CDBG_-_Economic_Development_(Addendum_#2_Revision).pdf

REQUEST FOR PROPOSAL

42607-CDBG-ED

CDBG - ECONOMIC DEVELOPMENT

Dane County Department of Human Services

1202 Northport Dr.

Madison, WI 53704

RELEASE DATE: April 30, 2025

DEADLINE FOR QUESTIONS: May 23, 2025

RESPONSE DEADLINE: June 11, 2025, 2:00 pm

RESPONSES MUST BE SUBMITTED ELECTRONICALLY TO:

https://procurement.opengov.com/portal/countyofdane

Dane County Department of Human Services

REQUEST FOR PROPOSAL

CDBG - Economic Development

I. Introduction II. RFP Overview

III. Evaluation IV. Project Overview/Scope of Services V. RFP Application

VI. General Guidelines VII. Terms and Conditions

Attachments:

A - Dane County UCC Participation List - 2025

B - Dane County 2026 Evaluation Criteria

Request For Proposal #42607-CDBG-ED Title: CDBG - Economic Development

1. Introduction

1.1. Summary

Dane County is soliciting project proposals for a wide range of economic development activities eligible for funding under the Community Development Block Grant (CDBG) program. It is expected that funds in

2026 will be made available for economic development projects that create permanent jobs for low-and-moderate income residents of the participating communities of the Dane County Urban County

Consortium. Dane County requires that all applicants complete the Vendor Questionnaire/RFP application in its entirety and sign the Signature Power Form at the end of the Questionnaire. Failure to do so may result in the application to become ineligible for funding and may not be scored.

1.2. Background

Dane County intends to use the results of this process to make an award to subrecipients of Community

Development Block Grant (CDBG) funds. The total amount of CDBG funding available for 2026 is unknown at this time. It is estimated that Dane County may have up to $1,100,000 in CDBG funds that will be disbursed among several CDBG Categories including the Economic Assistance category.

1.3. Contact Information

Katie O'Brien

Purchasing Officer

1202 Northport Dr

Madison, WI 53704

Email: obrien.katie@danecounty.gov

Phone: (608) 381-5593

Department:

Human Services

1.4. Timeline

Release Project Date April 30, 2025

Question Submission Deadline May 23, 2025, 2:00pm

Question Responses Posted May 30, 2025, 2:00pm

Proposal Submission Deadline June 11, 2025, 2:00pm

Presentations to Application Review Team August, 2025 mailto:obrien.katie@danecounty.gov tel:(608)381-5593

Preliminary Funding Recommendations to

CDBG Commission

September 2, 2025

Public Hearing on Final Funding

Recommendations

October 9, 2025

Approval of County Board December, 2025

2026 All Grantee Meeting (Required) January 28, 2026

Funds Available for Reimbursement

(tentative)

April, 2026

2. RFP Overview

2.1. Introduction

The purpose of this document is to provide interested parties with information to enable them to prepare and submit a proposal according to the specifications set forth within this document.

The County intends to use the results of this process to award a contract or issue of purchase order for the product(s) and or services(s) stated: Dane County is soliciting project proposals for a wide range of economic development activities eligible for funding under the Community Development Block Grant

(CDBG) program. It is expected that funds in 2026 will be made available for economic development projects that create permanent jobs for low-and-moderate income residents of the participating communities of the Dane County Urban County Consortium. Dane County requires that all applicants complete the Vendor Questionnaire/RFP application in its entirety and sign the Signature Power Form at the end of the Questionnaire. Failure to do so may result in the application to become ineligible for funding and may not be scored.

The Dane County Purchasing Division is the sole point of contact for questions and issues that may arise during the RFP process.

2.2. Clarification of the Specifications

All inquiries concerning this RFP must be submitted via the County's eProcurement Portal.

Any questions concerning this RFP must be submitted before 2:00 pm on Friday, May 23, 2025.

Proposers are expected to raise any questions, exceptions, or additions they have concerning the RFP document at this point in the RFP process. If a proposer discovers any significant ambiguity, error, conflict, discrepancy, omission, or other deficiency in this RFP, the proposer should immediately notify the contact person of such error and request modification or clarification of the RFP document.

Proposers are prohibited from communicating directly with any employee of Dane County, except as described herein. No County employee or representative other than those individuals listed as County contacts in this RFP is authorized to provide any information or respond to any question or inquiry concerning this RFP.

2.3. Calendar of Events

Specific and estimated dates and times of actions related to this RFP are listed in the timeline in the

Introduction section above. The actions with specific dates must be completed as indicated unless otherwise changed by the County. In the event that the County finds it necessary to change any of the specific dates and times in the calendar of events listed below, it will do so by issuing an addendum to this RFP and posting such addendum on the Dane County eProcurement Portal. There may or may not be a formal notification issued for changes in the estimated dates and times.

2.4. Submittal Instructions

Dane County reserves the right to accept any part of this bid deemed to be in the best interest of the

County. The County also retains the right to accept or reject any or all bids.

Proposals must be submitted via the County's eProcurement Portal before 2:00 pm CST on Wednesday, June 11, 2025. Late, faxed, mailed, hand-delivered, or incomplete proposals will be rejected unless otherwise specified. Dane County is not liable for any cost incurred by proposers in replying to this RFP.

To Submit a Proposal:

1. Register at the County's eProcurement Portal at https://procurement.opengov.com/portal/countyofdane

2. Once registered, click on the "draft" button to draft your proposal.

3. Provide company information

4. Answer Vendor Questionnaire

5. Where indicated upload the required documents.

6. The file upload status can be seen for each document uploaded.

7. Confirm all files have been uploaded

8. Review your work and click on "submit" proposal

9. Acknowledge any addenda

3. Evaluation

See the Evaluation Criteria Attachment for a detailed breakdown of how points will be awarded within each evaluation category.

No. Evaluation Criteria Scoring Method Weight (Points)

1. National Objective - Need and Justification Points Based 20 (20% of Total)

2. Project Approach Points Based 35 (35% of Total)

3. Experience and Qualifications Points Based 15 (15% of Total)

4. Financial Information Points Based 15 (15% of Total)

5. Partnerships Points Based 5 (5% of Total)

6. Shovel-Ready Points Based 5 (5% of Total)

7. Past Performance

Worth up to 5 points. New applicants will be automatically awarded 5 points.

Points Based 5 (5% of Total)

4. Project Overview/Scope of Services

4.1. Definitions and Links

The following definitions and links are used throughout the RFP.

County: Dane County

County Agency: Department/Division utilizing the service or product.

Dane County Purchasing website: www.danepurchasing.com

Fair Labor Practices websites: www.nlrb.gov and http://werc.wi.gov

Purchasing

Proposer/Vendor/Firm/Contractor: a company submitting a proposal in response to this RFP.

