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FFY2021 APPLICATION CYCLEHOME Investment Partnerships Program (HOME) Application Gwinnett County Community Development ProgramOne Justice Square446 West Crogan Street, Suite 275Lawrenceville, GA 30046678-518-6008CDBGHUDPlanning@Table of ContentsFFY 2021 Application Instructions3Tab A – Cover Sheet8Tab B – LIST OF EXHIBITS9Tab C – project details11Tab D – beneficiaries14Tab E – goals & objectives15TAB F - sUSTAINABILITY 16TAB G – PROposed BUDGET summary17Signature Page18Attachments19Income Guidelines19Application Rating Form20Gwinnett County, Georgia HOME Investment Partnerships Program (HOME)FFY 2021 Application Instructions PLEASE READ CAREFULLYINTRODUCTIONThe United States Department of Housing and Urban Development (HUD) published a Final Rule in the?Federal Register?on July 24, 2013, to amend the HOME Investment Partnerships (HOME) Program regulations. These amendments to the HOME regulations represent the most significant changes to the HOME Program in 17 years.HOME provides formula grants to States and localities that communities use - often in partnership with local nonprofit groups - to fund a wide range of activities, including building, buying, and rehabilitating affordable housing for rent or homeownership or providing direct rental assistance to low-income households. HOME is the largest Federal block grant to state and local governments that is designed exclusively to create affordable housing for low-income households.HOME funds are awarded annually as formula grants to participating jurisdictions (PJs). The program’s flexibility allows states and local governments to use HOME funds for grants, direct loans, loan guarantees or other forms of credit enhancements, rental assistance or security deposits.The program was designed to reinforce several important values and principles of community development:HOME's flexibility empowers people and communities to design and implement strategies tailored to their own needs and priorities.HOME's emphasis on consolidated planning expands and strengthens partnerships among all levels of government and the private sector in the development of affordable housing.HOME's technical assistance activities and set-aside for qualified community-based nonprofit housing groups builds the capacity of these partners.HOME's requirement that participating jurisdictions?match 25 cents of every dollar in program funds mobilizes community resources in support of affordable housing.HOME funds may be used for eligible activities intentionally and specifically focused on housing. Participating jurisdictions may choose among a broad range of eligible activities from acquiring, rehabilitating and reselling affordable housing units to income eligible homebuyers to transitional housing services.The Gwinnett County Community Development Program Office requires local agencies, affordable housing developers, and government entities interested in participating as a subrecipient in the HOME program to submit an annual application. This funding application is for the period beginning January 1, 2021 and ending December 31, 2021. A Selection Committee will review all applications for compliance with minimum requirements and make funding recommendations to the Gwinnett County Board of Commissioners. Please note: Incomplete Applications will not be considered for funding; be sure to complete all sections of the application and provide all requested documentation. AVAILABLE FUNDINGThis application is contingent upon the availability of HUD funding for the Home Investment Partnerships (HOME) Program. This program is funded and regulated at the federal level by the U.S. Department of Housing and Urban Development (HUD) and administered locally by the Gwinnett County Community Development Program Office. This funding is subject to availability, and there is no guarantee that any funds will be allocated. Submission of an application does not guarantee to fund. Costs associated with the application preparation shall be the responsibility of the applicant. Applications will become the property of Gwinnett County.ELIGIBILITY REQUIREMENTSThe application must be submitted by, or on behalf of a nonprofit agency, public agency, affordable housing developer, or governmental entity, requesting HOME funds to undertake eligible costs and activities.A minimum of 100% of total expenditures must benefit low to moderate-income persons or clientele within Gwinnett County’s municipal boundary.Proposed projects must address the program priorities outlined in the Program Priorities section of this application.All proposed projects must serve families with incomes at or below 80% Area Median Income (See Attachment “A” Income Guidelines).All proposed rental projects must serve households at or below 60% Area Median Income (See Attachment “A” Income Guidelines).All external funding and financing sources