INSTRUCTIONS FOR SUBMITTING
INSTRUCTIONS FOR SUBMITTING
2017 HOME CHDO MINI-ROUND APPLICATION
1. Complete ALL pages of the application.
✓ All Applicants must submit one copy of their latest audit or audited financial statement. Nonprofit organizations MUST submit through THDA’s Participant Information Management System (see below).
✓ All Applicants must complete Part V: Market Study.
✓ All non-profit organizations, including CHDOs, must complete and upload the following documentation to THDA’s Participant Information System (PIMS):
▪ Certificate of Existence and, if applicable, Certificate of Authorization
▪ Organizational Charter and Bylaws
▪ IRS Tax Exempt Status Documentation
▪ Financial Audit or Audited Financial Statement of the Organization
▪ Part VI. Nonprofit/CHDO Board Information Form
▪ Business Plan
▪ Applicant/Board Member and Corporate Disclosure Forms completed, signed individually by each Board Member and the Executive Director, and notarized.
▪ Applicant/Board Member and Corporate Disclosure Form completed, signed by the Chairman of the Board or the Executive Director for the organization, and notarized.
NOTE: THDA will not consider any of these above documents submitted in hard copy form. All documentation must be uploaded into PIMS by the application due date.
✓ All Applicants must complete Part VII: Implementation Plan, as applicable to project type.
✓ All CHDOs requesting Operating Expenses must complete Part VIII: CHDO Operating Expense Budget.
2. Answer all questions. If not applicable to your program, please mark N.A.
3. Submit ONE ORIGINAL application and supporting information. DO NOT SUBMIT APPLICATIONS IN BINDERS OR FOLDERS.
4. The application must be signed by the appropriate official for your organization.
5. The applications are due in THDA’s Nashville office by 4:00 p.m. CDT, Thursday, July 13, 2017. If you are not certain that your application will be received on time if delivered through regular mail, you should make other arrangements. Applications received late will not be considered.
6. Submit application to:
Tennessee Housing Development Agency
Andrew Jackson Building, Third Floor
502 Deaderick Street, Nashville, TN 37243
ATTN: Community Programs Division
Faxed or Emailed Applications will not be accepted
2017 HOME CHDO MINI-ROUND PROGRAM APPLICATION
TENNESSEE HOUSING DEVELOPMENT AGENCY
PART I
1. Applicant Information
Name:
Mailing Address:
City: County:
Zip Code: Telephone #:
Applicant Contact Name:
Applicant’s Contact E-mail Address:
Federal Tax Identification #: 62- or 58-
Federal Legislative District: House: _______________
State Legislative District: House: _______________ Senate: _______________
DUNS #: Applicant’s Fiscal Year Start Date (MM/DD):
2. Applicant Type
X Non-Profit Organization Seeking Designation as a CHDO
3. Contact Person for application:
Name:
Telephone #: E-Mail Address:
4. Project TYPE
Homeownership Development – Rehabilitation: Number of Units __________
Homeownership Development – New Construction: Number of Units __________
City or County in which your project will be located:
If a multi-county project, the number of units in each county:
5. Proposed Funding Sources
Applicants must apply for a minimum of $100,000 or a maximum grant of $500,000. Commitment letters for leveraged funds must be attached.
HOME Project Development Funds __________________
HOME CHDO Operating Funds __________________
(Not to exceed 7% of total HOME Dollars Requested)
Total HOME Grant __________________
(Not to exceed $500,000)
Other Federal Funds __________________
Source of Other Federal Funds:
Local Government Funds __________________
Nonprofit Agency Funds: __________________
Other Funds: __________________
Source of Other Funds:
TOTAL PROGRAM COST: __________________
6. All Applicants MUST include the following with their applications:
___________ Copy of latest audit or audited financial statement. All Nonprofit organizations must submit document through THDA’s Participant Information System (PIMS).
To the best of my knowledge, I certify that the information in this application is true and correct and that the document has been duly authorized by the governing body of the Applicant. I will comply with the program rules and regulations if assistance is approved. I also certify that I am aware that providing false information on the application can subject the individual signing such application to criminal sanction up to and including a Class B Felony.
By signing this application for funds, I am also certifying that all documents required to be electronically uploaded to the THDA Participant Management Information System (PIMS) have been uploaded and that those documents reflect the most recent and complete documents available. All applications will be evaluated based on the supporting documents in the PIMS document repository as of the application deadline.
