FY COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) FUNDING APPLICATION FOR FUNDING ASSISTANCE FISCAL YEAR

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1 FY COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) FUNDING APPLICATION FOR FUNDING ASSISTANCE FISCAL YEAR SUBMISSION DEADLINE FRIDAY, May 11, 2018, 4:30PM TO City of Boynton Beach Community Improvement Division 100 Boynton Beach Blvd, 2 nd Floor West Wing Boynton Beach, FL FOR MORE INFORMATION OR QUESTIONS, PLEASE CONTACT: CITY OF BOYNTON COMMUNITY IMPROVEMENT DIVISION 100 EAST BOYNTON BEACH BOULEVARD BOYNTON BEACH, FLORIDA Telephone: Octavia S. Sherrod, Community Improvement Manager Community Improvement Division 100 E. Boynton Beach Boulevard Boynton Beach, Florida

2 SUMMARY OF THE COMMUNITY DEVELOPMENT BLOCK GRANT The Community Development Block Grant Program (CDBG) was created by Congress with the passage of the Housing and Community Development Act of 1974, as amended. Section 101(c) of the Act [42 U.S.C. 5301(c)] outlines the following: The primary objective of Title 1 of the Housing and Community Development Act of 1974, as amended, and of the Community Development Program of each grantee under the Title is the development of viable urban communities, by providing decent housing and a suitable living environment and expanding economic opportunities, principally to persons of low- and moderate-income. Consistent with this primary objective, not less than 70.0 percent of CDBG funds received by a grantee shall be used in accordance with the applicable requirement for activities that benefit persons of low- and moderate-income. The United States Department of Housing and Urban Development (HUD) places administrative responsibility for the CDBG Program in the City of Boynton Beach on the City Commission. In an effort to create viable urban settings, principally for persons of low- and moderate-income, the Community Improvement Division may utilize such programs as: Housing Rehabilitation, Emergency Assistance, Relocation, Capital Improvements, Demolition, Economic Development and Public Service Programs. The Community Improvement Division established CDBG Planning and Target Areas through the adoption of the Six-Year Redevelopment Plan during The Plan identified Neighborhood Strategy Areas (NSAs) and Code Enforcement Areas (CEAs) in the City of Boynton Beach. The Community Improvement Division welcomes your application submission. We will provide technical assistance, if needed. If you have any questions regarding this application, please contact the Community Improvement Division at Page 2

3 CITY OF BOYNTON BEACH APPLICATION FOR COMMUNITY DEVELOPMENT BLOCK GRANT FUNDING FISCAL YEAR (October 1, 2018 through September 30, 2019) READ ALL INSTRUCTIONS BEFORE COMPLETING APPLICATION ORGANIZATION/AGENCY NAME: CONTACT: TITLE: ADDRESS: CITY, STATE, ZIP: (AREA CODE) PHONE NUMBER: (AREA CODE) FAX NUMBER: CONTACT ORGANIZATION/AGENCY WEBSITE: AGENCY TAX ID # All Applicant Must Have An Website AGENCY DUNS # The applicant certifies to the best of his/her knowledge and belief that the data and information in this application is true and correct and that filing this application has been duly authorized by the governing body of the organization (if applicable) and that the applicant will comply with all the requirements of this grant if the application is approved. SIGNATURE DATE PRINT NAME: TITLE: Page 3

4 1. GENERAL INFORMATION Legal Name of Organization/Applicant: Non-Profit CHDO For-Profit a. Please provide a brief history of your organization. Describe its purpose, goals and accomplishments. b. Provide Organization s Mission Statement. c. Provide Organization s Annual Budget 2. GRANT REQUEST ACTIVITY AREA OF ELIBILITY a. Type of Activity Public Service Homeless Prevention Planning Special Economic Development Salaries Youth Programs Public Safety/Crime Prevention Special Activity By A Community Based Organization Historic Preservation Other Specify b. Activity/Project Title c. Activity Priority Number: PLEASE INSERT THE PRIORITY ASSIGNED BY THE ORGANIZATION S BOARD. PRIORITIZATION MUST BE PROVIDED FOR ACTIVITIES SUBMITTED BY MUNICIPALITIES AND BY APPLICANTS WHOSE ACTIVITIES ARE LOCATED WITHIN MUNICIPALITIES. d. Amount of Funds Requested: IS THE ACTIVITY FOR WHICH FUNDS ARE BEING REQUESTED PART OF AN OVERALL PROJECT? e. Are Matching Funds Required For This Project: Identify Source of Match: Page 4

