Attachment_A_-_Application.pdf
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- Solicitation number
- RFA-1-26-05
- Issued by
- Brevard County, Florida
About this file
This Request for Applications document is issued by the Brevard County Board of County Commissioners Housing and Human Services Department and establishes eligibility and submission requirements for developers seeking local government contribution funding for affordable housing projects in Brevard County, Florida. The RFA invites applications from not-for-profit and for-profit developers proposing rental housing projects that will utilize Florida Housing Finance Corporation (FHFC) tax credits, State Apartment Incentive Loan (SAIL) funds, and/or revenue bonds. Applications must be submitted to Brevard County Purchasing Services located at 2725 Judge Fran Jamieson Way, Building C, Room 303, Viera, Florida 32940 by October 20, 2025 at 11:00 a.m., with late submissions rejected. The estimated period of performance extends for two years beginning upon the effective date of the recipient agreement. Projects must include a minimum 25-year affordability period for rental housing and must serve very low to moderate-income persons as determined by FHFC. A selection/negotiation committee composed of the County's Affordable Housing Advisory Committee (AHAC) will review and score qualifying applications at a public meeting scheduled for October 30, 2025 at 4:30 p.m., followed by Board of County Commissioners review and funding recommendations posted on VendorLink.com for a five-business-day protest period.
Applications are evaluated on nine criteria totaling 100 possible points: project narrative (10 points), ability to proceed (10 points), supportive services offered (5 points), organizational capacity (15 points), financial strength (15 points), ability to complete project by deadline (10 points), evidence of site control (15 points), needs analysis (10 points), and proximity to services and employment (10 points). Eligible projects must demonstrate zoning approval, utility availability, and site control, with preference given to proposals addressing priority needs identified in the Brevard County Consolidated Plan for Housing and Community Development. All projects with five or more units must include accessible units for persons with mobility disabilities (5 percent or at least one unit) and additional units accessible to persons with hearing or visual disabilities (2 percent or at least one unit). Applicants must not have been suspended or debarred within the previous five years, must comply with all federal, state, county, and municipal licensing requirements, and must submit comprehensive documentation including operating budgets, proformas, organizational capacity information, environmental and energy efficiency standards compliance, and certifications regarding public entity crimes, debarment, drug-free workplace, and environmental tobacco smoke compliance. Maximum funding amounts and specific fund availability are consistent with amounts established in the FHFC-issued RFA.
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ATTACHMENT A
REQUEST FOR APPLICATIONS FOR FLORIDA HOUSING
FINANCE CORPORATION PROGRAMS LOCAL
GOVERNMENT CONTRIBUTION
BREVARD COUNTY BOARD OF COUNTY COMMISSIONERS
HOUSING AND HUMAN SERVICES DEPARTMENT
Request for Applications
2025 Local Government Contribution, County Funding
Under the authority of the Brevard County Board of County Commissioners and subject to the availability of funds, the Housing and Human Services Department will accept applications from eligible Developer Organizations in response to this Request for Application with a receipt date of
October 20, 2025, no later than 11:00 AM
Applications received after this date/time will not be accepted.
Brevard County Purchasing 2725 Judge Fran Jamieson Way Building C, Room 303 Viera, Florida 32940
PROGRAM YEAR 2025/2026
ANTICIPATED APPLICATION SCHEDULE
TABLE OF CONTENTS
APPLICATION REQUIREMENTS
ELIGIBILITY
DISQUALIFYING CRITERIA
REVIEW PROCESS
SUBMITTAL CHECKLIST
PROGRAM DETAILS
AVAILABILITY OF FUNDS
SELECTION CRITERIA
TERMS AND CONDITION
HOUSING APPLICATION
OPERATING BUDGET
PROFORMA
AGENCY OVERALL BUDGET
PROJECT TIMELINE
USES OF LOCAL GOVERNMENT CONTRIBUTION
SWORN STATEMENT OF PUBLIC ENTITY CRIMES
RESPONDENT CERTIFICATION AND ACKNOWLEDGEMENT
CERTIFICATION
ENERGY HARDENING AND PREVENTATIVE MAINTENANCE
ATTACHMENT A – LOCATION MATRIX
ATTACHMENT B- VERIFICATION OF APPROVAL FROM LOCAL JURISDICTION
ATTACHMENT C- LOCAL GOVERNMENT VERIFICATION OF CONTRIBUTION FORM
ADDRESSING LOCAL GOVERNMENT CONTRIBUTION IN BREVARD COUNTY
AFFORDABLE HOUSING GRANT
APPLICATION REQUIREMENTS
The Request for Application (RFA) closes, and applications are due to Brevard County Purchasing Services on October 20, 2025, no later than 11:00 AM.
