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Home My WebLink About2020 HOUSING FUNDS RFP APPLICATION 8.0 FINALPage 1 of 9 rev. 1/3/2020 April 1 – December 31, 2020 Affordable Housing & Homeless Housing and Assistance Funds Application Proposals must be RECEIVED: MONDAY, February 3, 2020 @ 4:00 P.M. Jefferson County through the County & City of Port Townsend Joint Oversight Board and Affordable Housing & Homeless Housing Task Force Page 2 of 9 rev. 1/3/2020 April 1, 2020 – December 31, 2020 Shelter Services Funding: May 1 – December 31, 2020 Application Affordable Housing and Homeless Housing and Assistance Funds GENERAL INFORMATION – Funding is limited: Please prioritize multiple applications in order of importance. It is understood that if awarded funding for this period, there is no guarantee of future funding beyond this award. Application of Application is for: Affordable Housing funding OR Homeless Housing and Assistance funding Application funding request from:  Affordable Housing Funds  Homeless Housing Funds  Request Total Application addresses Coordinated Entry Housing Shelters or Support Services. $ $ $ Page 3 of 9 rev. 1/3/2020 Name of Project: Requested total amount for this application: $ Area of the County to be served: Name of Applicant/Agency: Federal Tax ID #: Contact Person: Title: Address: City: State: Zip: Phone Number: Fax Number: E-mail: This Applicant is: (please select one of the following) A non-profit organization defined by Section 501(c)(3) of the Internal Revenue Code A for-profit entity A public housing authority A government entity CERTIFICATION by Authorized Agency Representative (Board President, CEO, or other person authorized to bind the agency in a contract). Name of Authorized Agency Representative (print): Title:  Applicant certifies that these funds will be used as described in this application unless a change has been mutually agreed upon between Contractor and Jefferson County Board of County Commissioners. Substantive amendment requests will also require the approval of the Homeless and Affordable Housing Joint Oversight Board.  Applicant certifies that the information in this application is true and correct.  Applicant certifies that it has no outstanding obligations to the County with respect to housing funds. ____________________________________________________ _________________ Signature of Authorized Agency Representative Date Page 4 of 9 rev. 1/3/2020 SPECIFIC INFORMATION Please separately tab each section of the application submission as to Capacity, Alignment, Financial Capacity to Accomplish the Project and Budget. A. CAPACITY - Experience Providing Similar Program Services or Developing Similar Projects (25 Points)  Give a brief history of your organization:  Describe your agency’s ability (infrastructure, staff, etc.) to carry out this project and any experience providing the services in your proposal:  If this is a collaborative project, identify the other partners involved, their role, and your role. If you are partnering with another agency/agencies, attach their letter of commitment and any MOUs.  Describe how client satisfaction will be measured:  Financial Capacity Please provide the following if applicable:  Program or Project Budget which includes a complete breakdown of all funding sources already received or committed for this Program or Project  Current operating budget for the organization requesting the funding  Prior year tax returns or audited financial statements  Annual report for the previous year  Most recent year audited financials OR  If applicant has not been audited within the last two (2) years, a certified “Current Financial Statement” must be submitted in lieu of an audit report B. ALIGNMENT- Meets Local Plan Priorities (25 Points)  Describe which goal(s) and priorities of the local homeless plan and/or Homeless Task Force priorities your project addresses. Provide specific minimum service units, deliverables and outcomes to be achieved with this project and how they relate to the Plan priorities. Specify the timeline for these minimum service units and deliverables. Page 5 of 9 rev. 1/3/2020  Discuss how the goals of this project will reduce or eliminate homelessness in Jefferson County. C. PROJECT - Planned Approach, Completeness of Proposal and Readiness (25 Points) PROJECT DESCRIPTION  Name of Project:  Amount requested: Non-Shelter services April 1, 2020 – December 31, 2020 $ Shelter Services May 1, 2020 – December 31, 2020 $  Provide a brief description of the project:  Specify the project’s program outcomes and performance and outcomes measures specifically related to this project.  