ATTACHMENT_A_-_NOFA_APPLICATION_FORM.pdf

COUNTY ADMINISTRATOR’S OFFICE

Notice of Funding Availability:

Affordable Housing Development

ATTACHMENT A – APPLICATION FORM

COUNTY OF SOLANO

County Administrator’s Office

ISSUE DATE October 6, 2023

NOFA Coordinator:

Anne Putney AMPutney@solanocounty.com

Submit Applications to:

AMPutney@solanocounty.com

Subject Line: NOFA Affordable Housing Development Application Submission

Applications must be received no later than November 8, 2023, 5:00 P.M. PST

Late Applications will not be accepted.

Application Instructions: Applicants must fully complete this Application form (Attachment A), responding to every question, and attach all necessary requested documents. Applicants must fill in desired check boxes and adhere to page limits where indicated.

Affordable Housing Development

Applicant Organization:

Applicant Address:

Form of Business: For-profit Non-profit Government Agency Other:

Program Summary: Provide a brief summary of your project (100 words maximum)

Total Amount of Funding Requested:

Affordable Housing Development

The undersigned acknowledges that the County’s Standard Contract (Attachment B, including Exhibits A through D-2) has been reviewed and that, if awarded, all contract terms and conditions are accepted.

YES NO If NO, What Qualifications to Contract are requested?:

The undersigned certifies and makes assurance of the Applicant’s compliance with:

All requirements, terms, and conditions of the NOFA for Affordable Housing Development, including federal regulations and U.S. Treasury guidelines for the ARPA program;

The laws of the County of Solano https://www.codepublishing.com/CA/SolanoCounty/;

Title VI of the federal Civil Rights Act of 1964 https://www.hhs.gov/civil-rights/for-individuals/special-topics/needy-families/civil-rights-requirements/index.html;

Title IX of the federal Education Amendments Act of 1972 https://www.justice.gov/crt/title-ix-education-amendments-1972

The Equal Employment Opportunity Act and the regulations issued thereunder by the federal government https://www.eeoc.gov/statutes/laws-enforced-eeoc

The Americans with Disabilities Act of 1990 and the regulations issued thereunder by the federal government http://www.ada.gov/pubs/ada.html;

All contract employees performing services and/or work as a result of this solicitation must have documented legal authority to work in the United States of America;

The condition that the submitted Application was independently arrived at, without collusion, under penalty of perjury; and

The condition that no amount shall be paid directly or indirectly to an employee or official of the County of Solano as wages, compensation, or gifts in exchange for acting as an officer, agent, employee, subcontractor, or consultant to the Applicant in connection with the Procurement under this NOFA.

YES NO A NO response shall disqualify this Application.

FAILURE TO SIGN THIS SECTION MAY DISQUALIFY YOUR RESPONSE

ORGANIZATION

SIGNATURE

DATED FED EMPLOYER

ID NO.

If signature is other than “Executive Director,” evidence showing authority to bind the organization must be attached.

PRINTED NAME

TITLE

Affordable Housing Development

PERSON RESPONSIBLE FOR PREPARATION OF APPLICATION

NAME TITLE

ADDRESS

CITY STATE ZIP CODE

PHONE NUMBER E-MAIL ADDRESS CELL PHONE NUMBER (OPTIONAL)

PRIMARY CONTACT RELATED TO THIS APPLICATION

INCLUDE ON EMAIL CORRESPONDANCE RELATED TO THIS APPLICATION

SIGNATORY ON PAGE 2

Same as Section A above.

NAME TITLE

ADDRESS

CITY STATE ZIP CODE

PHONE NUMBER E-MAIL ADDRESS CELL PHONE NUMBER (OPTIONAL)

PRIMARY CONTACT RELATED TO THIS APPLICATION

INCLUDE ON EMAIL CORRESPONDANCE RELATED TO THIS APPLICATION

PERSON RESPONSIBLE FOR PROGRAM AND CONTRACT MANAGEMENT

Same as Section A above.

Same as Section B above.

