Tech-renewal submission xls

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Overview

Common
SHP
S+C
SRO
SRO-project budget
non-PHA agreement

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Sheet 1: Common

2008 Technical Submission/Project Revision - Common to All Program Types
NOTE: This is a list of data elements to be included in 2008 technical submission/project revision in e-snaps. New SHP and SRO projects must complete a Technical Submission and New S+C, Renewal SHP and Renewal S+C complete project revision prior to grant execution. The order in which data elements appear on the screens in e-snaps may differ from the order presented here. Whenever possible, information will be brought forward from the SF-424 and Exhibit 2 submitted during the 2008 competition so that selectees will update information already provided.
Data Element/Question	Response Categories/Type	Sub-elements	Response Categories/Type
Project Summary
Project Information -- brought forward from Exhibit 2 application
CoC Number and Name
Project Name
Project Number
Program Type	SHP	Component Type	PH/SH/TH/HMIS/SSO
	S+C		TRA/SRA/PRAR/PRA/SRO
	Section 8 SRO		SRO
Grant Term	1 2 3 5 10 years
Applicant/Selectee & Sponsor Information -- brought forward from SF-424 and Exhibt 2 application
Applicant Name		Does the applicant information need to be updated/corrected before grant agreement?	Yes / No
DUNS #
Applicant/Selectee Contact Person	First Name	Does the applicant information need to be updated/corrected before grant agreement?	Yes / No
	Last Name
	Title
	Phone		If yes, enter updated information
	Fax
	E-mail Address
	Street Address
	City, State, Zip
Applicant Authorized Representative	First Name	Does the applicant information need to be updated before grant agreement?	Yes / No
	Last Name
	Title		If yes, enter updated information
	Phone
	Fax
	E-mail Address
	Street Address
	City, State, Zip
Sponsor Name		Does the sponsor information need to be updated/corrected before grant agreement?	Yes / No / Not applicable
DUNS #
			If yes, enter updated information
Sponsor Contact Person	First Name	Does the sponsor information need to be updated/corrected before grant agreement?	Yes / No / Not applicable
	Last Name
	Title
	Phone		If yes, enter updated information
	Fax
	E-mail Address
	Street Address
	City, State, Zip
Assisted Number of Beds and Participants -- brought forward from Exhibit 2
Housing Type and Scale	Barracks	Number of Units
	Dormitory	Number of Bedrooms
	Shared Housing	Number of Beds
	SRO Units
	Clustered apartments
	Scattered-site apartments
	Single family homes/ townhouses/duplexes
		Does the housing information need to be updated/corrected before grant agreement?	Yes / No / Not applicable
			If yes, enter updated information
Assisted Participants
Households without Dependent Children	Current Level	Number of Disabled Adults	Chronically Homeless
	New Effort or Change in Effort	Number of Non-disabled Adults	Severely Mentally Ill
		Number of Disabled Unaccompanied Youth	Chronic Subtance Abuse
		Number of Non-disabled Unaccompanied Youth	Veterans
			Persons with HIV/AIDS
			Domestic Violence
Households with Dependent Children	Current Level	Number of Disabled Adults	Chronically Homeless
	New Effort or Change in Effort	Number of Non-disabled Adults	Severely Mentally Ill
		Number of Disabled Unaccompanied Youth	Chronic Subtance Abuse
		Number of Non-disabled Unaccompanied Youth	Veterans
			Persons with HIV/AIDS
			Domestic Violence
Does the Assisted Participants information need to be update before grant agreement?	Yes / No	If yes, enteer updated information
Site Control Summary
Site Information & Schedule (for each site)
Address(es) of Structure(s)	Site Name
	Street Address
	City, State, Zip
Do you need to update the site address before grant agreement?	Yes/No	If yes, complete threshold review.
Site Owner	Applicant?
	Sponsor?
	Other?
Site Contact	Contact Person
	Phone
	FAX
	E-mail Address
	Street Address
	City, State, Zip
Site Control & Review
Does the selectee or project sponsor have site control at this time	Yes/No	If yes, check the appropriate box to indicate the form of site control that the project sponsor has now	Deed or other proof of ownership
			Executed contract of sale
			Pre-lease agreement
			Executed lease agreement
			Executed option to purchase land
			List of potential units
Documentation attachment (NEW) Certification attachment (Renewal)		If no, project sponsor has one year from ___________the date of HUD's letter to the selectee notifying it that it was conditionally selected to gain site control.
Does the project meet the site and neighborhood standards detailed at 24 CFR 882.803(b)(2)?	Yes/No/Not Applicable	If no, provide brief explanation
Does the project exceed the per unit rehabilitation cost limitation?	Yes/No/Not Applicable	If no, provide brief explanation
Does the project require the minimum $3,000 rehab per unit?	Yes/No/Not Applicable	If no, provide brief explanation
Site Control Documentation	Attachment of Site Control Documentation
Environmental Review	Complete and attach form HUD 7015.15 or HUD 4128 or equivalent
Certification and Disclosure
Certification/Authentication of Responsible Entity	Name, Title, Date	I hereby certify that all the information stated herein is true and accurate. Warning: HUD will prosecute false claims and statements. Convictioin may result in criminal and/or civil penalties. (18 U.S.C. 1001, 1010, 1012; 31 U.S.C. 3729, 3802)	check box indicating certification
Do you need to update form HUD 2880 before ACC/grant agreement?	Attachment of Certification

