HomeMy WebLinkAbout2015-118Form SC -60, Effective April, 2015
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(Name of Local Government)
Housing Rehabilitation
Commercial Revitalization
Economic Development
Neighborhood Revitalization
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Federal Fiscal Year 2014
June 22, 2015
Application Due Date:
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Mailing Address:
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8 — Certification and Score Summary (Required)
7 — Neighborhood Revitalization
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3 — Sources and Uses of Non-CDBG Funds
2 — Application Profile and General Scoring Criteria (Required)
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Local Government Contact Information:
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Application Profile — Table G-1 (Continued)
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Local Government's LMI Population: 34,800
4,000 — and above
1,250 — 3,999
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LMI Population
Subgrant Funding Request:
The maximum funding request for Neighborhood Revitalization, Commercial Revitalization and Housing Rehabilitation subgrants is based on the
jurisdiction's LMI population as determined by HUD. Please see the table below. The maximum subgrant funding request for Economic
Development subgrants is $1,500,000, and the cost per job created must be less than $35,000. At the bottom of the left column, enter the actual
LMI population. (Data available on CDBG website.) At the bottom of the right column, enter the actual subgrant amount being requested.
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Subgrant Funds Being Requested: $ 750,000.00
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Application Profile — Table G-1 (Continued)
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Grant Preparation Costs
The applicant may request subgrant funds for the cost of application preparation. See instructions if funds are requested.
Does the applicant wish to request subgrant funds for the cost of application preparation? If yes, documentation must be
included in Appendix F of Part 9.
Amount: $
National Flood Insurance Program
Is the applicant currently participating in the National Flood Insurance Program?
State of Financial Emergency
Is the local government currently identified as being in a State of Financial Emergency pursuant to Section 218.50 —
218.504, Florida Statutes?
Check at http://www.leg.state.fl.us/cgi-bin/View_Page.pl?File=financial-
emergencies.cfm&Directory=committees/joint/Jcla/&Tab=committees
Interlocal Agreement
Will project activities require an interlocal agreement? If yes, the interlocal agreement(s) must be provided in Appendix J
of Part 9. (See instructions.)
Historic Preservation
Will the project impact a building, public improvement or planned open space that is 50 or more years old? If yes,
documentation must be provided in Appendix L of Part 9. (See instructions.)
Answer the following questions by clicking on the correct check box.
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MET NEED - The proposed CDBG project consists of the following met need activities:
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64th Ave, 63rd Ct, 63rd
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Install new sewer
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84th St 64th Ave, 63rd
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$417,000 Non-CDBG
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New Flood and Drainage
New Sewer Hookups
New Sewer Mains
Activity
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$30,000
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Applicant's Percentage of Minority
Employees
8.58
If the "Prorated 60 Points Score" is claimed, complete the following equation:
Enter percentage of minorities in the applicant's county: 12.6%
Number of Permanent Full-time Equivalent
Minority Applicant Employees
61
Local Government Minority Employment: The applicant may claim up to 60 points for meeting minority employment goals. Complete the table
below to calculate the applicant's percentage of minority employees. See instructions for calculations.
If the applicant has not administratively closed a Small Cities CDBG subgrant
within four years of the application deadline date, score 5 points.
0.0 — 4.99%
5.0 — 14.99%
15.0 — 19.99%
20.0 — 24.99%
25.00%+
M/WBE %
48,000
Amount Awarded to M/WBE firms
Most Recent Administratively Closed Small Cities CDBG Contract Number:
M/WBE Contracting: The applicant may claim up to 20 points for achievement in Minority -/Women -Owned Business Enterprises (M/WBE)
contracting in the most recent Small Cities CDBG subgrant that was administratively closed not more than four years before application deadline
date. Review the M/WBE reports submitted to DCA/DEO for that subgrant and enter a score based on the achievement reported.
5. Outstanding Performance in Equal Employment Opportunity (EEO)
Percentage of Minorities in
Applicant's County
12.6
u
o u, o, o
Points
+
.I.
