HomeMy WebLinkAbout20141764.tiff RESOLUTION
RE: APPROVE COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM
APPLICATION FOR DISASTER RECOVERY HOUSEHOLD ASSISTANCE FUNDS
AND AUTHORIZE COMMISSIONER FREEMAN TO SIGN
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with a Community Development Block Grant
Program Application for Disaster Recovery Household Assistance Funds from the County of
Weld, State of Colorado, by and through the Board of County Commissioners of Weld County,
to the Colorado Department of Local Affairs, commencing upon full execution, with further terms
and conditions being as stated in said application, and
WHEREAS, after review, the Board deems it advisable to approve said application, a
copy of which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of
Weld County, Colorado, that the Community Development Block Grant Program Application for
Disaster Recovery Household Assistance Funds from the County of Weld, State of Colorado, by
and through the Board of County Commissioners of Weld County, to the Colorado Department
of Local Affairs, be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that Commissioner Mike Freeman be, and
hereby is, authorized to sign said application, effective June 10, 2014.
BE IT FURTHER RESOLVED that the Board does hereby delegate authority to Tom
Teixeira, Executive Director of the Greeley-Weld County Housing Authority, to sign certain
necessary documents as itemized in Attachment K to said application.
CC: Ara-an M err)
In— Zlo -0
2014-1764
BC0045
RE: APPROVE COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM APPLICATION
FOR DISASTER RECOVERY HOUSEHOLD ASSISTANCE FUNDS
PAGE 2
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 11th day of June, A.D., 2014, nunc pro tunc June 10, 2014.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST: 7��� , ' _ _ ca.,
� ado.
]E 1(,a% uglas 'ademache , Chair
Weld County Clerk to the Boar��
SED
Iklt4 . a..
i � — r ra Kirkmeyer, Pro-Tern
BY:
De, Clerk to the Boar.
�: / \ \4flan P. Conway
APP ORM: .-
Mike Free Rs
y Attorney
a William F. Garcia
Date of signature:
2014-1764
BC0045
GRAY SHED EAS COLORADO STAFF USE ONLY ARE FOR
CO Derailment or Date Received
local Arrants
Con IXIDIB7 Devezormeno Blocx Giant - Disasseil ReCoveav
Division or Xousme
Application for: Household Assistance Project#
AMOUNT REQUESTED: $ Loan S 4,351,130 Grant
APPLICANT INFORMATION
Organization Name and Address: Sub-grantee Name and Address,
Weld County if applicable:
P.O. Box 758
Greeley CO 80632
Chief Elected Official, Executive Director, or President: Applicant Federal Tax ID #:84-000813
Name: Douglas Rademacher DUNS #:075757955
Title: Chair To register https://www.bpn.gov/ccr/default.aspx
Address different from above):
Phone 3 336-72-7204 Type of Organization (check as many as apply)
#: 970
Fax#: 970 336-7233 x4021
Email: drademacher@weldgov.com x Municipality/County/Consortia
Designated Contact Person for Application: Nonprofit
Name: Thomas Teixeira CHDO (Community Housing Development
Title: Executive Director Organization)
Address (if different from above): P. O. Box 130 CBDO (Community Based Development
Greeley CO 80632 Organization)
Phone#: 970 353-7437 x103 Public Housing Authority
Fax#: 970 353-6374
Email: tom@greeley-weldha.org Private For-Profit Developer
PROGRAM INFORMATION
Project Name:_Weld County Flood Housing Recovery
2014-1764
TYPES OF ACTIVITIES(check all of the activities involved in project or program and the amount of funds
requesting towards each activity)
Activity $Requested towards Activity
X Temporary Rental Assistance and Relocation $958,080
X Housing Purchase(Down Payment Assistance) $475,936
X Housing Repairs (Single Family Rehabilitation) $2,917,114
Clearance and Demolition
Private Roads and Bridges
EITIMIMTES want IT(Indicate the estimated number of units that will be assisted and how manyun1N
vet benefit hi lo-moderate berteficiaries)
AS* #units #`LIM URgs °gip
x Temporary Rental Assistance and Relocation 100 100 100
x Housing Purchase (Down Payment Assistance) 15 15 100
x Housing Repairs (Single Family Rehabilitation) 50 45 90
Clearance and Demolition
Private Roads and Bridges N/A N/A
CONSISTENCY WITH COMMUNITY RECOVERY PRIORITIES
Describe efforts made to develop community priorities for disaster recovery and this
project's impact on those priority efforts.
We have been working with Weld Recovers. Weld Recovers is the long-term, community
recovery committee working to address the ongoing needs of flood victims throughout the county.
The mission of Weld Recovers is to foster the long term, unmet, flood recovery needs within the
Weld County community by providing the help, healing, and hope necessary to rebuild our
community to a new level of safety and stability following the September 2013 floods. We are
working collaboratively with both the executive committee and hands on with the case
management, unmet needs and the construction committee. Although the case management is
not fully staffed at this time they were able to provide preliminary needs assessment of the five
hundred families who have registered with Weld Recovers. This amounts to one third of the
households with FEMA verified loss in Weld County due to the September 2013 flood.
We will continue our coordination and collaboration with Weld Recovers requiring all applicants
for CDBG-DR funds to be registered with Weld Recovers and will accept clients referred to us by
Weld Recovers.
**Attach Long Term Recovery Group Support Letter or Certification of Consistency With Community Recovery
Priorities.
PROJECT INFORMATION SHEET
PROJECT DESCRIPTION (100 words or less):
The goal of our request for CDBG-DR funds is to assist the households impacted by the flood in
meeting their unmet needs and hopefully assist them improve their living conditions. This is a
three part effort and will consist of a request for Temporary Rental Assistance (TRA), Housing
Repair (Single Family Rehabilitation) and Housing Purchase (Down Payment Assistance DPA).
In some instances households may be eligible for more than one of these programs. We will
work with our long-term community recovery committee (Weld Recovers) to screen applicants for
needs and screen out possible duplication of benefits. Households with special needs elderly,
handicapped or those at 30% of AMI or below will be given priority for service. We will
accomplish this using our current staff which has extensive experience in rent assistance,
housing rehabilitation and down payment assistance. Our goal is to assist families in achieving
permanent safe and sanitary housing.
NARRATIVE
This application may include multiple disaster recovery programs to be administered
simultaneously. The narrative should describe each of the programs for which you
request funds, and if applicable, how those programs will work together to achieve the
disaster recovery goals of your community. Please include the following:
1. Types of Housing Programs: We hope to utilize a synergistic approach to assist
families in their need for decent housing. By this we mean that a family may
utilize the rent assistance program while their home is being repaired by the
housing rehabilitation program or even by community volunteers if that is
determined to be the most efficient and cost saving method. Likewise a family
may utilize rent assistance while making preparation to purchase a home.
Maximum subsidy amounts will be observed in all cases.
a. Temporary Rent Assistance (TRA): Applicants will be accepted upon
referral from the Weld Recovers case management committee. If a client
applies directly to the Weld County Housing Authority (WCHA) they will be
referred to Weld Recovers to ensure they complete registration and
receive case management services, while simultaneously being
processed for assistance through the CDBG-DR funded programs.
Residence at the time of the flood will be verified along with income and
back ground checks on all adults in the family. The family will be briefed
on the details and rules of the program including the fact that the initial
period of subsidy is one year to provide a time period to find housing.
Based on the established Section 8 program operated by WCHA, we will
utilize existing section 8 forms to determine rent and utilities provided so
that a total tenant payment can be determined. Preference on initial
processing of applicants will be given to those households at or below
30% of AMI and to the elderly and handicapped. All clients will be required
to participate in case management with Weld Recovers and those without
permanent housing prospects will be required to seek permanent
affordable rental housing based referrals
on e errals to existing properties such as
tax credit or Section 8 tenant or project based. The information from Weld
Recovers indicates that 101 families need rent assistance at the present
time.
The dislocation of more than 250 families needing shelter could not have
happened at a worse time. The rental market in Weld County and
specifically the Greeley /Evans area was already being pressured by the
growing oil industry which created historic low vacancy rates. Vacancy
rates below three percent have resulted in a significant increase in rents.
The newer large multi-family units are now charging between $900.00 -
$1,000 per month for a two bedroom apartment. The largest tax credit
complex is now charging $779.00 for a two bedroom unit which does not
allow a client with a voucher with a 110% payment standard of $779.00 to
rent in the complex. Smaller landlords and property management
companies are raising their rents to reflect what the market will sustain.
To allow these displaced families to find suitable housing we are
requesting that we be able to approve exception rents of up to 125% of
the fair market rent. This was the FEMA rent standard when they
provided rent assistance and there has not been a decrease in market
rents in the area to demonstrate the ability to cover the necessary
expenses for assisted households based on the current Fair Market Rent .
b. Single Family Rehabilitation SFOO: Applicants will be accepted upon
referral from Weld Recovers case management committee. Applicants
who present themselves and are not registered with Weld Recovers will
be instructed to do so, but will continue to be processed for assistance
with WCHA staff simultaneously. Current Housing Authority SFOO staff
will perform intake for income, and ownership both current and at time of
the flood. After this has been verified an inspection of the property will be
coordinated with the homeowner. This agency has partnered with the
Greeley Urban Renewal Authority (GURA) to perform the initial inspection,
preparation of statement of work, bidding the job in accordance with
CDBG guidelines, consulting with the homeowner at all stages, monitoring
the construction and final walk through with the homeowner. The
contractor will be under contract with the homeowner and the necessary
loan documents and deed of trust will be between the Housing Authority
and the homeowner. GURA's established rehabilitation program operates
well in partnership with WCHA, and has performed extensive rehabilitation
for the Neighborhood Stabilization Program, as well.
At this time Weld Recovers has 51 households requesting rehabilitation
assistance. These houses have not been inspected by local specialists so
the full extent of the rehabilitation required is unknown. As we advertise
the availability of rehabilitation funds we fully expect this number will grow.
c. Down Payment Assistance DPA: Applicants will be accepted upon
referral from Weld Recovers. Applicants who present themselves and are
not registered with Weld Recovers will be instructed to do so. Current
Housing Authority Staff will perform intake for income, residence at the
time of the flood and where the family is in the home buying process. First
time homebuyers will be required to take a CHFA homebuyer class. The
Authority will then work with the first mortgage lender requesting copies of
loan application, contract, verification of income, and verification of debt.
In accordance with DOH Revolving Loan Fund Program guidelines and
using the current good practice housing ratios we will determine the
amount of down payment required. The house will be inspected for
Housing Quality Standards and the applicable loan documents will be
prepared. A representative from the Authority will attend the closing.
2. Location: describe the geographic area the program(s) will serve.
a. The area is Weld County with priority to City of Evans, Town of Milliken
(note SFOO programs in Milliken will be performed by the Loveland
Housing Authority) and Town of Frederick.
3. Population/National Objective served: each activity funded, except for program
administration and planning activities, must meet one of three national objectives.
This project will serve:
® Benefit to low- and moderate- income (LMI) persons; and/or
O Aid in the prevention or elimination of slums or blight; and/or
® Meet a need having a particular urgency (referred to as urgent need).
Funding for the programs requested will Benefit LMI persons and families. There
is an urgent need to provide displaced persons and families with decent housing.
4. Consistency with Local Disaster Recovery Priorities: How is the project
consistent with the disaster recovery priorities established by the impacted
community? (please attach a copy of the local recovery leadership group's
priorities for recovery activities)
a. A Copy of Weld Recovers priorities is attached.
5. Local, State and Federal subsidies: Flood victims have received FEMA direct aid
and Small Business Administration loans. In addition some victims have
received aid from Weld County Human Services.
6. "Green Build" Greeley Urban Renewal Authority which will supervise SFOO have
extensive experience in CDBG single family rehabilitation and the Neighborhood
Stabilization Program both of which require Green Build Standards.
7. Management Experience: Weld County Housing Authority currently managers a
Housing Choice Voucher (HCV, Section 8) Program with 427 families authorized,
a Single Family Rehabilitation Program with a dozen projects completed this year
and a Down Payment Assistance Program. The combined staff of the Greeley /
Weld Housing Authorities managers an additional 446 Housing Choice Vouchers,
a Low Rent Public Housing Program and three tax credit properties. In addition
our partnership with GURA brings construction and rehabilitation management
expertise.