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Sheet 2: SHP

2008 Technical Submission/Project Revision for the Supportive Housing Program (SHP)
NOTE: This is a list of data elements to be included in 2008 technical submission/project revision in e-snaps. New SHP projects must complete a Technical Submission and Renewal SHP projects complete project revision prior to grant execution. The order in which data elements appear on the screens in e-snaps may differ from the order presented here. Whenever possible, information will be brought forward from the SF-424 and Exhibit 2 submitted during the 2008 competition so that selectees will update information already provided.
Data Element/Question	Response Categories/Type	Sub-elements	Response Categories/Type
Project Summary
Project Milestones	Expected completion date from execution of grant agreement
Closing on Purchase of land, structure, or execution of lease
Last unit leased (leasing scattered units)
Rehabilitation started
Rehabilitation completed
New construction started
New construction completed
Operations staff hired
Residents begin to occupy
Supportive services begin
Facility near 100% occupied
Enrollment in supportive services near 100% capacity
Implementation of your HMIS project
Program Goals	Objectives to meet program goals	Timeframe for meeting program objectives
Obtain and remain in permanent housing
Increase their skills and/or income
Achieve greater self-determination
Budget Information (brought forward from Exhibit 2)
Acquisition/New Construction/Rehabilitation		Does the budget need to be updated before grant execution?	Yes/No If yes, enter update data
Real Property Leasing
FMR Area	Leased Units	Does the budget for Real Property Leasing need to be updated before grant execution?	Yes/No
	Leased Structures		If yes, enter update data
Indicate rent reasonable rent based on comparables listed	Dollar Amount
Reasonable Rent Certification	Attachment
Supportive Services Budget
	Outreach	Quantity
	Case Management	Yearly amount
	Life Skills (outside of Case Mngmt)	Yearly cash match amount
	Alcohol & Drug Abuse Services
	Mental Health & Counseling Svs.
	HIV/AIDS Services
	Health Related & Home Health
	Education and Instruction
	Employment Services
	Child Care
	Transportation
	Other (specify)
	Other (specify)
	Other (specify)
HMIS Budget	Equipment	Central Server(s), Personal Computers and Printers, Networking, Security
Quantity Yearly Amount Yearly cash match amount	Software	Software/User Licensing, Software Installations, Support and Maintenance, Supporting Software Tools
	Services	Training by Third Parties, Hosting/Technical Services, Programming: Customization, Programming: System Interrface, Programming, Data Conversion, Security Assessment and Setup, On-line Connectivity, Facilitation, Disaster and Recovery
	Personnel	Project Management/Coordination, Data Analysis, Programming, Technical Assistance and Training, Administrative Support Staff
	HMIS Space and Operations	Space Costs, Operational Costs
Operations Budget	Maintenance/Repar	Quantity
	Staff	Yearly amount
	Utilities	Yearly cash match amount
	Equipment
	Supplies
	Insurance
	Furnishings
	Relocation
	Other (specify)
	Other (specify)
	Other (specify)
Administration
	Adminstrative ActivityActivities	Yearly Amount
	Total Amount Requested	Amount for selectee	Amount for Project Sponsor
Distribution Plan for Admin Funds	Brief narrative attachment (NEW) Certification attachment (Renewal)
Summary Project Budget and Cash Match -- populates from sub-budgets
	Acquisition
	Rehabilitation
	New Construction
	Real Property Leasing
	Supportive Services
	Operations
	HMIS
	Administration
Acquisition, Rehabilitation, New Construction, and Project Feasibility
Address of Structure	Street Address	Is this the same address provided in your original application to HUD	yes/no
	City, State, Zip
Site Control
Does the project sponsor have site control at this time	yes/no	If yes, select type of site control documentation	Executed option to purchase
			Deed or other proof of ownership
			Executed contract of sale
Site Control Documentation	Attachment
Zoning	Attachment of Zoning Documentation
Acquisition Cost	yes/no	If Yes, cost of real property to be acquired from a person or entity other than the selectee or project sponsor	Dollar amount
		If Yes, cost of paying off the selectee or project sponsor's outstanding debt on a loan on real property to be used in the SHP project	Dollar amount
Acquisition Cost Attachment
Rehabilitation and New Construction Cost	yes/no	Total Rehabilitation or construction cost for the structure/building based on the cost estimate -- brought forward from budget
		For construction of a structure/building, describe how construction costs are substantially less than rehabilitating the structure/building
		The total in-kind contributions (non-cash) to be made towards the rehabilitation or construction of the structure/building -- brought forward from budget
Rehabilitation and New Construction Cost Attachment	Brief narrative
	Attach a copy of the detailed construction budget, if applicable.
	Rehabilitation and new construction cost estimate attachment
Project Feasility	Total Cash Needed to complete acquisition, rehabilitation or construction of all structures/buildings in project
	Cash Resources	Name of the Organization providing the cash resource
		Amount of resource
		Type of Activity for which the funds are being requested
		Name of the project sponsor organization that the resource will be contributed to and/or the name of the project
		The date the funds will be available
Attachment of Restrictive Covenant
Cash Match
Cash Match Documentation for Year 1	Name	Documentation attachment(s)
	Amount
	Type of activity for which funds will be used
	The name of the project sponsor to which the cash will be constributed and/or the name of the project
	The date the funds will be available
Job Descriptions
Narrative/Job Description attachment (s) (NEW) Certification attachment (Renewal)
HMIS Dedicated Projects
List of CoC Shelter Resources and Schedule for Participation	Types of Shelter Resources
	Emergency	Beds/Unit Capacity
	Transitional	Schedule for participation in HMIS
	McKinney Vento Permanent Hsg.
HMIS Software	Vendor
	System Type
	Types of Activities to be performed
Leveraging
Leveraged Resources	Copy of Written Agreement
	Type and Value of Contribution
	Name of the Project Sponsor Organization
	Name of Project for which the Resource will be Contributed
Leveraging Documentation	Attachment of Leveraging Documentation

