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Backup Documents 10/25/2011 Item #16D 1ORIGINAL DOCUMENTS CHECKLIST & ROUTIN 1 TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT O THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE Print on pink paper. Attach to original document. Original documents should be hand delivered to the Board Office. The completed routing slip and original documents are to be forwarded to the Board Office only #&X the Board has taken action on the item.) ROUTING SLIP Complete routing lines #I through #4 as appropriate for additional signatures, dates, and/or information needed. If the document is already complete with the exception of the Chairman's sib, draw a lime through routine lines #I through #4. commlete the checklist. and forward to Ian Mitchell (line #51- Route to Addressee(s) (List in routing order Office Initials Date Contact ions Coordinator (Initial) Applicable) Agenda Date Item was October 25, 2011 Agenda Item Number 16D1 Approved by the BCC signed by the Chairman, with the exception of most letters, must be reviewed and signed Type of Document Certifications Number of Original 1 Attached I resolutions, etc. signed by the County Attorney's Office and signature pages from I Documents Attached 6. Minutes and Records Clerk of Court's Office PRIMARY CONTACT INFORMATION (The primary contact is the holder of the original documapt pending BCC approval. Normally the primary contact is the person who created/prepared the executive summary. Primary contact information is needed m the event one of the addressees above, including Ian Mitchell, need to contact staff for additional or missing information. All original documents needing the BCC Chair man's signature are to be delivered to the BCC office only after the BCC has acted to approve the item.) Name of Primary Staff Wendy Klopf Phone Number 252 -2901 Contact ions Coordinator (Initial) Applicable) Agenda Date Item was October 25, 2011 Agenda Item Number 16D1 Approved by the BCC signed by the Chairman, with the exception of most letters, must be reviewed and signed Type of Document Certifications Number of Original 1 Attached I resolutions, etc. signed by the County Attorney's Office and signature pages from I Documents Attached INSTRUCTIONS & CHECKLIST I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip W WS Original 9.03.04, Revised 1.26.05, Revised 2.24.05 Initial the Yes column or mark "N /A" in the Not Applicable column, whichever is Yes N/A (Not appropriate. (Initial) Applicable) 1. Original document has been signed/mitialed for legal sufficiency. (All documents to be WK signed by the Chairman, with the exception of most letters, must be reviewed and signed by the Office of the County Attorney. This includes signature pages from ordinances, resolutions, etc. signed by the County Attorney's Office and signature pages from contracts, agreements, etc. that have been fiilly executed by all parties except the BCC Chairman and Clerk to the Board and possibly State Officials. 2. All handwritten strike- through and revisions have been initialed by the County Attorney's WK n/a Office and all other parties except the BCC Chairman and the Clerk to the Board I The Chairman's signature line date has been entered as the date of BCC approval of the WK document or the final negotiated contract date whichever is applicable . 4. "Sign here" tabs are placed on the appropriate pages indicating where the Chairman's WK signature and initials are 5. In most cases (some contracts are an exception), the original document and this routing slip WK should be provided to Ian Mitchell in the BCC office within 24 hours of BCC approval. Some documents are time sensitive and require forwarding to Tallahassee within a certain time frame or the BCC's actions are nullified. Be aware of your deadlines! 6. document was approved by the BCC on 10tM011 and all changes made during WK 1The the meeting have been incorporated in the attached document. The County Attorney's Office has reviewed the changes, if applicable. I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip W WS Original 9.03.04, Revised 1.26.05, Revised 2.24.05 16D 1 MEMORANDUM Date: October 25, 2011 To: Wendy HIopf, Operations Coordinator Housing & Human Services From: Teresa Polaski, Deputy Clerk Minutes & Records Department Re: 2 Signature Pages for Certification of Consistency with the Consolidated Plan Project #FL -606 CoC Registration 2011 Attached are the two originals referenced above, (Item #16D1) approved by Board of County Commissioners on Tuesday, October 25, 2011. If you should have any questions, please contact me at 252 -8411. Thank you. Certification of Consistency with the Consolidated Plan U.S. Department of Housing and Urban Development 160 1 OMB Approval No. 2506 -0112 (Exp. 7/31/2012) I certify that the proposed activities,'projects in the application are consistent with the jurisdiction's current, approved Con solidated Plan. ( I ),pc or clearly print the following information:) Applicant Name: Collier County Board of Commissioners Project Name: Continuum of Care Location of the Project: Collier County Florida Name of the Federal Program to which the applicant is applying: Continuum of Care Namc of Collier County Board of Commissioners Certifying Jurisdiction: Certifying Official of the Jurisdiction Fred W. Coyle Name: Title: Chairman Signature: Date: 'D has / I 1 ATtE$T: ; r OW HT E: B40C Clerk r1�.c t_ r=:rt Approved as to form & legal Sufflclency Assist ht County Attorney Page 1 of 1 form HUD -2991 (3/98) 160 1 Applicant/Recipient U.S. Department of Housing OMB Approval No. 2510 -0011 (exp. 10/31i2014) Disclosure /Update Report and Urban Development Instructions. (See Public Reporting Statement and Privacy Act Statement and detailed instructions on page 2.) )lent Information Indicate whether this Is an Initial Report ❑ or an Update Report m Name Address. and Phone (include area code): Collier County Board of County Commissioners 3301 Tamiami Trail East Naples, FL 34112 Phone: 239 - 252 -2376 HUD Program Name Continuum of Care 2. Social Security Number or Employer ID Number: 596-60 -0558 3 Requested/Received $413,441.00 5. State the name and location (street address, City and State) or the project or activity Collier County, Florida Part I Threshold Determinations 1. Are you applying for assistance for a specific project or activity? These 2. Have you received or do you expect to receive assistance within the terms do not include formula grants, such as public housing operating jurisdiction of the Department (HUD) , involving the project or activity in subsidy or CDBG block grants. (For further information see 24 CFR Sec. this application, in excess of $200.000 during this fiscal year (Oct. 1 - 4.3). Sep. 30)? For further information. see 24 CFR Sec. 4.9 ✓❑ Yes ❑ No ❑ Yes ✓❑ No. If you answered "No" to either question 1 or 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 Government Assistance Provided or Requested / Expected Sources and 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 I Type of Assistance I Amount I 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 $50,000 or 10 percent of the assistance (whichever is lower). Alphabetical list of all persons with a reportable financial interest in the project or activity For individuals, give the last name first Swat Security No. or Employee ID No. Type of Participation in Project/Activity Financial Interest in Project/Activity and % N \R (Note: Use Additional pages if necessary.) Certification Warning: If you knowingly make a false statement on this form, you may be subject to civil or cnminal penalties under Section 1001 of Title 18 of the United States Code. In addition, any person who knowingly and materially violates any required disclosures of information, including intentional non- disclosure. is subject to civil money penalty not to exceed 510,000 for each violation. I certify that this information is true and complete W. Date: (mm /ddryyyy) tolas(aoli Fred W. Coyle, Chairman v Approved as to form & legal SufficlOncy ATTES . / DW 7 _ hA OiM Clerk Assistant County Attorne�Y EiXUMr l a$ ZO t!, Main HUD -2880 (3/99) 1601 CD leY Ci01it1�lty Public Services Division Housing, Human & Veteran Services CERTIFICATION OF CONSISTENCY WITH THE CONSOLIDATED PLAN — ASSOCIATED PROIETS Applicant Name: Collier County Board of County Commissioners Project Names: Shelter Transitional Housing Renewal Homeless Management Information System (HMIS) Renewal Wolfe Apartments Supportive Housing Renewal Shelter Plus Care Permanent Housing Bonus Project Shelter + Care Grant - Collier County Housing Authority tIti!!!'!!! Mld -�..� i30' cast Taj , Trali • n�a',t� B�ndng Napes_ FL 34' 2 9iq_9�7_( APr I9'�72 . g9G '7�G.9rl ._ I GFC I!P i77R7i . �7G_ %�').tiGTC :Alk71 . a � u rnl; omr.v nct hnmar.ccn, r c Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 160 1 1 FL -606 COC_REG_2011_037245 1A. Continuum of Care (CoC) Identification Instructions: The fields on this screen are read only and reference the information entered during the CoC Registration process. Updates cannot be made at this time. If the information on this screen is not correct, contact the HUD Virtual Help Desk at www.hudhre.info. CoC Name and Number (From CoC FL -606 - Naples /Collier County CoC Registration): CoC Lead Agency Name: Collier County Housing, Human and Veteran Services Exhibit 12011 Page 1 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 160 i 1 FL -606 COC_REG_2011 _037245 1 B. Continuum of Care (CoC) Primary Decision - Making Group Instructions: The following questions are related to the CoC primary decision - making group. The primary responsibility of this group is to manage the overall planning effort for the entire CoC, including, but not limited to: - Setting agendas for full Continuum of Care meetings - Project monitoring - Determining project priorities - Providing final approval for the CoC application submission. This body is also responsible for the implementation of the CoC's HMIS, either through direct oversight or through the designation of an HMIS implementing agency. This group may be the CoC Lead Agency or may authorize another entity to be the CoC Lead Agency under its direction. Name of primary decision - making group: CoC Executive Committee and Committee Chairs Indicate the frequency of group meetinv*gnthly or more If less than bi- monthly, please explai 't 500 characters): Indicate the legal status of the N g Ily recognized organization 0. Specify "other" legal status: Indicate the percentage of group members 83'x/ that represent the private sector: (e.g., non - profit providers, homeless or formerly homeless persons, advocates and consumer interests) * Indicate the selection process of group members: (select all that apply) Elected: Assigned: Volunteer: X Appointed: X Other: Exhibit 1 2011 Page 2 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 Specify 'other" process(es): 16D 1 FL -606 COC_REG_2011_037245 Briefly describe the selection process of group members. Description should include why this process was established and how it works (limit 750 characters): The primary decision making group was selected with support of the Lead Agency and by consensus of CoC members to include the executive committee and committee chairs of the CoC. This group is comprised of a diverse number of service providers and stakeholders who have the knowledge base and committment to ensure local priorities are the focus of CoC projects. * Indicate the selection process of group leaders: (select all that apply): Elected: Assigned: Volunteer: X Appointed: X Oth , Specify "other" process(es): If administrative funds were Vail Pe CoC, will the primary- decision making body, or its 7d i e ha a capacity to be responsible for activities such g f ?", d unding and serving as a grantee, providing project overs t nd ni ring? Explain (limit to 750 characters): Yes, should administrative funds be made it a to t t has administrative and oversight capacity contin th cturing of the group to: formalize its ability to legally accept nds; a conform to upcoming regulatory requirements pertaining to RTH Act. Exhibit 1 2011 Page 3 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 16D 1 FL -606 COC_REG_2011 _037245 1C. Continuum of Care (CoC) Committees, Subcommittees and Work Groups Instructions: Provide information on up to five of the CoCs most active CoC -wide planning committees, subcommittees, and workgroups. CoCs should only include information on those groups that are directly involved in CoC -wide planning activities such as project review and selection, discharge planning, disaster planning, completion of the Exhibit 1 application, conducting the point -in -time count, and 10 -year plan coordination. For each group, briefly describe the role and how frequently the group meets. If one of more of the groups meet less than quarterly, please explain. For additional instructions, refer to the "Exhibit 1 Detailed Instructions" which can be accessed on the left -hand menu bar. Committees and Frequency Name of Group Role of Group Meeting Frequency (limit 750 characters) CoC Strategic Planning Committee Identify gaps in housing services and 10 -year Monthly or more plan coordination. Exhibit 1 participation. Membership and Recruitment Outreach to identify community partners whose Monthly or more resources can directly or indirectly assist the homeless or those at risk of homelessness. 10 Year Plan to End Homelessness Identify goals, priorities and strategies to prevent Monthly or more and end homelessness in Collier County. Organizational Structure Committee Stay informed of the most recent changes in quarterly (once each quarter) HUD and HMIS governance guidelines and then provide input, practical policy, and direction regarding the local continuum of care. Grant Opportunities Committee Research and share information on grant Monthly or more opportunities and other funding sources. Maintain a current funding opportunity calendar. If any group meets less than quarterly, as xplai 750 characters): Exhibit 1 2011 Page 4 1 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 160 1 a FL -606 COC_REG_2011_037245 1 D. Continuum of Care (CoC) Member Organizations Identify all CoC member organizations or individuals directly involved in the CoC planning process. To add an organization or individual, click on the icon. Organization Name Membership` Type Org Organization Role Subpop aniz ulations atio n type Collier County Housing, Human Public Sector Loca Primary Decision Making Group, Attend Veteran and Veteran Servi... I g... Consolidated Plan p... s, Su... Collier County Housing Authority Public Sector Publi Primary Decision Making Group, Attend Seriousl c ... 10 -year planning me... y Me... David Lawrence Community Private Sector Non- Primary Decision Making Group, Attend Seriousl Mental Health Center pro.. Consolidated Plan p... y Me... The Shelter for Abused Women Private Sector on- Primary Decision Making Group, Youth, and Children Committee /Sub- committee/Wo... Domes.. Youth Haven Private Sector Committee /Sub- committee/Work Group Youth p Saint Matthews House Private Sector on- itt Sub- committee/Work Group Veteran s, Su... National Alliance on Mental Illness Private Sector N - C mitte u ommittee/Work Group, Youth, of Collier ... pro.. 00 10 -y ... Serio... Collier County Hunger and Private Sector Non- ry ecision aking Group, Lead Youth, Homeless Coalition pro.. age o -year pl... Subst... Michele Boose Individual For Committee/ - committee/Work Group NONE merl. Coalition of Florida Farmworkers Private Sector Non- Committee /Sub- committee/Work Group NONE pro.. Housing Development Corporation Private Sector Non- Attend Consolidated Plan planning Veteran pro.. meetings during past 12... s Grace Place Private Sector Faith None Substan -b... ce Abuse Catholic Charities Private Sector Faith Attend Consolidated Plan planning Youth, -b... meetings during past 12... Domes.. Exhibit 1 2011 Page 5 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 16 i rt FL -606 COC_REG_2011_037245 Cancer Alliance of Naples Private Sector Non- None NONE pro.. Immokalee Non Profit Housing Private Sector Non- Attend Consolidated Plan planning Youth pro.. meetings during past 12... Legal Aid Service of Collier Private Sector Non- Attend 10 -year planning meetings during Veteran County pro.. past 12 months s, Do... Career and Service Center Private Sector Non- Attend Consolidated Plan planning Veteran pro.. meetings during past 12... s The Salvation Army Private Sector Non- Attend Consolidated Plan focus Youth, pro.. groups /public forums durin... Subst... Providence House Private Sector Faith None Youth -b... Immokalee Multicultural Private Sector Non- Attend Consolidated Plan planning Substan Multipurpose Community ... pro.. meetings during past 12... ce Abuse Big Cypress Housing Corp. Private Sector Busi Attend 10 -year planning meetings during NONE ss past 12 months e School Board of Collier County Public Sector S Attend 10 -year planning meetings during Youth past 12 months Florida Gulf Coast University Public Sect r oodbl Sch ittee /Sub- committee/Work Group, Youth PW 1 ear planni... Exhibit 1 2011 Page 6 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 160 1 1 COC_REG_2011_037245 1 D. Continuum of Care (CoC) Member Organizations Detail Instructions: Provide information about each CoC member organization, including individuals that are part of the CoC planning process. For each member organization, provide information on the following: - Organization name - Enter the name of the organization or individual. If the individual is a victim of domestic violence, do not enter their actual name. - Type of membership - Public, private, or individual - Type of organization - Organization role in the CoC planning process - Subpopulations represented - No more than 2 may be selected - Services provided, if applicable Name of organization or individual: Collier County Housing, Human and Veteran Services Department Type of Membership: Public Sector (public, private, or individua Type of Organization: ° al government agencies (Content depends on "Type of Membe ip" sel i ) Role(s) of the organization (select all that apply) months% Attend Cor forums dur for Consoli aking Group, Attend P ning meetings during past .ea y for 10 -year plan, Attend ning ings during past 12 w iwttee ub- committee/Work Group, 0111& d Plan focus groups /public g p t 12 months, Authoring agency itA Plan Subpopulation(s) represented by the Veterans, Substance Abuse organization: (No more than two subpopulations) Does the organization provide direct services Yes to homeless people? Exhibit 1 2011 Page 7 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 16 0 1 1 FL -606 COC_REG_2011 _037245 Services provided to homeless persons and Counseling /Advocacy, Education, Street families: Outreach, Case Management, Utilities (select all that apply) Assistance, Law Enforcement, Prescription Assistance, Healthcare, Mental health, Transportation, Rental Assistance 1D. Continuum of Care (CoC) Member Organizations Detail Instructions: Provide information about each CoC member organization, including individuals that are part of the CoC planning process. For each member organization, provide information on the following: - Organization name - Enter the name of the organization or individual. If the individual is a victim of domestic violence, do not enter their actual name. - Type of membership - Public, private, or individual - Type of organization - Organization role in the CoC planning process - Subpopulations represented - No more than 2 may be selected - Services provided, if applicable X\# Name of organization or indi ual:, r County Housing Authority Type of Membe Publi (public, private, or individ al) Type of Organization: c ncies (Content depends on "Type of Membership" selection) Role(s) of the organization: (select all that apply) Subpopulation(s) represented by the organization: (No more than two subpopulations) Primary DecisMaking Group, Attend 10 -year planning meetings during past 12 months, Committee /Sub- committee/Work Group, Attend Consolidated Plan focus groups /public forums during past 12 months Seriously Mentally III, Domestic Violence Exhibit 1 2011 Page 8 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 Does the organization provide direct services Yes to homeless people? 160 i 4 FL -606 COC_REG_2011 _037245 Services provided to homeless persons and Counseling /Advocacy, Education, Case families: Management, Utilities Assistance, Legal (select all that apply) Assistance, Rental Assistance, Employment 1D. Continuum of Care (CoC) Member Organizations Detail Instructions: Provide information about each CoC member organization, including individuals that are part of the CoC planning process. For each member organization, provide information on the following: - Organization name - Enter the name of the organization or individual. If the individual is a victim of domestic violence, do not enter their actual name. - Type of membership - Public, private, or individual - Type of organization - Organization role in the CoC planning pro - Subpopulations represented - No more th ce a e selected - Services provided, if applicable Name of organization or in v' 9u: k?< Da rence Communit Y Mental Health Cent Type of Membership: (public, private, or individual) Type of Organization: (Content depends on "Type of Membership" selection) Role(s) of the organization: (select all that apply) Primary Decision Making Group, Attend Consolidated Plan planning meetings during past 12 months, Lead agency for 10 -year plan, Attend 10 -year planning meetings during past 12 months, Committee /Sub- committee/Work Group, Attend Consolidated Plan focus groups /public forums during past 12 months, Authoring agency for Consolidated Plan Exhibit 1 2011 Page 9 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 1601 4 FL -606 COC_REG_2011_037245 Subpopulation(s) represented by the Seriously Mentally III, Substance Abuse organization: (No more than two subpopulations) Does the organization provide direct services Yes to homeless people? Services provided to homeless persons and Counseling /Advocacy, Case Management, families: Utilities Assistance, Transportation, Alcohol /Drug (select all that apply) Abuse, Rental Assistance, Street Outreach, Child Care, Life Skills, Healthcare, Prescription Assistance, Mental health, Mobile Clinic, Employment 1D. Continuum of Care (CoC) Member Organiza I ns Detail Instructions: q Provide information about each CoC ffie0lbeJor aniz cluding individuals that are part of the CoC planning process. For each me anizati ov' infal. ormation on the following: - Organization name - Enter the name of t or zation or ivi If the individual is a victim of domestic violence, do not enter their a al me. - Type of membership - Public, private, or indi dua - Type of organization - Organization role in the CoC planning process - Subpopulations represented - No more than 2 may j� - Services provided, if applicable �P^ Name of organization or individual: The Shelter foused Women and Children Type of Membership: Private Sector (public, private, or individual) Type of Organization: Non - profit organizations (Content depends on "Type of Membership" selection) Role(s) of the organization: Primary Decision Making Group, Committee /Sub- (select all that apply) committee/Work Group, Attend 10 -year planning meetings during past 12 months Exhibit 1 2011 Page 10 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 Subpopulation(s) represented by the Youth, Domestic Violence organization: (No more than two subpopulations) Does the organization provide direct services Yes to homeless people? 160 i FL -606 COC_REG_2011_037245 Services provided to homeless persons and Counseling /Advocacy, Case Management, Life families: Skills, Child Care, Legal Assistance, (select all that apply) Transportation 1D. Continuum of Care (CoC) Member Organizations Detail X11**+ Instructions: �f Provide information about each CoC m er org9nj t' , including individuals that are part of the CoC planning process. For each rgan1 vide information on the following: - Organization name - Enter the name h r niza ' individual. If the individual is a victim of domestic violence, do not enter al na - Type of membership - Public, private, or i ivid - Type of organization - Organization role in the CoC planning process P00014, - Subpopulations represented - No more than 2 m y b cted - Services provided, if applicable Name of organization or individual: Youth Have Type of Membership: Private Sector (public, private, or individual) Type of Organization: Non - profit organizations (Content depends on "Type of Membership" selection) Role(s) of the organization: Committee /Sub- committee/Work Group (select all that apply) Exhibit 1 2011 Page 11 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 Subpopulation(s) represented by the Youth organization: (No more than two subpopulations) Does the organization provide direct services Yes to homeless people? 160 1 FL -606 COC_REG_2011_037245 Services provided to homeless persons and Counseling /Advocacy, Street Outreach, Case families: Management, Child Care, Life Skills, Mortgage (select all that apply) Assistance, Mental health, Rental Assistance 1D. Continuum of Care (CoC) Member Organizations Detail Instructions: X*** Provide information about each CoC member or ation, including individuals that are part of the CoC planning process. For each meQ,per o ion, provide information on the following: - Organization name -Enter the name he organi i or individual. If the individual is a victim of domestic violence, do not e r ctua - Type of membership - Public, private, in i al - Type of organization NOW - Organization role in the CoC planning pro ess - Subpopulations represented - No more than ay selec - Services provided, if applicable Name of organization or individual: Saint t ws Ho e Type of Membership: Private Sector (public, private, or individual) Type of Organization: Non - profit organizations (Content depends on "Type of Membership" selection) Role(s) of the organization: Committee /Sub- committee/Work Group (select all that apply) Exhibit 12011 Page 12 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 16D 1 FL -606 COC_REG_2011_037245 Subpopulation(s) represented by the Veterans, Substance Abuse organization: (No more than two subpopulations) Does the organization provide direct services Yes to homeless people? Services provided to homeless persons and Counseling /Advocacy, Street Outreach, Case families: Management, Child Care, Mental health, (select all that apply) Transportation, Alcohol /Drug Abuse, Soup Kitchen /Food Pantry 1D. Continuum of Care (CoC) Member Organizations Detail Instructions: Provide information about each CoC memb o a 12ation, including individuals that are part of the CoC planning process. For each member or ' tion, provide information on the following: - Organization name -Enter the name a or iz 'on or individual. If the individual is a victim of domestic violence, do not ent h actua - Type of membership - Public, pri% , o idual - Type of organization - Organization role in the CoC planning p s - Subpopulations represented - No more than 2�y e sele - Services provided, if applicable Name of organization or individual: Type of Membership: (public, private, or individual) Type of Organization: Non - profit organizations (Content depends on "Type of Membership" selection) Role(s) of the organization: Committee /Sub- committeeMork Group, Attend (select all that apply) 10 -year planning meetings during past 12 months Exhibit 1 2011 Page 13 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 Subpopulation(s) represented by the Youth, Seriously Mentally III organization: (No more than two subpopulations) Does the organization provide direct services Yes to homeless people? 16D 1 FL -606 COC_REG_2011_037245 Services provided to homeless persons and Counseling /Advocacy, Utilities Assistance, families: Prescription Assistance, Mental health, (select all that apply) Transportation, Rental Assistance 1 D. Continuum of Care (CoC) Member Organizations Detail Instructions: X\ Provide information about each CoC member or ation, including individuals that are part of the CoC planning process. For each 7ehe er o ion, provide information on the following: - Organization name -Enter the nam organi i or individual. If the individual is a victim of domestic violence, do not e ctua rig - Type of membership - Public, private, irn i al - Type of organization - Organization role in the CoC planning pro s - Subpopulations represented - No more than ay selec - Services provided, if applicable Name of organization or individual: Type of Membership: (public, private, or individual) Collie u Y Hun rand Homeless Coalition Private Sector Type of Organization: Non - profit organizations (Content depends on "Type of Membership" selection) Role(s) of the organization: Primary Decision Making Group, Lead agency for (select all that apply) 10 -year plan, Attend 10 -year planning meetings during past 12 months, Committee /Sub- committee/Work Group Exhibit 1 2011 Page 14 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 Subpopulation(s) represented by the Youth, Substance Abuse organization: (No more than two subpopulations) Does the organization provide direct services Yes to homeless people? 160 i 4 FL -606 COC_REG_2011 _037245 Services provided to homeless persons and Street Outreach, Education, Mortgage families: Assistance, Mobile Clinic, Rental Assistance (select all that apply) 1D. Continuum of Care (CoC) Member Organizations Detail Instructions: Provide information about each CoC moTber org3njogt' , including individuals that are part of the CoC planning process. For each rgan�c vide information on the following: - Organization name - Enter the name th r niza ' individual. If the individual is a victim of domestic violence, do not enter al na - Type of membership - Public, private, or i divid - Type of organization - Organization role in the CoC planning process - Subpopulations represented - No more than 2 m y b cted - Services provided, if applicable Name of organization or individual: Michele oo Type of Membership: Individual (public, private, or individual) Type of Organization: Formerly Homeless (Content depends on "Type of Membership" selection) Role(s) of the organization: Committee /Sub- committee/Work Group (select all that apply) Exhibit 1 2011 Page 15 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 Subpopulation(s) represented by the NONE organization: (No more than two subpopulations) Does the organization provide direct services No to homeless people? Services provided to homeless persons and Not Applicable families: (select all that apply) 16D 1 FL -606 COC_REG_2011_037245 1 D. Continuum of Care (CoC) Member Organizations Detail Instructions: X*1 %, Provide information about each CoC member or ation, including individuals that are part of the CoC planning process. For each meWer o ion, provide information on the following: - Organization name - Enter the name he organi i or individual. If the individual is a victim of domestic violence, do not e r ctua ne - Type of membership - Public, private, in i al - Type of organization - Organization role in the CoC planning pro ess - Subpopulations represented - No more than ay selec - Services provided, if applicable Name of organization or individual: Coale of lorida rmworkers Type of Membership: Private Sector, (public, private, or individual) Type of Organization: Non - profit organizations (Content depends on "Type of Membership" selection) Role(s) of the organization: Committee /Sub- committee/Work Group (select all that apply) Exhibit 1 2011 Page 16 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 Subpopulation(s) represented by the NONE organization: (No more than two subpopulations) Does the organization provide direct services No to homeless people? Services provided to homeless persons and Rental Assistance families: (select all that apply) 160 1 q FL -606 COC_REG_2011_037245 1D. Continuum of Care (CoC) Member Organizations Detail Instructions: Provide information about each CoC member the CoC planning process. For each membe/ - Organization name - Enter the name of the victim of domestic violence, do not ent eir - Type of membership - Public, private .0f in i - Type of organization - Organization role in the CoC planning o - Subpopulations represented - No more - Services provided, if applicable ization, including individuals that are part of Cation, provide information on the following: nation or individual. If the individual is a fldual® s ?est 11w Name of organization or individual: Type of Membership: (public, private, or individual) Type of Organization: (Content depends on "Type of Membership" selection) +ti Role(s) of the organization: Attend Consolidated Plan planning meetings (select all that apply) during past 12 months, Committee /Sub- committee/Work Group, Attend Consolidated Plan focus groups /public forums during past 12 months Exhibit 1 2011 Page 17 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 Subpopulation(s) represented by the Veterans organization: (No more than two subpopulations) Does the organization provide direct services Yes to homeless people? Services provided to homeless persons and Education, Life Skills families: (select all that apply) 160 i FL -606 COC_REG_2011_037245 1D. Continuum of Care (CoC) Member Organizations Detail Instructions: X` • Provide information about each CoC member or ation, including individuals that are part of the CoC planning process. For each m�er o ion, provide information on the following: - Organization name - Enter the name he organi i or individual. If the individual is a victim of domestic violence, do not e r ctua - Type of membership - Public, private, q in i al - Type of organization - Organization role in the CoC planning pro ess - Subpopulations represented - No more than ay selec - Services provided, if applicable Name of organization or individual: Grac c� Type of Membership: Private Sector (public, private, or individual) Type of Organization: Faith -based organizations (Content depends on "Type of Membership" selection) Role(s) of the organization: None (select all that apply) Exhibit 1 2011 Page 18 10/17/2011 w, 1 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 Subpopulation(s) represented by the Substance Abuse organization: (No more than two subpopulations) Does the organization provide direct services Yes to homeless people? 160 1 1 FL -606 COC_REG_2011_037245 Services provided to homeless persons and Counseling /Advocacy, Education, Life Skills, families: Soup Kitchen /Food Pantry (select all that apply) 1 D. Continuum of Care (CoC) Member Organizations Detail Instructions: Provide information about each CoC member g ization, including individuals that are part of the CoC planning process. For each memb o nation, provide information on the following: - Organization name - Enter the name of the oraafri tion or individual. If the individual is a victim of domestic violence, do not ent eir a n me. - Type of membership - Public, private, individual - Type of organization - Organization role in the CoC planning o s - Subpopulations represented - No more rmay be I�t - Services provided, if applicable Name of organization or individual: Cat r( o is harit cp/; Type of Membership: Private ect (public, private, or individual) Type of Organization: Faith -based organizations (Content depends on "Type of Membership" selection) Role(s) of the organization: Attend Consolidated Plan planning meetings (select all that apply) during past 12 months, Attend 10 -year planning meetings during past 12 months, Attend Consolidated Plan focus groups /public forums during past 12 months Exhibit 1 2011 Page 19 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 Subpopulation(s) represented by the Youth, Domestic Violence organization: (No more than two subpopulations) Does the organization provide direct services Yes to homeless people? 16 D 1 '� FL -606 COC_REG_2011_037245 Services provided to homeless persons and Counseling /Advocacy, Street Outreach, Case families: Management, Utilities Assistance, Life Skills, (select all that apply) Prescription Assistance, Rental Assistance, Employment, Soup Kitchen /Food Pantry 1 D. Continuum of Care (CoC) Member Organizations Detail Instructions: M,w Provide information about each CoC moVer or§�zjltion, including individuals that are part of the CoC planning process. For each m b orga provide information on the following: - Organization name - Enter the na o e rganiz i dividual. If the individual is a victim of domestic violence, do not ente h ' �a�ual na '1611, - Type of membership - Public, private, o I - Type of organization - Organization role in the CoC planning proces - Subpopulations represented - No more than 2 e ected - Services provided, if applicable Name of organization or individual: Cancer a of ?apples Type of Membership: Private Sector p (public, private, or individual) Type of Organization: Non - profit organizations (Content depends on "Type of Membership" selection) Role(s) of the organization: None (select all that apply) Exhibit 12011 1 Page 20 1 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 Subpopulation(s) represented by the NONE organization: (No more than two subpopulations) Does the organization provide direct services Yes to homeless people? 160 1 FL -606 COC_REG_2011_037245 Services provided to homeless persons and Case Management, Utilities Assistance, families: Mortgage Assistance, Prescription Assistance, (select all that apply) Rental Assistance, Employment 1D. Continuum of Care (CoC) Member Organizations Detail Instructions: X\* Provide information about each CoC member or ation, including individuals that are part of the CoC planning process. For each me er orgrZIion, provide information on the following: - Organization name - Enter the name qrt he organWotiekor individual. If the individual is a victim of domestic violence, do not erkWr ctua - Type of membership - Public, private, qr inffiVi. al - Type of organization - Organization role in the CoC planning pro ess - Subpopulations represented - No more than ay selec - Services provided, if applicable Name of organization or individual: Imm a on P"r Housin 9 Type of Membership: Private Sector (public, private, or individual) Type of Organization: Non - profit organizations (Content depends on "Type of Membership" selection) Role(s) of the organization: Attend Consolidated Plan planning meetings (select all that apply) during past 12 months Exhibit 1 2011 Page 21 10/17/2011 r Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 Subpopulation(s) represented by the Youth organization: (No more than two subpopulations) Does the organization provide direct services No to homeless people? 16D 1 FL -606 COC_REG_2011_037245 Services provided to homeless persons and Child Care, Life Skills, Soup Kitchen /Food Pantry families: (select all that apply) 1 D. Continuum of Care (CoC) Member Organizations Detail Instructions: Provide information about each CoC member/ the CoC planning process. For each membefc - Organization name - Enter the name of the o victim of domestic violence, do not ente6&eir a - Type of membership - Public, private, ,w in iv - Type of organization - Organization role in the CoC planning o - Subpopulations represented - No more - Services provided, if applicable including individuals that are part of provide information on the following: or individual. If the individual is a Name of organization or individual: Legal Ai ServN915 Ilier County Irr Type of Membership: Private ecti97 (public, private, or individual) 7 Type of Organization: Non - profit organizations (Content depends on "Type of Membership" selection) Role(s) of the organization: Attend 10 -year planning meetings during past 12 (select all that apply) months Subpopulation(s) represented by the Veterans, Domestic Violence organization: (No more than two subpopulations) Exhibit 1 2011 Page 22 10/17/2011 cs;> Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 Does the organization provide direct services Yes to homeless people? 160 1 FL -606 COC_REG_2011 _037245 Services provided to homeless persons and Counseling /Advocacy, Legal Assistance families: (select all that apply) 1D. Continuum of Care (CoC) Member Organizations Detail Instructions: Provide information about each CoC member organization, including individuals that are part of the CoC planning process. For each member organization, provide information on the following: - Organization name - Enter the name of the organization or individual. If the individual is a victim of domestic violence, do not enter their ac ual name. - Type of membership - Public, private, or indi ' I - Type of organization - Organization role in the CoC planning process - Subpopulations represented - No more than 2 0> selected - Services provided, if applicable Name of organization or indivi w;f: reer a ice Center Type of Membership: Pr ctor (public, private, or individual) Type of Organization: Non -pr i g�iza ns (Content depends on "Type of Membership" �,f selection) Role(s) of the organization: Attend Consolidated Plan planning meetings (select all that apply) during past 12 months, Attend 10 -year planning meetings during past 12 months Subpopulation(s) represented by the Veterans organization: (No more than two subpopulations) Exhibit 1 2011 Page 23 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 Does the organization provide direct services Yes to homeless people? 16D 1 FL -606 COC_REG_2011 _037245 Services provided to homeless persons and Education, Case Management, Life Skills, families: Employment (select all that apply) 1D. Continuum of Care (CoC) Member Organizations Detail Instructions: Provide information about each CoC member organization, including individuals that are part of the CoC planning process. For each member organization, provide information on the following: - Organization name - Enter the name of the organization or individual. If the individual is a victim of domestic violence, do not enter their ac ual name. - Type of membership - Public, private, or indi ' I - Type of organization - Organization role in the CoC planning process - Subpopulations represented - No more than 2 selected - Services provided, if applicable Name of organization or indivi e Salv n rmy Type of Membership: Pr ctor (public, private, or individual) Type of Organization: Non -pr i CQAW iza ns (Content depends on Type of Membership selection) Role(s) of the organization: Attend Consolidated Plan focus groups /public (select all that apply) forums during past 12 months Subpopulation(s) represented by the Youth, Substance Abuse organization: (No more than two subpopulations) Exhibit 1 2011 Page 24 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 Does the organization provide direct services Yes to homeless people? 