8. Intake: provide program guidelines, outreach/marketing efforts, and applicant
intake process (please attach a copy of the intake form, or electronic intake
system information)
a. Outreach will be accomplished with information provided to the case
managers at Weld Recovers. Weld County Human Services, United Way's
Housing and Emergency Services Committee, Salvation Army, Catholic
Charities and the Cities and Towns in Weld County. County Web Site and
Housing Authority Web Site.
b. We will advertise in Newspapers and on Radio in English and Spanish.
c. Current Housing Authority forms for rent assistance, single family
rehabilitation and down payment assistance will be used or modified for
use. Any additional forms needed will be modified based on those used by
neighboring flood impacted areas or from the CDBG-DR toolkit.
9. Priority: Describe how applications will be prioritized for assistance
a. Priority will be given for Rent Assistance and for Single Family
Rehabilitation for those families at or below 30% AMI and to elderly or
handicapped families.
10.Duplication of Benefits: describe the insurance verification/Duplication of
Benefits review process (please attach a copy of the policy and/or analysis form
— see Attachment C)
a. We are requiring all applicants to be registered with Weld Recovers which
has access to the CANS program which will have a record of all FEMA
payments. We will coordinate with Weld Recovers on reports available
from the CANS system to document benefits received.
11.Income Verification: provide the income verification process (e.g. Section 8 Part
5, which is used by DOH as the safe harbor method, and the Tenant Income
Certification (TIC) Form provided by Colorado Housing and Finance Authority)
Housing Authority currently uses Part 5 for all Federal Programs in addition we
utilize the Tenant Income Certification (TIC) for our tax credit properties.
12.Ownership: describe the method of establishing ownership and occupancy at the
time of the flooding
a. We will utilize Weld County Property Records to establish ownership at
time of the flood. For renters we will use FEMA records either from
applicant or from Weld Recovers.
13.Beneficiary Eligibility: provide the formula or method that will be used for
determining individual awards. (please reference the CDBG-DR Revolving Loan
Fund (RLF) Guidelines and the Temporary Rental Assistance and Relocation
Program Guidelines where applicable)
a. For Rent Assistance TRA The Authority will use the method at attachment
Q to determine a monthly rent subsidy. Note this method is similar to
Section 8 rent determination with less income deductions.
b. For the Single Family Rehabilitation Program SFOO we will use the lowest
contractor bid on the Statement of Work to repair flood damage.
Observing 50% of pre-flood property value limitation.
c. For the Down Payment: We will look at subsidy as the necessary amount
to fill the gap from what the purchaser can afford and cost to complete the
purchase.
14.Pre-Agreement Costs: describe costs incurred for this disaster recovery program
prior to the submission of this application for funds and your organization's
capacity to absorb them. Does your application include a request for
reimbursement of these incurred expenses? (please attach a detailed analysis of
those disaster recovery costs for which you request reimbursement, incurred
between September 12, 2013 and the date of this application)
We will attach a sheet detailing cost prior to the application.
15.Project Timeline: include a timeline for the work to be completed for each
program, including:
9
a. Application intake period
b. Awards determination
c. Start of actual rehabilitation
d. End of actual rehabilitation
e. Timely expenditure of funds (expected fund draw schedule of CDBG-DR
funds)
(1). TRA
a. Application: July 1, 2014 - Dec 30, 2015
b. Determination: Aug 1, 2014 - Dec 30, 2015
c .Rent Payment: Sep 1, 2014 - Apr 30, 2016
d. End Apr 30, 2016
(2). SFOO
a. Application July1, 2014 - Jun 30, 2015
b. Determination: Sep 1,2014 - Jul 31, 2015
c. Rehab Start: Sep 1 2014
d. Rehab End: Jan 31,2016
(3). DPA
a. Application Sep 1, 2014 - Sep 30, 2015
b. Award Sep 1, 2014 - Oct 30, 2015
c. End April 1, 2016
16.Monitoring — Home Repair Programs ONLY: Describe the monitoring efforts of
the rehabilitation/s process and include a time line for the work to be completed
and adhere to all building codes. (i.e. Local Building Inspectors process and
completion of inspection.)
Permits from the appropriate building department will be required for all
rehabilitation work. Inspections will be confirmed with the applicable building
department and Greeley Urban Renewal will inspect progress of work and will be
responsible for final inspection prior to payment of contractor. We will also use all
monitoring documents and polices provided by the State.
PROJECT PROFORMA
Replace this page with the applicable DOH Project Proforma Excel Spreadsheet that can be found
on the DOH website http://dola.colorado.gov/cdbq-dr/content/application-assistance. In addition to
the submitted paper copy, send the pro forma electronically to your Regional DOH Development
Specialist.
• For Temporary Rental Assistance, Housing Purchase, or Housing Repairs programs, complete
and send the DOH Program Spreadsheet.
ersioil 5-._
Spreadsheet directions are to the right >
Program Name: Weld Down Payment
Date: May 31,2014
Applicant: Weld County
Spreadsheet Version: 1
Down Payment Assistance Program Budget
ar
y .ease, v� y,_ ..
Down Payment Assistance Loans
Ex•ected Production of 15 Units 450,000 450,000 0
1st Mnrt•a• estimated 0-■-
Closing Costs 0
Home Buyer Counseling 750 750 0---
• DPA Loan Specialist compensation 5,886 5,886 0
•Accounting staff compensation 3,120 3,120 0• Other staff compensation inspector 1,500 1,500 0
Training&Travel 1,000 1,000 0
Equipment, materials and supplies 0
e n
• Executive Director compensation 3,120 3,120 0•Accountant compensation 4,160 4,160 0•Other staff compensation -- 0
Training&Travel 1,200 1,200 0
Equipment, materials and supplies 800 800 0
Rent, utilities 2400 2400 0
Taxes
and Insurance 0
--
Communication Cost 1000 1000 0
Audit Cost 1,000 1,000 0 Legal Cost -- 0
VelOir':. 475.838 K, e t _ �.' Wt _
COLORADO DIVISION OF HOUSING * HOUSING PROGRAMS SPREADSHEET
Program Name: Weld Down Payment
Date: May 31,2014
Applicant: Weld County
Spreadsheet Version: 1
Down Payment Assistance Program Assessment Chart
•gram '0 0 0 ' ormation
Current#of Loans in Portfolio 9
Average#of Loans/Year 4 12-20/Year
Average Loan Amount 4500
Percent&$Value of Current Deferred Loans 0 Up to 50%(100%can be deferred 5 yrs)
Current Value of Loan Portfolio 32,514
Current Amount of Program/Misc.income On-Hand 35,830
Projected Annual Program/Miscellaneous Income 1,700
Total#of Loans Since Program Inception 24
Percent Program Costs Covered by Program/Misc.Income 100
#of New Loans 1
#of New Loans From Program/Miscellaneous Income
#of New Loans From CDOH Grant 0
Loan Information
Home Buyer Equity 1000 $500 Minimum
Maximum CDOH Loan Amount 5000 4.5—8.5%of FHA Limit
Loan Term l0yr
Loan Rates 3% 0%Up to Commercial Rate
Market Information
Qualifying Household Income 80% 50-80%AMI,4 people
#of Affordable Homes for Sale 270 Affordable at 80%AMI
'Maximum Purchase Price of Homes m Program 240,000 95%of FHA Limn
Average Price of Homes for Sale in Market 160,000
Number of Applicants on Waiting List 0
Geographic Distribution of Projects
(%Population/%Completed Projects) Percentages should be similar
Other Criteria
Energy-Efficiency Standard Indicate Standard CDOH Energy Standards Policy
Administrative Costs/New Loan 2500 $2,500-$4,500
CDOH Funding Eligibility CDBG,HOME,HDG
Action Plan Priority CDOH Action Plan Priority
'Minimum Application Cntena Yes CDOH Application Minimum Criteria Policy—
'Rousing Needs Assessment Supports Project Yes Local Housing Needs Assessment
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COLORADO DIVISION OF HOUSING * HOUSING PROGRAMS SPREADSHEET
Spreadsheet directions are to the right >
Program Name: Weld Single Family Rehab
Date: 5/31/2014
Applicant: Weld County
Spreadsheet Version: 1
Housing Rehabilitation Program Budget
.._ c ,i. , , „ ., „ ,
Rehabilitation
Ex.ected Production of 50 Units 2,500,000 2,500,000 0
Emergency Repairs
Ex•ected Production of 10 Units 50,000 50,000 0
Replacement Housing
Ex•ected Production of 2 Units 200,000 200,000 0
.o- l: .a�.u, e;»s, s" r..Y ,,s`,.,.,.x ✓ .`,-..: � es v •
•Rehabilitation Specialist compensation 125,000 125,000 0
• Intake/Loan Specialist compensation 17,658 17,658 0•Accounting staff compensation 6,240 6,240 0•Other staff compensation - 0
Training&Travel 540 540 0
Equipment, materials and supplies 0
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• Executive Director compensation 7,286 7,286 0
•Accountant compensation 7,490 7,490 0•Other staff compensation 0
Training&Travel 0
Equipment,materials and supplies 0
Rent,utilities 2400 2400 0
Taxes and Insurance 0
Communication Cost 0
Audit Cost 500 500 0
Legal Cost - 0
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CIIIIIIECIEM 0 ' ,
2,917,114
COLORADO DIVISION OF HOUSING * HOUSING PROGRAMS SPREADSHEET
Program Name: Weld Single Family Rehab
Date: 5/31/2014
Applicant: Weld County
Spreadsheet Version: 1
Housing Rehabilitation Program Assessment Chart
Program Portfolio Information
Current#of Loans in Portfolio 53
Average#of Loans/Year 8 12-20/Year
Average Loan Amount 20,000
Percent&Value of Current Deferred Loans 6% Allow up to 25%of loan portfolio value
Current Value of Loan Portfolio 635,714
Current Amount of Program/Misc.Income On-Hand 519,476
Projected Annual Program/Miscellaneous Income 28,000
Total#of Loans Since Program Inception est 250
Percent Program Costs Covered by Program/Misc.Income 100
#of New Loans 5
#of New Loans From Program/Miscellaneous Income 5
#of New Loans From CDOH Grant 0
Loan Information
Maximum CDOH Loan Amount 24,999 $24,999
Loan Term 1-30 Yr
Loan Rates 0-3% 0%up to commercial rate
Rehabilitation Costs
Average Housing Rehabilitation Cost 20,000
Average Emergency Repair Cost 5,000
Average Manufactured Housing Repair Cost non current Maximum$3,000
Average Replacement Housing Cost 100,000
Market Information
Qualifying Household Income 50,400 FM4 Less than 80%AMI
Number of Applicants on Waiting List 3
Geographic Distribution of Projects
(%Population/%Completed Projects Percentages should be similar
Other Criteria
Energy-Efficiency Standard Indicate Standar CDOH Energy Standards Policy
Administrative Costs/New Loan $2,500-$4,500
CDOH Funding Legibility CDBG,HOME,HDG
Action Plan Priority CDOH Action Plan Priority
Minimum Application Criteria Yes/no CDOH Application Minimum Criteria Policy
Housing Needs Assessment Supports Project Yes/no Local Housing Needs Assessment
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I
REGULATORY INFORMATION
Please answer the following questions to the best of your ability, so DOH may provide technical assistance
on compliance with applicable federal regulations. For more information, contact your regional Housing
Development Specialist.
Relocation
Will the proposed project activity directly cause any demolition or conversion of any Yes 0 If yes, attach
existing residential or commercial units resulting in permanent, temporary or economic General Notice
displacement of existing tenants? No ® and Rent Roll
See HUD Handbook 1378, 24 CFR 92.354 &DOLA CDBG Guidebook Sec VII
http://www.hud.qov/offices/cpd/library/relocation/polio yandpuidance/handbook 1378.cfm
If yes, are the displaced households considered low-income? Yes 0
If yes, attach Residential Anti-displacement and Relocation Assistance Plan (Att. D) describing the No 0
steps taken to minimize displacement, including what assistance/benefits will be provided to
displaced households and what plans have been developed to replace the units and ensure that they
stay at or below Fair Market Rent for 10 years.
Davis-Bacon Wages
Does the project include Davis-Bacon wages? (see Att. F) Yes 0
See HUD Guidebook 1344 & DOLA CDBG Guidebook Sec VIII
No
Lead-Based Paint
If the property was built before 1978, is it exempt from lead-based paint abatement? Yes ❑ Attach record
http://edocket.access.gpo.gov/cfr 2003/aprqtr/pdf/24cfr35.115.pdf indicating year
List reason No ® of construction
or proof of
exemption
If no, has the property been evaluated? To Be Determined Yes ❑ Attach record
indicating year
No ® of construction
and proof of
exemption
Does the property need remediation? Yes ❑ Unk
If yes, the regulations at 24 CFR Parts 35 apply
http://www.hud.qov/offices/lead/library/enforcement/24CFR35 SubpartA.pdf No ❑
Asbestos
For projects involving rehabilitation, has there been an evaluation of asbestos hazards? Yes ❑ If Yes, attach a
http://www.cdphe.state.co.uslap/asbestos/renodemo.pdf copy of the
No ® report(s).
