Combined... · Web viewCOMBINED FUNDERS APPLICATION. General Instructions. The Combined Funders Application is accepted by all of the following funders: Washington State Housing

The Combined Funders Application is accepted by all of the following funders: Washington State Housing Trust Fund City of Seattle Office of Housing King County Housing Finance Program A Regional Coalition for Housing (ARCH) Washington State Housing Finance Commission for Low-Income Housing Tax Credits

Application Components:The Combined Funders Application has four parts, all of which must be submitted for an application to be reviewed:

1. Narrative QuestionsThis WORD document contains the Narrative Questions portion of the application. The Narrative Questions are divided into “Sections.” For example, Section 1 is Project Summary.

2. Project WorkbookThe Project Workbook portion of the application is an EXCEL document that is divided into “Forms.” For example, Form 1A is Populations and Form 1B is Special Needs. Forms 1A and 1B should be filed behind Tab 1 after the narrative questions of Section 1.

3. Common AttachmentsThe Table of Contents of this document lists the attachments that are required behind each tab.

4. Public Funder AddendaThe funders accepting this application each have requirements specific to their funding sources. For this reason, there is a separate addendum for each of the five public funders listed above. All addenda, except the Washington State Housing Trust Fund Addendum, should only be submitted to the specified funder. The Washington State Housing Trust Fund Addendum must also be submitted to the City of Seattle Office of Housing, the King County Housing Finance Program, and ARCH if you are also submitting applications to those funders.

Application Assembly: Applications must include a completed and signed Table of Contents/Self-Certification Checklist. The Combined Application requires 11 Tabs as outlined in the Table of Contents. Materials should

be organized behind each tab in the following manner:o First, insert the responses to the narrative questions of that Sectiono Second, insert relevant Forms

June 2013

COMBINED FUNDERS APPLICATION

General Instructions

TOC-1

o Third, insert required attachments using colored separator sheets labeled with the name of the Attachment in front of each attachment

o Fourth, insert required attachments as instructed by the public funder addenda

June 2013TOC-2

Combined Funders ApplicationTable of Contents/Self-Certification Checklist

TAB 1: PROJECT SUMMARY

Section 1 ☐Project SummaryForm 1A ☐ PopulationForm 1B ☐ Special NeedsForm 1C ☐ Bedrooms and Income LevelsForm 1D ☐ Building Dimensions

TAB 2: PROJECT DESCRIPTION

Section 2 ☐ Project DescriptionForm 2A ☐ Evergreen Checklist – Rural ProjectForm 2B ☐ Evergreen Checklist – Urban ProjectTab 2 Attachments

☐Preliminary drawings and site plan☐Documentation of Site Control☐Title Report

TAB 3: NEED & POPULATION SERVED

Section 3 ☐Need & Population ServedTab 3 Attachments

☐Market Study☐Consistency with Consolidated Plan Letter☐Consistency with local 10-Year Plan to End Homelessness letter (homeless projects only)

TAB 4: RELOCATION

Section 4 ☐RelocationForm 4 ☐Relocation BudgetTab 4 Attachments

☐Tenant Relocation Plan☐Samples of the General Information Notice issued to all current occupants☐Drafts of Move-in Notices☐Drafts of Notices re: Displacement and Benefits☐Approval letter from local government agency with jurisdiction over tenant relocation issues

TAB 5: PROJECT SCHEDULE

Form 5 ☐Project Schedule

June 2013TOC-3

TAB 6: DEVELOPMENT BUDGETS

Section 6 ☐Development Budget NarrativeForm 6A ☐Residential Development BudgetForm 6B ☐Non-Residential Development BudgetForm 6C ☐Development Budget NarrativeForm 6D ☐LIHTC BudgetForm 6E ☐LIHTC CalculationTab 6 Attachment

☐3rd party construction cost estimate

TAB 7: PROJECT FINANCING

Section 7 ☐Project FinancingForm 7 ☐Financing SourcesTab 7 Attachments

☐Funding commitment letters ☐LIHTC Projects: Discussion of status of investor negotiations