160 i FL -606 COC_REG_2011_037245 Services provided to homeless persons and Utilities Assistance, Child Care, Rental families: Assistance, Soup Kitchen /Food Pantry (select all that apply) 1 D. Continuum of Care (CoC) Member Organizations Detail Instructions: Provide information about each CoC member organization, including individuals that are part of the CoC planning process. For each member organization, provide information on the following: - Organization name - Enter the name of the organization or individual. If the individual is a victim of domestic violence, do not enter their actual name. - Type of membership - Public, private, or individual - Type of organization - Organization role in the CoC planning pro - Subpopulations represented - No more th ce a e selected - Services provided, if applicable OF Name of organization or ind'fv' u Type of Membership! (public, private, or individual) Type of Organization: (Content depends on "Type of Membership" selection) i Pro ' e House ';'P' eSe Fait org ns Role(s) of the organization: None (select all that apply) Subpopulation(s) represented by the Youth organization: (No more than two subpopulations) Does the organization provide direct services Yes to homeless people? Exhibit 1 2011 Page 25 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 Services provided to homeless persons and families: (select all that apply) 16D 1 R FL -606 COC_REG_2011_037245 Counseling /Advocacy, Case Management, Life Skills 1D. Continuum of Care (CoC) Member Organizations Detail Instructions: Provide information about each CoC member organization, including individuals that are part of the CoC planning process. For each member organization, provide information on the following: - Organization name - Enter the name of the organization or individual. If the individual is a victim of domestic violence, do not enter their actual name. - Type of membership - Public, private, or individual - Type of organization - Organization role in the CoC planning process - Subpopulations represented - No more than 2 may be selected - Services provided, if applicable X\# Name of organization or individual: A okalee Multicultural Multipurpose Community Agency vt, Type of Members JWivate o (public, private, or individual Type of Organization: fQ"o>l it orn ions (Content depends on "Type of Membership" selection) %{ i Roles of the organization: Attend Consolidated Plan planning meetings () 9 p 9 9 (select all that apply) during past 12 months Subpopulation(s) represented by the Substance Abuse organization: (No more than two subpopulations) Does the organization provide direct services Yes to homeless people? Exhibit 1 2011 Page 26 1 10/17/2011 160 1 Applicant: Naples /Collier County CoC FL -606 Project: FL -606 CoC Registration 2011 COC REG 2011 037245 Services provided to homeless persons and Street Outreach, Case Management, Life Skills, families: Utilities Assistance, Mortgage Assistance, (select all that apply) Alcohol /Drug Abuse, Rental Assistance 1D. Continuum of Care (CoC) Member Organizations Detail Instructions: Provide information about each CoC member organization, including individuals that are part of the CoC planning process. For each member organization, provide information on the following: - Organization name - Enter the name of the organization or individual. If the individual is a victim of domestic violence, do not enter their actual name. - Type of membership - Public, private, or individual - Type of organization - Organization role in the CoC planning process - Subpopulations represented - No more than 2 may be selected - Services provided, if applicable Name of organization or individual: ypress Housing Corp. Type of Me be Priv ec (public, private, or indivi Type of Organization. B esse (Content depends on "Type of Membership" selection) Role(s) of the organization: Attend (select all that apply) months Subpopulation(s) represented by the NONE organization: (No more than two subpopulations) Does the organization provide direct services No to homeless people? 10- yeanning meetings during past 12 Exhibit 1 2011 Page 27 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 Services provided to homeless persons and Not Applicable families: (select all that apply) 160 i FL -606 COC_REG_2011_037245 1 D. Continuum of Care (CoC) Member Organizations Detail Instructions: Provide information about each CoC member organization, including individuals that are part of the CoC planning process. For each member organization, provide information on the following: - Organization name - Enter the name of the organization or individual. If the individual is a victim of domestic violence, do not enter their actual name. - Type of membership - Public, private, or individual - Type of organization - Organization role in the CoC planning process - Subpopulations represented - No more than 2 may be selected - Services provided, if applicable Name of organization or individul^N000l Board of Collier County Z Type of Memb s P e for (public, private, or in v' u ) Type of Organiza hool s /Universities (Content depends on "Type of Membership's selection) ::p Role(s) of the organization: Attend 1 -y planning meetings during past 12 (select all that apply) months Subpopulation(s) represented by the Youth organization: (No more than two subpopulations) Does the organization provide direct services No to homeless people? Services provided to homeless persons and Education families: (select all that apply) Exhibit 1 2011 Page 28 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 160 1 FL -606 COC_REG_2011_037245 1D. Continuum of Care (CoC) Member Organizations Detail Instructions: Provide information about each CoC member organization, including individuals that are part of the CoC planning process. For each member organization, provide information on the following: - Organization name - Enter the name of the organization or individual. If the individual is a victim of domestic violence, do not enter their actual name. - Type of membership - Public, private, or individual - Type of organization - Organization role in the CoC planning process - Subpopulations represented - No more than 2 may be selected - Services provided, if applicable Name of organization or individual: Florida Gulf Coast University Type of Membershi blic Sector (public, private, or individ I) Type of Organi 'on: c of systems /Universities (Content depends on "Type of Memb " see io") I 6A, Role(s) of the organization: C e /Su ttee/Work Group, Attend (select all that apply) 10- nin gs during past 12 mont 07 Subpopulation(s) represented by the Youth organization: (No more than two subpopulations) Does the organization provide direct services No to homeless people? Services provided to homeless persons and Not Applicable families: (select all that apply) Exhibit 12011 Page 29 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 160 1 FL -606 COC_REG_2011_037245 1 E. Continuum of Care (CoC) Project Review and Selection Process Instructions: The CoC solicitation of projects and the project selection process should be conducted in a fair and impartial manner. For each of the following items, indicate all of the methods and processes the CoC used in the past year to assess the performance, effectiveness, and quality of all requested new and renewal project(s). In addition, indicate if any written complaints have been received by the CoC regarding any CoC matter in the last 12 months, and how those matters were addressed and /or resolved. Open Solicitation Methods: f. Announcements at Other Meetings, a. (select all that apply) Newspapers, e. Announcements at CoC Meetings, c. Responsive to Public Inquiries, b. Letters /Emails to CoC Membership, d. Outreach to Faith -Based Groups Rating and Performance Assessment g. Site Visit(s), b. Review CoC Monitoring Measure(s); indings, k. Assess Cost Effectiveness, q. (select all that app .view All Leveraging Letters (to ensure that meet HUD requirements), c. Review HUD o 'toring Findings, r. Review HMIS participation st Review Independent Audit, j. Assess Sp ry�(fast or slow), p. Review Match, i. Evalu r ct Readiness, e. Review HUD for P rfo ance Results, h. Survey Clients, Io. vie embership Involvement, a. CoC in Re ' w ommitee Exists, m. Assess Prod ft r apacity, I. Assess Pro a t xperience Voting /Decision- Making Method(s): e. ConskpOs�genelral agreement) (select all that apply) �/ Were there any written complaints received No by the CoC regarding any matter in the last 12 months? If yes, briefly describe complaint(s), how it was resolved, and the date(s) resolved (limit 1000 characters): Exhibit 1 2011 Page 30 1 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 160 i FL -606 COC_REG_2011_037245 1 F. Continuum of Care (CoC) Housing Inventory Count -- Change in Beds Available For each housing type, indicate if there was a change (increase or reduction) in the total number of beds counted in the FY2011 Housing Inventory Count (HIC) as compared to the FY2010 HIC. If there was a change, please describe the reasons in the space provided for each housing type. If the housing type does not exist in your CoC, please select "Not Applicable" and indicate that in the text box for that housing type. Emergency Shelter: No Briefly describe the reason(s) for the change in Emergency Shelter beds, if applicable (limit 750 characters): HPRP Beds: Yes Briefly describe the reasons) for the hange in HPRP beds or units, if applicable (limit 750 characters): 46 rapid rehousing units were not includ ` the eHIC. This change will addressed in the upcoming eHIG„g;po Safe H Not lirr Briefly describe the reason(s) for theia e i a aven beds, if applicable (limit 750 characters): Transitional Housing: No Briefly describe the reason(s) for the change in Tsitional Housing beds, if applicable (limit 750 characters): Permanent Housing: Yes Briefly describe the reason(s) for the change in Permanent Housing beds, if applicable (limit 750 characters): The number of existing PSH beds were under - reported in the eHIC, 26 unreported in eHIC will be addressed in the upcoming eHIC report. Added 25 RANE Rental Assistance to Non - Elderly Disabled Permanent Supportive Housing Vouchers Added 50 HOME TBRA Tenant Based Rental Assistance Added 2 S +C Vouchers Shelter Plus Care- for adults with serious mental illness. Exhibit 1 2011 1 Page 31 10/17/2011 c' Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 160 1 FL -606 COC_REG_2011_037245 CoC certifies that all beds for homeless Yes persons were included in the Housing Inventory Count (HIC) as reported on the Homelessness Data Exchange (HDX), regardless of HMIS participation and HUD funding: Exhibit 1 2011 Page 32 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 16D 1 FL -606 COC_REG 2011 037245 1G. Continuum of Care (CoC) Housing Inventory Count - Data Sources and Methods Instructions: Complete the following items based on data collection methods and reporting for the Housing Inventory Count (HIC), including Unmet need determination. The information should be based on a survey conducted in a 24 -hour period during the last ten days of January 2011. CoCs were expected to report HIC data on the Homelessness Data Exchange (HDX). Did the CoC submit the HIC data in HDX by Yes May 31, 2011? If no, briefly explain why the HIC data was not submitted by May 31, 2011 (limit 750 characters). Indicate the type of data sources or methoMIS plus housing inventory survey u • to complete the housing inventory count: (select all that ply) Indicate the steps taken to ensur Ilo -u uctions, Updated prior housing accuracy of the data collected and included in�Arhvvto fo ation, HMIS the housing inventory count. OOOOW �+ (select all that apply) :P Must specify other: '000 Indicate the type of data or method(s) used to determine unmet need: (select all that apply): Unsheltereel''co , HUD unmet need formula, HMIs data, Lol studies or non -HMIs data sources, Housing inventory, Stakeholder discussion, Provider opinion through discussion or survey forms Specify "other" data types: If more than one method was selected, describe how these methods were used together (limit 750 characters): Exhibit 12011 Page 33 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 160 i FL -606 COC_REG_2011 _037245 CoC members have researched the Ten Essentials for Ending Homelessness and created a report that determined gaps in services. CoC members have been conducting focus groups with service providers and the clients they serve. The Hunger & Homeless Coalition annually conducts a gap analysis with member agencies to rank greatest need and record gaps in services. The Coalition organizes an unsheltered count of homeless during the PiT homeless count each year. Surveys are conducted at locations where people experiencing homelessness are identified and information about unmet need is captured. The Collier County Housing Authority collects data from clients that are currently placed on their waiting list. A second year HPRP assessment was done. Exhibit 1 2011 Page 34 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 16D 1 FL -606 COC_REG_2011 037245 2A. Homeless Management Information System (HMIS) Implementation Intructions: All CoCs are expected to have a functioning Homeless Management Information System (HMIS). An HMIS is a computerized data collection application that facilitates the collection of information on homeless individuals and families using residential or other homeless services and stores that data in an electronic format. CoCs should complete this section in conjunction with the lead agency responsible for the HMIS. All information should reflect the status of HMIS implementation as of the date of application submission. For additional instructions, refer to the "Exhibit 1 Detailed Instructions" which can be accessed on the left -hand menu bar. Select the HMIS implementation coverage Single CoC area: Select the CoC(s) covered by the HMIS: FL -606 - Naples /Collier County CoC (select all that apply) Is the HMIS Lead Agency the same as the Yes CoC Lead Agency? Does the CoC Lead Agency have a wri at Applicable agreement with the HMIS Lead Agency? Has the CoC selected an HMIS sc�iv e p c. If "No" select re If "Yes" list the name of the product/ Cli Tra What is the name of the HMIS software a tems onal company? Does the CoC plan to change HMIS software No within the next 18 months? Indicate the date on which HMIS data entry 05/01/2004 started (or will start): (format mm /dd /yyyy) Indicate the challenges and barriers Poor data quality, Inability to integrate data from impacting the HMIS implementation: providers with legacy data systems, No or low (select all the apply): participation by non -HUD funded providers, Inadequate resources If CoC indicated that there are no challenges or barriers impacting HMIS implementation, briefly describe either why CoC has no challenges or how all barriers have been overcome (limit 1000 characters). If CoC identified one or more challenges or barriers impacting HMIS implementation, briefly describe how the CoC plans to overcome them (limit 1000 characters). Exhibit 12011 Page 35 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 160 1 FL -606 COC REG 2011_037245 Data Integration will continue to improve since ClientTrack 2010 upgrade New signed Data Quality Standards Agreement between all of the HMIS agencies. Data Quality assurance checks wil I occur more frequently and more training will be held monthly. Improved hardware and equipment. Investigate new avenues for expanding funding sources. Exhibit 12011 Page 36 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 160 i FL -606 COC REG_2011_037245 2B. Homeless Management Information System (HMIS) Lead Agency Enter the name and contact information for the HMIS Lead Agency. This is the organization responsible for implementing the HMIS within a CoC. There may only be one HMIS Lead Agency per CoC. Organization Name Collier County Housing,Human and Veteran Services Street Address 1 3339 Tamiami Trail East Street Address 2 Suite 211 City Naples State Florida Zip Code 34112 -5361 Format: xxxxx or xxxxx -xxxx Organization Ty ate or Local Government If "Other" please specify Is this organization the HMIS Lead Ae&n more than o Exhibit 1 2011 Page 37 1 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 160 1 FL -606 COC_REG_2011_037245 2C. Homeless Management Information System (HMIS) Bed Coverage Instructions: HMIS bed coverage measures the level of provider participation in a CoC's HMIS. Participation in HMIS is defined as the collection and reporting of client level data either through direct data entry into the HMIS or into an analytical database that includes HMIS data on an at least annual basis. HMIS bed coverage is calculated by dividing the total number of year -round beds located in HMIS - participating programs by the total number of year -round beds in the Continuum of Care (CoC), after excluding beds in domestic violence (DV) programs. HMIS bed coverage rates must be calculated separately for emergency shelters, transitional housing, and permanent supportive housing. The 2005 Violence Against Women Act (VAWA) Reauthorization bill restricts domestic violence provider participation in HMIS unless and until HUD completes a public notice and comment process. Until the notice and comment process is completed, HUD does not require nor expect domestic violence providers to participate in HMIS. HMIS bed coverage rates are calculated excluding domestic violence provider beds from the universe of potential beds. For additional instructions, refer to the "Exhibit 1 Petalled Instructions" which can be accessed on the left -hand menu bar. AX IF AL '00000" Indicate the HMIS bed cove r e ( %) ch housing type within the CoC. If a particular housing ty not e�` where within the CoC, select "Housing type does not istj�i QoC" m e drop -down menu. • Emergency Shelter (ES) Beds 86 %+ • Safe Haven (SH) Beds Housing type does not exist in CoC • Transitional Housing (TH) Beds 86 %+ • Permanent Housing (PH) Beds 86 %+ How often does the CoC review or assess At least Annui its HMIS bed coverage? If bed coverage is 0 -64 %, describe the CoC's plan to increase this percentage during the next 12 months: Exhibit 1 2011 Page 38 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 160 i FL -606 COC_REG_2011_037245 2D. Homeless Management Information System (HMIS) Data Quality Instructions: HMIS data quality refers to the extent that data recorded in an HMIS accurately reflects the extent of homelessness and homeless services in a local area. In order for HMIS to present accurate and consistent information on homelessness, it is critical that all HMIS have the best possible representation of reality as it relates to homeless people and the programs that serve them. Specifically, it should be a CoC's goal to record the most accurate, consistent and timely information in order to draw reasonable conclusions about the extent of homelessness and the impact of homeless services in its local area. Answer the questions below related to the steps the CoC takes to ensure the quality of its data. In addition, CoCs will indicate their participation in the Annual Homelessness Assessment Report (AHAR) for 2010 and 2011 as well as whether or not they plan to contribute data to the Homelessness Pulse project in 2012. For additional instructions, refer to the Exhibit 1 Detailed Instructions, which can be accessed on the left -hand menu bar. Indicate the percentage of unduplicgOW client records with null or missing values on a day during t fen days of January 2011. Universal Data Element Records with no values ( %) Records where value is refused or unknown ( %) * Social Security Number 3% 15% * Date of Birth 2% 5% * Ethnicity 5% 5% * Race 5% 20% * Gender 5% 10% * Veteran Status 0% 0% * Disabling Condition 6% 3% * Residence Prior to Program Entry 5% 10% * Zip Code of Last Permanent Address 2% 10% *Name 0% 0% How frequently does the CoC review At least Quarterly the quality of program level data? Describe the process, extent of assistance, and tools used to improve data quality for agencies participating in the HMIS (limit 750 characters): Semi - annual data input quality reports to the Continuum by the HMIS Administrator helped the agencies confirm data and correct errors. Conducted on -site training at each organization to identify and correct data entry errors. The CoC has a new Data Quality Standards agreement to ensure the uniform quality and to specify requirements for the CoC agencies. HMIS Bed Utilization tool from the HMIS.info website. Exhibit 1 2011 Page 39 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 160 i FL -606 COC_REG_2011_037245 Describe the existing policies and procedures used to ensure that valid program entry and exit dates are recorded in the HMIS (limit 750 characters): A standard HMIS workflow provided by our vendor is used by all agencies, requiring the forced entry of all Universal Data Elements and those Program Specific Data Elements. Updated March 2010 HMIS Universal Data Elements have been implemented into the ClientTrack database and are now being used. Indicate which reports the CoC or subset of 2010 AHAR the CoC submitted usable data: (Select all that apply) Indicate which reports the CoC or subset of 2011 AHAR the CoC plans to submit usable data: (Select all that apply) Exhibit 12011 Page 40 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 160 i FL -606 COC_REG_2011_037245 2E. Homeless Management Information System (HMIS) Data Usage Instructions: CoCs can use HMIS data for a variety of applications. These include, but are not limited to, using HMIS data to understand the characteristics and service needs of homeless people, to analyze how homeless people use services, and to evaluate program effectiveness and outcomes. In this section, CoCs will indicate the frequency in which it engages in the following. - Integrating or warehousing data to generate unduplicated counts - Point -in -time count of sheltered persons - Point -in -time count of unsheltered persons - Measuring the performance of participating housing and service providers - Using data for program management - Integration of HMIS data with data from mainstream resources For additional instructions, refer to the LExhibit 1 Detailed Instructions4 which can be accessed on the left -hand menu bar. AX Indicate the frequency in which the C es HMIS data for each of the following: '70 Integrating or warehousing data to gene r a least i nnually unduplicated counts- Point -in -time count of sheltered persons: le nn I Point -in -time count of unsheltered persons: At I uall M 407 easuring the performance of participating At leas housing and service providers: Using data for program management: At least Semi- ally Integration of HMIS data with data from Never mainstream resources: Exhibit 1 2011 Page 41 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 160 i 1 FL -606 COC_REG_2011 037245 2F. Homeless Management Information System (HMIS) Data and Technical Standards Instructions: In order to enable communities across the country to collect homeless services data consistent with a baseline set of privacy and security protections, HUD has published HMIS Data and Technical Standards. The standards ensure that every HMIS captures the information necessary to fulfill HUD reporting requirements while protecting the privacy and informational security of all homeless individuals. Each CoC is responsible for ensuring compliance with the HMIS Data and Technical Standards. CoCs may do this by completing compliance assessments on a regular basis and through the development of an HMIS Policy and Procedures manual. In the questions below, CoCs are asked to indicate the frequency in which they complete compliance assessment. For additional instructions, refer to the "Exhibit 1 Detailed Instructions" which can be accessed on the left -hand menu bar. For each of the following HMIS privacy and security standards, indicate the frequency in which the Cou an complian • Unique user name and password for rnlvlla Lead Agency complete a essment: At least Quarterly • Secure location for equipment At least Quarterly • Locking screen savers At least Monthly • Virus protection with auto update At least Monthly • Individual or network firewalls At least Monthly • Restrictions on access to HMIS via public forums At least Monthly • Compliance with HMIS Policy and Procedures manual At least Semi - annually • Validation of off -site storage of HMIS data At least Monthly How often does the CoC Lead Agency assess At lean, t- onthly compliance with the HMIS Data and Technical Standards? How often does the CoC Lead Agency At least Month aggregate data to a central location (HMIS database or analytical database)? Does the CoC have an HMIS Policy and Yes Procedures manual? If 'Yes' indicate date of last review 10/18/2010 or update by CoC: If 'No' indicate when development of manual will be completed (mm /dd /yyyy): Exhibit 1 2011 Page 42 1 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 160 i FL -606 COC_REG_2011 _037245 2G. Homeless Management Information System (HMIS) Training Instructions: Providing regular training opportunities for homeless assistance providers that are participating in a local HMIS is a way that CoCs can ensure compliance with the HMIS Data and Technical Standards. In the section below, CoCs will indicate how frequently they provide certain types of training to HMIS participating providers. For additional instructions, refer to the "Exhibit 1 Detailed Instructions" which can be accessed on the left -hand menu bar. Indicate the frequency in which the CoC or HMIS Lead Agency offers each of the following training activities: • Privacy /Ethics training At least Annually • Data Security training At least Quarterly • Data Quality training At least Quarterly • Using Data Locally At least Monthly • Using HMIS data for assessing program performance At least bi- monthly • Basic computer skills training At least Monthly • HMIS software training At least Quarterly Exhibit 1 2011 Page 43 1 10/17/2011 IE Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 16D 1 FL -606 COC_REG_2011 037245 2H. Continuum of Care (CoC) Sheltered Homeless Population & Subpopulation: Point -In -Time (PIT) Count Instructions: The purpose of the point -in -time count is to further understand the number and characteristics of people sleeping on the streets, including places not meant for human habitation, emergency shelters, and transitional housing. Although CoCs are only required to conduct a point -in -time count every two years, HUD strongly encourages CoCs to conduct a point -in -time count annually. CoCs are to indicate how frequently they will conduct a point -in -time count and what percentage of their homeless service providers participated. CoCs will also describe if there was an increase, decrease, or no change between the most recent point -in -time count and the one prior. CoCs are to indicate in the narrative which years are being compared. How frequently does the CoC conduct annually (every year) a point -in -time count? ®� Did the CoC submit the point -in -time count Yes data in HDX by May 31, 2011? If no, briefly explain why the point -in -time data was not submitted by May 31, 2011 (limit 750 characters). Enter the date in which the CoC plans 01/26/2012 to conduct its next point -in -time count: (mm /dd /yyyy) Exhibit 1 2011 1 Page 44 1 10/17/2011 16 D 1 �' Applicant: Naples /Collier County CoC FL -606 Project: FL -606 CoC Registration 2011 COC REG 2011 037245 Indicate the percentage of homeless service providers supplying population and subpopulation data for the point -in -time count that was collected via survey, interview, and /or HMIS. Emergency Shelter: 100% Transitional Housing: 100% Comparing the most recent point -in -time count to the previous point -in- time count, describe any factors that may have resulted in an increase, decrease, or no change in both the sheltered and unsheltered population counts (limit 1500 characters). The number of individuals experiencing homelessness in Collier County during the 2011 Point -in -Time (PIT) Homeless Count was 390, according to HUD's definition, e.g., literally homeless. Locally, this is a slight decrease from the 401 reported in 2010. These current trends in Collier Cou%i al estimates and characteristics of homelessness. C sness has declined steadily in the past four (4) years, as a resulis that HUD and communities have placed on m re chronically homeless off the streets and into permanentb"i&he p In Collier County, the overalls of persons who are chronically homeless reflects the shelter and support services along with rapid re- housin an o sing bi ation services. 106 persons were moved off the streets a into abl g with Homeless Prevention and Rapid Re- housing Progr P) f di received through the American Recovery and Reinvestment 009. 111Z 0 Exhibit 1 2011 1 Page 45 1 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 16 0 1 " FL -606 COC_REG 2011_037245 21. Continuum of Care (CoC) Sheltered Homeless Population & Subpopulations: Methods Instructions: Accuracy of the data reported in point- in-time counts is vital. Data produced from these counts must be based on reliable methods and not on "guesstimates." CoCs may use one or more method(s) to count sheltered homeless persons. This form asks CoCs to identify and describe which method(s) were used to conduct the point -in -time counts. The description should demonstrate how the method(s) was used to produce an accurate count. For additional instructions, refer to the "Exhibit 1 Detailed Instructions" which can be accessed on the left -hand menu bar. Indicate the method(s) used to count sheltered homeless persons during the last point -in -time count: (Select all that apply): Survey Providers: X HM W< Extrapolation: A If Other, specify: Describe the methods used by the C ind' ate by the above selected method(s), to collect data tI, elte meless population recent point-in-time cc'TI s oTi ould indicate during the most e p p how the method(s) selected above were s d ' ord uce accurate data (limit 1500 characters): Training was conducted for all volunteer and ag ey participants. Surveys were filled out at known locations and retur d central location. Data input was performed via a web based form by trai volunteers. Aggregate data was provided to the HMIS Lead Agenc in the form of an Excel Spreadsheet. De- duplication was performed by the HMIS Administrator and reports generated. Exhibit 1 2011 1 Page 46 1 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 16 0 1 1 FL -606 COC_REG_2011_037245 2J. Continuum of Care (CoC) Sheltered Homeless Population and Subpopulation: Data Collection Instructions: CoCs are required to produce data on seven subpopulations. These subpopulations are: chronically homeless, severely mentally ill, chronic substance abuse, veterans, persons with HIV /AIDS, victims of domestic violence, and unaccompanied youth (under 18). Subpopulation data is required for sheltered homeless persons and, with the exception of chronically homeless and veterans, optional for unsheltered persons. Sheltered chronically homeless persons are those living in emergency shelters only. The definition of chronically homeless persons is an unaccompanied invididual with a disabling condition, or an adult member of a family with a disabling condition, who meets all other requirements for chronic homeless designation. CoCs may use a variety of methods to collect subpopulation information on sheltered homeless persons and may utilize more than one in order to produce the most accurate data. This form asks CoCs to identify and describe which method(s) were used to gather subpopulation information for sheltered populations during the most recent point -in -time count. The description should demonstrate how the method(s) was used to produce an accurate count. For additional instructions, refer to the Exhibit 1 Detailed Instructions which can be accessed on the left -hand menu bar. Indicate the method(s) used to gatjika calculate subpopulation data on sheltered homeless persons (select all that apply): y �_ HMIS plus extra Sample of PIT interviews plus extra Sample strategy: Provider expertise: Interviews: Non -HMIS client level information: If Other, specify: Describe the methods used by the CoC, based on the selections above, to collect data on the sheltered homeless subpopulations during the most recent point -in -time count. Response should indicate how the method(s) selected above were used in order to produce accurate data on all of the sheltered subpopulations (limit 1500 characters): Exhibit 1 2011 1 Page 47 1 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 16D 1 FL -606 COC_REG_2011_037245 Surveys were filled out at various locations and returned to a central location. Data input was performed via a web based form by trained volunteers. Aggregate data was provided to the HMIS Lead Agency in the form of an Excel Spreadsheet. De- duplication was performed by the HMIS Administrator and reports generated. Exhibit 1 2011 Page 48 1 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 160 1 FL -606 COC_REG_2011_037245 2K. Continuum of Care (CoC) Sheltered Homeless Population and Subpopulation: Data Quality Instructions: The data collected during point -in -time counts is vital for CoCs and HUD. Communities need accurate data to determine the size and scope of homelessness at the local level to plan services and programs that will appropriately address local needs and measure progress in addressing homelessness. HUD needs accurate data to understand the extent and nature of homelessness throughout the country and to provide Congress and OMB with information regarding services provided, gaps in service, performance, and funding decisions. It is vital that the quality of data reported accurate and of high quality. CoCs may undertake once or more actions to improve the quality of the sheltered population data. For additional instructions, refer to the Exhibit 1 Detailed Instructions which can be accessed on the left -hand menu bar. Indicate the method(s) used to verify the data quality of sheltered homeless persons: (select all that apply) Instructions:I X Trainin Remind /Follow -up IS: Non -HMIS de- duplication tech i X Other. If Other, specify: If selected, describe the non -HMIS de-du p ec used by the CoC to ensure the data quality of the sheltere Yr ns count (limit 1000 characters). Raw survey forms were input via a web based survey t specifically designed to collect the PIT questions. After all data entry was complete, the HMIS Administrator performed de- duplication in ClientTrack using Name and DOB fields to flush dups from this data set. Records that could not be flushed on this first pass were compared by singular record search against HMIS Name and DOB fields using augmented address information. Describe the methods used by the CoC, based on the selections above, to collect data on the sheltered homeless subpopulations during the most recent point -in -time count. Response is to indicate how the method(s) selected above were used in order to produce accurate data on all of the sheltered subpopulations (limit 1500 characters): Exhibit 12011 Page 49 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 1601 y FL -606 COC_REG_2011_037245 The County HMIS Administrator developed and field tested a survey instrument containing both open -ended and closed questions to collect data for each variable required in the annual PiT count. The Homeless Coalition distributed surveys and detailed instructions to shelters prior to the scheduled date. The Homeless Coalition also trained volunteers training to conduct interviews and complete the surveys. The Homeless Coalition collected completed surveys, parsed them for incomplete information, and forwarded them to the HMIS Administrator. Trained volunteers entered the data into Client Track. Using a combination of unique identifiers the HMIS Administrator cross - checked entries and de- duplicated the count. Exhibit 1 2011 Page 50 1 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 16D I FL -606 COC_REG_2011_037245 2L. Continuum of Care (CoC) Unsheltered Homeless Population and Subpopulation: Methods Instructions: Accuracy of the data reported in point -in -time counts is vital. Data produced from these counts must be based on reliable methods and not on "guesstimates." CoCs may use one or more methods to count unsheltered homeless persons. This form asks CoCs to identify which method(s) they use to conduct their point -in -time counts. For additional instructions, refer to the "Exhibit 1 Detailed Instructions" which can be accessed on the left -hand menu bar. Indicate the method(s) used during the most recent point -in -time count of unsheltered homeless persons: (select all that apply) Public places count: Public places count with inte Service -based count: If Other, specify: Describe the method(s) used by the CoC to count unsheltered homeless popul i� in -time count. Response should indicate above were used in order to obtain accu selections above, '1�pojt recent point- X characters). Exhibit 12011 Page 51 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 16D 1 FL -606 COC_REG_2011_037245 2M. Continuum of Care (CoC) Unsheltered Homeless Population and Subpopulation: Level of Coverage Instructions: CoCs may utilize several methods when counting unsheltered homeless persons. CoCs need to determine what area(s) they will go to in order to count this population. For example, CoCs may canvas an entire area or only those locations where homeless persons are known to sleep. CoCs are to indicate the level of coverage incorporated when conducting the unsheltered count. For additional instructions, refer to the "Exhibit 1 Detailed Instructions" which can be accessed on the left -hand menu bar. Indicate where the CoC located the A Combination of Locations unsheltered homeless persons (level of coverage) that were counted in the last point -in -time count: If Other, specify: Exhibit 1 2011 Page 52 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 16D 1 FL -606 COC_REG_2011_037245 2N. Continuum of Care (CoC) Unsheltered Homeless Population and Subpopulation: Data Quality Instructions: The data collected during point -in -time counts is vital for CoCs and HUD. Communities need accurate data to determine the size and scope of homelessness at the local level to plan services and programs that will appropriately address local needs and measure progress in addressing homelessness. HUD needs accurate data to understand the extent and nature of homelessness throughout the country and to provide Congress and OMB with information regarding services provided, gaps in service, performance, and funding decisions. It is vital that the quality of data reported is accurate and of high quality. CoCs may undertake one or more actions to improve the quality of the sheltered population data. All CoCs should engage in activities to reduce the occurrence of counting unsheltered persons more than once during the point -in -time count. The strategies are known as de- duplication techniques. De- duplication techniques should always be implemented when the point -in -time count extends beyond one night or takes place during the day at service locations used by homeless persons that may or may not use shelters. CoCs are to describe de- duplication techniques used in the point -in -time count. CoCs are also asked to describe outreach efforts to identify and engage homeless individuals and families. For additional instructions, refer to the �Exh' < 6 wiled Instructions which can be accessed on the left -hand menu bar. 49>_ Indicate the steps taken by t to en *0%,, a quality of the data collected for the unsheltered p d0 b (select all that apply) Training. �+ HMIS: De- duplication techniques: X "Blitz" Count: Unique Identifier: Survey Question: Enumerator Observation: Other: If Other, specify: �i Describe the techniques, as selected above, used by the CoC to reduce the occurrence of counting unsheltered homeless persons more than once during the most recent point -in -time count (limit 1500 characters): Point in Time surveys conducted at camps and other known locations for Unsheltered were de- duplication in ClientTrack and COUNTS performed on the results. Volunteers conducting PiT Surveys were required to ask if the person interviewed was interviewed for the same survey before. Reports taken from HMIS are use to confirm deduplication of counts. Exhibit 1 2011 1 Page 53 1 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 160 i FL -606 COC_REG_2011 _037245 Describe the CoCs efforts to reduce the number of unsheltered homeless households with dependent children. Discussion should include the CoCs outreach plan (limit 1500 characters): The need for additional beds for this population was identified and plans are underway for increasing those family units. Increasing county -wide primary prevention efforts. Describe the CoCs efforts to identify and engage persons that routinely sleep on the streets or other places not meant for human habitation (limit 1500 characters): Previously, the Continuum conducted two outreach activities each year for persons on the street where essentials such as meals, hygiene items, mosquito repellent, and similar items are given out. This past year three such outreach activities occured and other outreach activities are under consideration. Resources are available and people are directed to services. The CoC supports a well staffed 211 call center which hopes to begin in Collier County in 2011. Exhibit 1 2011 Page 54 1 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 16D 1 FL -606 COC REG_2011_037245 3A. Continuum of Care (CoC) Strategic Planning Objectives Objective 1: Create new permanent housing beds for chronically homeless persons. Instructions: Ending chronic homelessness continues to be a HUD priority. CoCs can do this by creating new permanent housing beds that are specifically designated for this population. In the FY2010 NOFA, chronically homeless persons were defined an unaccompanied homeless individual with a disabling condition, or a family where at least one adult member had a disabling condition, who has either been continuously homeless for at least a year OR has had at least four episodes of homelessness in the past three (3) years. CoCs are to describe the short-term and long -term plans for creating new permanent housing beds for chronically homeless persons who meet the definition of chronically homeless. CoCs will also indicate the current number of permanent housing beds designated for chronically homeless persons. This number should match the number of beds reported in the FY2011 Housing Inventory Count (HIC) and enter into the Homeless Data Exchange (HDX). CoCs will then enter the number of permanent housing beds expected to be in place in 12 months, 5 years, and 10 years. These future estimates should be based on the definition of chronically homeless. For additional instructions, refer to the'Exh-Of0tiailed Instructions' which can be accessed on the left -hand menu bar. How many permanent housing be are currently in place for chr homeless per In 12 months, how many permanent housingv2 beds designated for chronically homeles�9// persons are planned and will be available /' for occupancy? •0 In 5 years, how many permanent housing 75 0,00 beds designated for chronically homeless persons are planned and will be available for occupancy? In 10 years, how many permanent housing 100 beds designated for chronically homeless persons are planned and will be available for occupancy? Describe the CoC's short-term (12 month) plan to create new permanent housing beds for persons who meet HUD's definition of chronically homeless (limit 1000 characters): Collier County Housing Authority has recently received 2 -S + C, 25 -RANE and 50 -TBRA tenant based rental assistance vouchers for the population. Exhibit 12011 Page 55 1 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 16D 1 FL -606 COC_REG_2011_037245 Describe the CoC's long -term (10 year) plan to create new permanent housing beds for persons who meet HUD's definition of chronically homeless (limit 1000 characters): The plan prioritizes permanent supportive housing to include wrap around services using tenant based rental assistance vouchers. The CoC will aggressively pursue additional state, federal and local funding to support this priority. The first of four goals included in Collier County's Community Ten Year Plan to Prevent and End Homelessness is to increase the inventory of permanent supportive housing and affordable housing. This goal proposes to increase the number of Housing Choice Vouchers w/ support services and continue the successful Rapid Re- housing program. A strategic action plan has been developed with steps to be implemented within one year, five years and ten years. Meetings will be convened yearly to evaluate the progress of the Ten Year Plan action steps. Exhibit 1 2011 Page 56 10/17/2011 160 1 Applicant: Naples /Collier County CoC FL -606 Project: FL -606 CoC Registration 2011 COC REG 2011 037245 3A. Continuum of Care (CoC) Strategic Planning Objectives Objective 2: Increase the percentage of participants remaining in CoC funded permanent housing projects for at least six months to 77 percent or more. Instructions: Increasing self - sufficiency and stability of permanent housing program participants is an important outcome measurement of HUD's homeless assistance programs. Each SHP -PH and S +C project is expected to report the percentage of participants remaining in permanent housing for more than six months on its Annual Performance Report (APR). CoCs then use this data from all of its permanent housing projects to report on the overall CoC performance on form 4C. Continuum of Care (CoC) Housing Performance. In this section, CoCs are to describe short-term and long -term plans for increasing the percentage of participants remaining in all of its CoC- funded permanent housing projects (SHP - PH or S +C) to at least 77 percent. CoCs will indicate the current percentage of participants remaining in these projects, as indicted on form 4C. as well as the expected percentage in 12 months, 5 years, and 10 years. CoCs that do not have any CoC- funded permanent housing projects (SHP -PH or S +C) for which an APR was required should indicate this by entering "0" in the numeric fields and note in the narratives. For additional instructions, refer to the "Exhi .Vled Instructions" which can be accessed on the left -hand menu bar. What is the current percen# a of participants remaining in CoC U permanent housing projects for at led e month? In 12 months, what percentage o 9 participants will have remained in CoC - funded permanent housing projects for at least six months? In 5 ears y , what percentage of participants 97 0 will have remained in CoC- funded permanent housing projects for at least six months? In 10 years, what percentage of 97 participants will have remained in CoC - funded permanent housing projects for at least six months? Describe the CoCs short-term (12 month) plan to increase the percentage of participants remaining in CoC- funded permanent housing projects for at least six months to 77 percent or higher (limit 1000 characters): Exhibit 1 2011 Page 57 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 160 i FL -606 COC_REG_2011_037245 The CoC has exceeded 77 percent. Participants in permanent housing will continue to receive assistance with transportation and receive case management services to help them become self- sufficient and work toward their life goals. To increase self - sufficiency and housing stability, two CoC agencies have partnered to combine housing vouchers with support services. The Housing Authority's TBRA vouchers will include supportive services such as case management and mental health counseling from David Lawrence Center. Describe the CoCs long -term (10 year) plan to increase the percentage of participants remaining in CoC- funded permanent housing projects for at least six months to 77 percent or higher (limit 1000 characters): The second of four goals included in Collier County's Community Ten Year Plan to provide support services for housing stabilization and self - sufficiency. This goal includes: an increase in choice rental vouchers with support services; case management and treatment teams for housing stability to include individual assessments and trauma informed care; incentives for landlords to house people with MI/SA/criminal history; expand intensive reintegration /treatment teams; financial planning /financial literacy; employment resources and expand on One -Stop Centers; and mental illness /substance abuse training for homeless shelter staff and landlords on mental illness /substance abuse (Empathy train' g /CIT). A strategic action plan with steps to b lemented within one year, five years and ten years will be completed and c On. Meetings will be convened yearly to evaluate the progress of the T ar Plan action steps. 