must be secured and identified as a part of this application (See Tab G - Proposed Budget Summary). Applicant must acknowledge that all funds are secured or secured contingent on HOME funds and must provide support documentation for how much HOME funds are necessary to complete the proposed project.The applicant must identify the capacity to meet the 25% match requirement.FFY 2021 HOME PROGRAM PRIORITIESGwinnett County’s Consolidated Plan 2020-2024 established Strategic Priorities through consultation with community stakeholders, considered alongside data from the U.S. Census and other sources indicate specific housing and community development needs in Gwinnett County. Combined with a needs assessment survey, under the Citizen Participation Plan, Gwinnett County identified the following Strategic Priorities to address utilizing CDBG, HOME, and ESG funds in conjunction with leveraging other public and private investments.These priorities are based on the needs assessment, market analysis, and public comments received. Gwinnett County will focus its priorities on the types of projects and programs having long-term impacts on low and moderate-income residents and help address other federal, state, and local priorities, such as fair housing choice and sustainability.The proposed program/project should be designed to address one or more of the priority needs listed below:Increase Access to Affordable Housing1.1 Provide Tenant-Based Rental assistance1.2 Production of new units 1.3 Rehabilitation of existing units 1.4 Acquisition of existing unitsIncrease of Non-Profit Developers2. Homelessness Reduction2.1 Outreach2.2 Emergency shelter and transitional housing2.3 Rapid Re-housing Funding 2.4 Homelessness PreventionHMIS Coordination3. Non-housing Community Development3.1 Public Facility and Infrastructure Improvements3.2 Public Services Funding3.3 Promote Economic Development Activities4. Affirmatively Further Fair Housing Choice 4.1 Increase fair housing education and build capacity for testing and enforcement of fair housing law4.2 Support improved access to community resources4.3 Continue to operate in compliance with expanded protected class definitions found in federal regulations4.4 Refer housing discrimination complaints to HUD FHEO for investigation and potential actionREQUIRED APPLICATION CONTENTSThe following information is required in each application and should be submitted and tabbed as follows:Tab A. Cover SheetGeneral information about the Applicant.Tab B. List of Exhibits ChecklistA list of requirements and associated documentation. Use the checklist to ensure the submission of a complete application.Tab C. Project DetailsThis section should include all the details of the proposed project.Tab D. Beneficiaries Complete this section if your proposed project will serve a targeted population.Tab E. Goals & Objectives Performance: Reporting, Monitoring, & Record Keeping: The Gwinnett County Community Development Program Office will require organizations to provide data and information for the submission of monthly, quarterly, and annual reports pertaining to the administration and expenditure of HOME-funded activities. Tab F. SustainabilityProject Staffing: This section identifies the program staffing for the proposed project, including current employees, new hires, and volunteers to be utilized in any capacity of the project.Tab G. Project Budget SummaryProposed Project Budget Table – Program requires a 25% match: Complete the table outlining the total expenses for the proposed project, including source and amount of leveraged funds/matching funds (in-kind donations or service costs). Collaboration and Resource LeveragingCollaboration and Resource Leveraging represents the resources the proposing agency will bring to the project to supplement the funds being requested. Collaboration/resource leveraging can be in the form of monetary resources or in-kind services. Please include other resources in the budget summary.TECHNICAL ASSISTANCETechnical assistance questions should be directed to Gwinnett County Community Development staff at: One Justice Square446 West Crogan StreetSuite 275 Lawrenceville, GA 30046E-mail: gchcd@ Phone: 678-518-6008SUBMITTAL INSTRUCTIONSProvide one (1) ORIGINAL UNBOUND HARD COPY AND one (1) DIGITAL COPY (flash drive only) of your complete HOME application with attachments. All entities must meet the requirements outlined in this application. FFY 2021 Funding Cycle Application Workshops Option #1:February 11, 2020 10:00 AM - Option #2:February 19, 2019 6:00 PMOption #3:March 10, 2019 2:00 PM Location: Gwinnett County Justice and Administration Center 2nd Floor Conference Center75 Langley Drive, Lawrenceville, GA 30046 Applications must be submitted to the Gwinnett County Community Development Program Office no later than Wednesday, April 1, 2019, at 5:00 PM. 155448089941Office/Mailing AddressGwinnett County Community