16-Attachment B - NOFA Small Multifamily Rehabilitation Projects Application Revised 3.xlsx

XLSX spreadsheet 185 KB Posted Aug 7, 2026

Attached to: CDBG-DR Notice of Funding Availability (NOFA) for Small Multifamily Rehabilitation Projects
Solicitation number: RFP-26-00365
Issued by: Hillsborough County, Florida

About this file

Written by GovTribe AI · Sep 30, 2026

This is a Notice of Funding Availability (NOFA) Application document for the Hillsborough County Board of County Commissioners in Florida, establishing requirements for competitive sealed proposals to rehabilitate small multifamily housing projects. The County seeks experienced for-profit and non-profit entities to rehabilitate, manage, and operate small multifamily properties to address unmet recovery needs from Hurricanes Helene and Milton under the Community Development Block Grant-Disaster Recovery (CDBG-DR) program. The total project estimate is $10,000,000.00. The application document serves as Attachment B to the NOFA and provides the standardized application form and instructions that prospective applicants must complete and submit to be considered for funding awards.

This funding opportunity is administered through CDBG-DR, a federal program designed to support disaster recovery efforts. The application requirements establish evaluation criteria, project specifications, and submission procedures that applicants must follow to qualify for rehabilitation project funding. The NOFA application attachment contains detailed instructions outlining eligible project types, applicant qualifications, required documentation, and scoring methodology for project selection. Applicants are required to demonstrate experience in multifamily housing rehabilitation and management, as well as organizational capacity to successfully execute and operate recovery housing projects. The competitive process ensures that funding is allocated to qualified entities capable of delivering quality housing solutions to meet the documented unmet recovery needs in Hillsborough County resulting from the recent hurricanes.

View the file

Other files

File	Type	Posted
14-RFP-26-00365 Addendum No. 2.pdf	PDF	Aug 7, 2026
1-Drug Free Workplace Form.doc.doc	DOC document	Aug 7, 2026
15-RFP-26-00365 Full Annotated Scoring Guide.pdf	PDF	Aug 7, 2026
18-RFP-26-00365 Preliminary Tabulation.pdf	PDF	Aug 7, 2026
6-Attachment F - Permit Ready Development Certification.pdf	PDF	Aug 7, 2026
13-Attachment A - Small Multi-Family Rehabilitation Projects Instructions Revised.pdf	PDF	Aug 7, 2026
5-Attachment D - Duplication of Benefits Certification.pdf	PDF	Aug 7, 2026
4-Direct Deposit Authorization Form 5.15.2025.pdf.pdf	PDF	Aug 7, 2026
9-Attachment G - Permits Not Required Certification.pdf	PDF	Aug 7, 2026
17-RFP-26-00365 Addendum No. 3.pdf	PDF	Aug 7, 2026
2-Insurance Certificate.doc.doc	DOC document	Aug 7, 2026
12-RFP-26-00365 Addendum No. 1.pdf	PDF	Aug 7, 2026
8-Attachment C - Latitude and Longitude Point Guide.pdf	PDF	Aug 7, 2026
11-RFP-26-00365 CDBG-DR NOFA for Small Multifamily Rehabilitation Projects.pdf	PDF	Aug 7, 2026
10-RFP-26-00365 Insurance Requirements.pdf	PDF	Aug 7, 2026
3-Substitute W9 Form.pdf.pdf	PDF	Aug 7, 2026
7-Attachment E - Permit Application Submission Certification.pdf	PDF	Aug 7, 2026

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Tab 1 - Applicant Principals

Applicant Principals

Name of Applicant

Enter the name of the entity that currently owns the development. This entity must continue to own the development following the rehabilitation.

Is the Applicant above a natural person that owns the development directly?

Applicants that answer "yes" to the above do not have to fill out the remainder of this form and may continue to the Eligibility tab.

Applicant Entity Type

Applicant Principals

Enter the names, entity types, principal types, and percentage of ownership for the principals of the applicant entity provided into the following organizational chart. Please ensure that all principal types selected on this tab are appropriate for the type of entity selected, as outlined in the NOFA.

Applicant

ENTER APPLICANT NAME

ENTER APPLICANT ENTITY TYPE

Principal 1	Principal 2
Is there a first principal of the Applicant?	Is there a second principal of the Applicant?

Name:	Name:
Entity Type:	Entity Type:
Principal Type:	Principal Type:
% Ownership:	% Ownership:

Principal 3	Principal 4
Is there a third principal of the Applicant?	Is there a fourth principal of the Applicant?

