FY14 HUD CoC PSH Bonus Application

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TX-503 Austin/Travis County FY14 HUD CoC Permanent Supportive Housing
Bonus Fund Program Application
Background:
In the FY2014 COC NOFA, HUD reserved $40 million for Permanent Supportive Housing (PSH) Bonus
Projects that serve the chronically homeless. The Austin/Travis County CoC (TX-503) is eligible for
$837,348 in PSH Bonus funding. The CoC can only include one application in the FY2014 NOFA.
Prior to completing this application, all applicants are expected to have read the following:
 2014 COC Program NOFA https://www.hudexchange.info/resource/4032/nofa-for-fy2014funds-in-the-fy2013-fy2013-coc-program-competition/
 HEARTH COC PROGRAM INTERIM RULE
https://www.hudexchange.info/resource/2033/hearth-coc-program-interim-rule/
 HUD Notice on Prioritizing Persons Experiencing Chronic Homelessness and Other
Vulnerable Homeless Persons in Permanent Supportive Housing and Recordkeeping
Requirements for Documenting Chronic Homeless Status
https://www.hudexchange.info/resources/documents/Notice-CPD-14-012-Prioritizing-PersonsExperiencing-Chronic-Homelessness-in-PSH-and-Recordkeeping-Requirements.pdf
PSH Bonus Requirements:
 Project Applicant must be a 501c3
 Project must exclusively serve the chronically homeless
 Project must provide permanent supportive housing (PSH)
 Project must prioritize those most in need
 The applicant must demonstrate it has experience in operating a successful Housing
First program, and clearly describe a program design that meets the definition of Housing First
 Project must provide scattered-site leasing or tenant-based rental assistance; or, if the applicant
can provide a deed or long-term lease demonstrating site control for a building or units where
evidence of site control exceeds the requested grant term, and where the building or units are
ready to be occupied no later than 6 months after the award of funds, the applicant may instead
request operating costs or project-based rental assistance. No capital costs are allowed;
 Project applicant must be in good standing with HUD, which means that the project applicant
does not have any open monitoring Findings, or history of slow expenditure of grant funds
 BUDGET: Request no less than 70 percent of total program funding (not including funds
for administration) for leasing, rental assistance, or operating costs. No more than 30 percent of
the total program funding may be used for supportive services costs and the types of supportive
services for which the funding may be used is limited to the following:
 Assistance with moving costs
 Case management (24 CFR 578.53(e)(3)),
 Food (24 CFR 578(e)(7)),
 Housing/search and counseling services(24 CFR 578.53(e)(8)),
 Life skills (24 CFR 578.53(e)(10)),
Outreach services (24 CFRR 578.53(e)(13)),
 Transportation (24 CFR 578.53(e)(15)), and
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TX-503 Austin/Travis County FY14 HUD CoC Permanent Supportive Housing
Bonus Fund Program Application


Utility deposits (only if these are not included in rental/lease agreement)(24
CFR 578.53(e)(16)).
All other eligible supportive services costs under the CoC Program interim rule
are not eligible costs under this Permanent Supportive Housing Bonus
Submission Guidelines
 The FY14 HUD CoC PSH Bonus Funding Project Application must be completed, signed, dated
and submitted electronically to Niki Paul, ECHO Operations Manager via email
nikipaul@austinecho.org no later than 5pm CT on Friday, October 10th, 2014.
 Application review and presentations are scheduled to be reviewed by an Independent Review
Team (IRT) on Tuesday, October 14th. ECHO will inform all participants of funding decision as
soon as possible, but no later than October 20th, 2014.
Questions and Comments:
Any questions or comments regarding the request for applications should be directed to Niki Paul, ECHO
Operations Manager at nikipaul@austinecho.org or by phone 512-571-3945.
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TX-503 Austin/Travis County FY14 HUD CoC Permanent Supportive Housing
Bonus Fund Program Application
Agency Name:
Project name:
Amount of Request:
Number of Years for which funding is requested (Grant Term):
Primary Contact Information for Application
Contact Name:
Title:
Email Address:
Phone:
New Project Type:
Type:
 Permanent Supportive Housing
# of Units:
# of Beds
How many chronically homeless clients are you proposing to serve per year in the contract for which you are
applying?
Note: This project must exclusively serve chronically homeless individuals
Will the units be scattered site or site based?
 Scattered Site
 Site Based
 N/A
If scattered site, is there a minimum number of units at each site?
 Yes: Minimum number of units: _________
 No
 N/A
Are you applying for rental assistance or leasing for the project?
 Rental assistance
 Leasing
Do you currently have a relationship with the owner of the units?
