HomeMy WebLinkAbout3142 RESOLUTION NO. 3I 1
A RESOLUTION of the City Council of the City of
Bremerton, Washington, adopting the 2012 Coordinated Grant
Application
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 inter -local agreement with Kitsap County, and
WHEREAS, the City of Bremerton conducts a competitive annual process to
determine allocation of CDBG and HOME funds, and
WHEREAS, the Department of Community Development CDBG/HOME staff
has joined with Kitsap County Block Grant and KRCC Homeless and Affordable Housing Grant
Programs to develop a coordinated grant application and allocation process, and
WHEREAS, the coordinated grant application includes information including
application schedule, estimated funding available, application instructions and procedures, and
resources for obtaining technical assistance, and
WHEREAS, the Department of Community Development CDBG/HOME staff
advertised in the Kitsap SUN and posted on the City's website on Monday, April 18, 2011, and
in the Newspaper Group on Wednesday, April 15, 2011 a 30 -day written public comment period
commencing April 18, 2011 and ending in a public hearing on Wednesday, May 18, 2011, and
WHEREAS, no comments were received during the advertised public comment
period, NOW THEREFORE,
THE CITY COUNCIL OF THE CITY OF BREMERTON, WASHINGTON,
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 2012 Coordinated Grant Application attached hereto as
Exhibit A is hereby adopted.
SECTION 3. Severabihty If any one or more sections, subsections, or
sentences of this Resolution are held to be unconstitutional or invalid, such decision shall not
1
2012 CDBGIHOME Policy Plan
affect the validity of the remaining portion of this Resolution and the same shall remain in full
force and effect
SECTION 4. Effective Date This Resolution shall take effect and be in force
immediately upon its passage
AS ED by the City Council of the City of Bremerton, Washington this A
day of , 2011
WILL MAUPIN, C uncil P tdent
APPROVED AS TO FORM ATTEST•
RO ER A LUBOVICH CAROL G N, Ci Clerk
R \Legal \Legal \Resolutions \Community Development\2012 Coordinated Funding Application doc
2
2012 CDBGIHOME Policy Plan
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City of Bremerton /Kitsap County Coordinated Grant Process
2012 Coordinated Grant Application
Community Development Block Grant Program
HOME Investment Partnership Program
Affordable Housing Grant Program
Homeless Housing Grant Program
GENERAL INFORMATION
2012 Funding Allocation Schedule 2
About the Funding 4
Eligible Activities 4
Eligible Applicants 6
Funding Priorities 7
Funds Available 9
2012 Proposed Distribution of City of Bremerton CDBG Funds 10
2012 Proposed Distribution of City of Bremerton HOME Funds 10
2012 Proposed Distribution of Kitsap County CDBG Funds 10
2012 Proposed Distribution of Kitsap County HOME Funds 11
2012 Proposed Distribution of Affordable Housing Grant Funds 11
2012 Proposed Distribution of Homeless Housing Grant Funds 11
Where to Submit Applications 12
What is a Complete Application? 12
Assistance with the Application 12
Application Review and Rating Process 12
Grant Recommendation Committee (GRC) 13
HUD Income Limits 15
If Your Agency is Awarded Funds 15
2012 COORDINATED GRANT APPLICATION AND INSTRUCTIONS
Introduction 17
Types of Applications 17
Application Components 17
Application Instructions 17
2012 Coordinated Grant Application Worksheet 19
2012 COORDINATED GRANT APPLICATION INSTRUCTIONS
General Instructions 22
Application Form 22
Narrative Questions 22
Attachment A 22
Attachment B 23
Attachment C 24
Attachment D 24
Attachment E 25
Permanent Housing Attachment 26
Homeownership Attachment 26
Rental Housing Attachment 26
APPLICATION FORM
Project Information 29
Agency Information 29
Description of Project 29
Agreement and Signature 30
Narrative Questions 31
Attachments A, B, C, D, and E
Appendix A — Census Tract Map
Appendix B — City of Bremerton Slum and Blight Zones
Appendix C — Glossary
Appendix D — Budget Instructions
This Page Intentionally Blank
i
Kitsap County 0'a FM
City of Bremerton/ K p o,, eWAN 2012 Coordinated Grant Application
Staff Contacts
City of Bremerton CDBG /HOME
http: / /www.cl.bremerton.wa.us /display php =864
Mailing Address. City of Bremerton
Department of Community Development
345 a Street, Suite 600
Bremerton, WA 98337 -1873
Staff Contacts. Marie Vila, Program Administrator, City of Bremerton
(360) 473 -5375
mane vda @ci.bremerton.wa.us
Doug McIntyre, Program Specialist, City of Bremerton /Kitsap County
(360) 473 -5211 / (360) 337 -7284
doug.mcmtyre@cl.bremerton.wa.us / dmcintyre@co.kitsap.wa.us
Kitsap County CDBG /HOME
http. / /www to s pgov.com/hr/block.-grant—program/block.-grant—program.htm
Mailing Address. Kitsap County Block Grant Office
Department of Community Development
345 6 Street, Suite 400
Staff Contacts. Bonnie Tufts, Program Manager, Kitsap County '^
(360) 337 -4606
btufts @co.kitsap.wa. us
Shannon Bauman, Block Grant Planner, Kitsap County
(360) 337 -7272
sbauman@co.kitsap wa us
Shirley Rodney, Program Specialist, Kitsap County
(360) 337 -7285
srodney @w latsap wa us
Affordable Housing Grant Program /Homeless Housing Grant Program
http. / /www.la s pregionalcouncil.org /housing_hhaa.php and
http / /www kitsapregionalcouncd org /housmg_ahfa.php
Mailing Address. Housing Grant Programs
Kitsap Regional Coordinating Council
PO Box 1934
K ingsto n, WA 98
Staff Contact: Kirsten Jewell, Manager, Housing Grant Programs
(360) 377 -4900
kirsten(c wtsapregionalcouncd org
2012 Coordinated Grant Application and Policies 1
2012 Funding Allocation Schedule
Monday 4/18/2011 Advertise Availability of 2012 Draft Policy Plan and Joint Application
Packet Ad to be placed in The Sun www ci bremerton wa u
Present Proposed 2012 Policy Plan and Joint Application Packet at
Wednesday 5/11/2011 Bremerton City Council Study Session, City Council Office, Suite 600
5 OOPM
Wednesday 5/18/2011 Comment period closes
Bremerton City Council Public Hearing on 2012 Policy Plan and Joint
Wednesday 5/18/2011 Application Packet, NDGC 1S Floor Council Chambers, 345 6th Street,
530 PM
Kitsap Regional Coordinating Council Public Hearing on 2012 Policy Plan
Tuesday 5/24/2011 and Joint Application Packet, NDGC Council Chambers, 345 6th Street,
8 AM
Final 2012 Policy Plan and Application Packet Available
Wednesday 5/25/2011 www ci bremerton wa us, www co kitsap wa us,
www kitsapregionalcounal org, or at Bremerton Block Grant, County Block
Grant and KRCC offices
Technical Assistance Meeting (mandatory) — Norm Dicks Government
Thursday 5/26/2011 Center Meeting Chamber, 345 6 th Street, 1st Floor, Public Service 9-
1lam, Capital 1 -3pm
5/26/2011- One -on -one Pre - Submittal Assistance available (by appointment only)
7/08/11
Friday 7/8/2011 Application Pre - Submittal Assistance period closes
Joint Funding Applications Due: submit to Kitsap County Block
Friday 7/15/2011 Grant office, 345 6th Street, Suite 400, by 4:30 pm. (Postmark is
not acceptable
Mon-Friday 7/18/2011 - Staff Technical Review
y 8/10/2011
Tuesday 7/26/2011 Grant Recommendation Committee (GRC) member appointments
Wednesday 8/3/2011 City of Bremerton Council date for GRC member appointments
Thursday 8/11/2011 GRC Member Orientation, distribute applications to GRC for review City
Council Chambers, 345 6th Street, 6th Floor
Wednesday 8/24/2011 Staff Reports to GRC members
Tuesday 9/6/2011 GRC Training / Interviews Preparation
Tuesday- 09/07/2011 Capital /HOME GRC Interviews
Fri —9/09/2011 Public Service GRC Interviews
Tues - 09/12/2011 Capital /HOME GRC Interviews and deliberation
Thurs —9/15/2011 Public Service GRC Interviews and deliberation
Tuesday 9/20/2011 GRC Reunion to approve Funding Recommendations w sources
2012 Coordinated Grant Application and Policies 2
Thursday 9/22/2011 Funding Recommendations to KRCC for 9/27/11 meeting
Publish Draft Action Plan in Kitsap Sun and announce opening 30 -day
Friday 9/23/2011 Public Comment period, funding recommendations posted on City, County
and KRCC websites
Tuesday 9/27/2011 Kitsap Regional Coordinating Council — Public Hearing to present Kitsap
Joint Funding Recommendations
Tuesday 10/5/2011 Bremerton City Council Public Announcement of Draft Action Plan
availabilit
Wednesday 10/26/2011 Present Proposed 2012 Funding Recommendations at City Council Study
Session, NDGC City Council Office, 345 6 Ih St, 6 Ih Floor, 5 OOPM
Tuesday 11/1/2011 Kitsap Regional Coordinating Council action on Kitsap Joint Funding
Action Plan (prior to Health District Meeting)
Bremerton City Council Hearing on Kitsap Joint Funding
Wednesday 11/2/2011 Recommendations, NDGC 1st Floor Council Chambers, 345 6 th Street,
5 30PM
Monday 11/15/2011 Annual Action Plan to HUD
Wednesday 1/1/2012 Program Year Begins
2012 Coordinated Grant Application and Policies 3
About the Funding
The Coordinated Grant Application Process brings together four separate funding sources into one common
application. A brief description of the funding sources is listed below. For more detailed information please
go to the CDBG /HOME Policy Plan or the AHGP /HHGP Policy Plans.
Community Development Block Grant
The Community Development Block Grant (CDBG) program is a flexible program that provides communities
with funding to address a wide range of unique community development needs. The program is authorized
by Title I of the Community Development Act of 1974. Funds are used to assist in the development of
decent housing, create suitable living environments, and expand economic opportunities primarily for
persons of low and moderate income All projects funded with CDBG must meet one of the three national
objectives
1 Principally benefit low and very low income households,
2. Reduce or prevent slum and blight, or,
3 Meet an urgent need
HOME Investment Partnership Program
The HOME Program was created by the National Affordable Housing Act of 1990 (NAHA) The Housing and
Community Development Act of 1992 and the Multifamily Property Disposition Act of 1994 made important
changes to the Program. The intent of the HOME Program is to.
• expand the supply of decent, safe, sanitary, and affordable housing,
• strengthen the abilities of state and local governments to provide housing,
• expand the capacity of nonprofit community based housing development organizations, and,
• leverage private sector participation in financing affordable housing.
Homeless Housing Grant Program
The Washington State Engrossed Second Substitute House Bill (ESSHB) 2163 Homeless Housing Grant
Program was enacted in Washington State on August 1, 2005. The law created a document recording fee
on certain documents to be utilized by local jurisdictions to reduce homelessness. Administration of the
grant funds are shared between local governments and the state Eligible uses of the funds are broad as
long as the program funded addresses homelessness through housing and /or services.
Affordable Housing Grant Program
Affordable Housing for All Grant funds came about via Substitute House Bill 2060 which became law in
Washington State on June 13, 2002 The law created a document recording fee on certain documents to be
utilized for low -- income housing
Eligible Activities
Community Development Block Grant
Eligible activities are defined in the CDBG program regulations at 24 CFR 570 201 -570 207 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
• 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
2012 Coordinated Grant Application and Policies 4
• 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
• Lead based paint hazard evaluation and reduction
The following activities generally are not eligible for CDBG funding.
• 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 (except for the removal of architectural barriers)
• Income payments such as payments to individuals or families for food, clothing, or rent, except in
certain circumstances
• Political activities
• Vehicles and Equipment
HOME Investment Partnership Program
The Eligible activities are defined in the HOME program regulations at 24 CFR 92 205 A list of some of the
activities follows
• Rehabilitation of residential property where property is fully repaired
• New construction of residential property
• Acquisition of residential property
• Rental assistance payments to tenants
• Relocation associated with an eligible HOME project
• A small part (up to 5 %) of the Kitsap County HOME funds may be used to help pay the operating
expenses of designated Community Housing Development Organizations (CHDOs) within the
guidelines established by HUD
The following activities generally are not eligible for HOME funding
• Project reserve accounts, except for the initial 18 months of a HOME assisted new construction
project
• Emergency home repair programs
• Public housing units
• Commercial properties
• Shelters, unless they meet Section 8 Housing Quality Standards and otherwise can be considered
rental housing
• Project based tenant assistance
Note. The above lists are not comprehensive For a complete list of eligible or Ineligible activities refer to
HOME regulabons In 24 CFR 92 205
Homeless Housing Grant Program
Eligible activities are defined in the legislation for Washington State Engrossed Second Substitute House Bill
(ESSHB) 2163. A list of some of the activities follows
• Rental and furnishing of dwelling units for the use of homeless persons,
• Costs of developing affordable housing for homeless persons, and services for formerly homeless
individuals and families residing in transitional housing or permanent housing and still at risk of
homelessness,
• Operating subsidies for transitional housing or permanent housing serving formerly homeless
families or individuals,
2012 Coordinated Grant Application and Policies 5
• Services to prevent homelessness, such as emergency eviction prevention programs including
temporary rental subsidies to prevent homelessness,
• Temporary services to assist persons leaving state institutions and other state programs to prevent
them from becoming or remaining homeless,
• Outreach services for homeless individuals and families,
• Development and management of local homeless plans including homeless census data collection,
identification of goals, performance measures, strategies, and costs and evaluation of progress
towards established goals,
• Rental vouchers payable to landlords for persons who are homeless or below thirty percent of the
median income or in immediate danger of becoming homeless, and
• Other activities to reduce and prevent homelessness as identified for funding in the local plan.