TAB 8: PROJECT OPERATIONS

Form 8A ☐Proposed RentsForm 8B ☐Operating, Service and Rent Subsidy SourcesForm 8C ☐Operating Pro FormaForm 8D ☐Operating Budget DetailsForm 8E ☐Operating PersonnelTab 8 Attachment

☐Documentation of utility allowance calculations and schedule

TAB 9: DEVELOPMENT TEAM

Section 9 ☐Project TeamForm 9A ☐Contact ListForm 9B ☐Identity of Interest MatrixForm 9C ☐Sponsor ExperienceForm 9D ☐Development Consultant ExperienceForm 9E ☐Property Manager ExperienceTab 9 Attachment

☐Development consultant agreement

June 2013TOC-4

TAB 10: SERVICES

Note: The Washington State Housing Finance Commission (WSHFC) does not require the items under this tab to be completed unless the Project has committed to providing homeless units.Section 10 ☐ServicesForm 10 ☐Service BudgetTab 10 Attachments

☐Memorandum of Understanding☐Services funding commitment letters

TAB 11: LIHTC SCORING

Form 11 LIHTC Scoring Synopsis (required only if project includes Tax Credit financing)

If any item listed above is not checked or is not applicable to your project, please reference the specific document and provide an explanation here: Click here to enter text.

Self-Certification of Threshold Requirements

I, Name , Title (Authorized Official) of Sponsor Organization acknowledge that I have completed the self-certified threshold checklist and that all the required documentation necessary to review this application has been included.

ORIGINAL SIGNATURE OF AUTHORIZED OFFICIAL

Signature: Title: FORMTEXT

Name: FORMTEXT Date: FORMTEXT

Organization: FORMTEXT Project: FORMTEXT

INSERT THE PUBLIC FUNDERADDENDUM CHECKLIST AFTER THIS PAGE

June 2013TOC-5

SECTION 1PROJECT SUMMARY

1. Project Name and Location

Project Name: FORMTEXT Project Address: FORMTEXT City and Zip Code: FORMTEXT County: FORMTEXT Project Tax Parcel: FORMTEXT Legislative District (State): FORMTEXT Congressional District (Federal): FORMTEXT Census Tract: FORMTEXT Latitude1: FORMTEXT Longitude: FORMTEXT Name of Ownership Entity: FORMTEXT

2. Project Sponsor

Sponsor Organization: FORMTEXT Project Contact Person: FORMTEXT Phone: FORMTEXT Fax: FORMTEXT Email: FORMTEXT

3. Development Consultant (if applicable)

Organization Name: FORMTEXT Consultant Name: FORMTEXT Phone: FORMTEXT Fax: FORMTEXT Email: FORMTEXT

4. Will the Development Consultant serve as the primary project contact? Yes No

5. Sponsor Organization Type: Click to select If other, please specify: Click here to enter text.

6. Rental Project Activity Type (check all that apply):☐ Acquisition☐ Rehabilitation☐ Rehab or Adaptive Reuse of an Existing Building (not currently residential)

1 Latitude and Longitude for any site can be easily obtained via a mapping website such as Google or Bing

June 2013Section 1-1

☐ Redevelopment☐ Mobile Home Park Preservation☐ New Construction☐ HUD/USDA Preservation☐ Expiring Tax Credit Property☐ Mixed Use (please explain):

Click here to enter text.☐ Other (please specify):

Click here to enter text.

7. Proposed Ownership Structure (check all that apply) ☐ Nonprofit☐ Limited Liability Corporation (LLC)☐ Limited Liability Partnership (LLP)☐ Limited Partnership☐ Local Unit of Government☐ CHDO☐ Nonprofit Single Asset Entity☐ Other Corporation☐ Joint Venture☐ Other (Describe): Click here to enter text.

8. Ownership - Existing Housing Only: Choose an ItemIf other, please specify: Click here to enter text.

Rental Assistance9. Are any existing low income housing units currently receiving rental assistance?