Does property need Asbestos remediation? If yes, contact a state-certified asbestos inspector. Yes ❑TBD
No ❑
Fair Housing
Has the agency established Steps to Affirmatively Further Fair Housing? Yes
See 24 CFR 570.487(b) & 24 CFR 92.351
See AU. N http://www.nud.gov/offices/adm/hudclips/forms/files/935-2a.pdf No ❑
version 8-12
ADA Accessibility&Visitability
Does the project have 5 or more units? Yes El
If yes, for new construction or substantial rehabilitation, at least 5% (or 1,whichever is greater) must
be accessible to persons with mobility impairments and 2%(or 1,whichever is greater) must be No
accessible to persons with sensory impairments. The remaining units must meet the accessibility
requirements of the Federal and State Fair Housing Act, which require that all units in elevator
buildings and ground units in other buildings be ADA accessible.
http://www.hud.pov/offices/fheo/disabilities/fhquidelines/fhefha5.cfm#sect3
Number of units for persons with mobility impairment? (5%)
Number of units for persons with sensory impairment?(2%)
Number of visitable units?
See DOH Visitability policy http://dola.colorado.pov/cdh/statehousingboard/index.htm#anchpolicies
Send copy of Agency's Section 504 Compliance plan
See 24 CFR Part 8 &DOLA CDBG Guidebook Sec V
hftp.//www.dola.state.co.us/dlq/fa/cdbq/d ocs/quidebook/PF07CIVILRIGHTSEXH-C.pdf
Procurement
Will DOH funds be used for purchasing goods or services? Yes
If yes, which procurement policies will be followed? C DBG
See DOLA CDBG Guidebook Sec 11 No El
httc://dola.colorado.gov/dlg/fa/cdbq/cdbq quidebook.html#section ii
Will DOH funds be used for construction? Yes
If yes, the Debarred Checklist applies
See https://www.epls.gov/& DOLA CDBG Guidebook Sec VIII No El
Financial Management
Does the applicant's financial management comply with Yes El
OMB Circular A-87& 24 CFR Parts 85& DOLA CDBG Guidebook Sec Ii-C?
No ❑
Does the applicant's audit/records comply with Yes EI
OMB Circular A-133 &24 CFR 570.490(d)& DOLA CDBG Guidebook Sec II?
No El
Program Income
Will the project generate Program Income? Yes El
Examples of program income include, but are not limited to: revenue from the loans made through No El
Down Payment Assistance (DPA) programs and Single-family Owner-occupied rehab(SFOO)
programs.
Projected Program Outcomes
ENERGY STANDARDS:
List the Energy Efficiency Standard the project will follow?
How many units will meet Energy Star Standards or standard listed above?
SPECIAL NEEDS:
Number of units designated for persons with disabilities? unknown at this time
AUTHORIZED SIGNATURE SHEET
I certify to the best of my knowledge and belief, statements and data in this application,
including the required Statement of Assurances and Certifications (Attachment A), attached
tables and other documentation, are true and correct.
Signature Signature Signature
Mike Freeman
Name (Typed or Printed) Name (Typed or Printed) Name (Typed or Printed)
Chair PRO-TEM
Title Title Title
Date JUN 1 0 2014 Date Date
Signature Signature Signature
Name (Typed or Printed) Name (Typed or Printed) Name (Typed or Printed)
Title Title Title
Date Date Date
The above must be signed by the Chief Elected Official of the governmental unit, officer of
the private corporation or other appropriate and authorized signatory for the applicant.
Documentation proving signer is authorized must be provided.
CHECKLIST FOR REQUIRED DOCUMENTS
Please Submit in Order Below o c a
(use all check lists that apply to application) .2 a
o 0 ii c., E m
6-w I c I 8c
c Q `.9 n m
L,0 c. c-4.-. ow Applicable Received
E c 3 c 3= 0 w
o ;o o m o:5 m
cn E E, E E r
m
I-< 20! S cae) u it
Att.A—Statement of Assurances X X X X X Yes
Att.B—Environmental Worksheet for CDBG-DR Applicants X X X X X Yes
Att.C—Procedure to Prevent Duplication of Benefits X X X X X Yes El
Att.D—URA/Relocation Plan X X X X X Yes 0
Att.E—Acquisition of Land or Building X X Yes ❑
Att. F—Davis-Bacon Exception Checklist X X X X Yes
Att.G—Immigration Policy X X X X X Yes El
Att.H—Insurance Requirements X X X X X Yes
Att.I—Procedures to Detect Fraud,Waste,&Abuse of Funds X X X X X Yes El
Att.J—W-9,Tax Payer Identification# X X X X X Yes
Att.K—Signatory Authority&Board Resolution Authorizing Application X X X X X Yes El
Att. L—Agency's 504 Self Certification X X X X X Yes
Att.M-Actions to Further Fair Housing X X X X X Yes
Att.N-Affirmative Fair Housing Marketing X X X X X Yes El
Att.O— Excessive Force Policy X X X X X
Att.P— Procedure To Ensure Timely Expenditure of Funds X X X X X Yes
Att.Q— Temporary Rental Assistance and Relocation Policies and Procedures X X X X X Yes
Final Legal Property Description(if any changes since initial application) X X Yes ❑
IRS Determination Letter(Non-profits only) X X X X X Yes ❑
Most Recent Audit(A-133,if applicable) X X X X X Yes
Staff Allocation Plan(if not in Budget) X X X X X Yes ❑
Site Control Documentation w/legal description X X X Yes 0
Zoning and Site Plan Approval X X Yes ❑
Floodplain Map X X X X X Yes 0
Environmental Studies(Phase I,Lead Based Paint&Asbestos) X X Yes ❑
Architectural Drawings/Photos(via email) X X Yes 0
Construction Cost Estimates X X X Yes
Capital Needs Assessment and/or Cost Estimate X X Yes ❑
-
Market Study/Needs Assessment X X Yes El
Appraisal(or data on comparables) X X Yes ❑
Letters of Funding Commitment X X X X X Yes ❑
Relocation: General Notice to Tenants and Proof of Delivery X X Yes 0
Relocation Plan(only if relocation will occur) X X X Yes ❑
DPA/Rehab Local Program Guidelines X X X Yes
Eil
Schedule of Pre-Agreement Costs requested for reimbursement under CDBG- X X X X X Yes El
DR Program
ATTACHMENT A
APPLICANT STATEMENT OF ASSURANCES AND CERTIFICATIONS
The application must adhere to the following assurances and certification, that it:
1) possesses legal authority to apply for the loan/grant and to execute the proposed project, and its
governing body has duly adopted or passed as an official act a resolution, motion or similar action
authorizing the filing of the application, including all understandings and assurances required, and
directing and authorizing the applicant's chief executive officer and/or other designated official
representatives to act in connection with the application and to provide such additional information as
may be required;
2) will give the State, the U.S. Department of Housing and Urban Development (HUD), and any state
authorized representatives access to and the rights to examine all records, books, papers or
documents related to the application and grant;
3) has provided for and encouraged citizen participation, with particular emphasis on participation by
persons of low and moderate income who are residents of areas in which CDBG, HOME, HDG and
HDLF funds are proposed to be used; by:
I. providing citizens with reasonable and timely access to local meetings, information, and records
relating to its proposed and actual use of CDBG, HOME, HDG and HDLF funds;
II. furnishing citizens information concerning the amount of funds available for proposed housing activities
and the range of activities that may be undertaken, including the estimated amount proposed
to be used for activities that will benefit persons of low and moderate income. Its plans for
minimizing displacement of persons as a result of activities assisted with CDBG, HOME, HDG
and HDLF funds and its plan for assisting persons actually displaced as a result of such
activities;
III.publishing a proposed project plan/application in such a manner to afford citizens an opportunity to
examine its content and to submit comments on the proposed project plan/application and on
the community development performance of the jurisdiction(s);
IV.holding one or more public meetings, to obtain citizens view and responses to proposals and questions
related to community development and housing needs, proposed activities and past CDBG,
HOME, HDG, and HDLF performances. All meetings were held no sooner than five days
after notice, at times and locations convenient to potential or actual beneficiaries, and with
accommodation for the handicapped.
V. providing for a timely answer to written complaints and grievances, within 15 working days where
practicable; and
Vl.identifying how the needs of non-English speaking residents will be met in the case of public meetings
where a significant number of non-English speaking residents can be reasonably expected to
participate.
ate.P
Protein JUN 10 2014
Signature, Chief Elected Official/Executive Director/President Date
'A 101
ATTACHMENT B
ENVIRONMENTAL WORKSHEET FOR CDBG-DR APPLICANTS
In accordance with 24 CFR Part 58.22 (see below), all federally funded projects must accomplish an environmental
review prior to beginning any work on a project. These HUD regulations are in place for two purposes:
1. To ensure federal funds are used to place people of low and moderate income in environmentally safe
conditions; and
2. To ensure federal funds are NOT used to negatively impact environmental conditions that exist near a project
site.
Read through this section thoroughly and direct any questions to the appropriate contact person listed at the bottom of
the following page. In addition, the "Environmental Review Worksheet" on the following page must be completed
and included with the final application.
24 CFR Part 58.22 Limitations on activities pending clearance.
(a) Neither a recipient nor any participant in the development process, including public or private nonprofit or
for-profit entities, or any of their contractors, may commit HUD assistance under a program listed in Sec.
58.1(b) on an activity or project until HUD or the state has approved the recipient's RROF and the related
certification from the responsible entity. In addition, until the RROF and the related certification have been
approved, neither a recipient nor any participant in the development process may commit non-HUD funds on
or undertake an activity or project under a program listed in Sec. 58.1(b) if the activity or project would have an
adverse environmental impact or limit the choice of reasonable alternatives.
(b) N/A for DOLA projects
(c) If a recipient is considering an application from a prospective sub-recipient or beneficiary and is aware
that the prospective sub-recipient or beneficiary is about to take an action within the jurisdiction of the recipient
that is prohibited by paragraph (a) of this section, then the recipient will take appropriate action to ensure that
the objectives and procedures of NEPA are achieved.
(d) An option agreement on a proposed site or property is allowable prior to the completion of the
environmental review if the option agreement is subject to a determination by the recipient on the desirability of
the property for the project as a result of the completion of the environmental review in accordance with this
part and the cost of the option is a nominal portion of the purchase price. There is no constraint on the
purchase of an option by third parties that have not been selected for HUD funding, have no responsibility for
the environmental review and have no say in the approval or disapproval of the project.
(e) Self-Help Homeownership Opportunity Program (SHOP). In accordance with section 11(d)(2)(A) of the
Housing Opportunity Program Extension Act of 1996 (42 U.S.C. 12805 note), an organization, consortium, or
affiliate receiving assistance under the SHOP program may advance non-grant funds to acquire land prior to
completion of an environmental review and approval of a Request for Release of Funds (RROF) and
certification, notwithstanding paragraph (a) of this section. Any advances to acquire land prior to approval of
the RROF and certification are made at the risk of the organization, consortium, or affiliate and reimbursement
for such advances may depend on the result of the environmental review. This authorization is limited to the
SHOP program only and all other forms of HUD assistance are subject to the limitations in paragraph (a) of
this section.
(f) Relocation. Funds may be committed for relocation assistance before the approval of the RROF and
related certification for the project provided that the relocation assistance is required by 24 CFR part 42.
Applicant Name: Contact Number:
Contact Name: E-mail:
Check ALL of the activities listed below that will be included as part of the project.
❑ Environmental and other studies, resource identification, and the development of plans and strategies
Information and financial services
Q Administrative and management activities
0- ' El inspections and testing of properties for hazards or defects
„ — ❑ Purchase of insurance
W -a ❑ Purchase of tools
x ❑ Engineering and design costs
W x ❑ Technical assistance and training
❑ Assistance for temporary or permanent improvements that do not alter environmental conditions and are limited to
protection, repair,or restoration activities necessary only to control or arrest the effects from disasters or imminent threats
to public safety including those resulting from physical deterioration.
Tenant-based rental assistance
Supportive services(involving payments in the form of suusidies,e.g., health care, housing services, permanent housing
placement,day care, Nutritional services, Short-term payments for rent/mortgage/utility costs,Assistance in gaining
access to local, State, and federal government benefits and services).
m X Operating costs(e.g., Maintenance, Security, Operation, Utilities,furnishings, Equipment, Supplies,Staff training and
. > recruitment, Other incidental costs).
