CDBG - R

Document Sample
CDBG - R Powered By Docstoc
					     STATE OF NORTH CAROLINA
COMMUNITY DEVELOPMENT BLOCK GRANT

  CDBG Recovery (CDBG-R) Program




      NC DEPARTMENT OF COMMERCE
    DIVISION OF COMMUNITY ASSISTANCE
           4313 MAIL SERVICE CENTER
            1307 GLENWOOD AVENUE
      RALEIGH, NORTH CAROLINA 27699-4313
             www.nccommerce.com
                                                                                                                                                                                              Page |2

                                                               CDBG RECOVERY (CDBG-R) PROGRAM
TABLE OF CONTENTS
GUIDELINES....................................................................................................................................................................................................... 3

    INTRODUCTION.......................................................................................................................................................................................... 3

    ELIGIBLE APPLICANTS ........................................................................................................................................................................... 3

    ELIGIBLE PROJECTS ................................................................................................................................................................................. 4

    DESCRIPTION OF CATEGORIES........................................................................................................................................................... 4

         INFRASTRUCTURE............................................................................................................................................................................... 4

         HOUSING .................................................................................................................................................................................................. 4

         SPECIAL PROJECTS .............................................................................................................................................................................. 4

    THRESHOLD REQUIREMENTS............................................................................................................................................................. 5

    REGIONAL ALLOCATION FOR INFRASTRUCTURE AND HOUSING ..................................................................................... 5

    FUNDING FOR SPECIAL PROJECTS .................................................................................................................................................... 6

    AWARD AMOUNTS .................................................................................................................................................................................... 6

    GRANT LIMITATIONS .............................................................................................................................................................................. 7

    PERFORMANCE MEASURES ................................................................................................................................................................. 7

    SELECTION AND RATING CRITERIA ................................................................................................................................................. 7

    TECHNICAL ASSISTANCE ....................................................................................................................................................................... 9

    SUBMISSION OF APPLICATION ........................................................................................................................................................... 9

CERTIFICATIONS & ATTACHMENTS....................................................................................................................................................10

    APPLICATION SUMMARY.....................................................................................................................................................................11

    PROJECT OVERVIEW ..............................................................................................................................................................................12

    Federal Program Regulations .............................................................................................................................................................13

    FEDERAL CERTIFICATIONS ................................................................................................................................................................16

    DISCLOSURE REPORT............................................................................................................................................................................19

    STATE CDBG-R PROGRAM REGULATIONS...................................................................................................................................23

    CERTIFICATIONS REGARDING DEBARMENT .............................................................................................................................27

    COMMUNITY DEVELOPMENT PLAN ...............................................................................................................................................30

    DISCLOSURE OF CIVIL RIGHTS COMPLAINTS/LAWSUITS ...................................................................................................31

    PROJECT BUDGET ....................................................................................................................................................................................32

    CATEGORY SELECTION FORM ...........................................................................................................................................................33
                                                                                           Page |3




GUIDELINES
       Community Development Block Grant Recovery (CDBG-R) Program

INTRODUCTION

The American Recovery and Reinvestment Act of 2009 (ARRA) (Recovery Act) was signed into law
(Public Law 111-5) by President Obama on February 17, 2009. The Recovery Act’s appropriation to
the US Department of Housing and Urban Development (HUD) includes a special allocation of funds
through the Community Development Block Grant (CDBG) Program to states and entitlement local
governments to undertake eligible CDBG activities on an expedited basis. This supplemental
allocation is separate and distinct from the regular CDBG Program. HUD has specified alternative
requirements and made regulatory waivers in order to expedite the use of these funds and to meet
the special requirements of the Recovery Act. Funds should primarily be invested in economic
development, housing, infrastructure and other public facilities activities that will quickly spur
economic investment, increased energy efficiency, and job creation or retention. Activities should
substantially address the intent of the Recovery Act.

A Memorandum to Heads of Executive Departments and Agencies from President Obama entitled
“Ensuring Responsible Spending of Recovery Act Funds” and dated March 20, 2009 states that his
Administration is “committed to ensuring that public funds are expended responsibly and in a
transparent manner”. He wants the executive departments and agencies to help ensure that “funds
are expended for projects that further the job creation, economic recovery, and other purposes of
the Recovery Act and are not used for imprudent projects”. He further elaborates on three points:
(1) ensuring merit-based decision-making, (2) avoiding imprudent projects, and (3) transparency
of registered lobbyist communications. In developing procedures for distributing Recovery Act
funds, executive departments and agencies had to comply with this memorandum to the extent
consistent with the Act.

The State of North Carolina is receiving $12,080,614 including 10% for the administration of CDBG-
R funds for Small Cities-eligible local governments through a competitive process held by the
Division of Community Assistance (DCA) in the NC Department of Commerce. The application
process is very short and compact because projects to potentially receive awards must be included
in North Carolina’s substantial amendment to the 2008 Action Plan. The amendment must be
submitted to the HUD field office in Greensboro by June 29, 2009 for approval not only of the
amendment but also of the projects listed in the amendment. This is HUD’s procedure for
complying with President Obama’s Memorandum.

ELIGIBLE APPLICANTS

Eligible applicants are Small Cities-eligible local governments with projects that are “shovel ready”.
Whatever the activity, an applicant receiving an award must be ready to bid the project as soon as
conditions are released. Priority will be given to those applicants whose projects can award
contracts based on bids within 120 days from the date funds are made available. Small Cities-
eligible local governments will have two weeks in which to prepare and submit their applications.
Citizen participation requirements have been waived with the State having to have only a seven (7)
                                                                                           Page |4

day comment period. Those local governments receiving an award for these funds have a
grant period and expenditure deadline of September 30, 2012. Any funds not drawn down
and expended will be recaptured by HUD and returned to the US Treasury. An applicant
awarded a CDBG-R grant must be able to meet all requirements.

ELIGIBLE PROJECTS

There are three categories of activities in the NC CDBG-R Program. These were selected as the most
appropriate for addressing the intent of the Recovery Act. This application will cover the three
categories. The categories are Infrastructure, Housing, and Special Projects. An applicant can
choose only one of the categories for their application. Each project must meet a national objective
and identify the creation and/or retention of jobs for the project. Infrastructure and public facility
projects must have a minimum 70 percent low and moderate-income benefit plus jobs. Housing
projects must have a 100 percent low and moderate-income benefit plus jobs to every activity
including housing.

Applicants are expected to incorporate energy conversation, smart growth, green building
techniques and reduced pollution emissions as appropriate. Only steel manufactured in the
United States can legally be used in CDBG-R projects. Davis Bacon will apply to every activity
including housing. A detailed description of eligible categories is given below:

DESCRIPTION OF CATEGORIES
INFRASTRUCTURE
Funds for the infrastructure category may be spent on water, sewer, streets, curb and gutter,
drainage, and sidewalks. Applicants are not limited to just one activity but should keep in mind the
time frames for the grant to ensure that they can meet the September 30, 2012 deadline for
expenditures of funds. These projects must be in a project area with project boundaries and must
be residential. The project area must have at least 51% of residential occupied houses with severe
needs and no more than 25% of residential occupied houses with moderate needs for an overall
minimum need of 76% for the activity. The minimum benefit for any activity is 70% low and
moderate-income. Each activity must create or retain jobs. The applicant must estimate the
number of full-time and part-time jobs to be created or retained in the application as part of the
narrative.

