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					           State of South Carolina
 Community Development Block Grant Program

Community Development Project Proposal

    Applicant:                Dorchester County

    Project Title:            St. George Rehabilitation &

    Date Submitted:           September 21, 2009

                     Send an original and 5 copies to:
                      Department of Commerce
                        Grants Administration
                     1201 Main Street, Suite 1600
                        Columbia, SC 29201
                                                           Project Proposal                                                                  2/2009

Block 1: Control Information (State Office Use Only)                                                        Application #:

Grant Number:                                              Grant Period:                                      Award Date:

Block 2: Project Title          St. George Library Rehabilitation & Expansion
Block 3: Application              A.     Advance          Reimbursable
                                                                           Block 4: Funding Sources
         Type                     B.     Individual       Joint                                                                    Amount
Block 5: Applicant Information
Applicant Name and Address:                                                             CDBG Funds Requested
Dorchester County                                                                                  * Local Match
201 Johnston Street                                                                           * Other Leveraging
St. George, SC 29477                                                                            Total Leveraging
Telephone:     843-563-0103                                                                             Grand Total
Secondary Applicant & Address (Joint Application):                         * Identify Sources & Amounts:


Date of Intergovernmental Agreement:
Block 6: Program Category                   * Select Community
                                             Development Category          Block 7: General Information                 Block 8: Project
    Regional Planning                           Community Infrastructure   A. Legislative District Numbers              Location
    Community Development*                      Community Enrichment        Congressional:      6                       Tract(s)
    Business Development                        Village Renaissance         State Senate:       37
                                                Ready to Go Public
    Appalachian Regional Commission                                            State House:         97
    Other (Identify Below)                                                 B. County Development Status:                Group(s)

Block 9: Administering Agency

Contact Person:         Darryl Bullock                                             Title:     Community Development Manager

Address:     1362 McMillan Avenue, Suite 100, North Charleston, SC 29406

Telephone:        843-529-0400                               Fax:     843-529-0305                        Email:
Block 10: Project Summary The project is to upgrade the existing facility and add additional space to accommodate

additional computers within the library. The current building is in need of rehabilitation and upgrading in order to dedicate
room for computers.
Block 11: Authorized Signature

   Jason L. Ward, Administrator
                   Typed Name and Title of Chief
                                                                                            Signature                                 Date
                  Executive/Administrative Official


                       Instructions for Project Proposal Cover, Page 1

Block 1:    Control Information: State Office use only. No action required by applicant.
Block 2:    Project Title: Enter project name, including type of project and location.
Block 3:    Application Type:
            A. Advance/Reimbursable: Check one of the boxes to indicate whether payments will be made in advance
            or for reimbursement.
            B. Check Individual if the grant is applied for by a single entity, or Joint if two or more entities are
            applying jointly.
Block 4:    Funding Sources:
                CDBG Funds Requested: Enter the amount (whole dollars only) requested for this grant.
                Local Match: Enter the total amount of local funds being provided as match.
                Other Leveraging: Enter the total amount of other leveraging. The amount here should equal the total
                 of Column 3 on the page 2 budget.
             Total Leveraging: Enter the total of local match plus other funds committed to this project. The total
                 here should match total leveraging on the page 2 budget, and must be at least 10% of the CDBG funds
             Grand Total: Enter the total of all funds contributed to the project. That is, the sum of all funds.
                 IDENTIFY SOURCES: Enter the sources of all non-CDBG funds.
Block 5:    Applicant Information: Enter the applicant's name, address, and phone number. If the application is
            jointly applied for by two entities, include the secondary applicant's name address, and phone number. If
            an intergovernmental agreement is used for the project, include the date the agreement was executed.
Block 6:    Program Category: Identify the type of program for which you are applying. Other CDBG programs that
            may become available, such as Disaster Recovery, should be identified in the space provided. Community
            Development Program Applications must also designate the appropriate category.
Block 7:    General Information:
            A. Congressional/State District Number: Enter the appropriate district number for the project.
            B. List the County Development Status as designated in the CDBG Application Guidelines: Developed,
            Moderately Developed, Under Developed, Least Developed, Distressed.
Block 8:    Project Location: Identify the tracts and block groups included in the proposed activities.
Block 9:    Administering Agency: Enter the name, address, etc., of the person who can best answer questions about
            the application.
Block 10:   Project Summary: Enter a brief description of the proposed project.
Block 11:   Authorized Signature: Type in the name and title of the chief executive official. This official must sign
            and date the application prior to submission to Grants Administration; Department of Commerce, Grants
            Administration; 1201 Main Street, Suite 1600, Columbia, SC 29201.

                      Instructions for Project Proposal Budget, Page 2
Column 1    CDBG Federal Funds Requested: Enter the funds requested for the respective activities. The Grand
            Total for Column 1 must equal the amount of CDBG funds requested on page 1, Block 4.

Column 2    Enter all local match being provided by the grantee, including the amount required plus any additional
            leveraging from the grantee, including waiver of fees or in kind. The total here must equal the amount of
            local match on page 1, Block 4.

Column 3    Enter all other leveraging from all sources. Include the amount of leveraging required by the program plus
            any additional required to complete the project. Include all types of leveraging, such as grants, loans,
            donations or volunteers. The total here must equal the amount of other leveraging on page 1, Block 4.

Type        Provide code indicating the type of other leveraging.
                                                      Project Proposal                                                 2/2009

  Grant #
                                                            CDBG                              LEVERAGING
                                                         Federal Funds
                                                          Requested             Local Match         Other Leveraging   Funding
                                                          COLUMN 1              COLUMN 2               COLUMN 3         Type*
 Property Disposition
 Code Enforcement
 Rehabilitation- Private Property
 Rehabilitation- Commercial
 Rehabilitation- Personnel
 New Housing Construction
 Relocation             Temporary       Permanent
 Water Facilities
 Sewer Facilities
 Flood and Drainage Facilities
 Street Improvements
 Community Center/Facility

 Other Public Facilities Improvements
 Identify        Library

 Removal of Architectural Barriers
 Interim Assistance
 Public Services
 Economic Development Assistance to “Non-Profit”
 Economic Development Assistance to “For-Profit”
 Microenterprise Assistance
 Other Activities

 Planning Only
 General Administration

                                 Grand Total
* Funding Type Codes:
  C – Cash    G – Grant      L – Loan   I – In Kind   D – Donated Equipment   V – Volunteer Labor    W – Waiver of Fees



CDBG Purpose (check only one)

Choose which one CDBG Program Purpose will be met by the project:

   Decent Housing
   Housing Projects

   Suitable Living Environment
   Public Facilities, Infrastructure, Public Services, Comprehensive, Planning

   Economic Opportunities
   Business Development, Workforce, Economic Competitiveness, Downtown Streetscape

CDBG Outcomes

Choose one primary outcome that will be achieved by the project:

   Improving access to or availability of facilities or services for LMI persons

   Choose one:          New Access
                        Improved Access
                        Improved Access that will meet Quality Standards
   Creating affordable housing or services for LMI persons

   Promoting community livability and sustainability primarily for LMI persons


                                           Outcome Justification

Please provide complete, concise responses to the following questions in the order they are listed. Attach as many pages as
necessary to answer each section. Label responses with the appropriate section title and the corresponding question.
All Outcome Justification pages should be numbered consecutively. When assembling the Project Proposal, the Outcome
Justification should be followed by the Target Plan and the detailed budget or cost estimate.

