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Small Cities Development Program (SCDP) 2018 Application Packet Application Deadline Thursday, February 22, 2018 4:30 PM 1

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Page 1: SCDP APPLICATION TIME FRAMES - index / … · Web viewAt least 70% of the annual SCDP allocation will be awarded to activities that meet a LMI federal objective. SCDP funding may

Small Cities Development Program (SCDP)

2018 Application Packet

Application Deadline

Thursday, February 22, 2018 4:30 PM

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SCDP APPLICATION TIME FRAMESJuly 2017 SCDP Application Packet available on web

http://mn.gov/deed/government/financial-assistance/community-funding/

November 9, 2017, 4:30 PM Deadline date for Preliminary Proposal;

December 14, 2017 Preliminary project competitive status provided to applicants

February 22, 2018, 4:30 PM Deadline date for SCDP Applications;

June 2018 Awards Announced

Applications. Fifteen percent (15%) is designated for DEED’s Federal Economic Development set-aside – MN Investment Fund Program (MIF). Allocation percentages may be modified by the Commissioner of DEED if the Commissioner determines that there is a shortage of fundable Applications in any category.

At least 70% of the annual SCDP allocation will be awarded to activities that meet a LMI federal objective.

SCDP funding may be made available in the event of an Urgent Community Development need or the occurrence of certain federal or state declared disasters. Please contact the DEED representative assigned to your region for further information.

APPLICATION SUBMISSION INFORMATION

Communities with preliminary proposals deemed Competitive or Marginally Competitive from the screening process will be asked to submit an application. Communities choosing to submit an application must submit one original and one copy, including necessary attachments, to the address below:

Minnesota Department of Employment and Economic Development1st National Bank Building332 Minnesota Street, Suite E200St. Paul, MN 55101-1351Attn. Community Finance Division, SCDP

Applications must be received by DEED on or before 4:30 pm on Thursday, February 22, 2018. Faxed or emailed applications will not be accepted. Application deadlines are firm with no exceptions.

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Small Cities Development Program Application

Applicant (City/County):      

If Multi-Community Proposal, List Partnering Community(ies)

     

Application Author:      

SCDP Amount Requested $     Estimated Amount of Other Funds $      Program Income $      Estimated Total Project Cost $     

If Program Income, Identify the source(s) with an “x”: SCDP       Minnesota Investment Fund (MIF)      

Note: Budget page must be attached after this page. The budget page can also be found on our website.

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A. Project Summary/Federal Objective/Goals/Budget – Final

Provide a narrative outlining the project and how it will provide substantial benefit to the community.     

Please complete the SCDP Federal Objective/Goals/Budget Excel document found under the “Apply” tab of the Small Cities Development Program webpage on the DEED website and attach it to your application after the cover page.

Applications are more competitive when administrative request per activity is less than 15% of SCDP hard costs. If the amount of SCDP administration is greater than 15% per activity, justification will be required. Lead paint risk assessments and clearances may be included in hard costs (as it applies to your project).

B. Attachments- please attach any of the applicable items listed below to the application. Other attachments might be needed and will be outlined in the applicable activity sections.

Goals and Budget TableSee example above.

City/County ResolutionCity/County Resolution that provides the authority to apply must be attached to the Application as an addendum. See the SCDP portion of the DEED website under “Apply” for a fillable resolution.

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SAMPLE

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Notice of Public HearingsEvidence of a Public Hearing, including minutes, must be attached to the Application as an addendum. Be sure to include the citizen participation plan as part of your public hearing. See the SCDP portion of the DEED website under “Apply” for a citizen participation sample form.

Conflict of Interest DisclosureThe form on the last page of the application will need to be completed, signed, and attached. Mayors or County Board Chairs will need to disclose any conflicts, perceived conflicts, or potential conflicts of interest, if applicable.

Time Line A timeline that includes projected date of SCDP environmental clearance; date applications will begin to be

accepted (if applicable), dates project will be bid and awarded (if applicable), and date of completion and grant closeout. Remember that SCDP grant agreements have a 30 month period.

Cooperative Agreements (when applicable)Evidence of Cooperative Agreements must be attached to the Application as an addendum. If two or more cities are applying together a “Local Government Resolution for Secondary Applying Communities” will be needed for all communities which are not the lead applicant. See the SCDP portion of the DEED website under “Apply” for a fillable resolution.

Interest list (for rehabilitation activities)Number of owners and sample interest list letter. Summary of individuals interested in participating including if they are LMI for owner-occupied housing rehabilitation (if applicable).

Slum and Blight Designation and Description (for commercial rehab activity). A Slum and Blight Resolution to designate a target area and a description of those boundaries must both be included as attachments.

Slum and Blight Designation

The template for the SCDP recommended Slum and Blight resolution is available under the “Apply” section of the SCDP portion of the DEED website. The map of the boundaries and building inventory (number of standard, substandard, and dilapidated buildings) referred to in the sample resolution was the map submitted with the preliminary proposal.

The Minnesota HRA statute definition of “blighted area” is ( 469.002, subdivision 11)

Slum and Blight Description

The description needs to outline the boundaries of the district. An example would be:

- Bounded on the north by Oak Street, and - Bounded on the east by Maple Street, and - Bounded on the south by Ash Street, and - Bounded on the west by Pine Street.

For districts that are not necessarily square in nature, add addresses of blocks that are included in the boundaries.

For instance: Bounded on the north by the 100 to 300 block of Oak Street.

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SCORING

All applications will be evaluated and awarded up 240 total points based on the following.

1) General Evaluation 30 Demographic PointsAll applications will be evaluated for community need and awarded 30 Demographic Points. These points will be assigned by the Minnesota State Demographer to DEED based on:

Number of poverty persons in the area under the applicant’s jurisdiction The percentage of residents in the area under the applicant’s jurisdiction who are poverty persons

The per capita assessed valuation of the area under the jurisdiction of the applicant, such that points are awarded in inverse relationship to applicants’ per capita assessed valuation.

Following review for demographic points, applications will be divided into the categories and scored on a comparison of applicants within those categories. Those categories are:

Housing Projects Public Facilities Projects Comprehensive Projects

2) Housing Projects Evaluation - a housing project which includes one or more activities designed to increase supply or quality of dwellings suited to the occupancy of the individuals and families (owner occupied or rental).a) Project Need – 90 Points: Up to 90 of the points available in the housing category competition shall be awarded

by the division based on evaluation of the need for improvements or additions to the housing stock serving low and moderate income persons as evidenced by:i) housing units that are occupied by low and moderate income persons are either substandard or pose a threat to

the health or safety of the occupants,ii) an inadequate supply of affordable housing for low or moderate income persons, oriii) other documented conditions that give evidence of the need for improvements or additions to the housing

stock serving low and moderate income persons.b) Project Impact – 90 Points: Up to 90 of the points available in the housing category competition shall be awarded

by the division based on evaluation of the extent to which the proposed activities will eliminate deficiencies in the housing stock serving low and moderate income persons.

c) Cost Effectiveness – 30 Points: Up to 30 of the points available in the housing category competition shall be awarded by the division based oni) evaluation of the extent to which the proposed activities will make cost effective use of grant funds including

coordination with, and use of, funds from other public and private sources, andii) evidence that the cost of the proposed activities per benefiting household is reasonable.