HOUSING
Funds for the housing category may be spent on rehabilitation, acquisition, clearance, relocation,
substantial rehab, replacement housing and emergency repairs. There is no project boundary for
any of the activities in the housing category. The applicant may choose to do scattered site housing
or houses all next to each other or a combination. There is no limit on the number of houses or the
number of activities for the project. The applicant will need to decide how many houses can be
treated prior to the September 30, 2012 deadline for expenditures of funds. Each activity must
create or retain jobs. The applicant must estimate the number of full-time and part-time jobs to be
created or retained in the application as part of the narrative.

SPECIAL PROJECTS
Public Facilities : Funds may be spent on shelters for victims of domestic violence or
homeless/homeless families, transitional facilities/housing for the homeless/ homeless families,
senior center and community/neighborhood/recreational center. Benefit must be limited clientele
                                                                                           Page |5

or 70% low and moderate-income. The applicant must be able to complete the facility prior to the
September 30, 2012 deadline for expenditures of funds. Any activity must create or retain jobs.
The applicant must estimate the number of full-time and part-time jobs to be created or retained in
the application as part of the narrative.

Foreclosure Prevention : This is a public service activity. An applicant working with a HUD
counseling agency would use CDBG-R funds to provide up to 3 months of mortgage payments and
related fees or up to $3,000 whichever is less to families who qualify. This activity must create or
retain jobs. The applicant must estimate the number of full-time and part-time jobs to be created
or retained as part of the application narrative

In order for the homeowner to qualify for CDBG-R mortgage assistance they must:

      Have income of less than 80% of the area median income
      Document that the missed mortgage payments were due to an emergency
       (Emergency is defined as an unexpected, serious occurrence or situation urgently requiring
       prompt action.)
      Have sufficient income to resume payment of the existing mortgage payment (or modified
       amount if the counselor can get the interest rate reduced)
      Have certificate from mortgage counselor
      Property must be secured as real property (mobile homes would have to have turned their
       title in to DMV and be listed as real property)
      Sign a promissory note and deed of trust for the amount of assistance (it would not have to
       be repaid until the house is sold or the owner refinances)

Homeowners would be required to meet with a housing counselor to review loan and budget issues
and to be qualified for assistance. Once documentation on the family is given to the local
government for approval, the local government would draw down the funds and write a check to
the lender. Other allowable costs would be a fee to pay the housing counselor and the fee to record
the Deed of Trust.

THRESHOLD REQUIREMENTS

An applicant with an open CDBG grant in any of the grant categories administered by DCA must
have expended 100% of the CDBG funds in a grant open 30 months. The 30 months will be counted
from the date of the DCA Director’s signature on the Grant Agreement of the open grant. Upon
completion of all CDBG activities, and/or expenditure of all CDBG funds in conformance with
guidelines, the grant must be closed pending final audit for the applicant to apply for CDBG-R funds.

REGIONAL ALLOCATION FOR INFRASTRUCTURE AND HOUSING

DCA will utilize a regional distribution system to award CDBG-R funds for housing and
infrastructure projects. The state is divided into 4 regions. The regional allocation percentages for
Housing were determined using income and housing condition factors HUD uses to determine state
CDBG allocations. The allocation percentages for Infrastructure were evenly divided. Allocation
percentages for the four regions are listed below:
                                                                                           Page |6



       Categories             Region 1             Region 2               Region 3         Region 4

   Infrastructure               25%                  25%                   25%              25%

        Housing                17.9%                13.3%                  32.3%            36.5%



The highest-ranking applications within each region, which meet the requirements of the Recovery
Act, will be funded until the regional allocation is reached. Funds not awarded in one region, either
because of an insufficient number of applications or applications not meeting requirements, will be
moved either to the region(s) with the next highest scoring application(s) or to a region for regional
distribution purposes as long as those applications meet the requirements of the Recovery Act.

Funds will also be moved to other categories for the same reasons as funds can be moved from one
region to another.

FUNDING FOR SPECIAL PROJECTS

DCA will use a state-wide competition for public facilities, foreclosure prevention and recovery
capacity building. Selected projects must meet the requirements of the Recovery Act. Benefit for
any public facility must be 70 percent low and moderate-income persons plus jobs. Benefit for
foreclosure must be less than 80% of area median income. The recovery capacity building must
create and/or retain jobs.

AWARD AMOUNTS

Maximum award amounts vary by category and/or some activities as indicated below.
Administration is limited to 5% of the requested grant amount.

        Infrastructure

$5,872,552 available Maximum request:           $800,000
Activities: water, sewer, streets, curb and gutter, drainage, sidewalks

        Housing

$3 million available Maximum request:             $500,000
Activities: rehabilitation, acquisition, relocation, substantial rehab, replacement housing,
emergency repairs. Note: Davis Bacon applies to all housing. See page 15.
(Emergency repairs as the only activity: $100,000 max; $15,000 max per unit. If one or more other
activities are undertaken, then only $100,000 of the $500,000 can be used for emergency repairs. If
requesting less than $500,000, then funds for emergency repairs can be no more than 20% of the
total request. Repairs must follow 570.201 (f)).

        Special Projects

Public Facilities & Foreclosure Prevention; $1.4 million available        Request amount: $400,000
Minimum-$1 million Maximum for public facilities
                                                                                             Page |7

Activities: shelters for victims of domestic violence or homeless, transitional facilities/housing for
the homeless, senior center, community/neighborhood/recreation center.

Foreclosure Prevention: $100,000 maximum available; Activity: mortgage assistance
Recovery Capacity Building $600,000 available             Maximum request: $200,000

GRANT LIMITATIONS

CDBG-R grants do not come under the $1.25 million CDBG cap since the funds are a special
allocation. Applicants are limited to applying for one category to be funded with CDBG-R funds. In
addition, North Carolina has set a $3 million dollar cap for water/sewer projects regardless of
ARRA funding source. This cap includes CDBG-R funds plus any other funds allocated in the
American Recovery and Reinvestment Act of 2009 to other state agencies.

PERFORMANCE MEASURES

The Government Performance and Results Act of 1993 (GPRA) mandates that federal programs
improve their effectiveness and public accountability by focusing on results. The U.S. Department
of Housing and Urban Development (HUD) has developed the CPD Performance Measurements
System for recipients of HUD funds to use to fulfill the requirements of the Act. The CDBG-R
Program will use the following measures for all activities except planning and administration,
which have no performance measures.