Affordable Housing Grant Program
Eligible activities are defined in the legislation for Substitute House Bill 2060. A list of some of the activities
follows
• Provide funding for operating and maintaining emergency shelters,
• Provide funding for operating and maintaining housing (including transitional housing) that is
eligible for WA State Housing Trust Fund grants [Note that the WA State Housing Trust Fund
requires that facilities serve the target population for at least 40 years.];
• Provide funding for capital projects serving persons at or below 50% median income for at least 25
years, including
• Provide funding to build new single -family housing units, including duplexes, multifamily
housing, and single room occupancies.
• Budd emergency or youth shelters,
• Build group homes or special -needs housing,
• Provide funding to rehabilitate housing (repair /replace roofs, walls, electrical systems, doors,
floors, cabinets, ceilings, bathrooms, etc ),
• Acquisition of housing,
• Acquisition of land for future housing,
• Payment of soft costs (not bricks /mortar) associated with housing development
• Provide short-term rental /mortgage assistance consistent with the requirements of the 2060
legislation
Eligible Applicants
Community Development Block Grant and HOME
Eligible applicant/recipients include
• City or County governments
• Public and private nonprofit organizations (501(c)3)
• Section 301(d) small business investment companies
• Local development corporations
• Private profit organizations may implement certain economic development and microenterprise
activities.
• Faith based organizations
Additionally applicants must.
• Demonstrate an active governing body or board of directors with skills and experience to provide
leadership and direction to the agency.
• Demonstrate the legal, financial, and programmatic ability to administer the proposed project; and,
• Meet the County /City requirements for contracting agencies such as insurance requirements, audit
and financial requirements.
2012 Coordinated Grant Application and Policies 6
Affordable Housing/ Homeless Housing Grant Programs
Eligible recipients of the funding from SHB 2060 shall be public housing authorities, IRS - certified non - profit
agencies /providers of affordable housing, Cities, Towns, the County, Tribes, and for - profit developers
Funding Priorities
Each grant program in the Coordinated Application has different funding priorities. Some of these priorities
are based on legislated mandate, and others are derived through community input.
CDBG and HOME
The priorities for CDBG and HOME funds are outlined in the 2011 -2015 City of Bremerton and Kitsap
County Consortium Consolidated Plan The five priority needs identified in the Plan are
1. Housing
2 Non - Homeless Special Needs Housing
3. Homeless
4 Community Development
5 Economic Development
The Plan provides objectives and strategies for how our community will meet the Priority Needs and will be
used to guide funding allocations, all projects must meet at least one objective and strategy More detail
can be found in the City of Bremerton /Kitsap County CDBG /HOME Policy Plan
AHGP and HHGP
The Affordable Housing Grant Program and Homeless Housing Grant Program funding priorities are
determined annually through a collaborative process of the Kitsap Continuum of Care Coalition and the
Kitsap Housing Funders Leadership Group, and approved by the Kitsap Regional Coordinating Council
AHGP priorities are determined by type of housing allowed in the legislation. HHGP priorities must be
consistent with the Kitsap Homeless Housing Plan.
2012 AHGP and HHGP priorities are expected to be approved at the May 24, 2011 KRCC meeting and will
then be incorporated into the final application The priorities are available for public comment beginning on
April 24, 2011 and can be viewed at the KRCC's website at
http• / /www kitsapregionalcouncd.org /housing hhaa.php and
http / /www to s pregionalcounal.org /housing ahfa.php
2012 Coordinated Grant Application and Policies 7
2012 Coordinated Grant Application and Policies 8
Funds Available
CDBG and HOME programs are federally funded through the Department of Housing and Urban
Development Funding levels are determined by HUD after the Federal Budget is finalized, which usually
occurs after the program year has begun Kitsap County and the City of Bremerton estimate funding levels
in order to start the grant application process, therefore, funding amounts shown in the table below are
estimates If HUD allocates a different amount to these programs than what was estimated, actual funding
awards will be increased or decreased to accommodate the discrepancy. For 2012, we anticipate cuts to
the programs funding.
The Affordable Housing Grant Program and the Homeless Housing Grant Program grant funds are
considered local funds WA legislation created a surcharge on certain types of documents being recorded
at the Auditor's Office in each county. A portion of the funds collected is remitted to WA State for
distribution through statewide housing & homeless programs The portion of the funds that remains in
each county is used to further the goals of the legislation through local grant programs. In Kitsap, these
are the Affordable Housing Grant Program and the Homeless Housing Grant Program. For these grant
programs, funds for each grant cycle are collected in advance, and therefore grant award amounts will not
be adjusted.
For 2012, the minimum grant request is $10,000. All grants will be made for one year only (no forward
commitments).
The following table shows an overall view of the total estimated amount of funds available in this
application cycle by the application type and funding sources.
A pplication Type l A mount of Funds Availab - Fun ding Sou rces
P ublic Services $244,071 _ j Brem erton /Kitsap CDB
Oper ations & M aintena nce $17 5,000 Affordable rdable H ousin g Grant Program
Capital $2,023,374 _ _ B remerton /Kitsap CDB & HOME
Flexible Funding (could be any
i $939,648 � Homeless Housing Grant Program
of the ab a pplication types)_ —^ i J
The tables on the following pages give a more detailed view by jurisdiction and funding source; showing
the estimated amount of funds available as well as the proposed distribution of those funds.
2012 Coordinated Grant Application and Policies 9
2012 Proposed Distribution of City of Bremerton CDBG Funds
Estimate of 2012 Entitlement 507,412
Tentative Program Income Available 20,000
Total Entitlement + PI 527,412
Reallocated Funds Prior Year 13,410
Total Available for Allocation 540,822
Estimated Allocation of 2012 CDBG Funds
Available for 2012 Planning and Admin (20% of entitlement + PI) 105,482
Available for 2012 Public Service (15% of entitlement + 15% prior year PI) 86,343
Available for Capital Projects and Economic Development 348,997
Subtotal - A vailab /e for grant app /icabons 435,340
Total Allocation of funds 540,822
2012 Proposed Distribution of City of Bremerton HOME Funds
Estimated Funding Available for the 2012 HOME Allocation Process
Prior Year Uncommitted HOME Allocation 395,644
2012 Program Income 20,000
2012 HOME Allocation - EN projected 409,572
Total HOME Allocation Available - by Source 825,216
Estimated Allocation of 2012 HOME Funds
Available for 2012 Planning and Administration (10% 2012 EN, + 10 PI) 42,957
Downpayment Program Set -aside (2008 Council Action) 80,000
Available for CHDO Project (15% of 2012 entitlements) 125,006
Available for any HOME Project 577,253
Subtotal - Avadab /e for grant app /icatrons 702,259;
Total Allocation of Funds 825,216
Estimated Available for ADDI (2006 -2011) $000
2012 Proposed Distribution of Kitsap County CDBG Funds
Estimated Funding Available for the 2012 CDBG Allocation Process
Estimate of 2012 Entitlement 1,051,521
Tentative Program Income Available 100,000
Total Entitlement + PI 1,151,521
Reallocated Funds Prior Year 25,000
Total Available for Allocation 1,176,521
Estimated Allocation of 2012 CDBG Funds
Available for 2012 Planning and Admin (20% of entitlement + PI) 220,304
Set -aside Capital for Housing Kitsap's returned Program Income 90,000
Available for 2012 Public Service (15% of entitlement) 157,728
Available for Capital Projects 640,140
Available for Economic Development 68,349
Subtotal - Available for Grant Applications 866,217,
Total Allocation of Funds 1,176,521
2012 Coordinated Grant Application and Policies 10
2012 Proposed Distribution of Kitsap County HOME Funds
Estimated Funding Available for the 2012 HOME Allocation Process
2012 Program Income 50,000
2012 HOME Allocation - EN projected 952,493
Total HOME Allocation Available - by Source 1,002,493
Estimated Allocation of 2012 HOME Funds
City of Bremerton Set -aside 409,572
Available for 2012 Planning and Administration (10% 2012 EN + PI) 59,292
Housing Ktsap Downpayment Program Income Set -aside 45,000
Martha & Mary Village Green Set -aside 225,000
Available for CHDO Project (15% of 2012 entitlements) 81,438
Available for any HOME Project 182,191
;Subtotal - Available for Grant ApplIcabons - - - J 263,629;
Total Allocation of Funds 1,002,493
2012 Proposed Distribution of Affordable Housing Grant Funds
Estimated Funding Available for 2012 AHGP Allocation Process
2012 AHGP - Turn -back Funds $TBD
2012 AHGP - Funds Collected October 2010 - September 2011 (estimated) 175,000
Total AHGP Allocation Available 175,000
(Available for any AHGP Project 175,000;
Total Allocation of Funds 175,000
2012 Proposed Distribution of Homeless Housing Grant Funds
Estimated Funding Available for 2012 HHGP Allocation Process
2012 HHGP - Turn -back Funds $TBD
2012 HHGP - Set -aside $TBD
2012 HHGP - Funds Collected January 2010 - June 2011 (estimated) 939,648
Total HHGP Allocation Available 939,648
Available for any HHGP Project 939,648i
Total Allocation of Funds 939,648
2012 Coordinated Grant Application and Policies li
Where to Submit Applications
Completed applications must be received (POSTMARK IS NOT ACCEPTABLE) no later than 4:30 PM on
July 15, 2011 at the following location
Kitsap County Block Grant Office
345 6 Street Suite 400
Bremerton, WA 98337
What is a Complete Application
An application is considered complete if it meets the following criteria.
• Includes completed original application form signed by the authorized official, all attachments and
the appropriate number of copies, plus electronic copy on CD or thumb drive.
• The applicant is eligible as of the application date.
• The project or activity is eligible.
• The applicant has attended the mandatory technical assistance session.
Assistance with the Application
To receive assistance with the application, attend the mandatory Technical Assistance Session on May 26,
2011 in the Meeting Chambers of the Norm Dicks Government Center. Additional application technical
assistance may be obtained by contacting the staff listed in the front of this packet
Pre - submittal assistance is available, to have your application reviewed for completeness, by scheduling an
appointment with a staff person prior to July 8, 2011
Application Review and Rating Process
All applications will go through the following review and rating process.
1. Initial Eligibility Screening
a. Application is complete (including attachments and number of copies)
b. Applicant meets eligibility requirements as of the application due date
c Project or activity is an eligible use of funds.
2 Staff Technical Review
a Organizational Financial Review — Accountants from the City/County will review the
agency's Organizational Financial Management for financial soundness
b. Organizational Capacity — Staff will review the capacity of the agency to manage grants
(previous grant performance), board makeup, organizational structure (including staffing),
organizational data, etc
c Project is consistent with the City of Bremerton and Kitsap County Consortium Consolidated
Plan and Priority Needs or Homeless Housing Plan (depending on the funds applied for).
Applications not meeting the above requirements will be disqualiFed from
consideration for funding and will not move any further through the process Written
notice will be sent to the Agency.
3 Grant Recommendation Committee - The committees will make funding decisions using the
following process
a Review and evaluate each application
b. Conduct an interview with each applicant
• Public Service Interviews will be 30 minutes in length which includes 15 minute
agency presentation and 15 minute question /answer
• Capital interview will be 45 minutes in length which includes 20 minute agency
2012 Coordinated Grant Application and Policies 12
presentation and 25 minute question /answer
c Assign a priority ranking and recommended funding level to all projects.
d Staff matches ranking with available and appropriate funding sources
e. GRC finalizes recommendations and sends to the KRCC and the Bremerton City Council.
4 Bremerton City Council and Kitsap Regional Coordinating Council - Public hearings regarding the
Grant Recommendation Committee recommendations will be held before the Bremerton City
Council and the Kitsap Regional Coordinating Council Those two Boards will make the final
decision concerning the grant activities
Grant Recommendation Committee (GRC)
There are two Grant Recommendation Committees to review and make the funding recommendations for
the coordinated grant process The Public Service GRC reviews applications for supportive services or public
services as well as CHDO Operating and Economic Development Microenterprise. The Capital GRC reviews
housing, capital improvements, and operations & maintenance applications. Both GRCs play an integral role
in the allocation of funds according to the needs of the community.
While all GRC members must be well versed in the needs of the community and be willing to participate in
all the activities relevant to the GRCs, each individual GRC requires that members demonstrate specific
skills and qualifications
• The Public Service GRC requires that its members have experience in one or more of the following
capacities. background working with non - profit community service providers as an employee,
volunteer, board member or consumer, background with homeless programs, grant experience, project
management, compliance monitoring and /or practical experience with HUD regulations.
• The Capital GRC requires that its members have experience in one or more of the following areas
affordable housing, construction or project management, mortgage lending, housing development,
economic development, real estate, or architecture.
Applicant interviews will be conducted with the GRC. Applicants will have the opportunity to present their
project and the GRC Will have an opportunity to ask questions. At the conclusion of the interviews the GRC
will formulate a funding recommendation for approval by the KRCC and the Bremerton City Council.
Each Grant Recommendation Committee will consist of eight members, appointed for two -year terms.
Terms are staggered so each year there will be at least four returning members. The following tables
detail the make -up of the two committees including the positions, term, and who makes the appointment.
Due to the timing of appointments for this first year of the coordinated process, not all board members
have been appointed New appointments will be made by the KRCC on July 26, 2011 and by the Bremerton
City Council on August 3, 2011
2012 Public Service Grant Recommendation Committee
Position -- __ Appointed By Term (by application
_cy _
Member from the Bremerton Area
N TBA Mayor, City of Bremerton 2011-2012 j
— - -- - - - - -_ _— �----------- - - - - -- - --
Member from the Bremerton Area
Na TBA — — Mayor, City of Bremerton 2012 - 2013
Member from Kitsap County -
Nam TBA Kitsap Regional Coordinating Council 2011 - 2012
Member from Kitsap County - - -- I - - - - -- - --------- - - -� --
I Kitsap Regional Coordinating Council 2011- 2012
Name: TBA
-- --- -- - - -- -- - — - - - - _ -- - - - - - -- - - -- - -- l
1
2012 Coordinated Grant Application and Policies 13
Member from Kitsap County Kitsap Regional Coordinating Council j 2012-2013
Name: TBA _ __ _ _� -- f I
Member from Kitsap County
Name: TBA Kitsap Regional Coordinating Council 2012 `2013
Member from Continuum of Care Kitsap Regional Coordinating Council 2011-2012
Name: TBA
Member from Continuum of Care Kitsap Regional Coordinating Council 2012-2013
Name: TBA
2012 Capital Grant Recommendation Committee
Position Appointed By Term (by application
cycl —
Member from the Bremerton Area Mayor, City of Bremerton 2011-2012
- Name: TBA
Member from the Bremerton Area
Mayor, City of Bremerton 2012-2013
Name: TBA
Member from Kitsap County- Kitsap Regional Coordinating Council 2011-2012
1 Name: TBA
Member
TBA ember from Kitsap County Kitsap Regional Coordinating Council 2011-2013
Member from Kitsap County
TBA Kitsap Regional Coordinating Council 2012-2013
Name: I Member from Kitsap County Kitsap Regional Coordinating Council 2012 - 2013
Name: TBA
Member from Continuum of Care
Name: TBA Kitsap Regional Coordinating Council 2011-2012 — — �
Member from Continuum of Care
Kitsap Regional Coordinating Council 2012-2013
Name: TBA
2012 Coordinated Grant Application and Policies 14
HUD Income Limits
Median Family Income (MFI) 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.