Development Program OfficeOne Justice Square446 West Crogan Street, Suite 275Lawrenceville, GA 3004600Office/Mailing AddressGwinnett County Community Development Program OfficeOne Justice Square446 West Crogan Street, Suite 275Lawrenceville, GA 30046CDBG PUBLIC SERVICES APPLICATIONTAB A - COVER SHEETLegal Name of Applicant FORMTEXT ??????????Mailing Address FORMTEXT ?????Telephone Number FORMTEXT ?????Facsimile Number FORMTEXT ?????Applicant Website Address FORMTEXT ?????How long has the Applicant served Gwinnett County residents? FORMTEXT ?????Date of 501(c)(3) certification (if applicable) FORMTEXT ?????Applicant’s DUNS # FORMTEXT ?????Registered with ? FORMCHECKBOX YES FORMCHECKBOX NOApplicant’s Federal Tax Identification # FORMTEXT ?????Chief Executive OfficerNAME: _______TITLE: FORMTEXT ?????PHONE: FORMTEXT ?????E-MAIL: FORMTEXT ?????Contact person for this project (if different than above)NAME: FORMTEXT ?????TITLE: FORMTEXT ?????PHONE: FORMTEXT ?????E-MAIL: FORMTEXT ?????Current Board President (if applicable)NAME: FORMTEXT ?????TITLE: FORMTEXT ?????PHONE: FORMTEXT ?????E-MAIL: FORMTEXT ?????Current Board Secretary (if applicable)NAME: FORMTEXT ?????TITLE: FORMTEXT ?????PHONE: FORMTEXT ?????E-MAIL: FORMTEXT ?????TAB B – LIST OF EXHIBITSLabel required documentation according to the list belowALL APPLICANTSREQUIREMENTDOCUMENTATIONLABEL AS EXHIBITAPPLICANTOFFICE USE ONLYCertifying Official or Board of Directors must authorize the application for submission. Letter from Authorized Certifying Official FORMCHECKBOX N/A if Signature Page executedB FORMCHECKBOX FORMCHECKBOX The location of the Project must be within Gwinnett County’s municipal boundary.Map of Project service areaC FORMCHECKBOX FORMCHECKBOX If the Applicant owns or has control of the property, proof of ownership must be produced. FORMCHECKBOX N/AThe legal description of property AND evidence of ownershipD FORMCHECKBOX FORMCHECKBOX If Partnership or Corporation, provide Principals’ information. FORMCHECKBOX N/ANames and home addresses of PrincipalsE FORMCHECKBOX FORMCHECKBOX If Applicant leases property, the minimum term is 15 years. FORMCHECKBOX N/A15-year leaseF FORMCHECKBOX FORMCHECKBOX Applicant must have audited financial statements prepared by a qualified accountant or accounting service, covering the two most recent reporting periods of operation.One copy of each audited financial statement. Include management letters if applicable.G FORMCHECKBOX FORMCHECKBOX The applicant must have written financial management procedures.One copy of financial management procedures.H FORMCHECKBOX FORMCHECKBOX Applicant must have staffing capacity for projectOrganizational chartI FORMCHECKBOX FORMCHECKBOX Applicant must have qualified staff (1) Full job descriptions or resumes of principal staff and personnel directly working on the project; and, (2) descriptions of the applicant’s previous related program activities.J FORMCHECKBOX FORMCHECKBOX Applicant must have a written Conflict of Interest StatementCopy of Conflict of Interest StatementK FORMCHECKBOX FORMCHECKBOX *In addition to the submission requirements detailed above, nonprofit organizations must meet the requirements detailed on the next page*TAB B – LIST OF EXHIBITS continuedThe label required documentation according to the list belowNONPROFIT ORGANIZATIONSREQUIREMENTDOCUMENTATIONLABEL AS EXHIBITAPPLICANTOFFICE USE ONLYThe organization must have a minimum two-year operating history after the date of receipt of its 501(c)(3) classification from the Internal Revenue Service. A copy of a 501(c) (3) designation letter from the Internal Revenue Service L FORMCHECKBOX FORMCHECKBOX The organization must have an annual operating budget of more than $100,000.00, as reflected in the most recently filed tax return. Most recent IRS Form 990 or 990EZ. M FORMCHECKBOX FORMCHECKBOX The organization must be registered to conduct business in the State of Georgia at the time of application.A current certification from the GA Secretary of State. For assistance, visit sos..N FORMCHECKBOX FORMCHECKBOX The organization must have a Board of Directors with representation from the community served and committee structure that ensures the necessary mix of skills to succeed. (1) Names and addresses of board members that include the amount of cash donation or value of in-kind contributions during the last fiscal year. If applying for CHDO certification/certified project, use the checklist provided in certification application.