ࡱ> J$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$%` Dbjbjٕ s4F...h"|FBH"ެެެϲl;8n@p@p@p@p@p@p@$ EhsG@^^^@ެެ}B^Xެެn@^n@+nz4ެ w./N7tB0Bd/GHjGHz4GHz4spſ}sss@@fXsssB^^^^FFFD_e/FFFeFFF City of Waterbury CDBG and ESG Nonprofit Application for CDBG Housing, Economic Development, Public Services and ESG Programs 2008-2009  Instructions and Application Form INSTRUCTIONS FOR HOUSING, ECONOMIC DEVELOPMENT AND PUBLIC SERVICES CDBG/ESG APPLICATIONS PREPARATION OF APPLICATIONS Applications are designed to be filled in electronically. Applications must be complete and answer all questions fully in order to be considered. Please consider submitting applications in advance of deadline if you want your application reviewed for completeness. Applications must have all required supporting documentation and certifications in order to be considered. Applicants must not have any tax delinquencies. Application proposals must meet with HUD national objectives, be eligible activities, have measureable objectives, outcomes and indicators, provide a performance measurement outcome statement, and comply with Waterburys 2008-2013 Consolidated Plan in order to be considered. One (1) original application marked original with attached supporting documentation and twenty (20) application copies without supportive documentation must be mailed or hand-delivered to: Waterbury Development Corporation 24 Leavenworth Street Waterbury, CT 06702 No later than: Wednesday, May 14, 2008 at 3:00 p.m. All original applications will be time-stamped. Late applications will not be accepted! APPLICATION ASSISTANCE: WDC staff is available for assistance or general questions relating to the application. Please call Kathleen McNamara at 203-346-2607 Ext. 115 or Geoff Green at Ext 109. Technical assistance workshops will be held on Wednesday, April 30, 2008 in the WDC 2nd floor Brass City Room from 4:00 to 5:30 p.m. and also on Wednesday, May 7, 2008 (same location and time). APPLICATION EVALUATION CRITERIA (100 point cumulative plus 20 point bonus) Applications deemed complete and meeting all requirements will be scored upon the following criteria: 1. Critical Need: 15 points How critical is the need for these services? Does the proposed activity fill an identified gap? Does the benefit in terms of numbers of clients served or type of services provided rise to a priority in terms of funding, considering the many requests received for CDBG/ESG? 2. Service Duplication: 10 points Does the program provide an unduplicated service in the City or defined service area? Are the service recipients primarily Waterbury residents? How has the applicant insured that duplication of services with other agencies is not occurring? Is the applicant making efforts to collaborate with other providers of similar services? 3. Service/Activity Quality: 15 points If the service/activity is a renewal, has it performed well and met community needs in the past? Does the service have a successful track record? Has it met its set goals in the past (performance outcome measurement statements). If the service/activity is a new proposal, is it well-thought out, with identified and scheduled goals? Has the applicant clearly identified all tasks/and objectives and set a schedule of goals to be completed? Is the applicant able to demonstrate how it meets its program outputs/outcomes in a measurable manner? Will the program/project be ready to operate at the beginning of the program year and be completed within the program year? Does the organization have a system for monitoring and evaluating the quality and outcomes of the services provided? 4. Budget: 10 points Has an estimate of necessary resources been compiled into a realistic budget? Have the proposed expenses been justified as they relate to the purpose of the funding? Are the expenses itemized in the overall budget essential to the proposed project? If the service or activity is a renewal, is the budget in line with the prior years final actual expenses? Are CDBG/ESG funds essential, or could this program be run without CDBG/ESG funds? 5. Financial Soundness: 15 points Does the financial documentation provided demonstrate that the applicant is financially sound at the time of the application? If the applicant has encountered financial difficulty in the past, has the organization taken adequate steps to provide for its future operating needs and expenses? What financial practices are in place to assure that the organization will be able to deliver the services for which it is applying? 6. Organizational Capacity: 10 points Does the agency have the organizational capacity to deliver the proposed program? Are staffing levels sufficient on both the paid and volunteer levels? Are staff properly trained and qualified to deliver the programs and services? Does the agency have the capacity to handle financial resources with adequate internal control and acceptable accounting procedures? 