Reviewing the NOFA Application Form

This guide has been prepared to explain which parts of the NOFA application form require review from the Review Committee in order to determine the scores associated with the application. The NOFA application form requests a variety of information for the determination of threshold requirements, which is to be handled by another team. The Review Committee is only responsible for reviewing the areas of the NOFA application form that have been highlighted within this guide.

Hillsborough County CDBG-DR Small Project Multifamily Rehabilitation NOFA Application Form

Entity Documentation

Affordable Housing Experience

List of Previous Affordable Housing Experience

Is the name entered above included on the Applicant Principals tab?

Name of Development Number of Units Affordability Restrictions Role/Type of Experience

Start Date of Role (MM/DD/YYYY)

End Date of Role (MM/DD/YYYY)

Applicant Eligibility

Enter the name of the natural person Principal of the Applicant that is listed on the Applicant Principals tab that meets the experience requirements of operating/managing affordable housing within the last 36 months as described in the NOFA.

Enter principal name

Fill out the following charts with the requested information regarding the previous experience of the Principal of the Applicant identified above.

Does the Applicant certify that the Applicant has provided the appropriate formation documentation to this application as Attachment 3, as described in the NOFA?

Does the Applicant certify that the Applicant has provided the Certificate of Status or Certificate of Good Standing to this application as Attachment 4, as described in the NOFA?

Name of Principal that Meets Program Experience Requirements

Relocation Experience

Will the project require any form of tenant relocation?

List of Previous URA-Compliant Relocation Experience

Applicants that answer yes do not have to provide the remaining information regarding relocation experience and may continue to the Site Control section below

Fill out the following table with the requested information regarding the previous URA-compliant relocation experience of the Principal of the Applicant identified above.

Has the Applicant provided a comprehensive relocation plan as Attachment 5, as described in the NOFA?

Is one of the Principals of the Applicant a PHA or an instrumentality of a

PHA?

Will the Applicant be utilizing a relocation consultant/firm to satisfy the relocation experience requirement?

Is the name entered above included on the Applicant Principals tab?

Name of Principal that Meets Relocation Experience Requirements

Applicants that answer no do not have to provide the remaining information regarding relocation experience and may continue to the Property Eligibility section below

Enter principal name

Length of Relocation in Months

Completion of Relocation (MM/DD/YYYY)

Name and Address of Development Total Number of Units Requiring Relocation Total Number of Residents Relocated Length of Relocation in Months

Completion of Relocation (MM/DD/YYYY)

Name and Address of Development Total Number of Units Requiring Relocation Total Number of Residents Relocated Length of Relocation in Months

Completion of Relocation (MM/DD/YYYY)

Name and Address of Development Total Number of Units Requiring Relocation Total Number of Residents Relocated

Site Control

Debarment, Standing with Taxes, and Legal or Court Action

Does the Applicant certify that the Applicant owns the project site, as defined in the NOFA, and has provided a copy of the acceptable documentation to this application as Attachment 6?

Does the Applicant certify that no Principal of the Applicant is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in federal programs, as indicated by System for Award Management (www.SAM.gov/SAM/)?

Does the Applicant certify that all Principals of the Applicant are in good standing with state and federal taxes (SUTA, FUTA, income, etc.) or in an approved and executed repayment plan?

Does the Applicant certify that they have submitted an application for or already received a Unique Entity ID number (UEI#) to the System for Award Management (www.SAM.gov/SAM/) as of the NOFA deadline?

If available, enter the Applicant's Unique Entity ID number (UEI#) assigned by the System for Award Management (www.SAM.gov/SAM/). If it is not currently available, enter "Applied for":

Applicants that answer "no" must disclose all legal or court actions in which they are currently involved below

Does the Applicant certify that no Principals of the Applicant are, at time of application submission, party to any active legal or court action related to fair housing?

Current Unit Mix

# Beds Market 80% AMI 70% AMI 60% AMI 50% AMI 40% AMI 35% AMI 33% AMI 30% AMI 28% AMI 25% AMI 20% AMI Total

0 0 1 0 2 0 3 0 4 0 5 0

Total 0 0 0 0 0 0 0 0 0 0 0 0 0

Ownership at the Time of the Storms

LMI Households

Floodplain and Special Flood Hazard Area

- End of Tab -

Does the Applicant certify that they owned the project site at the time of the storms, as defined in the NOFA, and proof of this ownership is supported by the documentation supplied in Attachment 6?