Name:	Name:
Entity Type:	Entity Type:
Principal Type:	Principal Type:
% Ownership:	% Ownership:

Please continue to the following pages to list all principals of the above entities until the principals are natural persons. On each page, select the name of the first non-natural person entity that has not yet had its principals declared on this form. If the Applicant Entity has more than 4 principals itself, then select the Applicant Entity Name in the 'Select Principal Name' dropdown box on the first page below. Once all natural person principals of all entities related to Principal 1 have been identified, select the name of Principal 2 and so on, if applicable, until all natural person principals of the Applicant entity have been declared. Once all principals have been declared, continue to the next page and select 'All Principals Have Been Declared' in the 'Select Principal Name' dropdown box and continue to the next tab. Please ensure that all principal types are appropriate for the entity type selected. The appropriate prinipal types are listed in the NOFA.
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- End of Tab -

&"-,Bold"&12&K03+008Hillsborough County CDBG-DR Small Project Multifamily Rehabilitation NOFA Application Form

Tab 2 - Eligibility

Applicant Eligibility

Entity Documentation

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?

Affordable Housing Experience

Name of Principal that Meets Program Experience Requirements

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.

	Is the name entered above included on the Applicant Principals tab?	Enter principal name
List of Previous Affordable Housing Experience
Fill out the following charts with the requested information regarding the previous experience of the Principal of the Applicant identified above.
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)

Relocation Experience

Will the project require any form of tenant relocation?

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

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?

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

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

Name of Principal that Meets Relocation Experience Requirements

	Is the name entered above included on the Applicant Principals tab?	Enter principal name
List of Previous URA-Compliant Relocation Experience
Fill out the following table with the requested information regarding the previous URA-compliant relocation experience of the Principal of the Applicant identified above.

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

Length of Relocation in Months

Completion of Relocation (MM/DD/YYYY)

Site Control

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?

Debarment, Standing with Taxes, and Legal or Court Action

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 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":

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

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

Property Eligibility

Current Unit Mix

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

# 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

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?

LMI Households

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?

Floodplain and Special Flood Hazard Area

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

- End of Tab -

Small Project Multifamily Rehabilitation NOFA Application Form

Tab 3 - Application Priority

Application Priority Designation

Priority 1 Applications

Does the Applicant certify that (1) the development has one or more units with unresolved storm damage that can be substantiated by the documentation required in Attachment 1, as described in the NOFA, (2) such documentation has been provided as Attachment 1 to this Application, and (3) the rehabilitation will bring all units in the development up to current code?

Priority 2 Applications

Unrestricted/Market Rate Developments

Is the development currently 100% unrestricted/market rate?

All Other Eligible Applications

The remainder of this section is only applicable to eligible applications that have not already received a designation in the sections above.

Does the Applicant certify that (1) the development has one or more units that are currently uninhabitable due to damage that was NOT caused by the storms OR deferred maintenance that can be substantiated by the documentation required in Attachment 2, as described in the NOFA, (2) such documentation has been provided as Attachment 2 to this Application, (3) the rehabilitation will restore all uninhabitable units to habitable, and (4) the rehabilitation will bring all units in the development up to current code?

- End of Tab -

Small Project Multifamily Rehabilitation NOFA Application Form

Tab 4 - Scope of Work

Scope of Work

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 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):

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

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

- End of Tab -

Small Project Multifamily Rehabilitation NOFA Application Form

Tab 5 - Code Violations

Code Violations

Does the Applicant hereby certify that they have not been subject to any known code violations?

Applicants that answer "no" must list all known violations, including violation numbers, in the field below.

- End of Tab -

Small Project Multifamily Rehabilitation NOFA Application Form

Tab 6 - Project Information

Proposed Project Information

General Information

Enter the name of the proposed development:

Select the demographic of the proposed development:

Proposed Unit Mix

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

# 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

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

Relocation
	Will the project require any form of tenant relocation?
	Based on the above, does this application qualify for the Reduced Resident Displacement Preference?	Yet to be determined. Continue below.
Will there be any temporary or permanent relocation of any resident off-site?

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

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

Proximity
Development Location Point(s)
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.
	Latitude Point	Longitude Point
Development Location Point #1
Development Location Point #2
Development Location Point #3
Development Location Point #4
Development Location Point #5
Development Location Point #6
Development Location Point #7
Development Location Point #8
Development Location Point #9
Development Location Point #10
Development Location Point #11
Development Location Point #12
Development Location Point #13
Development Location Point #14
Development Location Point #15
Development Location Point #16
Development Location Point #17
Development Location Point #18
Development Location Point #19
Development Location Point #20

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

Select the location category of the proposed project:

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

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.