5 3. ACTIVITY/PROJECT DESCRIPTION ACTIVITY/PROJECT DESCRIPTION: PROVIDE A DETAIL DESCRIPTION OF THE ACTIVITY/PROJECT IN DETAIL, AND BE VERY SPECIFIC AS TO HOW THE CDBG FUNDS ARE PROPOSED TO BE USED, AND WHO SPECIFICALLY WILL IMPLEMENT THE ACTIVITY/PROJECT (A DETAILED DESCRIPTION IS NECESSARY TO DETERMINE ELIGIBILITY). a. PLEASE LIST THE OBJECTIVES, IN MEASURABLE TERMS, PROPOSED ACCOMPLISHMENT, AND EXPECTED OUTCOMES. PROPOSED OBJECTIVES UNIT OF MEASUREMENT b. DESCRIBE YOUR ORGANIZATION S EXPERTISE AND PRIOR EXPERIENCE WHICH QUALIFIES IT TO PERFORM THE PROPOSED PROJECT. c. HAVE YOU APPLIED FOR FUNDING FROM OTHER SOURCES FOR THIS ACTIVITY/PROJECT? IF, PLEASE LIST SOURCE(S) AND AMOUNT(S): SOURCE AMOUNT 4. INTER-RELATED ACTIVITIES a. IF SEPARATE APPLICATIONS ARE BEING SUBMITTED FOR INTER-RELATED ACTIVITIES, PLEASE COMPLETE THE FOLLOWING: NUMBER OF INTER-RELATED ACTIVITIES, INCLUDING THIS APPLICATION: (e.g., 1 OF 4) NAME OF APPLICANT TITLE OF INTER-RELATED ACTIVITY: ACTIVITY TYPE: Page 5

6 5. ACTIVITY/PROJECT IMPLEMENTATION AND MANAGEMENT a. ACTIVITY IMPLEMENTATION 1. ACTIVITY IMPLEMENTATION: EXPLAIN IN DETAIL YOUR PLAN OF ACTION, FOCUSING ON HOW THE AGENCY (AND WHO, SPECIFICALLY) WILL IMPLEMENT THE ACTIVITY. ALL APPLICANTS ARE REQUIRED TO PROVIDE INFORMATION RELATIVE TO THEIR EXPERTISE. IN YOUR EXPLANATION, DESCRIBE IF ANY POLICIES, PROGRAMS, ETC., NEED TO BE DEVELOPED, AND IF ADDITIONAL PERSONNEL IS NEEDED TO IMPLEMENT THE ACTIVITY: 2. DOES IMPLEMENTATION OF YOUR ACTIVITY REQUIRE A LICENSE TO OPERATE? (IF, ATTACH A COPY OF LICENSE. IF YOU DO T HAVE A LICENSE, PLEASE EXPLAIN): 3. APPLICANTS/ORGANIZATIONS MUST ATTACH AN ORGANIZATIONAL CHART WITH A LIST OF CURRENT POSITIONS AND SALARIES. 4. PLEASE COMPLETE THE ACTIVITY/PROJECT WORK PLAN BELOW: TASKS STARTING DATE ENDING DATE Page 6