 Yes
 No
 Explain the relationship, if any______________________________
Location of Units (if applicable) Complex Name(s) & Zip Code(s):
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TX-503 Austin/Travis County FY14 HUD CoC Permanent Supportive Housing
Bonus Fund Program Application
*Who will own the lease - (Check all that apply.)
The units will be:
 Leased by the organization
 Leased by tenant on their own lease
 Leased by the tenant on a master lease
 Owned by the organization
Describe how accessible will be most community amenities to project participants (school, libraries, houses
of worship, grocery stores, laundromats, doctors, dentists, parks, or recreational facilities) max 1000
characters) Note all character limits are without spaces
Project Threshold
It is the priority of ECHO to ensure that all projects operate under the highest quality of industry standards,
are meeting HUD requirements, providing staff with professional development opportunities and seeking to
continually improve the operations of the project.
1. Will Housing Quality Standards/Health and Safety Inspections be conducted per
HUD requirements? If no, explain. (Limit: 750 characters)
 Yes
 No
 N/A
2. Will the project provide clients with specialized resources for to meet the unique
needs of clients with physical, cognitive, or behavioral disabilities and provides
reasonable accommodations for clients with linguistic and/or cultural challenges.
(I.e. ramps, Spanish language forms, etc.)
If yes, describe the resources and accommodations that will be available for
clients. (Limit: 750 characters)
3. If applicable, will Energy Star be used at one or more of the properties?
 Yes
 No
 Yes
 No
 N/A
PROJECT READINESS
Describe the estimated schedule for the proposed activities, the management plan,
and the method for assuring effective and timely completion of all work timeline.
Outline the work plan that will be in place to ensure that the first clients can enter
the program within 6 months of award and demonstrate how full capacity will be
achieved over the term being requested. If any project site is not currently owned
or under a lease agreement, provide a summary of relevant contracts and
agreements (e.g., with local landlords, housing locator specialists, public housing
authority, other partner organizations) needed for the achievement of project
operation. The narrative must provide evidence that ensures there will be no delay
in service provision to participants, operation of CoC management systems, or the
leasing of units for reasonable rents.
(Limit: 1500 characters)
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TX-503 Austin/Travis County FY14 HUD CoC Permanent Supportive Housing
Bonus Fund Program Application
PROJECT OVERVIEW
Provide a clear and concise project description. Describe the community needs,
target population(s) to be served, project plan for addressing the identified
housing and supportive service needs, projected project outcome(s), coordination
with other source(s)/partner(s), and the reason why CoC Program support is
required. In cases where the proposed project is expanding an existing project,
document, when applicable, how the requested funds will supplement existing
services and resources, and/or increase participants served ( max 2000 characters)
SERVICE DESIGN
Describe how participants will be assisted to obtain and remain in permanent
housing: Describe plans to move participants from the streets, emergency shelters,
and safe havens into permanent housing, as well as plans to ensure that
participants stabilize in permanent housing. A good response will acknowledge the
needs of the target population and include plans to address those needs through
current and proposed case management activities, and the availability and
accessibility of supportive services through primary health services, mental health
services, educational services, employment services, life skills, and/or child care
services.If participants will be housed in units not owned by the project applicant,
the narrative must also indicate how appropriate units will be identified and how
the project applicant or subrecipient will ensure that rents are reasonable.
Established arrangements and coordination with landlords and other homeless
services providers should be detailed in the narrative (max 200 characters)
1. What will be your client to case manager ratio for this project?
2. Please describe the expected qualifications, key functions, and supervision of case managers. (Limit: 1000
characters)
3. How often will case managers plan to meet with clients?




Weekly
Every other week
Monthly
Every other month
Project Prioritization
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TX-503 Austin/Travis County FY14 HUD CoC Permanent Supportive Housing
Bonus Fund Program Application
How will the project prioritize individuals with the highest need? Include the
following:
 Describe the system you currently use to determine severity of need for
the chronically homeless
 Describe your organizations current participation in Coordinated
Assessment and how Coordinated Assessment will be used to prioritize
clients with the most severe need
 Describe the outreach process you will use to engage chronically homeless
individuals living on the streets and in shelter
(Limit 2000 characters)
HOUSING FIRST
1. Describe your organization’s experience in operating a successful housing first
program and include a description of the elements of the program design that
meet the definition of housing first.
(Limit 2000 characters)
2 Will the project accept clients regardless of substance use history or current use?
If no, explain how the project will assess and address the clients who have a history
of substance use. (Limit: 1000 characters)
 Yes
 No
3. Will the project accept clients who are diagnosed with or show symptoms of a
mental illness? Explain how the project will serve clients with a mental illness.
