MUNICIPAL HOUSING AUTHORITY OF THE CITY OF UTICA, NEW YORK. Project-Based Voucher Program Application

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1 MUNICIPAL HOUSING AUTHORITY OF THE CITY OF UTICA, NEW YORK Project-Based Voucher Program Application Date: Applicant: Address: Contact Person: Phone: Type of Applicant: (Please indicate type of entity nonprofit corporation, for-profit corporation, Community Housing Development Organization, Limited Partnership, LLC, Minority-Women Business Enterprise, Section 3 Enterprise, Faith/Community-Based Organization) Employer Identification Number: Address of Development: Building/Development Name: Number of PBV applied for: Will rehabilitation/hqs Standards be met?: Census Tracts: Previous History with assisted housing programs:

2 Years providing low-income housing: Expected impact on neighborhoods by low-income housing development: 2

3 Please provide the following information in attachments. PROJECT SUMMARY a. Provide a brief narrative of the project. b. Include a description of any on site and nearby amenities and/or supportive services to be provided to tenants. c. For projects requesting PBVs for more than 25% of the total number of units in the project, please provide a description of the specific HUD exemption the project will qualify under. Exemptions to the 25% cap of PBVs can be found in 24 CFR (b). d. Provide your written tenant selection criteria and plan to fill the PBV units. The plan must include a statement that all PBV vacancies must be filled by PBV eligible applicants from the UMHA PBV waitlist and must describe, with specificity, your tenant screening criteria. The plan must include any tenant selection preferences for the project. Screening criteria for assisted and unassisted tenants must be consistent. DWELLING UNITS Provide a description of the housing. Include the number of units, by bedroom size, and a list of amenities and services to be provided. If the housing is designed for special segments of the population with un-met special needs and/or involves supportive services for the residents, provide details. SITE CONTROL This proposal must include evidence of site control and documentation of, or acknowledgement of approval for zoning compliance with all local requirements. RELOCATION 1. Will permanent displacement of any tenants be required for any existing structure on the site? Yes No 2. Will temporary displacement of any tenants be required for any existing structure on the site? Yes No If the answer to either question is yes, a relocation plan in accordance with all Fair Housing regulations must be submitted with the application. 3

4 RENT Please provide information on the proposed rents for the development. Indicate (i.e., owner or tenant) who will be paying for or providing utilities/appliances (heat, hot water, cooking, electric, water, sewer, range, refrigerator, trash collection, cable, internet, other) after completion of the work. FINANCING Describe plans for financing the new construction, if applicable (own funds, loans, grants, etc.) If possible, specify the amounts to be borrowed and the applicable interest rates and terms. If available, attach copies of any commitment letters from the financing sources. If any competitive grants are being applied for, indicate when awards are expected to be announced. MANAGEMENT 1. How do you plan to manage the units? Please include specifics in areas listed below: Rent collection Property inspection/routine & preventative maintenance Emergency repairs Tenant relations Other 2. Describe your property management experience in both the assisted and unassisted rental markets (i.e., number of units previously and/or presently owned/managed, etc.). Include the names of any government housing programs with which you have experience. TIMELINE Provide a timeline for the project. PARTICIPANT IDENTITY 1. Identify, if applicable, the owner(s), developer, managing agent (and other participants) and the names of officers, principal members, share-holders, investors and any other parties 4