NAME TITLE

ADDRESS

CITY STATE ZIP CODE

PHONE NUMBER E-MAIL ADDRESS CELL PHONE NUMBER (OPTIONAL)

PRIMARY CONTACT RELATED TO THIS APPLICATION

INCLUDE ON EMAIL CORRESPONDANCE RELATED TO THIS APPLICATION

SECTION 1: PROJECT NARRATIVE

Describe the capacity of the organization to provide the activities proposed under this NOFA and the proposed strategy (5 pages maximum). At a minimum, please include:

Organization’s experience in developing/administering affordable housing

Resumés of key personnel who will be working on the project/program

A detailed proposal of the project/program

A description of the nexus between the ARPA final rule and the proposed project/program

SECTION 3: POPULATION SERVED/EQUITY

Describe who will benefit from this project/program (2 pages maximum). At a minimum, please include:

What are the income limits, by percentage, of proposed occupants?

How will diversity, equity, and inclusion of occupants be ensured by the project/program?

Will preference/priority be given to Solano County residents?

SECTION 2: CONTRIBUTION TO AFFORDABLE HOUSING STOCK

Describe how the project/program will contribute to the county’s affordable housing stock (2 pages maximum). At a minimum, please include:

How many new affordable units will be created?

Will the units be located in the unincorporated areas of Solano County? If not, where will they be located?

How long is the proposed affordability period?

Does the project/program align with and meet the goals of the County’s Housing Element?

SECTION 4: BUDGET AND PROJECT SCHEDULE

A. Provide a detailed budget and timeline for this project/program (3 pages maximum for Section 4A only). At a minimum, please include:

What percentage of funding is requested in relation to the total project cost? (higher points will be allocated to lower percentages)

Timeline that shows how 100% of ARPA funds awarded would be spent prior to October 31, Is the Applicant making any equity investment? If yes, how much?

When will the project be ready for occupancy? How will you ensure the project/program will be completed within this timeframe?

B. Provide a line-item budget utilizing the following format. For staffing, indicate title of position, such as Program Director, Case Manager, etc., under Description. For operating expenses, indicate actual expense, such as Office Supplies, Telephone, etc. Add rows as necessary.

Generally, Solano County pays by line item, on a reimbursement basis. If you are requesting a different payment methodology due to the nature of your Application or organization, please indicate that here with a justification of why a different methodology is needed. Note: alternate payment methodologies are not guaranteed and will be discussed during contract negotiations.

Category Description Solano County

Other Funds contributing to the project (identify source in narrative) Total Budget Capital expenditures Staffing Operating expenses Overhead expenses (no more than 10% of total budget) Other (describe)

Total: N/A C. Provide audited financial statements for the last three full years issued (including Management Letters, if issued). If financial statements are on a publicly available website, please provide a link directly to the financial statements. Otherwise, please provide financial statements as documents attached to the submission e-mail. If Applicant does not have audited financial statements, provide unaudited statements of revenue and expenditures (and balance sheet if applicable) as a separate attachment and explain why the Applicant has no audited financial statements.

SECTION 5: PARTNERSHIPS AND LOCAL SUPPORT

Describe the collaboration between the Applicant and the local government and community where the project/program will be located (2 pages maximum). At a minimum, please include:

A letter of support from the local government leadership where the project/program will be located, or an explanation of why one has not been obtained

Describe the Applicant’s knowledge of the local jurisdiction and ability to comply with all local laws, regulations, and policies

Describe any community outreach that has been done, or will be done, related to the project/program, and any results to date

SECTION 6: ACCESS TO OPPORTUNITY

Describe how the location of project/program is centralized to meet the typical needs of lower-income households (2 pages maximum). At a minimum, please include:

Information related to available transportation in the immediate vicinity and in the community as a whole

Describe employment opportunities to earn a livable wage in the immediate vicinity and in the community as a whole

Describe services (e.g. medical) and shopping (including groceries) that are in the immediate vicinity and in the community as a whole that are easily accessible

BONUSES:

Bonus 1: Does the project/program primarily serves the elderly, veterans, or people with disabilities? (1/2 page maximum). If yes, please include:

Which population(s)?

Description of service

Bonus 2: Is the project/program “shovel ready” (ready to be implemented shortly after contract execution) (1/2 page maximum). If yes, please include:

List of permits and reports not yet received