
D New construction
D Substantial rehabilitation (> $25,000)
D Moderate rehabilitation (< $25,000)
D Tenant Based-Assistance
D Other _'
D Renters
DOwners
3. Need
Describe the need for the proposed project. The description should include characteristics such
as cause, extent, and location of the specific need and should be in measurable and
quantitative terms. Describe how you determined that the project is the most appropriate
method to address the need and the proposed impact the project is expected to have.
4 G
I P .
I f
enera rOlect n ormation
Explain how the project is consistent with the Consolidated Plan:
Is the project identified / prioritized in any other community or agency plan? If so, identify the
plan and explain how the project fits with the plan.
Project address: City: State: Zip Code:
Bremerton WA
Identify the service area of the project:
~ Please attach a project map that identifies the project location(s)
5 S
fF
All P " t F d" S
. ources 0 mancmg - ro ec un mg ources
Source (Name) Committed Conditional Tentative
a. Federal:
HOME $ -- $ - $ (Application
Amount)
- $ -- $ -
$ -
b. State: $ $ $
-- - -
-
$-- $ - $-
-
c. Local:
- $ -- $ - $ -
- $-- $ - $ -
d. Applicant:
- $ -- $ - $ -
- $-- $ - $-
e. Private:
- $ -- $ - $ -
- $ -- $ - $-
f. In-kind:
- $ -- $ - $-
- $ -- $ - $ -
Subtotals: $ $ $
TOT AL ALL FUNDING SOURCES $---
6 U
fF"
All F d"
s
. ses 0 Inanclng - un Ing ources
Project Cost Amount HOME HOME Other
(City) (County) Source of
Funds
ACQUISITION COSTS:
Acquisition
Homebuyer assistance
Other
SUBTOTAL
RELATED SOFT COSTS
Appraisal
Architect
Engineering
Design
Processing/Settlement and
Financing Costs
Audit
Affirmative Marketing
Operating Reserve
Other
SUBTOTAL
DEVELOPMENTAL HARD
COSTS
New Construction
Rehabilitation
Improvements
Demolition
Other
SUBTOTAL
OTHER COSTS
Relocation
CHDO operating expenses
Tenant Based Assistance
Other
SUBTOTAL
OPERATING COSTS (generally
not HOME costs)
Services
Rent/Mortgage Subsidies
Operating
Other
SUBTOTAL
TOT AL PROJECT COST
**Note: Total Project Cost must be equal to Tota/all Funding Sources on the Source of
Funds statement.
7. Sources of Cost Estimates
~ Summarize and attach cost estimates
Attach: earnest money agreement, option or closing statement for land and/or building(s);
construction cost estimate; construction contract or preliminary bid(s); agreements governing
the various reserves which are capitalized at closing; appraisal; and if low income housing tax
credits are utilized, documentation on the syndication costs from the organization/individual who
will syndicate and sell the offering. Provide supporting documentation for all other costs.
8. Total Per-Unit Cost
Total Project Development Cost:
Total Number of Units in the Project:
Cost per unit:
9. Match Contribution
a. Total HOME funds requested
$-
b. Match contribution $_
c. Match is % of HOME
reauest
d. Description of match contribution:
10. Use of HOME funds
a. Development hard costs
b. Acquisition costs
c. Related soft costs
d. Relocation costs
e. Costs related to TBRA
f. CHDO operating expenses
g. Total HOME-Assisted Cost:
h. Total Number of HOME-assisted Units
j. HOME cost per unit
$-
$-
$-
$-
$-
$-
$-
$-
$-
*Note: A maximum HOME subsidy of $30,000 per unit is allowed for homeownership
ro"ects and $131,753 er unit for rental ro"ects. See a e 4 of the Polic Plan.
11 P " t Ob" r
IT k IS h d I
rOJec IJec Ives as s c e u e
List the specific tasks to complete and manage this project, the total amount required to meet
the task, the amount that will be paid using HOME funds, the source of any other funds needed
to complete the task, the date when you will start the task and the date when it will be
completed. Include tasks through the period of affordability.