4.2. Eligible Applicants

Public or private non-profit agencies or organizations including faith-based organizations, units of local government, and Community-Based Development Organizations.

4.3. Project Overview

Dane County is soliciting applications from organizations interested in operating a program to benefit low-and moderate-income residents of the Dane County Urban County Consortium (see Appendix A).

Funding is expected to be available under the HUD-funded Community Development Block Grant

(CDBG) program. The primary emphasis is on projects focusing on job training assistance, social/community services and case management, emergency assistance, crime awareness/prevention, transportation, child care, and youth programming.

4.4. National Objective

In order to be eligible for funding, every CDBG-funded activity must meet one of the three national objectives of the program:

• Benefiting low-and-moderate-income persons (LMI), or

• Preventing or eliminating slums or blight, or

• Meeting other community development needs having a particular urgency because existing conditions pose a serious and immediate threat to the health or welfare of the community and other financial resources are not available to meet such needs. Note: This typically applies to natural disasters, such as floods or tornadoes.

Jobs are computed on a full-time equivalent (FTE) basis. A full time equivalent (FTE) is a 40 hour per week or 2,080 hour per year job. If two persons are hired for 20 hours per week for 52 weeks per year, that is 1 full-time equivalent job.

The following requirements must be met for jobs to be considered created or retained:

1. For projects that create jobs, at least 51% of the jobs must be held by or made available to low-and-moderate income persons.

http://www.nlrb.gov/ http://werc.wi.gov/

2. For projects that retain jobs, there must be sufficient documentation that the jobs would be lost without this loan and that one or both of the following apply to at least 51% of the jobs:

a. The job is currently held by a lower-and-moderate income person; or

b. The job can reasonably be expected to turn over within the following two years and steps will be taken to ensure that the job will be filled by, or made available to, a low-and-moderate income person.

c. Special skills that can only be acquired with substantial training or work experience or education beyond high school are not a prerequisite to fill such jobs, or the business agrees to hire unqualified persons and provide training; and

d. The business takes actions to ensure that low-and-moderate income persons receive first consideration for filling such jobs, such as:

i. Advertising the jobs to be filled in the Dane County Housing Authority Madison Urban

Ministry, Porchlight, and other non-profits serving low-and moderate income populations;

ii. Conducting a job fair in a low-and-moderate income neighborhood;

iii. Listing the jobs to be filled with Job Service;

iv. Providing a listing of the jobs to be filled to the Economic Assistance and Work Services

Division (EAWS) of the Dane County Department of Human Services who will work to refer eligible applicants.

e. The business must track the persons interviewed for each position and maintain income self-certification forms from each applicant for review by the County, HUD, and the Office of the Inspector General.

For Developments in which units or space will be leased or purchased by other tenants, such as retail mall, the borrower/owner must ensure that the job creation and reporting requirements are incorporated into the lease or purchase agreements for each tenant.

Microenterprise activities may also be considered to meet the LMI national objective under a category known as limited clientele if the owner of the business is low-and-moderate income at the time assistance. The income of the owner must be documented.

4.5. Eligible Activities

Direct Financial Assistance to Microenterprises

The provision of assistance to facilitate economic development by:

• Providing credit, including, but not limited to, grants, loans, loan guarantees, and other forms of financial support, for the establishment, stabilization, and expansion of microenterprises;

• Providing technical assistance, advice, and business support services to owners of microenterprises and persons developing microenterprises; and

• Providing general support, including, but not limited to, peer support programs, counseling, child care, transportation, and other similar services, to owners of microenterprises and persons developing microenterprises.

Technical Assistance

Provision of technical assistance to public or nonprofit entities to increase the capacity of such entities to carry out eligible neighborhood revitalization or economic development activities. (The recipient must determine, prior to the provision of the assistance, that the activity for which it is attempting to build capacity would be eligible for assistance under 24 CFR 570.201 subpart C, and that the national objective claimed by the grantee for this assistance can reasonably be expected to be met once the entity has received the technical assistance and undertakes the activity.)

Definition of a Microenterprise:

A microenterprise is defined as a commercial enterprise that has five or fewer employees, one or more of whom owns the enterprise.

Persons developing microenterprises means, “such persons who have expressed interest and who are, or after an initial screening process are expected to be, actively working toward developing businesses, each of which is expected to be a microenterprise at the time it is formed” (24 CFR Part 570.201( o) (3).

Eligible microenterprise activities include the provision of:

• Grants, loans, loan guarantees and other forms of financial support, for the establishment, stabilization, and expansion of microenterprises;

• Technical assistance, advice, and business services to owners of microenterprises and persons developing microenterprises;

• General support to owners of microenterprises and persons developing microenterprises including child care, transportation, counseling, and peer support groups.

4.6. Ineligible Activities

• Buildings for the general conduct of government are ineligible. However, the removal of architectural barriers from government buildings is eligible under the category of public facilities and improvements.

• General government expenses are ineligible.

• Financing for political activities or to engage in other partisan political activities are ineligible.

However, a facility assisted with CDBG funds may be used on an incidental basis to hold political meetings, candidate forums, or voter registration campaigns, if the building is available to all community organizations on an equal basis.

• Purchase of equipment is generally ineligible; however:

• Compensation for the use of construction equipment through leasing, depreciation, or use allowances is eligible.

• Fire protection that is considered an integral part of public facilities is eligible. This includes fire engines and specialized tools such as “jaws of life” and life-saving equipment as well as protective clothing worn by fire fighters.

• Purchase of personal property, including equipment, fixtures, motor vehicles, furnishings, or other personal property is generally ineligible.

• Operating and maintenance expenses (of public facilities, improvements, and services) are ineligible.

Note: In the 2025 - 2029 Consolidated Plan the Commercial Rehabilitation is not an eligible activity. See below for more information.

Commercial Rehabilitation

These are activities that are designed to bring commercial structures up to code or improve their facades.

If the commercial structure is owned by a private, for-profit entity, the rehabilitation is limited to the exterior of the building and the correction of code violations.

4.7. Eligible Expense Categories

The following categories of expense are generally considered eligible for funding under the program.

• Hard costs including land acquisition and existing structures; site preparations or improvement, including demolition; securing of buildings; construction materials and labor;

• Relocation costs including: payment for replacement housing, moving costs, and out-of-pocket expenses; advisory services; and staff and overhead costs related to relocation assistance and services;

• Architectural, engineering or related professional services including preparing plans, drawings, specifications, work write-ups, and job progress inspections;

• Legal and accounting fees, including cost certification;

• Environmental reviews;

• Builders’ or developers’ fees;

• Costs of impact fees that are charged to all projects in a jurisdiction;

• Affirmative marketing, initial leasing, and marketing costs;

• Other soft costs for processing and settling the financing for a project, such as credit reports, title binders and insurances, fees for recordation and filing of legal documents, building permits, and private appraisal fees.