Z = ❑ Economic development activities(e.g.equipment purchase, inventory financing, interest subsidy,similar costs not
W -a associated with construction or expansion of existing operations).
() L ® Activities to assist homebuyers to purchase existing dwelling units or dwelling units under construction(closing costs,
L I r down payment assistance, interest buy downs,similar activities resulting in transfer of title)Affordable housing pre-
development costs(legal, consulting, developer and other costs related to obtaining site options,project financing,
administrative costs and fees for loan commitments,zoning approvals,and other related activities with no physical
impact)
❑ Affordable housing pre-development costs(e.g., legal, consulting,developer and other related costs).
❑ Acquisition, repair, improvement, reconstruction,or rehabilitation when the facilities and improvements are in place and
will be retained in the same use without change in size or capacity of more than 20 percent
❑ Special projects directed to the removal of material and architectural barriers that restrict the mobility of and accessibility
to elderly and handicapped persons
(,) f g Rehabilitation of buildings when the following conditions are met:
o 1 to 4 unit building for residential use when density is not increased beyond 4 units; land use is not changed,
II- - o
and footprint of building is not increased in a floodplain/wet land
o Multifamily residential building when the unit density is not changed more than 20percent; project does not
W � � 9 P j
U L involve change from residential to non-residential
W ❑ Construction of up to 4 dwelling units; maximum of 4 units on any one site(4 one-unit buildings or 1 four-unit building)
❑ Construction of 5 or more housing units on scattered sites when sites are more than 2,000 feet apart and not more than 4
housing units on any one site
❑ Acquisition(including leasing)or disposition of,or equity loans on,an existing structure
❑ Acquisition(including leasing)of vacant land provided the structure or land acquired,financed,or disposed of will be
retained for the same use
0. ' ❑ Acquisition, repair, improvement, reconstruction,or rehabilitation when the facilities and improvements are in place, but
will change in size or capacity of more than 20 percent
❑ Acquisition, repair,improvement, reconstruction,or rehabilitation when the facilities and improvements are in place, but
}, will involve a change in land use,such as from non-residential to residential,commercial to industrial,or from one
S] s industrial use to another
1 LE x ! ❑ Demolition
UJ ❑ New construction that does not meet the definitions for categorically excluded but still subject to a review of the 58.5
federal environmental laws and authorities.
The applicant, Weld County Government certifies acceptance of responsibility to complete the appropriate Environmental
Review and certification form as required in 24 CFR 58.22.
'�i\) c -' ,._ Protem
JUN 10 2014
Signature, Chief Elected Official/Executive Director/President Date
STATE USE ONLY:
Required level of environmental review: O Exempt O CENST O CEST O EA
Reviewed by:
Date of Review:
%ersIo4,=s i
ATTACHMENT C
PROCEDURE TO PREVENT DUPLICATION OF BENEFITS
For activities carried out by subrecipients, the designated administrator of the activity will be contractually
required to complete this procedure and submit documentation for review before the responsible State
agency will release payment.
PROCEDURE
a. Prior to assistance
i. Identify total need
1. Determine the specific purpose for the CDBG-DR request
2. Total need will be determined by project type (e.g. homeowner rehabilitation cost
estimate, infrastructure reconstruction cost estimate). The total need must be
documented.
3. All costs included in total need must be reasonable and necessary.
ii. Identify all other potentially duplicative sources of funding received and reasonably
anticipated
1. For individuals as well as entities, the application for assistance will require
documentation for all sources of funding received or reasonably anticipated, and
certification that all assistance is reported.
2. 3r° party verify when possible (FEMA, SBA)
Hi. Determine which funding sources to include in and exclude from unmet need calculation
(based upon guidance in Fed. Reg. 71,060 - 71,066 (November 16, 2011)) and deduct
assistance determined to be duplicative
iv. Apply program cap, if applicable
v. Arrive at maximum award
vi. Execute grant/loan agreement with recipient, including provision that all additional funds
received will be reported to the State or subrecipient program administrator within 15
calendar days. If the additional funds are determined to be duplicative, the award will be
reduced and/or the recipient will be required to repay any disbursed duplicative benefit.
b. Upon completion of activity for which funds were awarded
i. Require recipient to report and certify whether additional funds were received for disaster-
related expenses, the amount, and when funds were received. If additional funds were
received that are determined to be duplicative, require repayment.
c. One year after completion of activity for which funds were awarded
i. Require recipient to report and certify whether additional funds were received for disaster-
related expenses, the amount, and when funds were received. If additional funds were
received that are determined to be duplicative, require repayment.
RESPONSIBLE PERSONNEL
a. The Department of Local Affairs, Executive Director's Office
i. CDBG DR Program Manager—overall program management
H. Accounting and Financial Services—fiscal control
Hi. Communications
b. Housing
i. Department of Local Affairs, Division of Housing
1. Activities carried out through subgrantees
A. Housing development specialists — initial calculation
v,rsior,3 z
B. Contract managers —follow-up
P
2. Activities carried out through subrecipients
A. Subrecipient program administrator— initial calculation and follow-up
B. Contract managers — review subrecipient-submitted calculations and documentation
and monitor for compliance
The applicant, Weld County Goverment , certifies acceptance of responsibility to adhere to the
Procedure for the Prevention of Duplication of Benefits, and assumes responsibility for adherence by any
and all subcontractors or sub-subrecipients to the program.
111641--c.
��_ Profem JUN 10 2014
Signature, Chief Elected Official/Executive Director/President Date
iersior. 8 I _
ATTACHMENT D
RESIDENTIAL ANTIDISPLACEMENT AND RELOCATION ASSISTANCE PLAN
The Weld County Government will replace all occupied and vacant occupy-able low/moderate income
dwelling units demolished or converted to a use other than as low/moderate income housing as a direct result of
activities assisted with CDBG funds, as required by Section 104(d) of the Housing and Community Development Act of
1974, as amended (the Act), and implementing regulations at 24 CFR 570.496a.
All replacement housing will be provided within three years of the commencement of the demolition or rehabilitation
relating to conversion. Before obligating or expending funds that will directly result in such demolition or conversion,
the Weld County Government will make public and submit to the State the following information in writing:
1. Description of the proposed assisted activity;
2. The general location on a map and approximate number of dwelling units by size (number of bedrooms) that
will be demolished or converted to a use other than as low/moderate dwelling units as a direct result of
the assisted activity;
3. A time schedule for the commencement and completion of the demolition or conversion;
4. The general location on a map and approximate number of dwelling units by size (number of bedrooms)that
will be provided as replacement dwelling units;
5. The source of funding and a time schedule for the provision of replacement dwelling units; and,
6. The basis for concluding that each replacement dwelling unit will remain in a low/moderate income dwelling
unit for at least 10 years from the date of initial occupancy.
The Weld County Goverment will provide relocation assistance, as described in 570.496a(b)(2), to each
low/moderate income household displaced by the demolition of housing or by the conversion of a low/moderate
income dwelling to another use as a direct result of assisted activities.
Consistent with the goals and objectives of activities assisted under the Act, the (City, Town or County) will take the
steps indicated below to minimize the displacement of persons from their homes:*
* The following are examples of steps to minimize displacement. The first two are required. The others
are optional. Only check those which are appropriate for the project and local circumstances. Add
other steps as necessary or appropriate.
X Consider all practical alternatives to any proposed project that may result in residential displacement.
Alternatives to be considered include other sites for the proposed facilities/project. Also to be considered are
the costs and benefits, both financial and nonfinancial, of each alternative.
X Provide counseling and referral services to assist displacees find alternative housing in the community.
X Work with area landlords and real estate brokers to locate vacancies for households facing displacement.
Stage rehabilitation of assisted housing to allow tenants to remain during and after rehabilitation, working with
empty buildings or groups of empty units first so they can be rehabilitated first and tenants moved in before
rehab on occupied units or buildings is begun.
Establish temporary relocation facilities in order to house families whose displacement will be of short duration,
so they can move back to their neighborhoods after rehabilitation or new construction.
Evaluate housing codes and rehabilitation standards in reinvestment areas to prevent their placing undue
financial burden on long-established owners or on tenants of multi-family buildings.
Develop displacement watch systems in cooperation with neighborhood organizations to continuously review
neighborhood development trends, identify displacement problems, and identify individuals facing
displacement who need assistance.
, rev Protem JUN 10 2014
Signature of Chief Elected Official Date
NOTE: EACH MUNICIPALITY AND COUNTY DIRECTLY PARTICIPATING IN A MULTI-JURISDICTIONAL
APPLICATION IS REQUIRED TO HAVE A RESIDENTIAL ANTIDISPLACEMENT AND RELOCATION
ASSISTANCE PLAN.
iers,n 8-I?
ATTACHMENT E
ACQUISITION OF LAND AND/OR BUILDINGS
SUGGESTED FORMAT FOR LETTER TO OWNER
(Replace this form with your signed letter on agency letterhead)
Date:
Owner Name:
Owner Address:
Re: Property at: (list address here)
Purchase Price:
Buyer: (agency, developer, or community name)
This is to inform you that (buyer)would like to purchase the property listed above. We have offered you the purchase
price listed above for clear title to the property under the conditions described in the contract of sale.
Because Federal funds may be used in the purchase, however, we are required to disclose to you the following
information:
1. This sale is voluntary. If you do not wish to sell, (buyer) will not acquire your property. (Insert buyer's name) does
not have the authority to acquire your property by force.
2. We estimate the fair market value of the property to be$ : (value).
Since the purchase would be a voluntary, arm's length transaction, you would not be eligible for relocation payments or
other relocation assistance under the Uniform Relocation Assistance and Real Property Acquisition Policies Act of
1970 (URA), or any other law or regulation.
If you have any questions about this matter, please contact (contact person)at(phone number).
Sincerely,
Applicant signature: Date:
I have read the above and agree with the statements therein:
Owner signature: Date:
Check here if this is not applicable to your project
Reason: _No Property is to be purchased
ATTACHMENT F
DAVIS-BACON EXCEPTION CHECKLIST
EXCEPTIONS
The Applicant Weld County Government affirms that(part/all)of its CDBG/HOME project is
excepted from Davis-Bacon Prevailing Wage Rate Provision because:
(a) The prime construction contract funded in whole or in part with CDBG/HOME funds is less
than $2,000.
(b) The entire project consists solely of demolition. (CDBG Only)
x (c) CDBG funds will be used for rehabilitating property that was designed for fewer than eight(8)
households (See Note* Below)
(d) HOME funds will be used for construction or rehabilitating property that was designed for
fewer than 12 HOME-designated units (See Note ** Below)
(e) Part/all of the project consists solely of delivery of goods or services. (No construction
contract.)
(f) ParUall of the project will be done through a force account. (See Note* Below)
(g) There are no federal monies in the construction contract.
(h) All or a portion of the CDBG/HOME funds shall be used for the purchase of equipment:
1) Installation of equipment is incidental (less than 13%) of the total cost(equipment
PLUS installation -this requires a separate quote for equipment and the installation);
2) NO installation costs are included in the purchase of equipment.
(i) Proceeds of the CDBG/HOME loan shall be used for working capital ONLY.
Q) The CDBG funds are used for acquisition ONLY and there is no construction.
NOTE:
*Any employees hired through a force account for a CDBG funded project will be considered Section 3 employees.
**Grantee should confirm with their state monitor regarding this option. Clarification is necessary because some
housing type projects will qualify as PUBLIC facilities and not as HOUSING.
NO EXCEPTIONS-DAVIS BACON APPLICABLE
If there is no exception, check here if Davis-Bacon is applicable to your project
Reason Davis-Bacon is triggered:
Are Davis-Bacon wages included in construction cost estimates? ❑ YES ® NO
Lead Agency to monitor compliance with Davis- Bacon
ry - •r -1 I6fr� JUN 10 2014
Signature, Chief Elected Official/Executive Director/President Date
ATTACHMENT G
IMMIGRATION POLICY
Federal and State laws require Grantees to verify lawful presence of beneficiaries of public funds. The
requirements to ensure lawful presence vary by the funding sources used to finance projects, as follows:
Federal HOME Investment Partnership or Community Development Block Grant Programs
If the funding is HOME or CDBG, including CDBG-DR, the Welfare Reform Act does not require a non-profit
charitable organization to determine, verify or otherwise require proof of lawful presence. If the managing
member is a non-profit or if the general partner of a LIHTC ownership entity is a non-profit, this also applies.