Specific tasks Total HOME Other Start End Date
Cost Cost Sources Date
0 See Attached
0
.
.
.
.
.
.
.
.
12. Long Term Affordability
Indicate the number of years the project will be retained as affordable housing for your target
income level and how this will be accomplished, for example, land covenants or deed
restrictions. (See Policy Plan and attached instructions for requirements.) If the project is for
assistance to homebuyers, include a specific description of the resale/recapture procedures
that will be used.
Project will remain affordable for years
13. Minority and Women Owned Businesses
Identify the types of notices, bid procedures, and direct outreach that will occur in regard to
recruitment of minority and women owned businesses for this project.
14. Affirmative Marketing
(see attached instructions)
If your project is for
· homeownership you must answer questions 15 and 16 (you do not need to
answer questions 17, 18, 19,20, or 21) and include the attachments in 22.
· rental housing you do not need to answer questions 15, 16, 20 or 21, but you
must answer 17,18,19 and include the attachments in 22.
· tenant based assistance you do not need to answer questions 15,16,17,18,19,
or 21, but you must answer 20 and include the attachments in 22.
15. Homeownership Requirements
Describe the method of assuring that
(1) All of the HOME funds will assist low income homebuyers, or existing low-income
homeowners, whose family incomes are at or below 80% of the area median family income
(see page 19 of the Policy Plan).
(2) The assisted housing will be the owner's principal residence; and
(3) The purchase price of the property, or the appraised value of a property already owned after
rehabilitation will be less than 95% of the median area purchase price.
16. Home wnership Income argetmg
Please provide the information requested in the followinc table
Size of House and Income Number Monthly Targeted Assumed PITI Median Comments
level of Payment Maximum Family I divided Income*
Houses (PITI) HH Household by adjusted for
I Units income Size monthly family size
Income
ONE BEDROOM
% of Median Income*
% of Median Income
% of Median Income
TWO BEDROOM
% of Median Income
% of Median Income
% of Median Income
THREE BEDROOM
% of Median Income
% of Median Income
% of Median Income
FOUR BEDROOM
% of Median Income
% of Median Income
% of Median Income
TOTAL
o
T
*Median Income = Median Family Income. Median Family Income is determined periodically by the Department of Housing and Urban
Development (HUD) on the basis of state and local earnings data and is published for cities and counties. See Page 19 of the Policy Plan.
17. Rental Operating Statement
Provide operating statements for # of years project will remain affordable to very low and low
income households. After year 5, projections may be in 5-year increments. (you may provide a
more detailed statement in your own format)
A. Operating Income:
Gross Rent Receipts less Vacancy Rate _ %
Other Income
Total Operating Income
B. Operating Expenses
Sewer/Water
Electricity
Gas
Garbage
Maintenance
Management
Advertising
Reserves
Other Expenses
Total Operating Expenses
C. 'Net Operating Income
D. Total Debt Service
(complete table below)
E. Net Cash flow
(Net Operating Income less Debt Service Total)
Debt Service:
loans or other
Loan 1
Loan 2
Loan 3
Total Annual
Debt Service
Amount
$-
$-
$-
$-
$-
$-
Monthly
Payment
Annual Payment
$-
$-
$-
$-
$-
$-
$-
18 P .
R
S h d I
. rOlect ent c e u e
Provide the information requested in the followinq table
Type of Unit # of Targeted Targeted Proposed Tenant Tenant Type of Proposed rent
units Family Household Monthly paid Monthly subsidy as % of income
Size Income Rent Utilities! Rent (if any)
Services** Plus
Utilities
SRO
% of Median Income*
% of Median Income
% of Median Income
ONE BEDROOM
% of Median Income
% of Median Income
% of Median Income
TWO BEDROOM
% of Median Income
% of Median Income
% of Median Income
THREE BEDROOM
% of Median Income
% of Median Income
% of Median Income
TOTAL
** List utilities and services to be paid bV tenant:
*Median Income = Median Family Income. Median Family Income is determined periodically by the Department of Housing and Urban
Development (HUD) on the basis of state and local earnings data and is published for cities and counties. See Page 19 of the Policy Plan.