Market Conditions/Need
1. Identify, describe, and quantify the need or problem. Address the following items, attaching
   supporting documentation if available:
    Type/Severity of the problem, and degree that public health and safety are affected, if applicable.
    Include the level and adequacy of service currently available, if applicable.
    Number and characteristics of persons, households, or businesses affected by the problem.

        Dorchester County operates two separate libraries; one is located in Summerville and
        another in St. George. The St. George location is the targeted facility for upgrading.
        The St. George location serves the upper end of Dorchester County. After reviewing
        patronage at the St. George library, it was determined that the St. George library serves
        Census Tracts 101, 102 and 103. The US Department of Housing and Urban
        Development has determined that 54% of the approximately 12,390 people living in this
        area meet their definition of low and moderate income.

        When the St. George Branch Library was built in 1978 it was 6,060 sq. ft. The
        construction at that time sufficiently accommodated the spatial needs. In 1995 the
        physical structure proved to be inadequate in size and was renovated adding 1,700 sq. ft
        for a total of 7,760 sq. ft. of heated space. The 1995 renovation also included a
        bookmobile bay for a total of 8,300 sq. ft. as well as updating the HVAC and wiring
        systems, re-configured space to add a public meeting room and children’s area, however,
        it still does not fill the current technological needs of the community.

        In the intervening 14 years the roof has begun to leak and much of the duct work seals
        have failed resulting in sweating and water accumulating or soaking into the drop ceiling
        tiles. The County repaired sections of the roof as budget allowed; however, the duct
        work repair was beyond the skill set of County maintenance personnel. The combination
        of the leaking roof and water accumulation from the duct work resulted in a light fixture
        located in the children’s activity area falling from the ceiling while the library was open.
        A tragedy was only adverted by the light fixture being suspended in midair by the
        electrical wires holding it in place. Obviously, if the light fixture had fallen on children
        present could have resulted in a serious injury not to mention a potential lawsuit.

        The building’s current configuration does not provide dedicated space to add more
        computers or expand the book collection. To even maintain the number of books
        currently available, library staff is periodically required to dispose of book collections in
        order to make room for new books. Even though this is somewhat common practice, the
        frequency of the books disposal greatly exceeds the normal level. Sections of the main
        public area do not meet the current building code because the ceiling height is less than
        seven feet high. Subsequent to the 1995 renovation the library added computers and


currently has a total of 10 computers available for public access. However, the area is
not a dedicated space for computer use and is currently adjacent to the library stacks in
an open area. It is disruptive to other library patrons and intrudes upon the Library’s
ability to be a quiet haven for reading and study. Also, the electrical configuration is
insufficient to handle the current number of computers in use.

Demand for computer use has risen among library patrons, severely straining the limited
resources due to the need for more computers and computer space. Between 7/1/2006
and 6/30/2009 computer usage has grown from 10,643 hours during 17,885 user sessions
to 15,335 hours in 26,363 user sessions, which is a 44% increase in the user hours and a
47% increase in the number of user sessions. The Library’s IT infrastructure includes a
server room, originally an old storage room, which is inadequate for supporting current
equipment. There is no additional space in the server room to accommodate future
growth. An expanded designated area will do much to lessen such barriers to study and
learning and create a pleasant computer environment.

The need to increase the public library space for St. George Branch is based on the
generally accepted “minimum industry standards” for public library size which range
from 0.6 sq. ft. per capita to 1.0 sq. ft. per capita. This standard has increased over time
in order to incorporate technology. Based on the 2000 Census reported the population of
service area (Census Tracts 101, 102 & 103) of 13,096. The Environmental System
Research Institute projects a population of 13,880 and 15,684 for 2008 and 2013
respectively, for the same census tracts would require a library of 9,410 - 15,684 sq. ft. to
meet accepted industry standards until the year 2013.

Another critical concern is the lack of parking for the current library which has only 10
off street spaces available. Current zoning specifies at least twice that many. The need
for additional library space is only exacerbated by a lack of parking. The current lot
used by the library is totally inadequate for expansion as the current building is built out
to the property lines leaving no space available to expand either the building or parking

Upper Dorchester County, home to the towns of St. George, Harleyville, and Reevesville,
as well as the community of Dorchester, is rural, largely African American and suffers
much higher unemployment than the lower end of the County (Summerville area) and the
Charleston region as a whole. Data for St. George, the county seat and geographic
center of the upper part of the county, shows an overall unemployment rate of 9.5% and a
staggering 22% for African Americans. The LMI population for this area is 6,913
persons, representing 54% of the area population. SC Department of Education data
indicates that 74% of the student population in Dorchester School District 4 serving this
area qualify for free and reduced lunch.

According to the SC Department of Education, 61.5% of the students that enter 8th grade
in Dorchester District 4 schools (upper Dorchester County) do not complete high school.
Only 37.9% of whites and 26.4% of blacks in the area have earned high school diplomas.


       The wages earned in upper Dorchester County are typically low and, combined with the
       overall education levels, prevent the residents from having the time or finances to obtain
       internet access or reading materials. The manufacturing base in the Upper Dorchester
       County region has suffered the loss of several major employers beginning with the 1996
       closure of St. George of Carolina Industries (clothing factory) resulting in the loss of 200
       jobs. Most recently, there has also been a reduction of workforce at the Lafarge Cement
       Plant in Harleyville, which only operates when there is a demand, resulting in less than
       full time employment; additionally, ITT Conoflow recently laid off 50% of their
       employees as well as reduction in force at Westvaco Chip Mill, Premier Environmental
       Services, and Global Environmental Services.

Citizen Participation
2. Describe how the project was planned and developed and the level of citizen involvement in the
    Include what specific outreach efforts were made to involve local leadership, businesses, and
      residents, especially low and moderate income persons, in the needs assessment and
      development process.
    Include the results produced by these efforts (amount of participation of citizens).

       The initial community needs assessment public hearing was held in February 2009 in
       conjunction with the regularly scheduled County Council meeting in order to facilitate
       participation by Dorchester County citizens. The Community Needs Assessment included
       the expansion and upgrading of the St. George Library as part of the County’s economic
       development needs. Dorchester County feels that having adequate library resources is
       critical to its economic competitiveness, particularly in upper Dorchester County where
       unemployment, reading skills and educational attainment levels are severely low.

       During the past few years expansion of library facilities has been a point of discussion in
       library board meetings and by county administrators. As a result the library has used a
       variety of methods to elicit response from community stakeholders particularly low to
       moderate residents who were included in focus groups and surveys. People including low
       to moderate residents were contacted through a variety of methods that included surveys
       and focus groups and asked the residents to rate their library experience and their
       perceptions about the library facilities.

       An In-Library Survey as well as a mail survey was administered in 2005. The In-Library
       Survey was administered to 409 persons. In addition, the aforementioned survey, a Mail
       Survey was sent to 73 names. There were also eight focus group discussions, six with the
       public and two with staff. In all there were 483 public participants and 19 staff
       participants involved in the process. The end result was that an overwhelming number of
       respondents reported that the St. George Branch Library should be either expanded or a
       larger facility should be constructed at another location in the St. George area.

       The 2005 In-Library Survey revealed that nearly 67 percent of those participating
       indicated that they used the Library (St. George, and/or Summerville and/or the
       Bookmobile) on a weekly basis or more often than weekly.


       The Application Public Hearing that was held on September 15, 2009 resulted in XXX
       persons attending the public hearing. All who were present supported the County
       Library’s efforts to expand within the Town of St. George.