7 b. ACTIVITY LOCATION PLEASE COMPLETE THE FOLLOWING: 1. ACTIVITY ADDRESS: 2. PLEASE DESCRIBE EXACT LOCATION: 3. PROPERTY CONTROL NUMBER(S): 4. OWNER OF PROPERTY: 5. OWNER S ADDRESS: 6. OWNER S PHONE NUMBER: 7. ATTACH TWO (2) MAPS SHOWING THE LOCATION OF YOUR ACTIVITY: ONE SHOULD BE A STREET MAP; THE OTHER, A PLAT MAP SHOWING LOT AND BLOCK NUMBERS. 6. PROJECT AND ACTIVITY BUDGET a. PROJECT BUDGET: PLEASE ATTACH AN ITEMIZED TOTAL PROJECT BUDGET, AND COMPLETE THE FOLLOWING: 1. PLEASE INSERT THE TOTAL PROJECT COST: $ 2. DOES THE TOTAL PROJECT COST INCLUDE FUNDS FROM OTHER LOCAL, FEDERAL OR STATE PROGRAMS? IF, 3. DOES THE PROGRAM REQUIRE MATCHING FUNDS? INDICATE PERCENTAGE REQUIRED Page 7 4. PROVIDE NAME OF AGENCY, PROGRAM(S) AND AMOUNT(S), YEAR AWARDED OR TO BE AWARDED, AND EXPIRATION DATE OF AWARD. SUPPORTING DOCUMENTATION MUST BE ATTACHED. b. ACTIVITY BUDGET: PLEASE COMPLETE THE FOLLOWING: AGENCY PROGRAM(S) AMOUNT(S) AWARD 1. PLEASE INSERT THE TOTAL ACTIVITY COST FOR WHICH FUNDS ARE BEING REQUESTED $ IF THE ACTIVITY INVOLVES ADMINISTRATIVE EXPENSES, INSERT THE AMOUNT ON THIS LINE PLEASE LIST THE EXPENSES: $ $ $ YEAR EXPIRE YEAR

8 2. PLEASE ENTER THE TOTAL OF LINE #1 ON THIS LINE $ 3. PLEASE INSERT THE AMOUNT OF CDBG FUNDS REQUESTED FOR THE ACTIVITY.... $ 4. PLEASE ENTER THE TOTAL AMOUNT OF FUNDS OTHER THAN CDBG TO BE USED TO MATCH THE ACTIVITY COST $ (SUBSECTION C BELOW MUST BE COMPLETED) 5. PLEASE ENTER THE SUM OF #3 AND #4 ON THIS LINE $ IF LINE #5 DOES T EQUAL LINE #2, PLEASE EXPLAIN: 6. PLEASE ITEMIZE THE ACTIVITY BUDGET: ATTACH ADDITIONAL SHEETS, IF NEEDED ITEMIZED ACTIVITY BUDGET ITEMIZED PROPOSED USE OF CDBG FUNDS 7. ARE CDBG FUNDS BEING REQUESTED FOR PAYMENT OF SALARIES? IF, PLEASE LIST POSITIONS AND EXPLAIN SALARY INCREASES FROM LAST YEAR, IF APPLICABLE: JOB DESCRIPTION(S) AND RESUMES MUST BE ATTACHED FOR EACH POSITION FOR WHICH FUNDS ARE BEING REQUESTED). C. PROGRAM INCOME/REVENUES 1. WILL THE ACTIVITY AND/OR PROJECT FOR WHICH FUNDS ARE BEING REQUESTED DIRECTLY OR INDIRECTLY GENERATE, OR PROPOSE TO GENERATE, PROGRAM INCOME AND/OR REVENUES? 2. PLEASE LIST ALL PROGRAMS OR ACTIVITIES THAT GENERATE, OR WILL GENERATE, INCOME: PROGRAM/ACTIVITY a] $ b] $ c] $ d] $ AMOUNT OF INCOME GENERATED ANNUALLY Page 8