3) Comprehensive Project Evaluation - a project that includes a combination of at least two interrelated activities which are designed to address community development needs, which by their nature must be carried out in a coordinated manner such as housing and commercial, housing and public facilities, housing, commercial, and public facilities.a) Project Need – 90 Points: The comprehensive program category competition shall be based on evaluation

of need for the proposed comprehensive program(combination of housing and commercial and/or public facilities), including consideration of: i) number of low and moderate income persons in the program area,ii) percentage of residents in the program area which are of low or moderate income, andiii) need for the proposed comprehensive program as evidenced by at least two of the following:

(1) Need for improvements or additions to the housing stock serving low and moderate income persons

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(2) Need for new or improved public facilities in the program area, or employment problems in the program area.

b) Project Impact – 90 Points: The comprehensive category competition shall be based on evaluation of the extent to which the proposed comprehensive program will eliminate or reduce the need identified, and the extent to which the proposed program will improve the long term physical or economic condition of the program area and its residents.

c) Cost Effectiveness – 30 Points: The comprehensive category competition shall be based on the extent to which the proposed comprehensive program will make cost effective use of grant funds, including consideration of coordination with, and use of, funds from other public and private sources.

4) Public Facilities Project Evaluation - a project that includes one or more activities designed to acquire, construct, reconstruct, or install buildings or infrastructures which serve a neighborhood area or community such as wastewater treatment plants, lines, and towers.a) Project Need – 90 Points: The public facilities category competition shall be based on evaluation of the

extent to which the proposed activities are necessary to improve provision of public services to low and moderate income persons or to eliminate an urgent threat to public health or safety.

b) Project Impact – 90 Points: The public facilities category competition shall be based on evaluation of the extent to which the proposed activities will reduce or eliminate the need.

c) Cost Effectiveness – 30 Points: The public facilities category competition shall be based on evaluation of the extent to which the proposed activities will make cost effective use of grant funds, including consideration of:i) the extent to which the requested grant funds are necessary to finance all or a portion of the costs,ii) evidence that the cost of the proposed activities per benefiting household or person is reasonable, and iii) the extent to which the project benefits the existing, rather than future population, except in cases where

the proposed activities are necessary due to expected development or growth which is beyond the applicant’s control.

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ACTIVITY QUESTIONS

Owner Occupied Housing RehabilitationHas any of the information in Section A below changed since the Preliminary Proposal?      

If the data in Section A is the same as was presented in the Preliminary Proposal, skip Section A and begin answering the questions in Section B. If changes are being made since the Preliminary Proposal, complete only the areas in the section in need of change.

Section A

Owner-Occupied Housing Rehabilitation: Criteria: Rehabilitation of substandard stick- built or double-wide manufactured homes on a foundation. Household incomes of participating homes cannot exceed 80% of the county median income and the house must be in standard condition after the rehabilitation is complete.

Background If this activity is part of a multi-community application – complete and provide separate answers to the

following questions for each partnering community.

Proposals will need to designate a target area of the city. A Plan B option can be proposed that would serve as a contingency if the interest in the primary target area proves not sufficient to meet the proposed goals. Designating a Plan B should be strongly considered as DEED will not allow any other target area expansions for projects that are being implemented.

Cities of 1000 or less can propose city-wide target areas. Cities of 1000 or more must propose a target area and cannot propose a city-wide option as Plan B. If the total population of the combined cities for multi-community applications exceeds 1000, each city will need to propose a target area and Plan B options, if applicable.

Community QuestionsPrimary community:       Population of primary community:       Type of rehabilitation area proposed (select one): City-wide       or Target Area      

Partnering community #1(if applicable):      Population of partnering community #1 (if applicable):      Type of rehabilitation area proposed: City-wide       or Target Area      

Partnering community #2(if applicable):      Population of partnering community #2 (if applicable):       Type of rehabilitation area proposed: City-wide       or Target Area      

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MapsAttach a map of the city limits with the primary target area shown within the city limits. If applicable, maps should be included for all communities. If applicable, include the proposed Plan B option on the map. The answers to the questions below should include data for the primary target area along with any Plan B area, if a Plan B area is proposed.

Provide a second color map with all homes within the proposed rehabilitation area (city-wide or target area with a Plan B, if applicable) clearly labeled as standard or substandard. LMI homes that are interested based on the interest list will be specified on the map as well.

Sample maps are provided in Exhibit A on the last page of the Preliminary Proposal.

Activity Specific Questions

NeedNumber of substandard single family houses in target area      

Percentage of substandard, but suitable for rehabilitation, homes in target area: %     

Median household income of target area (see Exhibit C on last page of Proposal for help): $     

Average age in years of houses in target area:      

Projected number of substandard, but suitable for rehabilitation, homes in target area that contain LMI households: %     

Impact Number of single family houses in target area:      

Number of LMI homeowners in substandard, but suitable for rehabilitation houses in the target area who are interested in the proposed rehabilitation project:      

Square blocks in target area:      

Number of homes proposed for rehab with SCDP funds in the target area. (This number should be the same as the goal proposed in the budget.):      

Cost EffectivenessMaximum SCDP assistance amount per house (cannot exceed $25,000):      

Expected average SCDP assistance amount per house:      

SCDP Administration percentage: %     

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Complete the scenario below as it applies to your request:

Scenario #1If the amount of SCDP will not be based on homeowner affordability, please answer the following questions:

Percentage of the total SCDP assistance that will be a deferred loan: %     

If applicable, percentage of the total SCDP assistance that will be an installment loan: %     

Length (minimum of 84 months) of SCDP deferred loans: Months      

If applicable, length of SCDP installment loans Months      

If applicable, interest rate of installment loans: %     

Scenario #2If the terms of the SCDP will be based on homeowner affordability. Explain how the SCDP assistance will be determined for applicants. Be sure to include all of the below that apply.

- income thresholds- percentages of SCDP funds per income tier - required homeowner contribution (and under what income circumstance)- leverage contribution (and under what income circumstance), etc.      

Section B

i) Describe the Need in the area(s) to be served. Your answer should include a description of :(1) how housing units that are occupied by low and moderate income persons that are either substandard or

pose a threat to the health or safety of the occupants including:(a) How was median income in the target area determined?

     (b) Would program policies allow for the rehabilitation of mobile homes? If so, SCDP funds are no

longer used for rehab to mobile homes. Please update your policies to reflect this change:      (c) Would program policies allow for rehabilitation in the floodplain? If so, rehab in the floodplain can

only occur in disaster situations. Please explain why.     

(d) Unique needs for the housing stock in the target area to be served. Examples include, but are not limited to pervasive lead issues, higher than average number of fires, storm damage needing repair, homes diverting storm water to municipal sanitary sewer system, high minority or elderly populations, presence of additional jobs in community, etc.     

(2) How an inadequate supply of affordable housing is impacting low or moderate income persons (please quantify)     

ii) Describe activity Impact. What extent will the proposed activities eliminate deficiencies in the housing stock serving low and moderate income persons?     