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

Bus Stop Chart
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
	Distance to DLP #1	Name / Number	Route Number(s)	Description of Nearest Intersection
Bus Stop #1

Preliminary Transportation Score (to be verified during application evaluation)
Community Amenities Chart
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
Grocery Store	Under Construction
Pharmacy	Under Construction
Medical Facility	Under Construction
Public School	In Operation

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

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

- End of Tab -

&"-,Bold"&12&K03+003Hillsborough County CDBG-DR Small Project Multifamily Rehabilitation NOFA Application Form

Tab 7 - Project Costs

Project Costs

Please fill out the following detailed list of costs associated with the proposed rehabilitation project. All hard costs, excluding the builder's fees and contingency, should be substantiated in the documents provided as part of the Scope of Work Attachment to this application. All other costs must be reasonably estimated if no quotes are available.

Costs should be entered into the "Private Funds" or "Public Funds" columns so that the total development cost in each column can be fully funded by the private and public sources available to the project.

Definitions of each category of cost have been included to provide clarity on the County's expectations.

Hard Rehabilitation Costs

	Private Funds	CDBG-DR Funds	Other Public Funds	Total
Residential Rehabilitation	$ -	$ -	$ -	$ -
Builder's General Requirements	$ -	$ -	$ -	$ -
Builder's Overhead	$ -	$ -	$ -	$ -
Builder's Profit	$ -	$ -	$ -	$ -
Contingency	$ -	$ -	$ -	$ -
Site/Infrastructure	$ -	$ -	$ -	$ -
Non-Residential Construction: identify	$ -	$ -	$ -	$ -
Non-Residential Construction: identify	$ -	$ -	$ -	$ -
Other: Describe	$ -	$ -	$ -	$ -
Other: Describe	$ -	$ -	$ -	$ -
Other: Describe	$ -	$ -	$ -	$ -
Other: Describe	$ -	$ -	$ -	$ -
Other: Describe	$ -	$ -	$ -	$ -
Subtotal: Hard Rehabilitation Costs	$ - 0	$ - 0	$ - 0	$ - 0

Definitions

Residential Rehabilitation: The costs associated with the actual rehabilitation itself, such as material and labor costs.

Builder's General Requirements: A fee charged by a general contractor. This cannot exceed 6% of the total hard rehabilitation costs, not including all three builder's fees and contingency.

Builder's Overhead: A fee charged by a general contractor. This cannot exceed 2% of the total hard rehabilitation costs, not including all three builder's fees and contingency.

Builder's Profit: A fee charged by a general contractor. This cannot exceed 6% of the total hard rehabilitation costs, not including all three builder's fees and contingency.

Contingency: The amount budgeted for unforeseen additional residential completion costs. This will be limited to 15% of the total residential rehabilitation cost or total hard rehabilitation costs, not including builder's fees Site/infrastructure: The costs associated with site work, such as pavement, and/or infrastructure, such as underground utilities Non-Residential Construction: The costs associated with work done to non-dwelling areas, such as community buildings or office spaces

Soft Costs

	Private Funds	CDBG-DR Funds	Other Public Funds	Total
Accounting	$ -	$ -	$ -	$ -
Appraisal Expense	$ -	$ -	$ -	$ -
Architect & Engineer Fees	$ -	$ -	$ -	$ -
Environmental Assessment, Testing & Cleanup	$ -	$ -	$ -	$ -
Financing & Application Expense, Lender	$ -	$ -	$ -	$ -
Insurance, Construction Period	$ -	$ -	$ -	$ -
Interest, Construction & Bridge Loan(s)	$ -	$ -	$ -	$ -
Legal Expense, Developer & Lender(s)	$ -	$ -	$ -	$ -
Marketing & Lease-up Expense	$ -	$ -	$ -	$ -
Permits, Construction & Utility Hookup	$ -	$ -	$ -	$ -
PILOT & Taxes, Construction Period	$ -	$ -	$ -	$ -
Survey	$ -	$ -	$ -	$ -
Title & Recording Fees	$ -	$ -	$ -	$ -
Lease-up Reserve	$ -	$ -	$ -	$ -
FF&E (Furniture, Fixtures, and Equipment)	$ -	$ -	$ -	$ -
Relocation	$ -	$ -	$ -	$ -
Operating Reserve	$ -	$ -	$ -	$ -
Replacement Reserve	$ -	$ -	$ -	$ -
Developer Fee	$ -	$ -	$ -	$ -
Soft Cost Contingency	$ -	$ -	$ -	$ -
Other Reserve: Describe	$ -	$ -	$ -	$ -
Other Reserve: Describe	$ -	$ -	$ -	$ -
Other: Describe	$ -	$ -	$ -	$ -
Other: Describe	$ -	$ -	$ -	$ -
Other: Describe	$ -	$ -	$ -	$ -
Other: Describe	$ -	$ -	$ -	$ -
Other: Describe	$ -	$ -	$ -	$ -
Subtotal: Soft Costs	$ -	$ -	$ -	$ -