7. Past History (Negative 0-10 points) If the agency received funding in the past were all reporting and contractual requirements met in a timely manner? If not, was the agency interested in improving its performance and showing diligence in improving its record keeping and reporting by requesting technical assistance? Were invoices submitted correctly and in a timely fashion? What was the quality of the reporting? 8. Leveraging: 15 points Has the organization demonstrated the ability to use other city, federal or private funds or hold fundraisers/seek donations to leverage CDBG/ESG funding? What percentage of the budget does CDBG/ESG comprise? If applicant is receiving other funds have commitment letters been attached? If applicant has applied to seek other funds, have copies of application cover letters to other fund sources been attached? (Organizations that seek additional funds will be given priority) 9. Program/Project Readiness: 10 points Is the program or project ready to move forward? If a building project, have site selection, acquisition, specifications, and feasibility studies prepared? If a program or activity has the program been well-though out, program staff designated and program materials been drafted? Does the design of the program/project seem feasible? 9. Consolidated Plan Targeted Area: Bonus 20 points If the project or service falls within a local target area or HUD approved Neighborhood Revitalization Strategy Area the application will receive a bonus of 20 points. Preliminary Consolidated Plan target areas include the Brooklyn neighborhood in the vicinity of Duggan School, the North Main Street neighborhood in the vicinity of the proposed North Main Street school, and the upper South End neighborhood, as well as the South Main Street corridor. CDBG Housing, Economic Development, Public Service and ESG Application Cover Waterbury Development Corporation 24 Leavenworth Street Waterbury, CT. 06702 Website: www.wdconline.org COMMUNITY DEVELOPMENT BLOCK GRANT(CDBG) and EMERGENCY SHELTER GRANT (ESG) PROGRAMS APPLICATION FOR FUNDING ASSISTANCE Due Date: Wednesday, May 14, 2008 at 3:00 p.m.PROGRAM YEAR OCTOBER 1, 2008-SEPTEMBER 30, 2009 Agencys Legal Name:  FORMTEXT      Project Title:  FORMTEXT       Agency s Mailing Address: Street: FORMTEXT       City:  FORMTEXT       State FORMTEXT       Zip  FORMTEXT       Tel: ( FORMTEXT      ) FORMTEXT       Ext.  FORMTEXT       Project Site Address: Street FORMTEXT       City  FORMTEXT       State FORMTEXT       Zip  FORMTEXT       Tel: ( FORMTEXT      ) FORMTEXT       Ext.  FORMTEXT       Person Authorized To Sign Contract: Name:  FORMTEXT       Title:  FORMTEXT       Tel:  FORMTEXT       Fax:  FORMTEXT       Email:  FORMTEXT       Person Managing Project: Name:  FORMTEXT       Title:  FORMTEXT       Tel:  FORMTEXT       Fax:  FORMTEXT       Email:  FORMTEXT       Status of Agency:  FORMCHECKBOX  Nonprofit (Attach proof)  FORMCHECKBOX  Pending  FORMCHECKBOX  Approved  FORMCHECKBOX  Type of Nonprofit (Identify):  FORMCHECKBOX  State of Connecticut Incorporation (Attach proof)  FORMCHECKBOX  Employer Identification Number Project Category:  FORMCHECKBOX  Public Services  FORMCHECKBOX  Economic Development  FORMCHECKBOX  Housing Services See separate application for Public Facilities and Improvement ProjectsCDBG  FORMCHECKBOX  ESG  FORMCHECKBOX  (Check One) Funding Request: $ FORMTEXT       Total Project Cost: $ FORMTEXT       If the amount of the CDBG/ESG grant is less than the amount requested, will the program be implemented?  FORMCHECKBOX  Yes or  FORMCHECKBOX No Is the funding request  FORMCHECKBOX new or  FORMCHECKBOX  continued? 2008-2009 CDBG/ESG APPLICATION fill out application electronically. check all boxes as you complete each section. print original and ATTACH SUPPORTIVE documenation. mark original application with the word original. attach supportive documentation to the orginal only. submit one (1) original with attached supportive documentation and twenty (20) copies of the application with no supportive documentation. Submit original with supportive Documentation and twenty application copies by hand or mail to: the waterbury developmentcorporation, 24 leavenworth street, waterbury, ct 06702 By wednesday, may 14 2008 at 3:00 p.m. all originals will be time-stamped. no applications will be acceptyed after the deadline! Each application will be scored based upon a 100 point Criteria (See attached Criteria) plus a 20 point possible target bonus for a total of 120 possible points. only complete applications with all supportive documents will be considered. each application proposal each must meet a HUD national objective, be a HUD-eligible Activity, show objectives, Outcomes, and Indicators, Provide a Specific Performance Measurement Statement, Comply with the City of waterbury Consolidated Plan. The applicant must have no city of waterbury delinquencies  FORMCHECKBOX  SECTION I. ORGANIZATION/AGENCY SUMMARY: Please provide a summary of your organization that includes a mission statement, a description of your organizations staffing capacity (paid and volunteer), an overview of your organization s programs and activities, accomplishments.  