(1) Is the rehabilitation proposed to benefit a target area or as city-wide benefit? If a target area is involved, provide a narrative description on why the boundaries for the target area were chosen.     

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(2) Of the total number of homes and substandard homes suitable for rehabilitation in the target area (as listed in Need Answers earlier), how many homes will be rehabilitated and how will that impact the community?     

(3) Are there other projects underway that will increase the impact of your the occupied housing rehabilitation program? Examples include being part of a larger comprehensive housing project that is also dealing with foreclosed homes, part of larger comprehensive program where other non-LMI homes will be rehabilitated, special location of target area providing greater impact on the community, homes needing service lines to connect to new municipal water and/or sewer system.      

(4) In order to show interest, the application must provide acceptable documentation that there are a significant amount of LMI households that are eligible for funding. This documentation could include interest statements or a recently updated waiting list (attach). All interest documentation should include documentation that homeowners were informed of the following:

That the Rehabilitation activity is not a remodeling program (although required handicap accessibility improvements are permissible);

The length and terms of the deferred SCDP loan and if applicable, SCDP installment loan terms;

The maximum amount of SCDP assistance; Example of affordability scenarios;

(5) Of those interested, how many could have a potential conflict of interest (employee, agent, consultant, officer, elected or appointed official). For more information see A-Z Guide. If potential conflicts exist please explain.     

(6) Describe any common severe deficiencies of homes of interested homeowners. Examples: non-compliant septic systems, unsafe wells, no functioning toilets, unsafe wiring, leaking roofs, etc.     

(7) Describe how the program will be marketed in the target area.     

(8) Describe how the program will be marketed to contractors in the area. If there is an inadequate amount of contractors, address how this will be handled.     

(9) Describe the community’s recent history and experience under taking similar activities.          

(10) Describe the administrator(s) recent history and experience undertaking similar activities.     

(11) Are there an adequate number of lead certified contractors near the target area? Please elaborate.     

iii) Describe how the proposed activities will make Cost Effective use of grant funds including coordination with, and use of, funds from other public and private sources

(1) Provide evidence of leverage resources, including in-kind contributions or innovative cost saving measures which may include discounted or donated materials, donated administrative costs, donated housing inspections, utility provider contributions, waived permit fees, etc.     

(2) What process will you use to determine if other sources of funds are available for each homeowner?     

(3) Describe how repayments, interest, and income received from the grant during the grant period and following grant closeout will be used. All income generated by the grant, whether it be Program Income or not, must be used for allowable activity that meets a Federal Objective.      

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Rental Housing Rehabilitation Has any of the information about any type(s) of rental housing in Section A below changed since the Preliminary Proposal?      

If the data in Section A is the same as was presented in the Preliminary Proposal, skip Section A and begin answering the questions in Section B. If changes are being made since the Preliminary Proposal, complete only the areas in the section in need of change.

Section A

Rental Housing Rehabilitation: Criteria: At least 51% of the units must be occupied by low to moderate households (80% of county median income.) In the case of duplexes, at least 50% of the duplex would need to be occupied by a low and moderate income household.

Rent restrictions must also be met through HUD Fair Market Rents (rents +utility costs). Where MHFA and/or USDA Rural Development are funding partners, Section 8/voucher “payment standard” for the number of bedrooms in each unit and/or rent that will be affordable to households at 60% of area median income, adjusted for household size, may be used.

For 8 or more units, Federal Davis-Bacon wages will apply.

Rental rehabilitation is broken out by these types:

Mixed-Use Within Commercial BuildingsSingle Family Rental – Scattered Site, Stick Built and/or Double-Wide Manufactured Houses on a FoundationDuplex Rental – Free Standing Structures on Scattered SitesMulti-Family Rental Rehabilitation - Free Standing Structures on Scattered Sites Multi-Family Rental Rehabilitation – 1 Complex With 3 or More Units Without MHFA Tax CreditsMulti-Family Rental Rehabilitation in conjunction with Minnesota Housing Fund Tax Credits

Complete the appropriate section(s) below for the type of rental rehabilitation being proposed. If more than one type of rental rehabilitation is being proposed, please complete a page and budget line for each type.Note: If multi-community application – complete the questions that correspond with this activity for each partnering community

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Rental Housing Rehabilitation: Mixed-Use Within Commercial Buildings

Background

If this activity is part of a multi-community application – complete and provide separate answers to the following questions for each partnering community.

Proposals will need to designate a target area of the city. A Plan B option can be proposed that would serve as a contingency if the interest in the primary target area proves not sufficient to meet the proposed goals. Designating a Plan B should be strongly considered as DEED will not allow any other target area expansions for projects that are being implemented.

Community QuestionsPrimary community:       Population of primary community:      

Partnering community #1(if applicable):      Population of partnering community #1 (if applicable):      

Partnering community #2(if applicable):      Population of partnering community #2 (if applicable):      

MapsAttach a map of the city limits with the primary target area shown within the city limits. If applicable, maps should be included for all communities. If applicable, include the proposed Plan B option on the map. The answers to the questions below should include data for the primary target area along with any Plan B area, if a Plan B area is proposed.

Provide a second color map with all buildings with homes within the proposed rehabilitation area (city-wide or target area with a Plan B, if applicable) clearly labeled as standard or substandard.

Sample maps are provided in Exhibit B (Last page of Proposal).

Activity Specific Questions

NeedNumber of mixed use rental units in target area that are in standard condition:      

Number of mixed-use dilapidated rental units in the target area that are not suitable for rehabilitation:      

Number of substandard, but suitable for rehabilitation, mixed use rental units in target area:      

Total # of homes in target area (all housing units including rental or owner-occupied):      

Total # of homes in city (all housing units including rental or owner-occupied):      

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Total # of these homes that are rentals (any type - SF, Duplex or Multi-Family):      

Square blocks in target area:      

Number of property owners interested in the proposed program:      

Number of mixed use units in commercial buildings owned by these interested property owners:      

Of these mixed use units, number of units where property owners are interested in rehab:      

ImpactNumber of mixed use rental units in commercial buildings proposed for rehabilitation:      

Does this proposal include a commercial rehabilitation component? Y/N      

If yes, how many of the property owners interested in the program are also interested in the commercial component?      

Rental vacancy rate of city: %      

If city vacancy percentage is more than 10%, provide narrative to what factors will increase demand for rehabilitated rental units:      

Cost EffectivenessComplete all that would apply:

Maximum SCDP assistance per unit (Single Family- cannot exceed $25,000): $     

Average SCDP assistance per unit: $     

Maximum SCDP assistance per unit (Duplex – cannot exceed $25,000 per duplex): $     

Average SCDP assistance per unit: $     

Maximum SCDP assistance per unit (Multi-Family – if more than $12,500, contact the SCDP): $     

Average SCDP assistance per unit: $     

SCDP assistance is proposed to be what percentage of total rehabilitation costs per unit (cannot exceed 70%): %     

Of the SCDP funds proposed per unit (not total project costs), what percentage of SCDP assistance is being proposed as a deferred or forgivable loan?