3. Describe the project and how it will work, including the key features, primary and associated
   activities, and location of the project. Discuss any alternatives considered and how this solution was
   chosen. Be specific and quantitative in describing the activities and budget. Additionally, address
   the items below, if appropriate:
    If proposing to create affordable housing, explain the funding gap and how the project will be
       structured financially. Provide detailed information about the entity who will be constructing the
       homes, how the affordable housing will be marketed to targeted customers, and developer’s
       responsibilities. For multi-family projects, describe how the affordability of units occupied by
       LMI households will be assured. Indicate the timeframe for completion of the housing units and
    If proposing a Village Renaissance project, include a description of the comprehensive
       revitalization strategies to improve the neighborhood. Describe all planned phases and activities
       to be undertaken in each phase (include a Target Plan for each phase). Include specific activities
       to engage neighborhood residents in the first phase, and who will undertake the effort.
    If proposing downtown streetscape improvements, describe any phased improvements (by
       activity) pending or completed to date, what is proposed under this grant application, and any
       other improvements that might impact this project. Include funding sources for each phase and
       when the improvements were or will be undertaken.
    If proposing to improve community infrastructure, address capacity, connections, fees, and
       indoor facilities.
    If proposing a community facility or equipment for a community facility, describe the programs
       and services (indicate if new or expanded) that will be provided, days and hours of operation,
       and any fees to be charged.

       Due to the lack of available the land for expansion at the existing site, the County
       initially considered relocating the St. George Library to the County Complex being
       developed outside downtown St. George. However, after considering the Town of St.
       George’s request to have the Library remain in downtown St. George as an anchor to the
       overall livability of the Town of St. George, Dorchester County reconsidered.
       Discussions with library staff disclosed that many of its patrons do in fact walk to the
       library and concurred that the current location did contribute to the livability of St.

       Therefore, the decision was made to have the library remain in downtown St. George, if
       possible. This decision resulted in re-structuring the project plans to include the
       acquisition of additional land to accommodate expansion of the library at its current
       location. Under those circumstances there were only two available choices, to expand in
       the back of the library to its WEST or to its NORTH side. The library staff contracted


an architectural firm to explore schematic plans and cost estimates. In a meeting with
the architect, the lot adjoining the library side was selected due to its street frontage on
North Parler Avenue, and its physical depth. In addition, it was also discussed that
adding on to the existing library would result in cost savings as opposed to constructing
the same square footage as entirely new space. The architect concurred that the library
would have a higher community profile by remaining in the downtown area of St.
George. Although there are cost savings by renovating and adding to the existing site,
the costs exceed the funds available from CDBG. Therefore, Dorchester County is
simultaneously applying for USDA, Community Facility Program to complete the
financing necessary to construct the library renovation and addition primarily for
fixtures, fitting or equipment. It is anticipated that these funds will be available at the
time the CDBG funds are released. In addition, Dorchester County has made available
matching funds in the amount of $50,000 from its general funds to utilize as matching
funds to demonstrate their commitment to the project. The CDBG funds will be used to
acquire the adjoining property and construction costs. The CDBG funds will not be used
to fund fixtures, fittings or equipment.

The project will entail acquiring and demolishing an adjoining home and lot in order to
accommodate the creation of additional space to facilitate the expansion of the library to
expand its computer space and provide necessary off street parking. Once the new space
is completed the library will shift to the new space and then renovate the existing library
facilities. After the renovation is complete the entire square footage available will
increase from its existing 7,600 heated square feet to 12,600 square feet of heated space.
This will result in making available dedicated space for 47 computers with free internet
access to the public at large. Seven of those computers would be in the children and teen
area for learning purposes. The library is the only facility in all of Dorchester County to
offer free internet access to the public.        It is estimated that this would generate
approximately 1,000 square feet of dedicated space for computers to be used by library
patrons. The increase in heated square footage will also accommodate expansion of the
adult stack area as well.

Subsequent to the CDBG funds being awarded Dorchester County will contract with the
BCD Council of Governments (COG) for project administration. The COG will prepare
and submit the initial start up checklist material necessary to secure release of funds.
The COG will also secure the services of a relocation specialist to assist with the
acquisition and relocation of adjoining property to be acquired for the project expansion.
This will ensure strict compliance with URA requirements, particularly those related to
the relocation aspect of the project. The acquisition and relocation of the project will be
the first tasks to be undertaken subsequent to submission of the initial start up check list
information. The COG will also assist the County in procuring the services of an
architectural firm to develop the building renovation plans as well as the design of the
new building space proposed and the floor plan design to maximize the square footage
available. The COG will provide technical assistance once the plans are completed in
the project bidding and subsequent construction and labor management compliance.


The conversion of the old meeting room and additional computers will allow the
expansion of services and the use by small training groups including, but not limited to
the following:

       To have access to the LifeSize, high definition compressed video system in
       which was recently awarded priority 2 funding by the federal e-rate for
       $10,000. Such a system which is compatible with Polycon and other
       systems will allow us to not only hold job training programs but also be
       used individuals and companies to conduct video interviews.

       To hold classes on how to use our resumé building software that is
       installed on all our public computers, which will help job seekers use
       South Carolina Career and Planning Service; a one-stop job site for
       helping people to explore job opportunities.

       To provide additional computer access for library staff to assist more
       people in applying for jobs and as well as training for using computer
       aided career building techniques.

       To provide opportunities for the library staff who are trained and certified
       to teach larger courses in the Bright Beginning Program whose
       participants earn three hours of credit for the DSS Continuing Education
       requirement. The additional space would allow this course to be
       expanded beyond its current use.

According to the Bill and Melinda Gates Foundation, public libraries in the United States
are indispensable in bridging the digital divide: “More than a third of Americans don’t
have Internet access at home. For millions of these people, the public library is the place
to get connected” (Keeping Your Community Connected, 2007). That is certainly true of
the Dorchester County Library including its St. George Branch Library. In only five
years, from 2005 to 2009, annual computer usage by the public throughout our library
system grew from 139,072 uses to 419,471 uses--an increase of more than 201.6%.
Since no other facility in our county offers free public Internet access, our citizens
depend on their local library to provide them with an online portal to a vast world of
information, lifesaving answers, diplomas and degrees, technological literacy, job
listings, and small business information. Section 4-9-38 of the Code of Laws of South
Carolina, 1976 designates “all county public library systems…to be educational
agencies.” That definition is assuredly confirmed by the facts: according to a document
entitled “The Economic Impact of Public Libraries on South Carolina” (University of
South Carolina, 2005), 47% of survey respondents said that their public library helped
them with life-long learning; 28% received an introduction to new technologies there;
13% received help with education or work; 12% received assistance with home
schooling; 76% used their public library in searching for a job.

For many employers, including Dorchester County, the primary means of receiving and
reviewing job applications are an internet/computer based process. The public library is
the only source of free public internet access in Dorchester County. Without adequate


       computer and internet access in today’s digital world, a job search has the potential to be
       literally doomed in this difficult economic climate.

       Once completed the community facility will be open more hours than any other county or
       school institution in this region and will offer computing services to the public as well as
       business services. Since there are no photocopy centers in the St. George Library service
       area, the public library may be the only place where the public can do copying or print
       out business and personal documents. The St. George Public Library’s hours of
       operation are Monday through Thursday 9:30am until 8pm, Friday 9:30am until 4:30pm
       Saturday 9:30am until 5pm and Sunday 1pm until 5pm. Services are free and open to
       everyone and with the additional space and computers, greater access to meet the
       growing demand of our citizens for technological resources and Internet access will be

4. Indicate who owns all property that will be improved with CDBG funds. Specify if acquisition will
   be necessary to complete the project.
    Describe the required acquisition and how associated costs were determined.
    Identify who will be responsible for ensuring compliance with URA.
    If acquisition is not required, indicate how this has been determined.