(Limit: 1000 characters)
 Yes
 No
4. Will the project accept all clients regardless of criminal history? Identify how far
back criminal checks be conducted and identify if there are any convictions for
which a client will be excluded from the program. (Limit: 1000 characters)
 Yes
 No
5. Will the project accept clients regardless of rental history or past evictions? If no,
explain. (Limit: 750 characters)
6. Will the project accept clients regardless of lack of financial resources? If no,
explain. (Limit: 750 characters)
7. Will clients be required to engage in case management or services as a condition
of remaining in housing? Describe the steps that will be taken to outreach to clients
to encourage them to partake of services. (limit 750 characters)
8. What percentage of the client’s income will be charged for rent?
9. What will be the grounds for dismissal from the program? Limit 750 characters
 Yes
 No
 Yes
 No
 Yes
 No
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TX-503 Austin/Travis County FY14 HUD CoC Permanent Supportive Housing
Bonus Fund Program Application
10. Will the project allow clients to remain in the project even if they require an
absence of 90 days or less due to the reasons outlined below?
Yes
No
If other laws or funders of the project require less amount of time, but the project
eligibility criteria does not, please select no and describe the funder policy or law in
the space below. (Limit: 750 characters)
 Substance use treatment
 Mental illness treatment
 Hospitalization
 Incarceration
11. Will the project’s discharge policies include the following? Check all that apply.
 An internal, due process hearing or investigation prior to discharging the client.
 Assistance with locating other housing (for housing projects) or services (for
SSO projects) options, if needed.
 Make and document all reasonable attempts to avoid discharging clients onto
the street without needed services.
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TX-503 Austin/Travis County FY14 HUD CoC Permanent Supportive Housing
Bonus Fund Program Application
SUPPORTIVE SERVICES
1. What supportive services will be accessible to clients from your agency or through formal project
agreements with partner agencies. Note: only assistance with moving, case management, food, housing
search and counseling, life skills, outreach services, transportation and utility deposits (as long as they are
not included in a rental, leasing agreement are eligible for reimbursement in this PSH Bonus Project) are
eligible costs for this program. The eligible costs are highlighted below.
Supportive Service
Accessible to Clients
(check all that apply)
Who will provide the
service
Is a formal MOU in
place?
Assessment of Service
Needs
Assistance with Moving
Cost
Case Management
Child Care
Education Services
Employment Assistance &
Job Training
Food
Housing Search and
Counseling Services
Legal Services
Life Skills Training
Mental Health Services
Outpatient Health Services
Outreach Services
Substance Abuse
Treatment Services
Transportation
Utility Services
2. Will the Project use a harm reduction policy for drug and alcohol use or are clients dismissed from the
program for drug and alcohol abuse? Yes/ No Explain (limit 750 characters)
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TX-503 Austin/Travis County FY14 HUD CoC Permanent Supportive Housing
Bonus Fund Program Application
MAINSTREAM BENEFITS
1. Identify how the project will leverage the mainstream resources, including
 Identify how project will enroll clients in Medicaid-eligible programs
 Identify how project will include Medicaid – financed services such as case
management, tenancy supports, behavioral health supports, or other
services supporting housing stability. Note these services can be provided
by recipient receipt of services or through Medicaid billing at an FQHC
 If there are barriers to including Medicaid-financed services demonstrate how the project will leverage non-Medicaid services such as
mental health or substance abuse prevention block grants or state
behavioral health system funding
(Limit 1500 characters)
2. Describe what your project will do to increase the percentage of clients who are
employed? (Limit: 750 characters)
Client Focus and Representation
1. Will there be avenues for clients to provide anonymous feedback?
If yes, please describe the process that allows for clients to give anonymous
feedback without negative consequences. (Limit: 750 characters)
2. Will the project have written eligibility criteria that are available to clients?
(Limit: 750 characters)
 Yes
 No
 Yes
 No
Standard Performance Measures
Estimate the following:
Percentage of Persons remaining in permanent housing as of the end of the
operating year or exiting to permanent housing (subsidized or unsubsidized) during
the operating year:
Choose one of the measures below:
2a. Percentage of Persons age 18 and older who maintained or increased their
total income (from all sources) as of the end of the operating year or program exit:
OR
2b. Persons age 18 through 61 who maintained or increased their earned income
as of the end of the operating year or program exit:
This measure is not applicable for children and youth below the age of 18. Total
income can include all cash sources, public and private.
Financials
1. Complete budget forms are attached. These will be scored based on
reasonableness and accuracy of forms.
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TX-503 Austin/Travis County FY14 HUD CoC Permanent Supportive Housing
Bonus Fund Program Application
2. Describe the organization’s history of being able to draw down from HUD and
expend 100% of the funds for previously funded projects,


If all funds were not spent, how much $ was unspent?
Explain the reason for not expending 100% of the funds.
3. What will be the total cost per client (HUD funding in this project)?
4. What will be the total cost per client (total project funding)? What other
resources are included in the total project funding?