1070, 1 6/4" 0 Exhibit 12011 Page 58 10/17/2011 V Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 160 1 FL -606 COC_REG_2011_037245 3A. Continuum of Care (CoC) Strategic Planning Objectives Objective 3: Increase the percentage of participants in CoC - funded transitional housing that move into permanent housing to 65 percent or more. Instructions: The transitional housing objective is to help homeless individuals and families obtain permanent housing and self - sufficiency. Each SHP -TH project is expected to report the percentage of participants moving to permanent housing on its Annual Performance Report (APR). CoCs then use this data from all of the CoC- funded transitional lousing projects to report on the overall CoC performance on form 4C. Continuum of Care (CoC) Housing Performance. In this section, CoCs are to describe short-term and long -term plans for increasing the percentage of transitional housing participants who move from SHP -TH projects into permanent housing to at least 65 percent or more. CoCs will indicate the current percentage of SHP -TH project participants moving into permanent housing as indicated on from 4C. as well as the expected percentage in 12 months, 5 years, and 10 years. CoCs that do not have any CoC funded transitional housing projects (SHP -TH) for which an APR was required should enter "0" in the numeric fields below and note in the narratives. For additional instructions, refer to the "Exhib' tailed Instructions" which can be accessed on the left -hand menu bar. What is the current percentage of participants in CoC- funded tran ' o I housing projects will have v Al permanent hou In 12 months, what percentage of X21 participants in CoC- funded transition? housing projects will have moved to permanent housing? In 5 years, what percentage of participants 85 in CoC- funded transitional housing projects will have moved to permanent housing? In 10 years, what percentage of 86 participants in CoC- funded transitional housing projects will have moved to permanent housing? Describe the CoCs short-term (12 month) plan to increase the percentage of participants in CoC- funded transitional housing projects that move to permanent housing to 65 percent or more (limit 1000 characters). Exhibit 1 2011 Page 59 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 16D 1 FL -606 COC_REG_2011 _037245 The Shelter for Abused Women and Children and St. Matthew's House Wolfe Apartments will provide and allocate interim financial assistance through Fresh Start, HPRP, and other resources. Various agencies will continue case management services and development of prevention education, child care, legal services, and economic empowerment services to ensure effective linkage and coordination with the ultimate goal of securing permanent housing. Explore funding sources of permanent housing and supportive services through CoC SHP, Homeless Housing Assistance, ESG, Challenge, CDBG, and other opportunities. Describe the CoCs long -term (10 year) plan to increase the percentage of participants in CoC- funded transitional housing projects that move to permanent housing to 65 percent or more (limit 1000 characters): Provide case management services and other empowerment services for housing stability and ongoing success. Increase the housing search and placement services through development of MOUs with apartment management. Continue to explore existing funding and identify new funding sources to sustain permanent housing. Exhibit 1 2011 Page 60 1 10/17/2011 il Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 160 i FL -606 COC_REG_2011_037245 3A. Continuum of Care (CoC) Strategic Planning Objectives Objective 4: Increase percentage of participants in all CoC- funded projects that are employed at program exit to 20 percent or more. Instructions: Employment is a critical step for homeless persons to achieve greater self- sufficiency, which represents an important outcome that is reflected both in participants' lives and the health of the community. Each CoC- funded project (excluding HMIS dedicated only projects) is expected to report the percentage of participants employed at exit on its Annual Performance Report (APR). CoCs then use this data from all of its non -HMIS projects to report on the overall CoC performance on form 4D. Continuum of Care (CoC) Enrollment in Mainstream Programs and Employment Information. In this section, CoCs are to describe short-term and long -term plans for increasing the percentage of all CoC- funded program participants that are employed at program exit to 20 percent or more. CoCs will indicate the current percentage of project participants that are employed at program exit, as reported on 4D, as well as the expected percentage in 12 months, 5 years, and 10 years. CoCs that do not have any CoC- funded non -HMIS dedicated projects (SHP -PH, SHP -TH, SHP -SH, SHP -SSO, or Sac TRA/SRA/PRA/SRO) for which an APR was required should enter "0" in the numeric fields b ow and note in the narratives. For additional instructions, refer to the " Exhi etailed Instructions" which can be accessed on the left -hand menu bar. What is the current perceZO a of participants in all CoC- funded that are employed at prog1 '.� In 12 months, what percentag€ of 0 participants in all CoC- funded project will be employed at program exit? In 5 years, what percentage of participants 40 in all CoC- funded projects will be �Do employed at program exit? �y► In 10 years, what percentage of 50 11' participants in all CoC- funded projects will be employed at program exit? Describe the CoCs short-term (12 month) plan to increase the percentage of participants in all CoC- funded projects that are employed at program exit to 20 percent or more (limit 1000 characters). Exhibit 1 2011 Page 61 10/17/2011 16D 1 `� Applicant: Naples /Collier County CoC FL -606 Project: FL -606 CoC Registration 2011 COC REG 2011 037245 We did not exceed the 20% mark for employment at exit because Collier County experienced unemployment rates above the national average. Also, The Shelter's transitional housing program is a two -year program and there were no participants exiting this year. Next year, we anticipate current residents at exit will attain 100% employment, thus allowing us once again to surpass the 20% goal. St. Matthew's House will continue to work with Career Development, Southwest Florida Workforce Development Board and Express Employment in an effort to assist homeless individuals with employment and tuition assistance. David Lawrence Center provides Supported Employment services to homeless mentally ill individuals. The Shelter and various agencies will continue case management services and development of prevention education, child care, legal services, and economic empowerment services to ensure effective linkage and coordination with the ultimate goal of securing permanent housing. Describe the CoCs long -term (10 year) plan to increase the percentage of participants in all CoC- funded projects who are employed at program exit to 20 percent or more (limit to 1000 characters): The CoC will assist homeless individuals with employment and tuition assistance with case management. The Shelter for Abused Women and Children and various agencies will continue case management services and development of prevention education, child care, legal services, and economic emp werment services to ensure effective linkage and coordination with the ultiq&bQoal of securing permanent housing. r ,r 0 I Exhibit 12011 Page 62 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 160 1 4 FL -606 COC_REG_2011 037245 3A. Continuum of Care (CoC) Strategic Planning Objectives Objective 5: Decrease the number of homeless households with children. Instructions: Ending homelessness among households with children, particularly for those households living on the streets or other places not meant for human habitation, is an important HUD priority. CoCs can accomplish this goal by creating new beds and /or providing additional supportive services for this population. In this section, CoCs are to describe short-term and long -term plans for decreasing the number of homeless households with children, particularly those households that are living on the streets or other places not meant for human habitation. CoCs will indicate the current total number of households with children that was reported on their most recent point -in -time count. CoCs will also enter the total number of homeless households with children they expect to report on in the next 12 months, 5 years, and 10 years. For additional instructions, refer to the "Exhibit 1 Detailed Instructions" which can be accessed on the left -hand menu bar. What is the current total number of 29 homeless households with children a reported on the most recent point -in -ti e • count? In 12 months, what will be the total r of homeless households with clAl In 5 years, what will be the total nu of homeless households with children? In 10 years, what will be the total number of homeless households with children? Describe the CoCs short-term (12 month) plan rease the number of homeless households with children (limit 1000 c raegers): Preventing and ending homelessness among hou ehollfs with children is an important priority in our community and the CoC works collaboratively with the public schools and the Liaison for Homeless Education to provide housing and services for this population. In the short term, the Liaison for Homeless Education will continue to identify children, youth and families experiencing homelessness and refer those families to available programs that match the specific needs of the families. Motel vouchers will be available through the Hunger & Homeless Coalition of Collier County along with financial assistance for homeless prevention. The Housing Authority's Rapid Re- housing program will continue after HPRP funding ends and will help families quickly move out of homelessness and into permanent housing. The Shelter for Abused Women and Children will continue to play a key role in providing a safe place for victims and help families achieve housing stability. Exhibit 1 2011 Page 63 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 160 i 1 FL -606 COC_REG_2011 037245 Describe the CoCs long -term (10 year) plan to decrease the number of homeless households with children (limit 1000 characters): The CoC has aligned the Community Ten Year Plan to End Homelessness goals with the goals outlined in the Federal Strategic Plan to End Homelessness. Goal 3 of the Federal Plan is to end homelessness for families, youth, and children in 10 years. Collier County CoC will continue to work closely with the Liaison for Homeless Education and the public schools to identify children, youth and families. These families will be given priority for financial assistance for homeless prevention and rapid re- housing services. Our Community Ten Year Plan outlines strategies to meet the needs of youth experiencing homelessness. The CoC will continue to explore shelter, transitional programs and services that emphasize stabilization and reunification with families when appropriate for Youth age 16 to 24. The strategies will be included in the action plan with steps to be implemented within 1 year, 5 years and 10 years will be completed and acted on. Exhibit 12011 Page 64 10/17/2011 Applicant: Naples /Collier County CoC Prniect: FL -606 CoC Registration 2011 160 i FL -606 COC REG 2011 037245 36. Continuum of Care (CoC) Discharge Planning Instructions: The McKinney -Vento Act requires that State and local governments have policies and protocols in place to ensure that persons being discharged from publicly- funded institutions or systems of care are not discharged immediately into homelessness. To the maximum extent practicable, Continuums of Care should demonstrate how they are coordinating with and /or assisting in State or local discharge planning efforts to ensure that discharged persons are not released directly to the streets, emergency homeless shelters, or other McKinney -Vento homeless assistance programs (SHP, S +C, SRO). For each system of care, CoCs are to address the following: What: Describe the efforts that the CoC has taken to ensure that persons are not routinely discharged into homelessness. In the case of Foster Care, CoCs should specifically address the discharge of youth ageing out from the foster care system. If there is a State mandate that requires publicly funded institutions to ensure appropriate housing placement, that does not include homelessness, indicate this in the narrative. Where: Indicate where persons routinely go upon discharge. Response should identify alternative housing options that are available for discharged persons other than the streets, emergency homeless shelters, and /or McKinney -Vento homeless assistance programs. Who: Identify stakeholders and /or collaborating agencies that are responsible for ensuring that persons being discharged from system of care not routinely discharged into homelessness. For additional instructions, refer to the "Exhi tdiled Instructions" which can be accessed on the left -hand menu bar. Amp For each system of care iden if' d el wbe the CoC's efforts in coordinating with and /or assist 901Z V t of local discharge planning policies that ensure person r not r ly discharged into homelessness, including the street , el enc Qless shelters, or other McKinney -Vento homeless assi man usi grams. Review ALL instructions to ensure that each na tive full sive (limit 1500 characters). Foster Care (Youth Aging Out): The CoC will be in close contact with the Independe t Li g Court System, Children's Network of Southwest Florida, as well as Ch' ren's Home Society in an effort to track those children in the foster care system who are close to aging out and to plan for unmet housing needs. Independent Living resources will be utilized first and encouraged for all applicable children. If Independent Living is not an option, existing transitional housing will be looked into for these children. Health Care: Agencies: Neighborhood Health Clinic, Naples Community Hospital, Collier Health Services and PLAN Estimated Timeline: 24 months The CoC is working on the development of a protocol with the health care system. The CoC is also collaborating with Florida Gulf Coast University and Naples Community Hospital staff. Health care discharges routinely go to St. Matthew's House or The Shelter for Abused Women and Children. Exhibit 12011 Page 65 1 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 Mental Health: 160 1 FL -606 COC_REG_2011_037245 The Florida Department of Children & Families oversees the process of discharge planning for adults with mental illnesses who have been remanded to state institutional custody. Each individual transferred to a state mental hospital is assigned a community case manager. The case manager works on discharge planning with the hospital treatment team throughout the person's hospital stay. These discharge plans must be approved by the state and may not include discharges to shelters or the streets. The State often provides contingency funding for housing and other supports if the person needs assistance funding the agreed upon discharge plan. Corrections: Members of the CoC are represented on the Collier Criminal Justice, Mental Health & Substance Abuse Planning Council. The Council has created a Discharge Planning subcommittee to address the needs of individuals returning to the community from jails. The Council recently received a state grant for a Forensic Intensive Reintegration Support Team (FIRST). FIRST uses the APIC (Assess, Plan, Identify, Coordinate) best practice discharge planning model. The program includes funds for short term rental assistance as a gap between the jail and long term housing. The jail also coordinates with volunteers from faith -based organizations to assist all inmates with connections to community supports, including housing ' Programrjft inside the jail, including GED preparation and vocational classes, ^al@s inmates for community living. Iry A- 4 �?O Exhibit 1 2011 Page 66 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 16D 1 FL -606 COC REG 2011 037245 3C. Continuum of Care (CoC) Coordination Instructions: A CoC should regularly assess its local homeless assistance system and identify gaps and unmet needs. CoCs can improve their communities through long -term strategic planning. CoCs are encouraged to establish specific goals and implement short-term action steps. Because of the complexity of existing homeless systems and the need to coordinate multiple funding sources and priorities, there are often multiple long -term strategic planning groups. It is imperative for CoCs to coordinate, as appropriate, with each of these existing strategic planning groups to meet local needs. For additional instructions, refer to the 4Exhibit 1 Detailed Instructions4 which can be accessed on the left -hand menu bar. Does the Consolidated Plan for the Yes jurisdiction(s) that make up the CoC include the CoC strategic plan goals for addressing homelessness? If yes, list the goals in the CoC The priorities will continue to be homelessness strategic plan that are includedftrevention, families with children, chronic in the Consolidated Pl^ftneless and the development of transitional permanent supportive housing. Describe how the CoC is particXating n oordinating with the local Homeless Prevention and R oust r ram (HPRP) initiative, as indicated in the substantial am n t to ;o olidated Plan 2008 Action Plan (1500 character limi Seven member agencies provide dire as ' nce le clients for homeless prevention, housing stabilizati , Re g, and data collection and utilizaton. Coordination effo inc de m enda item topics discussed at CoC meetings and ongoi ting ferrals of the program involving the entire Continuum of Car . Describe how the CoC is participating in or coort a ' with any of the following: Neighborhood Stabilization Program (NSP nitiative, HUD VASH, or other HUD managed American Reinvestm nt and Recovery Act programs (2500 character limit)? The local Workforce Development Career and Service Center presents at Continuum meetings on the status of ARRA jobs programs. The Lead Agency updates the Continuum on NSP progress and opportunities for potential eligible buyers. Indicate if the CoC has established policies Yes that require homeless assistance providers to ensure all children are enrolled in school and connected to appropriate services within the community? Exhibit 12011 Page 67 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 160 i FL -606 COC REG_2011_037245 If yes, please describe the established Agencies within the CoC work closely with the policies that are in currently in place. Homeless Liaison of Collier County Public Schools and directly with the School District to ensure that children are enrolled and connected with the appropriate services. Describe the CoC's efforts to collaborate with local education agencies to assist in the identification of homeless families and inform them of their eligibility for McKinney -Vento education services. (limit 1500 characters) The Homeless Liaison for the Collier County Public Schools attends meetings and actively participates in the proceedings of the Collier County Hunger and Homeless Coalition and the CoC. Contact with the Homeless Liaison is integrated with intake and case management at CoC agencies, who work closely with the Homeless Liaison and other School District personnel to ensure school enrollment and access to appropriate services. The Liaison regularly visits local shelters and social service providers to arrange meetings with families with school age children and youth experiencing homelessness. Describe how the CoC has, and will continue, to consider the educational needs of children when families are placed in emergency or transitional shelter. (limit 1500 characters) Case managers at agencies serving fa school -aged children during intake a Liaison for the Collier County Public 'S( assessment to expedite linkage to app Immokalee Non - Profit Housing, 39uth comprehensive tutoring and y reinforce school -to- family linkag d lies routinely assess the needs of use management. The Homeless Ts is included in the needs services. St. Matthew's House, v nd The Shelter provide .p ivities to create and isur rtinjked educational progress. Describe the CoC's current effort.9 tXa;�ai at h e l ssness among veterans. Narrative should identify ' tion re currently serving this population, how this effo s c' iste IP40pro, C strategic plan goals, and how the CoC plans to a ess his i e future.(limit 1500 characters) CoC agencies identify veterans at intake and as ' kersgg'dedicated with accessing available VA assistance and other mainstream soua Southwest Florida Workforce Development Board has a full -time staff to addressing education, job skills, and job development Mir veterans. The Collier County Housing Authority works with Lee County to provide VASH vouchers for veterans experiencing homelessness. To combat homelessness among veterans, CoC agencies will continue to collaborate to provide housing vouchers and support services for this population. The CoC maintains regular communication with (the lead agency) Housing, Human and Veteran Services on potential opportunities to increase service provision for homeless veterans of Collier County. Describe the CoC's current efforts to address the youth homeless population. Narrative should identify organizations that are currently serving this population, how this effort is consistent with the CoC strategic plan goals, and the plans to continue to address this issue in the future (limit 1500 characters): Exhibit 1 2011 Page 68 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 16D 1 FL -606 COC_REG_2011_037245 The Hunger & Homeless Coalition conducted focus group sessions with youth identified as homeless at two Collier County Public Schools to respond to this area of need. Information gathered by focus group discussions and other communications with CoC members lead to the inclusion of the goal to provide resources for unaccompanied youth experiencing homelessness in the CoC Ten Year Plan to Prevent and End Homelessness. The plan includes strategies to create drop -in services and overnight beds for the youth homeless population. The School District Homeless Liaison identifies unaccompanied youth. The Homeless Liaison works cooperatively with CoC agencies to provide services and funds crucial to continued regular school attendance. Exhibit 1 2011 Page 69 10/17/2011 160 i Applicant: Naples /Collier County CoC FL -606 Project: FL -606 CoC Registration 2011 COC REG_2011 037245 3D. Hold Harmless Need (HHN) Reallocation Instructions: Continuum of Care (CoC) Hold Harmless Need (HHN) Reallocation is a process whereby an eligible CoC may reallocate funds in whole or in part from SHP renewal projects to create one or more new permanent housing projects and /or a new dedicated HMIS project. A CoC is eligible to use HHN Reallocation if its Final Pro Rata Need (FPRN) is based on its HHN amount or if it is a newly approved merged CoC that used the Hold Harmless Merger process during the FY2011 CoC Registration process. The HHN Reallocation process allows eligible CoCs to fund new permanent housing or dedicated HMIS projects by transferring all or part of funds from existing SHP grants that are eligible for renewal in Fy2011 into a new project. New reallocated permanent housing projects may apply under SHP (one, two, or three years), S +C (five or ten years), and Section 8 Moderate Rehabilitation (ten years). New reallocated HMIS projects may be for one, two, or three years. A CoC whose FPRN is based on its Preliminary Pro Rata Need (PPRN) is not eligible to reallocate existing projects through this process and should therefore always select "No" to the questions below. For additional instructions, refer to the "Exhibit 1 Detailed Instructions" which can be accessed on the left -hand menu bar. Does the CoC want to reallocate funds fr one or more expiring SHP grant(s) into one or® more new permanent housing or de ted HMIS pro' ? >_ 0 ;:$/1., ONO Is the CoCs Final Pro Rata Need (FP N) based on either its Hol Harmless Need (HHN) amount or the Hold Harmless Merger process? ::p 0 07 CoCs who are in PPRN status are not eligible to reallocate projects ugh the HHN reallocation process. Exhibit 1 2011 Page 70 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 160 i " FL -606 COC_REG_2011_037245 4A. Continuum of Care (CoC) 2010 Achievements Instructions: In the FY2010 CoC application, CoCs were asked to propose numeric achievements for each of HUD's five national objectives related to ending chronic homelessness and moving individuals and families to permanent housing and self - sufficiency through employment. CoCs will report on their actual accomplishments since FY2010 versus the proposed accomplishments. In the column labeled FY2010 Proposed Numeric Achievement enter the number of beds, percentage, or number of households that were entered in the FY2010 application for the applicable objective. In the column labeled Actual Numeric Achievement enter the actual number of beds, percentage, or number of households that the CoC reached to date for each objective. CoCs will also indicate if they submitted an Exhibit 1 in FY2010. If a CoC did not submit an Exhibit 1 in FY2010, enter "No" to the question. CoCs that did not fully meet the proposed numeric achievement for any of the objectives should indicate the reason in the narrative section. For additional instructions, refer to the 'Exhibit 1 Detailed Instructions' which can be accessed on the left -hand menu bar. Objective FY2010 Proposed Numeric % Actual Numeric Achievement % homeless Achievement: o Create new permanent housing 62 Beds 62 B beds e for the chronically homeless. d 65 %. s Increase the percentage of 96 % 96 % homeless o persons staying in permanent u housing s over 6 months to at least 77 %. e Increase the percentage of 82 % 82 % homeless o persons moving from transitional u housing s to permanent housing to at least e 65 %. h Increase the percentage of 55 % 14 % homeless o persons employed at exit to at least u 20% s Decrease the number of homeless 30 Households 29 H households with children. o u s e h 0 1 d s Exhibit 1 2011 Page 71 10/17/2011 Applicant: Naples /Collier County CoC Project: FL -606 CoC Registration 2011 Did the CoC submit an Exhibit 1 application in Yes FY2010? 160 i FL -606 COC REG 2011 037245 If the CoC was unable to reach its FY2010 proposed numeric achievement for any of the national objectives, provide a detailed explanation (limit 1500 characters) Collier County is experiencing unemployment rates above the national average, creating barriers to achieving the goal of increasing persons employed at exit. The Shelter's transitional housing program is a two -year program and no participants exited this year. As The Shelter�,s program requires employment at exit, do not accurately reflect the CoC�,s aggregate achievements in the near term. 2011 employment at exit rates will achieve goal. Exhibit 1 2011 1 Page 72 10/17/2011 11 1601 FL-606 Applicant: Naples/Collier County CoC COC REG_2011_037606 Project: FL-606 CoC Registration 2011 4B. Continuum of Care (CoC) Chronic Homeless Progress Instructions: HUD tracks each CoCs progress toward ending chronic homelessness. In the FY2011 CoC NOFA, chronically homeless is defined as an unaccompanied homeless individual with a disabling condition, or a family with at least one adult member who has a disabling condition, who has either been continuously homeless for at least a year OR has had at least four episodes of homelessness in the last three (3)years. CoCs are to track changes from one year to the next in the number of chronically homeless persons as well as the number of beds available for this population. CoCs will complete this section using data reported for the FY2009, FY2010, and FY2011 (if applicable)point-in-time counts as well as the data collected and reported on the Housing Inventory Counts(HIC)for those same years. For each year, indicate the total unduplicated point-in-time count of chronically homeless as reported in that year. For FY2009 and FY2010,this number should match the number indicat form 2J of the Homeless Data Exhibit 1. DX). this Indicate the total number of chronically homeless persons and total number of permanent housing designated for the chronically homeless persons in the C r Y2009, FY2010, and FY2011. Year Number of CH Number of PH beds Persons for the CH 2009 11 9 2010 66 50 2011 44 62 /;.. Indicate the number of new permanent 0 .../.4* ."11rPeK housing beds in place and made available for 07 occupancy for the chronically homeless between February 1, 2010 and January 31, 2011. Identify the amount of funds from each funding source for the development and operations costs of the new permanent housing beds designated for the chronically homeless, that were created between February 1, 2010 and January 31, 2011. Cost Type HUD Other State Local Private McKinney- Federal Vento Development Operations Total $0 $0 $0 $0 $0 Exhibit 1 2011 I Page 73 I 10/17/2011 I 1 bU 1 "rl FL-606 Applicant: Naples/Collier County CoC COC REG 2011_037606 Project: FL-606 CoC Registration 2011 — If the number of chronically homeless persons increased or if the number of permanent beds designated for the chronically homeless decreased, please explain (limit 750 characters): The PiT count had more volunteers who were able to cover more areas and the homeless service providers did their best to relay the message to the homeless population that the PiT serves to help the community and the homeless should be encouraged to participate. The economy continued to suffer yet another year adding to the numbers. The weather was very accomodating for survey taking which may mean it was easier to access people to count. A\`'. /1' '6,„„ - 4,00- 4c2D07 <:e Exhibit 1 2011 Page 74 10/17/2011 16111a FL-606 Applicant: Naples/Collier County CoC COC_REG_2011_037606 Project: FL-606 CoC Registration 2011 4C. Continuum of Care (CoC) Housing Performance Instructions: All CoC funded non-HMIS projects are required to submit an Annual Performance Report(APR), or Transition APR(TAPR)within 90 days of a given operating year.To demonstrate performance on participants remaining in permanent housing for more than six months, CoCs must use data on all permanent housing projects that should have submitted an APR, or TAPR, for the most recent operating year. Projects that did not submit an APR, or TAPR, on time must also be included in this calculation. Complete the table using data entered for Question 12(a)and 12(b)for the most recent submitted APR, Q27 from the TAPR,for all permanent housing projects(SHP-PH, or Sac TRA/SRA/SRO/PRA)within the CoC that should have submitted one. Enter totals in fields a-e. The Total PH percent will auto-calculate by selecting"Save."The percentage is calculated as: c+d, divided by a+b, multiplied by 100.the last field, e., is excluded from the calculation. CoCs that do not have SHP-PH or S+C projects for which and APR, or TAPR,was required should select"No" if the CoC did not have ANY CoC-funded permanent housing projects operating within their CoC that should have submitted an APR, or TAPR. For additional instructions, refer to the"Exhibit 1 etailed Instructions"which can be accessed on the left-hand menu bar. Does the CoC have any permanent hdyting °/0 projects (SHP-PH or S+C) for which oft Am was required to be subm . Participants in Permanent Housing(PH) a.Number of participants who exited permanent housing project(s) 7 b.Number of participants who did not leave the project(s) 15 c.Number of participants who exited after staying 6 months or longer 5 d.Number of participants who did not exit after staying 6 months or longer 11 e.Number of participants who did not exit and were enrolled for less than 6 months 4 TOTAL PH(%) 73 Instructions: Exhibit 1 2011 Page 75 I 10/17/2011 1 6 D 1 FL-606 Applicant: Naples/Collier County CoC COC_REG_2011_037606 Project: FL-606 CoC Registration 2011 HUD will also assess CoC performance in moving participants in SHP transitional housing programs into permanent housing. To demonstrate performance, CoCs must use data on all transitional housing projects that should have submitted an APR, or TAPR,for the most recent operating year. Projects that did not submit an APR, or TAPR, on time must also be included in this calculation. Complete the table below using cumulative data entered for Question 14 on the most recent submitted APR, Q29 on the TAPR, for all transitional housing projects (SHP-TH)within the CoC that should have submitted one. Once amounts have been entered into a. and b. selection "Save."The Total TH will auto-calculate. The percentage is auto-calculated as: b. divided by a, multiplied by 100. CoCs that do not have SHP-TH projects for which an APR was required should select"No"to the question below.This only applies to CoCs that do not have any CoC- funded transitional housing projects currently operating within their CoC that should have submitted an APR. Does CoC have any transitional housing Yes projects (SHP-TH) for which an APR was required to be submitted? Participants in Transitional Housing(TH) a.Number of participants who exited TH project(s),including unknown destination 0 b.Number of SHP transitional housing participants that moved to permanent housing upon exit 0 TOTAL TH(%) 0 ce00000, %if 4#°/ 40 4°P. or 7 ■ Exhibit 1 2011 Page 76 1 10/17/2011 I 1601 F L-606 Applicant: Naples/Collier County CoC COC REG_2011_03760 Project: FL-606 CoC Registration 2011 4D. Continuum of Care (CoC) Enrollment n Mainstream Programs and Employment Information Instructions: HUD will assess CoC performance in assisting program participants with accessing mainstream services to increase income and improve outcomes such as health, education, safety, and/or economic outcomes of homeless persons.To demonstrate performance, CoCs must use data on all non-HMIS projects(SHP-PH, SHP-SH, SHP-SSO, S+C TRA/SRA/PRA/SRO)that should have submitted an APR(either the HUD-40118 or the HUD APR in e-snaps) for the most recent operating year. Projects that did not submit an APR on time must also be included in this calculation. Complete the table below using cumulative data entered for question 11 on the most recent submitted HUD-40118 APR or Q26 for the HUD APR in e-snaps for all non-HMIS projects within the CoC that should have submitted one. Each CoC shall first indicate the total number of exiting adults. Next, enter the total number of adults who exited CoC non-HMIS projects with each source of income. Once amounts have been entered, select"Save"and the percentages will auto-calculate. CoCs that do not have any non-HMIS projects for which an APR was required should select"No"to the question below.This only applies to CoCs that do not have any CoC- funded non-HMIS projects currently operating within their CoC that should have submitted an APR. For additional instructions, refer to the ?1,Ex ibit 1 tailed Instructionsz,which can be accessed on the left-hand menu bar. 3 Total Number of Exiting A ' 7 .----17 ,4„ N:O., of Exit Percentage Number o Mainstream Program A Exiting Adults (Auto-calculated) SSI 0 0 0 SSDI 6 0 Social Security 0 General Public Assistance 0 0 0 TANF 0 % SCHIP 0 0 04 % Veterans Benefits 1 Employment Income 1 14 Unemployment Benefits 0 0 Veterans Health Care 1 14 Medicaid 3 43 Food Stamps 4 57 Other(Please specify below) 0 0 No Financial Resources I Exhibit 1 2011 Page 77 l 10/17/2011 I 1601 Applicant: Naples/Collier County CoC FL-606 Project: FL-606 CoC Registration 2011 COC_REG_2011_037245 The percentage values will be calculated by the system when you click the "save" button. Does the CoC have any non-HMIS projects for Yes which an APR was required to be submitted? .X\ /2t,N j <7.> - - Exhibit 1 2011 Page 78 10/17/2011 1601 Applicant: Naples/Collier County CoC FL-606 Project: FL-606 CoC Registration 2011 COC_REG_2011_037245 4E. Continuum of Care (CoC) Participation in Energy Star and Section 3 Employment Policy Instructions: HUD promotes energy-efficient housing. All McKinney-Vento funded projects are encouraged to purchase and use Energy Star labeled products. For information on the Energy Star Initiative go to: http://www.energystar.gov A"Section 3 business concern" is one in which: 51%or more of the owners are Section 3 residents of the area of services; or at least 30% of its permanent full-time employees are currently Section 3 residents of the area of services; or within three years of their date of hire with the business concern were Section 3 residents; or evidence of a commitment to subcontract greater than 25%of the dollar award of all subcontracts to businesses that meet the qualifications in the above categories is provided. The Section 3 clause can be found at 24 CFR Part 135. Has the CoC notified its members of Yes the Energy Star Initiative? Are any projects within the CoC requesting No funds for housing rehabilitation or new construction? 4/) .0"#/> %40,,,, cV4", ■ Exhibit 1 2011 Page 79 10/17/2011 1601 Applicant: Naples/Collier County CoC FL-606 Project: FL-606 CoC Registration 2011 COC_REG_2011_037245 4F. Continuum of Care (CoC) Enrollment and Participation in Mainstream Programs It is fundamental that each CoC systematically help homeless persons to identify, apply for, and follow-up to receive benefits under SSI, SSDI, TANF, Medicaid, Food Stamps, SCHIP, WIA, and Veterans Health Care as well as any other State or Local program that may be applicable. Does the CoC systematically analyze its Yes projects APRs in order to improve access to mainstream programs? If'Yes', describe the process and the frequency that it occurs. The APR is reviewed annually before submission to HUD. Does the CoC have an active planning Yes committee that meets at least 3 times per year to improve CoC-wide participation in mainstream programs? If"Yes", indicate all meeting datest,past 12 months. October 12, 2010 November 9, 2010 4.1 /Ie.) December 14, 2010 January 11, 2011 February 8, 2011 April 12, 2011 ,4000‘. SklAt May 17, 2011 webcast June 14, 2011 July 12, 2011 ‘wir.4;°' S .Q07 eptember 13, 2011 Does the CoC coordinate with the State Yes Interagency Council on Homelessness to reduce or remove barriers to accessing mainstream services? Does the CoC and/or its providers have Yes specialized staff whose primary responsibility is to identify, enroll, and follow-up with homeless persons on participation in mainstream programs? If yes, identify these staff members Both Does the CoC systematically provide Yes training on how to identify eligibility and program changes for mainstream programs to provider staff. Exhibit 1 2011 Page 80 10/17/2011 1601 Applicant: Naples/Collier County CoC FL-606 Project: FL-606 CoC Registration 2011 COC_REG_2011_037245 If"Yes", specify the frequency of the training. Bi-monthly Does the CoC use HMIS as a way to screen No for mainstream benefit eligibility? If"Yes", indicate for which mainstream programs HMIS completes screening. Has the CoC participated in SOAR training? Yes If"Yes", indicate training date(s). October 29, 2010 the CoC hosted a SOAR training in Collier County. Attendees completed the training, including case managers working with chronically homeless individuals. m s) -7"%is) 'CDO 7 Exhibit 1 2011 Page 81 10/17/2011 1601 Applicant: Naples/Collier County CoC FL-606 Project: FL-606 CoC Registration 2011 COC_REG_2011_037245 4G: Homeless Assistance Providers Enrollment and Participation in Mainstream Programs Indicate the percentage of homeless assistance providers that are implementing the following activities: Activity Percentage 1.Case managers systematically assist clients in completing applications for mainstream benefits. 