	Private Funds	CDBG-DR Funds	Other Public Funds	Total
Total Development Cost	$ -	$ -	$ -	$ -

Definitions

Accounting: The costs associated with the services provided by an accountant.

Appraisal expense: The costs associated with the preparation of a property appraisal.

Architect & Engineer Fees: The costs associated with all services performed by contracted, licensed architects and/or engineers.

Environmental Assessment, Testing & Cleanup: The costs associated with the HUD environmental review process, including any additional studies, such as asbestos and lead-based paint testing.

Financing & Application Expense, Lender: The costs associated with procuring a loan, such as application fees and origination fees. This is not applicable to projects where there will be no private lender.

Insurance, Construction Period: The cost associated with the property insurance during the construction period.

Interest, Construction & Bridge Loan(s): The cost associated with the payment of accrued interest on construction and/or bridge loans during the construction period. This is not applicable to projects where there will be no construction and/or bridge loan.

Legal Expense, Developer & Lender(s): The costs associated with services performed by legal counsel of the developer (Applicant) and any lenders where legals costs are billed to the project development budget.

Marketing & Lease-up Expense: The costs associated with the property owner/manager's advertising and other leasing expenses incurred to occupy any vacant units.

Permits, Construction & Utility Hookup: The costs associated with permit approval and issuance, as well as municipal utility hookup fees.

PILOT & Taxes, Construction Period: The costs associated with a Payment in Lieu of Taxes (PILOT) agreement or property taxes during the construction period.

Survey: The costs associated with the preparation of a survey of the property.

Title & Recording Fees: The costs associated with recording documents with the necessary document, including mortgages, promissory notes, and land use restriction agreements, as well as title work including title searches and reports.

Lease-up Reserve: The amount budgeted to supplement the lack of rental revenue between the completion of construction and full occupancy.

FF&E (Furniture, Fixtures, and Equipment): The costs associated with the purchasing of new furniture, fixtures, and/or equipment.

Relocation: The costs associated with the relocation of households that currently live in the development's units. The relocation costs covered on behalf of the residents must be URA-compliant. These costs include actual moving costs and application fees, security deposits, and rent payments for temporary housing.

Operating Reserve: The amount budgeted to cover any operating costs or debt payments during the permanent period, should the project income be insufficient. This is typically a requirement of private lenders.

Replacement Reserve: The amount budgeted to cover capital needs of the property throughout the permanent term, which can only be drawn for those capital needs. Only include an amount here if there will be a deposit to a new or existing account outside of any regular annual deposits.

Developer Fee: The total amount that the Applicant/developer will be owed as a result of implementing the project. This is limited to a maximum of 9% of the total development cost, not including developer fee or any reserves.

Soft Cost Contingency: The amount budgeted for unforeseen additional soft costs. This will be limited to a maximum of 5% of total soft costs, excluding developer fee.

- End of Tab -

Small Project Multifamily Rehabilitation NOFA Application Form

Tab 8 - Duplication of Benefits

Duplication of Benefits Disclosure

Funds Received

Applicants must list the requested information for all funds related to Hurricane(s) Helene and/or Milton that they have received as the Applicant Entity, regardless of whether they are intended for use for this specific project, as well as all sources intended for this specific project even if they are not specifically related to Hurricane(s) Helene and/or Milton. If any funds are able to be allocated to the proposed project, then the intended use must be listed as "proposed project costs" and must be included as a source for the proposed project. Only funds that cannot be spent on proposed project costs may be listed as "unrelated to proposed project". If the Applicant has received multiple allocations of funds from the same entity for different uses, the amount of funds should be separated by use. There should be no combining of funds for different purposes or from different sources. Do not include an amount for the CDBG-DR funds that will be requested in this application.