9 5. APPLICANTS MUST DESCRIBE ALL STEPS TAKEN TO SECURE OTHER FUNDING. PLEASE ATTACH AT LEAST ONE (1) LETTER DEMONSTRATING THAT YOU HAVE SOLICITED FUNDS FOR YOUR ACTIVITY OR PROJECT WITHIN THE LAST TWELVE (12) MONTHS FROM AGENCIES THAT ARE T SUB-RECIPIENTS OF THE CDBG PROGRAM; AND THE AGENCIES; RESPONSE. IF OTHER SOURCES HAVE BEEN SOUGHT, PLEASE EXPLAIN WHY: 6. ACTIVITY IMPACT ALL DOCUMENTATION INCLUDED IN THIS SUBSECTION MUST INCLUDE RELIABLE SOURCES SUCH AS CENSUS INFORMATION, OR STUDIES PERFORMED. PLEASE ATTACH EXCERPTS FROM THE DOCUMENTS USED. A. JUSTIFICATION FOR FUNDING ACTIVITY NEEDS ASSESSMENT 1. DESCRIBE THE BENEFICIARIES OF THE PROPOSED PROJECT USING THE FOLLOWING CHART. (PLEASE USE PALM BEACH COUNTY 2018 INCOME GUIDELINES TO DETERMINE INCOME FOR BENEFICIARIES). INCOME CATEGORY ESTIMATED % IN EACH CATEGORY EXTREMELY LOW, VERY LOW AND LOW INCOME PERSONS % PERSONS WITH DISABILITIES (PHYSICAL, MENTAL OR DEVELOPMENTAL) % ELDERLY % HOMELESS % AT-RISK CHILDREN AND YOUTH % PERSON DIAGSED WITH AIDS AND RELATED DISEASE % AT-RISK CHILDREN AND YOUTH % VICTIMS OF DOMESTIC VIOLENCE PUBLIC HOUSING RESIDENTS OTHER (SPECIFY) % 2. WILL ALL THE PEOPLE SERVE BY THE PROJECT BE RESIDENTS OF BOYNTON BEACH? IF, WHAT PERCENTAGE DO YOU EXPECT WILL BE BOYNTON BEACH? % 3. PLEASE IDENTIFY AND DOCUMENT THE NEED(S) THAT WILL BE ADDRESSED BY THE ACTIVITY FOR WHICH FUNDS ARE BEING REQUESTED: Page 9

10 4. PLEASE EXPLAIN HOW THE ACTIVITY WILL SUCCESSFULLY ADDRESS THE NEEDS IDENTIFIED ABOVE. IN YOUR EXPLANATION, INCLUDE WHAT WOULD BE THE DEGREE AND EXTENT OF IMPACT OF THE PROPOSED ACTIVITY ON THE IDENTIFIED NEED: 5. FROM A FINANCIAL PERSPECTIVE, EXPLAIN AND JUSTIFY THE REASON WHY THE CDBG FUNDS REQUESTED ARE NEEDED (i.e., FINANCING GAP): B. ACTIVITY BENEFIT PLEASE IDENTIFY THE FOLLOWING: 1. TOTAL NUMBER OF PERSONS TO BENEFIT DIRECTLY FROM THIS ACTIVITY: 2. FOR ACTIVITIES LOCATED WITHIN OUR MUNICIPALITY PROVIDING OR PROPOSING TO PROVIDE SOCIAL SERVICES, PLEASE INDICATE WHAT PERCENTAGE OF THE CLIENTS COME FROM THE MUNICIPALITY: % 3. FOR ACTIVITIES LOCATED WITHIN OUR MUNICIPALITY PROVIDING OR PROPOSING TO PROVIDE SOCIAL SERVICES, PLEASE INDICATE WHAT PERCENTAGE OF THE CLIENTS COME FROM THE MUNICIPALITY: % 7. CDBG NATIONAL OBJECTIVE REQUIREMENTS ALL CDBG FUNDED ACTIVITIES MUST MEET ONE OF THE THREE NATIONAL OBJECTIVES. IDENTIFY THE NATIONAL OBJECTIVE TO BE MET BY THE ACTIVITY AND EXPLAIN HOW IT WILL BE MET. (PLEASE REFER TO SECTION VI OF THE INSTRUCTIONS TO DETERMINE WHAT OBJECTIVE YOUR ACTIVITY PROPOSES TO MEET; AND SECTION II OF THE APPLICATION TO RELATE THE PROPOSED ACTIVITY WITH APPLICABLE NATIONAL OBJECTIVES). PLEASE INDICATE THE NATIONAL OBJECTIVE TO BE MEET: (CHECK ONLY ONE) A. TO BENEFIT LOW- AND MODERATE-INCOME PERSONS 1. IS THE ACTIVITY LOCATED IN A LOW- AND MODERATE-INCOME AREA? 2. DOES THE ACTIVITY PROVIDE SERVICES TO ALL RESIDENTS OF THE AREA? Page 10