(2) Organization’s By-Laws(3) Organization’s Articles of IncorporationO FORMCHECKBOX FORMCHECKBOX The organization must have a current written strategic or business plan that covers at least 24 months, including the current fiscal year.Current Business/Strategic Plan that includes Mission Statement, stakeholder participation, strategic goals and measurable objectives, implementation plans, and evaluation strategy.P FORMCHECKBOX FORMCHECKBOX COMMUNITY HOUSING DEVELOPMENT ORGANIZATIONS (CHDO)Applicants that are applying as CHDOs must complete this application AND a CHDO Certification Application. FORMCHECKBOX CHDO Certification Application is appendedSee the CHDO Certification Application for additional Requirements and ExhibitsTAB C – PROJECT DETAILSYour responses may not be fully completed on this page; add additional pages as needed and tab accordingly.Legal Name of Applicant: FORMTEXT ?????Applicant Type: FORMCHECKBOX HOME Subrecipient FORMCHECKBOX Certified Housing Development Organization (CHDO) NOTE: If applying as a CHDO, the Applicant must complete this application AND a CHDO Certification Application (available from ). CHDOs that fail to submit a CHDO Certification Application will not be considered for FFY 2021 HOME CHDO funding. Project Name: FORMTEXT ?????Project Location: FORMTEXT ?????If the project is an acquisition, but the property has not yet been identified, provide the intended geographic area.1. Identify the geographic area to be served by the project activities. Include Census Tract # if available. FORMTEXT ????? FORMCHECKBOX Project Service Area Map is included as Exhibit C. FORMCHECKBOX Applicant owns or has control of [i.e., option or purchase agreement] the project site. FORMCHECKBOX The legal description of the property and evidence of ownership is included as Exhibit D. FORMCHECKBOX If Partnership or Corporation, names and home addresses of Principals are included as Exhibit E. FORMCHECKBOX Applicant leases the property (N/A if acquisition) FORMCHECKBOX The minimum 15-year lease is included as Exhibit F.2. Gwinnett County Commission District: FORMTEXT ?????3. Gwinnett County Tax Parcel ID # (if applicable): FORMTEXT ?????4. Will the project serve only Gwinnett County residents? FORMCHECKBOX YES FORMCHECKBOX NO If NO, identify other counties/municipalities that will benefit. Explain the process for ensuring that Gwinnett is paying only its fair share. (1,000 characters max; include additional pages as needed and label accordingly). FORMTEXT ????? HOME Total Funding Request: $ FORMTEXT ?????Project Priority number FORMTEXT ????? of FORMTEXT ????? projects submitted.Project Status: FORMCHECKBOX New Project FORMCHECKBOX Existing Project/Additional Funding[In the Project Description, include information to justify the need for additional funding.]Duration of Project (from design to completion): FORMTEXT ?????TAB C – PROJECT DETAILS continuedYour responses may not be fully completed on this page; add additional pages as needed and tab accordingly.Project Implementation Schedule:Detail your project implementation schedule, including expenditure schedule, accomplishments, and all timelines. (1,000 characters max; include additional pages as needed and label accordingly). FORMTEXT ????? Describe the applicant’s experience with the project/program for which funding is requested. (1,000 characters max; include additional pages as needed and label accordingly). FORMTEXT ????? Type of Activity FORMCHECKBOX Downpayment Assistance (DPA) for First-time Homebuyers1. The total number of units to be acquired during the project year: FORMTEXT ??? FILLIN \* MERGEFORMAT 2. Identify specific type of homebuyer (e.g. Veterans) to be given priority, if applicable: FORMTEXT ?????3. Describe the Applicant’s process for verifying prospective homebuyers’ eligibility. (250 characters max; include additional pages as needed and label accordingly). FORMTEXT ????? FORMCHECKBOX Acquisition/Rehabilitation/Disposition: Acquire, rehab and resell the property to low and moderate-income persons.1. Estimated number of properties to be acquired during the project year: FORMTEXT ???2. Type of structure: FORMCHECKBOX Residential FORMCHECKBOX Industrial FORMCHECKBOX Commercial3. Type of units (single-family home, townhome, etc.): FORMTEXT ?????4. Describe the Applicant’s process for verifying prospective homebuyers’ eligibility. (250 characters max; include additional pages as needed and label accordingly). FORMTEXT ????? FORMCHECKBOX Acquisition/Rehabilitation of Rental Housing: Acquire and rehab a property to be offered for rent to low to moderate-income persons.1. Estimated number of properties to be acquired during the project year: FORMTEXT ????2. Type of structure: FORMCHECKBOX Residential FORMCHECKBOX Industrial FORMCHECKBOX Commercial3. Type of units (single-family home, townhome, etc.) FORMTEXT ?????4. How will the Applicant ensure the property is rented with the timeframe outlined in the HOME regulations? FORMTEXT ?????5. How will the Applicant ensure that prospective tenants meet eligibility criteria? FORMTEXT ????? FORMCHECKBOX Construction of new affordable housing: Building new housing units for affordable housing purposes.1. Estimated number of properties to be constructed during project year: FORMTEXT ?????2. Type of units (single-family home, townhome, etc.): FORMTEXT ????? FORMCHECKBOX