• Staff and overhead costs DIRECTLY related to carrying out the activity specified in 24 CFR

570.201-204, such as providing direct services to consumers, work specifications preparation, loan processing inspections, and other services related to assisting potential clients, owners, tenants, and homebuyers. This may include staff time spent supervising staff who are carrying out the activities specified in 24 CFR 570.201-204 when that time is spent addressing a direct consumer, service, or property issue. It does not include supervisory time spent on such functions as employee evaluations.

4.8. Types of Assistance

Grants for up to 100% of the eligible project costs.

This grant is a direct award and cannot be passed through to other entities.

4.9. Objectives

To promote a range of economic development projects that create permanent jobs for low-and-moderate income residents of the participating communities of the Dane County Urban County

Consortium.

4.10. Needs

1. Projects must assist low-and-moderate-income persons in the participating municipalities of the

Dane County Urban County Consortium.

2. It is expected that projects will meet documented community needs. This includes needs documented through “hard” data sources.

3. Any additional funding needed to make the project viable must be secured in order for a contract to be executed.

4. Projects must be consistent with the Dane County Consolidated Plan.

5. Projects must be shovel-ready, meaning that work will begin in the year in which the contract is awarded. (i.e., 2026) The criteria for shovel readiness means that the project can be shovel-ready by Quarter 1 of 2026.

6. Projects must be delivered in a cost-effective manner with measurable performance outcomes.

7. Projects must submit monthly financial and beneficiary reports, or at a frequency to be determined by Dane County.

8. It is expected that all or a portion of funds will be targeted to areas of greatest need.

9. Subrecipients that are directly funded under the CDBG Program may not engage in inherently religious activities, such as worship, religious instruction, or proselytization, as part of the program. If a Subrecipient conducts such activities, the activities must be offered separately in time or location, from the CDBG-funded program, and participation must be voluntary for the beneficiaries of the CDBG-funded program.

10. The project may not begin until the environmental review requirements at Part 58 are met and the County has given notice to proceed.

4.11. Current Operations

The 2025 funds were awarded to: the Latino Academy of Workforce Development, Inc. in the amount of

$130,000, the Latino Chamber of Commerce of Dane County in the amount of $150,000, and to the

Wisconsin Women’s Business Initiative Corporation in the amount of $145,145.

4.12. Mandatory Requirements

The following general requirements are mandatory and must be complied with. NOTE: Programs not meeting the mandatory requirements will not be evaluated.

1. Be an eligible activity.

2. Be located in, or provide services to residents of one of the member communities of the Dane

County Urban County Consortium identified in Appendix A. PROJECTS MUST NOT BE LOCATED

IN THE CITY OF MADISON.

3. Address one of the funding priority areas established by the CDBG Commission.

4. Not be a HUD listed debarred or ineligible contractor.

5. If CDBG eligible, meet one of the three national objectives.

Dane County requires that all applicants follow/use the application format provided via the Vendor

Questionnaire, complete all question fields, and sign the DocuSign Signature Power Form. Failure to do so may result in the application to become ineligible for funding and may not be scored.

5. RFP Application

5.1. Legal Status*

Please identify the Organization's Legal Status

☐ Municipality

☐ Private, Non-Profit

☐ Private, For Profit

☐ Other, LLC, LLP, Sole Proprieter

*Response required

5.2. Federal Employer Identification Number (EIN)*

Please enter the Organization's Federal EIN in the space below:

*Response required

5.3. Organization Name*

Please enter the Organization’s legal name as listed in the Wisconsin Department of Financial

Institutions.

*Response required

5.4. Organization Name - Documentation*

Please attach a screenshot from the Wisconsin Department of Financial Institutions website showing the corporate record.

Source to search: https://apps.dfi.wi.gov/apps/corpSearch/Search.aspx

*Response required

5.5. Unique Entity Identifier (UEI)*

Please enter the Organization's Unique Entity Identification (UEI) Number in the space below:

*Response required

5.6. Unique Entity Identification Number - Documentation*

Please attach a screenshot from the sam.gov website showing the Unique Entity Identification Number.

Source to register: https://sam.gov/content/entity-registration

*Response required

5.7. Highest Ranking Person - Name*

Please provide the full name of the highest-ranking person (Executive Director, President, Chief

Executive Officer, or Chief Elected Official) at the applicant’s organization.

*Response required https://apps.dfi.wi.gov/apps/corpSearch/Search.aspx https://sam.gov/content/entity-registration

5.8. Highest Ranking Person - Phone Number*

Please provide the phone number of the highest-ranking person (Executive Director, President, Chief

Executive Officer, or Chief Elected Official) at the applicant’s organization.

*Response required

5.9. Highest Ranking Person - E-Mail

Please provide the e-mail address of the highest-ranking person (Executive Director, President, Chief

Executive Officer, or Chief Elected Official) at the applicant’s organization.

5.10. PROJECT

5.10.1. Project Name*

Please enter the Project Name for which you are applying.

*Response required

5.10.2. Project Address*

Please enter the Project's address.

*Response required

5.10.3. Project Contact Person (1) - Name*

Please provide the full name of the Project Contact Person.

*Response required

5.10.4. Project Contact Person (1) - Phone Number*

Please provide the phone number of the Project Contact Person.

*Response required

5.10.5. Project Contact Person (1) - E-mail*

Please provide the e-mail address of the Project Contact Person.

*Response required

5.10.6. Project Contact Person (2) - Name*

Please provide the full name of a second Project Contact Person.

*Response required

5.10.7. Project Contact Person (2) - Phone Number*

Please provide the phone number of the second Project Contact Person.

*Response required

5.10.8. Project Contact Person (2) - E-mail*

Please provide the phone number of the second Project Contact Person.

5.10.9. Project Financial Contact - Name*

Please provide the name of the project's financial contact person.

*Response required

5.10.10. Project Financial Contact - Phone Number*

Please provide the phone number of the financial contact for this project.

*Response required

5.10.11. Project Financial Contact - Email*

Please provide the e-mail of the financial contact for this project.

*Response required

5.10.12. Total project cost*

Please enter the total cost of your proposed project.

*Response required

5.10.13. Funds Requested - Amount of CDBG Funds Requested*

Please list the amount of funding for which you are applying in the space below.

Maximum response length: 11 characters

*Response required

5.10.14. What percentage of the total project funding does this request represent? * To calculate, please divide the amount of your funding request by the total project cost, then multiply by

100.