95% 1a.Describe how service is generally provided: Through intake interview process and SOAR Processes,Benefits Kiosks placed in strategic locations including the Drop-In Center.Certified Peer Counselors are available to assist 2.Homeless assistance providers supply transportation assistance to clients to attend mainstream 95% benefit appointments,employment training,or jobs. 3.Homeless assistance providers use a single application form for four or more mainstream 90% programs: 3.a Indicate for which mainstream programs the form applies: Prescription,medical,rental assistance,eye glasses,and transportation 4.Homeless assistance providers have staff systematically follow-up to 90% ensure mainstream benefits are received. 4a.Describe the follow-up process: Using onsite ACCESSFLORIDA computer workstation with case management follow-up.Case managers continuously follow up with all SOAR applications for disability benefits per SOAR protocol. -;-*507/7/?' Exhibit 1 2011 Page 82 10/17/2011 1601 F L-606 Applicant: Naples/Collier County CoC COC_REG_2011_03760 Project: FL-606 CoC Registration 2011 Continuum of Care (CoC) Project Listing Instructions: IMPORTANT: Prior to starting the CoC Project Listing, CoCs should carefully review the"CoC Project Listing Instructions"and the"CoC Project Listing"training module, both of which are available at www.hudhre.info/esnaps. To upload all Exhibit 2 applications that have been submitted to this CoC, click on the"Update List"button. This process will take longer based upon the number of projects that need to be located. The CoC can either work on other parts of Exhibit 1 or it can log out of e-snaps and come back later to view the updated list. To review a project, click on the next to each project to view project details. Project Date Grant Applicant, Budget Proj Type Prog Type Comp Rank Name Submitted Term Name Amount Type Shelter 2011-10- 1 Year Collier ollt 16,368 Renewal S+C TRA U Plus Care 05 County 11:51:... Ho... HMIS 2011-10- 1 Year Naples/Col 104,645 Renewal SHP HMIS F Renewal 05 her Co... MP 2011 12:03:... Wolfe 2011-09- 1 Year Matthew's 11 Renewal SHP PH F Apartment 27 s 14:06:... Hou... Shelter 2011-09- 1 Year SAWCC, 113,0 -enewal SHP TH F Transitio... 23 Inc. I/ct 11:15:... Q"'" 411. 0,40,4, 4/.:C"L'o "P Exhibit 1 2011 I Page 83 I 10/17/2011 1601 Applicant: Naples/Collier County CoC FL-606 Project: FL-606 CoC Registration 2011 COC_REG_2011_037245 Budget Summary FPRN $330,761 Permanent Housing Bonus $0 SPC Renewal $16,368 Rejected $0 "<\* Q/14v .4Z\ >:#0,00. j4/ or 7 Exhibit 1 2011 Page 84 10/17/2011 1601 Applicant: Naples/Collier County CoC FL-606 Project: FL-606 CoC Registration 2011 COC_REG_2011_037245 Attachments Document Type Required? Document Description Date Attached Certification of Consistency with Yes the Consolidated Plan e /A% ■ Exhibit 1 2011 Page 85 10/17/2011 Applicant: Naples /Collier County CoC Project: HMIS Renewal MP 2011 1A. Application Type Instructions: 160 1 1 Type of Submission - This field is populated the Application option, and cannot be changed. 2. Type of Application: (required) - Select'New Project' or 'Renewal Project' to indicate whether the project is eligible for new or renewal funds during the current competition. Renewal project applications are defined as those HUD McKinney -Vento grants that have received funding in a previous competition and are eligible to renew during the current competition. All other applications are defined as new projects. 3. Date Received - No action needed. This field is automatically populated with the date on which the application is submitted. The date populated cannot be edited. 4. Applicant Identifier - Leave this field blank. 5a. Federal Entity Identifier - Leave this field blank. 5b. Federal Award Identifier: (required) - This field may populate with the grant number for the 2010 project that is imported. This field will be blank for any first time renewal application. The correct expiring grant number must be entered. Leave the field blank for all new funding applications. 6. Date Received by State - Leave this field blank. 7. State Application Identifier - Leave this field blank. Additional Resources: Application Detailed Instructions (on left menu) hftp://esnaps.hudhre.info 1. Type of Submission: 2. Type of Application: Renewal Project If Revision, select appropriate letter(s): If "Other ", specify: 3. Date Received: 10/05/2011 4. Applicant Identifier: 5a. Federal Entity Identifier: 5b. Federal Award Identifier FL0294B4DO61003 (e.g., expiring grant number) 6. Date Received by State: 7. State Application Identifier: Exhibit 2 Page 2 10/06/2011 FL -606 044860 Applicant: Naples /Collier County CoC Project: HMIS Renewal MP 2011 16D I FL -606 044860 1 B. Legal Applicant Instructions: 8. Applicant Information - The applicant information populated on this form comes from the Applicant Profile, and must reflect the information for the applicant organization that can legal request homeless assistance funding from HUD. a. Legal Name - The legal name of the applicant organization is populated on this form from the Applicant Profile. It is important that the organization has registered with the Central Contractor Registry. Information on registering with CCR may be obtained online at - http: / /esnaps.hudhre.info. b. Employer/Taxpayer Number (EIN/TIN) - The EIN/TIN for the applicant organization is populated on this form from the Applicant Profile. c. Organizational DUNS - The DUNS number for the applicant organization is populated on this form from the Applicant Profile. Information on obtaining a DUNS number may be obtained online at - http: / /www.dnb.com. d. Address - The physical address of the applicant organization is populated on this form from the Applicant Profile. e. Organizational Unit - If applicable, the department and division of the applicant organization is populated on this form from the Applicant Profile. f. Name and contact information of person to be contacted on matters involving this applicant - The alternate point of contact for the applicant organization is populated on this form from the Applicant Profile. This person may or may not be the authorized representative. Additional Resources: Application Detailed Instructions (on left menu) http: / /esnaps.hudhre.info 8. Applicant a. Legal Name: Collier County Board of County Commissioners b. Employer /Taxpayer Identification Number 59- 6000558 (EIN/TIN): d. Address Street 1: 3339 Tamiami Trail East Street 2: Suite 211 City: Organizational DUNS: 076997790 P State: Florida t US 4 d. Address Street 1: 3339 Tamiami Trail East Street 2: Suite 211 City: Naples County: Collier State: Florida Exhibit 2 Page 3 10/06/2011 Applicant: Naples /Collier County CoC Project: HMIS Renewal MP 2011 Country: Zip / Postal Code: e. Organizational Unit (optional) Department Name: Division Name: United States 34112 -5361 Housing,Human Veteran Services Public Services 16 D I I"'- FL -606 044860 f. Name and contact information of person to be contacted on matters involving this application Prefix: Ms. First Name: Margo Middle Name: Last Name: Castorena Suffix: Title: Grants Manager Organizational Affiliation: Collier County Board of County Commissioners Telephone Number: (239) 252 -2912 Extension: Fax Number: (239) 252 -2638 Email: margocastorena @Colliergov.net Exhibit 2 Page 4 10/06/2011 Applicant: Naples /Collier County CoC Project: HMIS Renewal MP 2011 1C. Application Details Instructions: 9. Type of Applicant: (required) - This field is populated from the a -snaps Applicant Profile. Applicants cannot modify the populated data on this form. However, applicants may modify the Applicant Profile to correct any errors identified. 10. Name Of Federal Agency - field populated with the Department of Housing and Urban Development. The field cannot be edited. 11. Catalog Of Federal Domestic Assistance Number/Title: (required) - select the applicable program type - SHP, S +C, or SRO. The selection will automatically populate the CFDA number field on this form, and will drive the list of components available on form 3A. Project Detail of this application. 12. Funding Opportunity Number/Title - This field will automatically populate with the funding opportunity number and title of the opportunity under which assistance is requested, as found in this year's Federal Register announcement. 13. Competition Identification Number/Title - Leave this field blank. Additional Resources: Application Detailed Instructions (on left menu) http: / /esnaps.hudhre.info 9. Type of Applicant: B. County Government If "Other" please specify: 1601 FL-606 044860 10. Name of Federal Agency: Department of Housing and Urban Development 11. Catalog of Federal Domestic Assistance SHP Title: CFDA Number: 14.235 12. Funding Opportunity Number: FR- 5500 -N -34 Title: Continuum of Care Homeless Assistance Competition 13. Competition Identification Number: Title: Exhibit 2 Page 5 10/06/2011 Applicant: Naples /Collier County CoC Project: HMIS Renewal MP 2011 1 D. Congressional District(s) Instructions: 16D 1 14. Areas Affected By Project: (required) - select the state(s) in which the proposed project will operate and serve homeless persons. The state(s) selected will determine the list of geographic areas and congressional districts displayed elsewhere in this application. 15. Descriptive Title of Applicant's Project: field populates the 2011 project name from the Project form. Return to the Project form, to make changes to the name. 16. Congressional District(s): a. Applicant: This field is populated from the a -snaps Applicant Profile. Applicants cannot modify the populated data on this form. However, applicants may modify the Applicant Profile to correct any errors identified. b. Project: (required) - Select the congressional district(s) in which the project operates. For new project, select the district(s) in which the project is expected to operate. 17. Proposed Project Start and End Dates: (required) - indicate the operating start and end date for the project. For new project application, indicate the estimated operating start and end date of the project. 18. Estimated Funding: Leave these fields blank. Additional Resources: Application Detailed Instructions (on left menu) http: / /esnaps.hudhre.info 14. Area(s) affected by the project (state(s) Florida only): (for multiple selections hold CTRL +Key) 15. Descriptive Title of Applicant's Project: HMIS Renewal MP 2011 16. Congressional District(s): a. Applicant: FL -025, FL -014 b. Project: FL -014 (for multiple selections hold CTRL +Key) 17. Proposed Project a. Start Date: 05/01/2011 b. End Date: 04/30/2012 18. Estimated Funding ($) Exhibit 2 Page 6 10/06/2011 FL -606 044860 Applicant: Naples /Collier County CoC Project: HMIS Renewal MP 2011 16D 1 q a. Federal: b. Applicant: c. State: d. Local: e. Other: f. Program Income: g. TOTAL: Exhibit 2 Page 7 10/06/2011 FL -606 044860 16D 1 Applicant: Naples /Collier County CoC Project: HMIS Renewal MP 2011 1E. Compliance Instructions: 19. Is Application Subject to Review By State Executive Order 12372 Process? (required) - Select the appropriate box that applies to the Applicant applying for homeless assistance funding. Applicants should contact the State Single Point of Contact (SPOC) for Federal Executive Order 12372 to determine whether the application is subject to the State intergovernmental review process. If "YES' is selected enter the date this application was made available to the State for review. 20. Is the Applicant Deliquent on any Federal Debt? (required) - Select the appropriate box that applies to the Applicant applying for homeless assistance funding. This question applies to the applicant organization, not the person who signs as the authorized representative. Categories of debt include delinquent audit disallowances, loans, and taxes. If "YES' is selected include an explanation in the space provided on this screen. Additional Resources: Application Detailed Instructions (on left menu) http: / /esnaps.hudhre.info 19. Is the Application Subject to Review By c. Program is not covered by E.O. 12372. State Executive Order 12372 Process? If "YES ", enter the date this application was made available to the State for review: 20. Is the Applicant delinquent on any Federal No debt? If "YES," provide an explanation: Exhibit 2 Page 8 10/06/2011 FL-606 044860 16D 1 Applicant: Naples /Collier County CoC Project: HMIS Renewal MP 2011 1 F. Declaration Instructions: I Agree: (required) - Select the check next to 'I Agree' to (1) certify to the statements contained in the list of certifications ", (2) certify that the statements herein are true, complete, and accurate to the best of my knowledge, (3) certify that the required assurances " are provided, and (4) agree to comply with any resulting terms if I accept an award. Any false, fictitious, or fraudulent statements or claims may subject the authorized representative and the applicant organization to criminal, civil, or administrative penalties .(U.S. Code, Title 218, Section 1001) "The list of certifications and assurances are contained in the CoC NOFA and in the a -snaps Applicant Profile. 21. Authorized Representative: The information for the authorized representative is populated from the Applicant Profile. A copy of the governing body's authorization for this person to sign this application as the official representative must be on file in the applicant's office. Additional Resources: Application Detailed Instructions (on left menu) hftp: / /esnaps.hudhre.info By signing and submitting this application, I certify (1) to the statements contained in the list of certifications' and (2) that the statements herein are true, complete, and accurate to the best of my knowledge. I also provide the required assurances " and agree to comply with any resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may subject me to criminal, civil, or administrative penalties. (U.S. Code, Title 218, Section 1001) I AGREE: FX 21. Authorized Representative Prefix: Mr. First Name: Fred Middle Name: W Last Name: Coyle Suffix: Title: BCC Chair Telephone Number: (239) 252 -8097 (Format: 123 -456 -7890) Fax Number: (239) 252 -6668 (Format: 123 -456 -7890) Exhibit 2 Page 9 10/06/2011 FL -606 044860 Applicant: Naples /Collier County CoC Project: HMIS Renewal MP 2011 Email: FredCoyle @colliergov.net 1601 A FL -606 044860 Signature of Authorized Representative: Considered signed upon submission in e- snaps. Date Signed: 10/05/2011 Exhibit 2 Page 10 10/06/2011 160 1 ^� Applicant: Naples /Collier County CoC Project: HMIS Renewal MP 2011 2A. Project Sponsor(s) This form lists the sponsor organization(s) for the project. To add a sponsor, select the icon. To view or update sponsor information already listed, select the view option. Organization Type This list contains no items Exhibit 2 Page 11 10/06/2011 FL -606 044860 Applicant: Naples /Collier County CoC Project: HMIS Renewal MP 2011 3A. Project Detail Instructions: 160 l Complete all fields on this form, as appropriate. Revise any information populated from the FY2010 application, to ensure accuracy and completeness of the information submitted in this year's application. The selections made on this form will determine the remaining forms that must be completed with this application. 1. Expiring Grant Number: field populates with the expiring grant number entered as the "Federal Award Identifier" on form 1A. Application Type of this application. 2. CoC Number and Name: (required) - select the appropriate Continuum of Care (CoC) number and name. The selected CoC will receive the application and determine whether or not to include it with the CoC application submission to HUD. 3. Project Name: field populates the 2011 project name from the Project form. Return to the Project form, to make changes to the name. 4. Project Type: field populates the project type (new or renewal), as selected on form 1A. Application Type of this application. 5. Program Type: field populates the program type -- Supportive Housing Program (SHP), Shelter Plus Care (S +C), or Section 8 Moderate Rehabilitation for Single Room Occupancy (SRO), as selected on form 1 C. Application Details of this application. 6. Component Type: (required) - select the one component that appropriately identifies the project. The list of available components will depend on the program type selected. 7. Energy star: (required) - select Yes or No to indicate whether or not energy star is being (or will be) used at one or more of the properties that will receive assistance using the requested funds. 8. Title V: (required) - select Yes or No to indicate whether or not one or more of the project properties has been conveyed under Title V. 9. Services in connection with another TH or PH project: select Yes or No to indicate whether or not the project is providing (or will provide) supportive services to participants in another permanent housing or transitional housing project. 10. Innovative SHP: (required) - select Yes or No to indicate whether or not the proposed project is to be considered under the Innovative Supportive Housing component. If yes, indicate in the project description (on form 2B of this application) how the project represents a distinctively different approach when viewed within its geographic area, is a sensible model for others, and can be replicated elsewhere. An applicant should not propose a project under this component unless a compelling case is made that these criteria can be met. Additional resources: Application Detailed Instructions (on left menu) http: / /esnaps.hudhre.info http: / /www.hudhre. info / index. cfm? do= viewHomelessAndHousingProgramInfo 1. Expiring Grant Number FL0294B4D061003 (e.g., the "Federal Award Identifier" indicated on form 1A. Application Type) Exhibit 2 Page 12 10/06/2011 FL -606 044860 16D 1 q Applicant: Naples /Collier County CoC Project: HMIS Renewal MP 2011 2. CoC Number and Name FL -606 - Naples /Collier County CoC 3. Project Name HMIS Renewal MP 2011 4. Project Type Renewal Project 5. Program Type SHP Content depends on "CFDA Number" selection 6. Component Type HMIS Content depends on "Program Type" selection 7. Is Energy Star used at one or more of the No properties within this project? 8. Does this project include one or more Title No V properties? 9. Is the project providing services to No participants in another PH or TH project? 10. Is the proposed project submitted for No consideration under the Innovative Supportive Housing component? Exhibit 2 Page 13 10/06/2011 FL -606 044860 Applicant: Naples /Collier County CoC Project: HMIS Renewal MP 2011 3B. Project Description Instructions: 160 i Exhibit 2 Page 14 1 10/06/2011 FL -606 044860 160 i Applicant: Naples /Collier County CoC Project: HMIS Renewal MP 2011 Complete all fields on this form, as appropriate. Revise any information populated from the FY2010 application, to ensure accuracy and completeness of the information submitted in this year's application. ALL PROJECTS 1. Project Description: (required) - provide a description of the project that is complete and concise. The description must address the entire scope of the project, including a clear picture of the community /target population(s) to be served, the plan for addressing the identified needs /issues of the CoC community/target population(s), projected outcome(s), and any coordination with other source(s) /partner(s). In cases where the proposed project is expanding an existing facility, service, or HMIS system, document, when applicable, how the requested funds will supplement existing services and resources, increase participants served, or increase the capacity of the CoC's HMIS (if applicable). The narrative is expected to describe the project at full operational capacity and to demonstrate how full capacity will be achieved over the term requested in this application. The description should be consistent with and make reference to other parts of this application. Applicants are encouraged to review the detail instructions available on the left menu, as well applicable program regulations and desk guides available online at http: / /esnaps.hudhre.info. RENEWAL SHP PROJECTS ONLY 2. Was the original project awarded funding for acquisition, new construction, or rehabilitation? (required) - select Yes or No to indicate whether or not the project previously received SHP funds under the CoC competition for acquisition, new construction, or rehabilitation. NEW PROJECTS ONLY 2. Description of rehabilitation, acquisition, and new construction activities: (required) - describe the proposed rehabilitation and new construction activities for the project site(s). The description must detail the entire scope of the development activities, including the portion of activities funded and not funded through this application. If persons currently occupy building(s) to be rehabilitated, describe the planned relocation effort for these persons. Also describe the role of the applicant, sponsor, and other project partners, and the estimated timeframe for completing development. NEW SHP -HMIS ONLY 2. HMIS Need: (required) - Describe how needs assessment, resource allocation and service coordination will be improved through the new or expanded HMIS project. 3. State /Federal Funding Overlap: (required) - Demonstrate that HUD funds for this project will not replace state or local government funds. NEW SHP -TH PROJECTS ONLY 3. Maximum length of stay: (required) - indicate the maximum allowable length of occupany for persons participating in the project. NEW SHP -PH ONLY 3. More than 16 persons living in one structure: (required) - select Yes or No to indicate if more than 16 persons reside (or will reside) in any one of the structures assisted with SHP funds requested through this application. If there are more than 16 people, then an explanation is required as to how local market conditions necessitate this size, and how neighborhood integration can be achieved for the residents. For more information on the 16- person limit, see Section 424(c) of the McKinney -Vento Act. NEW S +C -TRA ONLY 3. Housing selection: (required) - select Yes or No to indicate whether or not participants are required to live in particular structures or units during the first year and in a particular area within the locality in subsequent years, or to live in a particular area for the entire period of participation. Additional resources: hftp://esnaps.hudhre.info http: / /www.hudhre. info / index. cfm? do= viewHomelessAndHousingPrograminfo Exhibit 2 Page 15 10/06/2011 FL -606 044860 1601 Applicant: Naples /Collier County CoC Project: HMIS Renewal MP 2011 1. Provide a description of the project that addresses its entire scope, including the needs of the community /target population. Renewing the Homeless Management Information System (HMIS), a computerized system that allows agencies to track service usage over time on a client -level basis. The HMIS provides shared data between participating agencies, ensuring a more comprehensive delivery of services as well as providing aggregate data to support HUD homeless initiatives such as AHAR, HPRP, and Point -in -Time counts. The HMIS data collected is used to identify needs of the County and CoC to further focus funds to the appropriate services and projects. Exhibit 2 Page 16 1 10/06/2011 FL -606 044860 Applicant: Naples /Collier County CoC Project: HMIS Renewal MP 2011 Funding Request Instructions: 160 i The fields that must be completed on this form will vary based on the project type, program type, and component type. 1 a. Operating by September 30, 2013? (required) - select Yes or No to indicate whether or not the grant agreement will be execute and the project will begin operating by September 30, 2013. Unobligated funds will not be available after September 30, 2013. NEW PROJECTS ONLY: 1 b. Are special housing funds being requested for this project? (required) - select Yes or No to indicate whether or not the project is requesting funds under the Permanent Housing Bonus funding category. If yes, then the project will be referred to as a new PH Bonus project. Only permanent housing projects are eligible for PH Bonus funds. 2. Is this project using HHN reallocated funds? (required) - select Yes or No to indicate whether the new project is using HHN reallocated funds. RENEWAL PROJECTS ONLY: 1 b. Is this project a HUD approved consolidation? (required) - select Yes or No to indicate whether or not the project has recently consolidated two or more grants, as approved through HUD's grant amendment process. 1 c. Was the original project awarded funding (in part or whole) under a special housing initiative? (required) - indicate whether or not the project previously received funds under one of the following housing initiatives: Samaritan Housing, Chronic Homeless, Permanent Housing Bonus, or Rapid Rehousing Demonstration. If yes, then the project must continue to meet the requirements of the initiative for the life of the project, in order to continue to receive renewal funding under the CoC competition. 2. Has this project been reduced through the HHN reallocation process? (required) - select Yes or No to indicate whether the renewal project is reduced through the HHN reallocation process. NEW AND RENEWAL PROJECTS: 3. Grant term: (required) - indicate the number of years for which new or renewal funding is being request. The number of years that can be selected will vary depending on the project type and program type. 4. Select the activities for which funding is being requested: (required for SHP projects only) - all SHP projects must identify the budget activities for which funding is being requested. Depending on the project type, the following budget activities may be listed: acquisition, new construction, rehabilitation, leasing (units or structures), supportive services, operating, and HMIS. Renewal projects may indicate only those activities listed on the 2011 SHP GIW. Additional resources: hftp: / /esnaps.hudhre.info http: / /www.hudhre.info/ index. cfm? do= viewHomelessAndHousingProgramInfo 1a. Is it feasible for the project to begin Yes operating /under grant agreement by September 30, 2013? Exhibit 2 Page 17 10/06/2011 FL -606 044860 160 1 " Applicant: Naples /Collier County CoC Project: HMIS Renewal MP 2011 1b. Is this project a HUD approved No consolidation? 2. Has this project been reduced through the No HHN reallocation process? 3. Grant Term: 1 Year 4. Select the activities for which funding is being requested: HMIS FX Exhibit 2 Page 18 10/06/2011 FL -606 044860 Applicant: Naples /Collier County CoC Project: HMIS Renewal MP 2011 HMIS - Equipment Budget Instructions: 16 i R HMIS costs: (populated) - the system populates a list of eligible activities associated with the implementation of an HMIS and for which SHP funds can be requested. Please use the 'Other' category to specify any additional, eligible cost activities, which are not listed. SHP Request: (required) - for each grant year, enter or update the amount ($) requested for each cost activity that is DIRECTLY related to implementing the HMIS, and eligible for SHP funding. Total: (calculated) - the total SHP funding ($) requested for each cost activity will automatically calculate in the Total column. Additional resources: http: / /esnaps.hudhre.info /training http: / /www.hudhre. info /index.cfm ?do= viewShpDeskguideD For each year of the grant term, enter the total dollar amount of SHP funds requested for each HMIS activity. Revise any information populated from the FY2010 application, to ensure accuracy and completeness of the information submitted in this year's application. FL -606 044860 The Total values are automatically calculated by the system when you click the "Save" button. Exhibit 2 Page 19 1 10/06/2011 SHP Request Year 1 Total Equipment 1. Central Server(s) $0 $0 2. Personal Computers and Printers $3,600 $3,600 " 3. Networking $0 $0 4. Security $0 $0 Subtotal Equipment Request $3,600 $3,600 The Total values are automatically calculated by the system when you click the "Save" button. Exhibit 2 Page 19 1 10/06/2011 Applicant: Naples /Collier County CoC Project: HMIS Renewal MP 2011 HMIS - Software Budget Instructions: HMIS costs: (populated) - the system populates a list of eligible activities associated with the implementation of an HMIS and for which SHP funds can be requested. Please use the'Other' category to specify any additional, eligible cost activities, which are not listed. SHP Request: (required) - for each grant year, enter or update the amount ($) requested for each cost activity that is DIRECTLY related to implementing the HMIS, and eligible for SHP funding. Total: (calculated) - the total SHP funding ($) requested for each cost activity will automatically calculate in the Total column. Additional resources: hftp: / /esnaps.hudhre.info /training hftp: / /www.hudhre. info /index.cfm ?do= viewShpDeskguideD For each year of the grant term, enter the total dollar amount of SHP funds requested for each HMIS activity. Revise any information populated from the FY2010 application, to ensure accuracy and completeness of the information submitted in this year's application. FL -606 044860 The Total values are automatically calculated by the system when you click the "Save" button. Exhibit 2 Page 20 10/06/2011 Year 1 SHP Request Total Software 5. Software /User Licensing $36,000 $36,000: 6. Software Installation $0 $0 7. Support and Maintenance $7,545 $7,545 8. Supporting Software Tools $0 $0 Subtotal Software Request $43,545 $43,545 The Total values are automatically calculated by the system when you click the "Save" button. Exhibit 2 Page 20 10/06/2011 Applicant: Naples /Collier County CoC Project: HMIS Renewal MP 2011 HMIS - Services Budget Instructions: HMIS costs: (populated) - the system populates a list of eligible activities associated with the implementation of an HMIS and for which SHP funds can be requested. Please use the 'Other' category to specify any additional, eligible cost activities, which are not listed. SHP Request: (required) - for each grant year, enter or update the amount ($) requested for each cost activity that is DIRECTLY related to implementing the HMIS, and eligible for SHP funding. Total: (calculated) - the total SHP funding ($) requested for each cost activity will automatically calculate in the Total column. Additional resources: hftp: / /esnaps.hudhre.info /training http: / /www.hudhre. info /index.cfm ?do= viewShpDeskguideD For each year of the grant term, enter the total dollar amount of SHP funds requested for each HMIS activity. Revise any information populated from the FY2010 application, to ensure accuracy and completeness of the information submitted in this year's application. 16D 1 FL -606 044860 The Total values are automatically calculated by the system when you click the "Save" button. Exhibit 2 1 Page 21 1 10/06/2011 Year 1 SHP Request Total Services 9. Training by Third Parties $0 $0 10. Hosting/Technical Services $0 $0 11. Programming: Customization $1,000 $1,000 12. Programming: System Interface $0 $0 13. Programming: Data Conversion $2,500 $2,500 14. Security Assessment and Setup $0 $0 15. On -line Connectivity (Internet Access) $0 $0 16. Facilitation $0 $0 17. Disaster and Recovery $0 $0 Other (must specify *) $0 $0 Subtotal HMIS Services Request $3,500 $3,500 The Total values are automatically calculated by the system when you click the "Save" button. Exhibit 2 1 Page 21 1 10/06/2011 16 i "" Applicant: Naples /Collier County CoC Project: HMIS Renewal MP 2011 HMIS - Personnel Budget Instructions: HMIS costs: (populated) - the system populates a list of eligible activities associated with the implementation of an HMIS and for which SHP funds can be requested. Please use the 'Other' category to specify any additional, eligible cost activities, which are not listed. SHP Request: (required) - for each grant year, enter or update the amount ($) requested for each cost activity that is DIRECTLY related to implementing the HMIS, and eligible for SHP funding. For renewal projects, the SHP Request should match budget amounts identified on the Grant Inventory Worksheet. Total: (calculated) - the total SHP funding ($) requested for each cost activity will automatically calculate in the Total column. Additional resources: hftp: / /esnaps.hudhre.info /training hftp: / /www.hudhre. info /index.cfm ?do= viewShpDeskguideD For each year of the grant term, enter the total dollar amount of SHP funds requested for each HMIS activity. Revise any information populated from the FY2010 application, to ensure accuracy and completeness of the information submitted in this year's application. FL -606 044860 The Total values are automatically calculated by the system when you click the "Save" button. Exhibit 2 Page 22 10/06/2011 Year 1 SHP Request Total Personnel 18. Project Management/Coordination $49,017 $49,017 19. Data Analysis $0 $0 20. Programming $0 $0 21. Technical Assistance and Training $0 $0 22. Administrative Support Staff $0 $0 Subtotal Personnel Request $49,017 $49,017 The Total values are automatically calculated by the system when you click the "Save" button. Exhibit 2 Page 22 10/06/2011 Applicant: Naples /Collier County CoC Project: HMIS Renewal MP 2011 HMIS - Space & Operations Budget Instructions: HMIS costs: (populated) - the system populates a list of eligible activities associated with the implementation of an HMIS and for which SHP funds can be requested. Please use the'Other' category to specify any additional, eligible cost activities, which are not listed. SHP Request: (required) - for each grant year, enter or update the amount ($) requested for each cost activity that is DIRECTLY related to implementing the HMIS, and eligible for SHP funding. For renewal projects, the SHP Request should match budget amounts identified on the Grant Inventory Worksheet. Total: (calculated) - the total SHP funding ($) requested for each cost activity will automatically calculate in the Total column. Cash Match: (required) - for each grant year, enter or update the cash amount ($) available to support the SHP request. By law, the grantee or project sponsor must make cash payment for at least 20% of the project's total HMIS annual budget. Other Resources: (optional) - if there are in -kind or additional cash resources above the requested cash match requirement, enter the total amount ($) available per grant year. Additional resources: hftp://esnaps.hudhre.info/training http: / /www.hudhre. info /index.cfm ?do= viewShpDeskguideD For each year of the grant term, enter the total dollar amount of SHP funds requested for each HMIS activity. Revise any information populated from the FY2010 application, to ensure accuracy and completeness of the information submitted in this year's application. 160 1 FL -606 044860 The Total values are automatically calculated by the system when you click the "Save" button. Exhibit 2 Page 23 10/06/2011 Year 1 SHP Request Total HMIS Space and Operations 23. Space Costs $0 $0 24. Operational Costs $0 $0 Subtotal Space & Operations Request $0 $0 The Total values are automatically calculated by the system when you click the "Save" button. Exhibit 2 Page 23 10/06/2011 Applicant: Naples /Collier County CoC Project: HMIS Renewal MP 2011 HMIS Summary Budget The following information summarizes the total HMIS funding request for each year of the grant term. 160 1 � FL -606 044860 Exhibit 2 1 Page 24 10/06/2011 Year 1 25. Total SHP HMIS Request $99,662 26. Total Cash Match $24,917 27. Total HMIS Costs $124,579 28. Other Resources (cash and in -kind) Exhibit 2 1 Page 24 10/06/2011 Applicant: Naples /Collier County CoC Project: HMIS Renewal MP 2011 Supportive Housing Program (SHP) Summary Budget The following information summarizes the SHP funding request and the available cash match for the total term of the project. However, the appropriate amount of administrative costs must be entered in the field below. Please make sure that the budget amounts requested for all renewal projects correspond to the budget amounts on Grant Inventory Worksheet. Selected Grant Term 1 Year 16D 1 FL -606 044860 SHP Activities SHP Dollars Request Cash Match Totals 1. Acquisition $0 $0 $0 2. Rehabilitation $0 $0 $0 3. New Construction $0 $0 $0 4. Subtotal (Lines 1 - 3) $0 $0 $0 $0 $0 5. Real Property Leasing From Leasing Budget Chart 6. Supportive Services From Supportive Services Budget Chart $0 $0 $0 7. Operations From Operating Budget Chart $0 $0 8. HMIS From HMIS Budget Chart $99,662 $24,917 $124,579 9. SHP Request (Subtotal lines 4 -8) $99,662 10. Administrative Costs (Up to 5% of line 9) $4,983 Total SHP Request (Total lines 9 and 10) Total Cash Match Total Budget (Total SHP Request + Total Cash Match) $104,645 $24,917 $129,562 Exhibit 2 Page 25 10/06/2011 Applicant: Naples /Collier County CoC Project: HMIS Renewal MP 2011 8A. Attachment(s) Instructions 160 1 1 1. Sponsor Nonprofit Documentation - Documentation of the sponsor's nonprofit status must be uploaded, if the applicant and project sponsor are different entities, and the sponsor is a nonprofit organization. 2. PHA Certification - Non -PHA Applicants for S +C SRO and Section 8 SRO projects must submit a signed and dated letter from an authorized representative of the local PHA certify that the Applicant is authorized to act on behalf of the PHA. Applicant is authorized to act on behalf of the PHA. 3. Other Attachment(s) - Attach any additional information supporting the project funding request. Use a zip file to attach multiple documents. FL -606 044860 Document Type Required? Document Description Date Attached 1. Sponsor Nonprofit Documentation No 2. PHA Certification Letter No 3. Other Attachment No Exhibit 2 Page 26 1 10/06/2011 160 i Applicant: Naples /Collier County CoC Project: HMIS Renewal MP 2011 Attachment Details Document Description: Attachment Details Document Description: Attachment Details Document Description: Exhibit 2 Page 27 10/06/2011 FL -606 044860 16D 1 " Applicant: Naples /Collier County CoC Project: HMIS Renewal MP 2011 8B. Certification A. For the Supportive Housing (SHP), Shelter Plus Care (S +C), and Single Room Occupancy (SRO) programs: Fair Housing and Equal Opportunity It will comply with Title VI of the Civil Rights Act of 1964 (42 U.S.C. 2000(d)) and regulations pursuant thereto (Title 24 CFR part 1), which state that no person in the United States shall, on the ground of race, color or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under any program or activity for which the applicant receives Federal financial assistance, and will immediately take any measures necessary to effectuate this agreement. With reference to the real property and structure(s) thereon which are provided or improved with the aid of Federal financial assistance extended to the applicant, this assurance shall obligate the applicant, or in the case of any transfer, transferee, for the period during which the real property and structure(s) are used for a purpose for which the Federal financial assistance is extended or for another purpose involving the provision of similar services or benefits. It will comply with the Fair Housing Act (42 U.S.C. 3601 -19), as amended, and with implementing regulations at 24 CFR part 100, which prohibit discrimination in housing on the basis of race, color, religion, sex, disability, familial status or national origin. It will comply with Executive Order 11063 on Equal Opportunity in Housing and with implementing regulations at 24 CFR Part 107 which prohibit discrimination because of race, color, creed, sex or national origin in housing and related facilities provided with Federal financial assistance. It will comply with Executive Order 11246 and all regulations pursuant thereto (41 CFR Chapter 60 -1), which state that no person shall be discriminated against on the basis of race, color, religion, sex or national origin in all phases of employment during the performance of Federal contracts and shall take affirmative action to ensure equal employment opportunity. The applicant will incorporate, or cause to be incorporated, into any contract for construction work as defined in Section 130.5 of HUD regulations the equal opportunity clause required by Section 130.15(b) of the HUD regulations. It will comply with Section 3 of the Housing and Urban Development Act of 1968, as amended (12 U.S.C. 1701(u)), and regulations pursuant thereto (24 CFR Part 135), which require that to the greatest extent feasible opportunities for training and employment be given to lower- income residents of the project and contracts for work in connection with the project be awarded in substantial part to persons residing in the area of the project. It will comply with Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. 794), as amended, and with implementing regulations at 24 CFR Part 8, which prohibit discrimination based on disability in Federally- assisted and conducted programs and activities. It will comply with the Age Discrimination Act of 1975 (42 U.S.C. 6101 -07), as amended, and implementing regulations at 24 CFR Part 146, which prohibit discrimination because of age in projects and activities receiving Federal financial assistance. It will comply with Executive Orders 11625, 12432, and 12138, which state that program participants shall take affirmative action to encourage participation by businesses owned and operated by members of minority groups and women. Exhibit 2 Page 28 1 10/06/2011 FL -606 044860 Applicant: Naples /Collier County CoC Project: HMIS Renewal MP 2011 FL -606 044860 If persons of any particular race, color, religion, sex, age, national origin, familial status, or disability who may qualify for assistance are unlikely to be reached, it will establish additional procedures to ensure that interested persons can obtain information concerning the assistance. It will comply with the reasonable modification and accommodation requirements and, as appropriate, the accessibility requirements of the Fair Housing Act and section 504 of the Rehabilitation Act of 1973, as amended. Additional for S +C: If applicant has established a preference for targeted populations of disabled persons pursuant to 24 CFR 582.330(a), it will comply with this section's nondiscrimination requirements within the designated population. B. For SHP Only. 20 -Year Operation Rule. For applicants receiving assistance for acquisition, rehabilitation or new construction: The project will be operated for no less than 20 years from the date of initial occupancy or the date of initial service provision for the purpose specified in the application. 