Infrastructure:         Objective:      Creating Suitable Living Environment
                        Outcome:        For new public lines where none existed or new systems
                                        For replacing existing lines or jurisdictional problem --
                                        Sustainability

Housing:                Objective:      Decent Housing
                        Outcome:        Sustainability

Public Facilities       Objective:      Decent Housing—Shelters/transitional housing
                        Outcome:        Availability/Accessibility

                        Objective:      Suitable Living Environment – senior/ neighborhood center
                        Outcome:        New – Accessibility
                                        Improvements – Sustainability

Foreclosure             Objective:      Suitable Living Environment
Prevention              Outcome:        Improved Sustainability

Recovery Capacity Building      N/A

SELECTION AND RATING CRITERIA

       Project’s relationship to overall objectives of the general CDBG and ARRA in a manner
        that reflects overall job creation and economic benefit especially with respect to low
        and moderate income persons >> 20 points maximum

       Demonstration of local governments need and their capacity to complete projects as
        mandated by timelines set forth in this application and ARRA regulations (ability of
                                                                                        Page |8

    the applicant to have project bids and contracts awarded within 120 days).>> 20
    points maximum

   Completion of all necessary engineering; site designs, and local, state and federal
    permitting requirements. >> 20 points maximum

   Specified site selections included with application submission. >> 20 points
    maximum

   Project appropriateness and feasibility: There is no separate Appropriateness and
    Feasibility Section in the application. All sections will be used to rate appropriateness and
    feasibility. Any aspect of the project that affects the feasibility of its completion or is
    inappropriate will be treated as a ratings issue and points will be lost. For example,
    applications that are incomplete or inconsistent, or are not financially feasible will lose
    points under the appropriateness and feasibility criterion. >> 20 points maximum

Each component of the above selection and rating criteria will be assessed competitively
and assigned a value of up to 20 points for a total score of 100 points. Those projects that
score the highest according to activity selection inside their prospective regions will
receive priority funding except for special projects selected state-wide.
                                                                                          Page |9




TECHNICAL ASSISTANCE

Iris Payne in the Program Development Section will provide technical assistance for CDBG-R
projects. She will answer questions about individual projects over the telephone, by fax machine, or
by e-mail from the date the application is put on the website to the date the applications are due on
June 12, 2009. Please do not request technical assistance from other people at DCA.

You may contact Ms. Payne as follows:

                          E-mail addresses:
                           ipayne@nccommerce.com or vblanchard@nccommerce.com

                                  Phone: 919/733-2850
                                  Fax: 919/733-5262


SUBMISSION OF APPLICATION

Only information received prior to the application deadline will be considered in the
selection process. DCA will not request missing or additional information after the deadline. If an
application is incomplete, credit will not be given for the information that is missing.

Applicants must submit two (2) complete copies of the application. Both copies must have the
original signature of the chief elected official on the Application Summary Form and any other
documents that require official signatures.

Applications must be received in DCA’s administrative office at 1307 Glenwood Avenue in
Raleigh, North Carolina by 5:00 p.m. on June 12, 2009 whether hand delivered, mailed
through the US Post Office or delivered by private delivery companies such as USPS, Fed Ex,
etc. (If mailed at the US Post Office or a with a private delivery company, make sure to allow
sufficient time for the application to arrive on June 12 by the 5:00 pm deadline.)



Applications mailed through the US Post            Or hand delivered to:
Office should be addressed to:
                                                   Division of Community Assistance
Gloria Nance-Sims, Director                        Methodist Building
Department of Commerce                             1307 Glenwood Avenue, Suite 250
Division of Community Assistance                   Raleigh, N.C. 27605
4313 Mail Service Center
Raleigh, N.C. 27699-4313                           Or delivered by private delivery companies
                                                   (USPS, Fed Ex, etc.) to the office address
                                                   above.
                                                                      P a g e | 10




                              RESOURCES

Regular CDBG applications may provide helpful information on what should
be included in the CDBG-R narrative on the activities listed below:

Infrastructure Projects

      Water/Sewer: 2009 Infrastructure Guidelines

      Street, curb and gutter, drainage, sidewalks: 2009 Community
       Revitalization Guidelines

Housing Projects

      2009 Scattered Site Guidelines

CDBG-R Income and Need Survey will be placed on website along with the
application

Regional Allocation Map can be located in the 2009 CR guideline document
on the website




                    CERTIFICATIONS
                           &
                      ATTACHMENTS
                                                                                                                   P a g e | 11


                                                   APPLICATION SUMMARY
                                                          CDBG - R
1. Applicant’s name                                                                                     2. Date
   a. Mailing Address
   b. City and Zip Code                                                                                 _______ Original,
   c. County                                                                                            dated:
   d. Contact Person
   e. Telephone Number                                                                                  _______Amendment,
   f. Fax Number                                                                                        dated:
   g. e-mail address
3. Preparer’s Name                                                                                      c. Telephone Number
   a. Firm’s Name
   b. Mailing Address
   c. City and Zip Code                                                                                 f. Fax Number
   d. e-mail address
4. Program             5. Project                           6. Project Name                             7CDBG Funds
   Category               Number                                                                          Requested

         C                   1                                                                          $




10. Certification by the Chief Elected Official
   a) I certify that to the best of my knowledge and belief:
             (1) Data in this application is true and correct,
             (2) Opportunities have been provided for citizen participation and access to
                  information concerning the proposed activities,
              (3) This document has been duly authorized by the governing body of the
                   applicant and the applicant will comply with the attached certifications and state
                   standards if the assistance is approved.
   b) I acknowledge that, if funded, this application is part of the Grant Agreement.
   c) Typed Name of Chief
      Elected Official              
   d) Typed Title                   
   e) Signature                     
   f) Typed Date                    

For DCA Use Only        Date Received:                                                          Application Number:
                                                                                          P a g e | 12




PROJECT OVERVIEW
Project description summary

Give a brief narrative description (no more than 2 pages) of the project including specific information
regarding the category selected.
                                                                                         P a g e | 13



FEDERAL PROGRAM REGULATIONS
For Recipients of CDBG-R Funds

It is important that applicants understand the commitment they will be undertaking with a CDGB
grant. This description of requirements and responsibilities of grantees should be read carefully.
Please contact DCA Staff with any questions regarding federal program regulations.

Projects must meet all federal and state administrative requirements. A summary of the
implementing regulations is listed below.

A. Environmental Review

Recipients of CDBG funds are required to complete the document entitled "Environmental
Review Procedures for the North Carolina Community Development Block Grant Program,"
dated 1992 or later. Copies of this document can be secured from DCA. The portions of
the document constituting the Environmental Review Record (ERR) should be competed, and
copies sent to DCA as soon as possible following the project award. DCA may submit selected
CDBG applications to the State Clearinghouse for other state agencies' review and
comments.

B. Equal Opportunity

Applicants are required to take into consideration equal opportunity and non-discrimination laws
in designing CDBG programs to insure that people in protected categories are not excluded from
participation, denied the benefit of, or subjected to discrimination under any program or activity
funded in whole or in part with CDBG funds. The recipient of CDBG funds must describe the actions
it will take annually for each year the grant is open in the areas of enforcement, education and
removal of barriers and impediments that affirmatively further equal access in employment and
procurement. This includes a description of steps to be taken in the areas of advertisement,
compliance and complaint tracking.