%     

What would be the term in months (minimum of 60) of these deferred or forgivable loans? Months      

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If the SCDP funds proposed per unit for deferred or forgivable loans are not 100% of the SCDP assistance, complete the following:

What percentage of the SCDP funds will be an installment (where regular payments are required) loan? %     

What is the length of the installment loan? Months      

What is the interest rate of the installment loan: %     

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Single Family Rental – Scattered Site, Stick Built and/or Double-Wide Manufactured Houses on a Foundation

Background If this activity is part of a multi-community application – complete and provide separate

answers to the following questions for each partnering community.

Proposals can designate a target area of the city, or propose a city-wide policy. A Plan B option can be proposed that would serve as a contingency if the interest in the primary target area proves not sufficient to meet the proposed goals. Designating a Plan B should be strongly considered as DEED will not allow any other target area expansions for projects that are being implemented.

Community QuestionsPrimary community:       Population of primary community:       Type of rehabilitation area proposed (select one): City-wide       or Target Area      

Partnering community #1(if applicable):      Population of partnering community #1 (if applicable):      Type of rehabilitation area proposed: City-wide       or Target Area      

Partnering community #2(if applicable):      Population of partnering community #2 (if applicable):       Type of rehabilitation area proposed: City-wide       or Target Area      

MapsAttach a color map of the city limits with the primary target area shown within the city limits. If applicable, maps should be included for all communities. If applicable, include the proposed Plan B option on the map. The answers to the questions below should include data for the primary target area along with any Plan B area, if a Plan B area is proposed.

Provide a second color map with all homes within the proposed rehabilitation area (city-wide or target area with a Plan B, if applicable) clearly labeled as standard or substandard.

Sample maps are provided in Exhibit A (Last page of Proposal).

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Activity Specific Questions

Need Number of single-family (SF) rental houses in target area that are in standard condition:      

Number of dilapidated single-family rental houses in the target area that are not suitable for rehab:     

Number of substandard, but suitable for rehabilitation, single-family rental houses in target area:     

Total # of homes in target area (all housing units including rental or owner-occupied):      

Total # of homes in city (all housing units including rental or owner-occupied):      

Total # of these homes that are rentals (any type - SF, Duplex or Multi-Family):      

Square blocks in target area:      

Number of property owners interested in the proposed program:      

Number of single-family rental houses owned by these interested property owners:      

Of these houses, number of single family rental houses where property owners are interested in rehab:      

ImpactNumber of single-family houses proposed for rehabilitation:      

Rental vacancy rate of city: %     

If greater than 10%, provide narrative on what factors will improve the rental market:       Cost EffectivenessMaximum SCDP assistance per unit (cannot exceed $25,000): $     

SCDP assistance is proposed to be what percentage of total rehabilitation costs per unit (cannot exceed 70%): %     

SCDP average costs per unit: $     

Of the SCDP funds proposed per unit (not total project costs), what percentage of SCDP assistance is being proposed as a deferred or forgivable loan? %     

What would be the term in months (minimum of 60) of these deferred or forgivable loans? Months      

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If the SCDP funds proposed per unit for deferred or forgivable loans are not 100% of the SCDP assistance, complete the following:

What percentage of the SCDP funds will be an installment (where regular payments are required) loan?%     

What is the length of the installment loan? Months      

What is the interest rate of the installment loan? %     

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Duplex Rental – Free Standing Structures on Scattered Sites

Background If this activity is part of a multi-community application – complete and provide separate

answers to the following questions for each partnering community.

Proposals will need to designate a target area of the city, or propose a city-wide policy. A Plan B option can be proposed that would serve as a contingency if the interest in the primary target area proves not sufficient to meet the proposed goals. Designating a Plan B should be strongly considered as DEED will not allow any other target area expansions for projects that are being implemented.

Community Specific QuestionsPrimary community:       Population of primary community:       Type of rehabilitation area proposed (select one): City-wide       or Target Area      

Partnering community #1(if applicable):      Population of partnering community #1 (if applicable):      Type of rehabilitation area proposed: City-wide       or Target Area      

Partnering community #2(if applicable):      Population of partnering community #2 (if applicable):       Type of rehabilitation area proposed: City-wide       or Target Area      

MapsAttach a color map of the city limits with the primary target area shown within the city limits. If applicable, maps should be included for all communities. If applicable, include the proposed Plan B option on the map. The answers to the questions below should include data for the primary target area along with any Plan B area, if a Plan B area is proposed.

Provide a second color map with all homes within the proposed rehabilitation area (city-wide or target area with a Plan B, if applicable) clearly labeled as standard or substandard.

Sample maps are provided in Exhibit A (Last page of Proposal).

Activity Specific Questions

NeedNumber of duplexes in target area that are in standard condition:      

Number of dilapidated duplexes in the target area that are not suitable for rehabilitation:      

Number of substandard, but suitable for rehabilitation duplexes in the target area:      Total # of homes in target area (all housing units including rental or owner-occupied):      

Total # of homes in city (all housing units including rental or owner-occupied):      

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Total # of these homes that are rentals (any type - SF, Duplex or Multi-Family):      

Square blocks in target area:      

Number of property owners interested in the proposed program:      

Number of duplexes owned by these interested property owners:      

Of these duplexes, number of duplexes where property owners are interested in rehab:      

ImpactNumber of duplexes proposed for rehabilitation:      

Rental vacancy rate of city: %      

If community vacancy percentage is more than 10%, provide narrative to what factors will increase demand for rehabilitated rental units:      

Cost EffectivenessMaximum SCDP assistance per duplex (cannot exceed $25,000): $     

SCDP assistance is proposed to be what percentage of total rehabilitation costs per duplex (cannot exceed 70%): %     

SCDP estimate average costs per duplex: $     

Of the SCDP funds proposed per unit (not total project costs), what percentage of SCDP assistance is being proposed as a deferred or forgivable loan? %     

What would be the term in months (minimum of 60) of these deferred or forgivable loans? Months      

If the SCDP funds proposed per unit for deferred or forgivable loans are not 100% of the SCDP assistance, complete the following:

What percentage of the SCDP funds will be an installment (where regular payments are required) loan? %     

What is the length of the installment loan? Months      

What is the interest rate of the installment loan? %     

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Multi-Family Rental – Free Standing Structures on Scattered Sites

Background If this activity is part of a multi-community application – complete and provide separate

answers to the following questions for each partnering community.

Proposals will need to designate a target area of the city, or propose a city-wide policy. A Plan B option can be proposed that would serve as a contingency if the interest in the primary target area proves not sufficient to meet the proposed goals. Designating a Plan B should be strongly considered as DEED will not allow any other target area expansions for projects that are being implemented.

Community QuestionsPrimary community:       Population of primary community:       Type of rehabilitation area proposed (select one): City-wide       or Target Area      

Partnering community #1(if applicable):      Population of partnering community #1 (if applicable):      Type of rehabilitation area proposed: City-wide       or Target Area      

Partnering community #2(if applicable):      Population of partnering community #2 (if applicable):       Type of rehabilitation area proposed: City-wide       or Target Area      

MapsAttach a color map of the city limits with the primary target area shown within the city limits. If applicable, maps should be included for all communities. If applicable, include the proposed Plan B option on the map. The answers to the questions below should include data for the primary target area along with any Plan B area, if a Plan B area is proposed.