1 -Year Operation Rule. For applicants receiving assistance for supportive services, leasing, or operating costs but not receiving assistance for acquisition, rehabilitation, or new construction: The project will be operated for the purpose specified in the application for any year for which such assistance is provided. C. For S +C Only. Supportive Services. It will make available supportive services appropriate to the needs of the population served and equal in value to the aggregate amount of rental assistance funded by HUD for the full term of the rental assistance. D. Explanation. Where the applicant is unable to certify to any of the statements in this certification, such applicant shall attach an explanation behind this page. Name of Authorized Certifying Official Fred Coyle Date: 10/05/2011 Title: BCC Chair Applicant Organization: Collier County Board of County Commissioners PHA Number (For PHA Applicants Only): I certify that I have been duly authorized by X the applicant to submit this Applicant Certification and to ensure compliance. I am aware that any false, ficticious, or fraudulent statements or claims may subject me to criminal, civil, or administrative penalties . (U.S. Code, Title 218, Section 1001). Exhibit 2 Page 29 10/06/2011 1601 ' The basic program regulations governing management and financial systems for the CDBG program are contained in 24 CFR Part 570, Subparts J and K. They are applicable both to grantees and subrecipients in the public and private sectors: a) Subpart J (24 CFR 570.500 - 570.513) addresses general responsibilities for grant administration, including the applicability of uniform administrative requirements, provisions of Subrecipient Agreements, program income, use of real property, record keeping and reporting, and closeout procedures. Chapter 160 1 Applicant: Collier County Board of County Commissioners 07697790 Project: Shelter Plus Care 2.0) j FL0394C4D061000 Before Starting the Exhibit 2 (Project) Application This is the 2010 Exhibit 2 application required to be submitted for requesting funding for the Supportive Housing Program, Shelter Plus Care Program, and Section 8 Moderate Rehabilitation of Single Room Occupancy Program. HUD strongly encourages ALL applicants to review the following information BEFORE beginning the application. Training resources are available online at: www.hudhre.info /esnaps - Training modules are available to help complete or update the Exhibit 2 application, including attaching required forms. - The HUD HRE Virtual Help Desk is available for submitting technical and policy questions directly to HUD. - Guidance is available on obtaining a DUN and Bradstreet DUNS Number, and completing, updating or renewing CCR registration. Things to Remember - Review the 2010 Notice of Funding Availability for the Continuum of Care (CoC) Homeless Assistance Program for specific application and program requirements. - All applicants6new and retuming6must complete the SF-424 in a -snaps for 2010 before submitting the Exhibit 2 application. - Renewal applications - carefully review and update all 2010 Exhibit 2 applications that include data from the 2009 application. Questions may have been changed or removed, and the imported information may or may not be relevant. - The Exhibit 2 application for first -time renewal and new projects must not include data imported from the 2009 competition. - The total budget request for all renewal applications under SHP must be consistent with the total amounts listed on the CoC's 2010 SHP Grant Inventory Worksheet -- except for renewal projects reduced or eliminated through the CoC's HHN reallocation process. - The number of S +C units requested for each unit size in the project must be consistent with the number of units indicated on the CoC's 2010 S +C Grant Inventory Worksheet, as approved by HUD. - HUD will announce the 2010 conditional awards for renewal applications within 30 -60 days of the closing of the CoC competition. Conditional awards for new applications will be announced after HUD has completed the project threshold review and the scoring of the CoC applications. - Use the instructions at the top of each form of the Exhibit 2 application to help complete the questions on that form. - The total budget request for each new project created through the CoC's HHN reallocation process must not exceed the amount transferred from the renewal projects. HUD reserves the right to reduce or reject any new or renewal project that fails to adhere to the reallocation requirements. Applicants are strongly encouraged to double -check with the CoC Lead Agency to confirm total budget amounts. Exhibit 2 1 Page 1 1 07/22/2011 1 160 1 Applicant: Collier County Board of County Commissioners 07697790 Project: Shelter Plus Care FL0394C4D061000 Project Information - Page 1 Instructions: The selections made on this form will determine the remaining forms that must be completed with this application. 1. Expiring Grant Number (no input required) - this field will populate with the grant number from the 2009 project that has been imported. This field can not be edited. 2. CoC Number and Name (required) - select the appropriate Continuum of Care (CoC) name and number from the drop -down menu. 3. Project Name (no input required) - this field will populate in a read -only format for all applications. Return to the applicant project listing to update the name of the project. 4. Project Type (required) - indicate whether the project is eligible for new or renewal funds during the current competition. Renewal projects are defined as those HUD McKinney -Vento grants that have received funding in a previous competition and are eligible to renew during the current competition. 5. Program Type (required) - select one of the three HUD homeless assistance programs that appropriately identifies the competitive program under which the application should be funded and operated - Supportive Housing Program (SHP), Shelter Plus Care (S +C), or Section 8 Moderate Rehabilitation for Single Room Occupancy (Section 8 SRO). 6. Component Type (required) - each homeless assistance program features several components to help homeless people achieve independence. Select the one component that appropriately identifies the application being submitted. 7. In which state is the project located (required) - of the available states listed, select the state(s) in which the project is located. For new projects indicate the expected state location(s). The selected state(s) will be used to populate the available geography codes on the next form (Project Information - Page 2) of this application. 8. In which Congressional District(s) is the project located (required) - of the available congressional districts listed, select the district(s) in which the project is located. For new projects indicate the district(s) for proposed location(s). The selected district(s) will be used to send correspondence to the appropriate Congressional Representative(s). 9. Project Description (required) - in the last field on this form, provide a general description of the project. The description must include a response to the program requirements under which the project will operate. The description must also include information on the homeless needs that are addressed by the project, the type of housing that will be provided, and the target population that the project will serve. Completion of this field is required of all new and renewal projects. Additional resources: http: / /esnaps.hudhre.info /training http: / /www.hudhre. info / index. cfm? do= viewHomelessAndHousingPrograminfo Complete or update the form fields in the order of appearance. For renewal applications, the fields will populate with information from the 2009 application submission, if applicable. Please verify the accuracy of all populated fields. Exhibit 2 Page 2 07122/2011 16D 1 Applicant: Collier County Board of County Commissioners 07697790 Project: Shelter Plus Care FL0394C4DO61000 1. Expiring Grant Number Field will appear blank unless populated with imported 2009 data. 2. CoC Number and Name FL -606 - Naples /Collier County CoC 3. Project Name Shelter Plus Care 4. Project Type New Project 5. Program Type S +C Content depends on "Project Type" selection 6. Component Type TRA Content depends on "Program Type" selection 7. In which state is the project located? Florida (for multiple state selections hold CTRL +Key) 8. In which Congressional District(s) is the FL -016, FL -025 project located? (for multiple selections hold CTRL + Key) 9. Provide a general description of the project. The description must identify the target population and address the specific service and housing activities, including any housing development activities. (Max 3000 characters) Exhibit 2 Page 3 1 07/22/2011 Applicant: Collier County Board of County Commissioners Project: Shelter Plus Care 16D 1 .. 07697790 FL0394C4DO61000 The Collier County Housing Authority will collaborate with the David Lawrence Mental Health Center to provide permanent supportive housing through tenant based housing choice vouchers for chronically homeless individual adults and families. David Lawrence Center is the only comprehensive, publicly funded substance abuse and mental health care provider in Collier County. The agency is accredited by the Joint Commission, and is licensed by, and receives funding from, the State of Florida Departments of Substance Abuse and Mental Health. The target population for the shelter plus care project includes persons with mental health, substance abuse, or co- occurring disabilities who are at risk of institutionalization. David Lawrence Center will provide targeted outreach to locate program participants and will provide wrap around services to participants according to identified individual needs. David Lawrence Centers services are partially funded through a PATH (Projects to Assist with Transition from Homelessness) grant. DLC has been a participant of PATH for the past 10 years. The PATH Program offers assertive outreach to chronically homeless individuals with serious mental illness and co- occurring substance use disorders. PATH goals are to: 1) engage homeless individuals in a trusting therapeutic alliance and facilitate motivation to change; 2) link to mental health and substance abuse treatment and support services; 3) assist individuals with locating, securing and maintaining housing, and 4) address barriers and gaps in the local service system to address the complex needs of the population. The services will include case management, life skills training, supported employment, and access to disability benefits through SOAR (SSI /SSD Outreach, Access and Recovery) a best practice for obtaining benefits for homeless adults with mental illnesses. Services will also include linkage to and coordination of medical and psychiatric care to ensure the best possible health outcomes. Services may also include linkage to the David Lawrence Center's wide range of community -based programs and supports including outpatient counseling, substance abuse residential programs, or acute inpatient care, if needed. In addition, participants will be linked to the Sarah Ann Drop In Center, operated by the local National Alliance for Mental Illnesses. The Drop In Center offers use of computers to connect to families and jobs as well as numerous educational and support groups. NAMI employs a number of Florida Certified Peer Counselors who will assist with community integration and connections to socialization supports. Exhibit 2 Page 4 1 07/22/2011 160 1 Applicant: Collier County Board of County Commissioners 07697790 Project: Shelter Plus Care FL0394C4DO61000 Project Information - Page 2 Instructions: The fields that must be completed on this form will vary based on the project, program, and component type selected on Project Information - Page 1. NEW PROJECTS: 1. Is the project requesting new Special Housing funding (required) - for this competition there is only one special housing project - the Permanent Housing (PH) Bonus. New projects applying under the SHP -PH, S +C, or Section 8 SRO programs may qualify for PH Bonus funding. RENEWAL PROJECTS: 1 a. Previous Samaritan Housing /Chronic Homeless Initiative funding (required) - if the project previously received funds under the Samaritan Housing or Chronic Homeless Initiatives, the project must continue to meet the requirements of either initiative for the life of the project. 1 b. Grant Consolidation (required) - indicate whether or not the project has recently consolidated two or more grants that have been approved through HUD's grant amendment process. NEW AND RENEWAL PROJECTS: A response to the following fields is required by both new and renewal projects - 2. Grant term (required) - the available terms will vary depending on the project and program types; 3. Use of energy star (required); 4. Serving persons in a rural area (required) - refer to the 2010 CoC NOFA for the definition of a rural area and a list of the counties that qualify;5. Located on land previously owned by the military (required); and 6. Select the geographic code(s) that will be primarily served by the project (required) - all projects must identify the specific geographic code(s) that will be served by this project. 7. Select the appropriate SHP budget activities (required) - all SHP projects must identify the budget activities for which funding is being requested. Depending on the project type, the following budget activities may be listed: acquisition, new construction, rehabilitation, leasing (units or structures), supportive services, operations, and HMIS. Renewal projects may indicate only those activities listed on the 2010 SHP GIW. Additional resources: http: / /esnaps.hudhre.info /training http: / /www.hudhre. info / index. cfm? do= viewHomelessAndHousingPrograminfo Complete or update the form fields in the order of appearance. For renewal applications, the fields will populate with information from the 2009 application submission, if applicable. Please verify the accuracy of all populated fields. 1. Is the project requesting special housing Yes funding? If yes, click on the "Save" button to identify the project as a Permanent Housing Bonus 1a. Special Initiative Applicable: Permanent Housing Bonus 2. Grant Term: 5 Years 3. Does the project use Energy Star? No 4. Is the project serving persons in a rural No area? Exhibit 2 Page 5 07/22/2011 16D 1 Applicant: Collier County Board of County Commissioners 07697790 Project: Shelter Plus Care FL0394C4DO61000 Refer to the 2010 CoC NOFA for the definition of a rural area and a list of the counties that qualify. 5. Is the project located on land previously No owned by the military? 6. Select the geographic code(s) for area(s) served by the project, at the time of application. For new projects, select the code(s) for the area(s) that will be served. (for multiple selections hold CTRL + Key) 122064 NAPLES, 129021 COLLIER COUNTY Exhibit 2 Page 6 07/22/2011 Applicant: Collier County Board of County Commissioners Project: Shelter Plus Care Project Location(s) 1601 07697790 FL0394=061000 The following list summarizes the location of each site in the project. To add a site location, select the icon. To view or update a site location already listed, select the appropriate option. Location Name Ownership Street Address 1 Street Address 2 City State Zip -- Lease -- -- Exhibit 2 1 Page 7 1 07/22/2011 Applicant: Collier County Board of County Commissioners Project: Shelter Plus Care Project Location Detail Instructions: 160 1 07697790 FL0394C4DO61000 Location Name (required for SRA only) - identify the name of the location that is or will be used for housing project participants. Project Ownership (required for all projects) - indicate whether each location is or will be owned or leased by the applicant, sponsor, or a parent organization. For projects other than SRA with multiple site locations, group each site as leased or owned, and identify each group in this field. Please remember that SHP policy prohibits the use of leasing funds as payment for units or structures owned by the grantee (the applicant), the project sponsor, or the parent organization(s) of either entity. Location Address (required for SRA only) - indicate the Street Address, City, State, and Zip Code of the SRA project location. Locations that serve domestic violence victims covered under the VAWA may indicate an administrative office or P.O. Box address. Additional resources: http: / /esnaps.hudhre.info /training An SRA project must complete or update the fields below, for each site that will be used to house project participants. However, all other projects need only indicate or update the ownership of all site locations. Location Name Property Ownership Lease Street Address 1 Street Address 2 City State Zip Code Format: (12345 or 12345 -1234) Exhibit 2 Page 8 07/22/2011 160 1 Applicant: Collier County Board of County Commissioners 07697790 Project: Shelter Plus Care FL0394C4D061000 Project Sponsor Information Instructions: 1. Sponsor Same as Applicant (required) - select Yes or No from the drop -down menu to denote if the applicant is the same as the project sponsor. If Yes, select the "Save" button to review the SF -424 data populated in the form fields. If No, select the "Save" button to complete or update the form fields as required. 2. Organization Name (required) - enter or update the legal name of the organization that will serve as the project sponsor. 3. Organization Type (required) - enter or update the type of business organization of the project sponsor. 4. DUNS Number (required) - enter or update DUNS Number in the proper format. 5. Tax ID or EIN (required) - enter or update the sponsor's ID or EIN in the proper format. 6. Street Address 1 (required) - enter or update the number and street name. 7. Street Address 2 (no input required) - enter the unit, suite, or floor if applicable. 8. City (required) - enter the location city. 9. State (required) - select or update the location State abbreviation from the drop -down menu. 10. Zip Code (required) - enter the location Zip Code in the proper format. 11. Faith Based Organization (required) - select Yes or No from the drop -down menu to denote if the sponsor is a faith based organization. 12. Prior Federal Grant Recipient (required) - select the appropriate answer that applies to the sponsor organization for this project. 13. Identify source documentation for sponsor's nonprofit status (required for nonprofit sponsors) - select from the dropdown menu the documentation that supports the sponsor's nonprofit status. The documentation indicated must be attached and submitted with the application. Additional resources: http: / /esnaps.hudhre.info /training http: / /www.hudhre. info / index. cfm? do= viewHomelessAndHousingProgramInfo Complete or update the form fields in the order of appearance. The form fields will populate data from the 2009 application submission, if applicable, and the SF -424, if the applicant is the same entity as the sponsor. Please verify the accuracy of all populated fields. 1. Is the project applicant the same as the Yes project sponsor? (If yes click on the "Save" button to auto -fill the fields below) Exhibit 2 Page 9 07/22/2011 Applicant: Collier County Board of County Commissioners Project: Shelter Plus Care 16D 1 07697790 FL0394C4DO61000 2. Organization Name Collier County Housing Authority 3. Organization Type L. Public /Indian Housing Authority If "Other" specify: 4. DUNS Number) 040977514 I PLU Format: xxxxxxxxx or xxxxxxxxxxxxx S4 5. Tax ID or EIN 59- 1490555 Format: 12- 3456789 6. Street Address 1 1800 Farm Worker Way 7. Street Address 2 8. City Immokalee 9. State Florida 10. Zip Code 34142 Format: 12345 or 12345 -1234 11. Is the sponsor a Faith -Based No Organization? 12. Has the sponsor ever received a federal Yes grant, either directly from a federal agency or through a State /local agency? Exhibit 2 Page 10 07/22/2011 1607� Applicant: Collier County Board of County Commissioners 07697 Project: Shelter Plus Care FL0394C4DO61000 Project Sponsor Contact Information Instructions: 1. Prefix (no input required) select Dr., Mr., Mrs., Ms., Miss, Rev ... from dropdown menu. 2. First Name (required) enter or update the First Name of the primary sponsor representative. 3. Middle Name (required) enter or update the Middle Name of the primary sponsor representative. 4. Last Name (required) enter or update the Last Name of the primary sponsor representative. 5. Suffix (no input required) select Jr., Sr., M.D., D.D.S., Ph.D, Esq from dropdown menu. 6. Title (required) enter or update the Title of the primary sponsor representative. 7. E -mail Address (required) enter or update the e-mail address of the primary sponsor representative. 8. Confirm E -mail Address (required) re -enter or update the sponsor e-mail address. 9. Phone Number (required) enter or update the sponsor's 10 -digit Phone Number in prescribed format XXX- XXX -XXXX. 10. Extension (no input required) enter or update the Extension associated with the sponsor's Phone Number. 11. Fax Number (required) enter the 10 -digit sponsor Fax Number in prescribed format XXX- XXX -XXXX. Complete or update the form fields in the order of appearance. The form fields will populate data from the 2009 application submission, if applicable, and the SF -424, if the applicant is the same entity as the sponsor. Please verify the accuracy of all populated fields. 1. Prefix Ms. 2. First Name Esmerelda 3. Middle Name 4. Last Name Serrata 5. Suffix 6. Title Executive Director 7. E -mail Address eserrata @cchafl.org 8. Confirm E -mail Address eserrata @cchafl.org 9. Phone Number 239 - 657 -3649 Format: 123 -456 -7890 10. Extension Exhibit 2 Page 11 1 07/22/2011 Applicant: Collier County Board of County Commissioners Project: Shelter Plus Care 11. Fax Number 239 - 657 -7232 Format: 123 -456 -7890 160 1 07697790 FL0394C4DO61000 Exhibit 2 Page 12 07/22/2011 Applicant: Collier County Board of County Commissioners Project: Shelter Plus Care 160 i 07697790 FL0394C4DO61000 Experience of Project Applicant, Sponsor, and Partners Instructions: The specific narratives that must be provided in the fields on this form will vary based on the project, program, and component type selected on Page 1 of the Project Information form. Experience Narrative(s) - (required) each narrative must address the specific type and length of experience for the applicant, project sponsor, housing and supportive service providers, and applicable, key subcontractors involved in implementing the project. In addition, the narratives must describe the experience of all entities, as it relates to working with homeless persons, and the experience directly related to the proposed activities being carried out, including: housing development, housing management, construction, rehabilitation, service delivery, and HMIS activities (for new HMIS projects). Unresolved monitoring or audit findings on HUD McKinney -Vento Act grants, excluding ESG (required) - select Yes or No from the dropdown menu to indicate whether or not the sponsor has open OIG audit findings; poor or non - compliance with applicable Civil Rights Laws and /or Executive Orders; or open SNAPS related monitoring finding(s). The question is related to those projects for which the sponsor organization is either a direct grantee or a sponsor. Additional Resources: http: / /www.hudhre. info / index. cfm? do= viewHomelessAndHousingPrograminfo http: / /esnaps.hudhre.info /training Describe the experience of the project applicant, sponsor, and partners, as it relates to providing supportive services and housing for homeless persons, and carrying -out the activities of the project. Describe experience of project partners related to providing activities and working with homeless persons. The David Lawrence Center has been providing comprehensive mental health and substance abuse services to chronically homeless people for the past 40 years, with targeted services to the population in the Projects for Assistance in Transition from Homelessness (PATH) program since 2001. PATH services include assertive outreach,case management,supported housing, supported employment, cognitive behavioral counseling and a psychiatric care. Case managers assist participants with SSI /SSD benefits aquisition through the SOAR project. The PATH program also connects participants with a wide range of other programs at David Lawrence Center and the community based on individual needs. During fiscal year 2009/2010, PATH will engage at least 800 homeless individuals and enroll 153 into treatment and services. DLC /PATH participates in the local Homeless Management Information Systems (HMIS) data system. Describe applicable experience relating to the administration of rental assistance. Exhibit 2 Page 13 07/22/2011 Applicant: Collier County Board of County Commissioners Project: Shelter Plus Care 1601 07697790 FL0394C4D061000 The Collier County Housing Authority (CCHA) administers three housing programs. The first is the Farm Labor Housing Program that is governed by the United States Department of Agriculture Rural Development. This program provides 641 units of housing for farm laborers, with 311 units being assisted with rental assistance. CCHA also administers a Section 8 Housing Choice Voucher Program which is governed by the United States Department of Housing & Urban Development. This program provides rental assistance of 441 vouchers to low- income families and individuals. CCHA successfully administered this program since 1992, and have been designated as a High Performing Agency in 2009 by The United States Department of Housing & Urban Development. CCHA also administers The Home TBRA Program in partnership with County government, to provide rental assistance to homeless, elderly and disabled population. CCHA has operated the program for the past four years. The HOME TBRA Program provides assistance with rent, security deposits and utilities for households that meet the criteria of homeless, elderly or disabled. The TBRA Program is modeled after the Section 8 Housing Choice Voucher Program. Listed below are the dollars that were awarded and the number of households that was served by those dollars. Year 03 -04 $165,000.00 served 21 Year 05 -06 $220,000.00 served 34 Year 07 -08 $385,000.00 served 39 Year 09 -10 $275,000.00 served 58 Are there any unresolved monitoring or No audit findings on HUD McKinney -Vento Act grants, excluding ESG? (If yes, click on the "Save" button below to explain findings) Exhibit 2 Page 14 07/22/2011 Applicant: Collier County Board of County Commissioners Project: Shelter Plus Care Special Housing Project 16D 1 07697790 FL0394C4DO61000 Indicate how the project applicant, sponsor, and partners will operate and meet the Permanent Housing Bonus requirements as outlined in the Notice of Funding Availability. Describe how the project will address the specific case management needs of the persons to be served by the Permanent Housing Bonus project. The David Lawrence Center will provide comprehensive case management services for the project. Case management of chronically homeless persons is intensive and is provided through a multidisciplinary team. Case management services include an assessment of complex, multiple needs, and linking to and monitoring of ongoing services. Case managagement will focus on attainment of participants' personnaly selected goals and may include treatment of co- occurring substance abuse problems, health care coordination, attainment of public benefits, supported employment, education, transportation, and peer socialization. Along with assistance of the Collier County Housing Authority, case management services will also include interventions with landlords as needed to ensure smooth transitions into permanent housing and to facilite or maintain mutually effective long term relationships. DLC case management programs and personnel adhere to state standards for the services, including providing regular home visits to ensure clean, safe living environments. Exhibit 2 Page 15 07/22/2011 Applicant: Collier County Board of County Commissioners 160 1 07697790 Project: Shelter Plus Care FL0394C4D061000 Type and Scale of Housing The following list summarizes each type of housing configuration in the project. To add a housing type to the list, click on the icon below. To view or update a housing type already listed, click on the icon below. Housing Type units B" moms Beds Single Room Occupancy (SRO)... 2 0 12 Exhibit 2 1 Page 16 1 07/22/2011 Applicant: Collier County Board of County Commissioners Project: Shelter Plus Care Type and Scale of Housing Detail 160 1 07697790 FL0394C4DO61000 Instructions: 1. Housing type (required) - select or update the appropriate housing type from the drop -down menu. Refer to the detailed instructions document for a definition of each housing type. 2. Units (required) - enter or update the total number of units available at a point -in -time in the selected housing type and used for housing project participants. 3. Bedrooms (required) - enter or update the total number of bedrooms available at a point -in- time in the selected housing type and used for housing project participants. 4. Beds (required) - enter or update the total number of beds available at a point -in -time in the selected housing type and used for housing project participants. Additional resources: http: / /esnaps.hudhre.info /training http: / /www. hudhre. i nfo /index.cfm ?do= viewHomelessAnd Housing Program I nfo The information entered into the form fields below should record the number of units, bedrooms, and beds for each housing type in the project. 1. Housing Type: Single Room Occupancy (SRO) units Total for Selected Housing Type 2. Units: 2 3. Bedrooms: 0 4. Beds: 2 Exhibit 2 Page 17 07/22/2011 Applicant: Collier County Board of County Commissioners Project: Shelter Plus Care 1601 07697790 FL0394C4D061000 Project Participants - Households with Dependent Children Instructions: 1. Total number of households - (required) enter or update the total number of households served at a point in time. 2. Disabled adults - (in this row) enter the total number of adult participants with a disability. Of these participants, indicate how many fall into one or more of the subpopulation categories (chronically homeless, severely mentally ill, chronic substance abuse, veterans, persons with HIV /AIDS, and DV victims). 3. Non - disabled adults - (in this row) enter the total number of adult participants without a disability. Of these participants, indicate how many fall into one or more of the subpopulation categories (chronic substance abuse, veterans, and DV victims). 4. Disabled children - (in this row) enter the total number of participant children with a disability. Of these participants, indicate how many fall into one or more of the subpopulation categories (chronically homeless, severely mentally ill, chronic substance abuse, persons with HIV /AIDS, and DV victims). 5. Non - disabled children - (in this row) enter the total number of participant children without a disability. Of these participants, indicate how many fall into one or more of the subpopulation categories (chronic substance abuse and DV victims). 6. Total persons - (calculated row) all fields are automatically calculated. 7. Total number of adults - (calculated row) all fields are automatically calculated. 8. Total number of children - (calculated row) all fields are automatically calculated. Additional Resources: Point in time - PIT (definition) a snap shot of the number of homeless persons that can be served, on any given night or day, when the project is at full capacity. This count is based on the applicant's estimate at the time of application, for a new grant. For a renewal project, the PIT is based on the applicant's assessment of the number of participants residing in a facility or served by the program on a particular night or day when the project is at full capacity. http: / /www.hudhre. info / index. cfm? do= viewHomelessAndHousingProgramInfo http: / /esnaps.hudhre.info /training Instructions - Subpopulations: Chronically Homeless - must be disabled adults in households with or without children (so no entry allowed in non - disabled adult or children /youth) Severely Mentally III - are all considered disabled (so no entry allowed in non - disabled) Chronic Substance Abuse - may not constitute a disability on its own Veterans - must be adults (so no entry allowed in children /youth) Persons living with HIV /AIDS - are all considered disabled (so no entry allowed in non - disabled) Exhibit 2 Page 18 07/22/2011 Applicant: Collier County Board of County Commissioners Project: Shelter Plus Care 160 1 076 790 FL0394C4DO61000 1. Total Number of Households 0 Total Persons Chronically Severely Chronic Veterans Persons Victims of Homeless Mentally III Substance with Domestic Abuse HIWAIDS Violence 2. Disabled Adults 0 0 0 0 0 0 0 3. Non - Disabled Adults 0 4. Disabled Children 0 5. Non - Disabled Children 0 6. Total Persons (click on "Save" to auto - 0 0 0 0 0 0 0 calculate) 7. Total Number of Adults 0 (click on "Save" to auto - calculate) 8. Total Number of Children 0 (click on "Save" to auto - calculate) Exhibit 2 Page 19 1 07/22/2011 16D I Applicant: Collier County Board of County Commissioners 07697790 Project: Shelter Plus Care FL0394C4D061000 Project Participants - Households without Dependent Children Instructions: 1. Total number of households - (required) enter the total number of households with or served at a point in time. 2. Disabled adults - (in this row) enter the total number of adult participants with a disability. Of these participants, indicate how many fall into one or more of the subpopulation categories (chronically homeless, severely mentally ill, chronic substance abuse, veterans, persons with HIV /AIDS, and DV victims). 3. Non - disabled adults - (in this row) enter the total number of adult participants without a disability. Of these participants, indicate how many fall into one or more of the subpopulation categories (chronic substance abuse, veterans, and DV victims). 4. Disabled unaccompanied youth - (in this row) enter the total number of unaccompanied youth with a disability. Of these participants, indicate how many fall into one or more of the subpopulation categories (chronically homeless, severely mentally ill, chronic substance abuse, persons with HIV /AIDS, and DV victims). 5. Non - disabled unaccompanied youth - (in this row) enter the total number of unaccompanied youth without a disability. Of these participants, indicate how many fall into one or more of the subpopulation categories (chronic substance abuse, and DV victims). 6. Total persons - (calculated row) all fields are automatically calculated. 7. Total number of adults - (calculated row) all fields are automatically calculated. 8. Total number of unaccompanied youth - (calculated row) all fields are automatically calculated. Additional Resources: Point in time - PIT (definition) a snap shot of the number of homeless persons that can be served, on any given night or day, when the project is at full capacity. This count is based on the applicant's estimate at the time of application, for a new grant. For a renewal project, the PIT is based on the applicant's assessment of the number of participants residing in a facility or served by the program on a particular night or day when the project is at full capacity. http: / /www.hudhre. info/ index. cfm? do= vieweHomelessAndHousingProgramInfo http: / /esnaps.hudhre.info /training Instructions - Subpopulations: Chronically Homeless must be disabled adults in households with or without children (so no entry allowed in non - disabled adult or children /youth) Severely Mentally III are all considered disabled (so no entry allowed in non - disabled) Chronic Substance Abuse may not constitute a disability on its own Veterans must be adults (so no entry allowed in children /youth) Persons living with HIV /AIDS are all considered disabled (so no entry allowed in non - disabled) Indicate the total number of homeless persons and subpopulations served by the project, at a particular point in time (when the project is at full capacity). Exhibit 2 Page 20 07/22/2011 Applicant: Collier County Board of County Commissioners Project: Shelter Plus Care 16D I 07697790 FL0394C4DO61000 1. Total Number of 2 Households Total Persons Chronically Severely Chronic Veterans Persons Victims of Homeless Mentally III Substance with HIV /AIDS Domestic Abuse Violence 2. Disabled Adults 2 2 2 1 0 0 0 3. Non - Disabled Adults 0 4. Disabled 0 Unaccompanied Youth 5. Non - Disabled 0 Unaccompanied Youth 6. Total Persons 2 2 2 1 0 0 0 (click on "Save" to auto - calculate) 7. Total Number of 2 Adults (click on "Save" to auto - calculate) 8. Total Number of 0 -_ Unaccompanied Youth (click on "Save" to auto - calculate) Exhibit 2 Page 21 07/22/2011 16D I Applicant: Collier County Board of County Commissioners 07697790 Project: Shelter Plus Care FL0394C4D061000 Supportive Services for Participants Instructions: 1. Policies and practices consistent with the educational laws (required) - select Yes or No from the dropdown menu to denote if the applicant/sponsor has policies consistent with educational laws, including the McKinney -Vento Act, relating to the provision of educational and related services to individuals and families experiencing homelessness. 2. Designated staff person to ensure the homeless children receive educational needs (required) - select Yes or No from the dropdown menu to denote if the applicant/sponsor has a designated staff person responsible for ensuring that children are enrolled in school and connected to the appropriate services within the community, including early childhood education programs such as Head Start, Part C of the Individuals with Disabilities Education Act, and McKinney -Vento education services. 3. Obtain and remain in permanent housing (required for new projects) - describe the supportive services that will be provided to help project participants locate and stabilize in permanent housing, access mainstream resources, and /or obtain employment. 4. Maximizing employment, income, and independent living (required for new projects) - describe the supportive services that will be provided to help project participants locate employment and access mainstream resources for independent living. 5a. Supportive Services (no input required) - lists each basic supportive service (outreach, case management, life skills, job training, alcohol and drug abuse services, mental health and counseling, HIV /AIDS services, health /home health services, education and instruction, employment services, child care, transportation. and other) that may be provided to participants. 5b. Frequency (required for new projects) - select the frequency (daily, weekly, bi- weekly, monthly, bi- monthly, quarterly, does not apply) at which each basic supportive service is provided to participants. 6. Accessibility of community amenities (required for new projects) - select the level of accessibility of basic community amenities for project participants. Basic community amenities should be accessible to participants via walking, public transportation, driving, or transportation provided by the project. Additional resources: http: / /www.hudhre. info / index. cfm? do= viewHomelessAndHousingPrograminfo http: / /esnaps.hudhre.info /training The information entered into the form fields below should record the capacity of the project to provide supportive services or access to services that participants require. 1. For projects serving families, does the Not Applicable applicant/sponsor have policies and practices that are consistent with, and do not restrict the exercise of rights provided by the education subtitle of the McKinney -Vento Act, and other laws relating to the provision of educational and related services to individuals and families experiencing homelessness? Exhibit 2 Page 22 07/22/2011 Applicant: Collier County Board of County Commissioners Project: Shelter Plus Care 2. For projects serving families, does the Not Applicable applicant/sponsor have a designated staff person responsible for ensuring that children are enrolled in school and connected to the appropriate services within the community, including early childhood education programs such as Head Start, Part C of the Individuals with Disabilities Education Act, and McKinney -Vento education services? 16D 1 07697790 FL0394C4D061000 3. Describe how participants will be assisted to obtain and remain in permanent housing. The program adheres to evidence -based practices in supportive housing following the SAMHSA Toolkit. Person - centered services and motivational interviewing include 6meeting the person where they are6, and focus on working collaboratively with the person who is actively involved in setting goals and planning his or her own treatment program. 4. Describe specifically how participants will be assisted both to increase their employment and /or income and to maximize their ability to live independently. The supportive employment program uses an evidence -based practice model to help people choose, get and keep competitive employment in the community. People and employers are matched for a best fit, and job coaches provide hands on training and employer interventions when necessary to ensure success. Staff are trained in the use of SOAR, a best practice model for benefits applications to facilitate speedy access to benefits to eligible people. The benefits can provide funding for housing, also improved access to healthcare, medications and other necessities for independent living such as transportation. 5. Specify the frequency of supportive services to be provided to project participants. Exhibit 2 Page 23 1 07/22/2011 Applicant: Collier County Board of County Commissioners Project: Shelter Plus Care Other (Specify Below) 6. How accessible are basic community amenities (e.g., medical facilities, grocery store, recreation facilities, schools, etc.) to the project? Yes, very accessible 160 1 07697790 FL0394C4D061000 Exhibit 2 Page 24 07/22/2011 Applicant: Collier County Board of County Commissioners 1601 07697790 Project: Shelter Plus Care FL0394C4DO61000 Outreach for Participants Instructions: 1. Where homeless participants are coming from (required) - enter or update the percentage ( %) related to the places from which homeless participants are coming (streets, emergency shelters, safe havens, or transitional housing who came directly from the streets, emergency shelter, or safe haven). Total of above percentages (calculated) - the percentages entered will sum in the Total of above percentages field. 2. If total is less than 100% - indicate the other places from which homeless persons enter the project, in the text box provided. 3. Outreach plan (required for new projects) - describe how the applicant/sponsor plans to bring homeless persons into the project. 4. Contingency plan (required for new projects) - describe the contingency plan that the applicant/sponsor will implement if the project experiences difficulty in meeting the Bonus requirements to serve exclusively homeless and disabled individuals and families. The contingency plan may include re- evaluating the intake assessment procedures or outreach plan. Additional resources: http: / /www.hudhre. info / index. cfm? do= viewHomelessAndHousingProgramInfo http: / /esnaps.hudhre.info /training Complete or update the form fields in the order of appearance. For renewal applications, the fields will populate with information from the 2009 application submission, if applicable. Please verify the accuracy of all populated fields. 1. Enter the percentage of homeless person(s) who will be served by the proposed project for each of the following locations. Note: this includes persons who ordinarily sleep in one of the places listed below but are spending a short time (30 consecutive days or less) in a jail, hospital, or other institution. 