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Sheet 3: S+C

2008 Project Revision for the Shelter Plus Care porgram - except the SRO component.
NOTE: This is a list of data elements to be included in 2008 project revision in e-snaps. New and renewal S+C projects (except New SRO component) complete a project revision prior to grant execution. The order in which data elements appear on the screens in e-snaps may differ from the order presented here. Whenever possible, information will be brought forward from the SF-424 and Exhibit 2 submitted during the 2008 competition so that selectees will update information already provided.
CoC Competition (Technical Submission)	Response Categories/Type	Sub-elements	Response Categories/Type
Site Control Summary
Is selectee the PHA?	Yes / No	If no, attachment of formal agreement
		If yes, PHA contact information brought forward from Exhibit 2
PHA Contact Person	First Name	Does the PHA information need to be updated before grant agreement?	Yes/No/Not applicable
	Last Name
	Title
	Phone
	Fax
	E-mail Address
	Street Address
	City, State, Zip
List PHA Information	Name of PHA
	PHA #
Timeline
Inspection of units and final feasibility analysis detailed work write-ups and cost estimates	Date completed from award announcement
Firm commitments of financing and loan closing	Date completed from award announcement
Project Revison Approval	Date completed from award announcement
Execution of grant greement	Date completed from award announcement
Start of rehabilitation activities	Date completed from award announcement
Completion of rehabilitation activities	Date completed from award announcement
Supportive services begin	Date completed from operating start
Enrollment in supportive services near 100% capacity	Date completed from operating start
Last unit leased, if leasing scattered units	Date completed from operating start
Facility near 100% occupied	Date completed from operating start
Matching Requirements for Supportive Services
Documentation of Match for Year 1	Name of the Source
	Source Type	Loans, Grants, Owner's Cash, Tax Credit, Other
	Total Dollar Amount
	Amount available for HUD Use Only
	The date the funds will be available
	Attachment of Source Documentation
Rehabilitation and Financing Costs (for each site)
Rehabilitation Description	Brief narrative
Do you need to update this description before grant agreement?	Yes/No
Cost of Rehabilitation	Total Dollar Amount
Rehabilitation and Financing Documentation (for each site)
Source of Rehabilitation Funds Documentation	Attachment of Source Documentation
(multiple sources allowed)	Name of the Organization
	Source Type	Loans, Grants, Owner's Cash, Tax Credit, Other
	Type of Activity for which the funds will be used
	The date the funds will be available
	Total Dollar Amount
	Amount available for HUD Use Only
Rent Reasonableness Documentation (for each site)
Indicate rent reasonable rent based on comparables listed		Dollar Amount
Attachment of reasonable comparable
Rental Assistance Budget (for each site)
Indicate FMR Area	Area names from FMR table
Units to be Assisted	Indicate number of units by unit size and rent amount	SRO	Current
		0 bedroom units	New effort or change
		1 bedroom units
		2 bedroom units
		3 bedroom units
		4 bedroom units
		5 bedroom units
		6 bedroom units
		7 bedroom units
		8 bedroom units
		Total Units
Other Technical Submission Requirements (when HUD is approving)
Schedule of Allowances for Tenant Furnished Utilities and Other Services	Attachment of form HUD 52667
Proposed variations to the acceptability criteria of the Physical Condition Standards (PCS)	Attachment of variations
Fire and building codes applicable to each project	Attachment codes
Administrative Plan	Provide description	Procedures for establishing tenant outreach;
		A mechanism to monitor the provision of supportive services; and
		A HUD approved policy governing relocation.
Environmental Review	Attach HUD Form 7015.15