874,869.25
Total Prime Contracts Amount
Number of Permanent Full-time Equivalent
Applicant Employees
711
II
5a. M/WBE Contracting Score:
5
(Maximum 20 points)
12 D B -O H-10-40-00- N 01
Applicant's Percentage of
Minority Employees
.68
X
N
O
0
II
II
X
O1
O
II
Applicant's Percentage of
Minority Employees
8.58%
5.48 M/WBE
Points
Claimed
40.86
09 -JS ua.iOd
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6a. Date Fair Housing Ordinance Adopted:
6b. Date of Fair Housing Workshop:
6c. Total Fair Housing (6a+6b) Score (10 Points Maximum):
The applicant may claim five points for adopting a Fair Housing Ordinance prior to the application deadline and five points for conducting a Fair
Housing workshop in the 12 months prior to the application deadline. See instructions for guidelines and documentation requirements.
6. Outstanding Performance in Fair Housing
5b. Local Government Minority Employment Score (60 Points Maximum):
If the applicant has three or less employees, 40 points may be claimed.
N
O
F--+
cmA
N
0
N
l0
U'1
Date
40.86
U'1
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Score
Sources and Uses of Non-CDBG Funds
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Total Funds Claimed for Leverage Scoring
Totals
0
LU
Activity #
Indian River County
Source
O
O
O
0 U7
0
O
O
0
O
Amount
Claimed for
Scoring
$497,000
$497,000
Amount Type
Not Claimed for (Participating Party, Loan, Grant, Local Government
Scoring Funds, Donated Land, or Other Leverage)
Local Government Funds
0
,
U
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Table II
a)
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Table II
Table II
Z
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Engineering
Table
in
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N.)
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to
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to
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Enter CDBG
Activity Funds
lD
01
.04
Of CDBG Project
Cost (Col. C _ Total
of Col. C)
0
70
55
N
U1
70
85
50
55
55
85
70
85
65
50
35
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0
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81.60
2.60
Activity Goal
Score
(D x E)
-n )
T
N
CF
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7. Total the CDBG Funds Requested (2+5+6):
6. Enter CDBG Administrative Cost:
5. Total the CDBG Engineering Fees (4a+4b+4c+4d_):
4d. Additional Engineering Services:
4c. Preliminary Engineering Fee
4b. Resident Inspection Fee
4a. Basic Fee
4. Indicate the Appropriate RUS Used and Enter Engineering Funds: RUS Table Used: ❑ I ❑ II ❑ Both Prorated
3. Add the Activity Goal Scores in Column F (from both pages) to get the Total Activity Goal Score: 84.20
(85 Point Maximum)
2. Add Column C (from both pages) to get the
Total CDBG Project Cost: $750,000.00
CD
w
0
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1. Activity Number and Name
(*Same points in the activity supported.)
D
Health Facility
Child Care Center
Water Tank/Well/Treatment Plant Improvements 6
New Water Tank/Well/Treatment Plant 6
Water Line Replacement 9
Water Lines, New — Potable 15
Water Hookups 14
$0
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2
cr m
=
Appropriate
RUS Enter CDBG
Engineering Activity Funds
Table
W
v
U-1
o
o
b
0v
in.