19. HOME Rents
Describe the process that will be established to assure that the rents charged in HOME assisted
rental projects do not exceed the allowable amount under HOME program regulations. (see
attached instructions)
20. Tenant Based Rental Assistance
Describe actions you will take to assure the project meets the requirements of 92.210 and
92.211 including tenant selection policies, lease requirements, rent reasonableness, terms of
any rental assistance contract and maximum subsidies.
21. Additional Information
Provide any additional information you think may help us evaluate your application. Please limit
the amount of additional information to four pages.
22. Attachments.
Please provide the following attachments with your application and copies:
Attachment A (Organizational Capacity)
A-1 An organizational chart showing all staff, board members and volunteer
positions
A-2 Organizational Data (Le. 501 (c)(3), public charter...)
A-3 Non-Discrimination Policies
Attachment B(Organizational Financial Management)
B-1 Most recent monthly financial statement including year-to-date information
B-2 Most recent Financial Audit or Financial Statement prepared by a CPA,
including findings. If your audit exceeds 50 pages, please include an
executive summary and one copy of the full audit.
B-3 Astatement of experience including operating statements and lender
references and record of performance, qualifications, capacity to carry out the
project described in this application, and capacity to manage grants.
B-4 IRS 990 (for non-profits)
B-5 Secretary of State CHO-1 Form (for non-profits)
B-6 Secretary of State Non-Profit Corporate Annual Report (for non-profits)
Attachment D (Project Feasibility)
0-1 Commitment letters from other funding sources for this project
0-2 Management Plan
0-3 Plans and Specs for the Project
0-4 Relocation Plan, if appropriate
**0-5 Preliminary Environmental Review Checklist
**0-6 Agency CDBG/HOME History Form
**0-7 Salary Summary
0-8 Annual Report (include Agency Mission Statement).
**0-9 A Board profile, attach the names and addresses of Board Members
**Form provided within packet
Attachment 0-5
HOM E Capital Projects
Preliminary Environmental Review Questionnaire
At the site under consideration for the project, please make an observation for each of
the seven Compliance Factors listed below. Enter a "Y" for Yes or "N" for No in the
space for the given condition. Fill in the blank with the appropriate answer for all other
questions.
Project Name and Address:
ENVIRONMENTAL COMPLIANCE FACTORS
1. HISTORIC PRESERVATION
. Does the project involve a building greater than 50 years old?
. If yes, does the project involve rehabilitation of some sort?
. Are you aware of any historically significant events that have
taken place at the site?
Note: If the structure is greater than 50 years old and rehabilitation is
proposed, the State Historic Preservation Officer (SHPO) must be
contacted (as well as any local historic office). If the property is on
the National Register of Historic Places (NRHP), eligible for listing,
located in a Historic District, or adjacent to a NHRP, additional action
may be required.
2. FLOODPLAIN MANAGEMENT
e Is the property where the proposed project is located in a Coastal
High Hazard Area, flood way or have a finished floor below the
100 year flood plain?
e Does the project propose the development of impervious
surfaces (roof or concrete)?
o If yes, approximately how many square feet of impervious
surface will be developed?
Note: Property in a flood plain will require flood insurance. If you
need help making this determination, you may contact the City of
Bremerton, Community Development Office at (360) 473-5211 for
information regarding the Floodplain areas of Bremerton.
3. COASTAL ZONE MANAGEMENT
o Is the proposed project site within ~~oo f1. of the Ordinary High
Water Mark?