	Source	Type	Amount	Intended Use
1	FEMA	Public	$ -
2	FEMA	Public	$ -
3	FEMA	Public	$ -
4	SBA	Public	$ -
5	SBA	Public	$ -
6	SBA	Public	$ -
7	NFIP	Public	$ -
8	NFIP	Public	$ -
9	NFIP	Public	$ -
10	HUD	Public	$ -
11	HUD	Public	$ -
12	HUD	Public	$ -
13	Private Insurance(s): Name	Private	$ -
14	Private Insurance(s): Name	Private	$ -
15	Private Insurance(s): Name	Private	$ -
16	Other:		$ -
17	Other:		$ -
18	Other:		$ -
19	Other:		$ -
20	Other:		$ -
21	Other:		$ -
22	Other:		$ -
23	Other:		$ -
24	Other:		$ -

Calculation of Eligible Gap

	Private Funds	Other Public Funds	Total
Total Funds Received	$ -	$ - 0	$ - 0
Total Funds Received for Proposed Project	$ -	$ - 0	$ - 0

	Private Funds	Other Public Funds	Total
Total Development Cost	$ -	$ -	$ -

	Private Funds	Other Public Funds	Total
Eligible Gap (TDC - Funds for Proposed Project)	$ -	$ -	$ -
The Eligible Gap for Private Funds and Other Public Funds should be equal to $0, meaning that the project has private and other public sources that fully fund the private and other public uses entered into the Project Costs tab. The total Eligible Gap, or the total CDBG-DR uses, will be used in the calculation of the maximum CDBG-DR request amount.
The Eligible Gap must be at least $500,000 in order to apply, as that is the minimum CDBG-DR request amount.
Does the Applicant certify that they have provided the Duplication of Benefits Certification to this application as Attachment 10?
- End of Tab -

Small Project Multifamily Rehabilitation NOFA Application Form

Tab 9 - Project Sources

Project Sources

CDBG-DR Request Amount

Minimum CDBG-DR Request Amount:	$500,000.00
Maximum CDBG-DR Request Amount:	Complete Duplication of Benefits Tab

Enter the Applicant's CDBG-DR Request Amount:

		Type	Private Funds	CDBG-DR Funds	Other Public Funds	Total
ERROR:#VALUE!		ERROR:#VALUE!	$ -	$ -	$ -	$ -
			$ -	$ -	$ -	$ -
			$ -	$ -	$ -	$ -
			$ -	$ -	$ -	$ -
			$ -	$ -	$ -	$ -
			$ -	$ -	$ -	$ -
			$ -	$ -	$ -	$ -
			$ -	$ -	$ -	$ -
			$ -	$ -	$ -	$ -
			$ -	$ -	$ -	$ -
			$ -	$ -	$ -	$ -
			$ -	$ -	$ -	$ -
			$ -	$ -	$ -	$ -
			$ -	$ -	$ -	$ -
			$ -	$ -	$ -	$ -
			$ -	$ -	$ -	$ -
			$ -	$ -	$ -	$ -
			$ -	$ -	$ -	$ -
			$ -	$ -	$ -	$ -
			$ -	$ -	$ -	$ -
			$ -	$ -	$ -	$ -
			$ -	$ -	$ -	$ -
			$ -	$ -	$ -	$ -
			$ -	$ -	$ -	$ -
			$ -	$ -	$ -	$ -
	Hillsborough County CDBG-DR	Public	$ -	$ -	$ -	$ -

Total Development Sources $ - 0 $ - 0 $ - 0 $ - 0

Private Funds CDBG-DR Funds Other Public Funds Total

Subtotal: Development Construction Costs $ - 0 $ - 0 $ - 0 $ - 0

Subtotal: Development Soft Cost $ - 0 $ - 0 $ - 0 $ - 0

Total Development Cost $ - 0 $ - 0 $ - 0 $ - 0

Funding Gap (TDC less Total Sources)	$ - 0	$ - 0	$ - 0	$ - 0
The funding gap in all categories should be equal to $0, meaning that the project has enough funding across all sources to fully fund the project.
Does the Applicant certify that they have provided commitments or letters in Attachment 9 to this application, as described in the NOFA, for all project sources other than the CDBG-DR funds?
- End of Tab -

&"-,Bold"&12&K03+002Hillsborough County CDBG-DR Small Project Multifamily Rehabilitation NOFA Application Form

Tab 10 - Project Income

Proposed Project Income

Utility Allowances and Rents

Proposed Utility Allowances

Enter the utility allowances, if any, that will be deducted from the gross rents of non-market rate units in the table below.