t/r
t/>
to
to
t/-
in-
to
of CDBG Project
Cost (Col. C _ Total
CDBG Project Cost)
D E F
25
25
55
55
70
00
U'l
v
0
85
85
o 0
fL
Activity Goal
Score
(D x E)
D
03
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0
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01
Activity Number and Name
D
New Sewer Lines & Components
Sewage Treatment Plant
Temporary Shelters'
Senior Center
Removal of Architectural Barriers
Relocation
Recreation/Neighborhood Center
Pedestrian Malls/Sidewalks
Parks, Playgrounds
Housing Rehabilitation — Plumbing
Hazard Mitigation Activities
Flood and Drainage
Fire Protection
Fire Hydrants
Acquisition (in support of
ID
: 1.0
U,
-11
1,800 If
Enter # of Addressed CDBG Units
W
71 people
79 people
Enter # of VLI
CDBG
Beneficiaries
n
92 people
91 people
Enter # of LMI
CDBG
Beneficiaries
a
99 people
98 people
Enter # of
Total CDBG
Beneficiaries
m
CD
0
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0
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09 -JS WJOd
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Addressed Needs — Activities and Beneficiaries
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Activity Number and Name
D
Health Facility
Child Care Center
Water Tank/Well/Treatment Plant
Improvements 6
New Water Tank/Well/Treatment Plant 6
Water Line Replacement 9
Water Lines, New — Potable is
Water Hookups 14 (Beneficiaries calculated by
Households)
Utility Hookups — Other (Beneficiaries
calculated by Households)
Street Improvements — Repaving 13
Street Improvements — New Paving 12
Solid Waste Disposal
Sewer Hookups 10 (Beneficiaries calculated by
Households)
Sewer Line Replacement
w
0
Enter # of Addressed
CDBG Units
22 VLI housing units
Enter # of VLI CDBG
Beneficiaries
n
28 LMI housing units
Enter # of LMI CDBG
Beneficiaries
0
30 housing units
Enter # of
Total CDBG
Beneficiaries
m
(panui.uoD) eZ-N awl
Addressed Needs — Activities and Beneficiaries
09 -JS WiiOd
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0
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08
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0
w
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01
Activity Number and Name
D
Sewer Lines & Components
L_.._...: -r _ . _ ...
Sewage Treatment Plant
Temporary Sheltersll
Senior Center
Removal of Architectural Barriers
Relocation
Recreation/Neighborhood Center
Pedestrian Malls/Sidewalks
Parks, Playgrounds
Housing Rehabilitation — Plumbing
Hazard Mitigation Activities
Flood and Drainage
Fire Protection
Fire Hydrants
Acquisition (in support of
Enter # of Unaddressed CDBG
Units
W
Enter # of VLI
CDBG
Beneficiaries
n
Enter # of LMI
CDBG
Beneficiaries
0
Enter # of
Total CDBG
Beneficiaries
m
n
rD
C
O
C
1
CD
Q
ai
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3
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3
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al
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Unaddressed Needs — Activities and Beneficiaries
D0
u o
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n
O Cl
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to O
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(panuguoD) qZ-N algei
Unaddressed Needs — Activities and Beneficiaries
09 -JS W.10d
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0
w
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03J
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0
Cu
0
w
0
w
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03J
0
Cu
03J
Activity Number and Name
D
Health Facility
Child Care Center
Water Tank/Well/Treatment Plant
Improvements 6
New Water Tank/Well Treatment Plant 6
Water Line Replacement 9
Water Lines, New — Potable 15
Water Hookups 14 (Beneficiaries calculated by
Households)
Utility Hookups — Other (Beneficiaries
calculated by Households)
Street Improvements — Repaving 13
Street Improvements 12
Solid Waste Disposal
Sewer Hookups 10 (Beneficiaries calculated by
Households)
Sewer Line Replacement
Enter # of Unaddressed CDBG
Units
W
Enter # of VLI
CDBG
Beneficiaries
n
Enter # of LMI
CDBG
Beneficiaries
0
Enter # of
Total CDBG
Beneficiaries
m
(panuguoD) qZ-N algei
Unaddressed Needs — Activities and Beneficiaries
09 -JS W.10d
c *
3. m D
n m -
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ri O 0-
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CO
03
Enter Service
Area # /
Benefit
Survey
Method*
D
Flood and Drainage
Met Need
New Sewer Line
Met Need
Sewer Hookups
Met Need
Enter Activities to be
Completed in Each Service
Area (Use More than One
Line for Multiple Activities)
W
N
o
.4.
In
W
o
Enter Total # of
Households (HH in
the Service Area
(Universe -Col. H)
n
N
O
A
N
W
O
Enter Total #
of
Responses
Required
0
N
o
.