70% Persons who came from the street or other locations not meant for human habitation. 30% Person who came from Emergency Shelters. Persons who came from Safe Havens. Persons in TH who came directly from the street, Emergency Shelters, or Safe Havens. 100 % - Total of above percentages 2. If the total is less than 100 %, describe very specifically where the other persons you propose to serve would be coming from, and how these persons would meet the HUD homeless definition. Exhibit 2 Page 25 1 07/22/2011 160 1 Applicant: Collier County Board of County Commissioners 07697790 Project: Shelter Plus Care FL0394C4DO61000 3. Describe the outreach plan to bring these homeless participants into the project. The David Lawrence Center's PATH program provides ongoing, experienced, targeted outreach workers who visit homeless shelters and drop in centers, assertively searching out people with untreated psychiatric disorders. PATH staff members complete an initial screening in order to determine the most appropriate area of referral. When an individual refuses services initially, outreach workers use motivational interviewing strategies that will engender the trust and the motivation necessary to assist the individual. Motivational interviewing helps to engage the person, establish critical rapport, and facilitates the person6s commitment to change. The PATH program provides such outreach to an estimated 700 or more people per year. 4. Describe the contingency plan that the applicant/sponsor will implement if the project experiences difficulty in meeting the Bonus requirements to serve exclusively homeless and disabled individuals and families. The contingency plan may include re- evaluating the intake assessment procedures or outreach plan. The David Lawrence Center receives specific PATH funding for outreach to identify chronically homeless people each year. The outreach is assertive and targeted to areas in which chronically homeless people gather. The numbers engaged by the project each year far exceed the proposed capacity of the Shelter Plus Care program. Expanded targeted outreach will also include the jails, psychiatric hospitals and emergency rooms to ensure that discharge planning includes use of Shelter Plus Care. Exhibit 2 Page 26 07/22/2011 160 i Applicant: Collier County Board of County Commissioners 07697790 Project: Shelter Plus Care FL0394C4D061000 Housing for Participants Instructions: Maximum length of stay (required for new SHP -TH projects) - indicate the maximum allowable length of stay for participants. Housing selection (required for new SHP -PH, S +C -TRA, and S +C -SRA projects) - if participants are required to live in one particular structure or area, describe the reason for selecting the housing structure or location. Rehabilitation activities (required for new S +C -PRAR, S +C -SRO, Section 8 SRO projects and SHP projects that are requesting funds for rehabilitation) - describe the rehabilitation activities that will be undertaken for housing the participants in the project. Additional resources: http: / /esnaps.hudhre.info /training http: / /www. hudhre. info/ index. cfm? do= viewHomelessAndHousingProgram l nfo Complete the following fields related to housing participants in the project. Will participants be required to live in No particular structures or units during the first year and in a particular area within the locality in subsequent years, or to live in a particular area for the entire period of participation? If yes, click on the "Save" button below to describe the project requirement. Exhibit 2 Page 27 07/22/2011 16D 1 Applicant: Collier County Board of County Commissioners 07697790 Project: Shelter Plus Care FL0394C4DO61000 Discharge Planning Policy The following question must be completed by project applicants that are State or local government agencies. 1. Has the state or local government developed or implemented a discharge planning policy or protocol to prevent or reduce the number of persons discharged from publicly- funded institutions (e.g. health care facilities, foster care, correctional facilities, or mental health institutions) into homelessness or HUD McKinney -Vento funded programs? Yes Exhibit 2 Page 28 07/22/2011 Applicant: Collier County Board of County Commissioners Project: Shelter Plus Care Project Leveraging 16D 1 07697790 FL0394C4DO61000 The following list summarizes the funds that will be used as leverage for the project. To add a leveraging source to the list, click on the icon below. To view or update a leveraging source already listed, click on the icon below. Total value of written commitment $156,200 Contributor Source Date of Commitment Value of Commitments David Lawrence Ce... Private 10/26/2010 $156,200 Exhibit 2 Page 29 07/22/2011 Applicant: Collier County Board of County Commissioners 160 1 07697790 Project: Shelter Plus Care FL0394C4DO61000 Project Leveraging Detail Instructions: If a written commitment is not in -hand at the time of application, do not enter the contribution. Undocumented leveraging claims may result in the re- scoring of the CoC application and the withdrawal of the conditional award. 1. Type of Contribution (required) - select Cash or In -kind to denote the type of contribution being used as leveraging for this project. 2. Name of Contributor (required) - enter or update the name of the contribution. 3. Type of Leveraging source (required) - select Private or Government to denote the source of the contribution. The Neighborhood Stabilization Program (NSP), HUD -VASH (VA Supportive Housing program), and the American Reinvestment and Recovery (ARRA) Act funds may be considered Government sources. Applicants are encouraged to leverage the funds from these sources, whenever possible. Applicants that identify NSP funds as a source of leveraging may receive extra points during the project threshold review process. 4. Date of written commitment (required) - enter or update the date of the written contribution. 5. Value of written commitment (required) - enter or update the total numeric value ($) of the contribution. Additional resources: hftp://esnaps.hudhre.info/training http: / /www.hudhre. info / index. cfm? do= viewHomelessAndHousingPrograminfo 1. Select the Type of Contribution In Kind 2. Name the Source of the Contribution David Lawrence Center 3. Select Type of Source Private 4. Date of Written Commitment 10/26/2010 5. Value of Written Commitments $156,200 Exhibit 2 Page 30 07/22/2011 Applicant: Collier County Board of County Commissioners Project: Shelter Plus Care 16D 1 07697790 FL0394C4DO61000 Homeless Management Information System (HMIS) Participation Instructions: 1. Participation in the CoC's HMIS (required) - indicate whether or not annual data regarding project participants are reported in the CoC's HMIS. Click on the "Save" button below to indicate the reported data percentages or reason(s) for non - participation. 2. If the project is providing participant data in the HMIS - indicate the total number of participants served by the project, and the total number of clients reported in the HMIS. Also, for those participant records that were reported in the HMIS, indicate the percentage of values that were missing ( "Null or Missing Values ") and /or unknown ( "Don't Know or Refused "). If there were no unknown values, enter a "0" value in any field within the chart, and click on the "Save and Next" button below to move on to the next page of the form. 3. If the project is not providing participant data in the HMIS - indicate one or more of the four (4) reason(s) for non - participation: - Federal law prohibits (please cite specific law) - State law prohibits (please cite specific law) - New project not yet in operation - Other (please specify prohibition) Additional resources: http: / /esnaps.hudhre.info /training All projects must indicate their level of participation in the CoCs HMIS. 1. Does this project provide client level No data to HMIS at least annually? Click on the "Save" button below to enter additional information. 2. Indicate the reason for non - participation in New project not yet operational the HMIS 3. For Federal /State prohibition, cite applicable law. For "Other ", provide explanation. Exhibit 2 Page 31 07/22/2011 Applicant: Collier County Board of County Commissioners Project: Shelter Plus Care Standard Performance Measures Instructions: 160 i 07697790 FLO394C4DO61000 For each applicable question on this form, the Applicant must establish performance measurement goals for this project. All applicants are required to set a housing stability goal and to select at least one other performance measure on which the grantee will report performance in the Annual Performance Report (APR). The ZUniverse�, column specifies the total number of persons about whom the measure is expected to be reported. In the Jarget #4 column, applicants should specify the number of applicable clients (e.g., the number of persons for whom the goal is relevant) who are expected to achieve the measure within the operating year. The system will calculate a percentage in the "Target V column. For example, if 80 out of 100 clients are expected to remain in the permanent housing program or exit to other permanent housing, the target % should be 480 %4. 1. Specify the universe and target numbers for the following required performance measure(s). Click'Save' to calculate the target percent ( %). Housing Measure Universe ( #) Target ( #) Target ( %) Ia. Persons remaining in permanent housing as of the end of the operating year. 2 1 1 1 50% b. Persons exiting to permanent housing (subsidized or unsubsidized) during I 01 01 0% the operating year. 2. Choose one income - related performance measure from below, and specify the universe and target numbers for the goal. Click'Save' to calculate the target percent ( %). Housing Measure Universe ( #) Target ( #) Target ( %) a. Persons age 18 and older who maintained or increased their 2 1 50% total income (from all sources) as of the end of the operating year or program exit. OR b. Persons age 18 through 61 who maintained or increased their 0% earned income as of the end of the operating year or program exit. Exhibit 2 Page 32 07/22/2011 160 1 Applicant: Collier County Board of County Commissioners 07697790 Project: Shelter Plus Care FL0394C4DO61000 Additional Performance Measures Specify up to three additional measures on which the project will report performance in the Annual Performance Report (APR). Exhibit 2 Page 33 07/22/2011 Applicant: Collier County Board of County Commissioners 16D 1 07697790 Project: Shelter Plus Care FL0394C4DO61000 Shelter Plus Care Rental Assistance Budget The following information summarizes the S +C rental assistance funding request for the total term of the project. To add information to this list, click on the icon and enter the requested information. Total Shelter Plus Care Rental Assistance $82,680 FMR Area Total Units Total Requested FL - Naples -Marco Island, FL MSA (120... 2 82680 Exhibit 2 Page 34 07/22/2011 160 1 Applicant: Collier County Board of County Commissioners 07697790 Project: Shelter Plus Care FL0394C4DO61000 Shelter Plus Care Rental Assistance Budget Detail Instructions: Name of metropolitan or non - metropolitan fair market rent area (required) - select or update the FMR area in which the project is located. The list is sorted by state abbreviation. The selected FMR area will be used to populate the rents in the chart below. FMR Percentage (required) - the only available selection is 100% of the area FMR. Rent requests that are greater (101- 110 %) or less (1 -99 %) than the published FMR for a given area are no longer permitted. Still, the rental payments that are drawn from LOCCS or HUDCAPS must not exceed the actual negotiated rent for each unit or the FMRs in effect at the time of grant execution, whichever is less. The FMRs are available online at: hftp://www.huduser.org/datasets/fmr.html. In addition, S +C /SRO and Section 8 SRO projects may operate SRO or 0- bedroom units only; however, the per unit rental payments that are drawn from LOCCS or HUDCAPS may not exceed the published FMR for an SRO unit size. Size of units (populated) - these options are system generated. Number of units (required) - for each unit size, enter or update the number units for which funding is being requested. For renewal projects, the number(s) entered should match the grant inventory worksheet. FMR amount (populated) - these fields are populated once the required fields have been completed and saved. Number of months (populated) - these fields are populated once the required fields have been completed and saved. Total (calculated) - these fields are totaled once the required fields have been completed and saved. Additional resources: http: / /www. hudhre. info / index. cfm? do= viewHomelessAndHousingPrograminfo http: / /esnaps.hudhre.info /training Complete the following fields related to the S +C rental assistance funds being requested under the project. Type of Program S +C Metropolitan or non - metropolitan FL - Naples -Marco Island, FL MSA (1202199999) fair market rent area Rent requests must equal 100% of FMR Click on the "Save" button to populate the budget fields below In the budget chart below, enter or update the number of units for which funding is being requested. For renewal applications, the fields will populate with information from the 2009 application submission, if applicable. The number of units entered for each unit size should correspond to the units indicated on the Grant Inventory Worksheet. The remaining fields will populate once all required information is completed and saved. Exhibit 2 Page 35 1 07/22/2011 Applicant: Collier County Board of County Commissioners Project: Shelter Plus Care Size of Units Number of Units SRO 2 0 Bedroom 0 1 Bedroom 0 2 Bedrooms 0 3 Bedrooms 0 4 Bedrooms 0 5 Bedrooms 0 6 Bedrooms 0 7 Bedrooms 0 8 Bedrooms 0 9 Bedrooms 0 Total 2 160 i 07697790 FL0394C4DO61000 CR7 RRn Total Exhibit 2 Page 36 07/22/2011 FMR Number of Months x $689 x 60 = $82,680 x $918 x 60 = $0 x $1,052 x 60 = $0 x $1,185 x 60 = $0 x $1,473 x 60 = $0 x $1,533 x 60 = $0 x $1,763 x 60 = $0 x $1,993 x 60 = $0 x $2,223 x 60 = $0 x $2,453 j x 60 = $0 x $2,683 1 x 160 = $0 CR7 RRn Total Exhibit 2 Page 36 07/22/2011 160 i Applicant: Collier County Board of County Commissioners 07697790 Project: Shelter Plus Care FL0394C4D061000 Attachments Instructions Logic Model - A template for the logic model can be downloaded from the documents menu (see left hand side of screen), modified, saved and uploaded here for the Exhibit 2 submission. Nonprofit Documentation - Documentation of the sponsor's nonprofit status must be uploaded, if the applicant and project sponsor are different entities, and the sponsor is a nonprofit organization. Rural Worksheet - Complete and attach the Rural worksheet located under the 'Reference Room' section of the esnaps training site - http: / /esnaps.hudhre.info PHA Certification - Non -PHA Applicants for S +C SRO and Section 8 SRO projects must submit a signed and dated letter from an authorized representative of the local PHA certify that the Applicant is authorized to act on behalf of the PHA. Document Type Required? Document Description Date Attached Logic Model Yes Logic Model 11/03/2010 PHA Certification Letter No Rural Housing Units Worksheet No Sponsor Nonprofit Documentation No Exhibit 2 Page 37 07/22/2011 160 1 '1 Applicant: Collier County Board of County Commissioners 07697790 Project: Shelter Plus Care FL0394C4DO61000 Attachment Details Document Description: Logic Model Attachment Details Document Description: Attachment Details Document Description: Attachment Details Document Description: Exhibit 2 Page 38 07/22/2011 Applicant: SAWCC, Inc. Project: Shelter Transitional Housing Renewal _,p) 1601 836680769 039828 Before Starting the Project Application HUD strongly encourages ALL project applicants to review the following information BEFORE beginning the application. Things to Remember - Download and review the detailed instructions within the document on the left menu of this application. Resources are also available online at www.hudhre.info /esnaps, to help successfully complete the application. - Program policy questions and problems related to completing the application in a -snaps may be directed to HUD through the HUD HRE Virtual Help Desk, which is accessible online at www.hudhre.info /helpdesk. - Project applicants are required to have a Data Universal Numbering System (DUNS) number, and an active registration in the Central Contractor Registration (CCR), in order to apply for funding under the CoC competition. For more information see the FY2011 CoC NOFA. - To ensure that applications are considered for funding, all sections of the FY2011 CoC NOFA and the FY2011 General Section should be read carefully, and all requirements and criteria met. - All applicants, new and returning, must complete the applicant profile in a -snaps for FY2011 before submitting the Exhibit 2 application. - Renewal applications - carefully review and update application, if it includes data from the FY2010 application. Questions may have been changed, removed, or added, and the imported information may or may not be relevant. - For S +C projects requesting renewal funding, the number of units requested for each unit size in the project must be consistent with the number of units indicated on the CoC's FY2011 S +C Grant Inventory Worksheet, as approved by HUD. - For SHP projects requesting renewal funding, the total budget request must be consistent with the annual renewal amount (ARA) listed on the CoC's FY2011 SHP Grant Inventory Worksheet. If the ARA is reduced or eliminated through the CoC's HHN reallocation process, the budget request must be reflected accordingly. - HUD reserves the right to reduce or reject any new or renewal project that fails to adhere to the program and application requirements. Exhibit 2 Page 1 09/23/2011 Applicant: SAWCC, Inc. Project: Shelter Transitional Housing Renewal 1A. Application Type Instructions: 160 1 I Type of Submission - This field is populated the Application option, and cannot be changed. 2. Type of Application: (required) - Select'New Project' or 'Renewal Project' to indicate whether the project is eligible for new or renewal funds during the current competition. Renewal project applications are defined as those HUD McKinney -Vento grants that have received funding in a previous competition and are eligible to renew during the current competition. All other applications are defined as new projects. 3. Date Received - No action needed. This field is automatically populated with the date on which the application is submitted. The date populated cannot be edited. 4. Applicant Identifier - Leave this field blank. 5a. Federal Entity Identifier - Leave this field blank. 5b. Federal Award Identifier: (required) - This field may populate with the grant number for the 2010 project that is imported. This field will be blank for any first time renewal application. The correct expiring grant number must be entered. Leave the field blank for all new funding applications. 6. Date Received by State - Leave this field blank. 7. State Application Identifier - Leave this field blank. Additional Resources: Application Detailed Instructions (on left menu) http: / /esnaps.hudhre.info 1. Type of Submission: 2. Type of Application: Renewal Project If Revision, select appropriate letter(s): If "Other ", specify: 3. Date Received: 09/23/2011 4. Applicant Identifier: 5a. Federal Entity Identifier: 5b. Federal Award Identifier (e.g., expiring grant number) 6. Date Received by State: 7. State Application Identifier: 836680769 039828 Exhibit 2 1 Page 2 1 09/23/2011 Applicant: SAWCC, Inc. Project: Shelter Transitional Housing Renewal 1 B. Legal Applicant Instructions: 16D 1 8. Applicant Information - The applicant information populated on this form comes from the Applicant Profile, and must reflect the information for the applicant organization that can legal request homeless assistance funding from HUD. a. Legal Name - The legal name of the applicant organization is populated on this form from the Applicant Profile. It is important that the organization has registered with the Central Contractor Registry. Information on registering with CCR may be obtained online at - http: / /esnaps.hudhre.info. b. Employer/Taxpayer Number (EIN/TIN) - The EIN/TIN for the applicant organization is populated on this form from the Applicant Profile. c. Organizational DUNS - The DUNS number for the applicant organization is populated on this form from the Applicant Profile. Information on obtaining a DUNS number may be obtained online at - http: / /www.dnb.com. d. Address - The physical address of the applicant organization is populated on this form from the Applicant Profile. e. Organizational Unit - If applicable, the department and division of the applicant organization is populated on this form from the Applicant Profile. f. Name and contact information of person to be contacted on matters involving this applicant - The alternate point of contact for the applicant organization is populated on this form from the Applicant Profile. This person may or may not be the authorized representative. Additional Resources: Application Detailed Instructions (on left menu) http: / /esnaps.hudhre.info 8. Applicant a. Legal Name: SAWCC, Inc. b. Employer/Taxpayer Identification Number 59- 2752895 (EIN/TIN): 836680769 039828 d. Address Street 1: P.O. Box 10102 Street 2: City: c. Organizational DUNS: 836680769 PL State: Florida US 4 d. Address Street 1: P.O. Box 10102 Street 2: City: Naples County: Collier State: Florida Exhibit 2 Page 3 09/23/2011 Applicant: SAWCC, Inc. Project: Shelter Transitional Housing Renewal Country: United States Zip / Postal Code: 34101 e. Organizational Unit (optional) Department Name: Division Name: f. Name and contact information of person to be contacted on matters involving this application Prefix: First Name: Middle Name: Last Name: Suffix: Title: Organizational Affiliation: Telephone Number: Extension: Fax Number: Email: Ms. Nicole Sylvester Muley Development & Grants Officer SAWCC, Inc. (239) 775 -3862 202 (239) 775 -3061 nmuley @naplessheiter.org r_•1 836680769 039828 Exhibit 2 Page 4 09/23/2011 Applicant: SAWCC, Inc. Project: Shelter Transitional Housing Renewal 1C. Application Details Instructions: 160 1 1 836680769 9. Type of Applicant: (required) - This field is populated from the a -snaps Applicant Profile. Applicants cannot modify the populated data on this form. However, applicants may modify the Applicant Profile to correct any errors identified. 10. Name Of Federal Agency - field populated with the Department of Housing and Urban Development. The field cannot be edited. 11. Catalog Of Federal Domestic Assistance Number/Title: (required) - select the applicable program type - SHP, S +C, or SRO. The selection will automatically populate the CFDA number field on this form, and will drive the list of components available on form 3A. Project Detail of this application. 12. Funding Opportunity Number/Title - This field will automatically populate with the funding opportunity number and title of the opportunity under which assistance is requested, as found in this year's Federal Register announcement. 13. Competition Identification Number/Title - Leave this field blank. Additional Resources: Application Detailed Instructions (on left menu) hftp: / /esnaps.hudhre.info 039828 9. Type of Applicant: M. Nonprofit with 501(c)(3) IRS Status (Other than Institution of Higher Education) If "Other" please specify: 10. Name of Federal Agency: Department of Housing and Urban Development 11. Catalog of Federal Domestic Assistance SHP Title: CFDA Number: 14.235 12. Funding Opportunity Number: FR- 5500 -N -34 Title: Continuum of Care Homeless Assistance Competition 13. Competition Identification Number: Title: Exhibit 2 1 Page 5 1 09/23/2011 Applicant: SAWCC, Inc. Project: Shelter Transitional Housing Renewal 11). Congressional District(s) Instructions: 160 i 14. Areas Affected By Project: (required) - select the state(s) in which the proposed project will operate and serve homeless persons. The state(s) selected will determine the list of geographic areas and congressional districts displayed elsewhere in this application. 15. Descriptive Title of Applicant's Project: field populates the 2011 project name from the Project form. Return to the Project form, to make changes to the name. 16. Congressional District(s): a. Applicant: This field is populated from the a -snaps Applicant Profile. Applicants cannot modify the populated data on this form. However, applicants may modify the Applicant Profile to correct any errors identified. b. Project: (required) - Select the congressional district(s) in which the project operates. For new project, select the district(s) in which the project is expected to operate. 17. Proposed Project Start and End Dates: (required) - indicate the operating start and end date for the project. For new project application, indicate the estimated operating start and end date of the project. 18. Estimated Funding: Leave these fields blank. Additional Resources: Application Detailed Instructions (on left menu) hftp: / /esnaps.hudhre.info 14. Area(s) affected by the project (state(s) Florida only): (for multiple selections hold CTRL +Key) 15. Descriptive Title of Applicant's Project: Shelter Transitional Housing Renewal 16. Congressional District(s): a. Applicant: FL -014 b. Project: FL -014 (for multiple selections hold CTRL +Key) 17. Proposed Project a. Start Date: 07/24/2012 b. End Date: 07/23/2013 18. Estimated Funding ($) 836680769 039828 Exhibit 2 Page 6 09/23/2011 Applicant: SAWCC, Inc. Project: Shelter Transitional Housing Renewal a. Federal: b. Applicant: c. State: d. Local: e. Other: f. Program Income: g. TOTAL: 16D 1 836680769 039828 Exhibit 2 Page 7 1 09/23/2011 Applicant: SAWCC, Inc. Project: Shelter Transitional Housing Renewal 1E. Compliance Instructions: 160 i 19. Is Application Subject to Review By State Executive Order 12372 Process? (required) - Select the appropriate box that applies to the Applicant applying for homeless assistance funding. Applicants should contact the State Single Point of Contact (SPOC) for Federal Executive Order 12372 to determine whether the application is subject to the State intergovernmental review process. If "YES" is selected enter the date this application was made available to the State for review. 20. Is the Applicant Deliquent on any Federal Debt? (required) - Select the appropriate box that applies to the Applicant applying for homeless assistance funding. This question applies to the applicant organization, not the person who signs as the authorized representative. Categories of debt include delinquent audit disallowances, loans, and taxes. If "YES" is selected include an explanation in the space provided on this screen. Additional Resources: Application Detailed Instructions (on left menu) hftp://esnaps.hudhre.info 836680769 039828 19. Is the Application Subject to Review By b. Program is subject to E.O. 12372 but has not State Executive Order 12372 Process? been selected by the State for review. If "YES ", enter the date this application was made available to the State for review: 20. Is the Applicant delinquent on any Federal No debt? If "YES," provide an explanation: Exhibit 2 Page 8 1 09/23/2011 Applicant: SAWCC, Inc. Project: Shelter Transitional Housing Renewal 1 F. Declaration Instructions: 160 1 836680769 I Agree: (required) - Select the check next to 'I Agree' to (1) certify to the statements contained in the list of certifications", (2) certify that the statements herein are true, complete, and accurate to the best of my knowledge, (3) certify that the required assurances" are provided, and (4) agree to comply with any resulting terms if I accept an award. Any false, fictitious, or fraudulent statements or claims may subject the authorized representative and the applicant organization to criminal, civil, or administrative penalties .(U.S. Code, Title 218, Section 1001) " *The list of certifications and assurances are contained in the CoC NOFA and in the a -snaps Applicant Profile. 21. Authorized Representative: The information for the authorized representative is populated from the Applicant Profile. A copy of the governing body's authorization for this person to sign this application as the official representative must be on file in the applicant's office. Additional Resources: Application Detailed Instructions (on left menu) http: / /esnaps.hudhre.info By signing and submitting this application, I certify (1) to the statements contained in the list of certifications" and (2) that the statements herein are true, complete, and accurate to the best of my knowledge. I also provide the required assurances" and agree to comply with any resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may subject me to criminal, civil, or administrative penalties. (U.S. Code, Title 218, Section 1001) I AGREE: FX 21. Authorized Representative Prefix: Ms. First Name: Linda Middle Name: Last Name: Oberhaus Suffix: Title: Executive Director Telephone Number: (239) 775 -3862 (Format: 123 -456 -7890) Fax Number: (239) 775 -3061 (Format: 123 -456 -7890) Exhibit 2 Page 9 1 09/23/2011 039828 Applicant: SAWCC, Inc. Project: Shelter Transitional Housing Renewal Email: loberhaus @naplesshelter.org 16D 1 �+ 836680769 039828 Signature of Authorized Representative: Considered signed upon submission in e- snaps. Date Signed: 09/23/2011 Exhibit 2 Page 10 1 09/23/2011 Applicant: SAWCC, Inc. Project: Shelter Transitional Housing Renewal 2A. Project Sponsor(s) This form lists the sponsor organization(s) for the project. To add a sponsor, select the icon. To view or update sponsor information already listed, select the view option. Organization Type This list contains no items 16D 1 836680769 039828 Exhibit 2 Page 11 09/23/2011 Applicant: SAWCC, Inc. Project: Shelter Transitional Housing Renewal 3A. Project Detail Instructions: 160 1 Complete all fields on this form, as appropriate. Revise any information populated from the FY2010 application, to ensure accuracy and completeness of the information submitted in this year's application. The selections made on this form will determine the remaining forms that must be completed with this application. 1. Expiring Grant Number: field populates with the expiring grant number entered as the "Federal Award Identifier" on form 1A. Application Type of this application. 2. CoC Number and Name: (required) - select the appropriate Continuum of Care (CoC) number and name. The selected CoC will receive the application and determine whether or not to include it with the CoC application submission to HUD. 3. Project Name: field populates the 2011 project name from the Project form. Return to the Project form, to make changes to the name. 4. Project Type: field populates the project type (new or renewal), as selected on form 1A. Application Type of this application. 5. Program Type: field populates the program type -- Supportive Housing Program (SHP), Shelter Plus Care (S +C), or Section 8 Moderate Rehabilitation for Single Room Occupancy (SRO), as selected on form 1 C. Application Details of this application. 6. Component Type: (required) - select the one component that appropriately identifies the project. The list of available components will depend on the program type selected. 7. Energy star: (required) - select Yes or No to indicate whether or not energy star is being (or will be) used at one or more of the properties that will receive assistance using the requested funds. 8. Title V: (required) - select Yes or No to indicate whether or not one or more of the project properties has been conveyed under Title V. 9. Services in connection with another TH or PH project: select Yes or No to indicate whether or not the project is providing (or will provide) supportive services to participants in another permanent housing or transitional housing project. 10. Innovative SHP: (required) - select Yes or No to indicate whether or not the proposed project is to be considered under the Innovative Supportive Housing component. If yes, indicate in the project description (on form 2B of this application) how the project represents a distinctively different approach when viewed within its geographic area, is a sensible model for others, and can be replicated elsewhere. An applicant should not propose a project under this component unless a compelling case is made that these criteria can be met. Additional resources: Application Detailed Instructions (on left menu) http: / /esnaps.hudhre.info http: / /www.hudhre. info / index. cfm? do= viewHomelessAndHousing Program Info 1. Expiring Grant Number (e.g., the "Federal Award Identifier" indicated on form 1A. Application Type) 836680769 039828 Exhibit 2 Page 12 09/23/2011 Applicant: SAWCC, Inc. Project: Shelter Transitional Housing Renewal 1601 836680769 2. CoC Number and Name FL -606 - Naples /Collier County CoC 3. Project Name Shelter Transitional Housing Renewal 4. Project Type Renewal Project 5. Program Type SHP Content depends on "CFDA Number" selection 6. Component Type TH Content depends on "Program Type" selection 7. Is Energy Star used at one or more of the Yes properties within this project? 8. Does this project include one or more Title No V properties? 9. Is the project providing services to No participants in another PH or TH project? 10. Is the proposed project submitted for No consideration under the Innovative Supportive Housing component? Exhibit 2 Page 13 09/23/2011 039828 Applicant: SAWCC, Inc. Project: Shelter Transitional Housing Renewal 3B. Project Description Instructions: 1601 N 836680769 039828 Exhibit 2 Page 14 09/23/2011 16D 1 Applicant: SAWCC, Inc. Project: Shelter Transitional Housing Renewal Complete all fields on this form, as appropriate. Revise any information populated from the FY2010 application, to ensure accuracy and completeness of the information submitted in this year's application. ALL PROJECTS 1. Project Description: (required) - provide a description of the project that is complete and concise. The description must address the entire scope of the project, including a clear picture of the community /target population(s) to be served, the plan for addressing the identified needs /issues of the CoC community /target population(s), projected outcome(s), and any coordination with other source(s) /partner(s). In cases where the proposed project is expanding an existing facility, service, or HMIS system, document, when applicable, how the requested funds will supplement existing services and resources, increase participants served, or increase the capacity of the CoC's HMIS (if applicable). The narrative is expected to describe the project at full operational capacity and to demonstrate how full capacity will be achieved over the term requested in this application. The description should be consistent with and make reference to other parts of this application. Applicants are encouraged to review the detail instructions available on the left menu, as well applicable program regulations and desk guides available online at http: / /esnaps.hudhre.info. RENEWAL SHP PROJECTS ONLY 2. Was the original project awarded funding for acquisition, new construction, or rehabilitation? (required) - select Yes or No to indicate whether or not the project previously received SHP funds under the CoC competition for acquisition, new construction, or rehabilitation. NEW PROJECTS ONLY 2. Description of rehabilitation, acquisition, and new construction activities: (required) - describe the proposed rehabilitation and new construction activities for the project site(s). The description must detail the entire scope of the development activities, including the portion of activities funded and not funded through this application. If persons currently occupy building(s) to be rehabilitated, describe the planned relocation effort for these persons. Also describe the role of the applicant, sponsor, and other project partners, and the estimated timeframe for completing development. NEW SHP -HMIS ONLY 2. HMIS Need: (required) - Describe how needs assessment, resource allocation and service coordination will be improved through the new or expanded HMIS project. 3. State /Federal Funding Overlap: (required) - Demonstrate that HUD funds for this project will not replace state or local government funds. NEW SHP -TH PROJECTS ONLY 3. Maximum length of stay: (required) - indicate the maximum allowable length of occupany for persons participating in the project. NEW SHP -PH ONLY 3. More than 16 persons living in one structure: (required) - select Yes or No to indicate if more than 16 persons reside (or will reside) in any one of the structures assisted with SHP funds requested through this application. If there are more than 16 people, then an explanation is required as to how local market conditions necessitate this size, and how neighborhood integration can be achieved for the residents. For more information on the 16- person limit, see Section 424(c) of the McKinney -Vento Act. NEW S +C -TRA ONLY 3. Housing selection: (required) - select Yes or No to indicate whether or not participants are required to live in particular structures or units during the first year and in a particular area within the locality in subsequent years, or to live in a particular area for the entire period of participation. Additional resources: http://esnaps.hudhre.info http: / /www.hudhre. info / index. cfm? do= viewHomelessAndHousingProgramInfo 836680769 039828 Exhibit 2 Page 15 1 09/23/2011 160 i Applicant: SAWCC, Inc. Project: Shelter Transitional Housing Renewal 1. Provide a description of the project that addresses its entire scope, including the needs of the community /target population. The Shelter for Abused Women & Children is requesting a one year SHP renewal for its Transitional Housing program. The grant funding will support a portion of the operations and supportive services of four single - family transitional housing units for homeless adult and child victims of domestic violence. The homeless adults and children living in the units come from our emergency shelter population. They are working full or part-time or attending school to pursue new skills. Because participants have limited incomes, the rent charged is 1/3 of their gross income. Participants sign a one year lease agreement and are within walking distance to public transportation and continue participating in the same programs and services as they did while residing in Shelter. During their stay, participants are assisted by their case manager who guides them through an empowerment based education program where their individual, achievable goals will be set, enabling them to live independently. The Economic Empowerment/Financial Literacy program curriculum includes educational modules on topics such as money management (budgeting, banking, credit management), nutrition, decision making, goal setting, stress management, community resources, employability, and time management are addressed regularly. Their case manager also assists them with establishing a support system; developing an individual resource plan; accessing employment services,job placement, higher education and public benefits; the coordination of onsite child care services; and referrals to alcohol and drug abuse services, etc. in accordance with meeting their ultimate program goal of securing safe and affordable permanent housing. The Transitional Housing program is designed specifically to empower homeless victims of domestic violence. It helps them identify their strengths, build hope for the future and allows them to regain their independence. The value of this program should not be underestimated, as transitional housing is critical for our Shelter participants who cannot yet afford to live on their own and will prevent the worst case scenario; victims returning to their abusers due to the lack of choices. Participants are also assisted in obtaining secure, safe means of permanent housing upon leaving transitional housing into self - sufficiency. 2. Was the original project awarded funding No for acquisition, new construction, or rehabilitation? 836680769 039828 Exhibit 2 Page 16 09/23/2011 16D 1 1 Applicant: SAWCC, Inc. Project: Shelter Transitional Housing Renewal 4A. Supportive Services for Participants Instructions: The information entered into the form fields below should record the capacity of the project to provide supportive services or access to services that participants require. 1. Project policies and practices are consistent with the educational laws: (required) - select Yes or No to indicate whether or not the project policies provide for educational and related services to individuals and families experiencing homelessness, and if the policies are consistent with educational laws, including the McKinney -Vento Act. 2. Designated staff person to ensure that the children in the project are enrolled in school and receive educational services, as appropriate: (required) - select Yes or No to indicate whether or not the project has a designated staff person responsible for ensuring that children are enrolled in school and connected to the appropriate services within the community, including early childhood education programs such as Head Start, Part C of the Individuals with Disabilities Education Act, and McKinney -Vento education services. 3. Describe the reason(s) for non - compliance with educational laws, and the corrective action to be taken prior to grant agreement execution, if 'No' has been selected for either questions 1 or 2. NEW PROJECTS ONLY 4. Obtain and remain in permanent housing: (required) - describe the supportive services that will be provided to help project participants locate and stabilize in permanent housing, access mainstream resources, and /or obtain employment. 5. Maximizing employment, income, and independent living: (required) - describe the supportive services that will be provided to help project participants locate employment and access mainstream resources for independent living. 6. Specify the frequency of supportive services to be provided to project participants: (required) - select the frequency (daily, weekly, bi- weekly, monthly, bi- monthly, quarterly, does not apply) of each basic supportive service provided to participants. Basic supportive services include: outreach, case management, life skills, job training, alcohol and drug abuse services, mental health and counseling, HIV /AIDS services, health /home health services, education and instruction, employment services, child care, and transportation. Specify Other(s): (optional) - enter up to 3 additional supportive services applicable to the proposed project, and enter the frequency of those additional services. 7. Accessibility of community amenities: (required) - select the level of accessibility of basic community amenities for project participants. Basic community amenities should be accessible to participants via walking, public transportation, driving, or transportation provided by the project. Additional resources: Application Detailed Instructions (on left menu) http: / /esnaps.hudhre.info http: / /www.hudhre. info / index. cfm? do= viewHomelessAndHousingProgramInfo 1. Are the proposed project policies and Yes practices consistent with the laws related to providing education services to individuals and families? 836680769 039828 Exhibit 2 Page 17 09/23/2011 1601 Applicant: SAWCC, Inc. Project: Shelter Transitional Housing Renewal 2. Does the proposed project have a Yes designated staff person to ensure that the children are enrolled in school and receive educational services, as appropriate? 