       Dorchester County currently owns the St. George Library location. However, to meet the
       growing demand for the services offered it will be necessary to acquire additional land.
       The lot on which the current library is situated is built to its maximum capacity. There
       inadequate room for parking or expansion of the current facilities. Therefore,
       acquisition of the adjacent property will be necessary to complete the project. The
       acquisition cost included in the application is based on an appraisal of the property as
       well as the relocation cost included in the application. Both were estimated by Darryl
       Bullock, Community Development Manager, BCD Council of Governments in
       consultation with the former Relocation Manager for SCDOT who was formerly the
       Acquisition and Relocation Manager for the City of Columbia’s Community Development
       Block Grant Program. The estimates are based on URA requirements and HUD’s cross
       cutting regulations.

5. Discuss the status of any pre-development activities that contribute to the construction readiness of
   the project.
    Provide details of the status of the environmental review, acquisition, engineering or
       architectural design, etc. For Ready to Go Public Facilities Projects, all activities leading up to
       bidding must be documented as complete, including but not limited to: project design,
       environmental review, acquisition and permits.


Level of Effort
6. Describe all contributions to the project.
    Include who, what, when, how much, and how it will be documented.
    Include human (in-kind, volunteer), financial, and organizational resources (local leadership,
      non-profits or subrecipient, and businesses), including local match.
    Address the timing and availability of all resources.
    Specify and document the commitment of neighborhood or homeowner participation. (For
      example, households committed to connect to a new water line, contribution of homeowners to
      housing repair, and neighborhood engagement for Village Renaissance.)

7. Explain specific efforts the local government and other organizations have made to address the
   problem in the past. Include a description of:
    Previous expenditures of funds, new policy or personnel to implement change, volunteer efforts
      and planning efforts.
    How the problem and possible solutions are relevant to existing community or regional plans
      (including the Priority Investment Act element of the locality’s comprehensive plan).

State Priorities
8. Indicate how the project addresses a state priority (as listed below):
   Community Infrastructure
   1. Documented threats to the public health of areas that are located near business centers
   2. Other documented threats to the public health or project that will result in regional infrastructure
   3. Access to significantly improved public facilities that meet required quality standards
   Community Enrichment
   1. Workforce development
   2. Healthy communities
   3. Obstacles to economic competitiveness
   Village Renaissance
   1. Project located adjacent to a downtown with significant business activity
   2. Project located in town or near business center
   3. Project located in unincorporated area that would impact economic competitiveness
9. Describe how the project is expected to impact each of the following:
    Resolving identified need via a viable, long term solution.
    Impacting the neighborhood or local business community, and surrounding community.
    Creating immediate economic benefit or job creation (use of local suppliers, estimated # to be
      employed by construction contractor, etc.).
    Stimulating additional investment and activity in the future.

10. Describe how the project will be sustainable.


   Address how the community, local government, or partners will be accountable for sustaining
    the outcome of the project in the future. If applicable, address any market studies conducted to
    indicate need, estimated future use, and ability to sustain project.
   Indicate who will be responsible for owning and ensuring the continued operation and
    maintenance of the facilities or improvements, and source of funds for operation and
    maintenance. Explain why it will not create an undue new operating burden on taxpayers. If
    applicable, refer to specific information in the following budgets: sources and uses development
    budget, pro forma operating budget.
   For all projects, indicate what construction materials and methods to promote green building will
    be utilized.
   For water or sewer projects, provide the usage rate per 6,000 gallons, and include a description
    of any rate increases in the last three years.


                                               Target Plan Instructions

The instructions below apply to the corresponding sections from the Target Plan. Do not submit this page with the completed

CDBG Project Outcome
The CDBG Project Outcome should be taken directly from the CDBG Outcomes designated in the shaded box on page 3. For
example, “Affordability” or “Sustainability.”

Performance Target
List one or more Performance Targets and corresponding primary activities that will lead to completing the proposed outcome. The
Performance Targets are the products of the project with the level of service and timeframe. For example, “Providing opportunities for
15 families to live in safe and decent housing in Palmetto Community in 18 months” and “Promoting livability through safe sidewalks
for Crescent Community in 12 months.”

   Eligibility and National Objective
    The Eligibility Sections from Title I of the Housing and Community Development Act as amended are included as an attachment
    to the Application Guidelines.
    Identify the CDBG National Objective being addressed by each primary activity by using the following:
     LMA- Low and Moderate Income area benefit                           LMJ- Low and Moderate Income jobs (i.e., water
         activity (i.e., water/sewer lines)                                  service to serve an industry)
     LMC- Low and Moderate Income limited clientele                      SBA- Area Slums and Blight
         activity (i.e., workforce center)                                SBS- Spot Slums and Blight
     LMH- Low and Moderate Income housing activity                       UN- Urgent Need
         (i.e., housing rehabilitation)

       Low and Moderate Income Benefit (LMI):
         Public facilities projects must benefit at least 5l% LMI.
         All single family housing rehabilitation projects must benefit 100% LMI.
         Other projects must benefit at least 51% LMI.
       Prevention or Elimination of Slums or Blight:
         For activities addressing area blight:
             Attach an ordinance/resolution from the local governing body designating the project area as a slum, blight, or
                  deteriorated area under local law. The ordinance/resolution must identify the boundaries of the slum and blighted
                  area and must include a description of the conditions that contributed to the deterioration of the area.
             The conditions addressed in this CDBG application must be documented in the slums and blight local
             Attach a map and a description of the boundaries of the slum and blighted area.
         For activities addressing spot blight, provide a description and evidence (such as a code inspection) of the specific
            condition of the slum or blight.
       Urgent Need:
         Describe in the Outcome Justification of this application and attach evidence of the seriousness/immediacy of the threat
            (i.e., Imminent Threat designation from DHEC or the Governor).
         Describe in the Outcome Justification of this application how the condition is of recent origin, or how it has become
            critical in the last 18 months.
         Describe in the Outcome Justification of this application why financial and other resources are not reasonably available
            to address the threat.

   Measures (Benefits)
    Measures for primary activities (not incidental or supportive activities like Administration or Engineering) must include the
    required measures.
         Number of persons                 % LMI
         Number of LMI persons             Number of units (housing projects)

                                       Target Plan Instructions, continued
                                       Do not submit this page with the completed Application.

List the funds necessary to achieve the performance targets. Attach additional detail if necessary. All pre-agreement costs must be
separately detailed and identified as pre-agreement costs in this budget. Pre-agreement costs are not eligible without prior written
approval from Grants Administration. Normally, only the costs of application preparation and development of the environmental
assessment will be allowed prior to grant award, and such costs are incurred at the risk of the applicant. Listing application preparation
and environmental assessment preparation as pre-agreement costs will be sufficient for Grants Administration approval, if funded. The
following limits apply to administration costs:
      CDBG funded general administration costs must be reasonable and should not exceed 10 percent of the subtotal for CDBG
          activity costs (excluding administrative costs) with a $50,000 maximum.
      The cost of rehabilitation personnel combined with the cost of general administration should not exceed 25 percent of
          rehabilitation cost with cap of $1,500 per unit for rehabilitation personnel.
      Engineering costs should not exceed the amounts allowable under the USDA Rural Development Community Facilities
          Program, which are available as an attachment to the Application Guidelines.