Yes No

10. Do you have a commitment for rental assistance to housing units in the project? Yes No

11. If yes to 9 or 10, indicate the type of rental assistance:☐ Section 8 New Construction / Substantial Rehabilitation☐ Section 8 Certificates☐ Section 8 Project-Based Assistance☐ Rural Development (RD) 515 Rental Assistance☐ Other (Specify): Click here to enter text.

12. Number of housing units receiving rental assistance: Click here to enter text

13. Number of years remaining on rental assistance contract: Click here to enter text.

14. Is the project currently required to restrict rents? Yes No


a. If yes, date restriction is set to expire: Click here to enter a date.

Low Income Housing Tax Credits (LIHTC)15. Does this project propose to use Low Income Housing Tax Credits?

Yes Noa. If yes, please select the LIHTC type: Choose an item.

June 2013

Please complete the following Excel forms and insert them behind Tab 1: Form 1A, Population Form 1B, Special Needs Form 1C, Bedrooms and Income Levels Form 1D, Project Square Footage

Section 1-3

SECTION 2PROJECT DESCRIPTION

PROJECT CHARACTERISTICSProject Narrative1. Please provide a brief narrative summary of the proposed project. Please include location in the

community, project type (new v. rehab), target population, and any unique project characteristics.Click here to enter text.

Project Design2. Provide a detailed description of the proposed design, construction, rehabilitation, and/or other

improvements. Include a description of how the design of the project will meet the needs of targeted Special Needs populations (if any).Click here to enter text.

3. Please describe any unique design components or characteristics of the Project that contribute to improved energy performance, thermal comfort, a healthier indoor environment, increased durability and/or simplified maintenance requirements.Click here to enter text.

Green Building Standards4. The Evergreen Sustainable Development Standard (ESDS) is required by most public funders in the State

of Washington. Please indicate any Green Building Standards beyond ESDS for which you plan to pursue certification:

☐ Green Communities ☐ Built Green – State Level: Click here to enter text.☐ LEED – State Type and Level: Click here to enter text.☐ Energy Star – State Type: Click here to enter text.☐ Other – please name which Standard, and the extent to which you are pursuing it:


5. If you are pursuing a standard beyond ESDS, please state why and indicate if it is required by another funder.Click here to enter text.

On-Site Amenities6. Please describe any on-site amenities, including any project characteristics that address special needs of

the population you intend to serve:Click here to enter text.


Non-Residential Space7. Does the project contain any non-residential space not dedicated for the sole use of the project’s

residents (e.g. social service office space, commercial space or anything else included in the non- residential budget)? Yes No

a. If so, will this space generate any income for the project? Yes No

b. Please provide a description of the non-residential space, including whether the space is to be used for commercial or social service purposes, who the intended tenant is, and how the space will be used.Click here to enter text.

c. If the non-residential space is to be treated as a condominium separate from the residential project, please explain the ownership structure.Click here to enter text.

Neighborhood/Off-Site Amenities8. Briefly describe the property location, neighborhood, transportation options, local services and

amenities adjacent to the property. In the case of scattered site rentals, if a site has not been identified, describe the characteristics of the location being sought and document the availability of applicable sites and the timeline for obtaining site control.Click here to enter text.

Potential Development Obstacles9. Are there any known issues or circumstances that may delay the project?

Yes No

a. If yes, list issues below, including an outline of steps that will be taken and the time frame needed to resolve these issues:Click here to enter text.

Neighborhood Notification10. Is neighborhood notification required?

Yes No

a. If yes, by which jurisdiction? Click here to enter text.


11. Has neighborhood notification taken place? Yes No

SITE/PARCEL CHARACTERISTICSSite Control12. Has Site Control been established?2

Yes No

13. Expiration date of option or purchase contract: Click here to enter a date.

14. Will the proposed project be sited on leased land? Yes No

If yes, you must provide the Lessor’s information on Form 9A

15. What is the form of Site Control? Choose an item.If other, describe: Click here to enter text.

16. Are there any anticipated changes to the project’s legal description? If yes, please describe.Click here to enter text.