Maximum Funding Amount: The maximum award amount shall be consistent with the amount established in the issued RFA by the Florida Housing Finance Corporation
Estimated period of performance: Two (2) years beginning upon the effective date of the recipient agreement.
Eligibility Applicants must meet the following criteria:
• May be a not-for-profit or for-profit developer;
• Funding requests for proposed projects shall solely serve Brevard County, Florida, residents.
• Developers shall demonstrate how the grant funds awarded will expand or enhance the County's goal of providing affordable housing.
• Entities must attest to not having suspensions or debarments within the last five (5) years.
• Document the amount and source of any private funds being leveraged to support the proposed affordable housing project.
• The developer must comply with all city, county, state, and federal licensing and/or accreditation/certification and regulatory requirements and provide documentation to support these requirements.
Disqualifying Criteria Applications are ineligible for funding award in the event of any one of the following criteria:
• Application submittal after 11:00 AM on October 20, 2025.
• An application is deemed incomplete due to missing items.
• Agencies not in compliance with all State of Florida and local rules and regulations and/or accreditation and certification requirements, where applicable.
Review Process
1. The Review Process for this Request for Applications consists of five stages:
a. Housing and Human Services Department staff review submitted applications for disqualifying criteria.
b. The Selection/Negotiating, comprised of the County’s AHAC will review, score, and rank all qualifying applications in a public meeting to be held on October 30, 2025 beginning at 4:30 p.m.
c. The Recommendation Committee will make funding recommendations to the Housing and Human Services Department Director and the Brevard County Board of County Commissioners.
d. Intended funding recommendations will be posted for five (5) business days on VendorLink.com. Any agency may file a written protest with the County’s Purchasing Manager within five business (5) days of the posted Intended funding recommendation.
e. Agreements drafted and executed.
Scoring Housing and Human Service staff will initially review all applications for disqualifying criteria. All applicants requesting funding under this Request for Application will be considered based on their overall merit as determined by the recommendation of the AHAC and the Brevard County Board of County Commissioners’ review processes.
Each organization’s application will be scored based on the following criteria:
• Project narrative, Possible 10 points
• Ability to proceed, Possible 10 points
• Supportive services offered, Possible 5 points
• Organizational capacity¸ Possible 15 points
• Financial strength of the Respondent, Possible 15 points
• Ability of the Respondent to complete the project by the deadline established Possible 10 points
• Evidence of site control, Possible 15 points
• Needs analysis, Possible 10 points
• Proximity to services and employment, Possible 10 points
Pages 16 and 17 of RFA-1-26-05 outline the Evaluation Criteria.
SUBMITTAL CHECKLIST
Agency Name: _______________________________________________________________________
All the items below must be included (per category) in the order listed or the submitted application is considered incomplete. Please do not include sample documentation with submission.
Application Checklist Project Summary Narrative General Information (questions 1 through 10) Project Specific Information (questions 11 through 17) Organizational Capacity (questions 18 through 20) Attachment A - Operating Budget Attachment B - Proforma Attachment C - Agency Overall Budget Attachment D - Project Timeline Attachment E - Uses of Local Government Contribution Attachment F - Sworn Statement of Public Entity Crimes Attachment G - Respondent Certification and Acknowledgement Attachment H – Certifications Attachment I - Energy, Hardening, and Preventive Maintenance Standards Attachment J – Location Matrix Attachment K – Verification of Approval from Local Jurisdiction Attachment L - Local Government Verification of Contribution Form
APPENDICES TO APPLICATION
APPENDIX 1 – Ability to Proceed APPENDIX 2 - Site Control APPENDIX 3 - Needs Analysis APPENDIX 4 - List of current Board Members* APPENDIX 5 - 501 (c) (3) certification or other IRS exemption letter* APPENDIX 6 - Articles of Incorporation/Bylaws* APPENDIX 7- Most recent Audit (must include management letter) or Financial Statement* APPENDIX 8 - Most recent 990 tax return*
NOTE: An application will not be considered if any section of the application is incomplete or if a required item is missing. Applications submitted after a published due date will not be considered.