	Utility Allowance
0-bedroom
1-bedroom
2-bedrooms
3-bedrooms
4-bedrooms
5-bedrooms

Proposed Gross Rents

Complete the chart below with the monthly gross rent per unit by number of bedrooms in the leftmost column and market rent or Project Based Voucher (PBV) rent that will be in place following the closing of the CDBG-DR funds. All other rents are the program rent limit for each AMI percentage that must be used.

# Beds	Market	PBV	80% AMI	70% AMI	60% AMI	50% AMI	40% AMI	35% AMI	33% AMI	30% AMI	28% AMI	25% AMI	20% AMI
0			$1,606	$1,405	$1,204	$1,003	$803	$702	$662	$602	$562	$501	$401
1			$1,720	$1,505	$1,290	$1,075	$860	$752	$709	$645	$602	$537	$430
2			$2,065	$1,806	$1,548	$1,290	$1,032	$903	$851	$775	$722	$645	$516
3			$2,385	$2,087	$1,789	$1,491	$1,193	$1,043	$984	$895	$835	$745	$596
4			$2,661	$2,329	$1,996	$1,663	$1,331	$1,164	$1,098	$998	$931	$831	$665
5			$2,936	$2,569	$2,202	$1,835	$1,468	$1,284	$1,211	$1,101	$1,027	$917	$734

Does the property currently have a Housing Assistance Payment (HAP) contract or an award letter from an allocating authority for project-based Section 8 subsidy?

If the payment standard for project-based Section 8 subsidy is based on a percentage of SAFMR, provide the applicable zip code. Type N/A if not applicable.

Does the Applicant certify that they have provided proof of project-based Section 8 assistance as Attachment 8 to this application?

Total Income

Enter the number of units by number of bedrooms and what gross rent they earn monthly.

# Beds	Market	PBV	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	0

Total Potential Monthly Rental Income (less utility allowances) $ - 0

Total Potential Annual Rental Income (less utility allowances)	$ - 0
Enter the estimated potential annual amount of other income, which may include regular payments such as laundry and vending income, assuming full occupancy

Total Potential Annual Income	$ - 0
Operating Assumptions
Enter the rates and other assumptions that will apply to the 20-year operating pro forma. Income and operating expense increases have been locked as they are industry standard rates.

Annual Rental Income Increase (%)	2%
Annual Other Income Increase (%)	2%
Annual Operating Expense Increase (%)	3%
Vacancy Rate (a percentage of Total Annual Potential Income)
Replacement Reserve Annual Amount ($)
Annual Replacement Reserve Increase (%)

Property Management Fee (according to property management agreement)

Fixed Rate Per Year ($)

Annual Increase (%)

Percentage of Effective Gross Income (Total Annual Potential Income - Vacancy)

- End of Tab -

Small Project Multifamily Rehabilitation NOFA Application Form

Tab 11 - Pro Forma

Operating Pro Forma
Complete the following operating pro forma by entering the projected operating costs, debt payments, and cash flow payments following the completion of the rehabilitation. All operating costs should be assumed to increase at a rate of 3% per year unless they are a set fee that does not increase (such as a ground lease payment or Payment in Lieu of Taxes (PILOT)). For any current debt on the property, debt payments should be according to the current Promissory Note/other loan agreement. For any proposed debt, debt payments should be according to the commitment letter provided to this application. Cashflow payments, including any distributions to the owner(s), must be disclosed in the cash flow payments section.
	Year	Year	Year	Year	Year	Year	Year	Year	Year	Year	Year	Year	Year	Year	Year	Year	Year	Year	Year	Year
	1	2	3	4	5	6	7	8	9	10	11	12	13	14	15	16	17	18	19	20
Income
Total Potential Annual Income	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
Vacancy Allowance (0%)	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
Effective Gross Income	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
Expenses
Property Management Fee	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
Replacement Reserve	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
Administrative Expenses		$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
Payroll and Benefits		$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
Office Expenses		$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
Property Insurance		$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
Maintenance		$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
Utilities		$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
Security		$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
Real Estate Taxes/PILOT
Other:
Other:
Other:
Other:
Other:
Total Operating Expenses	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
Net Operating Income	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
Debt Payments
Lender Name:
Lender Name:
Lender Name:
Lender Name:
Lender Name:
Total Debt Payments	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
Debt Service Coverage Ratio
Cash Flow Payments
Other:
Other:
Other:
Other:
Other:
Other:
Total Cash Flow Payments	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
Surplus Cash	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0