"Ordinary high water mark" on all lakes, streams, and tidal water is
that mark that will be found by examining the bed and banks and
ascertaining where the presence and action of waters are so
common and usual, and so long continued in all ordinary years, as to
mark upon the soil a character distinct from that of the abutting
upland, in respect to vegetation as that condition exists on June 1,
1971, as it may naturally change thereafter, or as it may change
thereafter in accordance with permits issued by a local government
or the department PROVIDED, That in any area where the ordinary
high water mark cannot be found, the ordinary high water mark
adjoining salt water shall be the line of mean higher high tide and the
ordinary high water mark adjoining fresh water shall be the line of
mean highwater.
4. WETLANDS PROTECTION
· Does the site or the adjacent areas of the proposed project have
the appearance of a swamp, marsh, or slough?
· Does the project appear to be wet (standing water) at any time of
the year?
5. . NOISE
.. Is the proposed project site within 1,000 feet of a Highway
(usually a four lane road)
. Qr within 3,000 feet of a Railroad?
6. : ENDANGERED SPECIES
. Is the proposed project site a habitat area for any endangered
species?
7. AIR
· Do you know if the .proposed project site has any asbestos
located on the property?
8. HAZARDS
Explosive or Flammable Tanks
It Does the site for the proposed project have any visible storage
tanks for a flammable substance with in a quarter (1/4) of a mile?
e Is the proposed site within a quarter (1/4) of a mile from a loading
terminal for a flammable substance?
. Does the proposed site have high pressure gas lines or overhead
transmission lines present within 200 square feet?
Hazardous Waste
· Will the proposed project be located on fill land?
· If yes, what materials were used for the fill?
· Is the project area on or near a sitE~ suspected of posing a
potential environmental hazard such as a dump, land fill, or
industrial location containing hazardous wastes?
9. LAND USE HISTORY
· What, if any, prior uses existed on the property?
I UNDERSTAND THAT UPON SUBMITTAL OF THIS APPLICATION, NO FURTHER
FUNDS, OF ANY KIND, CAN BE SPENT ON THIS PROJECT UNTIL A HUD
APPROVED ENVIRONMENTAL REVIEW IS COMPLETE. FUNDS BEING SPENT ON
THE PROJECT AFTER APPLICATION SUBMITTAL COULD JEOPARDIZE THE
ELIGIBILITY OF THE PROJECT FOR HUD FUNDS.
Note: A "Yes" response to any of these questions may be an indicator that some form of
mitigation could be required for the project.
Signature of Agency Director
Name (PRINTED)
Date
Attachment 0-6
Agency CDBG/HOME History Form
Agency Name
Project Name
Provide a history of your agency's management of CDBG and/or HOiv1E Projects since
2002.
Year Project Dollar Funds CDBG or HOME City or County
Amount Expended Funds
by 06/30/07
CDBG 0 COUNTY 0
HOME 0 CITY 0
CDBG 0 COUNTY 0
HOME 0 CITY 0
CDBG 0 COU NTY 0
HOME 0 CITY 0
CDBG 0 COUNTY 0
HOME 0 CITY 0
CDBG 0 COUNTY 0
HOME 0 CITY 0
CDBG 0 COUNTY 0
HOME 0 CITY 0
CDBG 0 COUNTY 0
HOME 0 CITY 0
What is the agency's insurance program for general liability/officers and
board/volunteers, etc.? Please attach a copy of your current policy.
Does the agency have any threatened or pending litigation?
No Yes (if yes, attach explanation)
Does the agency have any audit or IRS problems?
No Yes (if yes, attach explanation)
Authorized Signature
Date
ATTACIHMENT 0-7
Salary SlUImmary Capital Projects
Agency Name
Project Name
Description 2008 Projected Budget
Number of professional FTEs
Number of clerical FTEs
Number of all other FTEs
Salary Information
Salary of Director
Salaries of Professional Staff
Salaries of Clerical Staff
Other Salaries Description
Description
Description
Description
Totals
Total Payroll Cost (including payroll taxes)
Total Cost of Benefits
Total Cost of Retirement
Total Salary and Fringe Costs
CITY OF BREMERTON
HOME
Application Instructions
General Applicant Information:
ApPLICANT:
ADDRESS:
CONTACT PERSONITITLE:
TELEPHONE NUMBER:
The organization submitting the application
Address of applicant agency
For this project
For applicant agency and the contact
person
TITLE AND SIGNATURE OF
AUTHORIZED OFFICIAL
The title and signature of the person
authorized to sign contracts for the
organization.