I acknowledge that all the required items listed above are included in this application and if any are found to be missing, the application will not be accepted for consideration.
Signature/Title/Date
*Note: You only need to include these items if applicable to your agency.
PROGRAM DETAILS
The Brevard County Housing and Human Services Department has established an application for developers applying for Florida Housing Finance Corporation tax credits, State Apartment Incentive Loan (SAIL) funds, and/or revenue bonds for a proposed development located in Unincorporated Brevard County and the cities. This RFA and supporting documentation may be found on Vendor Link at myvendorlink.com
Eligible Projects: Exclusively for use by developers who will apply for, and receive, Florida
Housing Finance Corporation tax credits, State Apartment Incentive Loan (SAIL) funds, and/or revenue bonds for a proposed development.
Terms:
Rental Housing Activity Minimum period of affordability in years
New Construction 25
AVAILABILITY OF FUNDS
Funding is subject to availability. In every instance, the contribution required by Florida Housing Finance Corporation will be provided. Brevard County reserves the right to reduce, amend, and/or rescind this funding opportunity at any time prior to the final award and approval of any contract or agreement by the Board of County Commissioners.
SELECTION CRITERIA
Selection preference will be given to those respondents that clearly address the Priority Needs as defined in the Brevard County Consolidated Plan for Housing and Community Development, which is located at: https://www.brevardfl.gov/docs/default-source/housing-human-services-documents/housing-not-508/2022- 2026-home-consortium-consolidated-plan.pdf?sfvrsn=2e92c42a_1. Refer to the plan on, pages 131-138.
TERMS & CONDITIONS
1. Projects must benefit very low to moderate-income persons as determined by the Florida Housing Finance Corporation.
2. Funds may not be used for operating expenses.
3. All projects must be made and remain affordable for the specified affordability period.
4. All new construction housing developments with five (5) or more units must be designed and constructed so that five (5) percent of the dwelling units, or at least one unit, whichever is greater, is to be accessible to persons with mobility disabilities. These units must be constructed in accordance with the Uniform Federal Accessibility Standards or a standard that is equivalent to or stricter than them. An additional two percent (2%) of the dwelling units, or at least one unit, whichever is greater, must be accessible to a person with a hearing or visual disability. Common areas must be constructed in accordance with the Florida Building Code.
5. Respondent must enter into a contract that will be provided by the County that incorporates the requirements of this RFA.
6. Respondents must attend an Affordable Housing Advisory Committee recommendation meeting at a date and time to be determined to make a formal presentation.
7. If applicable, Respondents must also be present at the Board of County Commissioners meeting at a date and time to be determined, if the proposal is approved for funding by Florida Housing Finance Corporation.
8. At the time of award, Respondent must be in good standing with the federal, state, county, and municipal governments.
https://www.brevardfl.gov/docs/default-source/housing-human-services-documents/housing-not-508/2022-2026-home-consortium-consolidated-plan.pdf?sfvrsn=2e92c42a_1 https://www.brevardfl.gov/docs/default-source/housing-human-services-documents/housing-not-508/2022-2026-home-consortium-consolidated-plan.pdf?sfvrsn=2e92c42a_1 https://www.brevardfl.gov/docs/default-source/housing-human-services-documents/housing-not-508/2022-2026-home-consortium-consolidated-plan.pdf?sfvrsn=2e92c42a_1 https://www.brevardfl.gov/docs/default-source/housing-human-services-documents/housing-not-508/2022-2026-home-consortium-consolidated-plan.pdf?sfvrsn=2e92c42a_1
HOUSING APPLICATION
PROJECT SUMMARY NARRATIVE
Provide a written summary of the project, including the amount requested, the project site location, the number of units, and the targeted population/community (1 page maximum).