C. Fair Housing

Recipients of CDBG funds will be required to comply with fair housing and non-discrimination laws
and regulations. Applicants should consult Section .1001 of the CDBG administrative rules for
further information on equal opportunity requirements. For each year that a CDBG project is
active, a recipient must describe the actions it will take in the areas of enforcement, education and
removal of barriers and impediments to affirmatively further fair housing. For guidance for
developing a Fair Housing Plan, grantees will refer to DCA Bulletin 93-4 and the Implementation
Notebook.

D. Local Economic Benefit

For each year that a CDBG project is active, the recipient must describe a strategy whereby
opportunities in employment and procurement arising out of a CDBG assisted project are identified
and made available to low income residents within the county to the greatest extent feasible.
                                                                                            P a g e | 14

This strategy must include (1) identification of training and technical assistance resources to
prepare low income residents for employment and procurement opportunities, (2) attempts to
reach the numerical targets for new hires set forth in the Section 3 regulation, which applies to
recipients receiving $200,000 or more in non-administrative line items expended for construction
contracts of at least $100,000 per contract, and (3) education of low income residents within the
CDBG assisted area about the components and opportunities of the program.

E. Residential Anti-displacement and Relocation Assistance

All occupied and vacant inhabitable low and moderate income dwelling units demolished or
converted to a use other than as low/moderate income housing must be replaced within three
years of the commencement of the demolition or rehabilitation related to the conversion.

Once CDBG funds are awarded, recipients must have a plan to minimize residential displacement
and to provide relocation assistance to displaced residents in a timely manner. Compliance with
the plan must be documented, including the information made public and the means used to make
it public.

The plan must include a description of the activity, a location map, a time schedule, dwelling data
on target and replacement homes, funding sources, a schedule for replacement or relocation and
the basis for concluding that replacement dwellings will remain low/moderate income for at least
10 years. A guide for developing the plan should be obtained from DCA once an award is received.
See Program Bulletin 94-1 for more specific information.

F. Section 504 of the Rehabilitation Act of 1973

Recipients of CDBG funds are required to comply with the provisions of Section 504 of the
Rehabilitation Act of 1973, as amended, and the HUD implementing regulations at 24 CFR, Parts 8
and 9. The requirements of Section 504 apply to any recipient of federal CDBG funds for any
program or activity carried out directly or through another recipient, successor, assignee, or
transferee.

The Grant Agreement will require recipients to complete the Section 504 Survey and Transition
Plan, covering policies, practices and physical accessibility and notify affected persons that it does
not discriminate on the basis of handicap.

This plan will not satisfy all the requirements of the Americans with Disabilities Act, but it will meet
the minimum requirements for a CDBG assisted project.

G. Americans with Disabilities Act (ADA)

State and local governments are required to comply with the provisions of Title I of the Americans
with Disabilities Act (ADA) which protects qualified individuals with disabilities from
discrimination in all state and local government programs and activities including employment.

Governments with 25 or more employees were subject to the ADA law after July 26, 1992, and
governments with 15 or more employees after July 26, 1994. All governments receiving federal
financial assistance will continue to be covered by Section 504.
                                                                                         P a g e | 15




H. Labor Standards under Davis-Bacon and Related Acts

Public Facilities

Public facility contracts in excess of $2,000 must comply with Davis-Bacon and Related Acts.

Private Facilities constructed with CDBG –R Funds

Contracts in excess of $2,000 for building constructed with CDBG funds, must comply with Davis-
Bacon and Related Acts.

Rehabilitation of Single Family Dwellings with CDBG-R Funds

As a rule, Davis-Bacon and Related Acts (DBRA) do not apply to the rehabilitation of a single-family
dwelling. However, under CDBG-R the rehabilitation of any single dwelling, with contracts in
excess of $2,000 will trigger DBRA. Contracts cannot be divided into smaller contracts to avoid
Davis-Bacon.
                                                                                           P a g e | 16




FEDERAL CERTIFICATIONS
                                              Regulations

The applicant hereby assures and certifies that:

       (a) It will comply with all applicable federal and state laws, regulations, and rules
          and Executive Orders.

       (b) It possesses legal authority to apply for the grant, and to execute the
          proposed program.

       (c) Its governing body has duly adopted or passed as an official act a
          resolution, motion or similar action authorizing the filing of the
          application, including all understandings and assurances contained
          therein, and directing and authorizing the person identified as the
          official representative of the applicant to act in connection with
          application and to provide such additional information as may
          be required.

       (d) It is following a detailed, written citizen participation plan, which will
          provide opportunities for citizen participation, hearings, and access to
          information with respect to its community development program that
          are comparable to those required of grantees under Section 104 (a) of
          the Act and in accordance with Rule .1002 of the North Carolina
          Community Development Block Grant Administrative Rules.

       (e) Its chief elected official or other officer of the applicant if assistance
          is approved by Commerce:

               (1) Consents to assume the status of the “responsible Federal
                   Official” as that term is used in Section 102 of the National
                   Environmental Policy Act (NEPA), Section 104(f) of Title 1
                   of the Housing and Community Development Act of 1974,
                  as amended, and other provisions of Federal law, as specified
                   in 24 CFR 58.5 which further the purposes of NEPA.

               (2) Is authorized and consents on behalf of the applicant and
                  Himself to accept the jurisdiction of the Federal courts for the
                  purpose of enforcement of his responsibilities as such official.

                (3) Consents to review and comment on all Environmental Impact
                    Statements prepared for Federal projects which may have an
                   impact on the applicant’s/recipient’s community development
                    program CDBG 2-97.

               (4) Consents to perform all coordination functions required under
                  24 CFR Part 58 and 40 CFR Parts 1500-1508.

       (f) The Community Development Program has been developed so as to give
           maximum feasible priority to activities, which will benefit low and moderate
                                                                                    P a g e | 17

   income families or aid in the prevention or elimination of slums and blight.
   The requirement for this certification will not preclude Commerce from
   approving an application where the applicant certifies, and Commerce
   determines, that all or part of the Community Development Program
   activities are designed to meet other community development needs
   having particular urgency as specifically explained in the application in
   accordance with Section .0800 of 4 NCAC 19L of the North Carolina
   Administrative Code.

(g) Its program will be conducted and administered in conformity with
   Public Law 88-352 and Public Law 90-284, and that will affirmatively
   further, fair housing.
(h) It will comply with all provisions of 4 NCAC 19L of the North Carolina
   Administrative Code, entitled North Carolina Community Development
   Block Grant Program.

(i) It will give Commerce, HUD and the Comptroller General through any
    authorized representative access to and the right to examine all records,
    books, papers or documents related to the grant.
(j) It will establish safeguards to prohibit employees from using positions for a
    purpose that is or gives the appearance of being motivated by a desire for
    private gain for themselves or others, particularly those with whom they
    Have family, business, or other ties.