If the funding is provided to a for-profit, government, or quasi-government entity, all adult family members
will have to sign a Declaration of Residency form.
SAMPLE FORM
DECLARATION OF RESIDENCY
In order to be eligible to receive the housing assistance you seek, you, as an applicant or current recipient
of housing assistance must be lawfully within the United States. Please read this Declaration
carefully. Please feel free to consult with an immigration lawyer or other expert of your choosing.
, swear or affirm under penalty of
perjury that (check one):
I am a United States citizen, or
I am a non-citizen national of the United States, or
I have an immigration status that makes me a "qualified alien"
I hereby agree to provide any documentation which may be required pursuant to Federal law, Interim
Guidelines published by the United States Department of Justice (62 FR 61344) or, if applicable, Colorado
laws and regulations, if the Colorado laws are not inconsistent with Federal law.
I acknowledge that making a false, fictitious, or fraudulent statement or representation in this Declaration is
punishable under the criminal laws of Colorado as perjury in the second degree under Colorado Revised
Statute 18-8-503 and shall constitute a separate criminal offense each time a public benefit is fraudulently
received.
Signature Date
Name (please print)
The applicant agrees to provide and maintain the legal resident requirements as described above.
Protein JUN 10 2014
rrOafY_ rw
Signature, Chief Elected Official/Executive Director/President Date
ATTACHMENT H
STANDARD INSURANCE REQUIREMENTS
State of Colorado insurance requirements are as follows and apply to all DOH-funded projects. Grantee and its
Subgrantees shall obtain and maintain insurance as specified in this section at all times during the term of this Grant:
All policies evidencing the insurance coverage required hereunder shall be issued by insurance companies satisfactory
to Grantee and the State.
Grantee
Public Entities
If Grantee is a "public entity"within the meaning of the Colorado Governmental Immunity Act, CRS §24-
10-101, et seq., as amended (the "GIA"), then Grantee shall maintain at all times during the term of this
Grant such liability insurance, by commercial policy or self-insurance, as is necessary to meet its liabilities
under the GIA. Grantee shall show proof of such insurance satisfactory to the State, if requested by the
State. Grantee shall require each subgrant with Subgrantees that are public entities, providing Goods or
Services hereunder, to include the insurance requirements necessary to meet Subgrantee's liabilities
under the GIA.
Non-Public Entities
If Grantee is not a "public entity" within the meaning of the GIA, Grantee shall obtain and maintain during
the term of this Grant insurance coverage and policies meeting the same requirements set forth in §13(B)
with respect to Subgrantees that are not"public entities."
Subgrantees and Subcontractors
Grantee shall require each subgrant with Subgrantees and each contract with Subcontractors, other than those
that are public entities, providing Goods or Services in connection with this Grant, to include insurance
requirements substantially similar to the following:
Workers' Compensation
Workers' Compensation Insurance as required by State statute, and Employer's Liability Insurance covering
all of Grantee, Subgrantee and Subcontractor employees acting within the course and scope of their
employment.
General Liability
Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent,
covering premises operations, fire damage, independent contractors, products and completed operations,
blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: (a)
$1,000,000 each occurrence; (b) $1,000,000 general aggregate; (c) $1,000,000 products and completed
operations aggregate; and (d) $50,000 any one fire.
Automobile Liability
Automobile Liability Insurance covering any auto(including owned, hired and non-owned autos)with a
minimum limit of$1,000,000 each accident combined single limit.
Malpractice/Professional Liability Insurance
Grantee, Subgrantees and Subcontractors may be required to maintain in full force and effect a
Professional Liability Insurance Policy in the minimum amount of$1,000,000 per occurrence and
$3,000,000 in the aggregate, written on an occurrence form that provides coverage for its work
undertaken pursuant to this Grant. If a policy written on an occurrence form is not commercially
available, the claims-made policy shall remain in effect for the duration of this Grant and for at least two
years beyond the completion and acceptance of the work under this Grant, or, alternatively, a two year
extended reporting period must be purchased. The Grantee, Subgrantee or Subcontractor shall be
responsible for all claims, damages, losses or expenses, including attorney's fees, arising out of or
resulting from such party's performance of professional services under this Grant, a subcontract or
subgrant.
Umbrella Liability Insurance
For construction projects exceeding $10,000,000, Grantee, Subgrantees and Subcontractors shall
maintain umbrella/excess liability insurance on an occurrence basis in excess of the underlying
insurance described in §13(B)(i)-(iv) above. Coverage shall follow the terms of the underlying
insurance, included the additional insured and waiver of subrogation provisions. The amounts of
insurance required in subsections above may be satisfied by the Grantee, Subgrantee and
Subcontractor purchasing coverage for the limits specified or by any combination of underlying and
umbrella limits, so long as the total amount of insurance is not less than the limits specified in each
section previously mentioned. The insurance shall have a minimum amount of$5,000,000 per
occurrence and $5,000,000 in the aggregate.
erion i._
Property Insurance
This subsection shall apply if Grant Funds are provided for the acquisition, construction, or rehabilitation
of real property.
Insurance on the buildings and other improvements now existing or hereafter erected on the premises
and on the fixtures and personal property included in the Subject Property against loss by fire, other
hazards covered by the so called "all risk"form of policy and such other perils as State shall from time to
time require with respect to properties of the nature and in the geographical area of the Subject
Properties, and to be in an amount at least equal to the replacement cost value of the Subject Property.
Grantor will at its sole cost and expense, from time to time and at any time, at the request of State
provide State with evidence satisfactory to State of the replacement cost of the Subject Property.
Flood Insurance
If the Subject Property or any part thereof is at any time located in a designated official flood hazard
area, flood insurance insuring the buildings and improvements now existing or hereafter erected on the
Subject Property and the personal property used in the operation thereof in an amount equal to the
lesser of the amount required for property insurance identified in §vi above or the maximum limit of
coverage made available with respect to such buildings and improvements and personal property under
applicable federal laws and the regulations issued thereunder.
Builder's Risk Insurance
This subsection shall apply if Grant Funds are provided for construction or rehabilitation of real property.
Grantee, Subgrantee and/or Subcontractor shall purchase and maintain property insurance written on a
builder's risk"all-risk" or equivalent policy form in the amount of the initial construction/ rehabilitation
costs, plus value of subsequent modifications and cost of materials supplied or installed by others,
comprising total value for the entire Project at the site on a replacement cost basis without optional
deductibles. Such property insurance shall be maintained, unless otherwise agreed in writing by all
persons and entities who are beneficiaries of such insurance, until final payment has been made or until
no person or entity other than the property owner has an insurable interest in the property.
a) The insurance shall include interests of the property owner, Grantee, Subgrantee,
Subcontractors in the Project as named insureds.
b) All associated deductibles shall be the responsibility of the Grantee, Subcontractor and
Subgrantee. Such policy may have a deductible clause but not to exceed $10,000.
c) Property insurance shall be on an "all risk" or equivalent policy form and shall include, without
limitation, insurance against the perils of fire (with extended coverage)and physical loss or
damage including, without duplication of coverage, theft, vandalism, malicious mischief,
collapse, earthquake, flood, windstorm,falsework, testing and startup, temporary buildings
and debris removal including demolition occasioned by enforcement of any applicable legal
requirements, and shall cover reasonable compensation for Grantee's, Subgrantee's and
Subcontractor's services and expenses required as a result of such insured loss.
d) Builders Risk coverage shall include partial use by Grantee and/or property owner.
e) The amount of such insurance shall be increased to include the cost of any additional work to
be done on the Project, or materials or equipment to be incorporated in the Project, under
other independent contracts let or to be let. In such event, Subgrantee and Subcontractor
shall be reimbursed for this cost as his or her share of the insurance in the same ratio as the
ratio of the insurance represented by such independent contracts let or to be let to the total
insurance carried.
Pollution Liability Insurance
If Grantee and/or its Subgrantee or Subcontractor is providing directly or indirectly work with
pollution/environmental hazards, they must provide or cause those conducting the work to provide
Pollution Liability Insurance coverage. Pollution Liability policy must include contractual liability
coverage.The policy limits shall be in the amount of$1,000,000 with maximum deductible of$25,000 to
be paid by the Grantee's Subcontractor and/or Subgrantee.
Miscellaneous Insurance Provisions
Certificates of Insurance and/or insurance policies required under this Grant shall be subject to the following
stipulations and additional requirements:
Deductible
Any and all deductibles or self-insured retentions contained in any Insurance policy shall be assumed
by and at the sole risk of the Grantee, its Subgrantees or Subcontractors,
In Force
If any of the said policies shall fail at any time to meet the requirements of the Grant as to form or
substance, or if a company issuing any such policy shall be or at any time cease to be approved by
Jeisi0,1 ;- _
the Division of Insurance of the State of Colorado, or be or cease to be in compliance with any stricter
requirements of the Grant, the Grantee, its Subgrantee and its Subcontractor shall promptly obtain a
new policy.
Insurer
All requisite insurance shall be obtained from financially responsible insurance companies, authorized
to do business in the State of Colorado and acceptable to Grantee,
Additional Insured
Grantee and the State shall be named as additional insureds on the Commercial General Liability and
Automobile Liability Insurance policies (leases and construction Grants require additional insured
coverage for completed operations on endorsements CG 2010 11/85, CG 2037, or equivalent).
Primacy of Coverage
Coverage required of Grantee, Subgrantees and Subcontractors shall be primary over any insurance or
self-insurance program carried by Grantee or the State.
Cancellation
The above insurance policies shall include provis'ms preventing cancellation or non-renewal without at
least 45 days prior notice to the Grantee and Grantee shall forward such notice to the State in
accordance with §16 (Notices and Representatives)within seven days of Grantee's receipt of such
notice.
Subrogation Waiver
All insurance policies in any way related to this Grant and secured and maintained by Grantee or its
Subgrantees and Subcontractors as required herein shall include clauses stating that each carrier shall
waive all rights of recovery, under subrogation or otherwise, against Grantee or the State, its agencies,
institutions, organizations, officers, agents, employees, and volunteers.
Certificates
Each of Grantee's subcontractors and subgrantees shall provide certificates showing insurance coverage
required hereunder to Grantee within seven business days of the Effective Date, but in no event later than the
commencement of the Services or delivery of the Goods under the subcontract or subgrant. No later than 15
days prior to the expiration date of any such coverage, each subcontractor or subgrantee shall deliver to
Grantee certificates of insurance evidencing renewals thereof upon request by the Department or at any other
time during the term of a subcontract or subgrantee, Grantee may request in writing, and the subcontractor or
subgrantee shall thereupon within 10 days supply to Grantee, evidence satisfactory to Grantee and the
Department of compliance with the provisions of this section.
I agree to provide proof of, and maintain the insurance as described above
Pmtem JUN 10 2014
Signature, Chief Elected Official/Executive Director/President Date
ATTACHMENT I
PROCEDURES TO DETECT FRAUD, WASTE, AND ABUSE OF FUNDS
The Department of Local Affairs Accounting and Financial Services unit will ensure that anti-fraud communications--
brochures and posters--are distributed and prominently displayed throughout the department and regional offices. The
communications will include a fraud tip line to the State Auditor's Office. All contracts will require any fraud, waste or
abuse be immediately reported to the State.
At a minimum, the State will require that all CDBG-DR applicants submit documentation supporting their funding
request and certify that all reported information is complete and accurate. State application review staff will work
closely with applicants to review project budgets, financial projections, and other supporting documentation; conduct
preliminary site visits; and complete other tasks to fully vet the application and ensure that CDBG-DR funds are
responsibly awarded to projects that are necessary and feasible.
a. The State conducts monitoring in a number of ways throughout the term of a contract. DOH Contract
managers have the primary responsibility to monitor on behalf of the State. Desk monitoring includes review
of supporting documentation and recipient certifications and occurs on an on-going basis during the term of
a contract. A full on-site monitoring including a site visit and inspections (if applicable),file review, and
administrative review will occur at least once for every contract, and more frequently for higher risk awards
or to monitor specific requirements, such as Davis Bacon. Additionally, long-term monitoring and reporting
will be required to ensure no duplication of benefits occurred and that any long-term affordability
requirements are met. All subrecipients, sub-contractors, sub-subrecipients and developers certify their
agreement to the State's Monitoring Policies and Procedures in their acceptance of the grant or loan terms.
b. DOH Contract managers will complete desk monitoring at least quarterly for every contract. On-site
monitoring will occur at least annually during the term of the contract, or as often as quarterly for high risk or
troubled projects as defined in the grant or loan contract. Long term monitoring will occur annually. The
CDBG monitoring checklists will be received by and agreed to by the applicant in conjunction with their
acceptance of the grant or loan terms.
c. DOH monitors its recipients via monthly performance, financial, and beneficiary reports. Requests for
payment are reviewed and approved by contract managers, the CDBG-DR Manager, and Accounting and
Financial Services prior to disbursement of funds to verify the payment is documented as eligible. Contract
managers conduct on-site monitoring, which includes a review of the recipient's administration to ensure all
federal and State requirements were met, including program-specific and cross cutting requirements(e.g.