Formula: (Funding Request / Total Project Cost) x 100 = Percentage of Project Funding

Maximum response length: 7 characters

*Response required

5.10.15. Minimum Funds Requested*

What is the minimum funding amount that would allow you to carry out your proposal in some form?

Maximum response length: 11 characters

*Response required

5.10.16. Brief Project Summary*

Please provide a 2-3 sentence summary of the project.

Maximum response length: 300 characters

5.11. NATIONAL OBJECTIVE - NEED & JUSTIFICATION (20 points maximum)

5.11.1. Project Type*

Check the appropriate statement below that best describes the service to be offered as part of the application:

Select all that apply

☐ Direct Financial Assistance (loans or grants) to Microenterprise Businesses - 5 or Fewer Employees

(including the owner)

☐ Technical Assistance to Businesses with 6 or more Employees

☐ Technical Assistance to Microenterprise Businesses - 5 or Fewer Employees (including the owner)

*Response required

5.11.2. Meeting a National Objective*

Please adequately describe how the proposed project meets a national objective. Emphasize how the proposed project intends to serve low to moderate income households.

*Response required

5.11.3. Needs and Priorities*

Please substantiate and relate the needs in the community for this specific project and how it will align with the priorities in the most recent Dane County Consolidated Plan.

*Response required

5.11.4. Target Areas of Greatest Need*

Provide a description of how funds may be targeted to areas of greatest need.

*Response required

5.11.5. Language Access - Plan*

Has your organization developed a Language Access Plan?

☐ Yes

☐ No

*Response required

5.11.6. Language Access Plan Upload

If available, attach the organization’s Language Access Plan.

5.11.7. Language Access - Interpretation Services*

Provides a description of how the agency is prepared to adequately provide interpretation services to limited English participants. Dane County refers to interpretation services as oral communication with the participants whether in person or via electronic communication (i.e., telephone, virtual meetings via

Zoom, Teams or any other platform).

5.11.8. Language Access - Translation Services*

Provides a description of how the agency is prepared to adequately provide translation services to limited English participants. Dane County refers to translation services as written communication with the participants (i.e., email, program forms).

*Response required

5.11.9. Language Access - Marketing Materials*

Provide a description of how your agency is prepared to adequately provide marketing materials in multiple languages to limited English participants.

*Response required

5.11.10. Language Access Upload - Signage

If available, please attach a photo of your agency's signage attesting to the services listed above.

5.11.11. Program Accessibility*

In the space below, provide a brief description of how the project or services will be accessible to low-and-moderate income persons.

*Response required

5.11.12. Urban County Consortium (UCC)*

Persons served by this project must reside OUTSIDE the City of Madison. Explain specifically how the proposed project will track beneficiary information to ensure that those served reside in the Dane

County Urban County Consortium (UCC).

*Response required

5.12. PROJECT APPROACH (35 points maximum)

5.12.1. Project Description*

In the space below, provide a description of the work that will be undertaken and describe how the work will address the identified need.

Word Minimum: 200 words

*Response required

5.12.2. Eligibility Guidelines*

In the space below, provide a description of the eligibility guidelines for participants.

*Response required

5.12.3. Referral and Application Process*

In the space below, provide a description of the referral and application process for the project.

*Response required

5.12.4. Program Capacity*

In the space below, provide a description of the program capacity for the project.

5.12.5. Waiting List*

In the space below, provide a description of the program’s capacity and plan to address a potential waitlist of services.

*Response required

5.12.6. Loan Processing*

In the following space, provide a description of the loan processing that will be conducted, including credit checks, income and debt verifications, appraisals, etc.

If not applicable, type "n/a".

*Response required

5.12.7. Underwriting Criteria*

If using more restrictive standards than those specified in the RFP and Program Standards, in the following space, provide a description of the loan underwriting criteria that will be considered when making a loan to a first-time homebuyer. Include how CDBG/HOME funds will be used to reduce the monthly carrying costs by providing gap financing.

If not applicable, type "n/a".

*Response required

5.12.8. Project Timeline and Milestones*

Using the attached spreadsheet, please provide a work plan for how the project will be organized, implemented, operated, and administered.

Include a reasonable timeline and accomplishments from initiation through project completion. This should assume that the CDBG funding will be available in the second quarter of 2026 (April 1 – June 30, 2026). Add in extra quarters as needed.

• 2026_Work_Plan_Timeline_Mil...

*Response required

5.12.9. Targeted Municipalities *

List the names of the municipalities that your organization will conduct targeted outreach to inform potential participants.

*Response required

5.12.10. Outreach and Marketing Initiatives*

In the space below, provide a description of the outreach and marketing initiatives that will be undertaken to inform potential participants of the project, eligibility criteria, and method(s) by which they may participate.

Word minimum: 200 words https://government-project.s3.us-west-2.amazonaws.com/152108/81260d4a-682f-40c6-8bf4-9339f1c87efd_2026_Work_Plan_Timeline_Milestones.xlsx?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Content-Sha256=UNSIGNED-PAYLOAD&X-Amz-Credential=ASIA47RIURE4FB5P4VY5%2F20250528%2Fus-west-2%2Fs3%2Faws4_request&X-Amz-Date=20250528T155724Z&X-Amz-Expires=72000&X-Amz-Security-Token=IQoJb3JpZ2luX2VjEK%2F%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLXdlc3QtMiJIMEYCIQDz2iuRoBsaT27U9Xujw88SeMKg1TnD%2BWDo1WD6V%2FVw7gIhAM1eIfReyxn4ZWNAQyPBTw18Wm%2FB5TzGlgQRXrnl55xNKoMFCHgQAhoMODkyMzY0Njg3NjcyIgz1ryYpeOzifp4ZrXoq4ARKvZZecwPIpHsx%2BhaEYGRK9sg3wleRYN3Son9gacZlxE1k7HPjcYQkvqCDmv3h7aozV4yDGCW%2FQpuWzVmydMWiCiMMYcEvo%2FJJsS6YnJqoue8ns2WpDQFxJUX1axvN9EsAX%2FmTEVBtU1FP03R7nuVWuNErTI%2BL%2BIUwpjgXuJXTh15YwauA8%2FLaJsWmC5dTpmrfCbBVHNnKu%2BtQ4WcYdhShtKUoAHXa7vxcYXKwivYC1FG25BVu83Cw8KoVDiSonaiGCIyxMlPz6wqh3dMxZoEts5C8Gm9YNswDy73PqlAntwx9fK8lTunmsQDRTyVfzdlQYoe1z6ir75%2B1RpaY75qhBPCr4o%2FxxhnsJs%2FnmbiKhMCcZRSZI4JycRfsKDZVqV6MuoVvi1X%2BAkDzFIKAd1Fl%2FPqNEDsx4vbI0yI6qxQQoF1KHoHFH9JQTCfzWoJF%2FH0p9STTU0C%2FF7GVC6hD2BYCWHflpacyrGCnAvKhdS6L3ByV1xtq92Vh%2BLpWCxCFpMjJyNxZrdGX1Jm2Qqnd8%2Fq%2FuGIYOP8JfQucgauuC3fQT5OFDkytDoE0DnFbULALqNr5T29vxinJBDxNT1yD0dKhAincZezXAW9f%2FTMNbCe%2FdGpQwP0N%2FSNxn5G5EPfLa6%2BTTZnNeD793%2BWzLO1la0Tjdnbnb81cBrrNxBUeCnU9ENiW%2FLUlluTQQcqOTMtPooEuYTF0dWTZgrnsGGV6umx%2F3YT3AXEmPRzsLxJzxZjubOwcB0sJ43jR1hkWBjB5J5f1oc5xgVmFQTRlfT3uFHpRBv8o5K8qEj7sTpXKwyjbrTD5vdzBBjqaATALVysgdffi4MZbrGwLxxINR8cyM%2B8zRTRVhh3PqGLU%2BcZIbSNGXj2M0kIStMUFKO1g91gfpS11DVxfRb%2B5txevHGXDtHuN%2BQl4ZlL%2FBHjg%2B%2FoM184Z1vW9bFu22Hoz5vCoLe%2F0a5ha0%2FjPkMeKLpwggfm6wgbCgwU3kjvQqVMaoLVYFCOV6BstG8b4uKoA80djFn5kYSHJVPc%3D&X-Amz-Signature=f367196d1343e5f1f24df165e2b1f535403a353c85db637b1beb7ee202b15d0e&X-Amz-SignedHeaders=host&response-content-disposition=attachment%3B%20filename%3D%222026_Work_Plan_Timeline_Milestones.xlsx%22&x-id=GetObject