GENERAL INFORMATION
1. Organization Name:
2. Organization Address:
3. Federal Employer Identification Number:
4. Contact Person/Title:
5. Phone Number: Fax Number:
6. Email Address:
7. Additional Contact Person/and Phone Number:
8. Project Name:
9. Project Address(es):
10. Name of Local Jurisdiction in which development(s) is/are located:
PROJECT SPECIFIC INFORMATION - RENTAL
11. Request Category (please check all that apply):
___ Acquisition ___ New Construction ___ Single Family Structure ___ Multi Family Structure
12. TOTAL funding requested from Brevard County for this project: $
13. Ability to proceed. Show proof of appropriate zoning and availability of utilities.
(Appendix 1)
14. Project breakdown by unit, unit size, and income level to be served. Show the actual number of units for each category. Please list the address(s) of all units requesting funding.
Income Level
Extremely Low 0-30%
AMI
Very Low
>31% - 50% AMI
Low >51% to 60% AMI
Low >61% to 80% AMI
Studio 1-Bedroom 2-Bedroom 3-Bedroom 4-Bedroom
TOTAL:
Total Units:
15. Description of supportive services/resident programs, if applicable.
16. Provide proof of site control (i.e., effective sales contract/proof of ownership, etc.) (Appendix 2)
17. Must provide a Needs Analysis to (Appendix 3) to include the following:
a. Type, number, and cost of housing units planned.
b. Ability to rent the planned development in a timely manner.
c. Adverse impact on other existing affordable housing developments.
d. Any special advantages to the development for attracting renters (i.e., energy efficient enhancements, proximity to services, etc.)
ORGANIZATIONAL CAPACITY
18. Please provide information on your organization’s housing accomplishments over the past five (5) years. Include experience with affordable housing projects. Include a summary of staff experience, including an organization chart with names/titles and designation of (full-time/part-time) paid status.
19. Provide a list of current board members (Appendix 4), a copy of your 501(c)(3) or other
IRS tax-exemption determination letter from the IRS (Appendix 5), and a copy of your Articles of Incorporation/copy of your most current bylaws (Appendix 6). Note: You only need to include these items in your original copy, not in your 12 copies.
20. Provide a copy of the most recent audit (must include management letter) (Appendix 7).
The most recent fiscal year-end financial statement is acceptable if an agency audit is not required (Appendix 7). The most recent 990 IRS tax return must be included (Appendix 8). Note: You only need to include these items in your original copy, not in your 12 copies.
ATTACHMENTS AND APPENDICES
21. Must include: Forms, Attachments A-C, and Appendices 1-8.
ATTACHMENT A
OPERATING BUDGET
OPERATING INCOME Annual Amount
1. Gross rent potential
2. Vacancy allowance ( % of Line 1)
3. Effective gross rent (Line 1 minus Line 2)
4. Other income (specify)
5. Reserve for Bad Debt
6. Effective Gross Income (Lines 3 plus Line 4 minus Line 5)
OPERATING EXPENSES
Management Annual Amount
7. Management fee
8. Management staff costs
9. Legal fees
10. Accounting/audit fees
11. Advertising/marketing
12. Telephone
13. Office supplies
14. Other administrative expenses
Subtotal
Maintenance
15. Maintenance staff costs
16. Elevator (if any)
17. Other mechanical equipment (specify)
18. Decorating (specify)
19. Routine repairs and supplies
20. Exterminating
21. Lawn and Landscaping
22. Garbage/trash removal
23. Other (specify)
OPERATING BUDGET CONTINUED
Utilities Annual Amount
24. Electricity
a. Residential
b. Commercial areas
c. Common areas
25. Heat and hot water (specify fuel)
a. Residential
b. Commercial areas
c. Common areas
26. Sewer and water
Taxes/Insurance/Reserve
27. Property insurance
28. Real estate taxes (estimated value of $
Times projected tax rate of $ /$1,000)
29. Reserve for replacement
30. Operating deficit reserve
31. Total Operating Expenses (Lines 7 - 31)
Income Available For Debt Service
Effective Gross Income (Line 6) Minus Total Operating Expenses (Line 32)
32. Net Operating Income
33. Debt Service Coverage Ratio Required by Lender
ATTACHMENT B
PROFORMA
Use the proforma to predict the long-term cash flow from the project. The proforma is based on assumptions of occupancy, rents, and expenses during the affordability period. It is easiest to estimate a steady growth rate for rents, vacancies, and expenses, and set fees as a consistent percentage of gross effective income.