17. What is the square footage of the proposed project parcel? Click here to enter text.

18. Is the proposed project site subject to any existing encumbrances such as a restrictive covenant, use restriction, or regulatory agreement? Yes No

a. If so, how do you plan to mitigate the encumbrance? Choose an item.If other, specify: Click here to enter text.

Zoning19. What is the current zoning of the project site? Click here to enter text.

20. Is the proposed project consistent with the zoning status of the site? Yes No

2 LIHTC projects must have established site control.


a. If current zoning is not consistent, please explain:Click here to enter text.

b. Please outline the steps that will be taken to address zoning issues and include the time frame needed to resolve these issues:Click here to enter text.

21. How many parking stalls are required for your project by current zoning?

a. Number of residential parking stalls Click here to enter text.b. Number of commercial parking stalls Click here to enter text.

22. How many parking stalls are proposed in your project design?

a. Number of residential parking stalls Click here to enter text.b. Number of commercial parking stalls Click here to enter text.

23. Please explain any differences between the required number of parking stalls and what is proposed in your project.


24. Do you plan to charge for residential parking separately from rent? Yes No

Existing Structures25. Does the site contain existing structures?

Yes No

a. If yes, how many? Click here to enter text.

26. What is to be done with on-site existing structures? ☐ Demolish☐ Rehab☐ Nothing (does not apply/not part of this project)

27. Please give a brief description of the condition of the buildings to be rehabilitated:Click here to enter text.

Historical Elements28. Are any on-site structures subject to historical preservation requirements?

Yes No


a. Governing body/code:☐ National Historic Register☐ State Dept of Archaeology and Historic Preservation☐ Other, describe: Click here to enter text.

b. Briefly state how you plan to comply with applicable historic preservation requirements:Click here to enter text.

Tab 2 Attachments☐Preliminary drawings and site plan☐ Documentation of Site Control☐ Title Report

June 2013

Please complete one of the following Excel forms and insert it behind Tab 2: Form 2a, Evergreen Checklist – Rural Project

~ Or ~ Form 2b, Evergreen Checklist – Urban Project

NOTE: if your project includes multiple sites, you must submit a separate Evergreen Checklist for each site. Additional standalone copies of the Evergreen Checklists can be downloaded from the HTF Evergreen Sustainable Development Standard webpage.

Section 2-5

http://www.commerce.wa.gov/Programs/housing/TrustFund/Pages/EvergreenSustainableDevelopment.aspx

SECTION 3NEED & POPULATIONS SERVED

Population Narrative1. Describe the target population to be served.


Special Needs2. Will this project serve Special Needs populations?

Yes No

3. Special Needs Populations to be served (Check all that apply).☐ Developmentally Disabled☐ HIV/AIDS☐ Domestic Violence☐ Substance Abuse☐ Chronically Mentally Ill☐ Physically Disabled☐ Youth Under 18☐ Youth 18-24☐ Frail Elderly☐ Veteran☐ Other Special Needs (please explain) Click here to enter text.

4. If Special Needs Populations will be served, will the project require licensing? Yes No

a. Current status of license ☐ Approved☐ Pending approval, date expected: Click here to enter a date.☐ Other (please explain) Click here to enter text.

5. Is your organization working with a referral service entity on this project? Yes No

6. State the name of the referral entity: Click here to enter text.

7. If a working arrangement with a referral service entity has not been established, briefly state why not.Click here to enter text.

Homeless8. Will this project serve homeless individuals and/or families?

Yes No


9. Does your organization and/or your partnering service provider currently participate in your local Homeless Management Information System?

Yes No n/a

a. If not, when do you expect to begin? Click here to enter a date.

Services10. Will this project provide services (e.g. Child Care, Case Management, Transportation)?

Yes No

If yes, you must complete the Services portion of this Application (Tab 10: Section 10 and Forms 10A & 10B)

Community Priorities11. Does this project meet the objectives of any of the local, state or federal plans listed below?