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Sheet 4: SRO

2008 Technical Submission for the Section 8 Moderate Rehabilitation Single Room Occupancy (SRO) Program and S+C SRO projects
NOTE: This is a list of data elements to be included in 2008 project revision in e-snaps. New S+C SRO and SRO projects must complete a technical submission prior to grant execution. The order in which data elements appear on the screens in e-snaps may differ from the order presented here. Whenever possible, information will be brought forward from the SF-424 and Exhibit 2 submitted during the 2008 competition so that selectees will update information already provided.
CoC Competition (Technical Submission)	Response Categories/Type	Sub-elements	Response Categories/Type
Is selectee the PHA?	Yes / No	If no, attachment of formal agreement
		If yes, PHA contact information brought forward from Exhibit 2
List PHA Information	Name of PHA	Does the PHA information need to be updated before grant agreement?	Yes / No
	PHA #		If yes, enter updated information
PHA Contact Person	First Name
	Last Name
	Title
	Phone
	Fax
	E-mail Address
	Street Address
	City, State, Zip
Inspection of units and final feasibility analysis detailed work write-ups and cost estimates	Date completed from award announcement
Determination of initial base and contract rents	Date completed from award announcement
Firm commitments of financing and loan closing	Date completed from award announcement
Technical Submission Approval	Date completed from award announcement
Execution of Annual Contributions Contract (ACC)	Date completed from award announcement
Execution of Agreement to Enter Into a Housing Assistance Payments Contract (AHAP)	Date completed from execution of ACC
Start of rehabilitation activities	Date completed from execution of ACC
Completion of rehabilitation activities	Date completed from ACC execution
Execution of HAP contract (not to exceed 365 days after ACC execution)	Date completed from execution of ACC
Rehabilitation and Financing Costs (for each site)
Rehabilitation Description	Brief narrative
Do you need to update this description before ACC?	Yes/No
Use of Funds - Acquisition/Rehabilitation Budget
	Acquisition Costs	Total
	Hard Costs	Ineligible
	Soft Costs	Eligible
	PROJECT COSTS	Prorated
Project Budget	Attach a copy of the detailed project budget.
Construction Budget	CONSTRUCTION COSTS	Total
		Ineligible
		Eligible
		Prorated
Construction Budget	Attach a copy of the detailed construction budget, if applicable.
Rehabilitation and Financing Documentation (for each site)
Source of Rehabilitation Funds Documentation	Attachment of Source Documentation
(multiple sources allowed)	Name of the Organization
	Source Type	Loans, Grants, Owner's Cash, Tax Credit, Other
	Type of Activity for which the funds will be used
	The date the funds will be available
	Total Dollar Amount
	Amount available for HUD Use Only
Rent Reasonableness Documentation (for each site)
	Reasonable rent certiciation
Indicate rent reasonable rent based on comparables listed		Dollar Amount
Reasonable Rent Certification	Attachment of Certification
Rental Assistance Budget (for each site)
FMR Area	Rental Assistance budget brought forward from Exhibit 2