(k) It will follow a residential antidisplacement and relocation assistance plan
   that is in accordance with the provisions of Section 104(d) and all other
   provisions of the Act.

(l) It will not attempt to recover any capital costs of public improvements
    assisted in whole or part under Section 106 of the Act or with amounts
    resulting from a guarantee under Section 108 of the Act by assessing any
    amount against properties owned and occupied by persons of low and
    moderate income, including any fee charged to assessment made as a
    condition of obtaining access to such public improvements, unless (I)
    funds received under Section 106 are used to pay the proportion of such
    fee or assessment that relates to the capital costs of such public improvements
    that are financed from revenue sources other than under this title; or (ii)
   for purposes of assisting any amount against properties owned and occupied by
    persons of low and moderate income who are not persons of very low
    income, the grantee certifies to the Secretary of such State, as the case may
    be, that it lacks sufficient funds received under Section 106 to comply with
    requirements of clause (I).

(m) It has or will develop a plan that identifies community development and
   and housing needs, including the needs of low and moderate income persons,
   and the activities to be undertaken to meet such needs.

(n) Its notification, inspection, testing and abatement procedures concerning
   lead-based paint will comply with 24 CFR 570.608.

(o) When issuing statements, press releases, request for proposals, bid
   solicitation and other documents describing the above-mentioned program
   such as the environmental review, public hearings, fair housing notices, etc.,
   it shall clearly state:
                                                                                          P a g e | 18

                  (1) the percentage of the total cost of the project, which will
                     be financed with CDBG money, and
                  (2) the dollar amount of CDBG funds for the project.
        (p) (1) No Federal appropriated funds have been paid or will be paid, by or
             on behalf of the undersigned, to any person for influencing or attempting to
             influence an officer or employee of any agency, a Member of Congress, an
             officer or employee of Congress, or an employee of a Member of Congress
             in connection with the awarding of any Federal contract, the making of any
             cooperative agreement, and the extension, continuation, renewal,
          amendment, or modification of any Federal contract, grant, loan, or
          cooperative agreement.
             (2) If any funds other than Federal appropriated funds have been paid or
             will be paid to any person for influencing or attempting to influence an
             officer or employee of Congress, or an employee of a Member of Congress
          in connection with this Federal contract, grant, loan, or cooperative
             agreement, the undersigned shall complete and submit Standard Form-LLL,
             “Disclosure Form to Report Lobbying,” in accordance with its instructions.
             (3) The undersigned shall require that the language of this certification be
             included in the award documents for all sub awards at all tiers (including
             subcontracts, subgrants, and contracts under grant, loans, and cooperative
             agreements) and that all sub recipients shall certify and disclose accordingly.
        (q) It has adopted and will enforce a policy prohibiting the use of excessive
            force by law enforcement agencies within its jurisdiction against any
            individuals engaged in nonviolent civil rights demonstrations and has adopted
            and is enforcing a policy of enforcing applicable state and local laws against
            any individuals engaged in nonviolent civil rights demonstrations and has
            adopted and is enforcing a policy of enforcing applicable state and local laws
            against physically barring entrance to or exit from a facility or location which
            is the subject of such nonviolent civil rights demonstration within its
            jurisdiction in accordance with Section 519 of Public Law 101-144, (the 1990
            HUD Appropriations Act).
        (r) All project areas are either not in a floodplain, or if the project area is in a
           floodplain, the applicant participates in the flood insurance program. All
           properties assisted in the project will be covered for flood insurance prior
           to beginning construction and all public facilities will be constructed to
           comply with applicable floodplain regulations.


CERTIFICATION OF ABILITY

The County/City of ____________________ hereby certifies its ability to meet Federal Performance and
Procurement Requirements with Certification as further expanded in the preceding attachments.




SIGNATURE OF CEO

DATE



TITLE
                                                                                          P a g e | 19




DISCLOSURE REPORT
                                            Instructions

Who should complete the report:



        All applicants who expect to receive an aggregate amount of covered federal assistance for a
project or activity that exceeds $200,000 are required to make certain disclosures. State CDBG
funds are covered by the requirement, as are most other programs where funds are administered
by or passed through the U.S. Department of Housing and Urban Development. Therefore, all
applicants for more than $200,000 in N.C. CDBG funds, including anticipated program income,
should complete the report. In addition, any applicants to a State grantee for a subgrant should
complete the report if more than $200,000 in covered assistance is or can reasonably be
anticipated. The requirement addresses the aggregate amount of assistance. Therefore, if the
applicant anticipates less than $200,000 in CDBG assistance, but intends to combine the funds with
enough other covered assistance (such as Section 8 project-based Housing Assistance Payments) to
exceed $200,000 in total assistance, the applicant must make the disclosures. Any
applicant/recipient who is required to complete a disclosure report for another agency in
conjunction with a project assisted with State CDBG funds may submit a copy of that disclosure
report to the Department of Commerce rather than completing a separate report.

        Recipients who have previously filed disclosure reports must file update reports if the
information in the original report changes either because of later developments subject to
disclosure, or because of changes in the amount of government assistance, the sources of funds, or
the uses of funds equal to the lower of $250,000 or 10 percent of the applicable base (usually total
project costs), or because of an increase in the financial interest of a person equal to the lower of
$50,000 or 10 percent of such interest.

Detailed Instructions:

1.      Enter the name, address, and telephone number, including area code, of the applicant or
recipient.

2.     Indicate whether the report is an initial report or an update report.

3.     Enter the Social Security Number or the Employer Identification Number of the applicant or
       recipient.

4.     Enter the project name and indicate the location as specifically as possible. In the    case of
       update reports, give the CDBG grant number.

5.     Enter the total amount of assistance being requested as stated in the application, including
       anticipated program income. In the case of update reports, enter the total amount of
       assistance provided according to the funding approval and anticipated program income.

6.     Indicate whether other government assistance is being provided, or can reasonably be
       expected to be provided, for the project. Other government assistance includes any loan,
                                                                                         P a g e | 20

     grant, guarantee, insurance payment, rebate, subsidy, credit, tax benefit, or any other form
     of direct or indirect assistance from the Federal government, a State, or a unit of general
     local government, or any agency or instrumentality thereof, that is, or is expected to be
     made, available with respect to the project or activities for which the assistance is being
     sought.

     If other government assistance is provided, or expected to be provided for the project, all
     such assistance must be disclosed on attachments incorporated into the report. The
     disclosures should list the granting agency, the program and type of assistance (e.g., grant,
     loan, guarantee), and the amount expected to be made available.

     Disclosures need only be made once, so that if this information is given in the Sources and
     Uses attachments, this may be indicated by checking the appropriate blank under “6. Other
     Government Assistance” on the Attachments page of the report.