Indicate, in this section, if you are applying for the CHDO set aside. A CHDO
checklist or a letter indicating you have been predetermined to be a CHDO in The
City of Bremerton, must be submitted with the application. The applicant has the
option of having the application considered only in the CHDO set-aside competition,
or considered in both the CHDO set aside competition and the general competition.
1. Applicant Profile:
The organization that will administer the project must describe its record of
performance, qualifications, and capacity to carry out the project described in the
application. Any recent (within the past year) housing activities that have been
administered should be described. The applicants role, and if appropriate the role
other entities will have, in carrying out the proposed project (i.e. developer, owner,
investor, manager, etc.) must be described.
2. Projected Use of HOME Funds
Indicate if the proposed project is:
New construction
newly built or built within the last 12 months
adding additional unit(s) outside existing walls
Rehabi I itation
Substantial: development cost per unit is greater than $25,000
Moderate: development cost per unit is less than $25,000
Homeowner Assistance
Tenant Based Rental Assistance
Indicate if proposed recipients of HOME assistance will be renters or owners.
3. Need
Describe the need for the project. How long has the need existed. Are any other
activities currently being undertaken in the community to address the need? If
appropriate, identify any new emerging needs that are not met through any of the
existing agencies or programs. Where did you get the information included in this
section? Quantify information when possible
4. General Project Information
Describe what your project is. Provide sufficient detail to give the reader a clear
understanding of the nature of the activity to be undertaken. Include "who, what,
where, how, and why." Be as specific as possible. This is an opportunity to
"make the case" for your project.
· Include information concerning the housing standards that will be met.
· List the specific objectives to be m19t.
Displacement of people or businesses is discouraged. If your proposal is likely to
result in displacement, discuss it in this section and include relocation assistance, as
appropriate, in the use of funds section.
· Explain how the project is consistent with the Consolidated Plan. See page 6 of
the Policy Plan for more information
· Explain how / if the project is prioritized in another community or agency plan.
Address: Provide the street address for the project. If project sites have not been
identified, provide the address of the Agency applying for the funds.
Service Area: Provide the service area for the "project" not the Agency, unless the
service areas are the same. Identify the neighborhood, City or County by Name.
Project area Map: Attach a map that best shows the "project service area. Identify
the project location on the map.
5. Sources of Financing- All Funding Sources:
Please list the sources of all funds required to complete the project.
a. Federal: list all specific sources of federal funds required to complete the project.
Indicate if the amounts are committed, conditional or tentative. Provide the date
you will be given a notice of a firm commitment or denial if the funds are
conditional or tentative.
b. State: list all specific sources of State funds required to complete the project.
Indicate if the amounts are committed, conditional or tentative. Provide the date
you will be given a notice of a firm commitment or denial if the funds are
conditional or tentative.
c. Local: list all specific sources of local funds required to complete the project.
Indicate if the amounts are committed, conditional or tentative. Provide the date
you will be given a notice of a firm commitment or denial if the funds are
conditional or tentative.
d. Applicant: list all specific sources of funds to be provided by the applicant that
are required to complete the project. Indicate if the amounts are committed,
conditional or tentative. Provide thE! date you will know if the funds will be
committed for any amounts listed as conditional or tentative.
e. Private: list all specific sources of private funds required to complete the project.