6. What dollar amount of match is required for the upcoming award year? What
resources, both financial and in-kind, will be used to meet the match?
7. Does your organization have a demonstrated history of meeting the leverage
requirement for your last HUD contract? Explain how your organization seeks
leverage funding. (Limit: 750 characters)
8. What dollar amount of leverage can the project provide for the upcoming award
year? 200% is the HUD expectation.
Certification
By checking this box and entering the Authorized Representative’s name in the space below, I
certify that the information throughout the application is true, complete, and accurate to the
best of my knowledge.
Authorized Representative
Name: ____________________________ Title: _____________________________________
Signature: _______________________________________________________________
HUD COC SUMMARY BUDGET
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TX-503 Austin/Travis County FY14 HUD CoC Permanent Supportive Housing
Bonus Fund Program Application
Housing Activities
Total Assistance
requested for grant
1a. Leased Units
1b. Leased structures
2. Short-term/Medium term Rental Assistance
3. Long-Term Rental Assistance
4. Supportive Services (please list line items in Chart A)
5. Operating Costs (please list line items in Chart B)
6. HMIS (please list line items in Chart C)
Sub-total Costs requested
Administrative Costs (up to 7%)
Total HUD Request
Total Match Required (25% required for all costs except leasing).
Cash Match Pledged
In-Kind Match Pledged
Total Match Pledged
Total Leverage (150%) Required
Total Leverage Pledged
Note: All budget costs should be based on an annual cost not the grant term cost, i.e, if you are
proposing to implement the project over two years, then the annual cost will be 50% of the overall
grant request.
A. SUPPORTIVE SERVICES BUDGET LINE ITEMS
Eligible Costs
Description (max 400 characters)
Total
1. Moving Costs
2. Case Management
3. Education Services
4. Food
5. Housing/Counseling Services
6. Life Skills
7. Outreach Services
8. Transportation
9. Utility Deposits
10. Operating
Total Supportive Services
Request
Project applicants may only include Operating Costs (maintenance, repair, building security, furniture,
utilities, and equipment) in the Supportive Services budget if the costs are for a facility that is used to
provide supportive services for participants AND is separate from the housing units.
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TX-503 Austin/Travis County FY14 HUD CoC Permanent Supportive Housing
Bonus Fund Program Application
1.
2.
3.
4.
5.
6.
7.
Eligible Costs
Maintenance/ Repair
Property Taxes and Insurance
Replacement Reserve
Building Security
Electricity, Gas, and Water
Furniture
Equipment (lease/buy)
Total Operating Request
B. OPERATING BUDGET LINE ITEMS
Description (limit 400 characters)
Total
C. HMIS BUDGET LINE ITEMS
Description (max 400 characters)
Total
HMIS Services Costs
1. Equipment
2. Software
3. Services
4. Personnel (position and budget
by position)
a.
5. HMIS Space and Operations
6. Other (Must Specify)
Total HMIS Request
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TX-503 Austin/Travis County FY14 HUD CoC Permanent Supportive Housing
Bonus Fund Program Application
DOCUMENTATION OF EXPECTED LEVERAGED RESOURCES OR CASH MATCH
Information regarding the leveraged resource or cash match to be provided by this agency is in the chart
below and provided to the CoC during the renewal/reallocation submission process. Please create
additional charts for additional contributions. Note: Prior to the submission of the NOFA this information
must be on the letterhead of the entity providing the resource.
MATCH – 25%
Name of organization providing contribution
Type of Contribution (cash or in-kind). If inkind, then describe the type of in-kind
contribution.
Total Value of the Contribution
Date the contribution will be available. For
renewals, this date must coincide with your
2015-2016 operating year.
[________],2015 through [________],2016
Name of person authorized to commit these
resources
Title of person authorized to commit these
resources.
LEVERAGE – HUD Requesting 200%
Agency & Project Name (to which the
contribution will apply)
Name of the organization proving the
contribution
Type of Contribution (cash or in-kind). If inkind, then describe the type of in-kind
contribution.
Total Value of the Contribution
Date the contribution will be available. This
date must coincide with your 2015-2016
operating year.
[________],2015 through [________],2016
Name of person authorized to commit these
resources
Title of person authorized to commit these
resources.
Signature
2014 NOFA NEW PERMANENT HOUSING BONUS [PROJECT COMPONENT]
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TX-503 Austin/Travis County FY14 HUD CoC Permanent Supportive Housing
Bonus Fund Program Application
Certification
By entering the Authorized Representative’s name in the space below, I certify that the information
throughout the application is true, complete, and accurate to the best of my knowledge.
Authorized Representative
Name: ____________________________ Title/Agency: _____________________________________
Signature: _______________________________________________________________
2014 NOFA NEW PERMANENT HOUSING BONUS [PROJECT COMPONENT]
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