7.   Indicate whether there are persons with a reportable financial interest in the project.
     “Person” means an individual, corporation or business, unit of general local government or
     other governmental entity or agency or any other organization or group            of people. A
     reportable financial interest is any financial involvement in the project including equity
     interest, shares in any profit on resale or distribution of cash or other assets, or receipt of
     compensation for goods or services provided in connection with the project or activities,
     which can be expected to exceed the lower of $50,000 or 10 percent of the assistance
     sought. Compensation for performance of a contract procured under Federal procurement
     regulations is not, by itself, a covered financial interest. Residency of an individual in
     housing for which assistance is being sought is not, by itself, considered a covered financial
     interest.

     If there are parties with a reportable financial interest, the name and pecuniary interest of
     the parties must be disclosed in referenced attachments. If the party is an entity such as a
     unit of government or a corporation, the disclosure must include an identification of each
     officer, director, and/or principal stockholder. The pecuniary interest disclosure must
     include the type of participation (such as owner, contractor, investor) and the amount of the
     financial interest expressed both as a dollar amount and as a percentage of the amount of
     assistance involved.

8.   Reference the statement or statements attached to the report showing the sources and uses
     of the funds available for, or expected to be available for, the project. Disclosure must be
     made of the gross amount of funds from all sources, including both governmental and non-
     governmental sources of funds and private capital resulting from tax benefits. For most
     projects, the financial forms in the appropriate guidelines will be adequate to document
     sources and uses. Please note, however, that if the “Other Government Assistance”
     disclosure section references the Sources and Uses Disclosures, then these Disclosures must
     identify the program and type of assistance.
                                                                                             P a g e | 21

DISCLOSURE REPORT


1.     Applicant/Recipient Name,                       2.      Check one: ____ Initial Report
       Address, and Phone:                                               ____ Update Report

                                                       3.      Social Security Number or
                                                               Employer ID Number:
                                                               _____________________



4.     Project Name and Location:



5.     Total Amount requested/received
       (Including anticipated program income): $_________________

6.     Other government assistance. Check one:

       _____   No other government assistance is, or is expected to be, provided for this
               project;

       _____   All other government assistance provided for this project is listed on the
               attached page(s).

7.     Interested Parties. Check one:

       _____   No parties have a reportable financial interest in this project. Interested
               parties include developers, contractors, consultants, individuals, entities
       including units of government with a financial interest greater than
       $50,000 or 10 percent of the assistance (whichever is lower; being a party
       to a contract procured under Federal procurement regulations at 24 CFR
       Part 85 does not, by itself, constitute a reportable financial interest).

       _____   All parties with a reportable financial interest are listed on the attached
               page(s).

8.      All expected sources of funds available or expected to be available for the project or activity
and all reportable uses of funds are included in the application for funds and on the following
forms (check all that apply):

       _____ CDBG –R PROJECT BUDGET

       _____ Other attachment(s). Describe: _____________________
                                                                                       P a g e | 22

DISCLOSURE REPORT
                                        Attachments



9.    Other Government Assistance (Attachment)
              (Note: Disclosures must be complete and accurate, but need to be made
      only once for this report. If assistance is reported in the Sources and Uses
      disclosure section, then it need not also be reported here. If there is
      assistance reportable here, but reported only in the Sources and Uses
      disclosure, check here:

                     _____          Assistance is disclosed in Sources and Uses
                                    Attachments



                                    Program and                        Amount

Agency Name and Address             Type of Assistance            Requested/Received




10.   Interested Parties (attachment)




Name and Address                    Type of Participation         Interest ($ and %)
                                                                                        P a g e | 23

STATE CDBG-R PROGRAM REGULATIONS


                                            REGULATIONS

CITIZEN PARTICIPATION

Citizen participation pursuant to CDBG-R will be conducted at the state level and must assure that
citizens and units of general local government have an opportunity to comment on all proposed
activities t be undertaken with these funds.

PROJECT ADMINISTRATION

    The grantee is responsible for CDBG –R oversight. If funded, the grantee will supervise the
     implementation of the project as follows:

    The local government manager reviews and signs off on all project reports.

    The project administrator or local government staff will present and give at least quarterly
     written status reports to the elected board. A signed copy of the quarterly report must be
     submitted to the grant representative for review.

    At least two persons from the local government listed on the signatory cards will review
     and sign off on invoices and requests for payment.

    Maintain all project files at the local government offices and make them available to citizens
     during regular business hours.

AUDITS/COMPLIANCE

CDBG-R grantees expending $25,000 or more in a fiscal year are required to have funds audited for
the CDBG-R program. CDBG-R funds can be used to pay for the CDBG-R portion of the audit
provided the grantee has expended $500,000 or more in the fiscal year in total federal awards
(CDBG-R and other federal funds). If the grantee has expended less than $500,000 in total federal
awards, the grantee may budget local funds in the administrative line item in the CDBG-R
application to pay for the CDBG-R portion of the audit and claim the local administrative funds as
local commitment.

Housing

 Substantial Rehabilitation- Any rehabilitation cost above $40,000 per unit or $38 per square
foot which would include the Lead Base Paint cost and any other additional funds is
considered substantial rehabilitation and requires the prior approval of DCA.

 Manufactured Homes Policy- Manufactured homes rehabilitated with CDBG-R funds must be
converted into real property (according to G.S. 105-273 paragraph 13) that is owned and occupied
by the homeowner prior to any rehabilitation. The CDBG-R assistance must be secured by a note
and deed of trust at the time of rehabilitation. The maximum amount that may be spent
rehabilitating a manufactured home is $20,000. No CDBG-R funds may be spent to rehabilitate any
manufactured home built prior to 1978.

In addition, the grantee will adhere to the following:
                                                                                           P a g e | 24

1. Adopt a financial design for rehabilitation that meets the minimum DCA criteria. The financial
   design must be submitted to DCA for review.

2. Prior to rehabilitating a house with a pit privy/outhouse or no wastewater disposal system, if
   public sewer is unavailable, contact the local health department for a determination whether the
   property can be permitted for an on-site wastewater system. If not, the family should be
   relocated.

3. Clear titles as required in the application.

4. Inspect houses in accordance with the North Carolina Division of Community Assistance
    Inspection Worksheet (Attachment A). This worksheet is based on 19L Section .1009
    Housing Rehabilitation. The work write-up is based on this inspection. This should be
    submitted with the grant application. Work write-ups and Attachment A will be required
    before funds are released.

5. Work with the State Health Hazard Control Unit and local government departments to comply
   with federal and state lead-based paint requirements. In addition, ensure rehabilitation design
   will address lead-based paint hazards.

6. Voluntary withdrawal from the program, document with evidence on file.

7. Establish and implement a home maintenance program to instruct occupants of rehabilitated
   houses, including (1) maintenance of any on-site wastewater systems and/or wells or (2)
   maintenance of newly installed indoor plumbing.

8. Install water saving devices in houses with on-site septic tanks. If facets need to be replaced
    install a water saving device. See Bulletin 02-5, Low Flow Plumbing Fixtures

9. If undertaking voluntary clearance, document with evidence on file that property owners are
    Aware of and agree to voluntary clearance.