Executive Director or Chairman of the Board:
Signature:
Typed Name:
Title:
Date:
PART II
HOME PROGRAM NARRATIVE
1. Briefly describe your proposed program and the need that the proposed program will help to resolve. Tell what you are going to do, where you are going to do it, who and how many will benefit, and how you will use the grant funds. Identify if any populations will be prioritized in your proposed program, including any set-asides for any targeted population.
2. Describe the steps taken to make local residents in the proposed service area aware of the application being submitted?
3. If funded, how will local residents be made aware of the proposed program? What efforts will be made to provide outreach to minority and underserved populations, particularly those who are least likely to apply for assistance or who may be of Limited English Proficiency? How will recipients of the program be selected?
4. Describe any permanent contributions to the proposed program as match. Eligible match may be derived from a variety of sources, including cash from non-federal sources, donations of land, volunteer labor or materials to a project, the cost of salaries associated with the provision of home buyer education to HOME-assisted clients, sweat equity, the value of below market rate interest loans associated with a project, and the waiver of local fees. Owner equity in a project is not considered match. Contributions other than sweat equity by a HOME-assisted household are not considered match. Contributions should be documented.
5. Does the Applicant have any unresolved compliance findings or concerns from prior year grants?
_____ YES _____ NO
If YES, please explain below:
6. Please complete the following. Attach resumes, related certifications and applicable licensing information as requested.
Applicant Qualifications:
a. List all HOME projects that the Applicant has successfully implemented.
Grant year _______________ Project type Complete/Underway
Grant year _______________ Project type Complete/Underway
Grant year _______________ Project type Complete/Underway
Grant year _______________ Project type Complete/Underway
b. List all other HOME projects or other federal grant projects the Applicant has successfully implemented within the last three years. Attach additional sheets if necessary.
Grant year _______________ Project type Complete/Underway
Grant year _______________ Project type Complete/Underway
Grant year _______________ Project type Complete/Underway
Grant year _______________ Project type Complete/Underway
c. For each of the above, were the projects completed and all funds expended within the contract period?
___ YES ___ NO
If NO, please explain below:
d. Did any contracts require an extension? _____ YES _____ NO
If yes, please explain below:
e. Identify the paid staff of the Applicant who will be responsible for the day to day implementation of the grant, including their name, title, and role in the administration of the grant. Attach resumes and other documentation highlighting their qualifications in this role specific to the HOME program.
f. Describe other experience of the Applicant in implementing federal assistance programs, including the HOME Investment Partnership Program.
7. For a CHDO seeking to expand homeownership opportunities through the new construction of homes for sale to low and moderate income home buyers, please complete the following:
a. Attach resumes, related certifications and applicable licensing information for each service provider.
Proposed architectural services/plans and specifications provider: _______________________________
Proposed construction management services provider: ________________________________________
Proposed inspection services provider: _____________________________________________________
Proposed HERS rater: __________________________________________________________________
b. How were the above listed services procured?
c. Have sites been identified and secured? _____ YES _____ NO
If YES, please attach:
______ Map for each location;
______ Purchase documentation (sales contract or option);
______ Plans and specifications;
______ Cost estimates; and
______ Firm financial commitments for other development sources
d. What property standards/codes will apply?
______________ City/County:
□ Has and enforces a local code
□ Participates in the State Residential Building Program
□ Does not have or enforce codes, as a result the Existing Building Code of the International Construction Code or the Residential Building Code will apply
NOTE: If multiple jurisdictions will be served, provide information for each jurisdiction.
e. Indicate whether units constructed will include universal design and/or visitability features. If so, describe related features that will be included in unit design.
f. Does the CHDO have a pipeline of qualified home buyer applicants? How ready are the home buyer applicants to complete the purchase of a HOME unit? Attach a list of home buyers working with the CHDO and an estimated timeline of completing the sale transaction.
g. All home buyers must receive home buyer education from a THDA certified home buyer education provider. Describe any established partnerships with home buyer education providers. Attach any documentation of the established partnership.
h. Describe any established partnerships with existing lenders which may be an option for first mortgage assistance to participating home buyers. Attach any documentation of the established partnership(s).
i. What method will the CHDO use to determine the sales price of the HOME-assisted unit?
j. How will the CHDO determine the amount of assistance that must be left in the unit to qualify the home buyer for the permanent financing?
k. In the event that a homeownership unit converts to a rental unit if it remains unsold nine months after the completion of construction, describe the CHDO’s capacity to manage a HOME rental housing project for the applicable affordability period.