Tenant Based Rental Assistance (TBRA): Provide assistance to households to enable them to rent market-rate units.Estimated number of households assisted during project year: FORMTEXT ?????Describe the proposed use of HOME funds as a rental subsidy (security/utility deposits, monthly rental assistance) for income-eligible households. How will rent reasonableness be determined? FORMTEXT ?????TAB C – PROJECT DETAILS continuedGeneral Project Description:General description of the project and its impact on the community. Include identification of the neighborhood by geographic boundaries, existing neighborhood stock, average age of housing, general housing conditions, income range of families served, and neighborhood resident reaction to the project. (12,000 characters max; include additional pages as needed and label accordingly). FORMTEXT ?????Economic Impact Description:Describe economic impact of project. Include project-related opportunities for training and employment for low-income persons; new economic activity (i.e. increase in small businesses in community) resultant from the project; and affirmation that contracts will be awarded to firms located in or owned in substantial part by persons residing in the metropolitan area (if not, give reasons). (12,000 characters max; include additional pages as needed and label accordingly). FORMTEXT ?????TAB D - BENEFICIARIESYour responses may not be fully completed on this page; add additional pages as needed and tab accordinglyService Population and Selection Process 1. Will this project serve a targeted population? FORMCHECKBOX YES FORMCHECKBOX NO **IF NO, SKIP TO TAB E**If YES, indicate the estimated number to be served during the project year. If funding is requested for an existing project, including data on the number served in 2017.Persons Served in prior program year (if existing project)*Proposed Served in 2021 Abused/Neglected Children FORMTEXT ????? FORMTEXT ????? Abused Spouses FORMTEXT ????? FORMTEXT ????? Adults with Severe Disabilities FORMTEXT ????? FORMTEXT ????? Elderly FORMTEXT ????? FORMTEXT ????? Homeless Persons FORMTEXT ????? FORMTEXT ????? Illiterate Adults FORMTEXT ????? FORMTEXT ????? Migrant Farm Workers FORMTEXT ????? FORMTEXT ????? Persons Living with HIV/AIDS FORMTEXT ????? FORMTEXT ????? Other: FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? 2. Identify the need(s) of the targeted population to be served that will be addressed by your project. (2,000 characters max; include additional pages as needed and label accordingly). FORMTEXT ?????3. How does your project meet the identified need(s)? (2,000 characters max; include additional pages as needed and label accordingly). FORMTEXT ?????4. Describe how the Applicant collaborates with organizations that duplicate the services offered, or those that serve the same population. (2,000 characters max; include additional pages as needed and label accordingly). FORMTEXT ?????TAB E – GOALS AND OBJECTIVESYour responses may not be fully completed on this page; add additional pages as needed and tab accordingly.What performance measurement outcome does the proposed project best exemplify? (If all relevant, rank from 1-3). FORMTEXT ????? FORMCHECKBOX Improving Availability/Accessibility [Projects that make services, infrastructure, housing, etc. available or accessible to low to moderate-income persons and/or persons with disabilities] FORMTEXT ????? FORMCHECKBOX Improving Affordability [Projects that make housing, services, transportation, etc. more affordable for people with low to moderate-income] FORMTEXT ????? FORMCHECKBOX Improving Sustainability [Projects that help communities become more livable or viable by removing slum/blight or providing services that can result in more sustainable communities]1. a Discuss how the proposed project exemplifies the chosen performance measurement outcome(s). (2,000 characters max; include additional pages as needed and label accordingly). FORMTEXT ?????2. What performance measurement objective does the proposed project best exemplify? (If all relevant, rank from 1-3). FORMTEXT ????? FORMCHECKBOX Suitable Living Environment [Projects that benefit communities, families or individuals by addressing issues in their living environment, like poor-quality infrastructure, and/or social issues] FORMTEXT ????? FORMCHECKBOX Decent Housing [Projects that include a housing program component] FORMTEXT ????? FORMCHECKBOX Creating Economic Opportunity [Projects related to economic development, commercial revitalization, or job creation] 2. a Discuss how the proposed project exemplifies the chosen performance measurement objective(s). (2,000 characters max; include additional pages as needed and label accordingly). FORMTEXT ?????Performance: Reporting, Monitoring, and Record-Keeping The Gwinnett County Community Development Program Office will require organizations to provide data and information for the