10. If undertaking rehabilitation, acquisition and/or clearance of dwellings, comply with state
    notification, certification and disposal requirements for asbestos.

11. If acquiring property with a dwelling, maintain a plan for residential reuse of the residential
   property.

12. If undertaking temporary or permanent relocation, budget adequate funds based on the costs of
    housing in the area.

13. If abandoning outhouses or septic tanks, budget adequate funds to cover related costs in
   accordance with state and local health department regulations.

14. Establish a written recipient referral procedure to address non-CDBG-R needs (i.e. social
    services, credit counseling, employment etc.)
                                                                                         P a g e | 25

15. Low and moderate beneficiaries may not be charged for tap fees or assessments for water or
   sewer improvements.

16. All items rehabilitated, if required under the building code, must be permitted and inspected.

17. Under procurement, and bid request for rehabilitation should include a section for estimated
    man hours expended on the project. It should include both administration and labor.

Water and Wastewater (When using CDBG-R funds for water and wastewater activities.)

If funded, grantee will adhere to the following:

18. Utilize only 6” to 8” diameter lines for water and sewer unless there is an engineering
    explanation acceptable to DCA; otherwise, it will pay the costs of any oversized lines or
    undersized lines.

19. Install residential water and/or sewer improvements serving no more than 1/4 mile of vacant
     land unless there is an explanation acceptable to DCA.

20. Provide the following: (a) an on-site service connection (private property) to all occupied LMI
   dwelling units; and (b) provide a service lateral (public property)to vacant occupiable dwelling
   units owned by a LMI owner.

21.The CDBG-R Program does not permit a local government to charge low and moderate-income
    beneficiaries tap fees, assessments, or impact fees for water or sewer improvements.

22. If undertaking water improvements, maintain an approved water supply plan as required by
    G.S. 143-355 on file or a plan has been submitted for approval.

23. Adopt an acceptable sewer use ordinance in a public sewer projectwhich will be placed in
   effect on or before completion date of the project and has established an equitable schedule of
   fees and charges for each category of users that will provide sufficient revenue for adequate
   operation, maintenance, administration, and reasonable expansion; or is in the process of
   adopting such an ordinance as described above.

24. Use CDBG-R funds or local funds in an infrastructure project to clear all abandoned outhouses
    or septic tanks in accordance with local health department regulations.

25. Use CDBG-R funds or local funds to close or cap all wells in accordance with local health
    department regulations.
                                                                                          P a g e | 26

The applicant hereby assures and certifies that by his/her signature, its duly authorized official has
read and understands the State CDBR-R and the CDBG Program Regulations and, if funded, will
adhere to all regulations applicable to the funded project.




       Date                                            Signature of Authorized Official




                                                       Title
                                                                                                             P a g e | 27

      CERTIFICATIONS REGARDING DEBARMENT, SUSPENSION AND OTHER
      RESPONSIBILITY MATTERS

      Applicants should refer to the regulations cited below. Applicants should also review the instructions for
      certification included in the regulations before completing this form, signature on this form provides for
      compliance with certification requirements implementing Federal Executive Order 12549 and guidance
      issued in the Federal Register, Volume 70, No. 168, pages 51863 through 51880 for “Government wide
      Debarment and Suspension (Nonprocurement).” The certification shall be treated as a material
      representation of fact upon which reliance will be placed when the Department of Commerce determines to
      award the covered transaction, grant or cooperative agreement.

              1.         DEBARMENT, SUSPENSION AND OTHER RESPONSIBILITY MATTERS
                     As required by Executive Order 12549, Debarment and Suspension, for prospective participants in
                     primary covered transactions:
                   (1) The prospective primary participant certifies to the best of its knowledge and belief, that it and
                       its principals:
                          (a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or
                              voluntarily excluded from covered transactions by a Federal department or agency;
                          (b) Have not within a three-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 or records, making false statements, or receiving stolen property:
                          (c) Are not presently indicted for or otherwise criminally or civilly charged by a
                              governmental entity (Federal, State or local) with commission of any of the offenses
                              enumerated in paragraph (1)(b) of this certification; and
                          (d) Have not within a three-year period preceding this application/proposal had one or
                              more public transactions (Federal, State, or local) terminated for cause or default.
                   (1) Where the prospective primary participant is unable to certify to any of the statements in this
                       certification, such prospective participant shall attach an explanation to this proposal.


      As the duly authorized representative of the applicant, I hereby certify that the applicant will comply
      with the above applicable certification(s).



NAME OF APPLICANT/GRANTEE                                          GRANTEE NUMBER AND PROJECT NAME




PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE




SIGNATURE                                                          DATE
                                                                                       P a g e | 28

INSTRUCTIONS FOR CERTIFICATIONS REGARDING DEBARMENT, SUSPENSION AND OTHER
RESPONSIBILITY MATTER


  1. By signing and submitting this form, the prospective participant is providing the
     certification set out on the Certification Regarding Debarment, Suspension and Other
     Responsibility Matters” in accordance with these instructions.


  2. Consequences of False Certification - The certification is a material representation of fact
     upon which reliance was placed when this transaction was entered into. If it is later
     determined that the prospective participant knowingly rendered an erroneous certification,
     in addition to other remedies available to the Federal Government, the department or
     agency with which this transaction originated may pursue available remedies, including
     suspension and/or debarment.


  3. Errors in Certifying. - The prospective participant shall provide immediate written notice to
     the person to which this proposal is submitted if, at any time, the prospective participant
     learns that its certification was erroneous when submitted or has become erroneous by
     reason of changed circumstances.


  4. Definitions and Further Guidance - The terms “covered transaction,” “debarred,”
     “suspended,” “ineligible,” ”lower tier covered transaction,” “participant,” “person,” “primary
     covered transaction,” ”principal,” “proposal,” and “voluntarily excluded,” as used in this
     clause have the meanings set out in the Definitions and Coverage section of rules
     implementing Executive Order 12549. You may contact the person to which this proposal is
     submitted for assistance in obtaining a copy of those regulations or you may refer to the
     Federal Register, Vol. 70, No. 168, pages 51863 –51880.


  5. Certification Extends to Subcontractors - The prospective participant agrees by submitting
     this form that, should the proposed covered transaction be entered into, it shall not
     knowingly enter into any lower tier covered transaction with a person who is debarred,
     suspended, declared ineligible, or voluntarily excluded from participation in this covered
     transaction, unless authorized by the department or agency with which this transaction
     originated.


  6. Certification Included in Subcontracts - The prospective participant further agrees by
     submitting this form that it will include this clause titled “Certification Regarding
     Debarment, Suspension, Ineligibility and Voluntary Exclusion-Lower Tier Covered
     Transaction,” without modification in all lower tier covered transactions and in all
     solicitations for lower tier covered transactions.