The CDBG Cost Per Person should be completed for all activities involving CDBG funds.

CDBG Return on Investment (CDBG ROI) should be entered as the result of Partner Funds divided by CDBG Funds = ROI. For
example, Partner Funds of $1,000,000 divided by CDBG Funds of $500,000 = ROI of 2. As another example, Partner Funds of
$125,000 divided by CDBG Funds of $500,000 = ROI of 0.25.

Attach a Preliminary Engineering Report or more detailed budget if applicable.

Work Plan
List the milestones (tasks) and key individuals or organizations responsible for achieving the performance targets. This schedule
should detail each task and program requirements such as environmental review, start-up, procurement of engineer, design of project,
acquisition, procurement of construction contract, construction, etc. through to close-out. Include the amount of time required from
the beginning of the project to reach each milestone. It should be cumulative, so that the final task ends at or before the end of the
grant period. For example, a task might be to “Procure engineer for system design,” followed by “Project Manager, Palmetto Town”
as the responsible person, followed by “months 2-3” as the scheduled timeframe for completion of the task following the start of the
project. As another example, the next task might be “System design approved by DHEC,” followed by “Engineer” as the responsible
person, followed by “months 4-5” as the schedule.

                                                       Target Plan

CDBG Project Outcome: To strengthen existing library in order to support a higher quality of service
facilities and computer equipment space to enhance skills training and education.
Performance Target: To upgrade the existing library space and add additional space
in order to accommodate expanded computer access.

     Primary Activities                                                                 Measures (Benefits)
  (Do not list engineering or     CDBG Eligibility      National          Total
       administration)               Section            Objective        Persons     LMI Persons     % LMI       # of Units

Budget (Attach PER or detailed budget immediately following the target plan)
                                                                                   Partner                    CDBG Cost
                     Activity Description                    Partner Name          Funds       CDBG Funds     Per Person

    Pre-agreement costs for application preparation
    Pre-agreement costs for environmental review
        (only if applicable)
    General Administration
Cost Estimate Date and Source:                                           CDBG Sub Total:
                                                                     Funding Partners Sub
Date:                                                                               Total:
Source:                                                                       CDBG ROI:
                                                                            Project Total:
Work Plan
                                                                                Resources                      Timeframe
                     Milestones (Tasks)                             (Responsible Persons/Organizations)       (months x-x)

                          Documentation of National Objectives

Low and Moderate Income
   Census Data

   Attach copy of documentation and map.

   Survey:       Date Taken:
   Attach copy of survey instrument and summary of survey results.

If 100 percent sample was not conducted door to door, explain.

Limited Clientele (i.e., QuickJobs Development Center)
   Attach source of estimated # and % LMI of beneficiaries (i.e., estimate of current Tech enrollment
   and income).
   Note: Actual # and % LMI of beneficiaries will be based on income surveys taken for 1 year after
   CDBG improvements completed.

Slums and Blight
  Area   Boundaries of area
             Percentage deteriorated buildings/qualified properties______________________________
             Year Slum/Blight designation_________________________________________________

                Attach adopted local ordinance and resolution.
                Attach map of area and show the location of all buildings or public facilities that are

                Attach inventory and detailed description of public facilities.
                Attach inventory and detailed description of buildings that are substandard. Include
                the total number, type, and location of buildings and whether they are vacant or
   Spot         Attach code inspection report indicating the specific conditions of blight.

Urgent Need
   Attach official declaration of emergency.


For each item below, indicate if it is Attached or Not Applicable.

Market Conditions/Need
Attach   N/A
                  All Projects
                  Attach documentation regarding the extent of need, if available (i.e., letters from DHEC, consent orders,
                  preliminary engineering report, market studies, ISO analysis, etc.).

                  Attach digital photos of the area to be assisted, where possible. For any buildings (housing units,
                  businesses, public facilities, etc.) proposed for assistance (rehabilitation, demolition), please also include a
                  photo of each building. Please return the CD provided with the digital version of the photos, indicating the
                  street address for each site or building.

                  Village Renaissance
                  If the project is an affordable housing project or involves provision of public facilities to serve an
                  affordable housing project, attach a local market analysis study showing the supply and demand. Include
                  vacancy rates, number and type of available units, existing housing affordability, waiting lists and other
                  information. Give source and date of the analysis.

Citizen Participation
                  Attach copies of minutes from the needs assessment and application public hearings.
                  Attach attendance logs from the needs assessment and application public hearings.
                  Attach needs assessment document.
                  Attach documentation of any other efforts to involve citizens.

Attach   N/A
                  Community Infrastructure, Community Enrichment, Ready to Go
                  For public facilities, if site is already owned, attach proof of ownership of the site (copy of deed) where

                  Community Infrastructure, Ready to Go
                  Attach fee and rate schedules, if applicable. For water/sewer line extension projects, attach documentation
                  that existing facilities have the capacity to serve the proposed activities (i.e., letter from water/sewer

                  Complete and attach an Initial Property Assessment for each unit to be assisted with limited rehabilitation.

                  Village Renaissance (if housing)
                  Attach commitments from all owners to participate, if applicable.

                  Attach commitments from all rental property owners reflecting their required match commitment and
                  understanding of the requirements, if applicable.

                  For affordable housing, attach a copy of a written agreement with the developer (private or non-profit)
                  committing the total number of dwelling units in each single family or multi-family structure assisted, the
                  number of those units that will be occupied by LMI households within the grant period, and a schedule for
                  final occupancy.

                  For affordable housing, attach a preliminary site map and design sketch, a pro forma budget, and a sources
                  and uses development budget.

Attach   N/A
               Community Enrichment, Ready to Go
               Attach a one-, three-, and five-year operating budget indicating sources of funds, if assisting a center, fire
               station, computer center in library, etc.

               Attach a preliminary site map and design sketch.

               All Projects
               Attach documentation on pre-development activities, including project design, environmental review,
               acquisition, and permits.

               If the proposed project will result in the displacement or relocation (temporary or permanent) of persons,
               attach a copy of the applicant’s residential anti-displacement and relocation assistance plan and temporary
               relocation plan.

               Attach PER, detailed budget, or equipment list.

Level of Effort
Attach   N/A
               All Projects
               Leveraging of 10% of grant request. A resolution from the local government providing firm commitment
               of the funds must be attached, if applicable.

               Attach written commitment of other financial resources, including volunteer commitments and donation of
               materials. Identify source, amount, estimated # of volunteer hours (if applicable), and date available, if

Attach   N/A
               Community Infrastructure, Ready to Go
               Attach a map showing the location and size of existing and proposed water and sewer facilities.

               For limited housing rehabilitation, attach a map showing the project location and location of proposed
               activities. Indicate the location of each house to be assisted.

               Downtown Streetscape and Village Renaissance
               Attach a one-page master map that shows all the downtown improvements (by activity) pending or
               completed to date, what is proposed under this grant application, and any other improvements that might
               impact this project. Include funding sources for each phase and when the improvements were or will be

               Village Renaissance
               Attach a detailed map showing the project location and location of proposed activities for each phase. If
               applicable, indicate the location of each house to be assisted and alternate units, as well as the status of
               other units in the target area (i.e., vacant, standard, not participating, etc.) The map should clearly show the
               project area’s close proximity to the in-town business center.