3. Describe the reason(s) for non - compliance with educational laws, and the corrective action to be taken prior to grant agreement execution. 836680769 039828 Exhibit 2 Page 18 09/23/2011 16D 1 Applicant: SAWCC, Inc. Project: Shelter Transitional Housing Renewal 413. Housing Type and Scale This list summarizes each housing site in the project. To add a housing site to the list, click the add icon. To view or update a housing site already listed, select the appropriate view icon. 836680769 039828 Housing Type Units Bedrooms Beds Single family homes /townhou... 4 12 24 Exhibit 2 Page 19 1 09/23/2011 160 1 Applicant: SAWCC, Inc. 836680769 Project: Shelter Transitional Housing Renewal 039828 4B. Housing Type and Scale Detail Instructions: 1. Housing type: (required)-select or update the proposed housing type. Refer to the detailed instructions document for a definition of each housing type. 2. Indicate the maximum number of units, bedrooms, and beds available for project participants at the selected housing site. a. Total units: (required)- enter or update the maximum number of units available for housing project participants at the selected housing type. b. Total bedrooms: (required)- enter or update the maximum number of bedrooms available for housing project participants at the selected housing type. c. Total beds: (required)- enter or update the maximum number of bedrooms available for housing project participants at the selected housing type. 3. Geographic areas: (required)- indicate the geographic location(s)of the selected housing type. Additional resources: Application Detailed Instructions (on left menu) http://esnaps.hudhre.info http://www.hudhre.info/index.cfm?do=viewHomelessAndHousingProgramInfo 1. Housing Type: Single family homes/townhouses/duplexes 2. Indicate the maximum number of units, bedrooms, and beds available for project participants at the selected housing site. a. Units: 4 b. Bedrooms: 12 c. Beds: 24 3. Select the geographic area(s) associated 129021 COLLIER COUNTY with the selected housing type. For new projects, select the area(s) expected to be served. (for multiple selections hold CTRL+Key) Exhibit 2 Page 20 09/23/2011 Applicant: SAWCC, Inc. Project: Shelter Transitional Housing Renewal 160 1 836680769 039828 4C. Homeless Management Information System (HMIS) Participation Instructions: All projects must indicate their level of participation in the CoC's HMIS. 1. Participation in the CoC's HMIS: (required) - select Yes or No to indicate whether or not annual data regarding project participants are reported in the CoC's HMIS. IF PROJECT PARTICIPANT DATA IS REPORTED IN THE HMIS 2a. Indicate total number of clients served: (required) - enter the total number of participants served by the project in calendar year 2010 (1/1/2010 - 12/31/2010). 2b. Indicate the total number of participants reported in the HMIS: (required) - enter the total number of project participants reported in the CoC's HMIS for calendar year 2010 (1/1/2010 - 12/31/2010). 3. Indicate the percentage of HMIS client records with 'null or missing values' or'unknown values: (required) - for those project participant records that were reported in the HMIS, indicate the percentage of values that were missing ( "Null or Missing Values ") and /or unknown ( "Don't Know or Refused "), for each data element. If there were no unknown values, enter a "0" value in any field within the chart. IF PROJECT PARTICIPANT DATA IS NOT REPORTED IN THE HMIS 4a. Indicate the reason(s) for nonparticipation - indicate one or more of the four (4) reason(s) for non - participation: - Federal law prohibits (please cite specific law) - State law prohibits (please cite specific law) - New project not yet in operation - Other 4b. For other or Federal /State prohibitions, cite applicable law - provide an explanation of the other reasons nonparticipation, and cite the applicable federal /state laws that prohibit participation. Additional resources: Application Detailed Instructions (on left menu) http://esnaps.hudhre.info 1. Does this project provide client level No data to HMIS at least annually? Click on the "Save" button below to enter additional information. 2a. Indicate the reason for non - participation State law prohibits, Federal law prohibits in the HMIS 2b. For Federal /State prohibition, cite applicable law. For "Other ", provide explanation. The Shelter for Abused Women & Children is a certified domestic violence center abiding by the law requirements of the Violence Against Women and Department of Justice Reauthorization Act of 2005. Victim service providers are instructed not to enter personally identifying information about clients into an HMIS, but are directed to store that data in a comparable database. The Shelter tracks and inputs personal identifying data in its own Alice Software which is required of and designed for certified domestic violence centers nationwide. Exhibit 2 Page 21 1 09/23/2011 Applicant: SAWCC, Inc. Project: Shelter Transitional Housing Renewal 160 1 836680769 5A. Project Participants - Households with Dependent Children Instructions: Identify the demographics of each household with children served (or proposed to be served), at a particular point in time (when the project is at full capacity). The numbers entered here must reflect only those households and persons served using the funds requested in this application. 1. Total number of households: (required) - enter the total number of households served (or proposed to be served). 2. Disabled adults: (in this row) - enter the un- duplicated total number of adult persons with a disability, under Total Persons. Then, indicate how many fall into each subpopulation (chronically homeless, severely mentally ill, chronic substance abuse, veterans, persons with HIV /AIDS, and DV victims). 3. Non - disabled adults: (in this row) - enter the un- duplicated total number of adult persons without a disability, under Total Persons. Then, indicate how many fall into each subpopulation (chronically homeless, severely mentally ill, chronic substance abuse, veterans, persons with HIV /AIDS, and DV victims). 4. Disabled children: (in this row) - enter the un- duplicated total number of children with a disability, under Total Persons. Then, indicate how many fall into each subpopulation (chronically homeless, severely mentally ill, chronic substance abuse, veterans, persons with HIV /AIDS, and DV victims). 5. Non - disabled children: (in this row) - enter the un- duplicated total number of children without a disability, under Total Persons. Then, indicate how many fall into each subpopulation (chronically homeless, severely mentally ill, chronic substance abuse, veterans, persons with HIV /AIDS, and DV victims). 6. Total persons: (calculated row) - the total number of persons within each subpopulation is automatically calculated. 7. Total number of adults: (calculated row) - the total number of adults served (or proposed to be served) is automatically calculated. 8. Total number of children: (calculated row) - the total number of children served (or proposed to be served) is automatically calculated. Additional Resources: Point in time - PIT (definition) - a snap shot of the number of homeless persons that can be served, on any given night or day, when the project is at full capacity. For a new project, this count is based on the applicant's best guess at the time of application. For a renewal project, the PIT is based on the applicant's assessment of the number of participants residing in a facility or served by the program on a particular night or day when the project is at full capacity. Application Detailed Instructions (on left menu) http: / /esnaps.hudhre.info http: / /esnaps.hudhre.info /training 039828 1. Total Number of Households 5 Total Persons (unduplicated) Chronically Homeless Severely Mentally III Chronic Substance Abuse Veterans Persons with HIV /AIDS Victims of Domestic Violence 2. Disabled Adults 0 0 3. Non - Disabled Adults 5 5 4. Disabled Children 0 0 Exhibit 2 1 Page 22 1 09/23/2011 1601 Applicant: SAWCC, Inc. 836680769 Project: Shelter Transitional Housing Renewal 039828 5. Non - Disabled Children 9 1 1 1 1 1 19 6. Total Persons 14 0 0 0 0 0 114 (click on "Save" to auto - calculate) 7. Total Number of Adults 5 (click on "Save" to auto - calculate) 8. Total Number of Children 9 (click on "Save" to auto - calculate) Exhibit 2 Page 23 1 09/23/2011 1601 n Applicant: SAWCC, Inc. Project: Shelter Transitional Housing Renewal 5B. Project Participants - Households without Dependent Children Instructions: Identify the demographics of each household without children served (or proposed to be served), at a particular point in time (when the project is at full capacity). The numbers entered here must reflect only those households and persons served using the funds requested in this application. 1. Total number of households: (required) - enter the total number of households without children served (or proposed to be served). 2. Disabled adults: (in this row) - enter the un- duplicated total number of adult persons with a disability, under Total Persons. Then, indicate how many fall into each subpopulation (chronically homeless, severely mentally ill, chronic substance abuse, veterans, persons with HIV /AIDS, and DV victims). 3. Non - disabled adults: (in this row) - enter the un- duplicated total number of adult persons without a disability, under Total Persons. Then, indicate how many fall into each subpopulation (chronically homeless, severely mentally ill, chronic substance abuse, veterans, persons with HIV /AIDS, and DV victims). 4. Disabled unaccompanied youth: (in this row) - enter the un- duplicated total number of unaccompanied youth with a disability, under Total Persons. Then, indicate how many fall into each subpopulation (chronically homeless, severely mentally ill, chronic substance abuse, veterans, persons with HIV /AIDS, and DV victims). 5. Non - disabled unaccompanied youth: (in this row) - enter the un- duplicated total number of unaccompanied youth without a disability, under Total Persons. Then, indicate how many fall into each subpopulation (chronically homeless, severely mentally ill, chronic substance abuse, veterans, persons with HIV /AIDS, and DV victims). 6. Total persons: (calculated row) - the total number of persons within each subpopulation is automatically calculated. 7. Total number of adults: (calculated row) - the total number of adults served (or proposed to be served) is automatically calculated. 8. Total number of unaccompanied youth: (calculated row) - the total number of unaccompanied youth served (or proposed to be served) is automatically calculated. Additional Resources: Point in time - PIT (definition) - a snap shot of the number of homeless persons that can be served, on any given night or day, when the project is at full capacity. For a new project, this count is based on the applicant's best guess at the time of application. For a renewal project, the PIT is based on the applicant's assessment of the number of participants residing in a facility or served by the program on a particular night or day when the project is at full capacity. Application Detailed Instructions (on left menu) hftp: / /esnaps.hudhre.info hftp: / /www.hudhre. info / index. cfm? do= viewHomelessAndHousingProgram Info 836680769 039828 1. Total Number of 0 Households Total Persons Chronically Severely Chronic Veterans Persons Victims of (unduplicated) Homeless Mentally III Substance with HIV /AIDS Domestic Abuse Violence 2. Disabled Adults 0 0 3. Non - Disabled Adults 10 1 0 Exhibit 2 Page 24 09/23/2011 Applicant: SAWCC, Inc. Project: Shelter Transitional Housing Renewal 1601 836680769 039828 4. Disabled 0 0 Unaccompanied Youth (under 18) 5. Non - Disabled 0 0 Unaccompanied Youth (under 18) 6. Total Persons 0 0 0 0 0 0 0 (click on "Save" to auto - calculate) 7. Total Number of 0 Adults (click on "Save" to auto - calculate) 8. Total Number of 0 Unaccompanied Youth (click on "Save" to auto - calculate) Exhibit 2 Page 25 09/23/2011 Applicant: SAWCC, Inc. Project: Shelter Transitional Housing Renewal 5C. Outreach for Participants Instructions: 160 1 `1 Complete all fields on this form, as appropriate. Revise any information populated from the FY2010 application, to ensure accuracy and completeness of the information submitted in this year's application. 1. Where homeless participants are coming from: (required) - enter the percentage ( %) related to the places from which project participants are coming, including: street, emergency shelters, safe havens, or transitional housing who came directly from the streets, emergency shelter, or safe haven. Total of above percentages: (calculated) - the percentages entered will sum in the Total of above percentages field. 2. If total is less than 100 %: (optional) - indicate the other places from which homeless persons enter the project, in the text box provided. 3. Outreach plan: (required for new projects) - describe how the applicant/sponsor plans to bring homeless persons into the project. Also describe the contingency plan that the applicant/sponsor will implement if the project experiences difficulty in meeting the Bonus requirements to serve exclusively homeless and disabled individuals and families. The contingency plan may include re- evaluating the intake assessment procedures or outreach plan. Additional resources: Application Detailed Instructions (on left menu) hftp://esnaps.hudhre.info http: / /www.hudhre. info / index. cfm? do= viewHomelessAndHousingProgramInfo 1. Enter the percentage of homeless person(s) who will be served by the proposed project for each of the following locations. Note: this includes persons who ordinarily sleep in one of the places listed below but are spending a short time (90 consecutive days or less) in a jail, hospital, or other institution. 836680769 039828 2. If the total is less than 100 percent, identify the other location(s), and how the persons will meet the HUD homeless definition. Exhibit 2 Page 26 09/23/2011 Persons who came from the street or other locations not meant for human habitation. 100% Person who came from Emergency Shelters. Persons who came from Safe Havens. Persons in TH who came directly from the street, Emergency Shelters, or Safe Havens. 100% Total of above percentages 2. If the total is less than 100 percent, identify the other location(s), and how the persons will meet the HUD homeless definition. Exhibit 2 Page 26 09/23/2011 160 1 Applicant: SAWCC, Inc. Project: Shelter Transitional Housing Renewal 6A. Standard Performance Measures Instructions: For each applicable question on this form, the Applicant must establish performance measurement goals for this project. Applicants are required to set a housing stability goal and to select at least one income - related performance measure on which the grantee will report performance in the Annual Performance Report (APR). The "Universe ( #)" column specifies the total number of persons about whom the measure is expected to be reported. In the "Target ( #)" column, applicants should specify the number of applicable clients (e.g., the number of persons for whom the goal is relevant) who are expected to achieve the measure within the operating year. The system will calculate a percentage in the "Target ( %)" column. For example, if 80 out of 100 clients are expected to remain in the permanent housing program or exit to other permanent housing, the target % should be "80 %." 1. Specify the universe and target for the housing measure. Click 'Save' to calculate the target percent ( %). 836680769 039828 Housing Measure Universe ( #) Target ( #) Target (%) a. Persons exiting to permanent housing (subsidized or I 13 71 54% unsubsidized) during the operating year. 2. Choose one income - related performance measure from below, and specify the universe and target numbers for the goal. Click'Save'to calculate the target percent ( %). Income Measure Universe ( #) Target ( #) Target (%) a. Persons age 18 and older who maintained or increased their 4 3 75% total income (from all sources) as of the end of the operating year or program exit. OR b. Persons age 18 through 61 who maintained or increased their 0% earned income as of the end of the operating year or program exit. Exhibit 2 Page 27 09/23/2011 16D 1 1 Applicant: SAWCC, Inc. Project: Shelter Transitional Housing Renewal 6B. Additional Performance Measures Specify up to three additional measures on which the project will report performance in the Annual Performance Report (APR). 836680769 039828 Exhibit 2 Page 28 09/23/2011 160 1 ", Applicant: SAWCC, Inc. Project: Shelter Transitional Housing Renewal 6B. Additional Performance Measures Detail Instructions Specify the universe that each measure applies to, and the number ( #) of applicable clients who are expected to achieve each measure within the operating year, the source where data will be compiled (e.g., data reported in HMIS), method of data collection (e.g., data collected by the intake worker at entry and case managers at exit) proposed to measure results, specific data elements and formula proposed for calculating results, and rationale for why the proposed measure is an appropriate indicator of performance for this project. 1. Specify the universe and target goal numbers for the proposed measure. 836680769 039828 a. Proposed Measure b. Universe ( #) c. Target ( #) d. Target ( %) (Calculated) Transitional housing program participants will 4 4 100% participate in an Economic Empowerment program. 2. Data Source (e.g., data recorded in HMIS) and method of data collection (e.g., data collected by the intake worker at entry and case manager at exit) proposed to measure results Data will be recorded daily in our Alice System software used by all domestic violence centers. Data will be collected and entered by case manager at entry, during and at program exit. 3. Specific data elements and formula proposed for calculating results Each Transitional Housing (adult) program participant is required to participate in our Economic Empowerment program. Participants graduate at the completion of the program, but continue to meet with their case managers regularly to meet their goals. 4. Rationale for why the proposed measure is an appropriate indicator of performance for this program The program curriculum features budgeting, finance, banking, IDA's, job readiness, and prepares all participants for self - sufficiency and permanent housing. Exhibit 2 Page 29 09/23/2011 Applicant: SAWCC, Inc. Project: Shelter Transitional Housing Renewal Funding Request Instructions: 16D 1 A The fields that must be completed on this form will vary based on the project type, program type, and component type. 1a. Operating by September 30, 2013? (required) - select Yes or No to indicate whether or not the grant agreement will be execute and the project will begin operating by September 30, 2013. Unobligated funds will not be available after September 30, 2013. NEW PROJECTS ONLY: 1 b. Are special housing funds being requested for this project? (required) - select Yes or No to indicate whether or not the project is requesting funds under the Permanent Housing Bonus funding category. If yes, then the project will be referred to as a new PH Bonus project. Only permanent housing projects are eligible for PH Bonus funds. 2. Is this project using HHN reallocated funds? (required) - select Yes or No to indicate whether the new project is using HHN reallocated funds. RENEWAL PROJECTS ONLY: 1 b. Is this project a HUD approved consolidation? (required) - select Yes or No to indicate whether or not the project has recently consolidated two or more grants, as approved through HUD's grant amendment process. 1 c. Was the original project awarded funding (in part or whole) under a special housing initiative? (required) - indicate whether or not the project previously received funds under one of the following housing initiatives: Samaritan Housing, Chronic Homeless, Permanent Housing Bonus, or Rapid Rehousing Demonstration. If yes, then the project must continue to meet the requirements of the initiative for the life of the project, in order to continue to receive renewal funding under the CoC competition. 2. Has this project been reduced through the HHN reallocation process? (required) - select Yes or No to indicate whether the renewal project is reduced through the HHN reallocation process. NEW AND RENEWAL PROJECTS: 3. Grant term: (required) - indicate the number of years for which new or renewal funding is being request. The number of years that can be selected will vary depending on the project type and program type. 4. Select the activities for which funding is being requested: (required for SHP projects only) - all SHP projects must identify the budget activities for which funding is being requested. Depending on the project type, the following budget activities may be listed: acquisition, new construction, rehabilitation, leasing (units or structures), supportive services, operating, and HMIS. Renewal projects may indicate only those activities listed on the 2011 SHP GIW. Additional resources: http: / /esnaps.hudhre.info hftp: / /www.hudhre. info/ index. cfm? do= viewHomelessAndHousingProgramInfo 1a. Is it feasible for the project to begin Yes operating /under grant agreement by September 30, 2013? 836680769 039828 Exhibit 2 Page 30 09/2312011 Applicant: SAWCC, Inc. Project: Shelter Transitional Housing Renewal 1b. Is this project a HUD approved No consolidation? 1c. Was the original project awarded funding No (in part or whole) under a special housing initiative? 2. Has this project been reduced through the No HHN reallocation process? 3. Grant Term: 1 Year 4. Select the activities for which funding is being requested: Leasing Supportive Services X Operating X HMIS 160 i w 836680769 039828 Exhibit 2 Page 31 09/23/2011 Applicant: SAWCC, Inc. Project: Shelter Transitional Housing Renewal Operating Budget Instructions: 160 i For each year of the grant term, enter the quantity and total budget request for each operating activity. Revise any information populated from the FY2010 application, to ensure accuracy and completeness of the information submitted in this year's application. Eligible operating: (populated) - the system populates a list of eligible operating activities for which SHP funds can be requested. Please use the 'Other category to specify any additional, eligible activities, which are not listed. Refer to the SHP Desk Guide for details on eligible operations activities. Quantity: (required) - enter or update the quantity (eg. FTE hours and benefits for staff, utility types, monthly allowance for food and supplies) for each operating activity for which SHP funding is being requested. SHP Request: (required) - for each grant year, enter or update the amount ($) requested for each activity that is DIRECTLY related to operating the housing or supportive services facility. The SHP Request should match budget amounts identified on the Grant Inventory Worksheet. Total: (calculated) - the total SHP funding ($) requested for each activity will automatically calculate in the Total column. Total SHP dollars requested: (calculated) - the total SHP funding ($) requested for each grant year will automatically calculate in the Total SHP dollars requested row. Cash Match: (required) - for each grant year, enter or update the cash amount ($) available to support the SHP request. By law, the grantee or project sponsor must make cash payment for at least 25% of the project's total Operations budget for each grant year. Total SHP Operations Budget: (calculated) - the Total Operations Budget will automatically calculate. Other Resources: (no input required) - if there are in -kind or additional cash resources above the requested cash match requirement, enter the total amount ($) available per grant year. Additional resources: Application Detailed Instructions (on left menu) http: / /esnaps.hudhre.info http: / /www.hudhre. info / index. cfm? do= viewHomelessAndHousingProgramInfo 836680769 039828 Eligible Costs Quantity (limit 400 characters) SHP Request Year 1 Total 1.Maintenance /Repair Supplies, Services $15,400 $15,400 2.Staff 1 Facilities Administrator $4,700 $4,700 3.Utilities $0 $0 4.Equipment (lease /buy) $0 $0 5.Supplies $0 $0 Unsurance $0 $0 7.Furnishings $0 $0 8.Relocation $0 $0 9.0ther (must specify *) $0 $0 Exhibit 2 Page 32 1 09/23/2011 160 1 N Applicant: SAWCC, Inc. Project: Shelter Transitional Housing Renewal $0 $0 10.Total SHP Request $20,100 $20,100 11.Cash Match $6,700 $6,700 12.Total SHP Operating Budget $26,800 $26,800 13.Other Resources* $0 $0 (cash and in -kind) * If not specified, the costs will be removed from the budget. The Total values are automatically calculated by the system when you click the "save" button. 836680769 039828 Exhibit 2 Page 33 09/23/2011 Applicant: SAWCC, Inc. Project: Shelter Transitional Housing Renewal Supportive Services Budget Instructions: 1601 1 For each year of the grant term, enter the quantity and total budget request for each supportive services cost. Revise any information populated from the FY2010 application, to ensure accuracy and completeness of the information submitted in this year's application. Eligible supportive services: (populated) - the system populates a list of eligible supportive services for which SHP funds can be requested. Please use the 'Other' category to specify any additional, eligible activities, which are not listed. Refer to the SHP Desk Guide for details on eligible supportive services activities. Quantity: (required) - enter or update the quantity (eg. 1 FTE Case Manager Salary + benefits, or child care for 15 children) for each supportive service activity for which SHP funding is being requested. SHP Request: (required) - for each grant year, enter or update the amount ($) requested for each activity that is DIRECTLY related to providing supportive services to homeless participants. The SHP Request should match budget amounts identified on the Grant Inventory Worksheet. Total: (calculated) - the total SHP funding ($) requested for each activity will automatically calculate in the Total column. Cash Match: (required) - for each grant year, enter or update the cash amount ($) available to support the SHP request. By law, the grantee or project sponsor must make cash payment for at least 20% of the project's total Supportive Service annual budget. Total SHP Supportive Services Budget: (calculated) - the Total Supportive Services Budget will automatically calculate. Other Resources: (no input required) - if there are in -kind or additional cash resources above the requested cash match requirement, enter or update the total amount ($) available per grant year. Additional resources: Application Detailed Instructions (on left menu) http: / /esnaps.hudhre.info http: / /www.hudhre.info/ index. cfm? do= viewHomelessAndHousingProgram Info 836680769 039828 Supportive Services Costs Quantity (limit 400 characters) SHP Request Year 1 Total 1. Outreach $0 2. Case Management 1 FTE Advocate $38,300 $38,300 3. Life Skills (outside of case management) $0 4. Alcohol and Drug Abuse Services $0 5. Mental Health and Counseling Services $0 6. HIV /AIDS Services $0 7. Health Related and Home Health Services $0 8. Education and Instruction $0 9. Employment Services $0 10. Child Care 1 FTE Supervisor $46,200 $46,200 11. Transportation $0 13. Other (must specify ) Exhibit 2 Page 34 09/23/2011 Applicant: SAWCC, Inc. Project: Shelter Transitional Housing Renewal 16D 1 836680769 039828 Materials for life skills, child care & education Materials, Supplies $8,400 $8,400 $0 $0 $0 14. Total SHP dollars requested $92,900 $92,900 15.Cash Match $23,225 1$23,225 16.Total SHP Supportive Services Budget $116,125 $116,125 17.Other resources (cash and in -kind) $0 Exhibit 2 Page 35 09/23/2011 Applicant: SAWCC, Inc. Project: Shelter Transitional Housing Renewal Supportive Housing Program (SHP) Summary Budget The following information summarizes the SHP funding request and the available cash match for the total term of the project. However, the appropriate amount of administrative costs must be entered in the field below. Please make sure that the budget amounts requested for all renewal projects correspond to the budget amounts on Grant Inventory Worksheet. Selected Grant Term 1 Year 836680769 039828 SHP Activities SHP Dollars Request Cash Match Totals 1. Acquisition $0 $0 $0 2. Rehabilitation $0 $0 $0 3. New Construction $0 $0 $0 4. Subtotal (Lines 1 - 3) $0 $0 $0 $0 $0 5. Real Property Leasing From Leasing Budget Chart 6. Supportive Services From Supportive Services Budget Chart $92,900 $23,225 $116,125 7. Operations From Operating Budget Chart $20,100 $6,700 $26,800 8. HMIS From HMIS Budget Chart $0 $0 $0 9. SHP Request (Subtotal lines 4-8) $113,000 10. Administrative Costs (Up to 5% of line 9) $0 Total SHP Request (Total lines 9 and 10) Total Cash Match Total Budget (Total SHP Request + Total Cash Match) $113,000 $29,925 $142,925 Exhibit 2 Page 36 09/23/2011 Applicant: SAWCC, Inc. Project: Shelter Transitional Housing Renewal 8A. Attachment(s) Instructions 160 1 '' 1. Sponsor Nonprofit Documentation - Documentation of the sponsor's nonprofit status must be uploaded, if the applicant and project sponsor are different entities, and the sponsor is a nonprofit organization. 2. PHA Certification - Non -PHA Applicants for S +C SRO and Section 8 SRO projects must submit a signed and dated letter from an authorized representative of the local PHA certify that the Applicant is authorized to act on behalf of the PHA. Applicant is authorized to act on behalf of the PHA. 3. Other Attachment(s) - Attach any additional information supporting the project funding request. Use a zip file to attach multiple documents. 836680769 039828 Document Type Required? Document Description Date Attached 1. Sponsor Nonprofit Documentation No 2. PHA Certification Letter No 3. Other Attachment No Exhibit 2 Page 37 1 09/23/2011 Applicant: SAWCC, Inc. Project: Shelter Transitional Housing Renewal Attachment Details Document Description: Attachment Details Document Description: Attachment Details Document Description: 16 i tj 836680769 039828 Exhibit 2 Page 38 09/23/2011 16D 1 t1 Applicant: SAWCC, Inc. Project: Shelter Transitional Housing Renewal 8B. Certification A. For the Supportive Housing (SHP), Shelter Plus Care (S +C), and Single Room Occupancy (SRO) programs: Fair Housing and Equal Opportunity It will comply with Title VI of the Civil Rights Act of 1964 (42 U.S.C. 2000(d)) and regulations pursuant thereto (Title 24 CFR part 1), which state that no person in the United States shall, on the ground of race, color or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under any program or activity for which the applicant receives Federal financial assistance, and will immediately take any measures necessary to effectuate this agreement. With reference to the real property and structure(s) thereon which are provided or improved with the aid of Federal financial assistance extended tc the applicant, this assurance shall obligate the applicant, or in the case of any transfer, transferee, for the period during which the real property and structure(s) are used for a purpose for which the Federal financial assistance is extended or for another purpose involving the provision of similar services or benefits. It will comply with the Fair Housing Act (42 U.S.C. 3601 -19), as amended, and with implementing regulations at 24 CFR part 100, which prohibit discrimination in housing on the basis of race, color, religion, sex, disability, familial status or national origin. It will comply with Executive Order 11063 on Equal Opportunity in Housing and with implementing regulations at 24 CFR Part 107 which prohibit discrimination because of race, color, creed, sex or national origin in housing and related facilities provided with Federal financial assistance. It will comply with Executive Order 11246 and all regulations pursuant thereto (41 CFR Chapter 60 -1), which state that no person shall be discriminated against on the basis of race, color, religion, sex or national origin in all phases of employment during the performance of Federal contracts and shall take affirmative action to ensure equal employment opportunity. The applicant will incorporate, or cause to be incorporated, into any contract for construction work as defined in Section 130.5 of HUD regulations the equal opportunity clause required by Section 130.15(b) of the HUD regulations. It will comply with Section 3 of the Housing and Urban Development Act of 1968, as amended (12 U.S.C. 1701(u)) and regulations pursuant thereto (24 CFR Part 135), which require that to the greatest extent feasible opportunities for training and employment be given to lower- income residents of the project and contracts for work in connection with the project be awarded in substantial part to persons residing in the area of the project. It will comply with Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. 794), as amended, and with implementing regulations at 24 CFR Part 8, which prohibit discrimination based on disability in Federally- assisted and conducted programs and activities. It will comply with the Age Discrimination Act of 1975 (42 U.S.C. 6101 -07), as amended, and implementing regulations at 24 CFR Part 146, which prohibit discrimination because of age in projects and activities receiving Federal financial assistance. It will comply with Executive Orders 11625, 12432, and 12138, which state that program participants shall take affirmative action to encourage participation by businesses owned and operated by members of minority groups and women. 836680769 039828 Exhibit 2 Page 39 09/23/2011 Applicant: SAWCC, Inc. Project: Shelter Transitional Housing Renewal 160 1 iA 836680769 039828 If persons of any particular race, color, religion, sex, age, national origin, familial status, or disability who may qualify for assistance are unlikely to be reached, it will establish additional procedures to ensure that interested persons can obtain information concerning the assistance. It will comply with the reasonable modification and accommodation requirements and, as appropriate, the accessibility requirements of the Fair Housing Act and section 504 of the Rehabilitation Act of 1973, as amended. Additional for S +C: If applicant has established a preference for targeted populations of disabled persons pursuant to 24 CFR 582.330(a), it will comply with this section's nondiscrimination requirements within the designated population. B. For SHP Only. 20 -Year Operation Rule. For applicants receiving assistance for acquisition, rehabilitation or new construction: The project will be operated for no less than 20 years from the date of initial occupancy or the date of initial service provision for the purpose specified in the application. 1 -Year Operation Rule. For applicants receiving assistance for supportive services, leasing, or operating costs but not receiving assistance for acquisition, rehabilitation, or new construction: The project will be operated for the purpose specified in the application for any year for which such assistance is provided. C. For S +C Only. Supportive Services. It will make available supportive services appropriate to the needs of the population served and equal in value to the aggregate amount of rental assistance funded by HUD for the full term of the rental assistance. D. Explanation. Where the applicant is unable to certify to any of the statements in this certification, such applicant shall attach an explanation behind this page. Name of Authorized Certifying Official Linda Oberhaus Date: 09/23/2011 Title: Executive Director Applicant Organization: SAWCC, Inc. PHA Number (For PHA Applicants Only): I certify that I have been duly authorized by X the applicant to submit this Applicant Certification and to ensure compliance. I am aware that any false, ficticious, or fraudulent statements or claims may subject me to criminal, civil, or administrative penalties. (U.S. Code, Title 218, Section 1001). Exhibit 2 Page 40 09/23/2011 16 i �:tj Applicant: St. Matthew's House, Inc. Project: Wolfe Apartments &4) t ` Before Starting the Project Application HUD strongly encourages ALL project applicants to review the following information BEFORE beginning the application. Things to Remember - Download and review the detailed instructions within the document on the left menu of this application. Resources are also available online at www.hudhre.info /esnaps, to help successfully complete the application. - Program policy questions and problems related to completing the application in a -snaps may be directed to HUD through the HUD HRE Virtual Help Desk, which is accessible online at www.hudhre.info /helpdesk. - Project applicants are required to have a Data Universal Numbering System (DUNS) number, and an active registration in the Central Contractor Registration (CCR), in order to apply for funding under the CoC competition. For more information see the FY2011 CoC NOFA. - To ensure that applications are considered for funding, all sections of the FY2011 CoC NOFA and the FY2011 General Section should be read carefully, and all requirements and criteria met. - All applicants, new and returning, must complete the applicant profile in a -snaps for FY2011 before submitting the Exhibit 2 application. - Renewal applications - carefully review and update application, if it includes data from the FY2010 application. Questions may have been changed, removed, or added, and the imported information may or may not be relevant. - For S +C projects requesting renewal funding, the number of units requested for each unit size in the project must be consistent with the number of units indicated on the CoC's FY2011 S +C Grant Inventory Worksheet, as approved by HUD. - For SHP projects requesting renewal funding, the total budget request must be consistent with the annual renewal amount (ARA) listed on the CoC's FY2011 SHP Grant Inventory Worksheet. If the ARA is reduced or eliminated through the CoC's HHN reallocation process, the budget request must be reflected accordingly. - HUD reserves the right to reduce or reject any new or renewal project that fails to adhere to the program and application requirements. 831093653 043073 Exhibit 2 1 Page 1 1 09/27/2011 Applicant: St. Matthew's House, Inc. Project: Wolfe Apartments 1A. Application Type Instructions: 160 1 Type of Submission - This field is populated the Application option, and cannot be changed. 2. Type of Application: (required) - Select'New Project' or 'Renewal Project' to indicate whether the project is eligible for new or renewal funds during the current competition. Renewal project applications are defined as those HUD McKinney -Vento grants that have received funding in a previous competition and are eligible to renew during the current competition. All other applications are defined as new projects. 3. Date Received - No action needed. This field is automatically populated with the date on which the application is submitted. The date populated cannot be edited. 4. Applicant Identifier - Leave this field blank. 5a. Federal Entity Identifier - Leave this field blank. 5b. Federal Award Identifier: (required) - This field may populate with the grant number for the 2010 project that is imported. This field will be blank for any first time renewal application. The correct expiring grant number must be entered. Leave the field blank for all new funding applications. 6. Date Received by State - Leave this field blank. 7. State Application Identifier - Leave this field blank. Additional Resources: Application Detailed Instructions (on left menu) http: / /esnaps.hudhre.info 1. Type of Submission: 2. Type of Application: Renewal Project If Revision, select appropriate letter(s): If "Other ", specify: 3. Date Received: 09/27/2011 4. Applicant Identifier: 5a. Federal Entity Identifier: 5b. Federal Award Identifier (e.g., expiring grant number) 6. Date Received by State: 7. State Application Identifier: 831093653 043073 Exhibit 2 Page 2 09/27/2011 160 1 `+ Applicant: St. Matthew's House, Inc. Project: Wolfe Apartments 1 B. Legal Applicant Instructions: 8. Applicant Information - The applicant information populated on this form comes from the Applicant Profile, and must reflect the information for the applicant organization that can legal request homeless assistance funding from HUD. a. Legal Name - The legal name of the applicant organization is populated on this form from the Applicant Profile. It is important that the organization has registered with the Central Contractor Registry. Information on registering with CCR may be obtained online at - http: / /esnaps.hudhre.info. b. Employer/Taxpayer Number (EIN/TIN) - The EIN/TIN for the applicant organization is populated on this form from the Applicant Profile. c. Organizational DUNS - The DUNS number for the applicant organization is populated on this form from the Applicant Profile. Information on obtaining a DUNS number may be obtained online at - http: / /www.dnb.com. d. Address - The physical address of the applicant organization is populated on this form from the Applicant Profile. e. Organizational Unit - If applicable, the department and division of the applicant organization is populated on this form from the Applicant Profile. f. Name and contact information of person to be contacted on matters involving this applicant - The alternate point of contact for the applicant organization is populated on this form from the Applicant Profile. This person may or may not be the authorized representative. Additional Resources: Application Detailed Instructions (on left menu) http: / /esnaps.hudhre.info 8. Applicant a. Legal Name: St. Matthew's House, Inc. b. Employer/Taxpayer Identification Number 65- 1110501 (EIN/TIN): 831093653 043073 d. Address Street 1: 2001 Airport Rd. South Street 2: City: c. Organizational DUNS: 831093653 PL State: Florida US 4 d. Address Street 1: 2001 Airport Rd. South Street 2: City: Naples County: Collier State: Florida Exhibit 2 1 Page 3 1 09/27/2011 Applicant: St. Matthew's House, Inc. Project: Wolfe Apartments Country: United States Zip / Postal Code: 34112 e. Organizational Unit (optional) Department Name: Finance Department Division Name: f. Name and contact information of person to be contacted on matters involving this application Prefix: First Name: Middle Name: Last Name: Suffix: Title: Organizational Affiliation: Telephone Number: Extension: Fax Number: Email: Mr. Lou Hoegsted Chief Financial Officer St. Matthew's House, Inc. (239) 774 -0500 (239) 774 -7146 lou @stmatthewshouse.org 1601 831093653 043073 Exhibit 2 Page 4 09/27/2011 t' Applicant: St. Matthew's House, Inc. Project: Wolfe Apartments 1C. Application Details Instructions: 1601 �+ 9. Type of Applicant: (required) - This field is populated from the a -snaps Applicant Profile. Applicants cannot modify the populated data on this form. However, applicants may modify the Applicant Profile to correct any errors identified. 10. Name Of Federal Agency - field populated with the Department of Housing and Urban Development. The field cannot be edited. 11. Catalog Of Federal Domestic Assistance Number/Title: (required) - select the applicable program type - SHP, S +C, or SRO. The selection will automatically populate the CFDA number field on this form, and will drive the list of components available on form 3A. Project Detail of this application. 12. Funding Opportunity Number/Title - This field will automatically populate with the funding opportunity number and title of the opportunity under which assistance is requested, as found in this year's Federal Register announcement. 