Attachment_B._HOME-ARP-Preliminary-Project-Assessment-Form-6-23-2026.pdf

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Attached to
NON-CONGREGATE SHELTER DEVELOPMENT PROGRAM (NCS)
Solicitation number
HDX002279
Issued by
Fairfield County, Connecticut

About this file

This is a Preliminary Project Assessment Form for the Non-Congregate Shelter (NCS) Development Program administered by the City of Bridgeport, Connecticut's Housing and Community Development department. The form establishes evaluation criteria for qualified development teams and homeless services providers seeking funding to develop non-congregate shelter units through three project types: acquisition, rehabilitation, or new construction. Applicants must complete comprehensive sections detailing their proposed projects, including site history and identification plans for acquisition projects; rehabilitation scope, permit requirements, and accessibility compliance for rehabilitation projects; and pre-construction planning status, zoning compliance, and site preparation progress for new construction projects. The assessment requires applicants to identify their project development teams with relevant experience serving vulnerable populations, specify qualifying populations to be served, explain prioritization of subpopulations including single men and women, families, disabled individuals, persons with mental illness, and chronically homeless individuals, and describe comprehensive supportive services including homelessness services connection, crisis responsiveness, social services, tenant services, and case management. Applicants must also address the long-term conversion or operational plan for non-congregate shelter units following the minimum use period, with options to remain as emergency shelter, convert to permanent affordable housing, or convert to Continuum of Care permanent housing.

Submission requirements include the completed Preliminary Project Assessment Form, IRS Certificate of 501(c)(3) status, Memorandum of Understanding with Collaborator Continuum of Care, project site aerial photographs, project schedule, and Sources and Uses budget documentation. All required forms and submission portal information are available on the City of Bridgeport's OpenGov.com procurement portal. The assessment process does not specify funding amounts, award timelines, or contract terms, as it functions as the initial qualification evaluation mechanism for determining eligible development teams prior to formal funding awards.

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HOME ARP NON-CONGREGATE SHELTER

PRELIMINARY PROJECT ASSESSMENT (PPA)

PPA Directions Complete each question, for all areas where applicable, by selecting a response or providing a narrative. Narratives are limited to 750 characters or ten to fifteen sentences per response.

PPA Information Non-Profit Name and Mailing Address (if applicable)

Developer Name and Address (if applicable)

DUNS and/or Unique Entity Identifier (UEI) Number

Project Information Project Name

PPA Primary Contact Information (First and last name, title, email, phone)

Project Location (physical address)

Funding Request Amount of funds being requested $

1. Select the project type:

☐ Acquisition selection proceed to section A. only:

☐ Rehabilitation selection proceed to section B. only:

☐ New Construction selection proceed to section C. only:

A. Please provide a statement detailing the proposed project for acquisition. Within the project statement include: history of the site, or plan outline for identifying a site for NCS units, any appraisals, how many units will the NCS operate, site inspection status and site closing anticipation date.

B. Please provided a statement detailing the proposed project for rehabilitation.

Within the project statement include: type of rehabilitation - substantial or moderate, site permits needed, major systems for rehabilitation or when the last capital improvements were conducted, anticipated contractor partnerships, the approximate number of new or additional NCS units as a result of the project, and identification if the project triggers any accessibility requirements and if so, how the project will accomplish updating or changing the accessibility requirements to meet NCS regulations.

C. Please provided a statement detailing the proposed project for new construction. Within the project statement include: the status of pre-construction planning (design, financing, & permits), site zoning status for NCS units, and site preparation status (environmental assessment, clearing, and/or excavation).

2. List all NCS project development team members and relevant experience, consisting of developers and service providers, by name and organization, who have evidence through projects and supportive services, providing vulnerable populations facing housing instability – housing stabilization options.

3. Identify the qualifying population(s) to be served in the NCS project.

☐ Homeless ☐ At Risk of Homelessness ☐ Fleeing Violence ☐ Other Populations

4. Explain how subpopulation(s) of single men, single women, children & families, the disabled, persons with mental illness, or the chronically homeless will be prioritized as a qualifying population for the Non-Congregate Shelter project.

5. Describe the services that will be provided to QPs within the NCS project. Services including how NCS occupants will be connected to homelessness services, crisis responsiveness, social services, tenant services, and case management. In addition, include the capacity of supportive services project collaborators.

6. Indicate, by selecting one of the options below, if the proposed NCS units intend to be converted following the minimum use period by:

☐ Remaining as an emergency HOME-ARP NCS as originally developed ☐ Be converted to permanent affordable housing ☐ Be converted to CoC permanent housing

PPA Certification (Digital signatures accepted) Signature Date

7. NCS conversion is not mandatory concluding the minimum use period, however conversion of NCS units require specific options. Explain how, based on the selection in question #6, the NCS will operate concluding the minimum use period by operations, permanent affordable housing, and long-term financial feasibility.

8. Required PPA Attachments:

a. Preliminary Project Assessment Form

b. IRS Certificate 501c3

c. MOU as Collaborator with CoC

d. Project Site Aerial Photos

e. Project Schedule

f. Sources & Uses Budget

9. All projects applying for Non-Congregate Shelter (NCS) funding, by Preliminary Project Assessment (PPA), must include both the Sources & Uses budget form and Project Schedule form located on the City of Bridgeport's procurement portal.

OpenGov.com- https://procurement.opengov.com/portal/bridgeportct

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