The Median Family Income for the Bremerton - Silverdale MSA effective May 14, 2010 is $71,900 for a four -
person household
HUD updates income limits annually. FY2011 Income Limits had not been release as of the 2012 Policy Plan
publication date Most up -to -date income limits will apply to all CDBG and HOME funded projects. They
may be found at www huduser ora
Median Family Income
Bremerton- Silverdale MSA; Effective May 14, 2010
NUMBER IN EXTREMELY LOW VERY LOW INCOME LOW INCOME
HOUSEHOLD INCOME (BELOW (31% - 50% MFI *) (51%-80
30% MFI *) MFI *)
1 $15,100 $25,200 $40,250
2 $17,250 $28,800 $46,000
3 $19,400 $32,400 $51,750
4 $21,550 $35,950 $57,500
5 $23,300 $38,850 $62,100
6 $25,000 $41,750 $66,700
*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 May, 2010
If Your Agency is Awarded Funds
If your project/program is awarded funding, there are some things you will be required to do To better
understand each of the funding sources and the regulatory requirements associated with each, please read
the City of Bremerton / Kitsap County CDBG /HOME Policy Plan as well as the AHGP Policy Plan and the HHGP
Policy Plan These plans can be found on the web or by calling the contacts listed on Page 1.
Things you should know -
1. 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 Block Grant staff to discuss Federal regulations
• In addition to the rules and requirements of HOME and CDBG, there are several additional
broad Federal rules that must be followed including rules surrounding non - discrimination
and equal access, employment, contracting and procurement, environmental requirements,
record keeping and financial controls.
2. Contracting
• The City of Bremerton will manage their CDBG and HOME contracts separately from Kitsap
County. For both agencies, the following applies
• Public Service contracts can begin incurring costs at the start of the contract year
• Capital contracts must receive a notice to proceed before costs can be incurred
• Contracts for federal funds operate on a reimbursement basis
• The Kitsap Regional Coordinating Council (KRCC) manages the grant contracts for awards
from the Affordable Housing Grant Program and the Homeless Housing Grant Program in
partnership with the Kitsap County Auditor's Office
2012 Coordinated Grant Application and Policies 15
• The Auditor's Office uses information provided by the KRCC Grant Program
Manager to issue contracts to grantees
• The KRCC Grant Program Manager monitors grantees and approves
reimbursement requests.
• The contract year will begin January 1, 2012
o NOTE If you are a recipient of federal funds you may not receive a contract until
mid -year It is dependent on when the federal budget is approved and when the
City/County receive a contract from HUD
3. Reporting Requirements
• You will be responsible to begin reporting as of January 1, 2012 Reports are submitted on
a quarterly basis and will be submitted to the funding agency
• Homeless projects /programs will be required to report in the Homeless Management and
Information System (HMIS) system in addition to any other required quarterly reports (see
additional information below).
4 Homeless Management Information System (HMIS) — All grant awardees providing housing or
services to homeless individuals will be required to participate in HMIS
• The HMIS is an electronic record system that enables information - gathering about and
continuous case management of homeless persons across agencies in a particular
jurisdiction (city, county, state) Homeless service providers collect information about their
clients and input it in an HMIS so that it can be matched with information from other
providers to get accurate counts of homeless clients and the services they need
• HUD has mandated that all agencies who receive federal funds for homeless housing or
services (SHP, S +C, ESG, PATH, etc ), must participate in an HMIS. HUD outlines the
specific data points that must be collected for each homeless client
• Washington State Department of Commerce has followed suit and mandated that all
agencies receiving state funding for homeless housing or services (including the Homeless
Housing Grant Program) must also participate in HMIS
• WA Commerce is responsible for operating an HMIS for counties that participate in federal
funding through the Balance of State Continuum of Care process. This includes Kltsap
County.
• Kitsap is responsible for collecting data from all of the participating agencies and
submitting that data to WA Commerce. Through an agreement with WA Commerce,
agencies may submit data in one of two ways 1) through Commerce's online software
system that will share data "►n real time" between participating Kitsap agencies, or 2)
collecting the data in an agency's own software system and periodically uploading it to the
WA Commerce system. Participants in Kitsap's HMIS are part of the Kitsap HMIS
Collaborative, a consortium of agencies that agrees to share HMIS data between agencies.
• WA Commerce provides free software and technical support for the Commerce HMIS
software The Kitsap Regional Coordinating Council is the HMIS Administrator for Kitsap
2012 Coordinated Grant Application and Policies 16
2012 Coordinated Grant Application and Instructions
Introduction
The application has been designed to gather necessary information about your organization and project to
determine compliance with the various funding sources and consistency with local policies for the use of
funds Applications should be clear and concise
Types of Applications
There are three types of applications.
Public Service. This application is used when you are requesting funds to pay for salaries,
administrative, and other eligible expenses to carry out a program. It is also
used for CHDO Operating and Economic Development Microenterprise.
Operations and This application is used when you are requesting funds to pay for costs
Maintenance: associated with on -going operations and maintenance of a housing facility or
shelter.
Capital This application is used when you are requesting funds to pay for costs
associated with acquisition, new construction, rehabilitation, reconstruction, or
improvements to public facilities and housing It is also used for dowpayment
assistance, rehabilitation and weatherization activities for single family or multi-
family rental housing units
Application Components
Each application packet will consist of 3 components
1 2012 Coordinated Grant Application Form
2. Narrative Questions
3 Attachments
Submit THREE (3) original hard copies with signature in blue. In addition, you must provide one electronic
copy of the application in the following manner.
1 PDF version on CD or thumb drive
2 The application form and narrative will be one PDF document
3 Each section of attachments (A, B, C, D, E) will be separate PDF documents
Application Instructions
1. Mandatory Technical Assistance Session
All agencies submitting applications must attend the technical assistance session held on May 26,
2011 in the Meeting Chambers of the Norm Dicks Government Center.
2. Application Technical Assistance
Agencies seeking additional assistance with eligibility and technical components of the application
can schedule an appointment with staff between May 26, 2011 and July 8, 2011. Use the contact
information in the front of the packet
3. Pre - submittal Assistance
Make an appointment with a staff person between May 26, 2011 and July 8, 2011 to go over your
application for completeness prior to final submittal NOTE; Any agency that submits an
incomplete application will be disqualified for funding consideration.
2012 Coordinated Grant Application and Policies 17
4. Application Submittal
Complete all required components of the application, have it is signed by the authorized agency
official and submit the original along with the required number of copies. The final application
packet must be submitted to the Kitsap County Block Grant Office, 4 th Floor of the Norm Dicks
Government Center (Suite 400), no later than 4 30pm on July 15, 2011 NOTE. postmark is not
acceptable
5. Interviews
Attend your scheduled interview and present your project to the Grant Recommendation
Committee. Attendees could include the agency director, fiscal officer, program directors, and
anyone else pertinent to the project.
• Public Service interviews will be 30 minutes in length and will include 15 minutes for
agency presentation and 15 minutes for question /answer.
• Capital interviews will be 45 minutes in length and will include 20 minutes for agency
presentation and 25 minutes for question /answer.
2012 Coordinated Grant Application and Policies 18
2012 Coordinated Grant Application Worksheet
Submittals for Community Development Block Grant (CDBG), HOME
Investment Partnerships (HOME), Affordable Housing Grant Program (AHGP),
or Homeless Housing Grant Program (HHGP) grants must include:
1) Three (3) original hard copies of the entire application (Application
Form, Narrative, and applicable Attachments) with signature in blue ink
Z) One (1) electronic PDF copy of the application packet consisting of- the
Application Form, Narrative and all applicable Attachments
The Coordinated Grant Application includes funding from both local and federal grant programs.
Federal program application requirements are more extensive and involve additional monitoring
requirements. You may choose to apply for local funds only or be considered for all funding sources
Funding Types:
• FEDERAL FUNDS
• Community Development Block Grant (CDBG)
Provides funds to carry -out a wide range of housing and public service
activities directed toward benefitting low- and moderate - income persons and
households
• HOME Investment Partnerships (HOME)
Provides funds to implement local housing strategies designed to increase
homeownership and affordable housing opportunities for low- and very low -
income households
• LOCAL FUNDS
• Affordable Housing Grant Program (AHGP)
Mandated by Washington State, this program provides funding for affordable
housing projects, with emphasis on those serving households at or below
30% Area Median Income.
• Homeless Housing Grant Program (HHGP)
Mandated by Washington State, this program provides funding for projects
that are part of implementing the Kitsap Homeless Housing Plan.
For a more detailed description on project eligibility, refer to the City of Bremerton /Kitsap County
CDBG and HOME Policy Plan or the Affordable Housing Grant Program and Homeless Housing Grant
Program Policy Plan
2012 Coordinated Grant Application and Policies 19
STEP 1 : ALL applicants must complete the following:
❑ Application Form
❑ Project Narrative
Attachment A
❑ A -1 Organizational Data (i.e. 501(c)(3), public charter, or business license #)
❑ A -2 Total Agency Budget (provided within packet)
❑ A -3 Most recent monthly financial statement including year -to -date information
❑ A -4 A narrative statement of the agency's financial capacity and experience
❑ A -5 An organizational chart showing all staff, board members and volunteer
positions
❑ A -6 List of Board Members
❑ A -7 Staff and Board Profile (form is provided within packet)
❑ A -8 Salary Summary for the entire Agency (form provided within packet)
❑ A -9 Procurement Policy
❑ A -10 Fiscal Control Policy
❑ A -11 Secretary of State Non - Profit Corporate Annual Report (for non - profits)
❑ A -12 Total Project /Program Budget - Revenue form (provided within packet)
❑ A -13 Total Project/Program Budget - Expenditure form (provided within packet)
❑ A -14 Commitment letters from other funding sources for this project
❑ A -15 Job Description (If requesting funding for personnel only)
STEP 2 : Select one or more of the following categories, go to the
appropriate attachment(s) and complete the required items:
❑ Public Service, Local Only:
Stop Here —No additional attachments required
❑ Public Service, Local and Federal:
Complete Attachment B
❑ Operations and Maintenance:
Complete Attachment C
❑ Capital, Local Only.
Complete Attachment D
❑ Capital, Local and Federal:
Complete Attachments B, D, and E
2012 Coordinated Grant Application and Policies 20
Attachment B
❑ B -1 Non - Discrimination Policies
❑ B -2 Mission Statement
❑ B -3 Agency CDBG /HOME History Form (provided within packet)
❑ B -4 Insurance Certificate
❑ B -5 Litigation, IRS problems or unresolved audit findings
❑ B -6 Annual Report
❑ B -7 Most recent financial audit report prepared by a CPA, including findings
❑ B -8 IRS 990 form (for non - profits)
❑ B -9 Secretary of State CHO -1 Form (for non - profits). Also known as Charitable
Solicitations Renewal Form
❑ B -10 National Objective and Eligibility Determination for CDBG and HOME (forms
provided in packet)
Attachment C
❑ C -1 Project Timeline
❑ C -2 Warrant for Housing Trust Fund eligibility
❑ C -3 Operating Pro Forma
Attachment D
❑ D -1 Project Timeline
❑ D -2 Warrant for low - income housing use for 25 years
❑ D -3 Operating Pro Forma
❑ D -4 Development Budget
Attachment E
❑ E -1 Management Plan
❑ E -2 Preliminary Environmental Review
❑ E -3 Purchase and Sales Agreement or Documentation of Site Control
❑ E -4 Plans and Specifications
❑ E -5 Relocation Plan, if applicable
❑ E -6 Neighborhood Notification Plan, if applicable
If the project is for permanent housing, please also include the following and one of
the two below based on project type:
❑ E -7 Permanent Housing Requirements Form
❑ E -8 Affirmative Marketing Form
If the project is for homeownership, please also include:
❑ E -9 Homeownership Requirements Form
If the project is for rental housing, please also include:
❑ E -10 Rental Housing Requirements Form
2012 Coordinated Grant Application and Policies 21
Application Instructions
General Instructions
Three original applications must be submitted in hard -copy format with signature in blue.
Additionally, provide one electronic copy of the application in PDF on CD or thumb drive The
application form and narrative will be one PDF document. Each section of attachments (A, B, C, D,
E) will be separate PDF documents
The application must be completed using the electronic forms The forms are available through
the following methods
1 Contact Staff to have the appropriate forms emailed to you
2. City of Bremerton website http. / /www.ci.bremerton wa us /display phg =864 Click on
"CDBG -HOME Policy Plan and Application ".