Indicate if the amounts are committed, conditional or tentative. Provide the date
you will be given a notice of a firm commitment or denial if the funds are
conditional or tentative.
f. In kind contribution: includes volunteers, supplies and other contributions for
which a cash value can be assigned. Attach a description of any in-kind
contribution listed, including dollar value and the basis for the value
determination.
g. Subtotals:: provide the total of lines a through f for the amount in the committed
column, conditional column, and tentative column.
h. Total All Funding Sources This is the sum total of the three columns in item g
(subtotal)
6. Uses of Financing - All Funding Sources
Identify the budget required for the specific project.
Amount: List the costs, by category for the total project budget.
Subtotal: Provide the total for each of the sections.
Source of Funds: Identify the specific source of funds that will be utilized for the
budgeted cost.
7. Sources of Cost Estimates
Indicate the source of cost estimates used to determine funds, and distribution of
funds, required to complete the project.
8. Total Per Unit Cost
Total project development cost: This amount should be the same amount as in
question 7 "Total Project Cost."
Total number of Units in the Project: Identify the number of units in the project.
Cost per unit: Divide the total project development cost by the cost per unit.
9. Match Contribution
a. Total HOME funds requested: This amount should be the same as in question
9(g).
b. Match contribution: The amount of match contribution that will be provided.
c. Match percentage: The match contribution (b) divided by the HOME funds
requested (a).
d. Description of the match contribution: Include a detailed description of the
source of the contribution. (For example if the contribution is cash, land or real
property, describe where it is coming from; if the match is donated or voluntary
labor describe who will provide it). Include the status of the contribution, is it
committed, conditional, or tentative. Explain the status.
10. Use of HOME funds
Identify costs that are proposed to be paid with HOME funds. Eligible costs are
described in HOME regulations 92.206 and are briefly outlined below.
a. Developmental Hard Costs are the actual cost of constructing or rehabilitating
housing. Costs 0 demolish existing structures and for improvements to the
project site that are in keeping with improvements of surrounding, standard
projects, and costs to make utility connections are considered developmental
hard costs.
b. Acquisition Costs are the costs of acquiring improved or unimproved real
property.
c. Related Soft Costs are other reasonable and necessary costs incurred by the
owner and associated with the financing, or development (or both) of new
construction, rehabilitation or acquisition of housing assisted with HOME funds.
These costs include, but are not limited to:
. Architectural, engineering or related professional services required to prepare
plans, drawings, specifications, or work write-ups;
Costs to process and settle financing for a project, such as private lender
origination fees, credit reports, fees for title evidence, fees for recordation and
filing of legal documents, building permits, attorneys, fees, private appraisal
fees and fees for an independE!nt cost estimate, builders or developers fees;
· Costs of a project audit t
· Costs to provide information services such as affirmative marketing and fair
housing information to prospective homeowners and tenants;
· For new construction or substantial rehabilitation, the cost of funding an initial
operating deficit reserve, which is a reserve to meet any shortfall in project
income during the period of project rent up and which may only be used to
pay operating expenses, reserve for replacements and debt service.
d. Relocation Costs: are costs of relocation payments and other relocation
assistance for permanently and temporarily relocated individuals, families,
businesses, non-profit organizations, and farm operation where assistance is
required.
e. Costs Related to Tenant Based Assistance are rental assistance and security
deposit payments made to provide tenant-based rental assistance for a family.
f. CHDO Operating Expenses:
g. Total HOME Assisted Costs: The total of 11 a through f.
h. Total Number of HOME Assisted Units: The total number of units that will be
assisted with HOME funds.
i. HOME Cost Per unit: The total HOME assisted costs (g) divided by the total
number of HOME assisted units (h).
11. Project ObjectiveslTaskslSchedule
Specific tasks: Separate the project into tasks, including those tasks which are
necessary for project start up, like hiring staff or consultants. List the tasks in this
column. For any tasks that will be done by an agency other than the applicant
agency, indicate the implementing agency in the same column. These tasks should
relate to the objectives described in 5.