l. How will the CHDO be involved in the on-going program administration to insure compliance with the affordability requirements of the HOME program? Describe the steps that the CHDO will take to monitor compliance.
m. Please describe the intended disposition of the CHDOs proceeds from the sale of the HOME-assisted units.
n. Please indicate the current balance of CHDO proceeds on hand (if any), whether the CHDO intends to use CHDO proceeds in conjunction with implementing the activities described in this application, and, if not, indicate the alternative plan for their use. Please attach a report detailing the receipt and disposition of first time use of previous CHDO proceeds received.
o. What steps will be taken to solicit bids for construction activities from qualified Minority Business Enterprises/Women Business Enterprises (MBE/WBE) or Section 3 eligible contractors?
8. For a CHDO seeking to expand homeownership opportunities through the acquisition and rehabilitation of homes for sale to low and moderate income home buyers, please complete the following:
a. Attach resumes, related certifications and applicable licensing information for each service provider.
Proposed provider to prepare work write ups:
Proposed construction management services provider:
Proposed inspection services provider:
Proposed Lead-Based paint inspector:
b. How were above listed services procured?
c. Have sites been identified and secured? _____ YES _____ NO
If YES, please attach:
______ Map for each location;
______ Purchase documentation (sales contract or option);
______ Plans and specifications;
______ Cost estimates; and
______ Firm financial commitments for other development sources
d. What property standards/codes will apply?
______________ City/County:
□ Has and enforces a local code
□ Participates in the State Residential Building Program
□ Does not have or enforce codes, as a result the Existing Building Code of the International Construction Code or the Residential Building Code will apply
NOTE: If multiple jurisdictions will be served, provide information for each jurisdiction.
e. Does the CHDO have a pipeline of qualified home buyer applicants? How ready are the home buyer applicants to complete the purchase of a HOME unit? Attach a list of home buyers working with the CHDO and an estimated timeline of completing the sale transaction.
f. All home buyers must receive home buyer education from a THDA certified home buyer education provider. Describe any established partnerships with home buyer education providers. Attach any documentation of the established partnership(s).
g. Describe any established partnerships with existing lenders which may be an option for first mortgage assistance to participating home buyers. Attach documentation regarding any partnerships established for the implementation of this program.
h. How will the CHDO determine the amount of HOME-assistance needed to make the purchase of the housing unit affordable to the home buyer?
i. What method will the CHDO use to determine the sales price of the HOME-assisted unit?
j. In the event that a homeownership unit converts to a rental unit if it remains unsold nine months after the completion of construction, describe the CHDO’s capacity to manage a HOME rental housing program for the applicable affordability period.
k. How will the CHDO be involved in the on-going program administration to insure compliance with the affordability requirements of the HOME program? Describe the steps that the CHDO will take to monitor compliance.
l. Please describe the intended disposition of the CHDOs proceeds from the sale of the HOME-assisted units.
m. Please indicate the current balance of CHDO proceeds on hand (if any), whether the CHDO intends to use CHDO proceeds in conjunction with implementing the activities described in this application, and, if not, indicate the alternative plan for their use.
n. What steps will be taken to solicit bids for construction activities from qualified Minority Business Enterprises/Women Business Enterprises (MBE/WBE) or Section 3 eligible contractors?
o. Please thoroughly explain how the project will, to the extent feasible, incorporate an independent energy audit in the rehabilitation work write-up.
p. Indicate whether units rehabilitated will include universal design and/or visitability features. If so, describe related features that will be included in the unit design.
PART III
HOME PROGRAM SUMMARY FORM
HOMEOWNERSHIP UNITS
| |# of Units |HOME Funds Per Unit |Other Funds |Total Cost |
| | |(Excluding Admin and CHDO Operating|Per Unit |Per Unit |
| | |$) | | |
|Homeownership - Rehabilitation| |$ |$ |$ |
|Homeownership – New | |$ |$ |$ |
|Construction | | | | |
|TOTAL | |$ |$ |$ |
PART IV
HOME PROJECT BUDGET
|Funding Source |Homeowner |Homeownership CHDO |Homeownership DPA |Administration or CHDO |TOTAL |
| |Rehabilitation |Development |Programs |Operating | |
|HOME Funds |$ |$ |$ |$ |$ |
|Other Federal Funds |$ |$ |$ |$ |$ |
|CHDO Proceeds |$ |$ |$ |$ |$ |
|Other State Funds |$ |$ |$ |$ |$ |
|Local Gov’t Funds |$ |$ |$ |$ |$ |
|Agency Funds |$ |$ |$ |$ |$ |
|Private Funds |$ |$ |$ |$ |$ |
|Donated Land, Labor |$ |$ |$ |$ |$ |
|Materials | | | | | |
|Other |$ |$ |$ |$ |$ |
|TOTAL |$ |$ |$ |$ |$ |
PART V: MARKET STUDY
Supply and Demand Analysis
1. Please provide a snapshot of the primary market area including any neighborhood amenities in close proximity to the proposed target area.