submission of monthly, quarterly, and annual reports pertaining to the administration and expenditure of HOME-funded activities. Describe and discuss any experiences the Applicant has with reporting, monitoring, or record-keeping compliance requirements with other funding agencies. Has the Applicant demonstrated compliance with reporting requirements? Identify previous HOME awards. (2,000 characters max; include additional pages as needed and label accordingly). FORMTEXT ?????TAB F - SUSTAINABILITYYour responses may not be fully completed on this page; add additional pages as needed and tab accordingly.Sustainability Requirements1. What is the Applicant’s annual budget? $ FORMTEXT ????? FORMCHECKBOX Audited financial statements are included as Exhibit G. FORMCHECKBOX Financial Management Procedures are included as Exhibit H. 2. How much of the Applicant’s annual operating budget is comprised of public [federal and/or state] funding? FORMCHECKBOX Less than 30% FORMCHECKBOX 31-50% FORMCHECKBOX 51-60% FORMCHECKBOX 61-70% FORMCHECKBOX 71-80% FORMCHECKBOX More than 80%3. What is the total budget for the project and how much funding does the Applicant currently have in place for the project? If the project is not awarded HOME funding, does the Applicant have the financial means to support the proposed services? (2,000 character max; include additional pages as needed and label accordingly). FORMTEXT ?????4. Is the Applicant willing and able to begin this project on January 1, 2021 regardless of the date funding is made available? FORMCHECKBOX YES FORMCHECKBOX NO If YES, explain how the Applicant will cover project costs while awaiting HOME award allocation. (2,000 character max; include additional pages as needed and label accordingly). FORMTEXT ?????Project Staffing 1. Number of full-time staff employed by Applicant: FORMTEXT ????? FORMCHECKBOX Organizational chart is included as Exhibit I.2. How many years has the Applicant employed full-time staff? FORMTEXT ?????3. How many staff employed by the Applicant will work on the project? Provide position titles and job duties. Include plans for procuring Contractors and/or Consultants. FORMCHECKBOX Resumes of principal staff and personnel included as Exhibit J. FORMTEXT ?????4. Do any family relationships (by blood or marriage) exist between staff and/or Agency Board members? FORMCHECKBOX YES FORMCHECKBOX NO5. Do any family relationships (by blood or marriage) exist between staff and/or Gwinnett County Board of Commissioners? FORMCHECKBOX Conflict of Interest Statement included as Exhibit K. FORMCHECKBOX YES FORMCHECKBOX NO If YES, please explain in detail. (150 characters max; include additional pages as needed and label accordingly). FORMTEXT ?????TAB G – PROPOSED BUDGET SUMMARYStaff and overhead expenses must be directly related to carrying out the proposed project/activity.Please include matching funds and leveraged funds that are immediately accessible and firmly committed to the project. Matching funds can include a blend of cash, loans or in-kind resources available to finance the project costs. HUD requires a 25% match for all HOME projects.In-kind contributions must have a specific dollar value established in accordance with Generally Accepted Accounting Principles. The basis of determining the value for personal services and donated materials and supplies must be identified. Volunteer services may be counted if the service is an integral and necessary part of the project. To determine in-kind volunteer contributions, use the estimated amount of what a paid worker would earn doing the same type of work (verification documentation may be requested).HOME Investment Partnerships Program (HOME) FFY 2021Total Project CostsHOME RequestCHDO RequestMatch/Leverage TotalMatch/Leverage SourceProject Soft Costs1. CHDO Operating ($50,000.00 cap) N/A if not seeking Gwinnett County CHDO certification $ FORMTEXT ??????????$ FORMTEXT ??????????$ FORMTEXT ?????????? FORMTEXT ?????2. Developer Fees (10% Max per unit)$ FORMTEXT ??????????$ FORMTEXT ??????????$ FORMTEXT ??????????$ FORMTEXT ?????????? FORMTEXT ?????3. Permit Fees$ FORMTEXT ??????????$ FORMTEXT ??????????$ FORMTEXT ??????????$ FORMTEXT ?????????? FORMTEXT ?????4. Legal Fees$ FORMTEXT ??????????$ FORMTEXT ??????????$ FORMTEXT ??????????$ FORMTEXT ?????????? FORMTEXT ?????5. Inspection Fees$ FORMTEXT ??????????$ FORMTEXT ??????????$ FORMTEXT ??????????$ FORMTEXT ?????????? FORMTEXT ?????6. Court Filing Fees$ FORMTEXT ??????????$ FORMTEXT ??????????$ FORMTEXT ??????????$ FORMTEXT ?????????? FORMTEXT ?????7. Appraisal Fees$ FORMTEXT ??????????$ FORMTEXT ??????????$ FORMTEXT ??????????$ FORMTEXT ?????????? FORMTEXT ?????8. Market Studies (Repayable with Project Cancellation)$ FORMTEXT ??????????$ FORMTEXT ??????????$ FORMTEXT ??????????$ FORMTEXT ?????????? FORMTEXT ?????9. Environmental Reports (Repayable with Project Cancellation)$ FORMTEXT ??????????