2025 2026
2026 2027
2027 2028
2028 2029
2029 2030
2030 2031
2031 2032
Gross Rental Inc. @ 3%
Less Vacancy/Collection Loss @ 7%
Plus Other Income
Effective Gross Income.
Less Management Fee @ 7%
Less Op. Exp. @ 5%
Less Partnership Mgmt. Fee
Less Reserve for Replacements
NOI (Net Operating Income)
Less Debt Service
Net Cash Flow
ATTACHMENT C
AGENCY OVERALL BUDGET*
Revenue Agency Budget Last Fiscal Year
Agency Budget Current Fiscal Year
(1) State Grants
(2) Federal Grants
(3) Allocations Requested or Received from United Way
(4) Foundation/Trust Grants
(5) Client Fees/Shared Costs
(6) Cash Contributions or Donations
(7) In-kind
(8) Operating Reserve Funds
(9) Capital Reserve Funds
(10) Misc./Other Funds
TOTALS:
Expense Categories Agency Budget Last Fiscal Year
Agency Budget Current Fiscal Year
a. Personnel
b. Fringe Benefits
c. Travel
d. Equipment
e. Supplies
f. Contractual
g. Insurance
h. Maintenance
i. Training & Conferences
j. Direct Assistance to Clients
k. Fees & Dues
l. Miscellaneous & Other**
TOTAL:
*Budget is based on Agency’s approval fiscal year. **Please explain any “miscellaneous” or “other” sources or expenses on separate sheet.
ATTCHMENT D
PROJECT TIMELINE
Develop timeframe based on number of days from the time of contract signing.
Milestone Working Days from Agreement Execution
Conditional Notice to Proceed issued. 15 Days
Building/Site plan. 60 Days
Permits Issued. 120 Days
Construction Notice to Proceed issued. 125 Days
Substantial Completion 335 Days
Final Completion 345 Days
Lease up 365 Days
ATTACHMENT E
USES OF LOCAL GOVERNMENT CONTRIBUTION
Amount of Local Government Requests Source
Brevard County Board of County Commissioners Local Municipality
Itemized Cost Actual Costs
A. Acquisition Costs 1 Land 2 Existing Structures B. Site Work 1 Site work (not included in construction contract) C. Construction/Rehabilitation (construction contract costs) 1 Site work 2 New Building 3 Rehabilitation D. Architectural & Engineering Fees 1 Architectural Fee - Design 2 Architectural Fee - Supervision 3 Consultant or Processing Agent 4 Engineering Fees E. Other Owner Costs 1 Appraisal 4 Soil Borings/ Environ. Survey 5 Real Estate Attorney 6 Construction Loan Legal 7 Title and Recording F. Interim Costs 1 Construction Insurance 2 Construction Interest 3 Construction Loan Origination Fee G. Permanent Financing Fees & Expenses 1 Credit Report 2 Permanent Loan Origination Fee 3 Title and Recording 4 Counsel s Fee H. Developer's Fee
I. Project Reserves 1 Rent-Up Reserves 2 Operating Reserves J. Tenant Relocation K. Project Administration/Management 1 Marketing/Management 2 Operating Expenses 3 Taxes 4 Insurance L. Total Uses (Development)
M. Total Sources (Development)
N. Difference
O. Additional Sources of Permanent Financing:
Owner's Equity Loan:
Loan:
Total (compare to line L):
Please indicate source or use of “other” funds or fees.
ATTACHMENT F
SWORN STATEMENT OF PUBLIC ENTITY CRIMES
RFP NO.
SWORN STATEMENT UNDER SECTION 287.133(3) (a) FLORIDA
STATUTES ON PUBLIC ENTITY CRIMES
(To be signed in the presence of a Notary Public or other officer authorized to administer oaths.) State of County of
Before me, the undersigned authority, appeared who, being by me first duly sworn, made the following statement:
1. The business address of (name of respondent or contractor) is .
2. My relationship to (name of respondent or contractor) is (relationship such as sole proprietor, partner, president, vice president, etc.).