Provide a second color map with all homes within the proposed rehabilitation area (city-wide or target area with a Plan B, if applicable) clearly labeled as standard or substandard.

Sample maps are provided in Exhibit A (Last page of Proposal).

Activity Specific Questions

NeedNumber of multi-family (MF) buildings in target area that are in standard condition:

     Number of multi-family units in target area that are in standard condition:      

Number of dilapidated multi-family units in the target area that are not suitable for rehab:      

Number of substandard, but suitable for rehabilitation multi-family buildings in the target area:      

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Number of substandard, but suitable for rehabilitation multi-family units in the target area:      

Total # of homes in target area (all housing units including rental or owner-occupied):      

Total # of these homes that are rentals (any type - SF, Duplex or Multi-Family):      

Square blocks in target area:      

Number of property owners interested in the proposed program:      

Number of multi-family buildings owned by these interested property owners:      

Of these multi-family buildings, number of buildings where property owners are interested in rehab?      

ImpactNumber of multi-family buildings proposed for rehabilitation:      

Number of multi-family units in these buildings proposed for rehabilitation:      

Rental vacancy rate of city: %      

If percentage is more than 10%, provide narrative to what factors will increase demand for rehabilitated rental units:      

Are any of the properties where owners are interested 8 or more units?      

Are any of the properties where owners are interested more than 4 stories?      

Cost EffectivenessMaximum SCDP assistance per unit (cannot exceed $12,500): $     

SCDP assistance is proposed to be what percentage of total rehabilitation costs per unit (cannot exceed 70%):%      

SCDP estimated average costs per unit: $     

Of the SCDP funds proposed per unit (not total project costs), what percentage of SCDP assistance is being proposed as a deferred or forgivable loan? %     

What would be the term in months (minimum of 60) of these deferred or forgivable loans? Months      

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If the SCDP funds proposed per unit for deferred or forgivable loans are not 100% of the SCDP assistance, complete the following:

What percentage of the SCDP funds will be an installment (where regular payments are required) loan?%     

What is the length of the installment loan? Months      

What is the interest rate of the installment loan? %     

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Multi-Family Rental Rehabilitation – 1 Building or Complex With 3 or More Units Without MHFA Tax Credits. If more than 1 complex is proposed, complete questions for each complex.

BackgroundName of the owner:      Building address(s):      

Is the building, or any building in the complex more than 4 stories?      Is any type of temporary relocation expected during the rehabilitation of the building?      

If so, explain the relocation plan:      

MapAttach a map of the city with the location of the project indicated on the map.

Activity Specific Questions

NeedNumber of multi-family rental buildings in the city that are in standard condition:      

Number of dilapidated multi-family rental buildings in the city that are not suitable for rehabilitation:      

Number of substandard, but suitable for rehabilitation multi-family rental buildings in the city:      

Total # of homes in target area (all housing units including rental or owner-occupied):      

Total # of these homes in target area that are rental units:      

Rental vacancy rate of city: %      

If the vacancy rate percentage is more than 10%, provide a narrative to describe the factors that will increase the market demand for rental units:      

Is this complex owned by a city, county, local HRA, local EDA, or equivalent? Y/N      

ImpactNumber of units proposed for rehabilitation:      

Number of units in building:      

If the number of units in building is different than the proposed goal, please explain why the other units will not be rehabilitated.      

What work items are being proposed for SCDP funds (i.e. roof, windows, siding, etc.)?      24

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How many of these units are currently occupied?      

If all units are not occupied, identify the market that is expected to fill the units:      

Does the property have a post-rehabilitation budget plan for maintenance and capital costs? Y/N     Number of units that are: 1 bedroom:      

2 bedroom:      3 bedroom:      

Other (efficiency, 4 BR, etc.):      If Other – specify:      

Cost EffectivenessAre RRDL funds from MHFA proposed? Y/N     

If RRDL proposed and the budget does not indicate that the RRDL funds are committed, please provide the date on when the status of the RRDL funds will be known:      

SCDP is proposed to be what percentage of total rehabilitation costs per unit (cannot exceed 70%): %     

SCDP funds per unit: If proposed per unit maximum exceeds $12,500 please contact the SCDP prior to submittal $     

Length of SCDP deferred (forgivable) loans (Minimum of 60 months): Months      

If the SCDP funds proposed per unit for deferred or forgivable loans are not 100% of the SCDP assistance, complete the following:

What percentage of the SCDP funds will be an installment (where regular payments are required) loan?%     

What is the length of the installment loan? Months      

What is the interest rate of the installment loan? %     

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Multi-Family Rental Rehabilitation in Conjunction with Minnesota Housing Fund Tax Credits:

BackgroundPlease attach Minnesota Housing’s Application (or Multi-Family RFP) to your submittal. If no application has been submitted, please explain your intent to apply or your plan to access MHFA funds.

Please attach Minnesota Housing’s award letter, if available:

Current owner of rental complex:      

Future owner of rental complex (if applicable):      Building Address(s):      

Is this building, or any building within the complex, more than 4 stories?      

Is any type of temporary relocation expected during the rehabilitation of the building?      

If so, explain the relocation plan, including how it would be financed:      

MapAttach a map with the location of project indicated on the map:

Activity Specific Questions

Need Outline what proposed work items would be assigned to SCDP funds (i.e. roof, windows, siding, etc.)     

Rental vacancy rate of city: %      

If the vacancy rate percentage is more than 10%, provide a narrative to describe the factors that will increase the market demand for rental units:     

ImpactHow many units are currently occupied?      

If all units are not occupied, identify the market that is expected to fill the units:      

Does the building have a plan to budget for future capital and maintenance costs?      

Choose the rent standard that will apply to this project by placing an “X” in the applicable box:HUD Fair Market Rents (rents +utility costs) (80% county median income):      Section 8/voucher “payment standard” for the number of bedrooms in each unit:      

A rent that will be affordable to households at 60% of area median, adjusted for household size:      

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Cost EffectivenessEstimated average SCDP costs per unit: $     

If owned by a local HRA/EDA or equivalent, are they contributing any funds?      

If yes, how much? $      Describe the terms of the SCDP assistance. Examples include forgiven after 30 years, paid to city after 30 years, etc.:     State the current status of all other funding sources:     

Section B

i. Describe the Need for this activity in the area to be served. 1. Unique needs/target area needs-inadequate supply of rental, elderly housing, or other.

     2. How do other community-development activities that are occurring work with this proposed activity?

     3. If the planned activity is targeted to a pre-determined multi-family rental building(s), attach evidence that

participating landlord(s) gave tenants the General Information Notices.     

6. If multi-family - please provide pictures of the exterior (roof, siding, windows, foundation) which show the condition of the building.

ii. Describe the Impact of rental rehab in the community1. Describe the community’s recent history and experience under taking similar activities.

     2. Describe the administrator(s) recent history and experience undertaking similar activities.

     3. Are there an adequate number of lead certified contractors near the target area? Please elaborate.

     4. Describe any other existing or expected area activities that may positively affect the viability of the proposed

project.     

5. How many of the units with interested owners in the target area are in mixed use? (commercial with residential)     

6. If #5 is one or more, please explain if building owner(s) are interested in commercial rehabilitation as well, if applicable.     