Units to be Assisted		Does the rental assistance budget need to be updated before grant execution?	Yes/No If yes, enter updated information
Units in the Property	Indicate number of units by unit size and rent amount	SRO
		0 bedroom units
		1 bedroom units
		2 bedroom units
		3 bedroom units
		4 or more bedroom units
		Total Units
	Purpose of the Calculations	Agreement Rents, HAP Contract Rents, Other (specify), Preliminary Feasibility (application 2nd submission)
Base and Contract Rent Calculation (for each site)
Base rent Calculation
	Calculate monthly base rent	1. Reasonable rent (based on Rent Reasonableness Documentation) 2. Tenant-paid utility allowance 3. Total (line 1 minus line 2) 4. OBR FMR X .75 minus tenant paid utilities, if any 5. Monthly Base Rent for Assisted units (lesser amount of line 3 or 4)
Maximum Contract Rent Calculation
	Calculate maximum monthly contract rent	6. 0BR FMR X .75 7. Multiply line 6 X 1.2 8. Tenant-paid utilities, if any 9. Line 7 minus 8 (The "Monthly Contract Rent for Assisted Units" may not exceed this amount)
Actual Contract Rent Calculation
	Calculate actual monthly contract rent	10. Total Eligible Rehab Costs including soft costs (from Rehabilitation and Financing Costs section) 11. Sources of Funds for Eligible Rehab Costs and Monthly Debt Service. Complete the chart below to indicate the total amount, rate, term, and monthly debt service for each source of funding for eligible rehabilitation costs.
	h22372: page 17 of operating instructions Indicate the total amount, rate, term, and monthly debt service for each source of funding for eligible rehabilitation costs.
		12. Total Monthly Debt Service per month (11b divided by the number of assisted units)
		13. Monthly Contract Rent for Assisted Units a. Monthly Base Rent (from line C5)
		b. Monthly Debt Service per unit (from line 12)
		c. Monthly Contract Rent for Assisted Units (line 13a + 13b) This amount may not exceed the amount on line D9
HUD field office Public Housing Certification for More than 50 unit Structure	Attachment of Certification
SRO Disclosure Requirements
Do you need to update form HUD 2880 before ACC?	Attachment of Certification
Pecuniary Interest and Identity of Interest	Disclose any pecuniary interest and any identity of interest relationship	Name
		Title
		Role	developer, contractor, subcontractor, consultant, management agent, tax credit investor, equity interest (individual), equity interest (entity), material supplier, lender, or other
		Street Address
		City, State, Zip
		Amount Earning for Project
Pecurinary Interest Non-Disclosure
Tax Credit Certification (Non-Use of LIHTC or HTC programs)	Yes/No	Name of person certifying
Other Technical Submission Requirements (when HUD is approving)
Schedule of Allowances for Tenant Furnished Utilities and Other Services	Attachment of form HUD 52667
Proposed variations to the acceptability criteria of the Physical Condition Standards (PCS)	Attachment of variations
Fire and building codes applicable to each project	Attachment codes
Administrative Plan	Provide description	Procedures for establishing tenant outreach;
		A mechanism to monitor the provision of supportive services; and
		A HUD approved policy governing relocation.