3 KRCC website http. / /www kitsapregionalcouncd org/housing hhaa.phg and
http. / /www kitsapregionalcouncll .org /housing ahfa.pho
Please label all pages with the appropriate attachment number If a particular attachment does not
apply to your project, please insert a page with that attachment number and mark it "Not
Applicable"
The entire application and instructions can be downloaded in PDF format (read -only) from the
County, City or KRCC wesbites, however, this file is meant for referential purposes only and should
not be filled out
Application Form
Complete application form including signature of your organization's Director
Narrative Questions
Answer all narrative questions. Answer each question and subquestion that applies to your
application type. Please type your responses in Anal, 12 point size, and label each response with the
corresponding question number. Answers to the narrative questions may total no more than 6
narrative pages for Public Service & Capital applications, and 5 narrative pages for 0 &M applications
Attachment A:
A -1 Organizational Data (i a 501(c)(3), public charter or business license
A -2 Total Agency Budget (form provided within packet)
Definitions and instructions for this form are provided in Appendix D
A -3 Most recent monthly financial statement including year -to -date information
A -4 Narrative statement of the agency's financial capacity and experience
Qualifications of the individual(s) responsible for the financial oversight of the
organization, board oversight, internal controls such as signature authority,
accounting procedures for approving and recording transactions, etc , external
oversight — is there an audit or review by an accountant
A -5 Organizational Chart showing all staff, board members and volunteer positions
A -6 List of Board Members
➢ Please provide the names, address (city/town only), associations, dates of current
service term and the number of terms served.
2012 Coordinated Grant Application and Policies 22
A -7 Staff and Board Profile (form is provided within packet)
➢ Complete this form for your staff and board
A -8 Salary Summary for the entire Agency (form provided within packet)
➢ Provide a summary of salary information for your entire organization.
A -9 Procurement Policy
Provide a copy of your organization's current procurement policy
A -10 Fiscal Control Policy
Provide a copy of your organization's current fiscal control policy.
A -11 Secretary of State Non - Profit Corporate Annual Report (for non - profits)
➢ Attachments A -11, B -8 and B -9 must be consistent with one another and reflect
the same fiscal year.
A -12 Total Project /Program Budget - Revenue form (provided within packet)
Include total program /project costs when showing funding sources.
A -13 Total Project /Program Budget - Expenditure form (provided within packet)
Include total program /project costs by category Total should match total
shown on A -12.
A -14 Commitment letters from other funding sources for this project
Any funding listed as committed on the Total Project /Program Budget —
Expenditures form (A -14) should have a letter provided here Commitment
letters are not letters of general support for your project, but rather letters
committing funds in a specific dollar amount to the project
A -15 Job Description (If requesting funding for personnel)
➢ Required only if requesting funding for personnel.
Attachment B:
B -1 Non - Discrimination Policies
Provide a copy of your organization's non - discrimination policies that cover
employees, volunteers, and clients /tenants, including Affirmative Action.
B -2 Mission Statement
➢ Please attach your organization's mission statement.
B -3 Agency CDBG /HOME History Form (provided within packet)
Provide a history of your organization's previous CDBG /HOME funds from the
County and /or City of Bremerton.
B -4 Insurance Certificate
Please attach a copy of your organization's insurance policy showing
coverage for general liability of officers and board /volunteers, etc
B -5 Litigation, IRS problems or unresolved audit findings
Please attach an explanation if your organization has any threatened or pending
litigation, IRS problems or unresolved audit findings
B -6 Annual Report
If report exceeds 50 pages, please include a summary and one copy of the
full report.
B -7 Most recent financial audit report prepared by a CPA, including findings
If audit exceeds 50 pages, please include an executive summary and one copy
of the full audit
B -8 IRS 990 form (for non - profits)
B -9 Secretary of State CHO -1 Form (for non - profits)
Also known as Charitable Solicitations Renewal Form
B -10 National Objective and Eligibility Determination for CDBG and HOME (forms
provided in packet)
CDBG funded activities must meet one of three national objectives In
section A of the form, indicate who you are going to serve by checking the
appropriate box If you check Limited Clientele, then also check the box
which indicates how this is determined
In section B check the appropriate box to indicate how the program /project
is eligible
2012 Coordinated Grant Application and Policies 23
HOME eligible projects, including CHDO Operating, should complete the
HOME Eligibility Form. HOME projects are not required to meet a National
Objective
Attachment C:
C -1 Project Timeline
➢ Include a project schedule showing project milestones, specific tasks and completion
dates
C -2 Warrant for Housing Trust Fund eligibility
➢ Complete attached form for Housing Trust Fund Eligibility
C -3 Operating Pro -Forma
➢ Provide an operating expense budget for the proposed facility for the first five
years of operation by completing the gray shaded boxes on the form
• INCOME - Years 2 -5 will calculate increases, based on assumed percentages,
in the boxes at the top of revenues If all income sources will not have a
standard inflation rate, simply overwrite the formulas in the appropriate
cells. However, we recommend that you allow the form to make the
calculations for you before overwriting any formula.
• Tenant Rent — Complete these rows if your project is for housing
• Fill in the shaded boxes for the number of units and the
amount charged per month. The total for the year will
calculate for you
• Vacancy Rate — If your project is for housing, fill in the shaded box
for year 1 The form will calculate years 2 -5 using a 5% rate
• Other Income — In the shaded boxes, list expected revenues by
name then the dollar amounts in year 1
• Bad Debt — This includes things such as rent not collected and delay
in lease -up. The form subtracts this amount from your income.
• EXPENSES — This section of the form estimates the costs associated with
operating the property Years 2 -5 will calculate increases, based on
assumed percentages, in the boxes at the top of expenses. If all expenses
will not have a standard inflation rate, simply overwrite the formulas in the
appropriate cells. However, we recommend that you allow the form to make
the calculations for you before overwriting any formula.
• Complete the gray shaded boxes for the expected expenses in year
1
• For miscellaneous items, please describe in the shaded boxes
• DEBT SERVICE — This includes principal and interest costs for any loans as
well as any mortgage insurance premiums
Attachment D:
D -1 Project Timeline
Include a project schedule showing project milestones, specific tasks and completion
dates, and anticipated timing of grant fund expenditures.
• Separate the project into tasks, including those tasks which are necessary for
project start up, like hiring staff or consultants
D -2 Operating Pro Forma (form provided in packet)
Provide an operating expense budget for the proposed facility for a
minimum of 5 years See Attachment C -3 above for detailed instructions.
D -3 Warrant
Complete the attached form for 25 -year low- income housing affordability
D -4 Development Budget (form provided in packet)
Provide a detailed breakdown of the development budget for your project IF
your project includes.
• Major Rehabilitation or New Construction Major rehabilitation means
2012 Coordinated Grant Application and Policies 24
that the rehabilitation will involve costs in excess of 75% of the value of
the building before rehabilitation.
Part 1 — Complete the gray shaded boxes for the number of housing units (if
applicable) and the square footage as well as the estimated costs column.
Additionally, complete the Funding Source Column for each cost listed
• The form will calculate the Costs per Unit, Cost per Square Foot, and
Cost as a % of Total.
Part 2 — This is a separate tab in the workbook. Complete this part only if there
is a loan associated with the project Complete the gray shaded boxes for the
number of housing units (if applicable) and the square footage as well as the
estimated costs column Additionally, complete the Funding Source Column for
each cost listed
• The form will calculate the Costs per Unit, Cost per Square Foot, and
Cost as a % of Total
Attachment E:
E -1 Management Plan
A management plan is required for acquisition or construction of a new facility. A
management plan should describe the management and operation of the facility and
include.
• Who will manage the property?
• Who is responsible for the financial oversight of the facility?
• Is there a security and emergency plan?
• What is the schedule for routine maintenance of the building and property
systems?
For rental properties also include the following.
• How is the property marketed?
• Is there a waiting list? How is it managed?
• Are there types of households that get special attention or are advanced on
the waiting Ilst
• How is tenant eligibility determined? When and how is it recertlfied
• Are income levels specified for all units Are the rents tied to HUD rent
limits?
• When and how are rents increased?
E -2 Environmental Checklist (form provided in packet)
➢ Complete Preliminary Environmental Review Questionnaire Upon submittal of
the application, no further funds of any kind can be spent on the project until a
HUD approved environmental review is complete
➢ Make sure the form is signed by your organization's Director
E -3 Purchase and Sales Agreement or Documentation of site control
➢ Site control documentation includes one of the following: a deed of trust,
current options, current purchase and sale agreement, a current title report
showing the entity holding fee simple title, an executed lease agreement for the
length of the commitment to serve low income households, or an executed
disposition or development agreement Exceptions are allowed for down payment
assistance, homeowner rehabilitation and weatherization.
E -4 Plans and Specs
➢ Provide preliminary plans and specification for new construction or rehabilitation
projects.
E -5 Relocation Plan (if applicable)
Any project funded in whole or in part with CDBG or HOME funds and causes
displacement of people or businesses must include a relocation plan and include
relocation assistance payments in the budget. For more guidance on relocation
see Appendix F (Anti - Displacement and Relocation Plan) in the CDBG /HOME
Policy Plan
E -6 Neighborhood Notification Plan (if appropriate)
The Neighborhood Notification Plan should include information on how you will
2012 Coordinated Grant Application and Policies 25
provide notice to the surrounding neighborhood of your proposed project. It might
include such things as community meetings, mailings, public meetings and /or
public hearings on the proposed project.
If the project is for permanent housing, please also include the following and
Attachment E -9 or E -10 below, based on project type:
E -7 Permanent Housing Form (form provided within packet)
➢ This form contains three sections and describes how the project will meet
various requirements under the HOME Program. The form is designed to do all
calculations for you
• Per Unit Cost Complete the shaded areas in this section which include the
Total Project Development Cost, Total Number of Units in the Project, the
HOME Costs, and the Number of HOME Units
• Match Contribution. HOME has a 25% match requirement for funded
projects. Complete the shaded areas to show the amount of match the
project will provide as well as the source of match Please be specific when
listing the source. The percent of match will calculate for you.
• Long Term Affordability. Complete the shaded area with the number of
years the project will remain affordable
E -g Affirmative Marketing Form (form provided within packet)
➢ Complete this form to describe the methods of affirmative marketing that will be
undertaken as part of the HOME- assisted project.
If the project is for homeownership, please also include:
E -9 Homeownership Requirements (form provided within packet)
➢ Complete the table on the top portion of the form to demonstrate the income
targeting for the project
• Size of House and Income Level: Under the bedroom size, in the shaded
area, indicate the targeted income (NOTE the cell is formulated to show the
number as a percent)
• Number of Houses: Identify the number of HOME assisted houses by bedroom
size and targeted income.
• Monthly PITT: 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: Do not enter anything into this column It
will compute when other columns are completed.
• Median Income adjusted for family size: Identify the median income based
on the family size (see income chart on page 14)
➢ Complete the table at the bottom of the page, answering each of the three questions,
to demonstrate project compliance with HOME regulations
• Income must be determined using one of HUD three approved methods.
If the project is for rental housing, please also include:
E -10 Rental Housing Requirements Form (form provided within packet)
Complete the table on the top portion of the form to demonstrate the rent schedule
for the project.
• Type of Unit: Under the bedroom size, in the shaded area, indicate the targeted
income (NOTE. the cell is formulated to show the number as a percent)
• Number of Units: Identify the number of HOME assisted units by bedroom size
and percent of median income
• Targeted Household Income: Identify the maximum targeted household
income by bedroom size and percent of median income
2012 Coordinated Grant Application and Policies 26
• Proposed Monthly Rent: Identify the proposed monthly rent by bedroom size
and percent of median income.
• Tenant Paid Utilities and Services: Identify the amount of utilities and
services to be paid by the tenant by bedroom size and percent of median income
• Tenant Monthly Rent Plus Utilities: Do not enter anything into this column.
It will compute when the rent and utilities columns are completed
• Type of Subsidy: Identify the type of subsidy (if any) provided by bedroom size
and percent of median income
• Proposed Rent as a Percent of Income: Do not enter anything into this
column It will compute when the rent and targeted household income columns
are completed
• List Utilities and Services to be paid by tenant: Identify, in the shaded area
at the bottom of the table, all utilities and services that will be paid by the tenant
Complete the table at the bottom of the page describing the process that will be
established to assure that rents charged do not exceed allowable amounts under
HOME regulations.
2012 Coordinated Grant Application and Policies 27
This Page Intentionally Blank
2012 Coordinated Grant Application and Policies 28
City of Bremerton /Kitsap County
2012 Coordinated Funding Application Form
Total Amount of funds Requested i� - - - --
Type of Application
Check the type of application for which you are applying (see page 19)
Funding Type:
❑ Local Only ❑ Local and Federal
Program /Project Type
❑ Public Service ❑ Operations & Maintenance ❑ Capital
Project Information
Project
Pro ect Location
Geograp S ervice Area
Census Tracts — _ - -- —
—- - - -- -- - - -- -- -- -- -- --
L Numb er of People /H ouseho lds B enefiti ng from Project
Agency Information
Applicant/Agency Name
Agency Director
Mailing Address
City, ST ZIP Code
Phone
E -Mail Address
Staff Contact & Title ,
Phone
E -Mad Address
Fed eral Tax I D
DUNS Number
Description of Project
Summarize the project including what specifically the grant funds will be used for.
I
i
t
s
I
2012 Coordinated Grant Application and Policies 29
Agreement and Signature
The signatory declares that he /she is an authorized official of the applicant organization, is authorized
to make this application, is authorized to commit the organization in financial matters, and will assure
that any funds received as a result of this application are used only for the purposes set forth herein,
and verifies that all the information contained in this application is valid and true to the best of my
knowledge
N ame (printe & T itl e —
Signature
Date - -_ -__ -- � - -- - - - - - -_— - ---- -- -- - -___— — - -_�
2012 Coordinated Grant Application and Policies 30
Narrative Questions
Answer each question and subquestion that applies to your application type. Please type your responses
in Arial, 12 point size, and label each response with the corresponding question number Answers to the
narrative questions may total no more than 6 narrative pages for Public Service & Capital applications,
and 5 narrative pages for Operations and Maintenance applications.
Section I — All applications must respond to the questions in this section
History/ Background
1. Provide a brief history of your agency /organization and a background and /or history of the
program /project to be funded.
Project Description
2. Give a description of the proposed program /project. Please include the following.
a. How will the requested funds be used? Please be specific
b. Identify your target population — Who will be served?
c Identify the client population by geographic area served.
d. Identify the client by demographic served
e Describe your outreach plan and how it will ensure that eligible persons have access to
your program /project. Your outreach plan should address how you will reach persons
with disabilities, limited English, minority clients, and your organization's history in
serving these populations.
f What is the income level of the population served by this program /project? How does
this project target low and very low income populations (80% MFI or below)?