5.12.11. Job Creation*

In the space below, describe how this project is expected to create permanent jobs. Include information on the number and types of jobs to be created. For the purposes of ‘jobs created’, Dane County defines this term as the businesses served generating permanent jobs as a result of the assistance received.

*Response required

5.12.12. Job Creation at Minimum Requested Amount*

In the space below, describe how this project is expected to create permanent jobs at the minimum requested amount. Include information on the number and types of jobs to be created. For the purposes of ‘jobs created’, Dane County defines this term as the businesses served generating permanent jobs as a result of the assistance received.

*Response required

5.12.13. Jobs Table*

Please download the below documents, complete, and upload.

For each job to be created and filled in the next 24 months, please list the job title, job type, whether it will be full time or part time, the number of employees to be hired, whether the position requires any special skills, training, or education beyond a high school level, the number of hours per week, the hourly wage, and whether the job will be made available to low-and-moderate income persons. Please attach additional pages as needed.

• 2026_Jobs_Table_-_OpenGov.xlsx

*Response required

5.12.14. Population to be Served*

In the space below, provide a brief description of the population that will benefit from this project. (All services must be provided to residents in the Dane County Urban County Consortium excluding the City of Madison as identified in Appendix A.)

*Response required

5.12.15. Low to Moderate Income Benefit*

In the space below, describe the efforts that will be taken to assure the beneficiaries are low-and-moderate income.

*Response required

5.12.16. Outcome/Proposed Accomplishments*

List the total number of households that your program is proposing to serve.

Each household = 1 beneficiary self-certification form

No duplication of households will be allowed. Do not overestimate your proposed

Outcomes/Proposed Accomplishments.

https://government-project.s3.us-west-2.amazonaws.com/165011/c87ed9b0-8d90-4c4d-ae18-50e056c703ee_2026_Jobs_Table_-_OpenGov.xlsx?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Content-Sha256=UNSIGNED-PAYLOAD&X-Amz-Credential=ASIA47RIURE4FB5P4VY5%2F20250528%2Fus-west-2%2Fs3%2Faws4_request&X-Amz-Date=20250528T155724Z&X-Amz-Expires=72000&X-Amz-Security-Token=IQoJb3JpZ2luX2VjEK%2F%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLXdlc3QtMiJIMEYCIQDz2iuRoBsaT27U9Xujw88SeMKg1TnD%2BWDo1WD6V%2FVw7gIhAM1eIfReyxn4ZWNAQyPBTw18Wm%2FB5TzGlgQRXrnl55xNKoMFCHgQAhoMODkyMzY0Njg3NjcyIgz1ryYpeOzifp4ZrXoq4ARKvZZecwPIpHsx%2BhaEYGRK9sg3wleRYN3Son9gacZlxE1k7HPjcYQkvqCDmv3h7aozV4yDGCW%2FQpuWzVmydMWiCiMMYcEvo%2FJJsS6YnJqoue8ns2WpDQFxJUX1axvN9EsAX%2FmTEVBtU1FP03R7nuVWuNErTI%2BL%2BIUwpjgXuJXTh15YwauA8%2FLaJsWmC5dTpmrfCbBVHNnKu%2BtQ4WcYdhShtKUoAHXa7vxcYXKwivYC1FG25BVu83Cw8KoVDiSonaiGCIyxMlPz6wqh3dMxZoEts5C8Gm9YNswDy73PqlAntwx9fK8lTunmsQDRTyVfzdlQYoe1z6ir75%2B1RpaY75qhBPCr4o%2FxxhnsJs%2FnmbiKhMCcZRSZI4JycRfsKDZVqV6MuoVvi1X%2BAkDzFIKAd1Fl%2FPqNEDsx4vbI0yI6qxQQoF1KHoHFH9JQTCfzWoJF%2FH0p9STTU0C%2FF7GVC6hD2BYCWHflpacyrGCnAvKhdS6L3ByV1xtq92Vh%2BLpWCxCFpMjJyNxZrdGX1Jm2Qqnd8%2Fq%2FuGIYOP8JfQucgauuC3fQT5OFDkytDoE0DnFbULALqNr5T29vxinJBDxNT1yD0dKhAincZezXAW9f%2FTMNbCe%2FdGpQwP0N%2FSNxn5G5EPfLa6%2BTTZnNeD793%2BWzLO1la0Tjdnbnb81cBrrNxBUeCnU9ENiW%2FLUlluTQQcqOTMtPooEuYTF0dWTZgrnsGGV6umx%2F3YT3AXEmPRzsLxJzxZjubOwcB0sJ43jR1hkWBjB5J5f1oc5xgVmFQTRlfT3uFHpRBv8o5K8qEj7sTpXKwyjbrTD5vdzBBjqaATALVysgdffi4MZbrGwLxxINR8cyM%2B8zRTRVhh3PqGLU%2BcZIbSNGXj2M0kIStMUFKO1g91gfpS11DVxfRb%2B5txevHGXDtHuN%2BQl4ZlL%2FBHjg%2B%2FoM184Z1vW9bFu22Hoz5vCoLe%2F0a5ha0%2FjPkMeKLpwggfm6wgbCgwU3kjvQqVMaoLVYFCOV6BstG8b4uKoA80djFn5kYSHJVPc%3D&X-Amz-Signature=844d31ab154e1734f6f8b09df6266ef31b0220dd8d6949bae0e07067a99b2428&X-Amz-SignedHeaders=host&response-content-disposition=attachment%3B%20filename%3D%222026_Jobs_Table_-_OpenGov.xlsx%22&x-id=GetObject

5.12.17. Outcome/Proposed Accomplishments at Minimum Requested Funds* List the total number of households that your program is proposing to serve at the minimum requested funds.