FORMTEXT  FORMTEXT          FORMCHECKBOX  SECTION II. PROGRAM / PROJECT DESCRIPTION: Describe the program/project for which you organization is requesting CDBG/ESG funds. Include: Description of proposed program services/project Length of time your agency has provided these services Names and job titles of staff members who will administer program/project Description of your agencys ability/history in administering this type of program or project Frequency and duration of the program services (e.g. Each participant attends class twice a week for a total of 24 weeks; each class is two hours in duration) Start and end date of program/project (If a public service program it must occur between October 1, 2008 and September 30, 2009). Identify all tasks /objectives and schedule of goals to be completed How will you monitor and evaluate the quality and outcomes of services or project? (e.g. staff management and training, quality assurance programs, client feedback, evaluation plans etc.) If your program/project is occurring at a City facility or in participation with a City facility or department, please describe how you interact with that facility and City Department. (If the facility in which your program is located is a City School or is affiliated with the Department of Education in any way, you must provide a letter from the Department of Education indicating that the program has permission to use that facility and a letter endorsing the Program). You must also provide a letter of endorsement from the appropriate City Department.  FORMTEXT        FORMCHECKBOX  SECTION III. PROGRAM / PROJECT BENEFIT: Describe the public benefit that your program / project will provide. Choose one of the following three sections to complete:  FORMCHECKBOX  If you will provide public services to low-moderate income clients (public/social service programs): Describe your intended client demographics using as much hard census data as possible. Will they be 51% low-and-moderate income? How will you track this? If your program primarily serves a neighborhood, provide an overview of your neighborhood demographics Estimate the total number of clients you will serve. Given you budget, what is the CDBG/ESG cost per client? Estimate the percentage of Waterbury residents served. How will clients be recruited and/or for the program? How will you track client satisfaction and/or progress? Discuss your system for monitoring and evaluating the quality and outcomes of services provided (e.g. staff management and training, quality assurance programs, client feedback, evaluation plans) How are you collaborating with other service providers within the community? Given the array of social service programs, describe what processes are used to avoid duplication of effort.  FORMTEXT        FORMCHECKBOX  If your project/program will benefit an identified service area benefit where 51% of the service area s users or those who benefit from the program/project are 51% low- and moderate-income (examples: economic development project :) Describe the nature of the activity and its exact service area How does your service area meet the 51% requirement? (Remember service areas are areas served by the project, not necessarily the immediate area surrounding the project)  FORMTEXT        FORMCHECKBOX  If your project is intended to provide low and moderate-income housing benefit through the providing or improving of permanent residential housing structures: Describe the housing activity (location, site availability, acquisition, units etc.) that is being proposed. How will the project meet the 51% low- and moderate income requirements? What are the projected project start and completion dates?  FORMTEXT        FORMCHECKBOX  SECTION IV. ORGANIZATION / AGENCY FINANCIAL AND ORGANIZATIONAL CAPACITY: Discuss how your program/project will use CDBG/ESG funds. Provide an explanation of each CDBG/ESG budget line item indicated on your itemized budget. Justify the need for each item, the relevance and the cost effectiveness of the requested item for the successful implementation of the program/project, Provide a statement as to the financial capacity of your organization to deliver the proposed program/project. Provide a discussion of your ability to handle financial resources with adequate internal controls and acceptable accounting procedures. Discuss staff procedures. If financial difficulties have occurred in the past please explain how these challenges have been met and resolved. Explain all non-cash support that you receive (services, volunteers, use of facilities).  FORMTEXT        FORMCHECKBOX  SECTION V. UNMET NEEDS: Discuss how your program or project meets needs that are not being met either by other programs or in other locations in Waterbury? Provide data if possible as to the need for your services. Discuss how you judge the priority of this program in terms of Waterburys needs? How does your program /project collaborate with similar service providers in Waterbury in meeting these needs?  