Property Eligibility

Complete the chart below with the total number of units at the current property, regardless of whether they are currently habitable or not, by number of bedrooms in the left-most column and affordability restrictions that are currently in place at the development. There is a separate chart for the unit mix that will be in place following the closing of the CDBG-DR funds

Does the Applicant hereby commit to restricting all housing units assisted with CDBG-DR funds and 80% of the total housing units at the overall development to 80% Area Median Income or less households for a minimum of 20 years?

Is the development in the 100-year floodplain or 500-year floodplain?

Affordable Units Brought Online Option 2:

To determine if the application is eligible for 20 points under the second option of Affordable Units Brought Online, review the highlighted column and boxes labeled 1-3 below.

Boxes 1-2: Confirm that there are only values entered in column 1, and that the total at the bottom of column 1 matches box 2. If no, the the application does not qualify for points in this section. If yes, review box 3 below.

Box 3: If yes to Steps 1-2 above and box 3 contains "Yes", then application qualifies for 20 points. If "NO", then application does not qualify for points OR consideration as an eligible application.

Has any repair work or rehabilitation, not including temporary repairs that were meant to prevent further damage, been performed at the development since the storms?

Please answer the question above

Scope of Work

- End of Tab -

Does the Applicant commit to having a minimum of 5% of the total project units accessible to mobility-impaired persons and 2% of total project units accessible to sensory-impaired persons and hereby certifies that the work items and costs associated with this commitment are included in Attachment 7?

Enter the total number of units that are currently uninhabitable and will be restored to habitable through the rehabilitation:

Enter the name of the General Contractor that the Applicant has identified that is qualified to perform the work (type "N/A" if one has not been identified):

Accessibility Improvements Preference:

To determine if the application is eligible for the Accessibility Improvements Preference, review the highlighted boxes labeled 1 and

2. Box 1 must be "Yes" to qualify for the preference. Box 2 confirms whether the application qualifies. Additional review of Attachment 7 will be needed to determine the final qualification.

Project Readiness Component 1:

To determine if the application is eligible for 10 points under the first component of Project Readiness, review the highlighted box labeled 3. Box 3 must have a company name to qualify for 10 points. If it says "N/A", the application does not qualify for the points.

Affordable Units Brought Online Option 1: To determine if the application is eligible for 10 or 20 points under option 1 of Affordable Units Brought Online, review the highlighted box labeled 4. If the number entered equals the total number of units on Tab 2, then the application qualifies for 20 points. If the number entered is more than one but less than the total number of units, then the application qualifies for 10 points.

If zero, then the application receives zero points for this option.

General Information

Select the demographic of the proposed development:

Proposed Unit Mix

# Beds Market 80% AMI 70% AMI 60% AMI 50% AMI 40% AMI 35% AMI 33% AMI 30% AMI 28% AMI 25% AMI 20% AMI Total

0 0

1 0

2 0

3 0

4 0

5 0

Total 0 0 0 0 0 0 0 0 0 0 0 0 0

Relocation

Will the project require any form of tenant relocation?

How many individual residents are anticipated to be relocated off-site?

Proposed Project Information

Complete the chart below with the number of units by number of bedrooms in the leftmost column and affordability restrictions that will be in place following the closing of the CDBG-DR funds

Enter the name of the proposed development:

Has the Applicant provided the applicable permit form to this application as Attachment 12, as defined in the NOFA? By selecting "No", the Applicant hereby certifies that they understand they will not receive points associated with permits under the "Project Readiness" section of the scoring criteria

Yet to be determined. Continue below.

Based on the above, does this application qualify for the Reduced Resident Displacement Preference?

Will there be any temporary or permanent relocation of any resident off-site?

How many units do the residents that are to be relocated off-site currently occupy?

1 Project Readiness Component 2 :

If the highlighted box 2 denotes "NO" then there should be no points awarded for permitting. Otherwise if "Yes" and the documentation submitted as Attachment 12 is fully completed, review the form* to ensure that the development name listed matches the name in highlighted box 1. If the names do not match, then the development name information provided in Attachment 12 is not accurate which results in zero points awarded. See additional information regarding address verification on Page 9.

* See pages 11-14 for forms.

Reduced Resident Displacement Preference:

In order to determine eligibility for the Reduced Resident Displacement Preference, check the highlighted boxes labeled as 3-8 below:

Boxes 3-4. If box 3 is "No", then the application qualifies. Box 4 should confirm the qualification. Otherwise, continue below.

Boxes 5-6. If box 5 is "No", then the application qualifies. Box 6 confirms the qualification. Otherwise, continue below.