Note: For Affordable Housing funds, verify that units provided by your project will be affordable for households with incomes at or below fifty percent of the area median income: IMPACT OF FUNDS  Describe how project outcomes will be measured (identify the data):  Are you using any matching funds? If yes, what is the source?  Are the requested funds to be used as a match for this project? If yes, provide a description of the project to be matched and how it relates to the goals and priorities of the Five-Year Plan. Also, provide a budget for the entire project including funding from all sources and identify what portion of the project these funds will support. Page 6 of 9 rev. 1/3/2020  Discuss how this project will be sustained after these funds are exhausted:  Describe the impact of receiving only a portion of the requested funds:  If you did not receive full funding, what percentage of requested funds would be required in order to fulfill your project, and what would be the source of remaining funds:  If you received funding in 2019 from either 2060 or 2163 funds for this same project, briefly describe the outcomes obtained using those funds: To be clear, funds may be used for the following:  Costs associated with the purchase of professional expertise and technical assistance.  Prevention services, screening, staff time, case management, and treatment for substance abuse and/or mental health issues.  Material or items that remove barriers to participating in the service or that meet the unique needs of participants. Funds may not be used toward any of the following:  Lobbying.  Equipment.  The purchase of staff time, supplies, materials, or anything else that is not directly associated with the service or program described in the proposal. Page 7 of 9 rev. 1/3/2020 D. PROGRAM OR PROJECT BUDGET - Demonstrated Financial Capacity to Accomplish the Program or Project (25 Points) BUDGET FORMS Funding period begins April 1, 2020 or May 2, 2020 and ends Dec. 31, 2020 Please use the attached budget templates. If you need additional space, you may insert rows. “Program” refers to the total budget including all funding sources for the specific program discussed in this proposal. In most cases, this will not be the total agency budget, but only that of one program relevant to this proposal within that agency. “Proposal” refers to the funds requested from these funds that will be applied to this specific project. Blank spaces are provided for additional categories. Justification for budget items must be specific, and that same specificity should be reflected in subsequent billings. Budget items should be numerically prioritized with 1 being the most essential. A maximum 10% Administration fee is allowed for projects if needed, however, Administration fees are not allowed for Capital Projects. SERVICE/ OPERATING BUDGET APRIL 1, 2020 or May 1, 2020 – DECEMBER 31, 2020 Budget Categories Program Proposal Justification Priority Salaries $ $ Benefits $ $ Rental Subsidies $ $ Utilities $ $ Insurance $ $ Food/Supplies $ $ Furnishings/Equipment $ $ Repair/Maintenance $ $ Transportation (explain) $ $ $ Subtotal $ $ Administration (10% max.) $ $ TOTAL $ $ Page 8 of 9 rev. 1/3/2020 If your project includes salaries and benefits, please list position(s) and FTE to be paid by these funds: 1. 2. 3. 4. FUNDING SOURCES FOR THE PROGRAM in 2019 and 2020 Funding Sources Awards 2019 Awards 2020 Indicate if Committed or Application has been made. Public Sources (State or Federal Funds) $ $ Private Donations $ $ Foundation Grants $ $ United Campaigns $ $ Other $ $ Other $ $ TOTAL $ $ Please include any budget narrative that is descriptive or helpful, to explain any part of your proposed expenditures. For instance, if you are requesting furnishings or appliances specifically for housing included in your project, what are the items you are requesting? Page 9 of 9 rev. 1/3/2020 CAPITAL BUDGET FOR REAL ESTATE DEVELOPMENT USES Financing Categories Estimate Basis of Estimate Total Acquisition Costs $ Construction $ Construction Fees $ Financing Fees and Charges $ Guarantees and Reserves $ Developers Fee $ $ $ Subtotal $ TOTAL $ SOURCES Financing Categories Estimator Indicate if Committed or Application has been made. If not made indicate date application is to be submitted Private Loan $ Public Sources (State or Federal Funds) $ Foundations $ Low Income Housing Tax Credits (indicate 9% or 4%) $ Historic Tax Credits $ New Market Tax Credits $ Gap (if any) $ TOTAL $ Please include any budget narrative that is descriptive or helpful to explain any part of your proposed expenditures in your capital budget(s).