Project Goals & Outcomes
3. What will change in the lives of individuals, families and the community as a result of this
funding?
4. How do you know that your program /project will be effective? Please include the following:
a. How your agency collects data on the programs it provides and the population it serves
How is this data used to improve your organization and its programs?
b If this project has been previously funded by CDBG, HOME, HHGP, or AFGP, how has it
achieved the goals and outcomes outlined in the previous grant application and are the
goals and outcomes still the same for this project? If the project has not yet been funded
with these funds, or if new goals have been established, what are the new goals and
outcomes for this project?
Community Need & Priorities
S. Estimate the unmet need for this program /project in the community and describe how it will
address the unmet need Reference the following, as applicable, when describing how your
project will address priority needs & strategies
• Homeless Housing Grant Program Priorities
• Affordable Housing Grant Program Priorities
• Homeless Housing Plan - Objectives & Strategies
• Consolidated Plan 2011 -2015 — Objectives & Strategies
• City of Bremerton Comprehensive Plan (for capital projects located in the City of
Bremerton)
2012 Coordinated Grant Application and Policies 31
Partnerships
6. Describe the partnerships you have developed with other community agencies to accomplish this
project.
Challenges
7. What are the challenges that face this program /project?
Sustainabilitv
S. Discuss sustainability for this program /project. Please include the following.
a How would a partial funding award affect the program /project
b. If your traditional funding sources are reduced or eliminated for this program /project in
the future, how will it affect the program /project?
Section II — All Public Service applications must also address the following_
9. Complete the attached Logic Model (next page).
10. How do you document the client outputs and outcomes that are included in the Logic Model?
11. How are the services this program /project provides integrated with other community services?
Section III — All Capital applications must also address the following_
12. Describe the organization's capital project construction management experience, including
a. What project(s) the organization constructed in the past and how large they were in size,
complexity and cost compared to the proposed project?
b. Has the organization received federal funding for previous construction projects?
c. Discuss the experience of staff who will be assigned to construction management, record
keeping and facility maintenance once completed
d Discuss the project timeline, why a funding commitment is necessary at this time, and
when the funds are expected to be used
2012 Coordinated Grant Application and Policies 32
Logic Model (continued from Section II):
9. Logic Model
What Is A Logic Model
A logic model is a chart that shows how a particular program will work and what the results
will be. It includes
• Inputs - resources such as money, employees, equipment, etc.
• Activities — program activities which use the inputs to address an identified need.
• Outputs — outputs are the results of the activity, typically measured in terms of the
volume of work accomplished
• Outcomes — outcomes are the benefits to individuals, families, organizations, and
communities derived from participation in a program or service. Outcomes are measurable,
but can be difficult to quantify. They are often divided into short, intermediate and long-
term outcomes
• Goal(s) — goal of the program defined in terms of how it meets agency goals as well as
those in local plans such as the Consolidated Plan or Homeless Housing Plan
Please complete a Logic Model for your program. A sample Logic Model has been included below and a template
has been included on the next page
SAMPLE LOGIC MODEL — Youth Violence Prevention Program
Inputs
• Staff
• Violence prevention curriculum
• Partnerships including University Counseling Center, Sheriff's Dept, School District
• Participants
• Grant Funding, May fundraiser, United Way fundin
Activities
• Delivery of violence prevention curriculum in schools (pre -K to 4 th grade)
• Intensive violence prevention groups to high risk youth
• Intensive outreach services to families with high -risk youth
• DARE (Drug Abuse Resistance Education)
• Family Empowerment ro ect services to families
Outputs
• 4 -6 hours of violence prevention education for 1,890 students (aged Pre -K to 4 t ' grade)
• 480 students receive intensive prevention tracing in 10 week groups of 6 -10 students
• 185 at risk families receive intensive outreach services
• 60 at risk families receive Family Empowerment project services
Outcomes
• Improvement in healthy peer social communication
• Reduction of violent behaviors in school climate
• Increase in healthy behavioral patterns in handling stress
• Increase in family support
• Consumer satisfaction
Goals
• Community violence prevention
• Meets Consolidated Plan Objective PS -2
2012 Coordinated Grant Application and Policies 33
LOGIC MODEL — (program name)
Inputs
V
Activities
V
Outputs
�7
Outcomes
Goals
2012 Coordinated Grant Application and Policies 34
Attachment A Forms
Total Agency Budget A -2
Staff and Board Profile A -7
Salary Summary A -B
Total Project /Program Budget Revenue A -12
Total Project /Program Budget Expenses A -13
This Page Intentionally Blank
T®$a0 Agency [Budget
Adachment A -2
❑ accrual basis ❑ cash basis
2010 2011 2012 variance
AGENCY REVENUE AND EXPENSES between
Column 1 Column 2 Column 3 col 2& 3
AGENCY REVENUE
Beginning Fund Balance - - -
Federal Revenue
WA State Revenue
Local Revenue
Private Funding Revenue
Grantee Revenue -
Miscellaneous Revenue
Total Agency Revenue (A) $000 $000 $000 $0 00
AGENCY EXPENSES
Personnel (including payroll taxes, benefits)
Managers
Staff
Subtotal -
Supplies /Equipment
Equipment
Office Supplies
Other describe
Subtotal
Administration
Advertising
Audit - -
Communication
Insurance /Bonds -
Postage /Printing -
Operations and Maintenance Expenses -
Training/Travel/Transportation
Other (describe) -
Subtotal
Program /Protect Costs
Other describe
Other describe
Other describe
Other (describe)- -
Other describe
Other describe
Other describe
Other descnbe
Subtotal
Other Costs
Other descnbe -
Subtotal
DIRECT EXPENSES (before depreciation) - - - -
Depreciation (budding and equipment)
OR -if cash basis -Asset acquisition
TOTAL DIRECT EXPENSES (B $0 00 $0 00 $0 00 $000
DEFICIT OR EXCESS - (A) MINUS (B)i $0 00 $000 $000 $000
NOTE If an expenditure line item is larger than 10% of the budget, include an attachment showing detail
Staff & Board
2r Senior & Low
Profile •" Total Income
A -7 Racial Categ Total W Minorities* Totals*
U O
Z U U j L U cC O O cc +>'
O W m O m � c n o >, c
E Z — 06 � � 06 � cv � to O ` N N
U
N W O Q N N N C = O CL Q O - N p 70 a C 'd > Of O p ' N N U
IL O c ccc y 3 coo �° 5 m E c v M a�i o
VF Q C O `� c '� m m e c ' m m C: �
Q ° ° ° cu otS Q ._. U cc u- °
O U s cc a� ? � m c (D ,L c ca c c ca o 0 i2 E m° Z N m otS Q O °°° LLJ O W
Executive Director 0
Board of Directors 0
Administrators 0
Professionals 0
Technicians 0
Protective Service 0
Worker
Para Professionals 0
Office - Clerical 0
Skilled Craft 0
Service Maintenance 0
Volunteers 0
Other 0
*These numbers are portions of the total number
reported and therefore cannot exceed the total
NOTE Race and ethnicity are considered separate
and distinct identities, with Hispanic or Latino origin
asked as a separate question Thus, in addition to
their race or races, all respondents are categorized
by membership in one of two ethnicities, which are
"Hispanic or Latino" and "Not Hispanic or Latino"
Salary Summary
Attachment A -8
Description 2012 Projected Agency Budget
Number of Professional FTEs 000
Number of Clerical FTEs 0.00
Number of all other FTEs 000
Total Number of FTEs 000
Salary Information
Salary of Executive Director or CEO $
Salaries of Professional Staff $
Salaries of Clerical Staff $
Other Salaries (Describe Below)
Description $
Description. $
Description. $
Total Salaries $
Total Payroll T axes $
Total Cost of B enefits $
Total Cost of Retirement $
Total Payroll Costs $0
Total Project /Program Budget - Revenue
Attachment A -12
2012 Only 2012 Only
PROGRAM /PROJECT 2010 2011 2012 Z
REVENUE AND EXPENSES Column I Column 2 Column 3 � 0 > �
FILL BLUE CELLS ONLY ' E c c o 0 d
0 0 m
PROGRAM /PROJECT REVENUE 0 L) V V
Beginning Fund Balance
Federal Revenue
Federal - City of Bremerton CDBG
Federal - City of Bremerton HOME
Federal - Kitsap County CDBG
Federal - Kitsap County HOME
Federal - USDA
Federal - Other (specify)
Federal - Other (specify)
Federal - Other (specify)
Subtotal
WA State Revenue
WA State - Other (specify) CTED
WA State - Other (specify) HTF
WA State - Other (specify) WCC
WA State - Other (specify)
Subtotal
Local Revenue
Local - Affordable Housing Program AHGP
Local - Homeless Housing Program (HHGP
Local - Kitsap County Human Services
Local - Other (specify
Local - Other (specify)
Subtotal
Private Funding Revenue
Private Funds - Contributions
Private Funds - Foundations /Grants
Private Funds - Legacies & Bequests
Subtotal
Agency Revenue
Gains on Investment Transactions
Investment Income
Membership Dues - Individuals
Program Svc Fees /Net Incidental Revenue
Sales (Service, Materials)
Sales to the Public (Net Revenue)
Special Fundraising Events (Net)
Subtotal
Miscellaneous Revenue
In -Kind
Miscellaneous Revenues
Subtotal
Total Program /Pro ect Revenue / %Committed 1 2010 1 2011 1 2012 committed conditional tentative
#i#### ##### #####
Total Project/Program Budget - Expenditure
Attachment A -13 Part 1
2010 2011 2012
PROGRAM /PROJECT REVENUE AND EXPENSES Actual Current Projected
Column 1 Column 2 Column 3
ITOTAL REVENUE (from Attachment A -12 REV) (A) I #REF #REF #REF
EXPENSES FOR PROGRAM / PROJECT OPERATIONS
Personnel (including payroll taxes, benefits)
Managers
Staff
Other (describe
Subtotal
Supplies /Equipment
Equipment
Office Supplies
Other (descnbe)
Subtotal
Administration
Advertising
Audit
Communication
Indirect Administrative Expense
Insurance /Bonds
Postage/Printing
Operations and Maintenance Expenses
Training/Travel
Transportation
Other (describe)
Subtotal
Acquisition Costs
Acquisition
Appraisal /Surveys
Other(descnbe)
Subtotal
Development Soft Costs
Appraisal
Design, Architecture
Engineering
Marketing
Operating Reserve
Processing, Settlement and Financing
Other (describe
Subtotal
Development Hard Costs
Clearance /Demolition
Construction
Improvements
Rehabilitation
Other (describe
Subtotal
Other Costs
Professional Services (describe)
Relocation
Other descnbe
Subtotal
DIRECT PROGRAM /PROJECT EXPENSES before dep reciation
Depreciation (budding and equipment)
OR -if cash basis -Asset acquisition
TOTAL DIRECT PROGRAM/PROJECT EXPENSES B
Number of Units of Service (C)
Define Unit lie person household unitfbldg facility)
AVERAGE TOTAL COST PER UNIT B / C #DIV /0 1 #DIV /0 1 #DIV /Or
DEFICIT OR EXCESS - A MINUS B #REF #REF' #REF?
NOTE For expenditures larger than 10% of the budget, include an attachment showing detail
Total Pr®ject /Program [budget - Expenditure
Attachment A -13 Pali 2
2012 Sources of Funding Detail
Kitsap Kitsap Kitsap Kitsap City of City of All
County County County County Bremerton Bremerton Other
CDBG HOME HHGP AHGP CDBG HOME Sources
Personnel (including payroll taxes, benefits)
Managers
Staff
Other
Subtotal
Supplies /Equipment
Equipment
Office Supplies
Other
Subtotal {
Administration
Advertising
Audit
Communication
Indirect Administrative Expense
Insurance /Bonds
Postage /Printing
Rent/Utilities
Training/Travel
Transportation
Other
Subtotal
Acquisition Costs
Acquisition
Appraisal /Surveys
Other
Subtotal 0
Development Soft Costs
Appraisal
Design, Architecture
Engineering
Marketing
, Operating Reserve
Processing, Settlement and Financing
Other
Subtotal 1
Development Hard Costs
Clearance /Demolition
Construction
Improvements
Rehabilitation
Other
Subtotal 6
Other Costs
Professional Services other
Relocation
Other
Subtotal
DIRECT PROGRAM /PROJECT EXPENSES b
Attachment B Forms
Agency C®BG /HOME History Form B -3
C®BG National Objective and Eligiblity B -10
HOME Beneficiary and Eligiblity B -10
This Page Intentionally Blank
Agency CDBG /HOME History Form
Attachment B -3
CDBG /HOME Check the appropriate boxes
Year Project Name Dollar Amount Funds Funding Vouchered by Source Ci ty or
6/30/10 County Funds
CDBG ❑ City ❑
HOME ❑ County ❑
CDBG ❑ City ❑
HOME ❑ County ❑
CDBG ❑ City ❑
HOME ❑ County ❑
CDBG ❑ city ❑
HOME ❑ County ❑
CDBG El City ❑
HOME ❑ County ❑
CDBG ❑ Gty
Li
HOME :3 Coun ❑
CDBG ❑ City 1:1 HOME ❑ Coun ❑
CDBG ❑ CiCoty 1:1 HOME El un ❑
CDBG ❑ city ❑
HOME ❑ County ❑
CDBG 1 ❑ CiCoty 1:1 HOME El un ❑
CDBG National Objective and Eligiblity
Attachment B -10
This form contains two parts, both parts must be completed Part one discusses how your project
meets a National Objective. Part two is how your project is eligible for CDBG funding. The form is
designed to have you check the boxes by simply clicking on them.