- End of Tab -

Small Project Multifamily Rehabilitation NOFA Application Form

Tab 12 - Final Certification

Final Application Certification

Authorized Representative

Select the natural person principal that has been declared on the Applicant Principals tab that is authorized to make all certifications required in this application on behalf of the Applicant Entity:

By entering the authorized representative's name, the date, and confirmation, the authorized representative hereby certifies, on behalf of the Applicant Entity, that, to the best of their knowledge:

- All information entered into this application form is true or estimated to the best of my ability

- There are no misrepresentations or intentionally misleading information

- I understand that if misrepresentations or intentionally misleading information is discovered, the CDBG-DR award will be rescinded and the Applicant Entity may face additional consequences

- I understand that even minor errors or omissions made by the Applicant Entity within the submitted application may lead to rejection of my application

- I understand that any person who knowingly makes a false claim or statement to HUD may be subject to civil or criminal penalties under 18 U.S.C. 287, 1001, and 31 U.S.C. 3729.

- I understand that by submitting this application, I am committing to adhere to all CDBG-DR program rules and regulations as set out by HUD and Hillsborough County

Authorized Representative Name Date Confirmation

- End of Tab -

Small Project Multifamily Rehabilitation NOFA Application Form

Lists

	Entity Types for Principal of the Applicant				Entity Types for Sub-Principals		Principal Types for Main Principals	Principal Types for Sub-Principals
	- Select -				- Select -		- Select -	- Select -
	Limited Partnership				Limited Partnership		General Partner	General Partner
	Limited Liability Company				Limited Liability Company		Non-Investor Limited Partner	Limited Partner
	For-Profit Corporation				For-Profit Corporation		Investor Limited Partner	Manager
	Non-Profit Corporation				Non-Profit Corporation		Manager	Member
	Public Housing Authority				Public Housing Authority		Non-Investor Member	Managing Member
	Unit of General Local Government				Unit of General Local Government		Investor Member	Sole Member
					Trust		Shareholder	Shareholder
					Natural Person		Officer/Director	Officer/Director
							Executive Director	Executive Director
							Commissioner	Commissioner
							Chief Executive Officer	Chief Executive Officer
							Chief Administrative Official	Chief Administrative Official
							Department/Agency Head	Department/Agency Head
							Authorized Individual	Authorized Individual
								Trustee
								Beneficiary
						Principals Dropdown		Authorized Representative
		a	1	i	1		- Select -		- Select -		CNAs
		b	2	ii	2		All principals have been declared
		c	3	iii	3
		d	4	iv	4
		e	5	v	5
		f	6	vi	6			0
		g	7	vii	7			0
		h	8	viii	8
		i	9	ix	9			0
		j	10	x	10			0
		k	11	xi	11
		l	12	xii	12			0
								0			Net Rents															Sources
	Unit Mix Designation												Market	PBV	80% AMI	70% AMI	60% AMI	50% AMI	40% AMI	35% AMI	33% AMI	30% AMI	28% AMI	25% AMI	20% AMI
1		0						0			0-bedroom		$0	$0	$1,606	$1,405	$1,204	$1,003	$803	$702	$662	$602	$562	$501	$401
2		0						0			1-bedroom		$0	$0	$1,720	$1,505	$1,290	$1,075	$860	$752	$709	$645	$602	$537	$430