Total Cost: Enter the cost of accomplishing the task if it is included in the total
project cost whether or not HOME funds will be used for the particular task. Some
start up costs may be borne by the agency's existing administrative capacity and not
charged to the project. The tasks should still be listed in columns b, c, and d. The
total of this column should equal the "total project cost" on question 7.
HOME Cost: Enter the amount of HOME funds you will use for each task. The total
of this column should equal the amount requested from the HOME program
Other Sources: Enter the amount of any other funds you will use to complete each
task.
Start Date: Indicate when you will be~lin each task. Be thoughtful and specific. Your
performance will be monitored using these dates.
End Date: Indicate when you will complete each task. be thoughtful and specific.
Your performance will be monitored using these dates.
12. long Term Affordability
Describe the policies and procedures to assure units remain affordable.
Proiects involvinCl homeownershiR
One of the purposes of the HOME Program is to increase the supply of affordable
housing units over an extended period of time. To this end, homebuyer units must
remain affordable for up to 15 years, dependent on the amount of HOME funds
invested in each unit. Generally, If the original homebuyer retains title to the property
for the full period of affordability, no resale/recapture provisions apply. However, if
the property is transferring during the period of affordability the applicant must assure
continued affordability in one of two ways:
Creation of another affordable unit. Procedures must be outlined to recapture
the HOME assistance that was provided to the original buyer and invest it in
another homebuyer unit. If proceeds are insufficient to recapture the entire
subsidy, the rules permit recapturing a portion of the subsidy based on length
of ownership. The HOME investment subject to recapture is the HOME
assistance that enables the homebuyer to buy the dwelling. -or-
Sale of the property to another low-income buyer who will use it as their
principal residence. Procedures must be outlined to assure the sale of the
property is at a price which allows for a fair return on equity in addition to
being affordable to the subsequent low-income buyer.
Proiects involvinQ rental units:
Describe the policies and procedures to assure that units will remain affordable for
the following terms based on the per unit amount of HOME funds:
Rehabilitation of up to $15,000 5 years
Rehabilitation between $15,000 and $40,000 10 years
Rehabilitation of $40,000 + 15 years
New Construction (any amount) 20 years
13. Minority and Women Owned Businesses
The HOME program requires the encouragement and use of minority and women
owned business enterprises in the implementation of HOME program activities.
Describe your plans for affirmative marketing to minority and women owned
businesses. Identify the types of notices, bid procedures and direct outreach that will
occur in this regard.
14. Affirmative Marketing
HOME regulations require affirmative marketing of housing units assisted with
HOME funds. Describe the methods of affirmative marketing that will be undertaken
as part of the HOME-assisted project. Affirmative marketing steps consist of actions
to provide information and otherwise attract eligible persons from all racial, ethnic,
and gender groups
At a minimum, project sponsors will be required to use affirmative fair housing
marketing practices in soliciting renters or buyers, determining their eligibility, and
concluding all transactions. Any HOME assisted housing must comply with the
following procedures for the duration of the applicable compliance period:
· Project sponsor advertising of vacant units must include the Equal Housing
Opportunity logo or statement (newspapers, radio, television, brochures,
leaflets, sign in a window, etc.)
The project sponsor will be required to solicit applications for vacant units
from persons in the housing market who are not likely to apply for the housing
without special outreach (e.g. use of community organizations, places of
worship, employment centers, Iair housing groups, etc)
The project sponsor must maintain records containing documentation of all
marketing efforts (e.g. copies of newspaper advertisements, memorandums
of telephone calls, copies of letters, etc.). A listing of all tenants residing in
each unit at the time of application submittal through the end of the
compliance period must also be maintained. Records to assess the results of
the affirmative fair housing marketing actions must be available for inspection
by The City of Bremerton HOME administrators.
15. Homeownership Requirements
Describe the method of assuring that
All of the HOME funds will benefit families whose incomes are at or below
80% of the area median income.
The assisted housing will be the owner's principal residence
. The purchase price of the property or the appraised value of a property
already owned, after rehabilitation will be less than 95 percent of the median
area purchase price.