N
W
0
Enter Total #
of Households
Responding to
the Survey
(n
-1
lD
v
N
NJ
N
Enter Total #
of VLI
Beneficiaries
-n
up
N
l0
NJ
NJ
00
Enter Total #
of LMI
Beneficiaries
iii
98 People
99 People
W
0
I
C
Enter Total #
of All
Beneficiaries
=
0
0
0
0
c'
o
0
0
0
0
00
0
N
0
72%
n
T O co(D n
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0
0
0
0
0
0
0
0
0
0
0
0
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W
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Odd "Z1700.EZ-JEL
d. Average Cost per Unduplicated LMI Household Score: Calculate the Average Cost per
Unduplicated LMI Household:
1.(a) divided by 1.(e) = $8,720.93
Based on the result, designate with an X the score that is appropriate.
c. Average Cost per Unduplicated LMI Beneficiary Score: Calculate the Average Cost per
Unduplicated LMI Beneficiary:
1.(a) divided by 1.(c) = $4,098.36
Based on the result, designate with an X the score that is appropriate.
b. LMI Beneficiary Impact Score: Calculate the Unduplicated LMI Beneficiary Percentage:
1.(c) divided by 1.(d) = 93%
Based on the result, designate with an X the score that is appropriate.
a. VLI Beneficiary Impact Score: Calculate the Unduplicated VLI Beneficiary Percentage:
1.(b) divided by 1.(d) = 76%
Based on the result, designate with an X the score that is appropriate.
1.(e) Enter the total number of unduplicated LMI
households:
1.(c) Enter the total number of grant unduplicated
LMI beneficiaries:
1.(a) Enter the total funds requested (total CDBG
request)
Co
rn
N
CO
w
V
u'
O
0
0
O
0
0
1.(d) Enter the total number of grant unduplicated
beneficiaries:
1.(b) Enter the total number of grant unduplicated
VLI beneficiaries: 150
Cost per Unduplicated LMI Household
$20,000 or More
$16,000 to $19,999
$13,000 to $15,999
$11,000 to $12,999
$9,000 to $10,999
Less than $9,000
Cost per Unduplicated LMI Beneficiary
$11,000 or More
$10,000 to $10,999
$9,000 to $9,999
Less than $9,000
Unduplicated LMI Beneficiary Percentage
70.00% and above
66.00% to 69.99%
61.00% to 65.99%
56.00% to 60.99%
51.01% to 55.99%
Unduplicated VLI Beneficiary Percentage
30.00% or More
20.00% to 29.99%
10.00% to 19.99%
Less than 10.00%
I--,
V
G f 71 I1 1❑❑
CO CT) N VI O
VI O O O O O
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n
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Score
❑ 0
n 10
❑ 20
® 30
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n
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ci,
n
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fp
a
N
VI
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0 0
Beneficiaries Scores — Table N-4
09-05 uaao�
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Readiness to Proceed Score
09 -JS W.io�
JVd 'Zb00*EZ-DEL
n n v O
C1). of 3
m rD N
3 O o'
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h7- . ,.0-
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A
n Ott 7 0 3 O- O
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n7 Q
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n fD 7 7 fD
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v v 3
h
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7 5
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CU
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cu o m
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n 73 CO 3
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3
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O 5,� < o ). ° w
N (D A p 0 w a) O" O
n 0- = n 7 ,� N h fD .O
s 0 r+ cu cu o O N N Q O
O_ 3 ° N N (D <, CCD N
3 n 7 -h O
-n C r+ vNi N
'"+ O OCU (D 7
3 n O 3' 7 fD
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Cu = N Q Cu ,=r O
h
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ON rte+ fl.. - 7 N
N `< 7- N (D 3. r+
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0
rn+ v,' O C ao O O0-
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r+ (D O s._ CU _
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Health and Safety Score — Table N-5 (Continued)
N
0
N
09 -Js WJOd
JVJ 'ib00'EZ-DEL
m
3
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(D
I
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01
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3
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Check the Health and Safety ❑ Option A. ['Option B. ['Option C. ['Option D. ❑ Option E. ❑ N/A
Score being claimed. (50 Points) (40 Points) (25 Points) (30 Points) (Prorated)
Enter the cost of
activities subject to
A, B, C, or D
Apra, Lw
If Option E was selected, complete the following equation:
•I.
Enter the CDBG Project Cost
(not including Engineering or
Admin. Costs)
II
Enter the result (%) as
a four digit decimal
x
Enter the Appropriate
Multiplier
(50, 40, 25 or 30)
II
Option E Score
T
0
N
n
cin
cn o
-i
0.)