11 3. DOES THE ACTIVITY PROVIDE SERVICES TO PRIVATE GROUPS? (IF, PLEASE LIST GROUPS): 4. DOES THE ACTIVITY PROVIDE SERVICES TO A LIMITED CLIENTELE? 5. DOES THE ACTIVITY PROVIDE HOUSING FOR LOW/MODERATE-INCOME PERSONS? 6. DOES ACTIVITY CREATE OR RETAIN PERMANENT JOBS WHERE AT LEAST 51% OF THE JOBS, COMPUTED ON A FULL-TIME EQUIVALENT BASIS, INVOLVE THE EMPLOYMENT OF LOW/MODERATE INCOME PERSONS? B. TO AID IN THE PREVENTION OF ELIMINATION OF SLUM AND BLIGHT. 1. HAS AREA BEEN DESIGNATED SLUM AND BLIGHT BY THE STATE OR COUNTY? 2. WILL THIS ACTIVITY ADDRESS SLUM AND BLIGHT ON A SPOT BASIS? C. TO MEET A COMMUNITY DEVELOPMENT NEED OF PARTICULAR URGENCY. 1. EXPLAIN HOW YOUR ACTIVITY MEETS THE DEFINITION PROVIDED IN THE INSTRUCTIONS SECTION: 8. LEGAL STATUS AND CONSISTENCY WITH LOCAL GOVERNMENTAL PLANS THE FOLLOWING DOCUMENTATION MUST BE SUBMITTED WITH THE APPLICATION AS IT APPLIES TO YOUR AGENCY. PLEASE IDENTIFY THE TYPE OF AGENCY REQUESTING FUNDING. A. OTHER AGENCIES OR ORGANIZATIONS SPECIFY: N-PROFIT ORGANIZATION COMMUNITY DEVELOPMENT BASED ORGANIZATION (SEE GLOSSARY OF TERMS) SMALL BUSINESS INVESTMENT COMPANY (SEE GLOSSARY OF TERMS) LOCAL DEVELOPMENT CORPORATION (SEE GLOSSARY OF TERMS) OTHER; EXPLAIN: Page 11

12 CONFLICT OF INTEREST FEDERAL LAW (24 CFR ) PROHIBITS PERSONS WHO EXERCISE OR WHO HAVE EXERCISED ANY FUNCTIONS OR RESPONSIBILITIES WITH RESPECT TO THE ABOVE GRANT OR WHO ARE IN A POSITION TO PARTICIPATE IN A DECISION MAKING PROCESS OR TO GAIN INSIDE INFORMATION WITH REGARD TO SUCH ACTIVITIES, MAY OBTAIN A FINANCIAL INTEREST OR BENEFIT FORM ASSISTED ACTIVITY EITHER FOR THEMSELVES OR THOSE WITH WHO THEY FAMILY OR BUSINESS TIES, DURING THEIR TENURE OR FOR ONE YEAR THEREAFTER. 1. IS THERE ANY MEMBER OF THE APPLICANT/ORGANIZATION S STAFF, MEMBER OF THE APPLICANT S BOARD OF DIRECTORS, OR OFFICER(S) WHO CURRENTLY IS OR HAS/HAVE BEEN WITHIN ONE YEAR OF THE DATE OF THIS APPLICATION A CITY EMPLOYEE, AN EMPLOYEE OF THE COMMUNITY IMPROVEMENT DIVISION, OR A MEMBER OF THE CITY COMMISSION? IF, PLEASE LIST NAMES: 2. IF IS THERE ANY MEMBER OF THE APPLICANT/ORGANIZATION S STAFF, MEMBER(S) OF THE BOARD OF DIRECTORS, OR OFFICER(S) WHO ARE BUSINESS PARTNERS OR IMMEDIATE FAMILY OF A CITY EMPLOYEE, AN EMPLOYEE OF THE COMMUNITY IMPROVEMENT DIVISION, OR A MEMBER OF THE CITY COMMISSION? IF, PLEASE LIST NAMES: 3. WILL THE FUNDS REQUESTED BY THE APPLICANT BE USED TO PAY THE SALARIES OF ANY OF THE APPLICANT S STAFF OR AWARD A SUBCONTRACT TO ANY INDIVIDUAL WHO IS OR HAS BEEN WITHIN ONE YEAR OF THE DATE OF THIS APPLICATION A CITY EMPLOYEE, AN EMPLOYEE OF THE COMMUNITY IMPROVEMENT DIVISION, OR A MEMBER OF THE CITY COMMISSION? IF, PLEASE LIST NAMES: Page 12

