Exhibit_I_-_CAA_Executive_Summary_for_A16_Activities.pdf

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Attached to
Master Agreement AZ|CTR075530
Contract number
CTR075530
Issued by
Arizona

About this file

This document is a template for a Community Action Agency (CAA) Executive Summary for Assurance 16 Activities related to the Low Income Home Energy Assistance Program (LIHEAP). The template is designed for a specific agency to fill in details about its service area, agency leadership, and approach to providing energy assistance services. It provides a structured framework for agencies to outline their program overview, goals, delivery methods, and impact tracking for Assurance 16, which focuses on helping households reduce their home energy needs.

The document requires the agency to detail its specific strategies for community navigation, including communication channels, client triage processes, and methods for tracking program outcomes. Key sections require the agency to explain how they will assess individual needs for energy assistance, determine the total households assisted, measure reductions in LIHEAP dependency, and establish qualification criteria for benefits. While no specific pricing, contract terms, or financial details are preset, the template is intended to help agencies comprehensively document their approach to providing energy assistance services under the LIHEAP Assurance 16 provision.

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CAA Executive Summary for Assurance 16 Activities

Agency Name:

Agency Director: [Insert Director/Acting Director’s Name]

Address: [Insert Address]

Area of Operations: [Insert Service Area]

Date:

Assurance 16 in the Service Area

1. Program Overview

a. [Insert how the agency will provide services that encourage and enable households to reduce their home energy needs and thereby the need for energy assistance, including needs assessments, counseling, and assistance with energy vendors”, as outlined in Section 2605(b)(16) of the LIHEAP statute]

2. Assurance 16 Goals

a. [Insert the agency goals for the program in your area]

3. Opportunities Gained from Assurance 16

a. [Insert what your agency believes are opportunities, positive impacts, and/or best practices associated with Community Navigation]

Delivery

1. Communication Channels

a. [Insert all communication channels (whether service delivery or external partner outreach/marketing/referral) available to clients who are assisted through A16]

2. Triage

a. [Insert a description of how your agency will assess whether the individual has a need for assistance under A16]

Determining Impact

1. Tracking Outcomes

a. [Insert how the agency will determine the total households assisted]

b. [Insert how the agency will determine the number of households able to reduce dependency on LIHEAP]

c. [Insert how the agency will determine who will/will not qualify for A16 benefits]

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