FORMTEXT        FORMCHECKBOX  SECTION VI. LEVERAGING OF OTHER FUNDS: Indicate sources to which you have committed, already applied to, or plan to apply to for funding before October 1, 2008. (If there are committed funds, you will need to provide letters of commitment; if you indicate you have applied for other funds, you will need to provide a copy of application cover letter. Indicate what measures you will take to raise funds through fund-raising activities. If CDBG/ESG funds are the sole source of funds, explain why. If this is a new application for CDBG/ESG funds, how has the program been funded in the past and why is your organization now requesting funds? What will be the impact if your project/program is not awarded funds? What percentage of your budget does CDBG/ESG funding comprise?  FORMTEXT        FORMCHECKBOX  SECTION VII. NATIONAL CDBG/ESG OBJECTIVE: CDBG: Check one of the following:  FORMCHECKBOX Benefits low- and moderate- income persons (client benefit, area benefit, housing benefit, jobs) Applies to most public/social services and housing  FORMCHECKBOX Aids in the prevention or elimination of slum and blight in an area or on a spot basis,  FORMCHECKBOX Meets an urgent need or imminent threat (natural disaster) ESG: Check one of the following  FORMCHECKBOX  Renovates or rehabilitates emergency shelter facility  FORMCHECKBOX Provides essential services, maintenance and operation of emergency shelter facility  FORMCHECKBOX  Develops / implements homeless prevention activities  FORMCHECKBOX  SECTION VIII. ELIGIBLE CDBG OR ESG ACTIVITY: Choose a HUD Eligible activity for CDBG or ESG that your proposal meets CDBG: Acquisition of Real Property Disposition of CDBG property Public Facilities and Improvements: streets, curbs, sidewalks, parks, public facilities etc. Demolition: Interim Assistance: Relocation: Removal of Architectural Barriers: Housing Rehabilitation: New Construction: CDBG funds may be used for new construction when undertaken by a certified Community Based Development Organization (CBDO) Special Economic Development Activities Public Service Activities: Public service programs (including labor, supplies and materials) which is directed toward improving the communitys public services including, but not limited to: job training, job-readiness placement, crime prevention, child care, health, substance abuse, homeless and special needs programs, education, transportation, fair-housing counseling, homeownership counseling, energy conservation, and recreational needs. Public Service funding must not exceed 15% of the total annual funds. Planning/Program Administrative Costs (City Use Only): Limited to 20% of the entitlement grant ESG Rehabilitation that includes conversion of a building for use as a shelter, replacement of principal fixtures, installation of security devices, energy efficiency improvements, handicapped accessibility Renovations Essential Services concerned with employment, health, drug abuse and education Maintenance and operation of a an emergency shelter facility for the homeless Homeless Prevention Programs  FORMTEXT        FORMCHECKBOX  SECTION IX. CDBG and ESG OBJECTIVES, OUTCOMES AND INDICATORS: Objective: Check One:  FORMCHECKBOX Creates a Suitable Living Environment  FORMCHECKBOX Decent Housing  FORMCHECKBOX Creates Economic Opportunities Outcome: Check One  FORMCHECKBOX Improve/increase Availability or Accessibility (creating, providing a service)  FORMCHECKBOX Affordability  FORMCHECKBOX Sustainability (applies to multiple services for a targeted area) Indicator: Check One  FORMCHECKBOX Number of persons assisted  FORMCHECKBOX Number of households assisted  FORMCHECKBOX Number of housing units created or rehabilitated  FORMCHECKBOX Number of businesses assisted  FORMCHECKBOX Number of jobs created or retained  FORMCHECKBOX Acreage, square foot, or linear footage of infrastructure improvements  FORMCHECKBOX Number of homeless persons assisted; homeless sheltered; homeless receiving permanent housing  FORMCHECKBOX Number of commercial facades improved or commercial structures rehabilitated  FORMCHECKBOX Number of persons assisted with new or improved access to a public facility or infrastructure or number of people that no longer only have access to a substandard facility or infrastructure  FORMCHECKBOX  Number of acres of brownfields remediated  FORMCHECKBOX  SECTION X. PERFORMANCE OUTCOME MEASUREMENT STATEMENT: Provide a Program Performance Outcome Measurement Statement using above objectives, outcomes and indicators that applies to your project / program following the models below. Be specific but realistic. Sample Outcome Measurement Statement: With improved access to after-school recreation programs for the purpose of creating a suitable living environment, fifty low- and moderate income youth will have improved physical health and social skills Sample: With improved affordable free roofing repair to their homes for the purpose of providing decent housing, thirty households will have retained their homes by the number of roofs completed.  