$ FORMTEXT ??????????$ FORMTEXT ??????????$ FORMTEXT ?????????? FORMTEXT ?????Total Project Soft Costs$ FORMTEXT ??????????$ FORMTEXT ??????????$ FORMTEXT ??????????$ FORMTEXT ??????????Total Project CostsHOME RequestCHDO RequestMatch/Leverage TotalMatch/Leverage SourceProject Hard Costs1. Labor$ FORMTEXT ??????????$ FORMTEXT ??????????$ FORMTEXT ??????????$ FORMTEXT ?????????? FORMTEXT ?????2. Acquisition- Land/Property$ FORMTEXT ??????????$ FORMTEXT ??????????$ FORMTEXT ??????????$ FORMTEXT ?????????? FORMTEXT ?????3. Building Demolition$ FORMTEXT ??????????$ FORMTEXT ??????????$ FORMTEXT ??????????$ FORMTEXT ?????????? FORMTEXT ?????4. Site Improvements$ FORMTEXT ??????????$ FORMTEXT ??????????$ FORMTEXT ??????????$ FORMTEXT ?????????? FORMTEXT ?????5. Conversion(Commercial to Residential)$ FORMTEXT ??????????$ FORMTEXT ??????????$ FORMTEXT ??????????$ FORMTEXT ?????????? FORMTEXT ?????6. Minor Rehabilitation$ FORMTEXT ??????????$ FORMTEXT ??????????$ FORMTEXT ??????????$ FORMTEXT ?????????? FORMTEXT ?????7. Major Rehabilitation$ FORMTEXT ??????????$ FORMTEXT ??????????$ FORMTEXT ??????????$ FORMTEXT ?????????? FORMTEXT ?????8. Lead Based Paint/Asbestos Removal$ FORMTEXT ??????????$ FORMTEXT ??????????$ FORMTEXT ??????????$ FORMTEXT ?????????? FORMTEXT ?????9. Tenant Based Rental Assistance (TBRA)$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ????? FORMTEXT ?????Total Project Hard Costs$ FORMTEXT ??????????$ FORMTEXT ??????????$ FORMTEXT ??????????$ FORMTEXT ??????????GRAND TOTAL$ FORMTEXT ??????????$ FORMTEXT ??????????$ FORMTEXT ??????????$ FORMTEXT ??????????Type of Financial Assistance Requested FORMCHECKBOX Low-Interest Loans [3%] FORMCHECKBOX Deferred Payment Loan [Repayable Upon Property Title Transfer] FORMCHECKBOX Grant [Non-Profit Organizations or Government Organizations Only]SIGNATURE PAGE FORMCHECKBOX Letter from Authorized Certifying Official is included as Exhibit BOR COMPLETE THE FOLLOWING:Legal name of Applicant: FORMTEXT ?????Be it resolved that on [Meeting Date] FORMTEXT ?????, the Board of Directors of the above-referenced Applicant authorized the submittal of this application for FFY 2021 HOME funding to the Gwinnett County Community Development Program office. The individual referenced below is authorized to execute any documents necessary for application submission and funding.Amount Requested: $ FORMTEXT ?????Executor: FORMTEXT ????? I hereby certify that our Board of Directors approved the foregoing resolution._________________________________________________________________________ _______________________Authorized Certifying Official: (Signature, Name & Title) Date:(Insert Corporate Seal)I certify that I have completed the application for Gwinnett County HOME Investment Partnerships Program funding. All of the information contained in this submission has been completed as thoroughly and as accurately as possible and a governing body resolution or letter from an authorized certifying official approving this submission has been attached to this submission.Prepared by: Date:SignaturePrepared by: FORMTEXT ?????____________________________________________________Printed Name & TitleApproved by: _____ Date:SignatureApproved by: FORMTEXT ?????____________________________________________________Printed Name & TitleATTACHMENT AIncome Guidelines[GWINNETT COUNTY, GEORGIA]MAXIMUM HOUSEHOLD INCOME LIMITS FY 2019 Income LimitsEffective: April 24, 2019NOTE: Gwinnett County is part of the Atlanta-Sandy Springs-Marietta, GA HUD Metro FMR Area, so all information presented here applies to all of the Atlanta-Sandy Springs-Marietta, GA HUD Metro FMR Area. The Atlanta-Sandy Springs-Marietta, GA HUD Metro FMR Area contains the following: FY 2019 Income Limit AreaMedian Income FY 2019 Income Limit CategoryPersons in Family12345678Gwinnett County$79,700 Very Low (50%) Income Limits ($) $27,900$31,900$35,900$39,850$43,050$46,250$49,450$52,650Extremely Low (30%) Income Limits ($)**$16,750$19,150$21,550$25,750$30,170$34,590$39,010$43,430Low (80%) Income Limits ($)*$44,650$51,000$57,400$63,750$68,850$73,950$79,050$84,150*The maximum income threshold for eligible clientele/persons/households served using CDBG Public Services funds is the Low (80%) FFY 2019 Income Limit Category. **The FY 2014 Consolidated Appropriations Act changed the definition of extremely low-income to be the greater of 30/50ths (60 percent) of the Section 8 very low-income limit or the poverty guideline as?established by the Department of Health and Human Services (HHS), provided that this amount is not greater than the Section 8 50% very low-income limit. Consequently, the extremely low-income limits may equal the very low (50%) income limits.Source: U.S. Department of Housing & Urban Development [HUD] Datasets as CHDO00Applying as CHDO5546560-641074Total SCORE: _______ /10000Total SCORE: _______ /100659892024130FFY 2021 Application CycleHOME Investment Partnerships Program (HOME)Application Rating Form APPLICANT: FUNDING REQUEST: PROPOSED PROJECT:REVIEWER:DATE:TAB A – COVER SHEET CRITERIAYESNOAll fields are completeTAB B – list of exhibitsCRITERIAYESNOApplicant submitted all applicable ExhibitsTab C – PROJECT DETAILSSCORE CRITERIAYESNOMAX POINTSTOTAL RECEIVEDApplicant has identified the location and geographic area of proposed project. YES to both, 2 points; YES to 1, 1 point; NO to both, 0 points2Project only serves Gwinnett County residents. YES, 2 points; NO, 0 points 2If project serves non-Gwinnett residents, applicant provides a percentage of Gwinnett residents to be served and a method for ensuring Gwinnett only pays its fair share. YES & 50%+ Gwinnett, 2 points; 50%+ but NO method provided, 1 point; NO, or less than 50%, 0 points; N/A, 2 points2Applicant provides the duration of the project. Less than 3 months, 5 points; 3-6 months, 4 points; 6-9 months, 3 points, 9-12 months, 2 points; 12 months, 1 point; More than 12 months, 0 points5The proposed implementation schedule is realistic and includes expenditure schedule, accomplishments, and timelines. If clear schedule provided, 5 points; if some questions remain, 3 points; if unclear and many questions remain, 0 points5Applicant has experience with the project.10+ years, 5 points; 5-10 years, 4 points; 3-5 years, 3 points; 1-3 years, 2 points; less than 1 year, 1 point; NO experience, 0 points5Applicant has a process for verifying eligibility of homebuyers/tenants.YES, and it is clear, 3 points; YES, but some questions remain, 2 points; YES, but multiple questions remain, 1 point; NO, 0 points; N/A, 3 points3The general project description provides a detailed and comprehensive narrative about the project. YES and NO questions remain, 12 points; YES but a few questions remain, 10 points; Almost, but many questions remain, 5 points; NO, and further information is required, 3 points; NO, and all is unclear, 0 points12The economic impact description provides a detailed and comprehensive narrative about the project. YES and NO questions remain, 12 points; YES but a few questions remain, 10 points; Almost, but many questions remain, 5 points; NO, and further information is required, 3 points; NO, and all is unclear, 0 points12TAB C TOTAL48TAB D – BENEFICIARIESCRITERIAYESNOMAX POINTSTOTAL RECEIVEDProposed project will serve a targeted population. YES, 4 points; NO, 0 points4TAB D TOTAL4TAB E – GOALS AND OBJECTIVESCRITERIAYESNOMAX POINTSTOTAL RECEIVEDApplicant identifies the performance measurement outcomes/objectives best exemplified. YES, 2 points; NO, 0 points2Applicant provides descriptions of how project exemplifies chosen performance measurements/outcomes.YES, and both are clear, 5 points; YES, but only one is clear, 3 points; YES, but both are vague, 2 points; YES, but both are unclear, 1 point; NO, 0 points5Applicant’s proposed project meets one or more of the HOME Program priorities as detailed on page 4 of the application instructions. More than one, 5 points; One, 3 points; NO, 0 points5Applicant provides sufficient evidence to suggest satisfactory reporting, monitoring, and record-keeping systems are in place.YES, answer is clear 5 points; YES, but some questions remain, 3 points; NO, 0 points5Applicant has experience in reporting, monitoring or record-keeping.YES, and extensive, 5 points; YES, but limited (or unclear), 3 points; NO, 0 points5TAB E TOTAL22TAB F – SUSTAINABILITYCRITERIAYESNOMAX POINTSTOTAL RECEIVEDPercentage of applicant’s budget includes grant revenue.Less than 30%, 12 points; 31-50%, 7 points; 51-60%, 5 points; 61-70%, 3 points71-80%, 1 point; More than 80%, 0 points12Applicant has funding in place for the project.100%, 8 points; 50 – 99%, 4 points; 30 – 50%, 2 points; 10 - 30%, 1 point; 0-10%, 0 points8Applicant is willing and able to start the project January 1, 2021.YES, and has clear plan for covering costs, 5 points; YES, but vague plan for covering costs, 3 points; NO, 0 points5Applicant has employed at least one full-time staff member for at least one year prior to the request for funding. YES, 1 point; NO, 0 points1TAB F TOTAL26MAX POINTS PossibleSCORE RECEIVEDTAB C TOTAL48TAB D TOTAL4TAB E TOTAL22TAB F TOTAL26GRAND TOTAL100Please provide any additional comments/feedback not covered in the scoring criteria that should be considered in the decision to award funding. Please be sure to address any apparent or perceived conflicts of interest.FINANCIAL ASSESSMENT OF APPLICATION COMPLETENESSAPPLICATION COMPLETENESSYESNOELIGIBLE?Did applicant include an audited financial statement that is clear of any findings/concerns?Did agency include written financial management procedures that can be easily applied to the proposed project?Please provide any additional comments/feedback not covered in the scoring criteria that should be considered in the decision to award funding. ................
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