(check all that apply)☐ Consolidated Plan☐ 10 Year Plan to End Homelessness☐ Regional Support Network (RSN)☐ Comprehensive plan/Housing element☐ Other: Click here to enter text.

12. Please list the ways in which your project will meet the plan(s) checked. If none of the plans apply, describe how your project will fulfill a perceived need for affordable housing in the community. Be specific.Click here to enter text.

Market Study13. Is a market study required for this project?3

Yes No

14. If a market study is required, provide the information requested below:

a. Date of Market Study: Click here to enter a date.b. Absorption Rate Click here to enter text. Page Number in Market Study: Click here to enter text. c. Capture Rate Click here to enter text. Page Number in Market Study: Click here to enter text. d. Vacancy Rate Click here to enter text. Page Number in Market Study: Click here to enter text.

15. Complete the following table using data provided in your market study:

Bedrooms (indicate number

Income Level (indicate income

Proposed Rents in

Maximum Allowable

Unrestricted Market

Achievable Restricted

3 A market study is required for all LIHTC projects


of bedrooms and square footage

in each unit size)

level for each unit size)

Project by Unit Size

Restricted Rents

Rents Rents

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16. Please explain how the project rents have been determined.Click here to enter text.

Tab 3 Attachments☐ Market Study☐ Consistency with Consolidated Plan Letter☐ Consistency with local 10-Year Plan to End Homelessness letter (homeless projects only)


SECTION 4RELOCATION

1. Does this project involve the acquisition, demolition, or rehabilitation of any existing structures? (If no, skip to Section 5)

Yes No

2. If acquisition, have you included provisions that enable you to obtain tenant income and rent information, and to give notices to existing and incoming tenants prior to closing?

Yes No n/a

3. Have you collected information on all current occupants of the property, including both residential and commercial tenants, and occupants with or without leases?

Yes No

4. Was anyone made to move within the 90 days prior to the execution of the Purchase and Sale Agreement?

Yes No

Type of Relocation5. Enter the number of tenants to be relocated:

Residential Permanent Temporary None Commercial Permanent Temporary None

6. Explain the income verification process and the strategy for addressing any current residents who are not eligible to remain in the building.Click here to enter text.

7. What requirements or guidelines govern your relocation plan? (check all applicable)☐ Uniform Relocation Act☐ Section104 [d] (if HOME or CDBG funded)☐ Washington State Department of Transportation☐ Other (please specify): Click here to enter text.

8. Is there a local government entity that has jurisdiction over tenant relocation issues? Yes No

9. If yes, has the entity approved the plan? Yes No

10. Have you identified replacement or temporary units for those who will be displaced?


Yes No n/a

11. Have you calculated tenants’ relocation benefits in preparation of a relocation budget? Yes No n/a

Relocation NoticesFor projects subject to an established local relocation policy:

12. Have you provided General Information Notices to all occupants using the sample notices in HUD’s Handbook on relocation (including both residential and commercial tenants, and occupants with or without leases)?

Yes No n/a

13. Have you prepared subsequent notices to be provided to tenants immediately upon notification of award of funding? (i.e., Notice of Eligibility or Notice of Non-Displacement)

Yes No n/a

14. Is the applicant or property owner prepared to issue move-in notices to all new tenants that sign leases subsequent to this funding application?

Yes No n/a

Tab 4 Attachments☐ Tenant Relocation Plan4

☐ Samples of the General Information Notice issued to all current occupants☐ Drafts of Move-in Notices☐ Drafts of Notices re: Displacement and Benefits☐ Approval letter from local government agency with jurisdiction over tenant relocation issues

4 In your relocation plan, describe how the plan minimizes displacement. It should identify staff that will carry out relocation activities, provide an estimated timeline for all relocation activities, including the issuing of notices. The plan should also explain the rationale for any estimated costs in the relocation budget.