PART ONE
CDBG Activity - Beneficiary
An eligible CDBG activity must meet one of the following three national objectives Place a check
in the box next to the objective your project meets and then check the box indicating how the
project meets that objective Attach the documentation specified for the national objective (refer
to Appendix D of the CDBG /HOME Policy Plan Required documentation for each national objective is
marked with a 0)
NOTE. If your project is a permanent housing project, do not complete this form. Instead use the
HOME Beneficiary and Eligibility Determination Form
❑ 1. Principally Benefit Low and Very Low Income
Mark which of the following ways the project will meet this National Objective
(check only one)
❑ Area Benefit
❑ Limited Clientele
• At Least 51% of beneficiaries are low or very low Income
• Must check one of the four boxes below on how this will be met
• Documentation required is determIned by selection of the followIng
❑ Presumed Benefit
Check this box when the activity benefits one of the presumed low income groups
abused children, battered spouses, elderly persons, handicapped persons, homeless
persons, illiterate persons, migrant farm workers and persons living with HIV /AIDS
❑ Agency Requires Client Information
Check this box when your agency keeps information on client income and family size
which can document whether or not 51% or more of the clientele are persons
whose family income does not exceed low and moderate income limits for Kitsap
County
❑ Income Eligibility Requirement
Check this box when your agency uses income screening to limit the benefits of the
CDBG funded activity to only those persons who are low and very low income
❑ Nature /Location
Check this box when the act61vity 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
❑ Removal of Architectural Barriers
❑ Assistance to Owners of Microenterprises
❑ Employment Support Services
❑ Housing Activities (Residential)
❑ Job Creation or Retention — Economic Development
❑ 2. Reduce or Eliminate Slum or Blight
❑ 3. Meet an Urgent Need
PART TWO
CDBG Activity - Eligibility
Select one box below on how this project is eligible for CDBG funds
❑ Acquisition of Real Property
❑ Acquisition, Construction, Reconstruction or Installation of Public Works Facilities
❑ Acquisition, Construction, Reconstruction or Conversion of Housing Units
❑ Site Improvements
❑ Code Enforcement
❑ Clearance, Demolition, Removal, and Rehabilitation of Buildings and Improvements
❑ Removal of Material and Architectural Barriers which Restrict the Mobility and
Accessibility
❑ Public Services
❑ Planning Activities
❑ Assistance to Community Based Development Organizations (CBDO)
❑ Economic Development Project
❑ Housing Services
❑ Assistance to Facilitate Economic Development
❑ Assistance to Expand Homeownership
❑ Lead Based Paint Hazard Evaluation and Reduction
ROME Beneficiary and Eligiblity
Attachment B -10
This form contains two parts, both parts must be completed Part one discusses the beneficiaries of
your project Part two is how your project is eligible for HOME funding The form is designed to
have you check the boxes by simply clicking on them.
PART ONE
HOME Activity - Beneficiary
Beneficiaries of HOME funds — homebuyers, homeowners or tenants — must have incomes below
80% of the area median income. To determine if program applicants are income - eligible,
agencies /organizations must use one of the three allowable definitions of annual (gross) income and
verify income using source documentation such as wage statements, interest statements,
unemployment compensation statements, etc.
The three definitions of income allowable under HOME are:
1 Annual Income as defined in 24 CFR Part 5 (Section 8)
2 Census Long Form Annual Income
3 IRS Form 1040 Adjusted Gross Income
For the purpose of determining eligibility based on income, it is the household's current
circumstances that are used to project income Additional information on the definitions listed
above can be obtained from the Block Grant Offices or Appendix E of the CDBG /HOME Policy Plan.
Mark which of the following type of recipients will be benefiting from your project
check only one
❑ Renters
❑ Owner
PART TWO
HOME Activity - Eligibility
1 Select one box below for the type of HOME project.
❑ New Construction
❑ Substantial rehabilitation (> $25,000)
❑ Moderate Rehabilitation (< $25,000)
❑ Tenant Based - Assistance
❑ Other
2 Select one box below on how this project is eligible for HOME funds
❑ Homeowner Rehabilitation
❑ Homebuyers Activity
❑ Rental Housing
Attachment C Forms
Operating Pro -Forma C -3
J
This Page Intentionally Blank
Project Timeline
Attachment C -1
List the specific tasks to complete and manage this project, including the start and end dates for each task
Specific Tasks Start Date End Date
Warrant for Eligiblity for Housing Trust Funds
Attachment C -2
The Affordable Housing Grant Program Legislation outlines very specific allowable uses of local funds
as described below
(b) Supporting building operation and maintenance costs of housing projects or units within housing
projects eligible to receive housing trust funds that are affordable to very low - income, households
with incomes at or below fifty percent of the area median income, and that require a s%pplement to
rent income to cover ongoing operating costs
Applicants requesting funds for Operations and Maintenance must demonstrate that they are a /i4ib /e
to receive Housm4 Trust Funds This requirement can be met by one of the following two ways.
Please check either 1 or 2 then complete the information under that heading.
❑ 1. Project has already received Housing Trust Funds.
❑ Documentation verifying receipt of Housing Trust Funds is attached
❑ 2. The following checklist is used to confirm eligibility
Mark the applicable box under each heading (check only one). Agency will be
responsible for providing proof upon request.
Eligible Applicants
❑ Local Governments
❑ Local Housing Authority
❑ Nonprofit Community, Neighborhood, State or Regional Organization
❑ Federally - recognized Indian tribes in Washington State
❑ Regional Support networks established under RCW Chapter 71.24
Eligible Project Types
❑ Assisted living facilities
❑ Boarding homes
❑ Community land trusts
❑ Emergency Shelters (including shelters for survivors of domestic violence)
❑ Group homes
❑ Homes /loans for low- income homebuyers
❑ Multi- family rental housing
❑ Seasonal and year round housing for farm workers
❑ Transitional Housing
Affordability Standard
❑ Rental payments may not exceed 30% of the maximum monthly income level established
for each assisted housing unit
Length of Commitment
❑ Applicants must commit to serving the project's target population for 40 years.
Tenant Relocation
❑ Relocation assistance must be provided to any tenants who are permanently or
temporarily displaced [at time of construction].
Project Location and Consistency with Local Plans
❑ Project must comply with applicable local comprehensive plans, HUD Consolidated Plans
and local or state Continuum of Care Plan.
NOTE: This checklist is not warranted to be complete, agency is ultimately responsible for meeting
eligibility requirements for Housing Trust Funds. For full eligibility requirements refer the Housing
Trust Fund Guidelines found on their website at.
http. / /www.cted.wa.gov/ CTED /documents /ID 1626 Publicabons.pdf
I, the undersigned authorized representative of , warrant that to the best of my knowledge and
professional judgment, the project for which Affordable Housing Grant Program funds are being
requested is in fact eligible to receive Washington State Housing Trust Funds.
Signature of Authorized Representative
Printed Name
Date
Operating Pro -Forma
Attachment C -3
Category End Year 1 I End Year 21 End Year 31 End Year 41 End Year 5 TOTALS
Income A Inflation rate 250% 250% 250% 250%
Tenant Rent 1 units at per month - 0 0 $0 0 -
Tenant Rent units at ' per month - $0 $0 $0 $0 $ -
Tenant Rent units at per month $ - $0 $0 $0 $0 $ -
Total Potential Rent $ - $ - $ - $ - $ - $ -
Less Vacancy Rate 50% $0 $0 $0 $0 $ -
Other Income $0 $0 $0 $0 $ -
Other Income $0 $0 $0 $0 $ -
Other Income $0 $0 $0 $0 $ -
Other Income $0 $0 $0 $0 $ -
Bad Debt $0 $0 $0 $0
Total Income I $ Is - $ 1 $ - $ I $ -
Expenses Inflation rate 350%1 350%1 3 50%1 350%
Manag ement
Management Fee $0 $0 sol $0 $0
Salaries Staff Jobs Salaries for total FTE $0 $0 $0 $0 $ -
Employee Health and Retirement Benefits $0 $0 $0 $0 $ -
Pa roll Taxes $0 $0 $0 $0 $ -
Professional Fees i e Audit $0 $0 $0 $0 $ -
Su lies $0 $0 $0 $0 $ -
Telephone 1 $0 $0 $0 $0 $
Postage $0 $0 $0 $0 $ -
Transportation and Local Travel $0 $0 $0 $0 $ -
Specific Assistance to Individuals $0 $0 $0 $0 $ -
Rental of Eq uipment $0 $0 $0 $0 $ -
Conferences $0 $0 $0 $0 $ -
Miscellaneous $01 $0 $0 $0 $ -
Miscellaneous i $0 $0 $0 $0 $ -
Ma►ntenance
Maintenance Staff Costs $0 $0 $01 0 $ -
Building Repair and Maintenance $0 $0 $0 $0 $ -
Landscaping $0 $0 $0 $0 $ -
Garbage $0 $0 sol 0 $ -
Pest Control $0 $0 $0 $0 $ -
Miscellaneous $0 $01 $0 $0 $ -
Miscellaneous $0 sol $0 $0 $ -
Utihties aid by the propert
Electricity $0 $0 161
0 $0 $ -
Water /Sewer 1 $0 $0 $01 $0 $ -
Heat and hot water Specifiy fuel sol sol $0 $0 $ -
Taxes /Insure /Reserve
Insurance $0 $0 $0 $0 $
Property Taxes $0 $0 $0 $0 $
Operating Reserve $0 $0 $0 $0 $
Replacement Reserve $0 $0 $0 $0 $ -
Miscellaneous $0 $0 $0 $0 $ -
Miscellaneous $0 $0 $0 $0 $ -
Total Expenses $ - ( - [ _ ( $ 1 _ [ _ (
P @PEM
Ughnm
tl b&M 0mg VM NJ °
Debt Service
1 st Mortgage iover years $ - $ - $ - $ - $
2nd Mortgage 'over iyears $ - $ - $ - $ - $ -
3rd Mort ate `over years $ - $ - $ - $ - $ -
Total Debt Service $ - $ - $ - $ _ $ _ $ _
e
o 0" 4am0 DON °
Attachment D Forms
Operating Pro -Forma D -3
Development Budget Parts 1 and 2 D -4
This Page Intentionally Blank
Project Timeline
Attachment D -1
List the specific tasks to complete and manage this project, including the start and end dates for each task
Specific Tasks Start Date End Date
Operating Pro -Forma
Attachment D -
Category End Year 1 I End Year 21 End Year 31 End Year 41 End Year 51 TOTALS
Income Inflation rate 250% 250% 250% 250%
Tenant Rent ; units at per month $ - $0 0 $0 $0 $ -
Tenant Rent ;units at per month $ - $0 $0 $0 $0 $ -
Tenant Rent ;units at per month $ - $0 $0 $0 $0 $ -
Total Potential Rent $ - $ - $ - $ - $ - $ -
Less Vacancy Rate 50% $0 $0 $0 $0 $ -
Other Income $0 $0 $0 $0 $ -
Other Income $0 $0 $0 $0 $ -
Other Income $0 $0 $0 $0 $ -
Other Income $0 $0 $0 $0 $ -
Bad Debt $0 $0 $0 $0
Total Income I $ 1 $ is - $ - $ -
Expenses Inflation rate 3 50%1 350%1 350%1 350%
Manag ement
Management Fee $0 $0 $0 $0 $0
Salaries Staff Jobs Salaries for total FTE $0 $0 $0 $0 $ Employee Health and Retirement Benefits $0 $0 $0 $0 $
Payroll Taxes $0 $0 01 0 $ -
Professional Fees i e Audit $0 $0 $0 $0 $
Supplies $0 $0 $0 $0 $
Telephone $0 $0 $0 $0 $
Postage $0 $0 $0 $0 $
Transportation and Local Travel $0 $0 $0 $0 $
Specific Assistance to Individuals $0 $01 0 $0 $ -
Rental of Equipment $0 $0 $0 $0 $ -
Conferences $0 $0 $0 $0 $ -
Miscellaneous $0 $0 $0 $0 $ -
Miscellaneous $0 $0 $0 $0 $ -
Maintenance
Maintenance Staff Costs $0 $0 $0 $0 $ -
Building Repair and Maintenance $0 $0 $0 $0 $
Landscaping $0 $0 $0 $0 $ -
Garbage $0 $0 $0 $0 $ -
Pest Control $0 $0 $0 $0 $ -
Miscellaneous $0 $0 $0 $0 $ -
Miscellaneous $0 $0 $0 $0 $ -
Uhhhes aid by the propert
Electricity $0 $01
0 $0 $01 -
Water /Sewer $0 $0 $01 $0 $ -
Heat and hot water S ecifl fuel $0 $0 $0 $0 $ -
Taxes/Msure/Reserve
Insurance $0 $0 $0 $0 $ -
Pro erty Taxes $0 $0 $01 0 $
Operating Reserve $0 $0 $0 $0 $
Replacement Reserve $0 $0 $0 $0 $ -
Miscellaneous $0 $0 $0 $0 $ -
Miscellaneous $0 $0 $0 $0 $ -
Total Expenses
Debt Service
1 st Mortgage over years $ - $ - $ - $ - $ -
2nd Mortgage over years $ - $ - $ - $ - $
3rd Mort ate over years $ - $ - $ - $ - $ -
Total Debt Service $ - $ _ $ _ $ _ $ _ $ _
Rom o o o Q o o
Uft % aEMW l 4ck�0 n . o
Low - Income Housing Use Warrant
Attachment D -3
The Affordable Housing Grant Program Legislation outlines very specific allowable uses of local funds
as described below
(a) Acquisition, construction, or rehabilitation of housing projects or units within housing projects
that are affordable to very low- income households with incomes at or below fifty percent of the area
median income, including units for homeownership, rental units, seasonal and permanent farm
worker housing units, and single room occupancy units,
The Kitsap Regional Coordinating Council additionally stipulates that capital projects receiving
Affordable Housing Grant Program funs must be used to provide low- income housing for at least 25
years
Applicants requesting funding for capital projects be have an authorized agency representative sign
the warrant below.