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Sheet 5: SRO-project budget

DESCRIPTION OF COSTS	TOTAL	INELIGIBLE	ELIGIBLE	PRORATED
Acquisition
Purchase Price
Other expenses
Total Acquisition Costs	0	0	0	0
Hard Costs
Demolition
Site work (including landscaping)
Off-site improvements
Construction costs (including equipment)
Hard cost contingency
Builder’s overhead
Builder’s profit
General requirements
Bond premium
Total Hard Costs	0	0	0	0
Soft Costs
Architect
Engineering
Construction interest
Insurance (construction)
Taxes (construction)
Title and recording
Permits and fees
Consultant
Soft cost contingency
Legal (specify)
Relocation
Developer’s fee
Operating reserve
Marketing/lease-up
Working capital reserve
Syndication expenses (legal, accounting, fees)
Furniture
Total Soft Costs	0	0	0	0
TOTAL PROJECT COSTS	0	0	0	0

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Sheet 6: non-PHA agreement

SUBCONTRACT FOR THE ADMINISTRATION OF RENTAL ASSISTANCE
FOR THE RECIPIENT OF THE
SECTION 8 MODERATE REHABILITATION PROGRAM FOR
SINGLE ROOM OCCUPANCY DWELLINGS FOR HOMELESS INDIVIDUALS
Project Number_____________________
This Agreement dated _____________________, entered into by and between ________________________ (Name of Recipient) and ____________________________ (Name of Housing Authority).
WHEREAS, the United States Department of Housing and Urban Development (HUD) has awarded funds to the Recipient for rental assistance under the Section 8 Moderate Rehabilitation Single Room Occupancy (SRO) program, and
WHEREAS, the PHA has agreed to administer the rental assistance award approved by HUD for the Recipient's SRO grant.
NOW, THEREFORE, the parties agree as follows:
1. The PHA will receive an administrative fee not to exceed an amount specified by HUD to administer the rental assistance for the SRO program.
2. The PHA will administer the rental assistance under the SRO program in accordance with HUD requirements.
3. The PHA will enter into an Annual Contributions Contract with HUD to administer the rental assistance under the SRO program for the Recipient in accordance with the Recipient’s application for the SRO program and HUD requirements.
Recipient
By
Signature and Title of Authorized Official
Date
PHA
By
Signature and Title of Authorized Official
Date
SUBGRANT FOR THE ADMINISTRATION OF RENTAL ASSISTANCE
SHELTER PLUS CARE/SECTION 8 MODERATE REHABILITATION FOR SINGLE ROOM OCCUPANCY DWELLINGTS COMPONENT
Project Number_____________________
This Agreement dated _____________________, entered into by and between ________________________ (Name of Recipient) and ____________________________ (Name of Housing Authority).
WHEREAS, the United States Department of Housing and Urban Development (HUD) has awarded funds to the Recipient for rental assistance under the Section 8 Moderate Rehabilitation for Single Room Occupancy Dwellings component of the Shelter Plus Care (S+C/SRO) program; and
WHEREAS, HUD requires states and units of general local government to enter into an agreement with a public housing authority to administer the rental assistance and PHA is willing to administer the rental assistance.
NOW, THEREFORE, THE PARTIES AGREE AS FOLLOWS:
1.      The PHA will receive an administrative fee not to exceed an amount specified by HUD to administer the rental assistance for the S+C/SRO program.
2.      The PHA will administer the rental assistance grant under the S+C/SRO program in accordance with HUD requirements.
3.      The PHA will enter into an ACC with HUD to administer the rental assistance for the Recipient in accordance with Recipient’s application for assistance and HUD requirements.
Recipient	PHA
BY	BY
Authorized Official	Authorized Official
Title	Title
Date	Date