June 2013

Please complete the following Excel form and insert it behind Tab 4: Form 4, Relocation Budget

Section 4-2

SECTION 5PROJECT SCHEDULE

June 2013

Please complete the following Excel form and insert it behind Tab 5: Form 5, Project Schedule

Section 5-1

SECTION 6DEVELOPMENT BUDGET

DEVELOPMENT BUDGET NARRATIVE

1. Please provide a narrative description regarding the development budget. Please explain the choices the development team has made around cost as they relate to both opportunities for savings and long-term project sustainability.Click here to enter text.

2. Describe the sponsor’s strategy for managing the use of any proposed contingencies. Click here to enter text.

3. Explain the reasons for any proposed capitalized reserves in excess of 6 months of operating expenses.Click here to enter text.

4. Do the submitted budgets take into account Prevailing Wage? Yes No n/a

a. If so, what wage rates were used? Choose an item.

b. If not, or if Prevailing Wage rates were determined not to apply, explain why not. If you have received a determination from the Washington State Department of Labor & Industries regarding Prevailing Wage, include documentation of the determination as an attachment.Click here to enter text.

Tab 6 Attachment☐3rd party construction cost estimate

June 2013

Please complete the following Excel forms and insert them behind Tab 6: Form 6A, Residential Development Budget Form 6B, Non-Residential Development Budget Form 6C, Development Budget Narrative Form 6D, LIHTC Budget Form 6E, LIHTC Calculation

Section 6-1

SECTION 7PROJECT FINANCING

UNIQUE FINANCING CIRCUMSTANCES1. Please describe any unique financing details or structures as they pertain to this project.


Tab 7 Attachments☐ Funding commitment letters☐ LIHTC Projects: Discussion of status of investor negotiations

June 2013

Please complete the following Excel form and insert it behind Tab 7: Form 7, Financing Sources

Section 7-1

SECTION 8PROJECT OPERATIONS

Tab 8 Attachment☐ Documentation of utility allowance calculations and schedule

June 2013

Please complete the following Excel forms and insert them behind Tab 8: Form 8A, Proposed Rents Form 8B, Operating, Service and Rent Subsidy Sources Form 8C, Operating Pro Forma Form 8D, Operating Budget Detail Form 8E, Operating Personnel

Section 8-1

SECTION 9PROJECT TEAM

PERSONNEL1. List the names of key members of the Sponsor organization’s development team, their titles and their

years of experience in affordable housing below.

Name Title (e.g., executive director, project manager.)

Years’ Experience in Affordable Housing

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ORGANIZATIONAL HISTORY2. Has the Sponsor organization developed affordable housing projects previously?

Yes No

3. Years of Experience: Click here to enter text. Years

4. Number of Projects: Click here to enter text. Projects

5. Number Units Placed in Service: Click here to enter text. Units

6. If the operation of the project depends on operating subsidy and /or rental subsidy, describe your organization’s track record in securing such subsidies. Any subsidy should be documented on Form 8C.Click here to enter text.

7. Is the Sponsor organization currently engaged in any project workouts? Yes No

a. If yes, please list any projects in workout, and provide a brief summary of the reason for the workout status.5

Project Name Reason for Workout1. FORMTEXT 2. FORMTEXT 3. FORMTEXT

OWNERSHIP ENTITY8. What is the legal status of the Ownership Entity for the project?

Currently Exists To Be Formeda. If to be formed, estimated formation date: Click here to enter a date.

5 If under contract with HTF, please provide the contract number.


9. Ownership Entity

Name: FORMTEXT

Address: FORMTEXT

City: FORMTEXT State: FORMTEXT

Zip Code: FORMTEXT

Phone: E-mail: FORMTEXT

Fax: FORMTEXT

Federal Identification Number: FORMTEXT

10. State of Incorporation/Formation: Click here to enter text.

11. Fiscal Year: Choose an item. to Choose an item.

12. Accounting Method of Partnership: Choose an item.

13. Individuals/Organizations that Comprise the Ownership Entity (if known at time of application):Name Address Phone Entity Type Federal ID # % Ownership

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14. Is the relationship between the ownership entity and Sponsor expected to change over time? Yes No n/a

a. How will the relationship change?Click here to enter text.