2. Please provide the following information and attach support documentation for each item and summarize the conclusions you have reached with respect to the data.
A. Define the target population for this project?
B. Define the target area(s) in which the project(s) will be located?
C. How many residential units (including vacant units) are available for sale in the proposed service area at a price point comparable to the sales price anticipated by the application? Attach documentation supporting the values indicated.
D. How many renter households are there in the proposed service area that demonstrate sufficient income to attain homeownership at the anticipated sales price? Attach documentation supporting the values indicated.
PART VI: NON-PROFIT/CHDO BOARD MEMBER INFORMATION FORM
The Board Member Information form provided on the Participant Information Management (PIMS) website must be completed and uploaded into PIMS for each Board Member. A fillable pdf version of the form is available on the PIMS website:
Applicants seeking designation as a Community Housing Development Organization (CHDO) must provide information for each Board Member detailing their status as a low income representative to the Board.
Organizations that have previously submitted Board Member Information through PIMS must review all documentation for current accuracy. If any information has changed for any single Board Member, the Applicant must upload a complete compilation of forms which includes information for all Board Members.
PART vii
IMPLEMENTATION PLAN FOR HOMEOWNERSHIP DEVELOPMENT PROJECTS
aPPLICANT:
Attach a single project timeline chart for your entire project, showing the timeline for completion for all units in your entire project. A Gant Chart is recommended to show the timeline of how you will be completing all units proposed across the course of the grant. Your time table must meet the following specifications:
A. Your timeline should begin on September 1, 2017 and end no later than June 30, 2020.
B. Your timeline must ensure that the following have been completed for the start of construction by June 30, 2019: (1) all sites have been identified, (2) a home buyer to purchase each unit has been identified, and (3) any additional financing commitments for the acquisition and construction of the unit are firm.
C. Your timeline minimally includes the steps shown below. Step 3 and Steps 5 – 14 should be repeated on your chart for each unit proposed.
1. Start of Grant - September 1, 2017
2. Adopt Policies & Procedures
3. Submit Environmental Review Record to THDA
4. Conduct outreach to identify home buyers
5. Select home buyer and determine eligibility for unit
6. If rehabilitation, initial inspection conducted by THDA
7. Acquire property/lots, if applicable
8. Complete Work Write-Up or Plans/Specifications and submit to THDA. Allow 2 weeks for THDA review.
9. Advertise projects for bid and hold Pre-Bid Conference
10. Begin unit construction
11. THDA progress inspection at mid-point of construction
12. Complete construction in compliance with codes and construction contract
13. THDA Inspection & Final Code Inspection by Local/State/Qualified Inspector
14. Sell unit to home buyer
15. Complete all required documentation and submit to THDA
16. Close-out Grant Contract with THDA
PART VIII
Tennessee Housing Development Agency
2017 HOME CHDO MINI-ROUND PROGRAM
CHDO OPERATING ASSISTANCE BUDGET
APPLICANT Name:
If requesting costs for non-personnel related items, the nonprofit must submit with the application a copy of the cost allocation plan approved by the CHDO’s cognizant agency.
|Cost Categories |HOME OPERATING COSTS |TOTAL AGENCY |
| | |OPERATING COSTS |
|PERSONNEL |
| Salaries and Fringe Benefits |$ |$ |
| Professional Fees |$ |$ |
|NON-PERSONNEL – ALLOWABLE ONLY UPON SUBMISSION OF COST ALLOCATON PLAN APPROVED BY CHDO’s COGNIZANT AGENCY |
| Occupancy | | |
| Insurance | | |
| Telephone/Internet | | |
| Utilities | | |
| Equipment Rental and Maintenance | | |
| Printing and Publications | | |
| Supplies | | |
| Postage and Shipping | | |
| Advertising | | |
| Travel | | |
| Audit | | |
| Data Processing | | |
| Environmental Review | | |
| Other Indirect Costs | | |
|TOTAL |$ |$ |
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