LA
-n
fD
n
0
fD
0
fD
W
fD
W
0
fD
z
7J
n
0
3
0
z
N
0
DU
N
C
3
3
w
CU
0'0
(D
JVd '1b00'EZ-DEL
(wnwixew s).ulod S05)
:aJoDs / ewwns Aao2a2eD
tc
N
O
494.20
40
100
85
W
0
N
NJ
to
W
0
84.20
Scores
Calculating the Category Summary Score
= Category Summary Score (505 Points Maximum)
+ Health and Safety Score (from page 12)
+ Readiness to Proceed Score (from page 10)
+ Cost per Unduplicated LMI Household Score (from page 9)
+ Cost per Unduplicated LMI Beneficiary Score (from page 9)
+ Unduplicated LMI Beneficiary Percentage Score (from page 9)
+ Unduplicated VLI Beneficiary Percentage Score (from page 9)
Total Activity Goal Score (from page 3)
Type of Score
NJ
O
Ln
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0)
00
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0)
0.
0
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N
i
3
3
DJ
JVd `Tb00'EZ-DEL
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rt)
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m
N N N
1-4
N I-+ O l0 CO --.1 Dl (!1 W N A O C.? c
,rt O Q
Cu
v, r = v, -p v) = < v„ _ = C = W = vi <
Dl
0) O D Dl m Dl co) DJ — rD G) p > H C -i �' O p �.
W a_ rCr co_ O 0; Q- �, O ' v+ C ,rt S 0
a n O N O O O UO vt C + 0 m Q- R.
m _p m* r* -* rD
m N p m _,• o Q Iv m 0 •((D r* O0 5 -, * al O Q
_ r* _ =
m W N G rrtp 3 r* N Q rD '-/' in m G 0. N r+ dq 14 = rp (/f �'
o n m 0 . = Dl ,rt " ° °° n ti,
+ O Q- D m a 0 -i, fD
C 'a N ti,
Q 1 -' n rte* S C ,gyp Q = m rte+ 0" C m , CT_ (13 (D
CU < — = n Z C n
ti, W "S 0 Cl.) � to 0 O n n CO ? = A 0 N
7 O a) (71. Q * C m ,+ ? rt p m m 0 _ r* Z.*. O Q.
D) T n m 0 rp a' n 0 Q v 3 Q to Di 0 a
El* v a' 0 m v d = -a N -moi ao j rDirr on
04 -rD CupQ
D n 3 r* r<o * °- o °- ,* r* Q.
Dai �- v ° p r+ = .< Dl -0 z -a to ami 5 0• O
3 v O� r+ r* C O ° N n cis c A On
v to C 0 0 Q
a' �• Fo' (71' ° o_ = oma o -, '+ " O
Q 0
C
us r* 'an = nOni v Dl Q' c2 o_ CD
r+ n (D o)N rD
a 4o n N CD .+
< N
,tn• On 0 - O. O m Q N rrDD 0 0 0< ° j N no
m Q y, O O = O r�D v, DNl O O co oaS Q n " n'
li
,rt 3 0 (3D A- rD + to 0 d 0 -,, Dl + r+ 0 O no
v v, < m n• = m n C 3 Q- 3• r+ 0 Q v a- z
r+ r+ p D -< 0 _=. m 7 AO n rD 0 v,• ,A ---r• o- C ? o E
n 0 r* v a m — 'w C .-* '^ S N. `< O_ a 1
0 N m ,-* 0 v Dl v, N• Q M Cu _, v' C
u, 0 O 0 d, Q n rCD m v Q Cr (D
N -a_ n r+ p g o R: v= m -+, < 3 n ro o
TI p — 't = m• m rr n v, 0 rD S 0 �,,
00O -4, 3 Cu N D Q 3 'a A* vv, o- a a
3m m a IN
10
: OWl v D ° (DD j Cu n Uo 0 J OC Q
V, UQ a- M.