I, the undersigned authorized representative of , warrant that to the best of my knowledge and
professional judgment, the project for which Affordable Housing Grant Program funds are being
requested will be used to provide housing to individuals and families at or below 50% of the area median
income for at least 25 years
Signature of Authorized Representative
Printed Name
Date
Development Budget - part Y
Attachment D -4
Provide a detailed development budget if your project is for Major Rehabilitation or New Construction
Number of Housing Units - Square Footage _ Enter the estimated
development costs associated Estimated Costs Costs per Unit Cost per Cost as % of Funding Source
with your capital project (Housing S uare Foot Total
Acquisition Costs
Purchase Price #DIV/0 #DIV/0 #DIV/0
Land #DIV/0 #DIV/0 #DIV/0
Improvements #DIV/0 #DIV/0 #DIV/0
Liens and Other Taxes #DIV/0 #DIV/0 #DIV/0
Closing/Recording #DIV/0 #DIV/0 #DIV/0
Extension Fees #DIV/0 #DIV/0 #DIV/0
Other #DIV/0 #DIV/0 #DN /0
Other #DIV/0 #DN /0 #DIV/0
SUBTOTAL $ #DIV /0 #DN /0 #DN /0
Construction Costs
Off -site Work #DIV/0 #DIV/0 #DN /0
On -site Work #DIV/0 #DIV/0 #DIV/0
Hazardous Materials Abatement #DIV/0 #DIV/0 #DN /0'
Demolition #DIV/0 #DIV/0 #DIV/0
Residential Building #DIV/0 #DIV/0 #DIV/0
Commercial Space/Building #DIV/0 #DIV/0 #DIV/0
Common Use Facilities #DIV/0 #DIV/0 #DIV/0
Elevator #DIV/0 #DIV/0 #DIV/0
Laundry Facilities #DIV/0 #DIV/0 #DIV/0
Storage/Garages #DIV/0 #DIV/0 #DIV/0
Landscaping #DIV/0 #DIV/0 #DIV/0
General Conditions #DIV/0 #DIV/0 #DIV/0
Contractor Liability Insurance #DIV/0 #DIV/0 #DIV/0
Contractor Overhead #DIV/0 #DIV/0 #DIV/0
Contractor Profit #DIV/0' #DIV/0 #DIV/0
- Contingency #DIV/0 #DIV/0 #DIV/0
FF&E Common Area Furnishings #DIV/0 #DIV/0 #DIV/0
Internet Wiring & E ui ment #DIV/0 #DIV/0 #DIV/0
Sales Tax #DIV/0 #DIV/0 #DIV/0
Other #DIV/0 #DIV/0 #DIV/0
Other #DIV0 #DIV/0 #DIV/0
SUBTOTAL $ #DIV/0 #DIV/0 #DIV/0
Development Costs _
Land use Approvals #DIV 0 #DIV/0 #DIV/0
Building Permits /Fees #DIV/0 #DIV/0 #DIV/0
System Development Charges #DIV 0 #DIV /0 #DIV/0
Market Study #DIV/0 #DIV 0 #DIV/0
Environmental Report #DIV/0 #DIV/0 #DIV 0
Lead Based Paint Report #DIV/0 #DIV/0 #DIV/0
Power Delivery #DIV 0 #DIV/0 #DIV 0
Sods Report Geotechrncal #DIV/0 #DIV/0 #DIV 0
Survey #DIV/01 #DIV/01 #DIV/01
Marketrn /Adverbsin #DIV/01 #DIV 0 #DIV/01
Insurance #DIV/0 #DIV0 #DIV/0
Other #DIV/0 #DIV/0 #DIV/0
Other #DIV 0 #DIV/0 #DIV/0
Other #DIV/0 #DIV/01 #DIV/0
SUBTOTAL $ - #DIV/0 #DIV/01 #DIV/0
General Fees
Architectural #DIV/0 #DIV/01 #DIV/01
SPD Architectural Review Fee #DIV 0 #DIV/0 #DIV/0
Engineering, Staking & Testing #DIV /01 #DIV/0 #DN /0
Legal/Accounting #DIV/0 #DIV/0 #DN /01
Cost Certification #DIV 0 #DIV 0 #DIV/0
Appraisals #DIV/01 #DN /0 #DIV/0
ISpecial Inspections/Testing #DIV /0 #DIV/0 #DIV/01
Developer Fee #DIV/0 #DIV/0 #DIV/0
Consultant Fee #DIV/01 #DIV 01 #DIV/01
Lock Rate Fee #DIV/0 #DIV/0 #DIV 0
Pro ect Management Fee #DIV/0 #DIV/0 #DIV/0
Other #DIV /0 #DIV0' #DIV/0
Other #DIV /01 #DIV/01 #DIV/0
Other #DIV/0 #DIV/01 #DIV/01
SUBTOTAL $ #DIV/0 #DIV/0 #DIV/0
Development Costs Subtotal: - #DIV 01 #DIV /01 #DIV /01
TOTAL PR03ECT COST: tv I o t
®evdopmcent B udget - Peat 2
Attachment D -
Part 2 Is to be completed for applicable project financing.
Number of Housing Units: Square Footage:
Enter your estimated
development costs associated
with financing your ca ;Estimated Costs Costs per Unit Cost per Cost as % of Funding Source
project (Housing Square Foot Total
Reserves / Contingen
Lease U / O rating / Services #DIV/0 #DIV/0 #DIV /0
Development #DIV /0 #DIV/0 #DIV/0
Other #DIV/0 #DIV/0 #DIV/0
Other #DIV/0 #DIV/0 #DIV/0
#DIV/0 #DIV /0 #DIV /0
SUBTOTAL $ - #DIV /0 #DIV/0 #DIV /0
Interest
Construction Period #DIV /0 #DIV/0 #DIV/0
Bridge Loan #DIV/0 #DIV/0 #DIV/0
Other #DIV/0 #DIV/0 #DIV/0
Other #DIV/0 #DIV/0 #DIV/0
#DIV/0 #DIV /0 #DIV /0
SUBTOTAL $ - #DIV /0 #DIV/0 #DIV/0
Construction Loan Costs /Fees
Lender Inspection Fees #DIV /01 #DIV /01 #DIV/01
Lender Title Insurance #DIV/0' #DIV /0 #DIV /01
Lender Legal Fees #DIV/01 #DIV/01 #DIV /01
Loan Fees #DIV /01 #DIV/0 #DIV /0
Loan Closng Fees #DIV/0 #DIV/0 #DIV/0
Property Taxes Construction Period) #DIV/0 #DIV/0 #DIV/0
Insurance #DIV/0 #DIV/01 #DIV/01
#DIV/0 #DIV/0 #DIV/0
SUBTOTAL $ - #DIV /01 #DIV/01 #DIV/01
Bridge Loan Fees ifappiicabie�
Bride Loan Legal #DIV/0 #DIV/0 #DIV/0
Bride Loan Trustee #DIV/0 #DIV/0 #DIV/01
Bridge Loan Underwriting #DIV/0 #DIV/0 #DIV/0
#DIV/0 #DIV/0 #DIV/0
SUBTOTAL $ - #DIV/0 #DIV /0 #DIV /0
Permanent Loan Fees =
Perm Loan Fee #DIV/0 #DIV/0 #DIV/0
Perm Loan Closing Fees #DIV/0 #DIV /01 #DIV/01
#DIV/0 #DIV/01 #DIV/01
#DIV/0 #DIV /01 #DIV/0
SUBTOTAL $ - #DIV/0 #DIV /01 #DIV/0
Tax Credit Fees
Tax Credit Fee #DIV /01 #DIV/0 #DIV/01
Tax Credit Cost Certification #DIV /0 #DIV/0 #DIV/0
Tax Credit Legal/Advisor Fee #DIV/0 #DIV/01 #DIV/0
#DIV/0 #DIV/0 #DIV /0
SUBTOTAL $ - #DIV /0 #DIV/0 #DIV/0
Bond Issuance Fees = J.
Cost of Bond Issuance #DIV /0 #DIV/0 #DIV/01
Negative Arbitrage % #DIV /0 #DIV/0 #DIV/0
Bond Cost Certification #DIV/0 #DIV/0 #DN 10
Other #DIV /01 #DN /0l #DIV/01
#DIV /0 #DIV /01 #DIV /0
SUBTOTAL $ - #DIV /01 #DIV/0 #DIV/0
evelopment Costs Subtotal: $ - #DIV /0! #DIV /0! #DIV /0!
TOTAL PROTECT COST: o(MW
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Attachment E Forms
Preliminary Environmental Review E -2
Permanent Housing Form E -7
Affirmative Marketing E -8
Homeownership Requirements E -9
Rental Housing Requirements E -10
This Page Intentionally Blank
Preliminary Environmental Review Questionnaire
Attachment E -2
At the site under consideration for the project, please make an observation for each of the Environmental
Compliance Factors listed below. Click on the Yes or for No for the given condition. Fill in the blank with
the appropriate answer for all other questions.
Historical Preservation
Does the project involve a building greater than 45 years old? Yes ❑ No ❑
If yes, does the project involve rehabilitation of some sort Yes ❑ No ❑
Are you aware of any historically significant events that have taken place at the Yes ❑ No ❑
site?
If yes, describe
Floodplain Management
Is the property where the proposed project is located in a Coastal High Hazard Yes ❑ No ❑
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 Yes ❑ No ❑
concrete?
If yes, how approximately how many square feet of impervious surface will be developed.
NOTE. Property located in a flood plain will require flood insurance
Coastal Zone Management
Is the proposed project site within 200 ft. of the Ordinary High Water Yes ❑ No ❑
Mark? (See definition below)
Ordinary Iugh 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
Wetlands Protection
Does the site or the adjacent areas of the proposed project have the Yes ❑ No ❑
appearance of a swamp, marsh, or slough?
Does the project appear to be wet (standing water) at any time of the year? Yes ❑ No ❑
Noise
Is the proposed project within 1,000 ft of a Highway (or a 4 lane road), or Yes ❑ No ❑
3,000 ft of a railroad?
Endangered Species
Is the proposed project site a habitat area for any endangered species? Yes ❑ No ❑
Air
Do you know if there is any asbestos located on the project site? Yes ❑ No ❑
Hazards
Exulosive or Flammable Tanks
Does the site for the proposed project have any visible storage tanks for a Yes ❑ No ❑
flammable substance within a quarter of a mile?
Is the proposed site within a quarter of a mile from a loading terminal for a Yes ❑ No ❑
flammable substance?
Does the proposed site have high pressure gas lines or overhead transmission Yes ❑ No ❑
lines present within 200 ft
Hazardous Waste
Will the proposed project be located on fill land? Yes ❑ No ❑
If yes, what materials were used for the fill? Yes ❑ No ❑
Is the project area on or near a site suspected of posing a potential Yes ❑ No ❑
environmental hazards such as a dump, land fill, or industrial location containing
hazardous wastes?
If yes, describe
Land Use History
What if any prior uses existed on the property.
Note. A "YES" response to any of these questions may be an indicator that some form of mitigation
could be required for the project
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
Signature
Printed Name
Date
r
Permanent Housing Requirements Form
Attachment E -7
This form contains three sections and describes how the project will meet various requirements under the
HOME Program. To complete the form, fill in the shaded areas. The form is designed to do all calculations
for you
Per -Unit Cost
HOME rules allow a maximum investment of HOME funds to ensure the project is not oversubsidized The
City of Bremerton allows a maximum HOME subsidy of $30,000 per units for homeownership projects The
maximum subsidy allowed for all HOME rental projects is $157,410 per 1 -BR unit
PROJECT COST HOME COST mul Total Project Development Cost $0 00 HOME Costs $0 00
Total Number of Units in the Project 0 HOME Units - - - -- _0
Cost per unit #DIV /01 HOME cost per unit #DIV /01
Match Contribution
The HOME Program has a 25% match requirement on all projects funded with HOME dollars Projects
receiving HOME funds must be able to provide an acceptable form of match
Total HOME funds requested $0 00t
Match contribution y _ T $000
What percent of HOME request is Match? #DIV /0
Source of Match
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
instructions for requirements) If the project is for assistance to homebuyers, include a specific description
of the resale /recapture procedures that will be used.
Number of years Project will remain affordable oil
Affirmative Marketing
Attachment E -8
Affirmative Marketing under HOME regulations:
1) Affirmative marketing steps consist of actions to provide information and otherwise attract eligible persons from
all racial, ethnic, and gender groups
2) 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.
3) Any HOME- assisted housing must comply with the following procedures for the duration of the applicable
compliance period.
a) project sponsor advertising of vacant units must include the Equal Housing Opportunity logo or statement
(newspapers, radio, television, brochures, leaflets, signs, etc )
b) 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 (use of community organizations,
places of worship, employment centers, fair housing groups, etc )
c) The project sponsor must maintain records containing documentation of all marketing efforts (copies of
newspaper advertisements, memorandums of telephone calls, copies of letters, etc.)
d) 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
e) Records to assess the results of the affirmative fair housing marketing actions must be available for
inspection by the City of Bremerton and Kitsap County HOME Program administrators
Describe the methods of affirmative marketing that will be undertaken as part of the HOME
-
assisted uroiect.
Homeownership Requirements
Attachment E -9
Homeownership Income Targeting - Provide the information req f HOME assisted units.
Size of House and Income Level Number of Monthly Targeted Assumed PITI divided by Median Comments
Houses / Payment Maximum HH Family / monthly Income*
Units (PITI) Income Household Size income adjusted for
family size
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 D
,of Median Income
FOUR BEDROOM # V 1
,of Median Income #DIV 1
of Median Income #
of Median Income #DIV /0
TOTAL 0
To assure compliance with HOME regulations, please describe the method used to assure each following.
1 Describe the process that will be established to assure that
the rents charged in the HOME assisted rental projects do
not exceed the allowable amount under HOME program
2 The assisted housing will be the owner's principal residence
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
*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 14 of the Coordinated Grant Application and Policy Plan.