7. Of the property owners interested, how many could have a potential conflict of interest (employee, agent, consultant, officer, elected or appointed official). For more information see A-Z Guide. If potential conflicts exist, please explain.     

8. Describe how the program was marketed to contractors in the area. If there is an inadequate amount of contractors, address how this will be handled.     

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9. Provide the proposed scope of work and identify work items that would be completed with SCDP funds. (Note: SCDP funds cannot be used for maintenance items such as parking lot resurfacing, replacing appliances, painting, etc.)     

a. In order to show interest, the application must provide acceptable documentation that there are a significant amount of LMI households (rents and incomes) that are eligible for funding. This documentation could include interest statements or a recently updated waiting list (attach). All interest documentation should include documentation that property owners were informed of the following:

That 51% or more of unit(s) are occupied by LMI households at affordable rents (see SCDP A-Z Guide – “Federal Objective for Applicants” section);

That they cannot increase rents for LMI tenants paying 30% or more of their income for rent and tenant-paid utilities for the term of the SCDP loan;

That the Rehabilitation activity is not a remodeling program (handicap accessibility improvements are permissible);

The length and terms of the deferred SCDP loan and if applicable, SCDP installment loan terms;

That Davis Bacon Wage Rates will apply when eight or more units are rehabilitated on one site and this requirement may cause the project to cost more;

The maximum amount of the SCDP assistance;

Example of affordability scenarios.

iii. Describe how the proposed activities will make Cost Effective use of grant funds including coordination with, and use of, funds from other public and private sources.

1. Provide evidence of leverage resources, including in-kind contributions or innovative cost saving measures which include, but is not limited to, material donations, donated administrative costs, housing inspections, and permit fees waived.     

2. Provide evidence that the cost of the proposed activities per benefiting household is reasonable.     

3. Describe how repayments, interest, and income received from the grant during the grant period and following grant closeout will be used. All income generated by the grant, whether it be Program Income or not, must be used for allowable activity that meets a Federal Objective.

     4. Are there are other funding sources besides SCDP funds and the building owner?

     

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Commercial Rehabilitation (The Project with this activity must meet the definition of a comprehensive application-see preliminary proposal; Program Concept - Types of Applications/Limits) Has any of the information about any type(s) of rental housing in Section A below changed since the Preliminary Proposal?      

If the data in Section A is the same as was presented in the Preliminary Proposal, skip Section A and begin answering the questions in Section B. If changes are being made since the Preliminary Proposal, complete only the areas in the section in need of change.

Section A

Commercial Rehabilitation: Criteria: Rehabilitation of commercial buildings in a targeted slum/blight area. Buildings that are used for the general conduct of government or religious institutions are not eligible. SCDP funds may only be used for exterior repairs/improvements, code violation corrections, handicapped accessibility and energy improvements. SCDP funds may not be used for “remodeling” type improvements. If improvements not eligible for SCDP funds are needed or desired, the private match dollars can be used

Background If this activity is part of a multi-community application – complete and provide separate

answers to the following questions for each partnering community. Proposals will need to designate a target area (Slum and Blight Area) of the city. A Plan B

option can be proposed that would serve as a contingency if the interest in the primary target area proves not sufficient to meet the proposed goals. Designating a Plan B should be strongly considered as DEED will not allow any other target area expansions for projects that are being implemented.

Community QuestionsPrimary community:       Population of primary community:      

Partnering community #1(if applicable):      Population of partnering community #1 (if applicable):       Partnering community #2(if applicable):      Population of partnering community #2 (if applicable):      

MapsAttach a color map of the city limits with the slum and blight area shown within the city limits. If applicable, maps should be included for all communities. If applicable, include the proposed Plan B option on the map. The answers to the questions below should include data for the primary target area along with any Plan B area, if a Plan B area is proposed.

Provide a second color map with all buildings within the proposed rehabilitation area (city-wide or target area with a Plan B, if applicable) clearly labeled as standard or substandard. Sample color maps are provided in Exhibit B (Last page of Proposal).

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Activity Specific QuestionsNeed Number of units requested for rehabilitation:      

Percentage of substandard buildings in the target area:      

Number of dilapidated buildings not suitable for rehab in the city:      

Number of dilapidated buildings not suitable for rehab in target area:      

Number of commercial buildings in slum and blight area:      

Number of commercial buildings in city limits      

Number of interested property owners:      

Number of buildings owned by these owners:      

Of these buildings owned by these owners, total number of buildings where these property owners are interested in rehabilitation?      

Impact Number of vacant commercial buildings in slum and blight area:      

Estimated number of buildings in target area with historic elements:      

Of these buildings, how many are being considered for the rehabilitation program?      

Is the slum and blight area part of a central business district?      

If not part of a central business district, please explain why the proposed slum and blight area is a priority:      

Cost EffectivenessMaximum SCDP funds per unit (Cannot exceed $40,000):      

Average SCDP costs per building:      

Of the SCDP funds proposed, what percentage will be a deferred /forgivable loan? %      1. Of the SCDP funds proposed, what percentage will be an installment (where regular payments are

required) loan?

Ensure that the sum of #1 and #2 are 100% %     What would be the term in months (minimum of 60) of these deferred or forgivable loans? Months      

If installment loans, what is the term in months: Months      

If installment loans, what is the interest rate of the installment loan: %     30

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Section B

i) Describe the Need for the activity:1) What is the community’s plan for those commercial properties that are dilapidated and not suitable for

rehabilitation?     

2) How does the community plan to fill vacant buildings, if vacant buildings are present? Note: SCDP funds cannot be used to rehabilitate vacant buildings unless there is a written owner/tenant commitment to occupy the building.     

3) Would program policies allow for rehabilitation in the floodplain? If so, it must be due to a disaster situation.      

4) In order to show interest, at a minimum, attach signed letters of interest, and/or a listing of interested building owners indicating the number of owners and a sample of the interest letter. Letters must indicate the following:1. What improvements are eligible for SCDP financing;2. That the rehabilitation activity is not a remodeling program, but handicap accessibility improvements

are permissible;3. That Davis Bacon Wage Rates will apply and this requirement may cause the project to cost more; 4. The length and terms of the deferred SCDP loan and if applicable, SCDP installment loan terms;5. The maximum amount of the SCDP assistance;6. Example of affordability scenarios.

5) Of those interested, how many could have a potential conflict of interest (employee, agent, consultant, officer, elected or appointed official). For more information see A-Z Guide. If potential conflicts exist please explain.     

ii) Describe the extent to which the proposed activities will reduce or eliminate the need (Impact).1) Describe why the boundaries of the target area capture the highest priority needs of the community(s) .

     2) Identify and describe the importance of buildings that are key to the community and are within the target

area. Examples: businesses that provide important community services such a café, grocery store, bank or drug store; very visual in the community; draw visitors for outside the community; historically significant to the community.     

3) Are the owners of these key buildings interested in rehabilitation and included in your documentation of interest? If not, please explain.     

4) How will this activity combined with the other activity you are requesting work together to impact the community? Are there other local economic development or community improvement initiatives that rehabilitation of the target properties will contribute to or will assist properties owners to improve their properties?      