Each household = 1 beneficiary self-certification form

No duplication of households will be allowed. Do not overestimate your proposed

Outcomes/Proposed Accomplishments.

*Response required

5.12.18. Outcomes/Proposed Accomplishments - Narrative

In the space below, please describe how the outcomes can be reasonably be expected to be achieved.

Include the risks to undertaking the project and your plans to address them.

Word Minimum: 200 words

5.12.19. Displacement*

As a result of this proposed project, has or will any households and/or businesses be displaced whether temporary or permanent?

☐ Yes

☐ No

*Response required

5.12.20. Displacement Plan

If the answer above was yes, please describe the notices, specific assistance that has or will be provided to households and/or businesses that will be displaced, and the amount of funds allocated to do so.

5.13. EXPERIENCE & QUALIFICATIONS (15 points maximum)

5.13.1. Experience and Qualifications*

Describe the experience and qualifications of your organization related to the proposed project, as well as any similar projects your organization has undertaken in the past. Include how the organization has experience providing services to low- and moderate-income populations.

*Response required

5.13.2. Income Documentation*

Describe the experience and qualifications of your organization related to performing income documentation for program eligibility.

*Response required

5.13.3. Service Improvement*

Describe any recent initiatives or best practices, programmatically or administratively, that have improved your organization’s ability to deliver services.

5.13.4. Staff Experience & Qualifications*

Describe the experience and qualification of key staff to be assigned to the project. Key staff are identified as the individuals (paid or volunteer) with a large amount of decision-making role within the agency. Include name and titles of all key staff to be assigned to the project.

*Response required

5.13.5. Staff Resumes*

Please attach resumes for the program administrator and fiscal officer positions that will work with the proposed program.

*Response required

5.13.6. Personnel Schedule*

Please download the below documents, complete, and upload.

Using the attached spreadsheet, please complete the Personnel Schedule for all staff who will be assigned to this project.

Column 1) Each individual staff position by title.

Column 2) Indicate the full time equivalent (FTE) of each position in the noted year.

Column 3) Indicate the estimated total salary for that staff position for noted year.

Column 4) Indicate the estimated number of hours that this staff person will work on this project.

Column 5) For each staff person whose time will be charged to this project, please indicate the amount of funds being requested for this individual through the CDBG Program. Do not include payroll taxes or benefits in this table.

• 2026_Personnel_Schedule.xlsx

*Response required

5.13.7. Percent of Staff Turnover*

Divide the number of resignations or terminations in calendar year 2024 by the total number of budgeted positions. Do not include seasonal positions.

*Response required

5.13.8. Staff Turnover - 20% or more*

Explain if you had 20% or more turnover in a certain staff position/category. Discuss any other noteworthy staff retention issues, or policies to reduce staff turnover.

If this does not apply, type 'N/A'.

*Response required

5.13.9. Governing Body

How many Board meetings has your governing body or Board of Directors scheduled or is expected to schedule in 2026?

https://government-project.s3.us-west-2.amazonaws.com/152108/0084a26d-e5bf-40eb-af0a-d3721e97315d_2026_Personnel_Schedule.xlsx?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Content-Sha256=UNSIGNED-PAYLOAD&X-Amz-Credential=ASIA47RIURE4FB5P4VY5%2F20250528%2Fus-west-2%2Fs3%2Faws4_request&X-Amz-Date=20250528T155724Z&X-Amz-Expires=72000&X-Amz-Security-Token=IQoJb3JpZ2luX2VjEK%2F%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLXdlc3QtMiJIMEYCIQDz2iuRoBsaT27U9Xujw88SeMKg1TnD%2BWDo1WD6V%2FVw7gIhAM1eIfReyxn4ZWNAQyPBTw18Wm%2FB5TzGlgQRXrnl55xNKoMFCHgQAhoMODkyMzY0Njg3NjcyIgz1ryYpeOzifp4ZrXoq4ARKvZZecwPIpHsx%2BhaEYGRK9sg3wleRYN3Son9gacZlxE1k7HPjcYQkvqCDmv3h7aozV4yDGCW%2FQpuWzVmydMWiCiMMYcEvo%2FJJsS6YnJqoue8ns2WpDQFxJUX1axvN9EsAX%2FmTEVBtU1FP03R7nuVWuNErTI%2BL%2BIUwpjgXuJXTh15YwauA8%2FLaJsWmC5dTpmrfCbBVHNnKu%2BtQ4WcYdhShtKUoAHXa7vxcYXKwivYC1FG25BVu83Cw8KoVDiSonaiGCIyxMlPz6wqh3dMxZoEts5C8Gm9YNswDy73PqlAntwx9fK8lTunmsQDRTyVfzdlQYoe1z6ir75%2B1RpaY75qhBPCr4o%2FxxhnsJs%2FnmbiKhMCcZRSZI4JycRfsKDZVqV6MuoVvi1X%2BAkDzFIKAd1Fl%2FPqNEDsx4vbI0yI6qxQQoF1KHoHFH9JQTCfzWoJF%2FH0p9STTU0C%2FF7GVC6hD2BYCWHflpacyrGCnAvKhdS6L3ByV1xtq92Vh%2BLpWCxCFpMjJyNxZrdGX1Jm2Qqnd8%2Fq%2FuGIYOP8JfQucgauuC3fQT5OFDkytDoE0DnFbULALqNr5T29vxinJBDxNT1yD0dKhAincZezXAW9f%2FTMNbCe%2FdGpQwP0N%2FSNxn5G5EPfLa6%2BTTZnNeD793%2BWzLO1la0Tjdnbnb81cBrrNxBUeCnU9ENiW%2FLUlluTQQcqOTMtPooEuYTF0dWTZgrnsGGV6umx%2F3YT3AXEmPRzsLxJzxZjubOwcB0sJ43jR1hkWBjB5J5f1oc5xgVmFQTRlfT3uFHpRBv8o5K8qEj7sTpXKwyjbrTD5vdzBBjqaATALVysgdffi4MZbrGwLxxINR8cyM%2B8zRTRVhh3PqGLU%2BcZIbSNGXj2M0kIStMUFKO1g91gfpS11DVxfRb%2B5txevHGXDtHuN%2BQl4ZlL%2FBHjg%2B%2FoM184Z1vW9bFu22Hoz5vCoLe%2F0a5ha0%2FjPkMeKLpwggfm6wgbCgwU3kjvQqVMaoLVYFCOV6BstG8b4uKoA80djFn5kYSHJVPc%3D&X-Amz-Signature=621ab935a81e831a4fb5aae96b5a7ea37575a78828f876b9994ce018530f94b4&X-Amz-SignedHeaders=host&response-content-disposition=attachment%3B%20filename%3D%222026_Personnel_Schedule.xlsx%22&x-id=GetObject