FORMTEXT        FORMCHECKBOX  SECTION XI: COMPLIANCE WITH WATERBURY CONSOLIDATED PLAN: How does your program meet one or more of the stated Preliminary 2008-201Consolidated Plan Goals from the list below. Goals are preliminary and subject to approval of the Plan. Preliminary 2008-2013 Consolidated Plan Goals Neighborhood Development: Creating healthy neighborhoods in which people choose to live, work and invest. Goals  Redevelop vacant lots and dilapidated structures Create off-street parking lots/facilities Enhance and expand neighborhood parks and open space resources Improve neighborhood streets and sidewalks Improve the exterior conditions of residential and commercial buildings Improve or develop public and community facilities that provide educational recreational opportunities or offer needed services Stimulate neighborhood commercial development Maintain historic assets and architectural fabric of the city Improve the attractiveness of the community by eliminating blighting influences (e.g. abandoned buildings, graffiti, litter, debris, etc.) Address potential targeted neighborhoods such as the Brooklyn Neighborhood near the new Duggan School, North Main Street neighborhood near proposed new elementary school, the upper South End neighborhood and South Main Street corridor Housing: Encouraging homeownership and providing affordable, safe and decent housing with an emphasis on homeownership Goals Increase the number of owner-occupied housing units Improve the condition of the existing housing stock Provide an adequate supply of affordable housing Promote and maintain safe and decent housing conditions Expand housing opportunities through rehabilitation and new construction Support the development and rehabilitation of supportive housing to end homelessness and support people with disabilities or special needs Support housing homeownership, mortgage, and foreclosure counseling assistance Provide emergency housing and services to homeless or near homeless individuals, families seeking shelter services or residents displaced from their homes Economic Development: Increasing the Citys grand list and create living-wage jobs for Waterbury residents. Goals Attract new businesses by acquiring, assembling and remediating key development opportunity sites Stimulate business creation and expansion by developing and marketing incentive packages for targeted business development Assist businesses with exterior building improvements Human Development: Assisting Waterbury residents to achieve their potential as independent and self-sufficient citizens Goals Provide for the basic human needs of Waterburys disadvantaged residents, e.g. food, shelter, health and dental care, etc. Assist adults to secure and hold jobs that pay a living wage through literacy services, English-as-a-second language classes, counseling, job training, job placement services, child care, case management, etc. Assist elders to remain in their homes and neighborhoods and participate in community life Expand public transportation services (routes and hours of operation) and support elderly transportation services Assist youth to become responsible, self-sufficient adults through school readiness programs, truancy programs, after-school and summer programs, recreation programs. and programs that further educational opportunities Support programs that are aimed at crime prevention Assist families and children in crisis Provide services to families and individuals to reduce the risk of becoming homeless Provide for psychiatric treatment, rehabilitation and support services as well as community education, training consultation and advocacy to assist in transition and re-entry into the community Support programs that benefit victims of abuse Support programs that meet the needs of handicapped/special needs persons  FORMTEXT        FORMCHECKBOX  SECTION XII. TARGETED NEIGHBORHOODS AND HUD-APPROVED NEIGHBORHOOD REVITALIZATION STRATEGY AREAS (NRSAs) Does your project /program take place in or primarily serve a neighborhood area identified by the 2008-2013 Consolidated Plan as a local targeted area or HUD- approved Neighborhood Revitalization Strategy Area? If so, describe how your program/project is beneficial to the revitalization of that area. Preliminary Consolidated Plan target areas include the Brooklyn neighborhood in the vicinity of Duggan School, the North Main Street neighborhood in the vicinity of the proposed North Main Street School, and the upper South End neighborhood as well as the South Main Street corridor.  FORMTEXT       Section XIII: ITEMIZED BUDGET Prepare a line item budget that depicts total costs associated with the program. Include all sources of funding and indicate whether funds are committed or pending. The Itemized Budget must cover the funding period of October 1, 2008 through September 30, 2009. 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