5) Describe any other existing or expected area activities that may positively affect the viability of the target area as a vibrant economic and community asset.     

6) Describe the community’s recent history and experience under taking similar activities.     

7) Describe the administrator(s) recent history and experience undertaking similar activities.     

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iii) Describe how the proposed activities will make Cost Effective use of grant funds including:1) Provide evidence of leverage resources, including in-kind contributions or innovative cost saving

measures which include, but is not limited to, material donations, donated administrative costs, etc.     

2) Describe if there will be any below market rate financing that will be provided to the project;     

3) Have cost estimates taken into consideration that federal prevailing wages limits (Davis Bacon) will be required for SCDP funded projects?     

4) Describe how repayments, interest, and income received from the grant during the grant period and following grant closeout will be used. All income generated by the grant, whether it be Program Income or not, must be used for allowable activity that meets a Federal Objective.     

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Public Facilities/Municipal Water and Wastewater Has any of the information in Section A below changed since the Preliminary Proposal?      

If the data in Section A is the same as was presented in the Preliminary Proposal, skip Section A and begin answering the questions in Section B. If changes are being made since the Preliminary Proposal, complete only the areas in the section in need of change.

Section A

EligibilitySCDP funds cannot be used for projects anticipating future population growth.

SCDP funds can only pay for service connections if a permanent easement is secured, or if the service connection is publicly-owned. Finally, service connections can only be paid for with SCDP funds under a SCDP housing rehabilitation activity and Housing Quality Standards (HQS) must also be met on the property.

Does the project involve service connections to individual households and properties?      Y/NIf yes, how are the connections being paid for?      

Federal ObjectiveThe federal objective used for public facilities projects that relate to municipal wastewater and water activities is benefit to low and moderate income people on an area basis (LMA). A low and moderate income (LMI) person resides in households with incomes that are up to 80% of county median income. The federal objective can be met through Census or survey.

#1- Census. The easiest way to meet the LMA federal objective is through a Census determination. If Census data shows that 51% or more of the people in the community are (LMI), the federal objective is met and no survey is needed. To find out a community’s LMI percentage by Census, access this portion of the DEED website: http://mn.gov/deed/assets/hud2010-census_tcm1045-132496.pdf

#2 – Survey. A survey will need to be conducted if the Census indicates that the community’s LMI

percentage is not at least 51%. Surveys will also need to be conducted if the project will benefit a targeted area of the community. Contact the SCDP prior to completing this application if a target area will be proposed.

The survey form, sample and instructions are contained under “SCDP Survey Results Spreadsheet – Example,” toward the bottom of the “Apply” page of the SCDP website.

LMA Federal Objective For Activity Met Through:      Census       Survey (See results attached) Number of LMI people in community:       City population:       LMI percentage of community:      

Activity Specific Questions and DataProvide the following information for all public infrastructure construction activities (exclusive of assessment abatement), in particular those utilizing Public Facilities Authority (PFA) or USDA Rural Development funding.Important: If a survey is being used to document an LMI federal objective, a copy of the survey results must be provided and the instructions for the survey must be followed.

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Pre-engineering report completed?

Yes No On the state’s Project Priority List?

Yes No

Will the system benefit primarily residential users?

Yes No Have engineering services been procured by the city through a competitive process?

Yes No

Project Area (indicate city wide benefit or targeted area)

      Number of homes outside of city limits using proposed system? If applicable.

     

Applicant Median Household (HH) Income (from census):

$     

Activity(s) being funded with SCDP

     

Describe the physical need for the proposed activity(ies). Include age, condition of facility and/or lines to be replaced

     

Critical Health & Safety Issues? (sewer backups, high levels of contaminants in water, out-of-compliance septic systems, violations, etc.)

     

Discuss the past history of actions taken to finance operation, maintenance, and repair including rate increases.

     

Explain how the system operation, maintenance, and repair will be financed over the useful life of the system

     

Total Costs and RatesTotal Estimated Project Cost: $      $     

Existing and Estimated Future Costs Current Estimated upon project completion

A. Annual system debt service $      $     

B. Annual operating and maintenance cost (do not include depreciation)

$      $     

C. Total $      $     

Number of residential households (billed individually):

           

A. Connections (Generally number of houses)            

B. ERU's (equals residential HH connections)            

C. Percentage of system use:      %      %

Other residential (multi-family, other residential 34

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Total Costs and RatesTotal Estimated Project Cost: $      $     

facilities)A. Connections (Total could exceed # of

structures)           

B. ERU's(Equivalent Residential Units)            

C. Percentage of system use      %      %

NonresidentialA. Connections            

B. ERU's            

C. Percentage of system use:      %      %

Total Users:A. Connections            

B. ERU's            

C. Percentage of system use:      %      %

Average System Cost Per HouseholdA. Average user rates per household - annual $      $     

B. Average user rates per household - monthly $      $     

Sources and Uses (Please apply Federal Davis-Bacon wage rates when determining your budget). SCDP RD PFA Local       Total

Water Distribution Lines

$      $      $      $      $      $     

Water Tower/Tank $      $      $      $      $      $     Water Plant $      $      $      $      $      $     Wastewater Ponds $      $      $      $      $      $     Wastewater Lines $      $      $      $      $      $     Wastewater Plant $      $      $      $      $      $     Lift Station(s) $      $      $      $      $      $     Service Connections (if publicly-owned or for easements)

$      $      $      $      $      $     

Streets (if need to be replaced due to project)

$      $      $      $      $      $     

Storm Sewer (if part of wastewater project)

$      $      $      $      $      $     

Administration $      $      $      $      $      $     Engineering $      $      $      $      $      $     Other: (specify) $      $      $      $      $      $     Totals $      $      $      $      $      $     

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If streets are being replaced as part of project, but both water and sewer lines are not being replaced, please explain why:      

If the sources and uses outline contains any funds (including non-SCDP) for more than 1 component (ponds, lines, water tower, etc.), are any component(s) being proposed to be bid separately?      

Public Facility Completion Timeline

1) All engineering work completed:      month/year2) Does community have site control?      3) If #2 is no, when will site control be secured?      month/year4) All necessary permits obtained:      month/year5) Bid process begin:      month/year6) Award construction contract:      month/year7) Facility operational:      month/year8) All Construction (including turf restoration) complete:      month/year

Se c tion B

Attach the pre-engineering report.

To use SCDP funds to pay for administrative costs, that service must be procured in a manner consistent with the “Common Rule” (Federal Uniform Administrative Requirements) at 24 CFR Part 85. Please contact the SCDP with any questions about procurement.

i) Describe the Need in the area(s) to be served. 1) Describe the physical need for the proposed activity. Include information about age, condition of

facility and/or lines to be replaced.      

ii) Describe extent to which the proposed activities will reduce or eliminate the need -Impact.1) Describe critical health/safety issues, which would include, but not be limited to, sewer backups, high

levels of contaminants in water, out-of-compliance septic systems, etc.     

2) If SCDP funds are proposed for engineering, have those services been procured using a competitive process? Please describe.     