3		0									2-bedrooms		$0	$0	$2,065	$1,806	$1,548	$1,290	$1,032	$903	$851	$775	$722	$645	$516
4		0						0			3-bedrooms		$0	$0	$2,385	$2,087	$1,789	$1,491	$1,193	$1,043	$984	$895	$835	$745	$596
5		0						0			4-bedrooms		$0	$0	$2,661	$2,329	$1,996	$1,663	$1,331	$1,164	$1,098	$998	$931	$831	$665
6		0									5-bedrooms		$0	$0	$2,936	$2,569	$2,202	$1,835	$1,468	$1,284	$1,211	$1,101	$1,027	$917	$734
7		0						0
8		0						0
9		0									Proximity Scoring
10		0						0			Within Tampa City Limits			Outside of Tampa City Limits				Within Tampa City Limits			Outside of Tampa City Limits
11		0						0		0.00	One Bus Stop			One Bus Stop			0.00	Grocery			Grocery
12		0										0.3	2		0.3	2			0.3	4		0.3	4
13		0						0			0.3	0.4	1.5	0.3	0.75	1.5		0.3	0.5	3.5	0.3	0.75	3.5
								0			0.4	0.5	1	0.75	1	1		0.5	0.75	3	0.75	1	3
											0.5	0.75	0.5	1	1.25	0.5		0.75	1	2.5	1	1.25	2.5
								0			0.75		0	1.25		0		1	1.25	2	1.25	1.5	2
								0			0			0				1.25	1.5	1.5	1.5	1.75	1.5
										0.00	Two Bus Stops			Two Bus Stops				1.5	1.75	1	1.75	2	1
								0				0.3	4		0.3	4		1.75	2	0.5	2	2.25	0.5
								0			0.3	0.4	3	0.3	0.75	3		2		0	2.25		0
											0.4	0.5	2	0.75	1	2		0			0
								0			0.5	0.75	1	1	1.25	1	0.00	Pharmacy			Pharmacy
								0			0.75		0	1.25		0			0.3	4		0.3	4
											0			0				0.3	0.5	3.5	0.3	0.75	3.5
								0		0.00	Three Bus Stops			Three Bus Stops				0.5	0.75	3	0.75	1	3
								0				0.3	6		0.3	6		0.75	1	2.5	1	1.25	2.5
								0			0.3	0.4	5.5	0.3	0.75	5.5		1	1.25	2	1.25	1.5	2
								0			0.4	0.5	5	0.75	1	5		1.25	1.5	1.5	1.5	1.75	1.5
								Select Principal Name:			0.5	0.75	4.5	1	1.25	4.5		1.5	1.75	1	1.75	2	1
								0			0			0				1.75	2	0.5	2	2.25	0.5
																		2		0	2.25		0
								0										0			0
																	0.00	Medical Facility			Medical Facility
								0											0.3	4		0.3	4
								0										0.3	0.5	3.5	0.3	0.75	3.5
																		0.5	0.75	3	0.75	1	3
								0										0.75	1	2.5	1	1.25	2.5
								0										1	1.25	2	1.25	1.5	2
																		1.25	1.5	1.5	1.5	1.75	1.5
								0										1.5	1.75	1	1.75	2	1
								0										1.75	2	0.5	2	2.25	0.5
																		2		0	2.25		0
								0										0			0
								0									0.00	Public School			Public School
																			0.5	4		0.75	4
								0										0.5	0.75	3.5	0.75	1	3.5
								0										0.75	1	3	1	1.25	3
																		1	1.25	2.5	1.25	1.5	2.5
								0										1.25	1.5	2	1.5	1.75	2
								0										1.5	1.75	1.5	1.75	2	1.5
																		1.75	2	1	2	2.25	1
								0										2		0	2.25		0
								0										0			0

Select Principal Name:

	0
0	0
0
0	0
0	0
- End of Tab -
0	0
0	0
0
0	0
0	0
0
0	0
0	0
0
0	0
0	0
0	0
0	0
0	Select Principal Name:
0	0
0
0	0
0
0	0
0	0
0
0	0
0	0
0
0	0
0	0
0
0	0
0	0
0
0	0
0	0
0
0	0
0	0
0
0	0
0	0
0
0	0
0	0
0
0	0
0	0
0
0	0
0	0
0
0	0
0	0
0
0	0
0	0
0	0
0	0
0	Select Principal Name:
0	0
0
0	0
0
0	0
0	0
0
0	0
0	0
0
0	0
0	0
0
0	0
0	0
0
0	0
0	0
0
0	0
0	0
0
0	0
0	0
0
0	0
0	0
0
0	0
0	0
0
0	0
0	0
0
0	0
0	0
0
0	0
0	0
0	0
0	0
0	Select Principal Name:
0	0
0
0	0
0
0	0
0	0
0
0	0
0	0
0
0	0
0	0
0
0	0
0	0
0
0	0
0	0
0
0	0
0	0
0
0	0
0	0
0
0	0
0	0
0
0	0
0	0
0
0	0
0	0
0
0	0
0	0
0
0	0
0	0
0	0
0	0
0	Select Principal Name:
0	0
0
0	0
0
	0
	0

Select Principal Name:

- End of Tab -

File details come from the government source that posted it. Updated Sep 30, 2026.