               Community Enrichment, Ready to Go
               Attach a map showing other facilities in the area providing the same or similar activities or services as the
               proposed facility, if applicable.

Attach   N/A
               All Projects
               Attach a map of the applicant’s jurisdiction showing concentrations of low and moderate income persons.

               Attach a map of the applicant’s jurisdiction showing concentrations of minority persons.

               Attach a map showing location of the project by census tract and block group.

               Attach a map showing the boundaries of the project within the unit of local government.

                                         CDBG Housing Initial Property Assessment
                                     Complete all fields. Duplicate and submit for each house.

  Locality:                                                                    Unit ID Nbr:

  Property Owner Name:                                                           Telephone:
  Property Address:

  Approximate Sq. Ft.:                                                  Housing Tenure:          Owner Occupied

  Approximate Age:                                                                               Rental

  Only exterior work is eligible. Check the items in this unit that are in need of painting and repair:

     Exterior Surface,                               Front or Visible            Exterior Front Doors,
                               Porches                                                                           Lead Work
     Paint or Siding                                 Side Windows                repair or replace

     Roof, repair or           Gutter, Fascia        Crawl Space Door             Handrails, Guardrails, or handicapped ramp
     replace                   or Eave               or Vent                      repair or installation
     Other (specify):

                                                     Initial Cost Estimate
                                           CDBG Assistance is limited to $10,000 per unit

                             Estimated CDBG Cost:                       $

                             + Estimated $ from other resources:        $

                              Indicate source(s):

                             = Estimated Total Cost:                    $

After an on-site assessment of the above-stated property, this cost range opinion is based on my professional understanding
of the program requirements, construction practices, material costs, labor costs, and all other considerations that may be
relative in this rehabilitation estimate.

                        Signature and Title                                                               Date

                                                                Summary of Survey Results Form
(This form may be duplicated as needed).
                                                                                                                                          Approx.            Committed
Unit                                        Total #    # LMI            CDBG                 Other Leveraging*            Estimated                 Owner/
                 Street Address                                                                                                           Age of                  to
 #                                         Persons    Persons         $ Amount                  ($ and type)            Total Unit Cost             Renter
                                                                                                                                           Unit              Participate

 TOTALS:                                                         $                      $                               $
 Total Houses Responding:                                    %
 **Total Houses Not Responding:                              %
 Total Houses in Target Area:                           =100 %                          Date Survey Conducted:
 Total LMI House:                                            %

* Other leveraging can include: Cash, In-kind Work, Donated Materials, Donated Equipment, or Value of Volunteer Labor
** Any households not responding must be counted as non-LMI.

                                    COMMUNITY DEVELOPMENT BLOCK GRANT
                                          PROGRAM INCOME PLAN

Applicant Name:                                                                    Grant Number:
Project Title:                                                                     Date:

A.     Program Income on Hand
      1.   Does the applicant (or any subrecipient) have CDBG program income on hand?                        Yes            No
      2.   If yes, what grant(s) generated the program income?       Grant #
      3.   Total amount of program income on hand:                         $
      4.   Are the program income funds in a Grants Administration-approved Revolving Fund?                  Yes            No
           If yes:   Amount in the fund:       $
                     Purpose of the fund:

B.     Program Income Determination
      1.   Does the applicant expect this project in combination with income from other CDBG                 Yes            No
           projects to generate income in excess of $25,000 in a single year?
                If no program income is expected, but the grantee receives program income                   Yes            No
                 before the grant is programmatically closed, the grantee agrees that it will be used
                 to defray CDBG project costs in accordance with Grants Administration
                 requirements, or returned to the State. The grantee also agrees to notify Grants
                 Administration immediately upon receipt of such unanticipated income.
                After programmatic closeout, if unexpected program income in excess of $25,000              Yes            No
                 in a single year is received, the recipient agrees to return the funds to Grants
      2.   If yes to Question B-1, does the applicant wish to retain the program income?                     Yes            No
                If yes, complete Part C, Program Income Plan.
                If no, the Grantee agrees to remit the program income to the State in accordance with Grants
                 Administration policies and procedures.

C.     Program Income Plan
       If program income is proposed to be retained, attach additional sheets providing a detailed description of the following
       information: (Each page must be initialized and dated by the authorized official)
      1.   Describe the need for continuing the same activity which generated the program income and how the proposed use of
           program income will serve to address the need in a timely manner.
      2.   Describe how the grantee will ensure that activities undertaken with program income will be in accordance with this
           plan, will meet a national objective, and will comply with applicable requirements of Title I and other Federal
           regulations such as citizen participation, environmental review, acquisition, relocation, and labor requirements, etc.
           Identify the entity that will administer the program income.
      3.   Describe the administrative procedures for collecting, distributing, accounting and reporting the program income.
      4.   Provide an anticipated time frame for program income receipts and expenditures.
      5.   Provide assurance that the grantee will return all unexpended funds and collectable accounts to the State in the event
           the State finds evidence of fraud, waste, mismanagement, and/or substantial non-compliance with the Program
           Income Plan.

     A Program Income Annual Report must be submitted by January 5 for the preceding calendar year if any program
                   income is anticipated or received from this or any previously funded CDBG grant.

        Typed Name and Title of Authorized Official                                              Signature

                               Instructions for Section 102 Disclosure Report
                                    Note: Do not submit the Instructions with completed Project Proposal.

A. Coverage. You must complete this report if:
(1) You are applying for CDBG assistance over $200,000 or you have received, or expect to receive, assistance from HUD in
excess of $200,000 during the during the fiscal year;
(2) You are updating a prior report as discussed below; or
(3) You are submitting an application for assistance to an entity other than HUD, a State or local government if the application
is required by statute or regulation to be submitted to HUD for approval or for any other purpose.
B. Update reports (filed by “Recipients” of HUD Assistance):
General. All recipients of covered assistance must submit update reports to Grants Administration to reflect substantial
changes to the initial applicant disclosure reports.

Line-by-Line Instructions
Applicant/Recipient Information
All applicants for CDBG assistance must complete the information required in blocks 1-5 of the Section 102 Disclosure Form.
1. Enter the full name, address, city, State, zip code, and telephone number (including area code) of the applicant/recipient.
     Where the applicant/recipient is an individual, the last name, first name, and middle initial must be entered.
2. Entry of the applicant/recipient's SSN or EIN, as appropriate, is optional.
3. Applicants enter the State CDBG Program Application Routing Number or Grant Number under which the assistance is
     being requested.
4. Applicants enter the amount of CDBG assistance that is being requested. Recipients enter the amount of CDBG assistance
     that has been provided and to which the update report relates. The amounts are those stated in the application or award
     documentation. NOTE: In the case of assistance that is provided pursuant to contract over a period of time (such as project-
     based assistance under section 8 of the United States Housing Act of 1937), the amount of assistance to be reported
     includes all amounts that are to be provided over the term of the contract, irrespective of when they are to be received.
5. Applicants enter the name and full address of the project or activity for which the CDBG assistance is sought. Recipients
     enter the name and full address of the CDBG-assisted project or activity to which the update report relates. Include

Part I. Threshold Determinations - Applicants Only
Part I contains information to help the applicant determine whether the remainder of the form must be completed. Recipients
filing Update Reports should not complete this Part. If the answer to either question 1 or 2 is No, the applicant need not
complete Parts II and III of the report, but must sign the certification at the end of the form.