Boxes 7-8. If the number entered into box 7 is less than 30% of the total number of units in the project (entered on Tab 2 and Tab 6), then the application qualifies. Box 8 confirms the qualification. If the number entered into box 6 is greater than or equal to the total number of units in the project, then the application does not qualify. Box 8 confirms this.8

Proximity

Development Location Point(s)

Has the Applicant provided a Site Map as Attachment 11 to this application, as described in the NOFA?

Enter the number of bus stops that will be submitted for proximity scoring:

Select the location category of the proposed project:

Proposed projects that are in an Area without Bus Access do not have to complete the sections related to bus stops and may continue to the Community Amenities Chart.

Is the proposed project in an Area without Bus Access, as defined in the NOFA?

Development Location Point #19

Development Location Point #20

Development Location Point #17

Development Location Point #18

Development Location Point #15

Development Location Point #16

Development Location Point #13

Development Location Point #14

Development Location Point #7

Development Location Point #10

Development Location Point #8

Enter the latitude and longitude points for each distinct parcel that makes up the proposed project site. Development Location Point (DLP) #1 should be the site with the most units. Further instructions are included in the NOFA.

Development Location Point #11

Development Location Point #12

Development Location Point #4

Development Location Point #5

Development Location Point #6

Development Location Point #9

Development Location Point #3

Development Location Point #1

Latitude Point Longitude Point

Development Location Point #2

Project Readiness Component 2 :

Additional address verification continued from page 8.

To determine if the documentation submitted as Attachment 12 is fully completed and accurate, enter the latitude and longitude points in boxes 9 and 10 into Google Earth (search bar) with the following formatting (box 9, box 10- lat & long coordinates must be separated by a comma) and make note of the location by adding a pin (see Latitude and Longitude Point Guide). Next, enter the address or other location provided in Attachment 12 into the search bar and enter. The two locations should be roughly the same in order to determine that the development location information provided in Attachment 12 is completed accurately.

9 10

Bus Stop Chart

Community Amenities Chart

Preliminary Total Proximity Score (to be verified during application evaluation)

Preliminary Community Amenity Score (to be verified during application evaluation)

Public School In Operation

Medical Facility Under

Construction

Pharmacy Under

Construction

Grocery Store Under

Construction

Provide (1) the status (in operation or under construction), (2) the direct distance from DLP #1 to the closest public entrance or, if under construction, the direct distance to the center of the site in miles and rounded to the second decimal place, (3) the name of the business/school, and (4) the street address or, if under construction, the description of the nearest intersection for each Community Amenity to be evaluated for proximity scoring. While there are 4 acceptable Community Amenity types, Applicants may only submit up to 3 for proximity scoring. Public Schools must be in operation in order to be considered.

Status Distance to DLP

#1 Name Street Address or Description of Nearest Intersection

Distance to DLP #1 Name / Number

Route Number(s)

Preliminary Transportation Score (to be verified during application evaluation)

Provide the direct distance in miles, rounded to the second decimal place, from DLP #1 to the bus stop sign, the bus stop name/number, the route number(s), and a description of the nearest intersection for each bus stop to be evaluated for proximity scoring

Bus Stop #1

Description of Nearest Intersection

- End of Tab -

Project Readiness Component 2 (Step 2) Attachment 12 Documentation

If the Applicant indicated that they submitted documentation as Attachment 12 in Tab 6 of the application form, then the documentation must be reviewed in order to determine the score that the application is eligible for under the second component of Project Readiness.

Regardless of which form is submitted, the form must be fully completed, accurate, and signed by an authorized representative of the local government. Depending on which form is submitted, it may also need to state that the commitment is valid at least through the NOFA deadline.

Name of Development: _______________________________________________________________________________

Development Location: ------------------------------------------------------------------------------------------------------------------------------------ (At a minimum, provide the address number, street name and city, and/or provide the street name, closest designated intersection and either the city (if located within a city) or county (if located in the unincorporated area of the county). If the Development consists of Scattered Sites, the Development Location stated above must reflect the Scattered Site where the Development Location Point is located.)

Certification

The city/county of commits that all necessary permit have been applied for to begin vertical building construction for the above-referenced Development, and, other than unpaid fees, such permits are ready for issuance.

I certify that the foregoing information is true and correct as of the date signed, and that this commitment is valid for the earlier of 12 months or the date stated here _

(Validity Period). The form may be submitted in any NOFA in which there is an Application Deadline during the Validity Period.