PROPERTY MANAGEMENT

15. Briefly summarize the management plan for this project. Be sure to address facility maintenance, on-site management, and services provided:Click here to enter text.


16. Explain your marketing strategy and the tenant selection process, including the establishment and management of any waiting lists.Click here to enter text.

17. Describe your organization’s experience with income verification including information collected, required documentation, and third party verifications.Click here to enter text.

18. Will management be provided on site? Yes No

a. If yes, form of management:☐Resident Manager(s) - Number of units: Click here to enter text.☐ Management office (Business Hours Only)☐ Management office (24 hr)☐ Other, Describe: Click here to enter text.

b. If no, describe your service area and how this project fits within your organization’s capacity.Click here to enter text.

19. If the completed project will be managed by the Sponsor Organization, list the names of key property management staff, their titles and their years of experience in affordable housing.

Name Title (e.g., project manager, intake staff)

Years’ Experience in Affordable Housing

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Tab 9 Attachment☐ Development consultant agreement

June 2013

Please complete the following Excel forms and insert them behind Tab 9: Form 9A, Contact List Form 9B, Identity of Interest Matrix Form 9C, Sponsor Experience Form 9D, Development Consultant Experience Form 9E, Property Manager Experience

Section 9-4

SECTION 10SERVICES

NOTE: WSHFC DOES NOT REQUIRE SECTION 10 TO BE COMPLETED UNLESS THE PROJECT HAS COMMITTED TO PROVIDING HOMELESS UNITS.

INTAKE AND TRANSITION

1. If in Section 3, Question 5 you indicated that your organization is working with a referral agency, describe their focus and service areas:Click here to enter text.

2. If in Section 3, Question 5 you indicated that your organization is NOT working with a referral agency, describe how individuals and families will find out about your program: Click here to enter text.

a. If your organization intends to serve homeless individuals and families, indicate your expected client source (check all that apply):☐ Streets☐ Shelters☐ Hospitals☐ Jails☐ Other (please explain): Click here to enter text.

3. Specify any imposed time limit on tenancy (i.e. up to 24 months for transitional housing): #Months Months

4. Explain how time-limited households will transition into permanent housing. Click here to enter text.

CASE MANAGEMENT & OTHER SERVICES5. Describe your case management or services model and how it leads to housing stability and self-

sufficiency for the client. Click here to enter text.

6. What are the proposed staffing levels (case manager to household ratio)? Your answer should match the staffing levels proposed in Form 10A.

(number of Case Managers) case managers to (number of households) households


7. If services will be provided by another agency, provide the name of the organization that will provide the services, the roles and responsibilities of the agency, and who will be the lead.

Service Provider Role/ Responsibility Lead at Service Provider FORMTEXT FORMTEXT FORMTEXT FORMTEXT FORMTEXT FORMTEXT FORMTEXT FORMTEXT FORMTEXT

8. Describe how coordination of services will be handled. Click here to enter text.

PROJECT FIT WITH AGENCY MISSION

9. Briefly describe how this project fits the Sponsor’s mission and that of any project partner’s mission.Click here to enter text.

10. Describe your property management experience, or that of your proposed property manager entity, as it relates to working with the proposed population.Click here to enter text.

CULTURAL COMPETENCY

11. Explain how your organization will provide culturally competent services that meet the needs of the proposed population.Click here to enter text.

12. Describe how your organization’s staff and board reflect the population that will be served, and how your organization is working to broaden staff and board diversity and knowledge around cultural competency. Click here to enter text.

Tab 10 Attachments☐ Memorandum of Understanding☐ Services funding commitment letters

June 2013

Please complete the following Excel form and insert it behind Tab 10: Form 10A, Service Personnel and Non-Personnel Budget

Section 10-2

SECTION 11LIHTC SCORING SYNOPSIS

June 2013

Please complete the following Excel form and insert it behind Tab 11: Form 11, LIHTC Scoring Worksheet

Section 11-1

Documents

Combined... · Web viewCOMBINED FUNDERS APPLICATION. General Instructions. The Combined Funders Application is accepted by all of the following funders: Washington State Housing