3. I understand that a public entity crime as defined in Section 287.133 of the Florida
Statutes includes a violation of any State or Federal law by a person with respect to and directly related to the transaction of business with any public entity in Florida or with an agency or political subdivision of any other State or with the United States, including, but not limited to, any bid or contract for goods or services to be provided to any public entity or such an agency or political subdivision and involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation.
4. I understand that “convicted” or “conviction” is defined by the statute to mean a finding of guilt or a conviction of a public entity crime, with or without an adjudication of guilt, in any Federal or State trial court of record relating to charges brought by indictment or information after July 1, 1989, as a result of a jury verdict, non-jury verdict, non-jury trial, or entry of a plea of guilty or nolo contendo.
5. I understand that “affiliate” is defined by the statute to mean (1) a predecessor or successor of a person or a corporation convicted of a public entity crime, or (2) an entity under the control of any natural person who is active in the management of the entity and who has been convicted of a public entity crime, or (3) those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in the management of an affiliate, or (4) person or corporation who knowingly entered into a joint venture with a person who has been convicted of a public entity crime in Florida during the preceding 36 months.
(Draw a line through number 6 if number 7 applies)
6. Neither the respondent or contractor nor any officer, director, executive, partner, shareholder, employee, member of agent who is active in the management of the respondent or contractor nor any affiliate of the respondent or contractor has been convicted of a public entity crime subsequent to July 1, 1989.
7. There has been a conviction of a public entity crime by the respondent or contractor, or an officer, director, executive, partner, shareholder, employee, member or agent of the respondent or contractor who is active in the management of the respondent or contractor or an affiliate of the respondent or contractor. A determination has been made pursuant to Section 287.133(3) by order of Division of Administrative Hearings that is not in the public interest for the name of the convicted person or affiliate to appear on the convicted vendor list. The name of the convicted person or affiliate is .
A copy of the order of the Division of Administrative Hearings is attached to this Statement (with a line through paragraph number 6 if paragraph number 7 applies).
Sworn to and subscribed before me in the State and County first mentioned above on the day of 2024.
Affix Seal
Notary Public:
My commission expires
ATTACHMENT G
RESPONDENT CERTIFICATION AND ACKNOWLEDGEMENT
1. The Respondent certifies that the information in this Application is true, correct, and authentic.
2. The Respondent acknowledges that Brevard County may conduct its own independent review, analysis and verification of all information contained in this Application.
3. The Respondent and all Financial Beneficiaries have read and will abide by the applicable Section 420.907, Florida Statutes and Section 67-37 Florida Administrative Code.
4. The undersigned is authorized to bind all Financial Beneficiaries to this certification and warranty of truthfulness and completeness of the Applications.
5. The Respondent certifies that governmental assistance has/has not been provided to the proposed project and will notify the County if assistance is requested or received in the future.
6. If non-profit, this application has been duly authorized by a resolution or other board action and also gives signature authority as reflected in board minutes.
Authorized Official (Signature) Witness (Signature)
Name and Title (Typed or Printed) Name and Title (Typed or Printed)
Date _______________ Date __________________
ATTACHMENT H
CERTIFICATIONS
(Suspension/Debarment, Drug-Free Workplace, and Environmental Tobacco Smoke Form)
1. Certification Regarding Debarment and Suspension
The undersigned (authorized official signing for the respondent organization) certifies to the best of his or her knowledge and belief, that the respondent, defined as the primary participant in accordance with 45 CFR Part 76, and its principals:
a. are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any Federal Department or agency; and
b. have not within a 3-year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; and
c. are not presently indicted or otherwise criminally or civilly charged by a governmental entity (Federal, State, or local) with commission of any of the offenses enumerated in paragraph (b) of this certification; and
d. have not within a 3-year period preceding this application/proposal had one or more public transactions (Federal, State, or local) terminated for cause or default.
e. Should the respondent not be able to provide this certification, an explanation as to why should be placed after the assurances page in the application package.
f. The respondent agrees by submitting this proposal that it will include, without modification, the clause titled "Certification Regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion--Lower Tier Covered Transactions" in all lower tier covered transactions (i.e., transactions with sub- grantees and/or contractors) and in all solicitations for lower tier covered transactions in accordance with 45 CFR Part 76.