Signature Print or Type Name

Print or Type Title Date Signed

NOTE TO LOCAL GOVERNMENT OFFICIAL: Additional information is set forth in the applicable Application under which the Applicant is applying for funding for the above referenced Development.

This certification must be signed by the Chief Building Official, the chief appointed official (staff) responsible for determination of issues related to permitting review, City Manager, or County Manager/Administrator/Coordinator. Other signatories are not acceptable. This certification may not be signed by the Applicant, by any related parties of the Applicant, or by any Principals or Financial Beneficiaries of the Applicant. The Applicant will not receive credit for this contribution if the certification is improperly signed.

If there are alterations made to this form that change the meaning of the form, the form will not be accepted.

If this Application for Permitting Submitted form is provided as Attachment 12 and is fully completed ad accurate, states that it is valid at least through the NOFA deadline, and signed by an authorized representative of the local government, then the application qualifies for 5 points.

Hillsborough County CDBG-DR

Local Government Verification that Development Qualifies as an Application for Permitting Submitted Development

To review accuracy of the Name of Development and Location of Development information, refer to Project Readiness Component 2 Steps 3 and 4 on Tab 6 - Project information

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Local Government Verification that Development Qualifies as Permit Ready Development

Name of Development: _______________________________________________________________________________

Development Location: ------------------------------------------------------------------------------------------------------------------------------------ (At a minimum, provide the address number, street name and city, and/or provide the street name, closest designated intersection and either the city (if located within a city) or county (if located in the unincorporated area of the county). If the Development consists of Scattered Sites, the Development Location stated above must reflect the Scattered Site where the Development Location Point is located.)

Certification

The city/county of commits that all necessary permit review has been completed to begin vertical building construction for the above-referenced Development, and, other than unpaid fees, such permits are ready for issuance.

I certify that the foregoing information is true and correct as of the date signed, and that this commitment is valid for the earlier of 12 months or the date stated here _

(Validity Period). The form may be submitted in any NOFA in which there is an Application Deadline during the Validity Period.

Signature Print or Type Name

Print or Type Title Date Signed

NOTE TO LOCAL GOVERNMENT OFFICIAL: Additional information is set forth in the applicable Application under which the Applicant is applying for funding for the above referenced Development.

This certification must be signed by the Chief Building Official, the chief appointed official (staff) responsible for determination of issues related to permitting review, City Manager, or County Manager/Administrator/Coordinator. Other signatories are not acceptable. This certification may not be signed by the Applicant, by any related parties of the Applicant, or by any Principals or Financial Beneficiaries of the Applicant. The Applicant will not receive credit for this contribution if the certification is improperly signed.

If there are alterations made to this form that change the meaning of the form, the form will not be accepted.

If this Permit Ready form is provided as Attachment 12 and is fully completed, states that it is valid at least through the NOFA deadline, and signed by an authorized representative of the local government, then the application qualifies for 10 points.

To review accuracy of the Name of Development and Location of Development information, refer to Project Readiness Component 2 Steps 3 and 4 on Tab 6 - Project information

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HILLSBOROUGH COUNTY CDBG-DR

LOCAL GOVERNMENT VERIFICATION THAT PERMITS ARE NOT REQUIRED

FOR THIS DEVELOPMENT

Name of Development:

Development Location:

At a minimum, provide the address number, street name and city and/or provide the street name, closest designated intersection and either the city (if located within a city) or county (if located in the unincorporated area of the county).

Building permits: If no building permits are required for the rehabilitation of the referenced Development site, complete the following certification:

CERTIFICATION

I certify that the foregoing information is true and correct and that the City/County of (Name of City / County) has vested in me the authority to verify that the rehabilitation of the referenced Development site does not require the issuance of building permits.

Signature Address (street address, city, state)

Print or Type Name Address (street address, city, state)

Print or Type Title Telephone Number (including area code)

Date Signed

This certification must be signed by the applicable City's or County's Director of Planning and Zoning, appointed official (staff) responsible for determination of issues related to comprehensive planning and zoning, City Manager, or County Manager/Administrator/Coordinator. Signatures from elected local government officials are not acceptable, nor are other signatories. If there are alterations made to this form that change the meaning of the form, the form will not be accepted.

If this Permits Are Not Required form is provided as Attachment 12 and is fully completed and signed by an authorized representative of the local government, then the application qualifies for 10 points.

To review accuracy of the Name of Development and Location of Development information, refer to Project Readiness Component 2 Steps 3 and 4 on Tab 6 - Project information

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