Rental Housing Requirements
Attachment E -10
Project Rent Schedule
Type of Unit # of Targeted Targeted Proposed Tenant Paid Tenant Type of Proposed rent
Units Family Household Monthly Rent Utilities / Monthly Subsidy (if as a % of
I Utilities
Size Income Services ** Rent Plus any) income
SRO U #DIV/0
of Median Income #DIV/0'
of Median Income #DIV /0
of Median Income 0 #DIV /0
ONE BEDROOM #DIV /0
W Median Income 0 #DIV/0
of Median Income 0 #DIV /0
of Median Income 0 #DIV/0
TWO BEDROOM 0 #DIV /0
of Median Income 0 #DIV/0
of Median Income 0 #DIV /0
of Median Income a #DIV/0
THREE BEDROOM 0 #DIV /0
of Median Income 0 #DIV/0
of Median Income 0 #DIV /0
of Median Income 0 #DIV/0'
TOTAL 0
* *List Utilities and Sevices to be paid by 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 14 of the Coordinated Grant Application and Policy Plan
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
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Appendix A
Census Tract Map
This Page Intentionally Blank
Kitsap County and - - - - - - -- - -
City of Bremerton
Census Tracts 2000
1 0 1 2 3 4 5 rAws
RWSUdPWWCovd
® - augw2001 i C (D 7,j N 1 Y
80101 80102 — k
l
° , I
� r as
j s
80700
80600 ' G� �� 90101 Kingst i
81100 ` 812.00 805 00) ` > J 90102
`� 90200 I
Awal sropraw
81400 ,; `Ill Rd 90602 �
10.00 r' Bangor Q UO ° i Suquam,sh j
P(w i ho 908 01
Base
90400 90300
00
907 00
f
,— 3 a/ ^' 91100
{. 5µa 908
1 s S r 91302 1 b y
T` 91 01, g L3ui iclyP I
,tverdale
y 1 Seabeck
CD
$ m eo9 00
S —' 91301 �� ( a s m i
( 4 ~ t 91000
91900 91800,
1
i
920 00---&1— j 1 � t I 'l71 1�1� ✓ J 4 �
1 6
f
92500 926
e..m.._b� • _I �� r o 1 � �
L.J g 924
! �,
)1 ( h, c) 92300
NI A �� () 1 n ft Sourhwoah o `
921 00 e
( 7 92700 1
' 928 01
7
Vashon
p � !
r
92802 d Island
,l 92901 i 27701
92902 !v
Rd
�E I 92803 7
This Page Intentionally Blank
Appendix B
City of Bremerton Slum and Blight Zones
This Page Intentionally Blank
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Appendix C
Glossary
This Page Intentionally Blank
r
Glossary
Administrative Expenses Those expenses directly associated with the recipient's administration of a
project or program, such as salaries, supplies, equipment, accounting, phones, audits, benefits, travel
and indirect costs.
Affordability Affordability is achieved when a household's rent or mortgage payment, plus utilities,
does not exceed 30% of the monthly income for the targeted income group as adjusted for household
size.
Annual Action Plan: This document allocates one year's funding to specific projects and activities for
the CDBG and HOME programs It is submitted annually to HUD, 45 days prior to the start of the City's
and County's fiscal year or no later than November 15 and is developed in accordance with federal
regulations (24 CFR Part 91).
Architectural Barriers Restrict mobility and accessibility of elderly or individuals with disabilities.
Benefit Criteria A CDBG activity must either principally benefit low or very low income persons, reduce
or prevent slums and blight or meet a recent urgent need These three objectives are the Benefit
Criteria.
Cash Flow Gross income minus vacancy rate, operating expenses, reserves, debt service and taxes.
Grant Recommendation Committee (GRC) A group of eight citizens meeting specific qualifications,
who develop funding recommendations for approval by the Kitsap Regional Coordinating Council (KRCC)
and Bremerton City Council.
Citizen Participation Plan: This plan is prepared to facilitate and encourage public participation and
involvement in the Consolidated Plan process and the City's and County's CDBG and HOME program,
especially by low- and moderate - income persons The plan identifies the public participation requirements
as identified by federal regulations (24 CFR Part 91)
Committed Funds Funds committed to a project by a project funding source The award amount,
terms and uses of the committed funds are documented in a letter to the applicant. A copy of this award
letter is included with the application for CDBG /HOME funds
Conditional Funds Funds committed, with conditions, to a project by a project funding source The
conditions of the commitment, amount, terms, and uses are documented in a letter to the applicant A
copy of the letter is included with the application for CDBG /HOME funds.
Consolidated Annual Performance Evaluation Report (CAPER): This document reports on the
progress in carrying out the Consolidated Plan and Annual Action Plan. The report is prepared annually by
both the City and County in accordance with federal regulations (24 CFR Part 91) It is due to HUD no
later than 90 days after the end of the program year or March 31.
Consolidated Plan: This document serves as the City's and County's application for CDBG and HOME
funds. It sets forth the priorities and strategies to address the needs of primarily low- and moderate -
income persons and areas in the county It typically covers a five -year time period It is submitted to HUD
45 days prior to the start of the program year or no later than November 15 and is developed in
accordance with federal regulations (24 CRF Part 91)
Consultant Fees Fees paid to a third party developer consultant for costs associated with
implementation of a project
Entitlement Community A local jurisdiction that receives an allocation of Community Development
Block Grant funds directly from HUD. All participating jurisdictions are entitlement communities;
however, not all entitlement communities are participating jurisdictions.
Interlocal Agreement Agreements made to ensure the cooperation of units of local government
which form consortiums for the purpose of obtaining funding.
Low- and Moderate - Income Households (LMI : These are households earning less than 80% of the
area median income (AMI). They are broken down into the following income designations
• Extremely Low - Income: households with incomes less than 30% of the area median family
income adjusted for household size.
• Low - Income: households with incomes between 31% and 50% of the area median income,
adjusted for household size
• Moderate- Income: households with incomes between 51% and 80% of the area median
income, adjusted for household size.
Low- and Moderate- Income Area Neighborhood (LMA : In general, this is defined as census tracts
or block groups where a minimum of 51% of the residents have low or moderate incomes (i.e not
exceeding 80% of the area median income)
Median Family Income: HUD releases income limits annually for its programs Income limits are
calculated using American Community Survey and Census data. Data for Kitsap County is based on the
Bremerton - Silverdale Metropolitan Statistical Area (MSA). Incomes are indexed by household size.
Operating Support Financial assistance used to supplement the day -to -day operations of a project
Participating Jurisdiction This term refers to cities, counties and consortia which receive an
allocation of federal HOME funds directly from HUD
Program Year: The program year for both the County and City CDBG and HOME programs is January 1
through December 31, which is the same as the County and City's fiscal year.
Project Management Costs directly related to managing the project to the point of completion
normally paid to a third party
Project Soundness The feasibility, sensibility, and effectiveness of the project to meet a defined
community need and the organizational strength and capacity to bring the project to completion.
Appendix D
Budget Instructions
This Page Intentionally Blank
Budget Instructions
Instructions: Total Agency Budget (Attachment A -2)
Information on this form provides a comparison of agency revenues and expenses over a three -
year period. You MUST use a calendar year beginning January 1 and ending December 31 in
completing this budget form.
General:
• COLUMN 12010 Information provided in this column will be prior year actual revenues
and expenses
• COLUMN 2 2011 Information provided in this column is current year (2011) revenues
and expenses. May include mid -year adjustments.
• COLUMN 3 2012 Information provided in this column is proposed 2012 revenues and
expenses - the year of the grant request.
• COLUMN 3 2012 This column calculates automatically to show the difference between
2011 and 2012 budgets.
Revenue:
• Please combine all similar funding sources into the categories provided. Sum for ""Total
Agency Revenue" is calculated automatically. It should represent your agency's total
operating revenue.
Expenses:
• Personnel, Supolies /Equipment, Admin, and Other Costs these categories refer
to overall agency expenditures (not to specific programs or projects)
• Personnel line items Please include pay, benefits, taxes, and other personnel related
costs in this category
• Program /Project Expenses Please use this category to show the expenses
associated with each of the different programs /projects your agency carries out Sum
the total expenses for each program /project separately and enter each on its own line.
The program /protect for which you are seeking funding must shown under the "Prg[)
1" line The 2012 total for this line will be the 2012 total for form A -13, "Program /Project
Budget — Expenses ".
• Deficit or Excess This field auto - calculates the difference between revenue and
expense auto - calculates for each year.
Instructions: Total Program /Project Budget — Revenue (Attachment A -121
This form provides a detailed listing of all revenue sources you are seeking or have received for
the project/program for which you are requesting funding.
• COLUMN 12010 Information provided in this column is actual revenue for prior year
(2010) program /project operations.
• COLUMN 2 2011 Information provided in this column is budgeted revenue for current
year (2011) program /project operations. May include mid -year adjustments.
• COLUMN 3 2012 Information provided in this column is projected revenue for next
year (2012) program /project operations. This is the year for which you are applying for
grant funding.
• Committed /Conditional /Tentative For the funding sources listed in the 2012
column, enter the percent of funding which is committed, conditional or tentative for
each funding source. Since you may have multiple grants from the sources listed, you
should sum the amounts and derive a prorated percent. For example, if you have
I
i
i
$100,000 committed 2010 USDA funds, and $50,000 tentative 2012 USDA funds, you
would show 66% committed, and 33% tentative for USDA.
• Committed means you have proof of an award, such as a contract or award
letter, indicating no conditions or contingencies on the funding.
• Conditional means you have received an award, but it is conditioned up
circumstances you have not yet fulfilled, such as local matching funds.
• Tentative mean you have applied or plan to apply for funding, but have not
received any funding commitment to date. All funds covered by the 2012
Coordinated Grant Application are Tentative
• Total Agency Revenue The last line of this worksheet automatically calculates Total
Project/Program Revenue. This amount will automatically populate "Total
Project/Program Revenue at the top of Attachment A -13, "Total Project/Program Budget
— Expenditure ".
Instructions: Total Program /Project Budget - Expenditure (Attachment A -13)
This form provides a detailed listing of all expenditures for the program /project for which you
are seeking funding. The form also includes detail for the planned expenditure of grant funds
covered by the 2012 Coordinated Grant Application.
• COLUMN 1 2010 Information provided in this column are actual expenditures for prior
year (2010) program /project operations.
• COLUMN 2 2011 Information provided in this column are budgeted expenditures for
current year (2011) program /project operations. May include mid -year adjustments.
• COLUMN 3 2012 Information provided in this column are projected expenditure for
next year (2012) program /project operations. This is the year for which you are applying
for grant funding.
o This column is protected. Data is automatically filled when you complete the
7 columns on the right side of the spreadsheet, "2012 Sources of Funding
Detail".
• Total Revenue cell at the top of this form will be automatically filled with the total from
Attachment A -12, "Total Project/Program Budget — Revenue.
• Depreciation /Asset Acguisition Please complete if applicable
• Cost per Unit This section asks Agency project the number of "units" the entire
project/program will accomplish. Agency then must define a "unit ". The spreadsheet will
automatically calculate a cost per unit based on projected units and expenditure budget.
o Please follow these guidelines for defining "unit" for your program /project.
■ Development/rehab of housing or public facility = one facility or
housing unit (apartment, single family home, shelter, etc)
■ Human services program /project = individual
• Housing services projects = household (rehab, weatherization)
■ Please do not define a unit as an "hour of service ".
• Deficit or Excess form will automatically calculate the difference between project
revenue and project expense to determine operating deficit or excess.
• 2012 Sources of Funding Detail For each funding source covered under the 2012
Coordinated Application, please enter detailed expenditure information using the
categories provided.
o Subtotals and Program /Project totals will calculate automatically.
• Printing Attachment A -13 is one spreadsheet that is set up to print on two 8.5x11 size
pages, page one is the expenditure budget, and page two is the 2012 Sources of
Funding Detail
Definitions of Specific Budget Line Items
Revenue
Beginning Fund Balance: Assets (cash) less liabilities (outstanding bills, payroll, etc.) from
the previous year.
Federal Revenue: May include HUD funds (CDBG /HOME, McKinney - Vento, SHOP), USDA,
DOE, DSHS, and other federal sources
WA State Revenue: Includes funds directly from State revenue sources such as Washington
State Housing Trust Fund. Funds which originate from the federal level but are administrated by
the State should be included under Federal Revenue.
Local Revenue: May include Homeless Housing Grant Program (HHGP), Affordable Housing
Grant Program (AHGP), and others.
Private Funding Revenue: May include legacies and bequests, foundations and private
grants, private contributions (such as board member contributions).
Agency Revenue: May include contributions, membership fees, program service fees, sales,
investment income, special events.
Miscellaneous Revenue: Includes those items not included in the categories above.
Expenses
Direct Expenses: This classification includes direct costs that can be specifically identified
with delivery of a particular project, service, or activity undertaken by an organization to
achieve a specific outcome. Direct program costs include expenditures on some activities with
administrative qualities, including salaries and benefits of program staff and managers,
equipment, training, conferences, travel, that are directly related to the delivery of a specific
program or project.
Personnel: This classification includes salaries and wages earned by an agency's regular
employees (full or part-time) and by temporary employees (including office temporaries) other
than consultants and others engaged on an individual contract basis. Includes Employee Health
& Retirement Benefits, Payroll Taxes, etc
Supplies/ Equipment: This classification includes cost of materials, equipment and other
supplies used by an agency.
Professional Fees: This classification includes fees and expenses of professionals and
consultants who are not employees of the reporting organization and are engaged for specified
services.
Administration
Advertising: This classification includes costs associated with advertising in the newspaper,
on the web, radio or television.
Audit: This classification includes the cost of obtaining professional services to conduct an
audit of the agencies financial records
Communication: This classification includes all telephones, internet and similar expenses
I
Indirect Administrative Expenses: This classification includes indirect costs /expenses or
overhead and refers to central administrative functions that do not directly support a specific
program or project. These costs are not readily assignable to a particular program funding
stream. Typical indirect costs include accounting, budgeting, personnel and legal services.
Insurance/ Bonds: This classification includes agency insurance costs and bonds
Postage and Printing: This classification includes postage, parcel post, trucking, other
delivery expenses, including shipping supplies and printing costs.
Operations & Maintenance: This classification includes all costs arising from an agency's
occupancy and use of owned or leased land, buildings and offices, including rent and
utilities.
Training /Travel /Transportation: This classification includes costs associated with staff
training, travel expenses and transportation costs for agency leased /owned vehicles.
Other: This classification includes other administrative costs not included in other
categories
Acquisition Costs: This classification includes costs associated with the acquisition of real
property including purchase price, liens and other taxes, closing /recording fees, other related
fees.
Development Soft Costs: This classification includes costs associated with capital projects
and includes architectural fees, engineering & surveying costs, appraisals, special site
inspection /testing, budding permit fees, and other fees associated with the development of the
project.
Development Hard Costs: This classification includes construction costs associated with
capital projects including hazardous material abatement, demolition, and construction costs
including contractor liability insurance, overhead and profit.
Other Costs: This classification includes costs not included in other categories.