5.13.10. Board of Directors or Governing Body*

Please upload a list of your organization's Board of Directors or Governing Body

*Response required

5.13.11. Commitment to Quality*

Describe actions taken by staff and the governing board to ensure: 1) Oversight of program operations;

2) the stability and financial solvency of the organization; and 3) the quality of the services provided under this project.

*Response required

5.13.12. Appeals Process*

Describe the appeals process that will be followed when persons have a complaint or dispute about the program operated by your organization.

*Response required

5.14. FINANCIAL INFORMATION (15 points maximum)

5.14.1. Detailed Project Budget*

Please download the below documents, complete, and upload.

• 2026_Detailed_Project_Budge...

*Response required

5.14.2. Budget Summary and Justification*

In the space below, please describe the project budget and summary with justification for budget line items. Describe why CDBG funds are needed to ensure the viability of this project.

Can all funds awarded in 2026 be reasonably expected to be expended?

If this is a multi-year project, what amount of funds will be spent in each year?

*Response required

5.14.3. Cost Basis*

Could this project move forward without the use of CDBG funding? Explain.

*Response required

5.14.4. Organizational Budget*

Please download the below documents and complete to identify the 2025 and proposed 2026 budget for your entire organization. Upload the completed information here.

• Organizational_Budget.xlsx

*Response required

5.14.5. 2026 Cost Explanation* https://government-project.s3.us-west-2.amazonaws.com/165011/4efb4efd-3664-413e-aaec-161628f72217_2026_Detailed_Project_Budget_-_Non-Construction.xlsx?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Content-Sha256=UNSIGNED-PAYLOAD&X-Amz-Credential=ASIA47RIURE4FB5P4VY5%2F20250528%2Fus-west-2%2Fs3%2Faws4_request&X-Amz-Date=20250528T155724Z&X-Amz-Expires=72000&X-Amz-Security-Token=IQoJb3JpZ2luX2VjEK%2F%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLXdlc3QtMiJIMEYCIQDz2iuRoBsaT27U9Xujw88SeMKg1TnD%2BWDo1WD6V%2FVw7gIhAM1eIfReyxn4ZWNAQyPBTw18Wm%2FB5TzGlgQRXrnl55xNKoMFCHgQAhoMODkyMzY0Njg3NjcyIgz1ryYpeOzifp4ZrXoq4ARKvZZecwPIpHsx%2BhaEYGRK9sg3wleRYN3Son9gacZlxE1k7HPjcYQkvqCDmv3h7aozV4yDGCW%2FQpuWzVmydMWiCiMMYcEvo%2FJJsS6YnJqoue8ns2WpDQFxJUX1axvN9EsAX%2FmTEVBtU1FP03R7nuVWuNErTI%2BL%2BIUwpjgXuJXTh15YwauA8%2FLaJsWmC5dTpmrfCbBVHNnKu%2BtQ4WcYdhShtKUoAHXa7vxcYXKwivYC1FG25BVu83Cw8KoVDiSonaiGCIyxMlPz6wqh3dMxZoEts5C8Gm9YNswDy73PqlAntwx9fK8lTunmsQDRTyVfzdlQYoe1z6ir75%2B1RpaY75qhBPCr4o%2FxxhnsJs%2FnmbiKhMCcZRSZI4JycRfsKDZVqV6MuoVvi1X%2BAkDzFIKAd1Fl%2FPqNEDsx4vbI0yI6qxQQoF1KHoHFH9JQTCfzWoJF%2FH0p9STTU0C%2FF7GVC6hD2BYCWHflpacyrGCnAvKhdS6L3ByV1xtq92Vh%2BLpWCxCFpMjJyNxZrdGX1Jm2Qqnd8%2Fq%2FuGIYOP8JfQucgauuC3fQT5OFDkytDoE0DnFbULALqNr5T29vxinJBDxNT1yD0dKhAincZezXAW9f%2FTMNbCe%2FdGpQwP0N%2FSNxn5G5EPfLa6%2BTTZnNeD793%2BWzLO1la0Tjdnbnb81cBrrNxBUeCnU9ENiW%2FLUlluTQQcqOTMtPooEuYTF0dWTZgrnsGGV6umx%2F3YT3AXEmPRzsLxJzxZjubOwcB0sJ43jR1hkWBjB5J5f1oc5xgVmFQTRlfT3uFHpRBv8o5K8qEj7sTpXKwyjbrTD5vdzBBjqaATALVysgdffi4MZbrGwLxxINR8cyM%2B8zRTRVhh3PqGLU%2BcZIbSNGXj2M0kIStMUFKO1g91gfpS11DVxfRb%2B5txevHGXDtHuN%2BQl4ZlL%2FBHjg%2B%2FoM184Z1vW9bFu22Hoz5vCoLe%2F0a5ha0%2FjPkMeKLpwggfm6wgbCgwU3kjvQqVMaoLVYFCOV6BstG8b4uKoA80djFn5kYSHJVPc%3D&X-Amz-Signature=63f22e3bdb9881828a72f91dc695e177bac7c82e5cd1bfd91940a447e280d21d&X-Amz-SignedHeaders=host&response-content-disposition=attachment%3B%20filename%3D%222026_Detailed_Project_Budget_-_Non-Construction.xlsx%22&x-id=GetObject https://government-project.s3.us-west-2.amazonaws.com/152108/93f64b3b-7726-497a-ad21-5be18e852ea0_Organizational_Budget.xlsx?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Content-Sha256=UNSIGNED-PAYLOAD&X-Amz-Credential=ASIA47RIURE4FB5P4VY5%2F20250528%2Fus-west-2%2Fs3%2Faws4_request&X-Amz-Date=20250528T155724Z&X-Amz-Expires=72000&X-Amz-Security-Token=IQoJb3JpZ2luX2VjEK%2F%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLXdlc3QtMiJIMEYCIQDz2iuRoBsaT27U9Xujw88SeMKg1TnD%2BWDo1WD6V%2FVw7gIhAM1eIfReyxn4ZWNAQyPBTw18Wm%2FB5TzGlgQRXrnl55xNKoMFCHgQAhoMODkyMzY0Njg3NjcyIgz1ryYpeOzifp4ZrXoq4ARKvZZecwPIpHsx%2BhaEYGRK9sg3wleRYN3Son9gacZlxE1k7HPjcYQkvqCDmv3h7aozV4yDGCW%2FQpuWzVmydMWiCiMMYcEvo%2FJJsS6YnJqoue8ns2WpDQFxJUX1axvN9EsAX%2FmTEVBtU1FP03R7nuVWuNErTI%2BL%2BIUwpjgXuJXTh15YwauA8%2FLaJsWmC5dTpmrfCbBVHNnKu%2BtQ4WcYdhShtKUoAHXa7vxcYXKwivYC1FG25BVu83Cw8KoVDiSonaiGCIyxMlPz6wqh3dMxZoEts5C8Gm9YNswDy73PqlAntwx9fK8lTunmsQDRTyVfzdlQYoe1z6ir75%2B1RpaY75qhBPCr4o%2FxxhnsJs%2FnmbiKhMCcZRSZI4JycRfsKDZVqV6MuoVvi1X%2BAkDzFIKAd1Fl%2FPqNEDsx4vbI0yI6qxQQoF1KHoHFH9JQTCfzWoJF%2FH0p9STTU0C%2FF7GVC6hD2BYCWHflpacyrGCnAvKhdS6L3ByV1xtq92Vh%2BLpWCxCFpMjJyNxZrdGX1Jm2Qqnd8%2Fq%2FuGIYOP8JfQucgauuC3fQT5OFDkytDoE0DnFbULALqNr5T29vxinJBDxNT1yD0dKhAincZezXAW9f%2FTMNbCe%2FdGpQwP0N%2FSNxn5G5EPfLa6%2BTTZnNeD793%2BWzLO1la0Tjdnbnb81cBrrNxBUeCnU9ENiW%2FLUlluTQQcqOTMtPooEuYTF0dWTZgrnsGGV6umx%2F3YT3AXEmPRzsLxJzxZjubOwcB0sJ43jR1hkWBjB5J5f1oc5xgVmFQTRlfT3uFHpRBv8o5K8qEj7sTpXKwyjbrTD5vdzBBjqaATALVysgdffi4MZbrGwLxxINR8cyM%2B8zRTRVhh3PqGLU%2BcZIbSNGXj2M0kIStMUFKO1g91gfpS11DVxfRb%2B5txevHGXDtHuN%2BQl4ZlL%2FBHjg%2B%2FoM184Z1vW9bFu22Hoz5vCoLe%2F0a5ha0%2FjPkMeKLpwggfm6wgbCgwU3kjvQqVMaoLVYFCOV6BstG8b4uKoA80djFn5kYSHJVPc%3D&X-Amz-Signature=3aa66af8507cbe05d669e5b2875172189bfd29b352a1b4f51920592b4b28c686&X-Amz-SignedHeaders=host&response-content-disposition=attachment%3B%20filename%3D%22Organizational_Budget.xlsx%22&x-id=GetObject