Davis Bacon, Section 3); a file review to confirm all beneficiaries of funds were documented as eligible; and
a site visit and inspections to determine that any construction or rehabilitation adhered to the required
standards, as agreed to by the applicant in conjunction with their acceptance of the grant or loan terms.
DOH contract managers will follow internal review procedures described above and in greater detail in the Monitoring
Procedure, to ensure every payment disbursed is documented as eligible and reasonable. These same procedures
will be applied by Responsible Administrators of executed grant or loan agreements. Following contract manager
approval, the DR Manager will review requests for payment and enter them into HUD's Disaster Recovery and Grant
Reporting (DRGR) System, as required for all disaster programs. DOLA Accounting and Financial Services will review
payment requests for eligibility and appropriateness, and must approve each disbursement of funds. The State will
contract with a third party auditor to review 10% of CDBG-DR contracts to ensure no fraud, waste or abuse of CDBG-
DR funds. Contracts for review by the third party auditor will be randomly selected. Any such activity uncovered at any
level of review will be immediately reported to HUD, by the State, subrecipient, subcontractor, sub-subrecipient or
developer.
The applicant, Weld County , certifies acceptance of responsibility to adhere to the Procedures to Detect
Fraud, Waste, and Abuse of Funds, and assumes responsibility for adherence by any and all subcontractors or sub-
subrecipients to the program.
Protem JUN 10 2014
Signature, Chief Elected Official/Executive Director/President Date
Form W-9 Request for Taxpayer Give Form to the
(Rev.August 2013) Identification Number and Certification requester.Do not
Interned• ant of Revenue Treasury send to the IRS.
Name(as shown on your Income tax return)
County of Weld
of Business namelthsregarded entity name,if different from above
Check appropriate box for federal tax classification: Exemptions(see Instructions):
❑IndividuaVsola proprietorC Corporation
a p p 0 ❑S Corporation 0 Partnership 0 Trust/estate
IExempt payee code(If any)
0 Limited liability company.Enter the tax classification(C=C corporation,S=S corporation,P=partnership)► Exemption from FATCA reporting
g code(if any)
.e l= Other(see instructions)► Government
o. a •
'Fa Address(number,street,and apt,or suite no.) Requests name and address(opticna6
& 1150"O"Street,P.O. Box 758
► City,state,and ZIP code
a Greeley,CO 80632
List account number(s)here(optional)
•
Part I Taxpayer Identification Number(TIN)
Enter your TIN in the appropriate box.The TIN provided must match the name given on the"Name'line I Social security number
to avoid backup withholding.For individuals,this Is your social security number(SSI).However,for a
resident alien,sole proprietor,or disregarded entity,see the Part I Instructions on page 3.For other — —
entities,it Is your employer identification number(EIN).If you do not have a number,see How to get a
71N on page 3.
Note.If the account is in more than one name,see the chart on page 4 for guidelines on whose Employer identification number
number to enter. •
8 4 - 6 0 0 0 8 1 3
Part II Certification
Under penalties of perjury,I certify that:
1. The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me),and
2. I am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue
Service(IRS)that I am subject to backup withholding as a result of a failure to report all Interest or dividends,or(e)the IRS has notified me that I am
no longer subject to backup withholding,and
3. I am a U.S.citizen or other U.S.person(defined below),and
4.The FATCA code(s)entered on this form(if any)indicating that I am exempt from FATCA reporting is correct.
Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding
because you have failed to report all Interest and dividends on your tax return.For real estate transactions,item 2 does not apply.For mortgage •
Interest paid,acquisition or abandonment of secured property,cancellation of debt,contributions to an individual retirement arrangement(IRA),and
generally,payments other than interest and dividends,you are not required to sign the certification,but you must provide your correct TIN.See the
instructions on page 3. ^^-- ����ee nn
Sign Signature ofe.--g
' /at4Y �O/3 l�3
Here M.S.person loDate►
General Instructions w thhoding tax on foreign partners'share of effectively connected income,and
4.Certify that FATCA code(s)entered on this form Qf any)indicating that you are
Section references are to the Internal Revenue Code unless otherwise noted. exempt from the FATCA reporting,is correct.
Future developments.The IRS has created a page on IRS.gov for information Note,It you are a U.S.person and a requester gives you a form other than Form
about Form W-9,at www.lrs.govAv9 Information about any future developments W-9 to request your TIN,you must use the requester's form if it is substantially
effecting Form W-9(such as legislation enacted after we release it)will be posted similar to this Form W-9.
on that page.
Definition of s U.S.person.For federal tax purposes,you are considered a U.S.
Purpose of Form person ifyou are:
A person who is required to file an information return with the IRS must obtain your •Ni IndNldual who Is a U.S.citizen or U.S.resident alien, •
correct taxpayer identification number(Rf')to report,for example,Income paid to •A partnership,corporation.company,or association created or organized in the
you,payments made to you In settlement of payment card and third party network United States or under the laws of the United States,
transactions,real estate transactions,mortgage interest you paid,acquisition or •
abandonment of secured property,cancellation of debt,or contributions •An estate(other than a foreign estate),or
you made
to an IRA. •A domestic trust(as defined in Regulations section 301.7701-7).
Use Form W-9 only if you area U.S.person(including a resident alien),to Special rules for partnerships.Partnerships that conduct a trade or business in
provide your correct TIN to the person requesting it(the requester)and,when the United States are generally required to pay a withholding tax under section
applicable,to: 1446 on any foreign partners'share of effectively connected taxable income from
1.Certify Met the TIN you are giving is correct(or you are waiting for a number such business.Further,in certain cases where a Form W-9 has not been received,
the rules under section 1446 require a partnership to presume that a partner is a •
to be issued), foreign person,and
2.Certify thatpay the section pn 1446 conducting d Therefore,if you are a
y you are not subject to backup withholding,or U.S.person that Is a partner in- partnership rshipt a trade or business In the
3.Claim exemption from backup withholding if you are a U.S.exempt payee.ff United States,provide Form W-g to the partnership to establish your U.S.status
applicable,you are also certifying that as a U.S. and avoid section 1446 withholding on your share of partnership income.
PP ty B person,your allocable share of
any partnership income from a U.S.bade or business is not subject to the
Cat.No.10231X Form W-9(Rev.6-2013)
WELD COUNTY
1861 PHONE: 970-353-7437
r ; FAX: 970-353-7463
,j �' „ 903 6TH STREET
T �I P.O. BOX 130
1 p U N T YA GREELEY, COLORADO 80632
ATTACHMENT K
Date:
WHEREAS, the Weld County Government has approved an application to the Colorado Department
of Local Affairs/Division of Housing for funds for CDBG-DR Flood Recovery ; and
WHEREAS, the Weld County Government certifies by
x Board Resolution Bylaws Policy Other:
(please attach backup documentation)
that the person named below has full signatory authority in regard to all contracts and corresponding
documents associated with agreements entered into by Weld County Government_
Mike Freeman
Name of Authorized Signatory
Chair_PRO-TEM
Title
� rlaprr o, JUN 10 2014
Signature
Furthermore, if applicable, this statement certifies and hereafter delegates Thomas Teixeira Executive
Director WCHA , an agent of Weld County for the purpose of authorizing and signing:
x Payment Requests
x Monthly/Quarterly Financial Status Reports
x Monthly/Quarterly Project Performance Reports
x Monitoring Documents
Other
DOH Asset Manager will complete the following
The above designation will commence on the date of this statement and will apply for the duration of the
Contract(s):
Contract Encumbrance Number or Reference
ATTACHMENT L
MODEL CHECKLIST
SECTION 504 - SELF-EVALUATION
A self-evaluation plan is required of all recipients and subrecipients of federal funds. It also applies to any person to
whom federal financial assistance is extended for any program or activity directly or through another recipient,
including any successor, assignee, or transferee of a recipient, but excluding the ultimate beneficiary of the assistance.
Through the self-evaluation, the agency identifies and changes policies or practices that discriminate against qualified
individuals with handicaps so that individuals with handicaps can participate fully in the agency's programs and
activities.
The process itself should:
A) Review the inventory of programs and activities conducted by the agency.
B) Collect and document the policies and practices that govern the administration of the agency's programs
and activities. An agency's policies may be in the form of regulations, administrative manuals, memoranda, or
simply be a matter of customary practice. Some policies may not be written down at all. It is important that this
review be complete, both to ensure that all relevant policies are identified and to enable the agency to identify
potential problem areas when no policy exists.
C) Analyze how the agency's policies and practices affect individuals with handicaps who seek to participate
in the agency's programs and activities. In this analysis, the agency must take into account the fact that
discrimination can happen not only as a result of what is in its policies, but also as a result of what is not in its
policies.
D) Make and document changes and additions to agency policy. The changes required by the self-evaluation
process should not require an extended period of time to complete.
E) Obtain comments on the draft self-evaluation from individuals with handicaps and other interested persons.
Based on these comments, the self-evaluation should be revised as necessary, put in final form, and fully
implemented. Periodically, it should be reviewed and updated to ensure that new policies are not discriminatory
and handicapped individuals continue to be able to participate fully in the agency's programs.
The following checklist was designed to assist smaller agencies in fulfilling the self-evaluation requirement. In
developing answers to the following questions, your agency will be preparing most of the information that Section 504
requires. It should assist you in pinpointing areas where action is likely to be required to achieve compliance with
Section 504. It should be emphasized, however, that this checklist is not intended as a substitute for individual
judgment or analysis of the pertinent regulations issued pursuant to Section 504. Any information in this
checklist cannot be used as a sole basis for determining compliance with Section 504. For more detailed
information on accessibility standards, please visit the Americans with Disabilities Act, ADA Title III Technical
Assistance Manual Covering Public Accommodations and Commercial Facilities http://www.ada.gov/taman3.html or
the Uniform Federal Accessibility Standards website at http://www.access-board.qov/ufas/ufas-html/ufas.htm
If you have further questions, please contact:
Justin A. Hamel
Federal Grants Program Manager
Colorado Department of Local Affairs
Division of Local Government
1313 Sherman Street, Room 521
Denver, CO 80203-2244
303-864-7745
lustin.hamel(&state.co.us
ATTACHMENT M
ACTIONS TO AFFIRMATIVELY FURTHER FAIR HOUSING
Grantees are required to and must certify that they will "affirmatively further fair housing" at the time of application.
This means that grantees are not only prohibited from discriminating with respect to employment, program benefits
and housing, but are also required to take "affirmative action" to promote fair housing for minorities and women in their
communities.
x § Post "equal housing opportunity" posters and/or decals in conspicuous places. (In the case of a housing
rehabilitation program, these posters/decals shoulu be placed at the location(s) where applications for
assistance are received.)
x § include information about fair housing in materials used to familiarize the community with local CDBG
program services.
The following are some suggested actions that Grantees may take as ways to promote fair housing in their
communities and thereby comply with the certification/requirement to take affirmative action in this regard.
Please indicate the actions your agency took that are considered to"affirmatively further fair housing:"
When conducting outreach both English and Spanish written materials are used
Radio outreach is conducted on both English and Spanish Radio Stations
We are members and participate in the Weld County Apartment Association. Two meeting ago a
presentation was made by two HUD employees from HUD office of Civil Rights
We work with the East Africa Community in their efforts to assist Somalia refugees in our community.
x§ include statements of fair housing policies in local CDBG program goals, objectives and administrative
procedures.
x § Use "equal housing opportunity" slogan and logo on official letterhead and in all printed materials related
to the local CDBG program.
❑ § Publish a summary of the provisions of Title VIII of the Civil Rights Act of 1968 (the "Fair Housing Act") in
local newspapers.
x§ Sponsor fair housing seminars and campaigns. The State Civil Rights Division (303-894-2997) can
provide experienced trainers, as well as slide and video tape presentations, for local or regional fair
housing workshops.
❑ § Work with local real estate brokers to end any identified discriminatory practices and to post "equal
housing opportunity" notices or decals.
❑ § Work with local lending institutions to end identified "redlining" practices and to post "equal lending
opportunity" notices.