13 ATTACHMENTS REQUIRED PLEASE CHECK WHICH DOCUMENTS HAVE BEEN INCLUDED WITH THE APPLICATION. IF T APPLICABLE TO YOUR REQUEST WRITE N/A. ATTACHED DOCUMENT ATTACHMENT # 1. APPRAISAL REPORT; (ONLY FOR ACTIVITIES THAT INVOLVE ACQUISITION OF REAL PROPERTY). 2. EVIDENCE OF SITE CONTROL (e.g., SALES CONTRACT, DEED, ETC.). 3. LETTER OF COMPLIANCE WITH ZONING AND LAND USE DESIGNATIONS. 4. PROJECT COST PRO FORMA AND OPERATIONAL PRO FORMA (RENTAL PROJECTS). 5. ORGANIZATIONAL CHART, WITH A LIST OF CURRENT POSITIONS AND SALARIES (ALL PRIVATE AGENCIES REQUESTING FUNDS). 6. EVIDENCE OF AVAILABILITY OF FUNDS TO COVER PROGRAM COSTS. 7. COPY OF LICENSE(S) NEEDED TO OPERATE. 8. STREET MAP SHOWING LOCATION OF ACTIVITY. 9. PLAT MAP (SHOWING BLOCK AND LOT NUMBERS) IDENTIFYING LOCATION OF THE ACTIVITY. 10. LETTER CERTIFYING COMMITMENT TO THE MAINTENANCE AND OPERATION OF THE PROPOSED ACTIVITY. 11. ITEMIZED PROJECT BUDGET. 12. ITEMIZED ACTIVITY BUDGET. 13. JOB DESCRIPTION(S). 14. EVIDENCE OF MATCHING CONTRIBUTION. 15. LETTER DEMONSTRATING THAT OTHER SOURCES OF FUNDING HAVE BEEN SOUGHT WITHIN THE LAST TWELVE (12) MONTHS. Page 13

14 ATTACHED DOCUMENT ATTACHMENT # 16. RESPONSE TO FUNDING REQUESTS MENTIONED IN #15 (ABOVE). 17. COPY OF SUPPORTING ACTIVITY IMPACT INFORMATION. 18. COPY OF MINUTES OF MEETING OF GOVERNING BODY, AUTHORIZING SUBMITTAL OF APPLICATION(S), IF APPLICABLE. 19. PROOF OF 501(c) TAX EXEMPT STATUS FOR NPROFIT AGENCIES. 20. ARTICLES OF INCORPORATION UNDER STATE OR LOCAL LAW. 21. BY-LAWS. 22. OCCUPATIONAL LICENSE AND/OR FICTITIOUS NAME REGISTRATION. 23. LETTER OF SUPPORT FROM OTHER AGENCIES (OPTIONAL). 24. AUDIT REPORT AND/OR AUDITED FINANCIAL STATEMENT FROM LAST YEAR OF OPERATION DOCUMENTATION SHOWING PAST PERFORMANCE ON ANY LOCAL, STATE OR FEDERAL FUNDING PROGRAMS. ORGANIZATION S BUDGET OTHER T LISTED ABOVE Page 14

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