Complete only if significant financial changes are anticipated between 2025 and 2026. Explain specifically, by revenue source and/or account category, any noteworthy change in the 2026 request.

For example, unusual cost increases, program expansion, Living Wage requirements, or loss of revenue.

If no significant financial changes are anticipated, please respond with "N/A".

*Response required

5.14.6. Other Sources of Funds Leveraged*

Describe the sources and amounts of funds that will be contributed by your organization or leveraged from other sources for this project in the space below. Further identify other potential funding sources that have been contacted and the results of those contacts.

*Response required

5.14.7. Total Amount of Funds Leveraged*

What is the total amount of funds that will be contributed by your organization or leveraged from other sources for this project?

*Response required

5.14.8. Percent of Funds Leveraged*

What is the percentage of funds leveraged from requested amount?

*Response required

5.15. PARTNERSHIPS (5 points maximum)

5.15.1. Partnerships*

Please identify any partnerships that have been or will be formed to ensure the success of the project.

Describe the activities for ongoing and meaningful collaboration.

*Response required

5.15.2. Partnership Enhancement *

Describe how partnership(s) will enhance the applicant’s program.

*Response required

5.16. SHOVEL-READINESS (5 points maximum)

5.16.1. Shovel-Readiness*

Please describe how the project can be shovel-ready by Quarter 1 of 2026. If the project cannot be shovel-ready, please describe why.

*Response required

5.17. PAST PERFORMANCE (5 points maximum)

5.17.1. Previously Funded with Dane County CDBG/HOME Funds*

Has your organization been selected to receive Dane County CDBG/HOME funds in the past five years?

Note: Select “yes” even if your organization was selected to receive funding in the past 5 years, but the funds were declined or returned. Dane County defines ‘returned’ as any funds awarded that were not fully expended.

☐ Yes

☐ No

*Response required

5.17.2. Funds Declined or Returned*

Has your organization declined or returned Dane County CDBG/HOME funds in the last five years?

☐ Yes

☐ No

*Response required

5.17.3. Funds declined or returned - Explanation

If yes, please explain.

5.18. LEGAL INFORMATION

5.18.1. Has the applicant or any owner been involved in any lawsuits or judgements in the last five (5) years or have any lawsuits pending?* ☐ Yes

☐ No

*Response required

5.18.2. Has the applicant or any owner been involved in any bankruptcy or insolvency proceedings or have any proceedings pending?

☐ Yes

☐ No

5.18.3. Has the applicant or owner had any civil or criminal charges in the last five (5) years or have any charges pending?*

☐ Yes

☐ No

*Response required

5.18.4. Does the applicant or any owner have any outstanding tax liens or judgements?*

☐ Yes

☐ No

5.18.5. Fair Labor Practice Certification*

Has your company been found by the National Labor Relations Board ("NLRB") or the Wisconsin

Employment Relations Commission ("WERC") to have violated any statute or regulation regarding labor standards or relations in the seven years prior to the date this bid submission is signed?

Additional information about the NLRB and WERC can be found using the following links:

www.nlrb.gov and http://werc.wi.gov.

☐ Yes

☐ No

*Response required

When equals "Yes"

5.18.6. Please upload relevant information*

If yes is answered in response to question 18.5, a copy of any relevant information regarding such violation is required to be uploaded with your bid submission.

*Response required

5.18.7. Designation of Confidential and Proprietary Information* Please specify what information you wish to designate as confidential and proprietary.