❑ § Work with minority and women leaders in the community to promote housing development and increase
minority and female participation.
x § Assist local Housing Authorities, builders, developers and property owners in developing outreach
programs to attract minorities and females.
❑ § Create and/or provide financial support for a local Housing Authority.
❑ § Conduct special studies to ensure that minority and female housing needs are adequately identified.
❑ § Review zoning ordinances and comprehensive plans to ensure that they promote spatial de-concentration
of assisted housing units.
❑ § Make local government-owned property outside of areas of concentration available for the construction of
assisted housing, particularly for large families.
O § Designate a fair housing coordinator and publicize that the local government will assist persons
experiencing discrimination in housing. Such assistance can be in the form of facilitating the filing of a
complaint with the State Civil Rights Commission/Division or the State Real Estate Commission.
x § Provide housing counseling services which assist minorities and women seeking housing outside areas of
concentration.
❑ § Develop and adopt a Fair Housing Ordinance with identification of methods of enforcement
❑ § Support fair share housing allocation plans.
❑ § Adopt a code enforcement ordinance that compels landlords to keep their housing in safe and sanitary
condition.
❑ § If fair housing programs or services were previously instituted and are still available, publicize that these
programs or services are available.
Other Comments:
To the best of my knowledge and belief, the statements made in this self-evaluation are true and correct and its
submission has been authorized by the board of the agency I represent.
Signature of erson CoMpleting Form
Attachment N
AFFIRMATIVE FAIR HOUSING
MARKETING GUIDE
2014
A
E0lll1 HOUSING
OPPORTUNITY
Greeley/Weld Housing Authorities
903 6th Street
Greeley,CO 80631
(970)353-7437(phone)
(970)353-7463(fax)
TABLE OF CONTENTS
Affirmative Fair Housing Marketing Policy
• Overview
• Greeley/Weld Housing Authorities Minimum Affirmative Fair Housing
Marketing Plan Requirements
• Implementation of Affirmative Fair Housing Marketing Plan
• Exhibit A - Legal Basis for Affirmative Fair Housing Marketing
• Exhibit B —Affirmative Fair Housing Marketing (AFHM) Plan— Multifamily
Housing - Form HUD-935.2A
AFFIRMATIVE FAIR HOUSING MARKETING POLICY
OVERVIEW OF AFFIRMATIVE FAIR HOUSING MARKETING
Provisions to affirmatively further fair housing (AFFH) are key, long-standing
components of the U. S. Department of Housing and Urban Development's (HUD's)
housing and community development programs. These provisions came from a mandate
of the Fair Housing Act, which requires the Secretary of HUD to administer the
Department's housing and urban development programs in a manner that "affirmatively
furthers fair housing". Affirmatively furthering fair housing means promoting access to
fair housing and housing choices for all persons equally, and without the threat of
housing discrimination.
An Affirmative Fair Housing Marketing Policy provides information, through marketing
efforts, about the availability of housing in a way that does not discriminate on the basis
of race, color, national origin, sex, religion, familial status (persons with children under
the age of 18 and pregnant women included), or disability. This marketing typically
consists of a good faith effort to attract persons identified as "least likely to apply" or
who may be under-represented in a neighborhood or community in a particular housing
development. Authorities must adopt and implement such a policy and plan to address the
actions that will be taken to ensure that marketing is done in a fair and unbiased manner,
and that it provides choices to persons seeking housing. The policy and plan must also
apply to housing projects that are targeted to serve persons with special needs.
Affirmative marketing should be an integral part of the overall marketing plan for a
housing project. Through such a plan, a property owner commits to special efforts to
attract targeted populations who might not otherwise seek housing in their project and
give them greater housing choices. Affirmative marketing adds little to the cost of a
project, since most of the cost associated with affirmative marketing is already reflected
in the project's overall marketing budget.
All housing programs with, projects receiving federal funds (including Housing Choice
Vouchers
(Section 8), Low Rent Public Housing projects funded by the Community Development
Block Grant, HOME, and the Neighborhood Stabilization Program) are required to
affirmatively market their project. This requirement is intended to ensure that the
Housing Authority, design and implement a marketing plan that promotes fair housing by
ensuring outreach to all potentially eligible households,particularly those least likely to
apply for assistance
The Greeley/ Weld Housing Authorities, a recipient of Housing Choice Voucher
Funding, Low Rent Public Housing rent subsidy, Community Development Block Grant
funds, and HOME funds sets forth its policy and procedures in this guide to meet the
requirements of the U. S. Department of Housing and Urban Development's housing and
community development programs and support its commitment to non-discrimination
and equal opportunity in housing.
GREELEY/WELD HOUSING AUTHORITIES MINIMUM AFHM PLAN
REQUIREMENTS
The Greeley/Weld Housing Authorities are committed to meeting the goals of
affirmative marketing and will therefore require an implement of this policy to inform the
public, potential tenants, homebuyers, homeowners, and rental property owners of the
Greeley/Weld Housing Authorities AFHM Plan.
All AFHM Plans are required to address and provide the following items:
1. A description of how the public, owners, and potential tenants will be informed
about Federal Fair Housing Laws and the Authority's affirmative marketing
policy;
2. The requirements and practices that must adhere to in order to carry out the
Authority's affirmative marketing procedures and requirements;
3. A statement of procedures to be used to inform and solicit applications from
persons in the housing market area who are least likely to apply for the housing
without special outreach;
4. A list of what records the Authority will keep about efforts made to affirmatively
market housing, and to asses the results of these actions; and
5. A description of how the Authority will annually assess the success of affirmative
marketing actions and what corrective actions will be taken where affirmative
marketing requirements are not met.
The Authority
A. At a minimum, the Greeley/ Weld Housing Authorities, as recipient or sub-
recipient of these funds, and any other recipient of funds shall:
1. Commit to including the Equal Housing Opportunity logotype in press
releases and solicitations for participation in the program, including the
public advertisement of rental units throughout the period of affordability;
2. Display the HUD Fair Housing Poster(Exhibit B) in an area accessible to
the public—such as the Authority's office;
3. Have a written policy for referrals of housing questions and complaints to its
fair housing provider, agency or organization that can provide advice on the
state and federal fair housing laws;
4. Prior to sales or rental activity(or marketing of a TBRA, homebuyer
assistance, or rehabilitation program), the Authority shall identify a
minimum of three (3) community contacts (individuals, organizations, or
agencies) actively involved with serving low-income persons who would
benefit from special outreach efforts. Information on federally-assisted units
shall be provided to the identified groups upon request throughout out any
period of affordability.
a. Specific to rental projects: Conduct public outreach, identifying
that the rental property receiving federal assistance. This
information must include the address of the units and the address
and phone number of the Authority.
b. Specific to homebuyer projects: Conduct public outreach that
specifically targets residents of public housing, Section 8 and
manufactured housing in the housing market area.
5. Identify populations that are least likely to apply for housing without special
outreach and tailor affirmative requirements to project owners accordingly.
Because there is a growing limited English proficient (LEP) population in
Weld County, the following steps will be taken to serve the LEP population:
a. Translate marketing materials to serve LEP populations, including
populations whose primary language is Spanish or other non-
English languages;
b. Work with minority-owned print media, radio and television
stations;
c. Provide marketing materials in locations that provide free public
service announcements, such as theaters, major shopping areas,
schools, libraries, and other public locations;
d. Partner with faith-based and community organizations that serve
newly arrived immigrants; and
e. Conduct marketing activities at adult-education centers or during
"English as a second language" classes.
6. The Greeley/Weld Housing Authorities must collect and maintain
information on the sex, race, and ethnicity of program applicants to
demonstrate the results of the owner's affirmative marketing efforts.
For programs, the Authority(or its agent, if applicable) must, for the entire
period of affordability, maintain information demonstrating compliance
with items 1 and 4 (A) above.
B. In developing an Affirmative Marketing Plan (Form HUD-935.2A), the Greeley
/Weld Housing Authorities must accomplish the following:
1. Targeting: Identify the segments of the eligible population which are least likely
to apply for housing without special outreach efforts. Targeted populations may
include persons that are limited English proficient (LEP).
2. Outreach: Outline an outreach program which includes special measures
designed to attract those groups identified as least likely to apply and other
efforts designed to attract persons from the total population.
3. Indicators: State the indicators to be used to measure the success of the
marketing program. The effectiveness of the marketing program can be
determined by noting if the program effectively attracted buyers or renters who
are:
• from the majority and minority groups, regardless of gender, as
represented in the population of the housing market area;
• persons with disabilities and their families; and
• families with children, if applicable.
4. Staff Training: Demonstrate the capacity to provide training and information on
fair housing laws and objectives to project or rental staff.
5. Good Faith Effort: The Authorities are required to make a good faith effort to
carry out the provisions of their approved plan. Good faith efforts are recorded
activities and documented outreach to those individuals identified as least likely
to apply. Examples of such efforts include:
• Advertising in print and other media used by those identified as least
likely to apply, including newspapers, brochures, and other publications;
websites; radio; and television;
• Marketing housing to specific community groups or organizations
frequented by those least likely to apply, such as Weld County Human
Services, United Way of Weld County, and area non-profit agencies that
provide referral and/or other social and housing services;
• Developing brochures or handouts that describes the -assisted facility or
facilities and how it will be accessible to persons with disabilities;
• Ensuring that the Authority staff has read and understood the Fair
Housing Act, and the purpose and objectives of the AFHM Plan; and
• Developing a referral network with the local fair housing agency:
Department of Housing and Urban Development Region Denver
Regional Office of FHEO
U.S. Department of Housing and Urban Development
• 1670 Broadway
Denver, Colorado 80202-4801
(303) 672-5437
1-800-877-7353
TTY (303) 672-5248 (specify who the local agency is - HUD?).
Exhibit A
LEGAL BASIS FOR AFFIRMATIVE FAIR HOUSING MARKETING
The Fair Housing Act prohibits discrimination in the sale, rental, financing, or other
services related to housing on the basis of race, color, religion, sex, disability, familial status
or national origin. Section 808(e)(5) of this law mandates that HUD administers its programs
in a manner to affirmatively further fair housing. Section 804(f) of this law prohibits
discrimination because of the disability of individual buyers, renters and persons associated
with such buyers or renters; discrimination in the terms, conditions, privileges and services
connected with the sale or rental of dwelling units; refusal to allow the tenant to make
reasonable accommodations of existing dwellings to enable a disabled person to fully enjoy
the dwelling unit; refusal to make reasonable accommodations in rules,policies, practices or
services, when such accommodations may be necessary to afford such persons with equal
opportunity to use and enjoy the dwelling; and failure to make covered multi-family
dwellings first occupied after March 13, 1991 accessible to disabled persons. The law defines
"covered multi-family dwellings" as buildings consisting of four(4) or more units if such
building has one (1) or more elevators; and ground floor units in other buildings consisting of
four(4) or more units.
Executive Order 11063, as amended, provides that no person in the United States because of
race, color, religion(creed), sex or national origin, shall be denied equal opportunity in
housing or related facilities owned, operated or insured by the Federal Government or
provided with federal financial assistance; and that all Federal Executive Departments and
agencies shall take action to promote the abandonment of discriminatory practices for:
Residential property and related facilities endowed with federal financial
assistance, and
The lending practices connected with such property and facilities insofar as such
practices relate to loans insured or guaranteed by the Federal Government.
Section 504 of the Rehabilitation Act of 1973, as amended,provides that no otherwise
qualified individual with disabilities in the United States shall, solely by reason of disability,
be excluded from participation, be denied the benefits of, or be subjected to discrimination
under any program or activity receiving Federal assistance.
"AFHM Regulations" (24 CFR Part 200, Subpart M) sets forth requirements for AFHM
under HUD-subsidized and unsubsidized housing programs that received a conditional
commitment after February 15, 1972. These regulations require submission of a Plan and
outline the components of the AFHM Program(see Section 200.600 of the AFHM
Regulations).
The Greeley/Weld Housing Authorities. The Authority has adopted a requirement for
affirmative marketing of housing for all activities.
ATTACHMENT 0
EXCESSIVE FORCE POLICY
WELD COUNTY SHERIFF DEPARTMENT
USE OF FORCE
400.3 CROWDS, EVENTS AND GATHERINGS
Deputies may encounter gatherings of people, including but not limited to,civil demonstrations, civic,social and business
events, public displays,parades and sporting events. Deputies should monitor such events as time permits in an effort to
keep the peace and protect the safety and rights of those present. A patrol supervisor should be notified when it
becomes reasonably foreseeable that such an event may require increased monitoring,contact or intervention.