2. Certification Regarding Drug-Free Workplace Requirements
The undersigned (authorized official signing for the respondent organization) certifies that the respondent will, or will continue to, provide a drug-free workplace in accordance with 45 CFR Part 76 by:
a. Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the grantee’s workplace and specifying the actions that will be taken against employees for violation of such prohibition; and
b. Establishing an ongoing drug-free awareness program to inform employees about—
(1) The dangers of drug abuse in the workplace;
(2) The grantee’s policy of maintaining a drug-free workplace;
(3) Any available drug counseling, rehabilitation, and employee assistance programs;
(4) The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace; and
c. Making it a requirement that each employee to be engaged in the performance of the grant be given a copy of the statement required by paragraph (a) above; and
d. Notifying the employee in the statement required by paragraph (a), above, that, as a condition of employment under the grant, the employee will—
(1) Abide by the terms of the statement;
(2) Notify the employer in writing of his or her conviction for a violation of a criminal drug statute occurring in the workplace no later than five (5) calendar days after such conviction; and
e. Making a good faith effort to continue to maintain a drug-free workplace through implementation of paragraphs (a), (b), (c), (d), and (e).
3. Certification Regarding Environmental Tobacco Smoke
F.S. 386.201–212, the Florida Clean Indoor Air Act, has as its purpose to protect the public health, comfort, and environment by creating areas in public places and at public meetings that are reasonably free from tobacco smoke by providing a uniform statewide maximum code. This part shall not be interpreted to require the designation of smoking areas.
(1) "Public place" means the following enclosed, indoor areas used by the general public: (a)Government buildings; (b) Public means of mass transportation and their associated terminals not subject to federal smoking regulation; (c) Elevators; (d) Hospitals; (e) Nursing homes; (f) Educational facilities; (g) Public school buses; (h) Libraries; (i) Courtrooms; (j) Jury waiting and deliberation rooms; (k) Museums; (l) Theaters; (m) Auditoriums; (n) Arenas; (o) Recreational facilities; (p) Restaurants which seat more than 50 persons; (q) Retail stores, except a retail store the primary business of which is the sale of tobacco or tobacco related products; (r) Grocery stores; (s) Places of employment;
(t) Health care facilities; (u) Day care centers; and (v) Common areas of retirement homes and condominiums.
(2) "Public meeting" means all meetings open to the public, including meetings of homeowner, condominium, or renter or tenant associations unless such meetings are held in a private residence.
(3) "Common area" means any hallway, corridor, lobby, aisle, water fountain area, restroom, stairwell, entryway, or conference room in any public place.
By signing the certification, the undersigned certifies that the respondent organization will comply with the requirements of the Act and will not allow smoking within any portion of any indoor facility used for the provision of services as defined by the Act.
The respondent organization agrees that it will require that the language of this certification be included in any sub-awards, which contain provisions for services and that all sub-recipients shall certify accordingly.
The Housing and Human Services Department strongly encourages all grant recipients to provide a smoke-free workplace and promote the non-use of tobacco products.
SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL TITLE
RESPONDENT ORGANIZATION DATE SUBMITTED
ATTACHMENT I
ENERGY, HARDENING AND PREVENTIVE MAINTENANCE
PERFORMANCE STANDARDS FOR AFFORDABLE HOUSING
The contractor will be responsible to maintain or improve indoor air quality, durability, life safety, hazard mitigation and cost effectiveness. Activities shall be consistent with efficiency levels in the Building America Program, created by the US Department of Energy in cooperation with the Florida Solar Energy Center, and established state and local building codes and shall include some or all of the features as follows. Please note which energy efficient or mitigation features will be utilized in the proposed project.
Typical Low-Cost Features: Typical Moderate to High-Cost Features:
Manage air flow in structure Upgrade HVAC system Seal the building envelope Install Energy Star Appliances Segregate and maintain combustion equipment Consider placement of return & delivery registers and ducts Provide adequate ventilation.