5 having a substantial interest in the proposed project. 2. For each individual or group identified, describe all previous and current participation in HUD programs. 3. Federal rules and regulations expressly prohibit certain individuals from having an interest, either direct or indirect, in a HAP Agreement or Contract. These restrictions involve present and past employees and Commissioners of UMHA, as well as, certain local and elected officials. Are there any individuals mentioned who might be so prohibited? If so, describe: Environmental Review As per HUD requirements, an environmental review is required for all projects prior to the execution of any contracts. Please attach a copy of an approved environmental review, or indicate that this will be performed at a later date. Proposals that are awarded prior to the completion of the environmental review will be made contingent upon the receipt of the completed review. PBV Regulation (b) Re: Compliance with HUD s statutory goal of deconcentrating poverty and expanding housing and economic opportunities Please include a response addressing each of the following seven criteria: 1. HUD Designated Zone Whether the census tract in which the proposal will be located is in a HUD designated Enterprise Zone, Economic Community, or Renewal Community. 2. Public Housing Demolition Whether a PBV development will be located in a census tract where the concentration of assisted units will be or has decreased as a result of public housing demolition. 3. Significant Revitalization Whether the census tract in which the proposed PBV development will be located is undergoing significant revitalization. 4. Public Investment Whether state, local, or federal dollars have been invested in the area that has assisted in the achievement of the statutory requirement. 5. New Market Rate Units Whether new market rate units are being developed in the same census tract where the proposed PBV development will be located and the likelihood that such market rate units will positively impact the poverty rate in the area. 6. Decline in Poverty Rate If the poverty rate in the area where the proposed PBV development will be located is greater than 20 percent, the PHA should consider whether in the past five years there has been an overall decline in the poverty rate. 5

6 7. Education and Economic Opportunities Whether there are meaningful opportunities for educational and economic advancements in the census tract where the proposed PBV development will be located. Every PBV applicant must demonstrate to UMHA that their project satisfies the twin goals of deconcentrating poverty and expanding housing and economic opportunity regardless of the project s poverty rate as defined by the most recent census data. The applicant must address each of the seven criteria noted above. UMHA will make its assessment of an applicant s project s compliance with achieving these goals based on the totality of the applicant s response, taking into consideration the target population to be served (i.e. family, elderly, disabled, populations needing supportive services). CERTIFICATION The applicant/owner certifies: (that the information and exhibits contained in this application are true and complete. Signed: Applicant Name: Date: 6

7 County of ) S.S. City of ) Affidavit of Non-Collusion being first duly sworn deposes and says: that he/she is (Printed Name) (Title) of the party making the foregoing proposal or bid, that such bid is (Company Name) genuine and not collusive or sham that said bidder has not colluded, conspired, connived, or agreed directly or indirectly, with any bid, bidder, or person, to put in a sham bid or to refrain from bidding, and has not in any manner, directly, or indirectly, sought by agreement or collusion, or communication or conference with any person to fix the bid price of afficant or any other bidder, or to fix any overhead, profit, or cost element of said bid price, or of that of any bidder or to secure any advantage against the Municipal Housing Authority of the City of Utica, New York or any person interested in the proposed contract and that all statements contained in said proposal or bid are true. Each bidder that contacts the Municipal Housing Authority of the City of Utica, New York (UMHA) during the restricted period of a proposal or bid shall only make contact with the individuals stated in the bidding paperwork provided by UMHA or contact those referred to by an individual stated in the UMHA bidding paperwork. Contact to any other employee, officer, or member of the UMHA regarding a bid or proposal during the restricted period is in violation of New York State State Finance Laws Section 139-j and 139-k. The restricted period of a bidding opportunity is the period of time commencing with the earliest written notice or advertisement and ending with the final contract award written notification provided by UMHA. By signing this affidavit the bidder understands of and agrees to comply with the UMHA's procedures relating to permissible contacts during a governmental procurement pursuant to New York State Finance Laws Section 139-j and 139-k, that all information provided to the UMHA with respect to these sections is complete, true, and accurate. In the event such certification is found to be intentionally false, intentionally incomplete, or does not disclose the determination of being non-responsible by any other governmental entity for violating similar regulations over the previous four years then the UMHA reserves the right to terminate any contracts awarded to such bidder. Signature of Bidder Name of Entity Date Subscribed and sworn to this day of, 20. Notary Public If oath is taken outside of New York State, a County Clerk's Certificate as to the authority of the officer administering the oath must be attached. 7

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