  7. Reliance on Certification - A participant in a covered transaction may rely upon a
     certification of a prospective participant in a lower tier covered transaction that is not
     debarred, suspended, ineligible, or voluntarily excluded from the covered transition, unless
     it knows that the certification is erroneous. A participant may decide the method and
     frequency by which it determines the eligibility of its principals. Each participant may, but
     is not required to, check the Nonprocurement List.
                                                                                    P a g e | 29

8. New System of Records Not Required - Nothing contained in the foregoing should be
   construed to require establishment of a system of records in order to render in good faith
   the certification required by this clause. The knowledge and information of a participant is
   not required to exceed that which is normally possessed by a prudent person in the
   ordinary course of business dealings.


9. Consequences for Use of Ineligible Subgrantees - Except for transactions authorized under
   paragraph 5 of these instructions, if a participant in a covered transaction knowingly enters
   into a lower tier covered transaction with a person who is suspended, debarred, ineligible,
   or voluntarily excluded from participation in this transaction, in addition to other remedies
   available to the Federal Government, the department or agency with which this transaction
   originated may pursue available remedies including suspension and/or debarment.
                                                                                        P a g e | 30

                                                               Name of Applicant:
COMMUNITY DEVELOPMENT PLAN




The applicant must provide a narrative statement describing its community development and
housing needs including the needs of low and moderate income households in quantifiable terms as
well as short and long term activities to be undertaken to address these needs. Cite references used
for statistical evidence. DCA will use this information to determine if the proposed project
addresses community needs.

[The Community Development Plan must not exceed the three pages.]

1.     What are the housing needs in your jurisdiction?

2.     What are the housing needs of low and moderate income persons in your

       jurisdiction?

3.     What are the water and wastewater needs in your jurisdiction? Include the extent of
       the outhouse problem and/or straight piping of both black and gray water or no
       wastewater disposal systems in your jurisdiction if applicable.

4.      What are the water and wastewater needs of low and moderate income persons in your
jurisdiction?

5.     What are other community needs of low and moderate income persons in your
       jurisdiction (streets, drainage, non-basic needs, etc.)?



6.     What activities does your community plan to undertake to address the need(s)
       identified in questions 1-5 above?

       (a)    Why were these need(s) selected for this project instead of other identified
       needs?

       (b)     If funded, what will be the impact of the project?



7.      What are the current and future plans (within 3 years) for development within a 1/2 mile
        radius of the project area including the development of industrial and/or commercial sites,
        installation of water and sewer lines and facilities, force main lines, streets, etc.?
                                                                                          P a g e | 31

DISCLOSURE OF CIVIL RIGHTS COMPLAINTS/LAWSUITS

The City/County of _________________________ hereby assures and certifies that there are no open,
unresolved or pending Civil Rights Lawsuits against the participating local governments in this
Scattered Site Housing project.



                                                                ___________________

Signature of CEO                                                       Date
                                                                                           P a g e | 32

                                                               Name of Applicant:
PROJECT BUDGET
 1. CDBG-R Grant Amount Requested                                                   $
 2. Other Funds
 3. Total Project Resources
4. Activity                                            5. CDBG –R 6. Other Costs       7. Total Project Costs
                                                          Costs
a. Acquisition
b. Disposition
c. Public facilities and improvements
   (1) Senior and handicapped centers
   (2) Parks, playgrounds and recreation facilities
   (3) Neighborhood facilities
   (4) Solid waste disposal facilities
   (5) Fire protection and equipment
   (6) Parking facilities
   (7) Public utilities other than water and sewer
   (8) [Reserved]
   (9) Street improvements
   (10) Flood and drainage improvements
   (11) Pedestrian improvements
   (12) Other public facilities
   (13) Public sewer improvements
   (14) Public water improvements
d. Clearance activities
e. Public services
f. Relocation assistance
g. Construction, rehabilitation and preservation
    activities
    (1) Construction or rehabilitation of commercial
        and industrial buildings
   (2) Rehabilitation of privately owned dwellings
   (3) Rehabilitation of publicly owned dwellings
   (4) Code enforcement
   (5) Historic preservation
h. Development financing
   (1) Working capital
   (2) Machinery and equipment
i. Removal of architectural barriers
j. Other activities
k. SUBTOTAL                                            $          $                $
l. Planning
m. Administration
n. TOTAL                                               $          $                $
                                                                                      P a g e | 33



CATEGORY SELECTION FORM

The following is a list of eligible categories under the North Carolina State CDBG-R Program. The
local unit of government must select only one category by checking the appropriate box. With each
category selected, there is a list of required documentation. Please make sure that the requested
information is included in the application. Applicants must also indentify any other Recovery Act
funds received or expected to be received from other departments or agencies. List those funds
that will be part of the CDBG-R project on the budget page.

         Infrastructure: Activities include: water, sewer, streets, curb and gutter, drainage,
         sidewalks


In order to show readiness, the local unit of government must include the following
documentation:
     Preliminary Engineering Report (PER)
     Preliminary map of the project area showing the proposed lines and houses in the
       project area
     Copies of income surveys to verify low and moderate-income benefit
     Letters of commitment from other funding sources
     Design/Specs, permits and or any documentation from NCDENR
     Information documenting potential job creation or retention
     Project Map
     Minority and LMI Map
     Certified statement from engineering firm that they are ready to proceed

Matching funds are not required. However, if project cost exceeds the maximum grant
amount of $800,000, as stated above, the local unit of government will need to include
evidence of commitment of other funds.

          Housing: Activities: rehabilitation, acquisition, relocation, clearance, substantial
          rehabilitation, emergency repairs


In order to show readiness under the housing activity, the local unit of government must
include the following documentation:
     Copies of income surveys to verify low and moderate-income benefit
     List of potential recipients
     Selection Process
     Selection Committee members
     Rehabilitation Checklist
     Information documenting potential job creation or retention
     Minority and LMI Map
                                                                                          P a g e | 34

           Special Projects:: Public Facilities: Activities: shelters for victims of domestic
           violence or homeless, transitional housing facilities/housing for the homeless, senior
           centers, community/neighborhood/recreation
           Foreclosure prevention,
           Recovery Capacity Building

In order to show readiness in the Special Projects Public Facilities, the local unit of government
must include the following documentation:
     Market assessment or documentation verifying need
     Information about development team referencing roles, responsibilities, and experience
     Total Project cost including sources and uses.
     Evidence of site control
     Site and architectural plans
     Maps (project map, minority and LMI concentrations
     Information documenting potential job creation or retention

In order to show readiness in the Special Projects’ Foreclosure Prevention category, the
local unit of government must include the following documentation:
     Must document a track record of providing this type of public service or
     Must have as a partner an organization that has the capacity to provide this type of
       service
     Contract with a HUD certified home buyer counselor or have a HUD certified home
       buyer on staff.
     Provide documentation of what the home buyer’s education curriculum consist of
       and information on steps to help the homeowner minimize future foreclosure
       problems
     Documentation of marketing strategy to inform potential clients.
     Information documenting how this activity will help create or retain jobs.

				
DOCUMENT INFO