16. Ownership Income Targeting
Provide the information requested for HOME assisted units
Size of House and Income Leve~: Under the bedroom size, indicate the targeted
income.
Number of Houses: Identify the number of HOME assisted houses by bedroom size
and targeted income
Monthly PITI: Identify the projected Principal, Interest Taxes, and Insurance (PITI)
by bedroom size and targeted income.
Targeted Maximum Household Income: Identify the maximum targeted income by
bedroom size and percent of median income.
Assumed Family Size: Provide targeted family size by bedroom size and percent of
median income.
PITI divided by Monthly Income: Divide the monthly PITI by the monthly targeted
household income.
Median Income adjusted for family size: Identify the median income based on the
family size (see attached chart)
17. Operating Statement
Provide operating statements for the number of years the project will remain
affordable to very low and low income households. After year 5, projections may be
in 5 year increments.
18. Projected Rent Schedu~e
Rental projects must provide the information requested for units assisted with HOME
funds.
List by type of unit, the number of units, the targeted family size, the targeted
household income, the proposed monthly rent, the tenant paid utilities and services
\
(identify utilities and services to be paid by the tenant at the bottom of the chart), the
type of subsidy if any (this should have been discussed previously)and the proposed
rent divided by the monthly income.
19. Home Rents
Describe the process you will establish to assure that:
. 80% of the HOME assisted units in the project have rents which are 30% of
adjusted income for households at 65% of median income, minus tenant paid
utilities. (HOME regulations require that 80% .the lower of either:
* The Section 8 Fair Market Rents (FMR) for existing housing., minus
tenant paid utilities -OR-
* rents which are 30% of adjusted income for households at 65% of median
income, minus tenant paid utilities.
At least 20% of HOME assisted units have rents that are equal to or less than
30% of annual incomes for households at 50% of median income minus
tenant paid utilities. Properties with 1 or 2 units are exempt from this rule.
20. Tenant Based Rental Assistance (if applicable) I Tenant Selection
Policies Describe the status of your program in relation to the regulations at
92.210 and 92.211. The requirements are briefly listed below.
General Requirements - Tenant Selection Policies for all HOME assisted units:
. Families must be selected in accordance with written tenant selection policies
and criteria that are consistent with the requirements of 92.211 (2). Do you
already have selection procedures or will you develop them after contract
award;
. Rents must be reasonable, based on rents that are charged for comparable
unassisted rental units
. The lease between the tenant and owner must comply with requirements of
92.253;
. The housing occupied by a family receiving tenant-based assistance must
meet the Section 8 housing quality standards;
Rental Assistance
. The rental assistance contract providing assistance with HOME funds may
not exceed 24 months, but may be renewed, subject to the availability of
HOME funds;
. The amount of monthly assistance that may be provided to a family may not
exceed the difference between the standard unit rent and 30% of the family's
monthly income;
The standard for the rent will be based on either local market conditions; or
may not be less than 80% of the Section 8 Fair Market Rents, or more than
the FMR;
. A minimum tenant contribution tathe rent must be established;
Security deposits
. Loans or grants can be provided to low income families for security deposits,
even when other tenant based assistance is not provided;
. The HOME funds that may be provided for a security deposit may not exceed
the equivalent of two month's rent for the unit;
21. Additionallnformation
Provide any additional information you think may help us evaluate your application.
>- Senior &
Staff & Board - Total Low
Racial Categories 'u Total
Profile 0-9 "2 Minorities Income
.s:::
- Totals
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Directors
Administrators
Professionals I I I I
Technicians
Protective Service
Worker
Para Professionals
Office-Clerical
Skilled Craft
Service Maintenance
Volunteers I Other
Affirmative Action: What is your organization doing to increase or maintain appropriate representation of race, gender, age, income that supports your
organization's unbiased treatment of volunteers, (including Board members) or staff. (IE Hiring practices, advertising, promotion, & job applicants)?