3) What recent experience does your administrator and engineer have with similar projects using like funds sources and their requirements (i.e. Davis Bacon prevailing wages)?     

a) Describe the community’s recent history and experience under taking similar activities.     

b) Describe any other existing or expected area activities that may positively or negatively affect the viability of the target area as a vibrant economic and community asset.

     4) Describe how the program was marketed to contractors in the area. If there is an inadequate amount of

contractors, address how this will be handled.

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iii) Describe the extent to which the proposed activities will make Cost Effective use of grant funds1) Have the project costs decreased or increased since the Preliminary Proposal, and if so, how do the

changes affect the grant need?     

2) Has the community imposed any rate increases the past 10 years? If yes, explain.     

3) Has the cost of a certified operator of the facility (if applicable) been considered in Operation Maintenance and Replacement (OMR) and user rates?     

4) Has this community received Minnesota Investment Fund (MIF) funds? If yes, provide details on how those funds are being used.

Provide the Census County Code and Tract Code of the locality where the project will take place. This information can be found here: https://geomap.ffiec.gov/FFIECGeocMap/GeocodeMap1.aspx

County code       (3 digits, example 005) Tract Code       (example 9501.00)

Assessment Abatement

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Has the budget changed since the Preliminary Proposal was submitted?      

If yes, outline the factors that contributed to the change:      

If any elements of the plan other than the budget have changed since the Preliminary Proposal, outline them here and explain how the project still has adequate need, impact and cost effectiveness:      

Provide the Census County Code and Tract Code of the locality where the project will take place. This information can be found here: https://geomap.ffiec.gov/FFIECGeocMap/GeocodeMap1.aspx

County code       (3 digits, example 005) Tract Code       (example 9501.00)

Public Facilities/Community Center/Facilities

Has the budget changed since the Preliminary Proposal was submitted?      

If yes, outline the factors that contributed to the change:      

If any elements of the plan other than the budget have changed since the Preliminary Proposal, outline them here and explain how the project still has adequate need, impact and cost effectiveness:      

Provide the Census County Code and Tract Code of the locality where the project will take place. This information can be found here: https://geomap.ffiec.gov/FFIECGeocMap/GeocodeMap1.aspx

County code       (3 digits, example 005) Tract Code       (example 9501.00)

Public Facilities/Streetscape

Has the budget changed since the Preliminary Proposal was submitted?      

If yes, outline the factors that contributed to the change:      

If any elements of the plan other than the budget have changed since the Preliminary Proposal, outline them here and explain how the project still has adequate need, impact and cost effectiveness:      

Provide the Census County Code and Tract Code of the locality where the project will take place. This information can be found here: https://geomap.ffiec.gov/FFIECGeocMap/GeocodeMap1.aspx

County code       (3 digits, example 005) Tract Code       (example 9501.00)

Public Facilities/Public Aesthetic Amenities38

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Has the budget changed since the Preliminary Proposal was submitted?      

If yes, outline the factors that contributed to the change:      

If any elements of the plan other than the budget have changed since the Preliminary Proposal, outline them here and explain how the project still has adequate need, impact and cost effectiveness:      

Provide the Census County Code and Tract Code of the locality where the project will take place. This information can be found here.

County code       (3 digits, example 005) Tract Code       (example 9501.00)

Grantee Summary Information Sheet

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Name of Applicant:      I. Applicant Information (city/county)

Authorized Official & Environmental Certifying Officer Information (Mayor or Board Chair whichever is applicable)---------------------------------------------------------------Name:      Title:      City/County Address, including zip code:      Phone #:      Email:      ===================================Federal ID #:      State ID #:      State Vendor #:      Applicant DUNs #:      

Application (Proposal) Author ------------------------------------------------------------------Name:      Title:      Name of Organization:      

Phone #:      Email:      

Applicant Financial Officer Information------------------------------------------------------------------Name:      Title:      Address:      

Phone #:      Email:      

Primary Administrator/Implementing Agency Information---------------------------------------------------------------Name:      Title:      Name of Organization :     Address, including zip code:      Phone #:      Email:      

Individual Signing SCDP Payment Request Form (Applicant or Program Administrator)-------------------------------------------------------------------Name:      Title:      Name of Organization:      

Phone #:     Email:     

Environmental Coordinator---------------------------------------------------------------Name:      Title:      Name of Organization:      Phone #:      Email:      

Fair Housing/Equal Opportunity Coordinator------------------------------------------------------------------Name:      Title:      Name of Organization:      

Phone #:      Email:      

Property Inspector Info: -------------------------------------------------------------Name:      Title:      Name of Organization:      

Phone #:      Email:      

Income Verification Coordinator Info: Name:      Title:      Name of Organization:      Phone #:      Email:      

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Rent Limit and Rental Notice Coordinator -------------------------------------------------------------Name:      Title:      Name of Organization:      

Phone #:      Email:      

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Funder Contact Information: If any of the proposed activities within the Application are also requesting funding from agencies such as MN Housing and/or Greater MN Housing (rental new development); Public Facilities Authority and/or Rural Development (public facility projects) to the make the project financially feasible, please provide the following information for each respective funding partner.

Agency:      -------------------------------------------------------------Name:      Title:      Address:      

Phone #:      Email:      

Agency:      Name:      Title:      Address:      

Phone #:      Email:      

Agency:      -------------------------------------------------------------Name:      Title:      Address:      

Phone #:      Email:      

Agency:      Name:      Title:      Address:      

Phone #:      Email:      

Agency:      -------------------------------------------------------------Name:      Title:      Address:      

Phone #:      Email:      

Agency:      Name:      Title:      Address:      

Phone #:      Email:      

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IV. FEEDBACK

So DEED can continue to provide the best service possible with the delivery of the SCDP Program, with particular emphasis on our Application process, we ask that you take the time to answer the following questions. This is strictly voluntary and has no bearing on the selection of your Application.

What do you like or dislike about the Preliminary Proposal and Application format?      Were the time frames to complete the application adequate? What would be better?     Were any questions irrelevant or repetitive? Which ones?      Should we have asked for other information? If so, what?     Other comments/concerns     Please provide information below only for sections where changes have occurred since the Preliminary Proposal.

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Conflict of Interest Disclosure Form

This form gives grantees an opportunity to disclose any actual, potential or perceived conflicts of interest that may exist when receiving a grant. It is the grantee’s obligation to be familiar with the Office of Grants Management (OGM) Policy_08-01, Conflict of Interest Policy for State Grant-Making and to disclose any conflicts of interest accordingly.

All grant applicants must complete and sign a conflict of interest disclosure form.

I or my grant organization do NOT have an ACTUAL, POTENTIAL, or PERCEIVED conflict of interest.

If at any time after submission of this form, I or my grant organization discover any conflict of interest(s), I or my grant organization will disclose that conflict immediately to the appropriate agency or grant program personnel.

I or my grant organization have an ACTUAL, POTENTIAL, or PERCEIVED conflict of interest. (Please describe below):

If at any time after submission of this form, I or my grant organization discover any additional conflict of interest(s), I or my grant organization will disclose that conflict immediately to the appropriate agency or grant program personnel.

Printed Name of Mayor or County Board Chair:

Signature:

Name of City/County:

Date:

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