Exhaust venting Whole house ventilation
Replace windows Hazard Mitigation Features:
Truss strapping
Seal and insulate ducts High impact windows Increase insulation Storm shutters Radiant barriers Metal or composite roofing Install programmable thermostats Roof decking Light colored/reflective roofing materials Gable bracing Light colored/reflective exterior wall paint Garage door bracing Low-flow showerheads Exterior doors High efficiency indoor and outdoor lighting Ceiling fans Tile flooring Window films
Suggested mitigation activities:
Area Mitigation Activity Roof Depending on the condition of existing roof, if work needs to be done, look to do maximum for energy efficiency, hardening and preventive maintenance.
Radiant Barrier Strapping Trusses/to code Gable Bracing/to code White/Light Color Shingles/30 yr.
Dimensional/Peel and Stick Metal Roof/light color/50 yr.
Ceiling When insulation is less than R-38
R-38 ceiling insulation
Walls When exterior walls need to be sealed and painted.
White/Light exterior walls, using high quality mastic material.
Area Mitigation Activity If windows are good, apply reflective tinting or solar screens on South and West windows.
If possible, replace South and West windows Repair East and North windows if possible. Hardening, Install Hurricane Shutters.
When applicable replace west windows with Impact rated double pane low- E Vinyl.
If replacing windows, minimize window size on south and west side of building to reduce heat intrusion.
3. Install Hurricane Shutter System. Accordion.
Floor 100% Tile or Stained Concrete Infiltration Perform Blower Door Test
Seal all air leaks Retest with Blower Door Test
Whole House Ventilation 1. Passive Outside Air Ventilation Cooling and Heating 1. Heat Pump, 15 Seer, Programmable Thermostat Duct System Perform Test. Replace duct system when possible and necessary
Replace duct with maximum 5% leakage, goal is zero leakage R-8 duct
Water Heating Tank-less System.
Solar Water Heater, Passive ICS type, if existing tank is suitable and system appropriate for home.
Insulate tank and all pipes.
Or with tank, install hot water conversion from A/C or Heat Pump. Insulate tank and all pipes.
Electric Heat Pump Water Heater
Appliances 1. All appliances Energy Star-rated or higher.
Lighting 1. 100% Light Emitting Diode (LED) interior and exterior.
Water Use Low Flush Toilets Dual Flush Toilets Florida Friendly Landscaping (low-maintenance landscapes)
Windows When windows are bad, replace all.
High performance Impact Rated Double Pane Low
– E Vinyl Windows
ATTACHMENT J
LOCATION MATRIX
ATTACHMENT K
VERIFICATION OF APPROVAL FROM LOCAL JURISDICTION
ATTACHMENT C
LOCAL GOVERNMENT VERIFICATION OF CONTRIBUTION
| APPLICATION REQUIREMENTS |
| Eligibility |
| Disqualifying Criteria |
| Review Process |
| SUBMITTAL CHECKLIST |
| *Note: You only need to include these items if applicable to your agency. |
| PROGRAM DETAILS |
| AVAILABILITY OF FUNDS |
| SELECTION CRITERIA |
| HOUSING APPLICATION |
| PROFORMA |
| ATTACHMENT C |
| AGENCY OVERALL BUDGET* |
| ATTCHMENT D |
| PROJECT TIMELINE |
| Develop timeframe based on number of days from the time of contract signing. |
| ATTACHMENT E |
| USES OF LOCAL GOVERNMENT CONTRIBUTION |
| SWORN STATEMENT OF PUBLIC ENTITY CRIMES |
| (Draw a line through number 6 if number 7 applies) |
| ATTACHMENT G |
| RESPONDENT CERTIFICATION AND ACKNOWLEDGEMENT |
| ATTACHMENT H |
| CERTIFICATIONS |
| and Environmental Tobacco Smoke Form) |
| 1. Certification Regarding Debarment and Suspension |
| 2. Certification Regarding Drug-Free Workplace Requirements |
| 3. Certification Regarding Environmental Tobacco Smoke |
| Suggested mitigation activities: |
File details come from the government source that posted it. Updated .