Part II. Other Government Assistance and Expected Sources and Uses of Funds
A. Other Government Assistance. This Part is to be completed by both applicants and recipients for assistance and recipients
    filing update reports. Applicants and recipients must report any other government assistance involved in the project or
    activity for which assistance is sought. Applicants and recipients must report any other government assistance involved in
    the project or activity. Other government assistance is defined in note 4 on the last page. For purposes of this definition,
    other government assistance is expected to be made available if, based on an assessment of all the circumstances involved,
    there are reasonable grounds to anticipate that the assistance will be forthcoming. Both applicant and recipient disclosures
    must include all other government assistance involved with the HUD assistance, as well as any other government
    assistance that was made available before the request, but that has continuing vitality at the time of the request. Examples
    of this latter category include tax credits that provide for a number of years of tax benefits, and grant assistance that
    continues to benefit the project at the time of the assistance request. The following information must be provided:
    1. Enter the name and address, city, State, and zip code of the government agency making the assistance available.
    2. State the type of other government assistance (e.g., loan, grant, loan insurance).
    3. Enter the dollar amount of the other government assistance that is, or is expected to be, made available with respect to
         the project or activities for which the CDBG assistance is sought (applicants) or has been provided (recipients).
    4. Uses of funds. Each reportable use of funds must clearly identify the purpose to which they are to be put. Reasonable
         aggregations may be used, such as "total structure" to include a number of structural costs, such as roof, elevators,
         exterior masonry, etc.

B. Non-Government Assistance. Note that the applicant and recipient disclosure report must specify all expected sources and
   uses of funds - both from HUD and any other source - that have been or are to be, made available for the project or
   activity. Non-government sources of funds typically include (but are not limited to) foundations and private contributors.

Part III. Interested Parties.
This Part is to be completed by both applicants and recipients filing update reports. Applicants must provide information on:
1. All developers, contractors, or consultants involved in the application for the assistance or in the planning, development, or
    implementation of the project or activity; and
2. Any other person who has a financial interest in the project or activity for which the assistance is sought that exceeds
    $50,000 or 10 percent of the assistance (whichever is lower).
Note: A financial interest means any financial involvement in the project or activity, including (but not limited to) situations in
which an individual or entity has an equity interest in the project or activity, shares in any profit on resale or any distribution of
surplus cash or other assets of the project or activity, or receives compensation for any goods or services provided in connection
with the project or activity. Residency of an individual in housing for which assistance is being sought is not, by itself,
considered a covered financial interest. The information required below must be provided.
1. Enter the full names and addresses. If the person is an entity, the listing must include the full name and address of the entity
    as well as the CEO. Please list all names alphabetically.
2. Entry of the Social Security Number (SSN) or Employee Identification Number (EIN), as appropriate, for each person
    listed is optional.
3. Enter the type of participation in the project or activity for each person listed: i.e., the person's specific role in the project
    (e.g., contractor, consultant, planner, investor).
4. Enter the financial interest in the project or activity for each person listed. The interest must be expressed both as a dollar
    amount and as a percentage of the amount of the HUD assistance involved.
Note: If any of the source/use information required by this report has been provided elsewhere in this application package, the
applicant need not repeat the information, but need only refer to the form and location to incorporate it into this report. (It is
likely that some of the information required by this report has been provided on SF 424A, and on various budget forms
accompanying the application.) If this report requires information beyond that provided elsewhere in the application package,
the applicant must include in this report all the additional information required. Recipients must submit an update report for any
change in previously disclosed sources and uses of funds as provided in Section I.D.5., above.
1. All citations are to 24 CFR Part 4, which was published in the Federal Register. [April 1, 1996, at 63 Fed. Reg. 14448.]
2. Assistance means any contract, grant, loan, cooperative agreement, or other form of assistance, including the insurance or
     guarantee of a loan or mortgage, that is provided with respect to a specific project or activity under a program administered
     by the Department. The term does not include contracts, such as procurements contracts, that are subject to the Fed.
     Acquisition Regulation (FAR) (48 CFR Chapter 1).
3. See 24 CFR §4.9 for detailed guidance on how the threshold is calculated.
4. “Other government assistance" is defined to include any loan, grant, guarantee, insurance, payment, rebate, subsidy, credit,
     tax benefit, or any other form of direct or indirect assistance from the Federal government (other than that requested from
     HUD in the application), 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 sought.
5. For the purpose of this form and 24 CFR Part 4, “person” means an individual (including a consultant, lobbyist, or lawyer);
     corporation; company; association; authority; firm; partnership; society; State, unit of general local government, or other
     government entity, or agency thereof (including a public housing agency); Indian tribe; and any other organization or
     group of people.

                                                           Section 102 Disclosure Report
 Applicant/Recipient Information:                                                   Indicate whether this is an Initial Report or an Update Report
 1. Name, Address, and Phone:                                                                              2. Employer ID Number:

 3. State CDBG Program Application Routing Number/Grant Number:                                                  4. Amount of CDBG Assistance

 5. Name and location (street address, City and State) of the project or activity:

 Part I. Threshold Determinations
 1. Is the amount in 4 (above) more than $200,000?                                    2. Have you received, or do you expect to receive any assistance from
                                                                                      HUD in excess of $200,000 during the fiscal year?

     Yes               No                                                                  Yes              No
 If you answered “No” to both questions 1 and 2, Stop! You do not need to complete the remainder of this form.
 However, you must sign the certification at the end of the report.

Part II. Other Federal Government Assistance Provided or Requested/Expected Sources & Use of Funds
Such assistance includes, but is not limited to, any grant. loan, subsidy, guarantee, insurance, payment, credit or tax benefit.
     Department/State/Local Agency Name and Address                Type of Assistance            Amount Requested/Provided          Expected Uses of the Funds

 (Note: Use additional pages if necessary)

 Part III: Interested Parties You must disclose:
 1. All developers, contractors, or consultants involved in the application for the assistance or in the planning, development, or implementation
    of the project or activity and
 2. Any other person who has a financial interest in the project or activity for which the assistance is sought that exceeds $50,000 or 10
    percent of the assistance (whichever is lower).
   Alphabetical list of all persons with a reportable financial
               interest in the project or activity                Social Security No. or           Type of Participation in     Financial Interest in Project/Activity
          (For individuals, give the last name first)               Employer ID No.                   Project/Activity                       ($ and %)

 (Note: Use additional pages if necessary)

 Warning: If you knowingly make a false statement on this form, you may be subject to civil or criminal penalties under Section 1001 of Title
 18 of the United States Code. In addition, any person who knowingly and materially violates any required disclosures of information, including
 intentional non-disclosure, is subject to civil money penalty not to exceed $10,000 for each violation. I certify that this information is true and
 Signature:                                                                     Date:

                                            Conflict of Interest Certification
In the procurement of supplies, equipment, construction, and services by recipients and subrecipients, the provisions of the
South Carolina Ethics, Government Accountability, and Campaign Reform Act of 1991 apply. In all cases not governed by the
ethical standards of the South Carolina Ethics, Government Accountability, and Campaign Reform Act of 1991, such as the
acquisition and disposition of real property and the provision of assistance with CDBG funds by the recipient or its
subrecipients to individuals, businesses and other private entities under eligible activities, the conflict of interest provisions in
the State CDBG regulations at 24 CFR Part 570.489 (h) apply in addition to the State Ethics Law.