Deputies responding to an event or gathering that warrants law enforcement involvement should carefully balance the
speech and association rights of those present with applicable public safety concerns before taking enforcement action.
Deputies are encouraged to contact organizers or responsible persons to seek voluntary compliance that may address
relevant public safety/order concerns. It is policy of the Weld County Sheriffs Office that law enforcement officers shall
not use excessive force against individuals engaged in lawful and nonviolent civil rights demonstrations.
Deputies should consider enforcement of applicable state and local laws when the activity blocks the entrance or egress
of a facility or location and when voluntary compliance with the law is not achieved.
ATTACHMENT P
PROCEDURE TO ENSURE TIMELY EXPENDITURE OF FUNDS
PROCEDURE
a. Application
i. Assess applicant capacity to carry out proposed project and complete on time
H. Project readiness to proceed as condition of award
iii. Other funding sources committed as condition of award
iv. Schedule of expenditures
b. Award letter
i. Timely expenditure as condition of award
c. Contract— 1 year term
i. Budget and payment schedule — projected use and timeline for expenditure of funds
ii. Performance measures
1. Project Performance Plan — milestones and target dates
iii. Penalties
1. If PPP milestones are missed, State may determine that project is not proceeding
timely and
a. Provide technical assistance to get the project on track,
b. De-obligate the remainder of funds, or
c. Terminate the contract, de-obligate the remainder of the funds, and potentially
recapture funds
d. Monitoring
i. Quarterly or monthly performance reports
1. Financial status report—funds expended and projected to be drawn in the
following quarter/month
2. Project performance plan — milestones accomplished and target dates
ii. Risk-based on-site monitoring (based on award amount, recipient capacity, adherence to
performance measures and timeline)
iii. On-site monitoring prior to project completion
e. Internal expenditure tracking
i. The following tracking methods are used and reconciled monthly
1. Monthly review and tracking of recipient expenditures in internal database
a. Quarterly or monthly recipient reports
i. Financial status reports
ii. Project performance plans
iii. Requests for payment
2. Quarterly reports to HUD submitted in DRGR
3. Independent tracking mechanisms to record and track monthly expenditures,
receipts, and progress toward the budgeted goals for each contract, and for the
grant as a whole
f. Recapture and reprogramming
i. Upon full obligation of CDBG-DR funds, the State will maintain a prioritized queue of
eligible projects to be assisted if funds are reprogrammed or recaptured or additional funds
are received
1. The State will maintain separate lists, by jurisdiction, for each eligible category of
housing, infrastructure, or economic development
2. Upon reprogramming funds, the State will attempt to award funds to projects within the
same category and jurisdiction in which the reprogrammed funds were originally
awarded
a. At a minimum, the State will ensure the three most impacted counties receive 80% of
the total CDBG-DR allocation, as required
Version 8-12
b. If funds are reprogrammed between categories or in any other way that will require an
Action Plan amendment, the State will follow the required process
RESPONSIBLE PERSONNEL
a. State of Colorado allocation oversight
i. The Department of Local Affairs, Executive Director's Office
1. CDBG DR Program Manager—overall program management including PPP
2. Accounting and Financial Services —fiscal control
3. Communications
b. Housing
i. Department of Local Affairs, Division of Housing
1. Housing development specialists—application review and underwriting
2. Contract managers—contract monitoring and completion
3. Program manager—oversight and tracking progress toward overall grant
expenditure goals
The applicant, Weld County Government , certifies acceptance of responsibility to adhere to the
Procedures to Ensure the Timely Expenditure of Funds, and assumes responsibility for adherence by any
and all subcontractors or sub-subrecipients to the program.
` � � Wei n JUN 10 2014
Signature, Chief Elected Official/Executive Director/President Date
iersion a-12
ATTACHMENT Q
TEMPORARY RENTAL ASSISTANCE AND RELOCATION POLICIES AND
PROCEDURES
The Rental Certificate model for Temporary Rental Assistance assumes (1) a fixed tenant payment, and
(2)a fixed maximum rent the owner may charge for an eligible unit. In this model, the household's share
of housing costs (called the Total Tenant Payment or TTP) is calculated by formula. The household pays
the greatest of 30 percent of monthly-adjusted income or 10 percent of monthly gross income. The
Contractor pays the difference between the Total Tenant Payment and the approved gross rent and
utilities for the unit. Exhibit 1 demonstrates this method.
The program is available to renter and homeowner households. The calculation of adjusted monthly
income will be completed for all households using the Section 8 Part 5 calculation method. For any
impacted household with
p a home loan the amount of the monthly mortgage payment will be factored in
AFTER the adjusted
sled income calculation so as to inclu
de ude the cost of the mortgage in cost for the family to
maintain residence. The amount of the mortgage payment will be added to the cost of monthly living
expense in concert with any temporary rental payment. The maximum assistance amount cannot exceed
the cost of the temporary rent.
Exhibit 1 —Calculating Tenant and Contractor Payments Using Rental Certificate Model
The Smiths have been awarded Temporary Rental Assistance toward a two-bedroom unit. Their annual
adjusted income is $18,300. They find a unit that rents for$725 and includes all utilities.
The Contractor must use CDBG-DR funds to pay the
The Smiths must pay the greater of: difference between the tenant's share and the approved
rent.
$458 30% of adjusted monthly Approved Rent $725
income Less Total Tenant Payment $458
($18,300 divided by 12 x 0.30) Contractor/CDBG-DR Share of the Rent $267
$188 10% of gross monthly income
($22,500 divided by 12 x 0.10)
The tenant is limited to choosing units that do not exceed the Division of Housing Payment Standards
which are based on 90-110% of Fair Market Rents developed by the Department of Housing and
Urban Development, and as specified in the State of Colorado CDBG-DR Action Plan. The Contractor
must determine that the rent is reasonable in comparison to the rent charged for comparable,
unassisted units in the area. The gross rent(contract rent plus utility allowance)cannot exceed the
payment standard for the appropriate unit size.
This model is based on an assumption that an appropriate contribution toward housing costs is 30
percent of monthly-adjusted income for all households. The household's share of the rent will never
exceed the amount required by the formula.
If the household finds a unit that rents for more than the payment standard, the unit must be rejected
unless an exception is approved. Households do not have the choice of paying an amount higher
than is required by the formula in order to rent a more expensive unit.
Exhibit 2—Calculating Tenant and Contractor Payments Where Tenant Is a Mortgaged
Homeowner
The Davis family owns a home that has been flooded and is being repaired with a combination of FEMA
and CDBG-DR funds. The family has been awarded Temporary Rental Assistance toward a two-
bedroom unit. Their annual adjusted income is $18,300. Their monthly mortgage payment is$300. They
find a unit that rents for$725 and includes all utilities.
The Contractor must use CDBG-DR funds to pay the
The Smiths must pay the greater of: difference between the tenant's share and the approved
rent.
$158 30% of adjusted monthly income Approved Rent $725
minus mortgage payment Less Total Tenant Payment 158
($18,300 divided by 12 x 0.30 - Contractor/CDBG-DR Share of the Rent $567
$300)
$0 10% of gross monthly income
minus mortgage payment
($22,500 divided by 12 x 0.10 -
$300)
Impact of Unit Size on the Subsidy
Under the Rental Certificate model, the payment standard for the bedroom size authorized is used if the
participant selects a larger unit, and if they select a smaller unit.
When a Larger Unit is selected:
The Smith family has been authorized assistance for a two-bedroom unit(payment standard $350); 30
percent of the household's adjusted monthly income is $150. The family selects a three-bedroom unit that
rents for$375.
The family would be unable to select this unit unless the Contractor approved an exception rent. Exceptions
may be approved for rents up to 120% of the area FMR. If the Contractor approved an exception, the family
would pay$150 and the Contractor would pay$225.
When a Smaller Unit is selected:
The Jones family has been authorized assistance for a two-bedroom unit(payment standard $350); 30
percent of the household's adjusted monthly income is $150. The family selects a one-bedroom unit that
rents for$275 (payment standard $300).
Using the Certificate model, the family would pay$150 and the Contractor would pay$125.
Utility Allowances
The Contractor must consider how utilities will be paid. The household's contribution is intended to cover
both rent and utilities. If all utilities are included in the rent, the household's entire contribution goes to the
owner. However, this is rarely the case. Most households pay separately for at least some utilities. In such
cases, the Contractor must determine how much of the household's contribution should go to pay utilities
and how much to the owner.
Contractors must apply the utility allowance schedule of the Colorado Division of Housing utility allowance
schedule, which estimates the average cost of utilities for typical types of housing (single family, row house,
high rise, etc.) by unit size and for various utilities (natural gas, propane, electricity, etc.). Utilities included in
the schedule are those required for water/sewer, cooking, heating, lighting, and trash collection. Telephone,
internet and cable/satellite TV are not considered utilities for this purpose. Exhibit 4 illustrates how the utility
allowance is used.
Exhibit 3—Using Utility Allowances
The Brown family's annual adjusted income is $12,000; their Total Tenant Payment(TTP) is $300 (12,000 divided
by 12 months x .30). The family selects a unit that rents for$575; the Contractor determines the rent for the unit is
reasonable and the gross rent(rent plus utility allowance) meets the payment standard. Gas and electricity must
be paid separately.
1. The utility allowance schedule shows the average cost of electricity and gas for the unit size and housing type
selected is $75.
2. The family makes its tenant contribution as follows:
$300 Total Tenant Payment(30% of adjusted income)
-$75 Utility Allowance
$225 Tenant Rent
3. The Contractor pays the difference between the rent the owner is charging and the amount paid by the tenant:
$575 Rent to Owner
-$225 Tenant Rent
$350 Contractor subsidy
Utility Reimbursements
Sometimes Contractors must make a utility reimbursement to the household, as well as a payment to the
owner. This occurs whenever the household's share of housing costs is insufficient to cover expected utility
costs. Exhibit 5 illustrates this situation.
Exhibit 4—Utility Reimbursements
Sally Green's annual adjusted income is$2,000; the monthly-required contribution is$50(2,000 divided by 12
months x .30). She selects a unit that rents for$575; the Contractor determines the rent for the unit is
reasonable and the gross rent(rent plus utility allowance) meets the payment standard. Gas and electricity mus
be paid separately.
The Contractor's utility allowance schedule shows the average cost of electricity and gas for the unit size and
housing type selected as $75.
The full tenant contribution or household's share of housing costs is used to pay gas and electricity. The tenant
makes no contribution to contract rent.
The Contractor pays:
$575 Rent to owner
25 Utility reimbursement to tenant(175 utilit allowance less $50 required contribution)
I $600 Contractor subsidy
Deposit Assistance
Deposits may be provided as a grant to households at or below 80% of Area Median Income (AMI).
Contractors can decide to provide security and utility deposit assistance Y p to all eligible participants of
Temporary Rental Assistance or require a separate determination of need. Security deposit payments may
be made to the household or to the owner; utility deposits to the household or the appropriate utility
company.
Security Deposits
The amount of security deposit paid should be based upon local market practice. However, the maximum
amount of a security deposit is the equivalent of two months' rent for the unit. Only the prospective tenant,
not the owner, may apply for security deposit assistance.
Utility Deposits
Utility deposits may be made in conjunction with the provision of Temporary Rental Assistance or security
deposit programs, but cannot be operated separately as a "stand alone" program. Utility deposits may be
paid for any of the tenant-paid utility services included on the utility allowance schedule. This includes fuel
for cooking, heating and lighting (electric, gas, propane, etc.), and water/sewer and trash collection, if not
provided as a city service, but does not include telephone or cable deposits.
Limitations on the Amount of Subsidy Provided
1. The rent assistance provided by the Contractor may not exceed the difference between the
Fair Market Rent payment standard and 30 percent of the household's monthly-adjusted
income.
2. Contractors may establish a minimum household contribution, expressed as 30% of adjusted
monthly income, 10% of gross monthly income, or a flat rate.
3. Security and utility deposits must be "reasonable" (e.g. not more than two months of rent) and
consistent with local market practices.
4. Each subsidy contract cannot exceed 12 months. However, assistance on behalf of an
individual household can be extended up to 24 months, within the timeframe of availability of
CDBG-DR funds, at the contractor's option, if the participant has not utilized the full amount
of their awarded Temporary Rental Assistance.
The applicant, (name) , certifies acceptance of responsibility to adhere to the Temporary
Rental Assistance and Relocation Policies And Procedures, and assumes responsibility for adherence by
any and all subcontractors or sub-subrecipients to the program.
p/Ctmm
JUN 10 2014
Signature, Chief Elected Official/Executive Director/President Date
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