-0 Dl 1-� N to p ° C . * W rD a n'
,mn* rD 0 m+ CD r+ n ° r . ° = C m r+ (D N a' r�D 0
< o �, n
o Q- rD < CO _* �• ° 0 ^ 3 ° w a a n
G) p C r+ n -n co
I-, v, 7 G fD r m Q C = 7 n N C
W N Cu o_ _
A S
W ik) Cil
Q 0 CIO
m n m a Dl G7 D) CD A < rD Q CI
rr
p .< V, m C -r, -s CT < m 0_
7 D n S
-n U'1 y 3 n v m 0 v Cu r*o O_ 0 Q
N 0" 0 -' v < m-0 -• 3• 3 0
�O (n m = 3 r`DD 2 0" m -a v O 0 m w CCo O ^*
1 0
v D 0 0 C m v m c7q Cr v,' ° n r•*
•-•• NJ 3' -0 m 3• to v, 0 0 + -i 3 .a- a) lQ * rD
m r*
p ro
n to > W C -p N rr m r0)
te+ ' < O Cr S
+ o m o < n (� p - < m ° = Dl m 4 to '1'in vpi m .-r N m 0 C 0 O m O 0 - O
C
.l-ri Cu
T CU + ,n.* O flJ m to < O `C
fl" ° m �, g Cvs 0 a1 03
C
N a .-* = CD r-* Q-
v rr Dl C O
n O 3 Q D O rt)
-n n = �+' m C 0 Q
X c A 0 3 0 `^_ - Q- m 7 Q
CO c 0 3 m - o v D, Q CO
0 su 3CD
v v 3 c 3 vs -C3 (D 0.
O.. `C 0 t" -<< ='
A r* m < 0 m 4 0 D(
Cu 7- '+ -h rD -a
M o n �j.3
3 r* 0 0
O N N
n -(p n
M G) *-, CI
to 0
11
JVd `11700'£Z-J£L
JVd "Zb00'EZ-JEL
O
If signed by a person other than the chief elected official, a copy of the resolution authorizing the person to sign the application must be included in
Appendix B.
0
d
CD
v .
,/ *.= Attu Jeffrey R. Smith. Clerk d
Signature / % ! Circuit Court endCompinoger
. . 0.014_
Typed Name and Title: Wesley S . Davis, Chairman 's v2. t.,OP
•�ew._
:�Ii••. __ , _.•.,4`/ w.,�.--....r.
Signature of Chief Elected Official or Designee iiZY co
C-1
(D
N
N
0
N
01
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w
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0 3 n n
Cu o
o r* rD D
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S v CDD
C rr v
c o N
o
01:1v
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°) <
= cr a
• CD C
rnr rt.
< 0•
CD =
O 0
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rD N0)
n a)
3 n
C
7 '
Q rD
C V^
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a)
rn+ fCC
<D
Q.
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r+ r+
= D. -
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CU n'
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3.
a) 0
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CU
7 0
v
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(AluO asfl OM aoj) a.ioaS leuli
Less Penalties Assessed (For DEO Use Only)
F� 0
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W
0)
W
C-
+
W
W
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+
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3c. CATF Score (10 Points Maximum)
3b. Grant History Score (100 Points Maximum)
3a. Special Designation Score (20 Points Maximum)
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Local Government Minority Contracting and Fair Housing Score Documentation
Documentation for Demolition of Vacant Dilapidated Structures (Commercial Revitalization)
Documentation for Other Community Development Activities Score (Commercial Revitalization)
Documentation for Economic Development Applications
Special Designation Documentation
Historic Preservation Documents
Housing Assistance Plan (Required for all Housing Rehabilitation Applications)
Joint Agreements, Contingency Funding Documentation and/or Interlocal Agreements
Documentation Related to Health and Safety Impact Score
VLI/LMI Worksheets and Survey Documentation or Census Data and Maps
Readiness to Proceed Documentation
Grant Application Preparation Cost Documentation
Leverage Documentation
Public Hearing/CATF Documentation (Required)
Comprehensive Plan Documents (Required)
Local Governing Body's Resolutions for Signature Delegation and Application Submission (Required)
Maps (Required)
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