CDBG requirements pertaining to conflict of interest are summarized as follows:

Conflicts Prohibited - Except for the use of CDBG funds to pay salaries and other related administrative or personnel costs,
the general rule is that no persons (described below under “Persons Covered”) who exercise or have exercised any
functions or responsibilities with respect to CDBG activities or who are in a position to participate in a decision-making
process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a
CDBG-assisted activity, or have an interest in any contract, subcontract or agreement with respect thereto, or the
proceeds thereunder, either for themselves or those with whom they have family or business ties, during their tenure or
for one year thereafter.

Persons Covered - The Conflicts of Interest provisions apply to any person who is an employee, agent, consultant, officer, or
elected official or appointed official of the State, the unit of local government, or of any designated public agencies or
subrecipients that are receiving CDBG funds.

Exceptions - Upon the written request of the applicant/recipient, Grants Administration may grant an exception to the
provisions of this section on a case-by-case basis if there has been public disclosure of the conflict and it is determined that
such an exception will serve to further the purposes of Title I and the effective and efficient administration of the program or
project of the State or the unit of local government.

Certification -
The unit of local government submits this application with the assurance that any conflict of interest as defined above or
any appearance of conflict has been disclosed publicly and with this application; and the unit of local government has
complied with State law and CDBG regulations. Any affected person has withdrawn from functions, responsibilities, or
decision making with regard to the grant. It is further certified that if this grant is awarded, the unit of local government
will disclose any potential conflict or the appearance of conflict before taking any action to approve assistance and will fully
comply with these requirements.

If not already identified in the application, the following potential conflicts exist:

 Name                                        Type of Conflict

Unit of Local Government:                                                         Project:

Name of Certifying Officer:                                                       Title:

Signature:                                                                        Date:

                                                  Program Certifications

I,                                                             ,
                              Name                                                             Title

                                                               certify that
                  Unit of Local Government                                                  Town, City or County

1. Is following the citizen participation requirements for the Community Development Block Grant (CDBG) Program
    (a) Provides for and encourages citizen participation, particularly by low and moderate income persons who reside in slum
        or blighted areas and areas in which CDBG funds are proposed to be used;

     (b) Ensures that citizens will be given reasonable and timely access to local meetings, information, and records relating to
         this unit of local governments proposed use of and actual use of CDBG funds,

     (c) Furnishes citizens information, including but not limited to:

            (1)    The amount of CDBG funds expected to be made available for the current fiscal year (including the grant and
                   anticipated program income);

            (2)    The range of activities that may be undertaken with CDBG funds;

            (3)    The estimated amount of CDBG funds proposed to be used for activities that will meet the national objective
                   of benefit to low and moderate income persons; and

            (4)    The proposed CDBG activities likely to result in displacement and the unit of local governments anti-
                   displacement and relocation plans as required,

     (d) Provides for technical assistance to groups representative of persons of low and moderate income that request such
         assistance in developing proposals in accordance with the procedures developed by the State. Such assistance need not
         include providing funds to such groups;

     (e) Provides for a minimum of two public hearings, each at a different stage of the program, for the purpose of obtaining
         citizens’ views and responding to proposals and questions. Together the hearings cover community development and
         housing needs, development of proposed activities and a review of program performance. The public hearings to cover
         community development and housing needs must be held before submission of an application to the State. There must
         be reasonable notice of the hearings and they must be held at times and locations convenient to potential or actual
         beneficiaries, with accommodations for the disabled. Public hearings shall be conducted in a manner to meet the needs
         of non-English speaking residents where a significant number of non-English speaking residents can reasonably be
         expected to participate;

     (f) Provides citizens with reasonable advance notice of, and opportunity to comment on, proposed activities in an
         application to the State and, for grants already made, activities which are proposed to be added, deleted or substantially
         changed from the unit of local government’s application to the State. Substantially changed means changes made in
         terms of purpose, scope, location or beneficiaries as defined by criteria established by the State.

     (g) Provides citizens the address, phone number, and times for submitting complaints and grievances, and provides timely
         written answers to written complaints and grievances within 15 working days, where practicable;

2. Assures that all reasonable steps have been taken to minimize the displacement of persons (families, individuals, businesses,
   nonprofit organizations, and farms) as a result of CDBG assisted activities.

3. Will comply with the acquisition and relocation requirements of the Uniform Relocation Assistance and Real Property
   Acquisition Policies Act of 1970 , as amended, and implementing regulations at 49 CFR Part 24; and it has in effect and is
   following a residential anti-displacement and relocation assistance plan required under section 104(d) of the Housing and
   Community Development Act of 1974, as amended, in connection with any activity assisted with funding under the CDBG

4. Will not attempt to recover any capital costs of public improvements assisted with CDBG funds including Section 108 loan
   guaranteed funds by assessing any amount against properties owned and occupied by persons of low and moderate income
   including any fee charged or assessment made as a condition of obtaining access to such public improvements. However, if
   CDBG funds are used to pay the proportion of fee or assessment that relates to the capital costs of such public
   improvements (assisted in part with CDBG funds) financed from other revenue sources, an assessment or charge may be
   made against the property with respect to the public improvements financed by a source other than CDBG funds. It will not
   attempt to recover any capital costs of public improvements assisted with CDBG funds, including Section 108, unless
   CDBG funds are used to pay the proportion of fee or assessment attributable to the capital costs of public improvements
   financed from other revenue sources. In this case, an assessment or charge may be made against the property with respect
   to the public improvements financed by a source other than CDBG funds. Also, in the case of properties owned and
   occupied by moderate-income (not low income) families, an assessment or charge may be made against the property for
   public improvements financed by a source other than CDBG funds if the jurisdiction certifies that it lacks CDBG funds to
   cover the assessment.

5. Has adopted and is enforcing:
   (a)    A policy prohibiting the use of excessive force by law enforcement agencies within its jurisdiction against any
          individuals engaged in non-violent civil rights demonstrations; and

   (b)       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 non-violent civil rights demonstrations within its jurisdiction;

6. Will conduct and administer the grant in conformance with Title VI of the Civil Rights Act of 1964 (42 USC 2000d), the
   Fair Housing Act (42 USC 3601-3619), and implementing regulations and agrees to take actions to affirmatively further fair

7. Will certify, to the best of the certifying official’s knowledge and belief, that:
   (a)     No Federal appropriated funds have been paid or will be paid, by or on behalf of it, 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 Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and
           the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan or cooperative

  (b)        If any funds other than Federal funds have been paid or will be paid to any person for influencing or attempting to
             influence an officer or employee of any agency, a Member of Congress, an officer or employee with this Federal
             contract, grant, loan or cooperative agreement, it will complete and submit Standard Form-LLL, Disclosure Form to
             Report lobbying in accordance with its instructions; and

  (c)        It will require that the language of paragraphs 1 and 2 of this certification be included in the award documents for all
             sub-awards at all tiers (including subcontracts, sub-grants, and contracts under grants, loans, and cooperative
             agreements) and that all subrecipients shall certify and disclose accordingly.

8. Will comply with the provisions of Title I of the Housing and Community Development Act of 1974, as amended, and
   with other applicable State and Federal laws;

  I declare that I am duly authorized, under the laws of the above-named unit of general local government, to make the
  foregoing certifications and acknowledge that these certifications may not be construed to restrict the responsibility or
  authority of the above-named unit of local government for the development and execution of its community development
  program as required by Title I of the Housing and Community Development Act of 1974, as amended, and the laws,
  regulations, and the policies of the State of South Carolina.

             Typed Name and Title of                                     Signature                                  Date
         Chief Elected or Executive Official

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