13. Competition Identification Number/Title - Leave this field blank. Additional Resources: Application Detailed Instructions (on left menu) http: / /esnaps.hudhre.info 831093653 043073 9. Type of Applicant: M. Nonprofit with 501(c)(3) IRS Status (Other than Institution of Higher Education) If "Other" please specify: 10. Name of Federal Agency: Department of Housing and Urban Development 11. Catalog of Federal Domestic Assistance SHP Title: CFDA Number: 14.235 12. Funding Opportunity Number: FR- 5500 -N -34 Title: Continuum of Care Homeless Assistance Competition 13. Competition Identification Number: Title: Exhibit 2 Page 5 09/27/2011 Applicant: St. Matthew's House, Inc. 160 1 831093653 Project: Wolfe Apartments 043073 1D. Congressional District(s) Instructions: 14. Areas Affected By Project: (required) - select the state(s) in which the proposed project will operate and serve homeless persons. The state(s) selected will determine the list of geographic areas and congressional districts displayed elsewhere in this application. 15. Descriptive Title of Applicant's Project: field populates the 2011 project name from the Project form. Return to the Project form, to make changes to the name. 16. Congressional District(s): a. Applicant: This field is populated from the a -snaps Applicant Profile. Applicants cannot modify the populated data on this form. However, applicants may modify the Applicant Profile to correct any errors identified. b. Project: (required) - Select the congressional district(s) in which the project operates. For new project, select the district(s) in which the project is expected to operate. 17. Proposed Project Start and End Dates: (required) - indicate the operating start and end date for the project. For new project application, indicate the estimated operating start and end date of the project. 18. Estimated Funding: Leave these fields blank. Additional Resources: Application Detailed Instructions (on left menu) http: / /esnaps.hudhre.info 14. Area(s) affected by the project (state(s) Florida only): (for multiple selections hold CTRL +Key) 15. Descriptive Title of Applicant's Project: Wolfe Apartments 16. Congressional District(s): a. Applicant: FL -025 b. Project: FL -025 (for multiple selections hold CTRL +Key) 17. Proposed Project a. Start Date: 10/01/2011 b. End Date: 09/30/2012 18. Estimated Funding ($) Exhibit 2 Page 6 09/27/2011 Applicant: St. Matthew's House, Inc. Project: Wolfe Apartments 160 i A 831093653 043073 a. Federal: b. Applicant: c. State: d. Local: e. Other: f. Program Income: g. TOTAL: Exhibit 2 Page 7 09/27/2011 Applicant: St. Matthew's House, Inc. Project: Wolfe Apartments 1E. Compliance Instructions: 1601 q 19. Is Application Subject to Review By State Executive Order 12372 Process? (required) - Select the appropriate box that applies to the Applicant applying for homeless assistance funding. Applicants should contact the State Single Point of Contact (SPOC) for Federal Executive Order 12372 to determine whether the application is subject to the State intergovernmental review process. If "YES" is selected enter the date this application was made available to the State for review. 20. Is the Applicant Deliquent on any Federal Debt? (required) - Select the appropriate box that applies to the Applicant applying for homeless assistance funding. This question applies to the applicant organization, not the person who signs as the authorized representative. Categories of debt include delinquent audit disallowances, loans, and taxes. If "YES" is selected include an explanation in the space provided on this screen. Additional Resources: Application Detailed Instructions (on left menu) http: / /esnaps.hudhre.info 831093653 043073 19. Is the Application Subject to Review By c. Program is not covered by E.O. 12372. State Executive Order 12372 Process? If "YES ", enter the date this application was made available to the State for review: 20. Is the Applicant delinquent on any Federal No debt? If "YES," provide an explanation: Exhibit 2 Page 8 1 09/27/2011 Applicant: St. Matthew's House, Inc. Project: Wolfe Apartments 1 F. Declaration Instructions: 160 i 4.4 I Agree: (required) - Select the check next to 'I Agree' to (1) certify to the statements contained in the list of certifications ", (2) certify that the statements herein are true, complete, and accurate to the best of my knowledge, (3) certify that the required assurances" are provided, and (4) agree to comply with any resulting terms if I accept an award. Any false, fictitious, or fraudulent statements or claims may subject the authorized representative and the applicant organization to criminal, civil, or administrative penalties .(U.S. Code, Title 218, Section 1001) "The list of certifications and assurances are contained in the CoC NOFA and in the a -snaps Applicant Profile. 21. Authorized Representative: The information for the authorized representative is populated from the Applicant Profile. A copy of the governing body's authorization for this person to sign this application as the official representative must be on file in the applicant's office. Additional Resources: Application Detailed Instructions (on left menu) hftp://esnaps.hudhre.info By signing and submitting this application, I certify (1) to the statements contained in the list of certifications" and (2) that the statements herein are true, complete, and accurate to the best of my knowledge. I also provide the required assurances" and agree to comply with any resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may subject me to criminal, civil, or administrative penalties. (U.S. Code, Title 218, Section 1001) I AGREE: FX 21. Authorized Representative Prefix: Mr. First Name: Thomas Middle Name: Last Name: Van Tassel Suffix: Title: Property Manager Telephone Number: (239) 774 -0500 (Format: 123 -456 -7890) Fax Number: (239) 774 -7146 (Format: 123 -456 -7890) 831093653 043073 Exhibit 2 Page 9 09/27/2011 Applicant: St. Matthew's House, Inc. Project: Wolfe Apartments Email: thomas @stmatthewshouse.org 1601 831093653 043073 Signature of Authorized Representative: Considered signed upon submission in e- snaps. Date Signed: 09/27/2011 Exhibit 2 Page 10 09/27/2011 Applicant: St. Matthew's House, Inc. Project: Wolfe Apartments 2A. Project Sponsor(s) This form lists the sponsor organization(s) for the project. To add a sponsor, select the icon. To view or update sponsor information already listed, select the view option. Organization Type This list contains no items 1601 831093653 043073 Exhibit 2 Page 11 09/27/2011 Applicant: St. Matthew's House, Inc. Project: Wolfe Apartments 3A. Project Detail Instructions: 160 i 'i Complete all fields on this form, as appropriate. Revise any information populated from the FY2010 application, to ensure accuracy and completeness of the information submitted in this year's application. The selections made on this form will determine the remaining forms that must be completed with this application. 1. Expiring Grant Number: field populates with the expiring grant number entered as the "Federal Award Identifier" on form 1A. Application Type of this application. 2. CoC Number and Name: (required) - select the appropriate Continuum of Care (CoC) number and name. The selected CoC will receive the application and determine whether or not to include it with the CoC application submission to HUD. 3. Project Name: field populates the 2011 project name from the Project form. Return to the Project form, to make changes to the name. 4. Project Type: field populates the project type (new or renewal), as selected on form 1A. Application Type of this application. 5. Program Type: field populates the program type -- Supportive Housing Program (SHP), Shelter Plus Care (S +C), or Section 8 Moderate Rehabilitation for Single Room Occupancy (SRO), as selected on form 1 C. Application Details of this application. 6. Component Type: (required) - select the one component that appropriately identifies the project. The list of available components will depend on the program type selected. 7. Energy star: (required) - select Yes or No to indicate whether or not energy star is being (or will be) used at one or more of the properties that will receive assistance using the requested funds. 8. Title V: (required) - select Yes or No to indicate whether or not one or more of the project properties has been conveyed under Title V. 9. Services in connection with another TH or PH project: select Yes or No to indicate whether or not the project is providing (or will provide) supportive services to participants in another permanent housing or transitional housing project. 10. Innovative SHP: (required) - select Yes or No to indicate whether or not the proposed project is to be considered under the Innovative Supportive Housing component. If yes, indicate in the project description (on form 2B of this application) how the project represents a distinctively different approach when viewed within its geographic area, is a sensible model for others, and can be replicated elsewhere. An applicant should not propose a project under this component unless a compelling case is made that these criteria can be met. Additional resources: Application Detailed Instructions (on left menu) http: / /esnaps.hudhre.info http: / /www.hudhre. info / index. cfm? do= viewHomelessAndHousingPrograminfo 1. Expiring Grant Number (e.g., the "Federal Award Identifier" indicated on form 1A. Application Type) 831093653 043073 Exhibit 2 Page 12 09/27/2011 Applicant: St. Matthew's House, Inc. Project: Wolfe Apartments 160 1 831093653 043073 2. CoC Number and Name FL -606 - Naples /Collier County CoC 3. Project Name Wolfe Apartments 4. Project Type Renewal Project 5. Program Type SHP Content depends on "CFDA Number" selection 6. Component Type PH Content depends on "Program Type" selection 7. Is Energy Star used at one or more of the No properties within this project? 8. Does this project include one or more Title No V properties? 9. Is the project providing services to No participants in another PH or TH project? 10. Is the proposed project submitted for No consideration under the Innovative Supportive Housing component? Exhibit 2 Page 13 09/27/2011 Applicant: St. Matthew's House, Inc. Project: Wolfe Apartments 3B. Project Description Instructions: 160 1 831093653 043073 Exhibit 2 1 Page 14 1 09/27/2011 Applicant: St. Matthew's House, Inc. Project: Wolfe Apartments 1601 831093653 043073 Complete all fields on this form, as appropriate. Revise any information populated from the FY2010 application, to ensure accuracy and completeness of the information submitted in this year's application. ALL PROJECTS 1. Project Description: (required) - provide a description of the project that is complete and concise. The description must address the entire scope of the project, including a clear picture of the community /target population(s) to be served, the plan for addressing the identified needs /issues of the CoC community /target population(s), projected outcome(s), and any coordination with other source(s) /partner(s). In cases where the proposed project is expanding an existing facility, service, or HMIS system, document, when applicable, how the requested funds will supplement existing services and resources, increase participants served, or increase the capacity of the CoC's HMIS (if applicable). The narrative is expected to describe the project at full operational capacity and to demonstrate how full capacity will be achieved over the term requested in this application. The description should be consistent with and make reference to other parts of this application. Applicants are encouraged to review the detail instructions available on the left menu, as well applicable program regulations and desk guides available online at http: / /esnaps.hudhre.info. RENEWAL SHP PROJECTS ONLY 2. Was the original project awarded funding for acquisition, new construction, or rehabilitation? (required) - select Yes or No to indicate whether or not the project previously received SHP funds under the CoC competition for acquisition, new construction, or rehabilitation. NEW PROJECTS ONLY 2. Description of rehabilitation, acquisition, and new construction activities: (required) - describe the proposed rehabilitation and new construction activities for the project site(s). The description must detail the entire scope of the development activities, including the portion of activities funded and not funded through this application. If persons currently occupy building(s) to be rehabilitated, describe the planned relocation effort for these persons. Also describe the role of the applicant, sponsor, and other project partners, and the estimated timeframe for completing development. NEW SHP -HMIS ONLY 2. HMIS Need: (required) - Describe how needs assessment, resource allocation and service coordination will be improved through the new or expanded HMIS project. 3. State /Federal Funding Overlap: (required) - Demonstrate that HUD funds for this project will not replace state or local government funds. NEW SHP -TH PROJECTS ONLY 3. Maximum length of stay: (required) - indicate the maximum allowable length of occupany for persons participating in the project. NEW SHP -PH ONLY 3. More than 16 persons living in one structure: (required) - select Yes or No to indicate if more than 16 persons reside (or will reside) in any one of the structures assisted with SHP funds requested through this application. If there are more than 16 people, then an explanation is required as to how local market conditions necessitate this size, and how neighborhood integration can be achieved for the residents. For more information on the 16- person limit, see Section 424(c) of the McKinney -Vento Act. NEW S +C -TRA ONLY 3. Housing selection: (required) - select Yes or No to indicate whether or not participants are required to live in particular structures or units during the first year and in a particular area within the locality in subsequent years, or to live in a particular area for the entire period of participation. Additional resources: http://esnaps.hudhre.info http: / /www.hudhre. info / index. cfm? do= viewHomelessAndHousingProgram Info Exhibit 2 1 Page 15 1 09/27/2011 ibo i k-1 Applicant: St. Matthew's House, Inc. Project: Wolfe Apartments 1. Provide a description of the project that addresses its entire scope, including the needs of the community /target population. The Wolfe Apartments Supportive Housing Program provides permanent rental housing to individuals who are homeless and disabled. A comprehensive range of supportive services are available to assist in achieving stability and maximize self sufficiency. All residents are carefully screened to ensure that they meet the homeless and disabled criteria established by HUD. They will have a steady source of income and be clean and sober for a minimum of 6 months. Once applicants are accepted into the program, they are assisted by a case manager who will design and implement an individual service plan utilizing a range of services to help develop each resident potential. Case management is ongoing and assists with relapse prevention, health care referrals, counseling, mental health services, job referrals and directives aimed at increasing self determination. The Supportive Housing Program at Wolfe Apartments allows residents to live independent lives while utilizing resources within the community. We work in conjunction with local workforce agencies and vocational schools to assist with increasing income and enhancing skills. Area credit counseling agencies provide assistance to restore and /or establish positive credit which will increase the ability for the ability for the individual to obtain and maintain permanent housing. Necessary guidance is provided to allow each resident access to mainstream health and human care services. Permanent housing residents pay 30% of their monthly adjusted gross income in accordance with the grant requirements. We must receive an amount equal to or less than Fair Market Rent in order to sustain the project. Tenants apply for rent subsidies such as TBRA vouchers from the local Housing Authority or receive private rent subsidies. Specific performance measures have been developed to ensure compliance with Wolfe Apartments Supportive Housing Program goals. They are designed to relate to the outcome, have a measurable timeframe established for achievement, and have a percentage of compliance indicator assigned to each one. Applicant: St. Matthew's House, Inc. 831093653 Project: Wolfe Apartments EX2_021510 Exhibit 2. Was the original project awarded funding Yes for acquisition, new construction, or rehabilitation? 831093653 043073 Exhibit 2 1 Page 16 1 09/27/2011 1601 Applicant: St. Matthew's House, Inc. Project: Wolfe Apartments 4A. Supportive Services for Participants Instructions: The information entered into the form fields below should record the capacity of the project to provide supportive services or access to services that participants require. 1. Project policies and practices are consistent with the educational laws: (required) - select Yes or No to indicate whether or not the project policies provide for educational and related services to individuals and families experiencing homelessness, and if the policies are consistent with educational laws, including the McKinney -Vento Act. 2. Designated staff person to ensure that the children in the project are enrolled in school and receive educational services, as appropriate: (required) - select Yes or No to indicate whether or not the project has a designated staff person responsible for ensuring that children are enrolled in school and connected to the appropriate services within the community, including early childhood education programs such as Head Start, Part C of the Individuals with Disabilities Education Act, and McKinney -Vento education services. 3. Describe the reason(s) for non - compliance with educational laws, and the corrective action to be taken prior to grant agreement execution, if 'No' has been selected for either questions 1 or 2. NEW PROJECTS ONLY 4. Obtain and remain in permanent housing: (required) - describe the supportive services that will be provided to help project participants locate and stabilize in permanent housing, access mainstream resources, and /or obtain employment. 5. Maximizing employment, income, and independent living: (required) - describe the supportive services that will be provided to help project participants locate employment and access mainstream resources for independent living. 6. Specify the frequency of supportive services to be provided to project participants: (required) - select the frequency (daily, weekly, bi- weekly, monthly, bi- monthly, quarterly, does not apply) of each basic supportive service provided to participants. Basic supportive services include: outreach, case management, life skills, job training, alcohol and drug abuse services, mental health and counseling, HIV /AIDS services, health /home health services, education and instruction, employment services, child care, and transportation. Specify Other(s): (optional) - enter up to 3 additional supportive services applicable to the proposed project, and enter the frequency of those additional services. 7. Accessibility of community amenities: (required) - select the level of accessibility of basic community amenities for project participants. Basic community amenities should be accessible to participants via walking, public transportation, driving, or transportation provided by the project. Additional resources: Application Detailed Instructions (on left menu) http: / /esnaps.hudhre.info http: / /www.hudhre.info/ index. cfm? do= viewHomelessAndHousingPrograminfo 1. Are the proposed project policies and Yes practices consistent with the laws related to providing education services to individuals and families? 831093653 043073 Exhibit 2 1 Page 17 1 09/27/2011 Applicant: St. Matthew's House, Inc. Project: Wolfe Apartments 2. Does the proposed project have a Yes designated staff person to ensure that the children are enrolled in school and receive educational services, as appropriate? 3. Describe the reason(s) for non - compliance with educational laws, and the corrective action to be taken prior to grant agreement execution. 831093653 043073 Exhibit 2 1 Page 18 1 09/27/2011 16D 1 ^+ Applicant: St. Matthew's House, Inc. Project: Wolfe Apartments 413. Housing Type and Scale This list summarizes each housing site in the project. To add a housing site to the list, click the add icon. To view or update a housing site already listed, select the appropriate view icon. 831093653 043073 Housing Type Units Bedrooms Beds Clustered apartments 14 16 16 Exhibit 2 Page 19 1 09/27/2011 Applicant: St. Matthew's House, Inc. Project: Wolfe Apartments 160 1 *1 831093653 043073 413. Housing Type and Scale Detail Instructions: 1. Housing type: (required) - select or update the proposed housing type. Refer to the detailed instructions document for a definition of each housing type. 2. Indicate the maximum number of units, bedrooms, and beds available for project participants at the selected housing site. a. Total units: (required) - enter or update the maximum number of units available for housing project participants at the selected housing type. b. Total bedrooms: (required) - enter or update the maximum number of bedrooms available for housing project participants at the selected housing type. c. Total beds: (required) - enter or update the maximum number of bedrooms available for housing project participants at the selected housing type. 3. Geographic areas: (required) - indicate the geographic location(s) of the selected housing type. Additional resources: Application Detailed Instructions (on left menu) http: / /esnaps.hudhre.info hftp: / /www.hudhre.info/ index. cfm? do= viewHomelessAndHousingProgramInfo 1. Housing Type: Clustered apartments 2. Indicate the maximum number of units, bedrooms, and beds available for project participants at the selected housing site. a. Units: 14 b. Bedrooms: 16 c. Beds: 16 3. Select the geographic area(s) associated 122064 NAPLES, 129021 COLLIER COUNTY with the selected housing type. For new projects, select the area(s) expected to be served. (for multiple selections hold CTRL +Key) Exhibit 2 1 Page 20 1 09/27/2011 1601 Applicant: St. Matthew's House, Inc. Project: Wolfe Apartments 4C. Homeless Management Information System (HMIS) Participation Instructions: All projects must indicate their level of participation in the CoC's HMIS. 1. Participation in the CoC's HMIS: (required) - select Yes or No to indicate whether or not annual data regarding project participants are reported in the CoC's HMIS. IF PROJECT PARTICIPANT DATA IS REPORTED IN THE HMIS 2a. Indicate total number of clients served: (required) - enter the total number of participants served by the project in calendar year 2010 (1/1/2010 - 12/31/2010). 2b. Indicate the total number of participants reported in the HMIS: (required) - enter the total number of project participants reported in the CoC's HMIS for calendar year 2010 (1/1/2010 - 12/31/2010). 3. Indicate the percentage of HMIS client records with 'null or missing values' or 'unknown values: (required) - for those project participant records that were reported in the HMIS, indicate the percentage of values that were missing ( "Null or Missing Values ") and /or unknown ( "Don't Know or Refused "), for each data element. If there were no unknown values, enter a "0" value in any field within the chart. IF PROJECT PARTICIPANT DATA IS NOT REPORTED IN THE HMIS 4a. Indicate the reason(s) for nonparticipation - indicate one or more of the four (4) reason(s) for non - participation: - Federal law prohibits (please cite specific law) - State law prohibits (please cite specific law) - New project not yet in operation - Other 4b. For other or Federal /State prohibitions, cite applicable law - provide an explanation of the other reasons nonparticipation, and cite the applicable federal /state laws that prohibit participation. Additional resources: Application Detailed Instructions (on left menu) http: / /esnaps.hudhre.info 1. Does this project provide client level Yes data to HMIS at least annually? Click on the "Save" button below to enter additional information. 2a. Indicate the number of clients served 20 from 1/112010 -12/31 /2010 2b. Of the clients served from 1/112010 - 20 12/31/2010, indicate the number reported in the HMIS 3. Indicate in the grid below the percentage of HMIS client records with 'null or missing values' or'unknown values.' 831093653 043073 Exhibit 2 1 Page 21 1 09/27/2011 Applicant: St. Matthew's House, Inc. Project: Wolfe Apartments 160 1 831093653 043073 Data Quality Null or Missing Values ( %) Don't Know or Refused ( %) Name 0% Social Security Number 0% Date of Birth 0% Ethnicity 0% Race 0% Gender 0% Veteran Status 0% Disabling Condition 0% Residence Prior to Prog. Entry 0% Zip Code of Last Permanent Address 0% Exhibit 2 1 Page 22 1 09/27/2011 1601 Applicant: St. Matthew's House, Inc. Project: Wolfe Apartments 5A. Project Participants - Households with Dependent Children Instructions: Identify the demographics of each household with children served (or proposed to be served), at a particular point in time (when the project is at full capacity). The numbers entered here must reflect only those households and persons served using the funds requested in this application. 1. Total number of households: (required) - enter the total number of households served (or proposed to be served). 2. Disabled adults: (in this row) - enter the un- duplicated total number of adult persons with a disability, under Total Persons. Then, indicate how many fall into each subpopulation (chronically homeless, severely mentally ill, chronic substance abuse, veterans, persons with HIV /AIDS, and DV victims). 3. Non - disabled adults: (in this row) - enter the un- duplicated total number of adult persons without a disability, under Total Persons. Then, indicate how many fall into each subpopulation (chronically homeless, severely mentally ill, chronic substance abuse, veterans, persons with HIV /AIDS, and DV victims). 4. Disabled children: (in this row) - enter the un- duplicated total number of children with a disability, under Total Persons. Then, indicate how many fall into each subpopulation (chronically homeless, severely mentally ill, chronic substance abuse, veterans, persons with HIV /AIDS, and DV victims). 5. Non - disabled children: (in this row) - enter the un- duplicated total number of children without a disability, under Total Persons. Then, indicate how many fall into each subpopulation (chronically homeless, severely mentally ill, chronic substance abuse, veterans, persons with HIV /AIDS, and DV victims). 6. Total persons: (calculated row) - the total number of persons within each subpopulation is automatically calculated. 7. Total number of adults: (calculated row) - the total number of adults served (or proposed to be served) is automatically calculated. 8. Total number of children: (calculated row) - the total number of children served (or proposed to be served) is automatically calculated. Additional Resources: Point in time - PIT (definition) - a snap shot of the number of homeless persons that can be served, on any given night or day, when the project is at full capacity. For a new project, this count is based on the applicant's best guess at the time of application. For a renewal project, the PIT is based on the applicant's assessment of the number of participants residing in a facility or served by the program on a particular night or day when the project is at full capacity. Application Detailed Instructions (on left menu) http: / /esnaps.hudhre.info http: / /esnaps.hudhre.info /training 831093653 043073 1. Total Number of Households 21 Total Persons (unduplicated) Chronically Homeless Severely Mentally III Chronic Substance Abuse Veterans Persons with HIV /AIDS Victims of Domestic Violence 2. Disabled Adults 19 3 5 9 1 1 3. Non - Disabled Adults 4. Disabled Children 1 Exhibit 2 1 Page 23 09/27/2011 Applicant: St. Matthew's House, Inc. Project: Wolfe Apartments 5. Non - Disabled Children 16D 1 831093653 043073 6. Total Persons I21 13 15 19 I 1 0 I 1 (click on "Save" to auto - calculate) 7. Total Number of Adults 19 (click on "Save" to auto - calculate) 8. Total Number of Children 2 (click on "Save" to auto - calculate) Exhibit 2 Page 24 09/27/2011 160 1 � Applicant: St. Matthew's House, Inc. Project: Wolfe Apartments 5B. Project Participants - Households without Dependent Children Instructions: Identify the demographics of each household without children served (or proposed to be served), at a particular point in time (when the project is at full capacity). The numbers entered here must reflect only those households and persons served using the funds requested in this application. 1. Total number of households: (required) - enter the total number of households without children served (or proposed to be served). 2. Disabled adults: (in this row) - enter the un- duplicated total number of adult persons with a disability, under Total Persons. Then, indicate how many fall into each subpopulation (chronically homeless, severely mentally ill, chronic substance abuse, veterans, persons with HIV /AIDS, and DV victims). 3. Non - disabled adults: (in this row) - enter the un- duplicated total number of adult persons without a disability, under Total Persons. Then, indicate how many fall into each subpopulation (chronically homeless, severely mentally ill, chronic substance abuse, veterans, persons with HIV /AIDS, and DV victims). 4. Disabled unaccompanied youth: (in this row) - enter the un- duplicated total number of unaccompanied youth with a disability, under Total Persons. Then, indicate how many fall into each subpopulation (chronically homeless, severely mentally ill, chronic substance abuse, veterans, persons with HIV /AIDS, and DV victims). 5. Non - disabled unaccompanied youth: (in this row) - enter the un- duplicated total number of unaccompanied youth without a disability, under Total Persons. Then, indicate how many fall into each subpopulation (chronically homeless, severely mentally ill, chronic substance abuse, veterans, persons with HIV /AIDS, and DV victims). 6. Total persons: (calculated row) - the total number of persons within each subpopulation is automatically calculated. 7. Total number of adults: (calculated row) - the total number of adults served (or proposed to be served) is automatically calculated. 8. Total number of unaccompanied youth: (calculated row) - the total number of unaccompanied youth served (or proposed to be served) is automatically calculated. Additional Resources: Point in time - PIT (definition) - a snap shot of the number of homeless persons that can be served, on any given night or day, when the project is at full capacity. For a new project, this count is based on the applicant's best guess at the time of application. For a renewal project, the PIT is based on the applicant's assessment of the number of participants residing in a facility or served by the program on a particular night or day when the project is at full capacity. Application Detailed Instructions (on left menu) hftp://esnaps.hudhre.info http: / /www.hudhre. info / index. cfm? do= viewHomelessAndHousingProgram Info 831093653 043073 1. Total Number of 13 Households Total Persons Chronically Severely Chronic Veterans Persons Victims of (unduplicated) Homeless Mentally III Substance with HIV /AIDS Domestic Abuse Violence 12. Disabled Adults 13 3 5 9 1 1 3. Non - Disabled Adults Exhibit 2 Page 25 09/27/2011 Applicant: St. Matthew's House, Inc. Project: Wolfe Apartments 160 1 fA 831093653 043073 4. Disabled Unaccompanied Youth (under 18) S. Non - Disabled Unaccompanied Youth (under 18) 6. Total Persons 13 3 5 9 1 0 1 (click on "Save" to auto - calculate) 7. Total Number of 13 Adults (click on "Save" to auto - calculate) 8. Total Number of 0 Unaccompanied Youth (click on "Save" to auto - calculate) Exhibit 2 Page 26 09/27/2011 Applicant: St. Matthew's House, Inc. Project: Wolfe Apartments 5C. Outreach for Participants Instructions: 160 i Complete all fields on this form, as appropriate. Revise any information populated from the FY2010 application, to ensure accuracy and completeness of the information submitted in this year's application. 1. Where homeless participants are coming from: (required) - enter the percentage ( %) related to the places from which project participants are coming, including: street, emergency shelters, safe havens, or transitional housing who came directly from the streets, emergency shelter, or safe haven. Total of above percentages: (calculated) - the percentages entered will sum in the Total of above percentages field. 2. If total is less than 100 %: (optional) - indicate the other places from which homeless persons enter the project, in the text box provided. 3. Outreach plan: (required for new projects) - describe how the applicant/sponsor plans to bring homeless persons into the project. Also describe the contingency plan that the applicant/sponsor will implement if the project experiences difficulty in meeting the Bonus requirements to serve exclusively homeless and disabled individuals and families. The contingency plan may include re- evaluating the intake assessment procedures or outreach plan. Additional resources: Application Detailed Instructions (on left menu) http: / /esnaps.hudhre.info http: / /www. hud hre. info / index. cfm ?do= viewHomelessAnd HousingProgram Info 1. Enter the percentage of homeless person(s) who will be served by the proposed project for each of the following locations. Note: this includes persons who ordinarily sleep in one of the places listed below but are spending a short time (90 consecutive days or less) in a jail, hospital, or other institution. 831093653 043073 26% Persons who came from the street or other locations not meant for human habitation. 42% Person who came from Emergency Shelters. Persons who came from Safe Havens. 32% Persons in TH who came directly from the street, Emergency Shelters, or Safe Havens. 100% Total of above percentages 2. If the total is less than 100 percent, identify the other location(s), and how the persons will meet the HUD homeless definition. Exhibit 2 Page 27 1 09/27/2011 16U 1 Applicant: St. Matthew's House, Inc. Project: Wolfe Apartments 6A. Standard Performance Measures Instructions: For each applicable question on this form, the Applicant must establish performance measurement goals for this project. Applicants are required to set a housing stability goal and to select at least one income - related performance measure on which the grantee will report performance in the Annual Performance Report (APR). The "Universe ( #)" column specifies the total number of persons about whom the measure is expected to be reported. In the "Target ( #)" column, applicants should specify the number of applicable clients (e.g., the number of persons for whom the goal is relevant) who are expected to achieve the measure within the operating year. The system will calculate a percentage in the "Target ( %)" column. For example, if 80 out of 100 clients are expected to remain in the permanent housing program or exit to other permanent housing, the target % should be "80 %." 1. Specify the universe and target for the housing measure. Click 'Save' to calculate the target percent ( %). 831093653 043073 Housing Measure Universe ( #) Target (#) Target( a. Persons remaining in permanent housing as of the end of the 17 17 100% operating year or exiting to permanent housing (subsidized or unsubsidized) during the operating year. 2. Choose one income - related performance measure from below, and specify the universe and target numbers for the goal. Click 'Save' to calculate the target percent ( %). Income Measure Universe ( #) Target ( #) Target ( %) a. Persons age 18 and older who maintained or increased their 19 19 100% total income (from all sources) as of the end of the operating year or program exit. OR b. Persons age 18 through 61 who maintained or increased their 3 3 100% earned income as of the end of the operating year or program exit. Exhibit 2 Page 28 09/27/2011 16D I Applicant: St. Matthew's House, Inc. Project: Wolfe Apartments 6B. Additional Performance Measures Specify up to three additional measures on which the project will report performance in the Annual Performance Report (APR). 831093653 043073 Exhibit 2 Page 29 09/27/2011 Applicant: St. Matthew's House, Inc. Project: Wolfe Apartments 6B. Additional Performance Measures Detail Instructions Specify the universe that each measure applies to, and the number ( #) of applicable clients who are expected to achieve each measure within the operating year, the source where data will be compiled (e.g., data reported in HMIS), method of data collection (e.g., data collected by the intake worker at entry and case managers at exit) proposed to measure results, specific data elements and formula proposed for calculating results, and rationale for why the proposed measure is an appropriate indicator of performance for this project. 1. Specify the universe and target goal numbers for the proposed measure. 831093653 043073 a. Proposed Measure b. Universe ( #) c. Target ( #) d. Target ( %) (Calculated) 75% of the residents participating will remain in 19 12 63% permanent housing for at least 12 months 2. Data Source (e.g., data recorded in HMIS) and method of data collection (e.g., data collected by the intake worker at entry and case manager at exit) proposed to measure results Data recorded in HMIS and through exit log 3. Specific data elements and formula proposed for calculating results Entry and exit log 4. Rationale for why the proposed measure is an appropriate indicator of performance for this program It is an appropriate goal for persons staying in permanent housing that they stay through a minimum of 1 year lease 6B. Additional Performance Measures Detail Instructions Specify the universe that each measure applies to, and the number ( #) of applicable clients who are expected to achieve each measure within the operating year, the source where data will be compiled (e.g., data reported in HMIS), method of data collection (e.g., data collected by the intake worker at entry and case managers at exit) proposed to measure results, specific data elements and formula proposed for calculating results, and rationale for why the proposed measure is an appropriate indicator of performance for this project. Exhibit 2 Page 30 09/27/2011 Applicant: St. Matthew's House, Inc. Project: Wolfe Apartments 1. Specify the universe and target goal numbers for the proposed measure. 160 i 831093653 043073 a. Proposed Measure b. Universe ( #) c. Target ( #) d. Target ( %) (Calculated) 80% of the residents will be enrolled in direct 17 17 100% health care services 2. Data Source (e.g., data recorded in HMIS) and method of data collection (e.g., data collected by the intake worker at entry and case manager at exit) proposed to measure results Weekly case management files, medical records, and exit log 3. Specific data elements and formula proposed for calculating results Individual service plan. Case management documentation, medical records 4. Rationale for why the proposed measure is an appropriate indicator of performance for this program To maintain and /or improve participants health /disabilities 6B. Additional Performance Measures Detail Instructions Specify the universe that each measure applies to, and the number ( #) of applicable clients who are expected to achieve each measure within the operating year, the source where data will be compiled (e.g., data reported in HMIS), method of data collection (e.g., data collected by the intake worker at entry and case managers at exit) proposed to measure results, specific data elements and formula proposed for calculating results, and rationale for why the proposed measure is an appropriate indicator of performance for this project. 1. Specify the universe and target goal numbers for the proposed measure. a. Proposed Measure b. Universe ( #) c. Target ( #) d. Target ( %) (Calculated) 80% of residents involved in domestic violence will 1 1 100% attend DV educational or therapy sessions 2. Data Source (e.g., data recorded in HMIS) and method of data collection (e.g., data collected by the intake worker at entry and case manager at exit) proposed to measure results Exhibit 2 Page 31 09127/2011 16D 1 Applicant: St. Matthew's House, Inc. Project: Wolfe Apartments Case management, individual service plan, activity sign -in 3. Specific data elements and formula proposed for calculating results Individual service plans, required activity log 4. Rationale for why the proposed measure is an appropriate indicator of performance for this program To decrease the potential for reoccurance of domestic violence 831093653 043073 Exhibit 2 Page 32 09/27/2011 Applicant: St. Matthew's House, Inc. Project: Wolfe Apartments Funding Request Instructions: 16D 1 The fields that must be completed on this form will vary based on the project type, program type, and component type. 1 a. Operating by September 30, 2013? (required) - select Yes or No to indicate whether or not the grant agreement will be execute and the project will begin operating by September 30, 2013. Unobligated funds will not be available after September 30, 2013. NEW PROJECTS ONLY: 1 b. Are special housing funds being requested for this project? (required) - select Yes or No to indicate whether or not the project is requesting funds under the Permanent Housing Bonus funding category. If yes, then the project will be referred to as a new PH Bonus project. Only permanent housing projects are eligible for PH Bonus funds. 2. Is this project using HHN reallocated funds? (required) - select Yes or No to indicate whether the new project is using HHN reallocated funds. RENEWAL PROJECTS ONLY: 1 b. Is this project a HUD approved consolidation? (required) - select Yes or No to indicate whether or not the project has recently consolidated two or more grants, as approved through HUD's grant amendment process. 1 c. Was the original project awarded funding (in part or whole) under a special housing initiative? (required) - indicate whether or not the project previously received funds under one of the following housing initiatives: Samaritan Housing, Chronic Homeless, Permanent Housing Bonus, or Rapid Rehousing Demonstration. If yes, then the project must continue to meet the requirements of the initiative for the life of the project, in order to continue to receive renewal funding under the CoC competition. 2. Has this project been reduced through the HHN reallocation process? (required) - select Yes or No to indicate whether the renewal project is reduced through the HHN reallocation process. NEW AND RENEWAL PROJECTS: 3. Grant term: (required) - indicate the number of years for which new or renewal funding is being request. The number of years that can be selected will vary depending on the project type and program type. 4. Select the activities for which funding is being requested: (required for SHP projects only) - all SHP projects must identify the budget activities for which funding is being requested. Depending on the project type, the following budget activities may be listed: acquisition, new construction, rehabilitation, leasing (units or structures), supportive services, operating, and HMIS. Renewal projects may indicate only those activities listed on the 2011 SHP GIW. Additional resources: http: / /esnaps.hudhre.info http: / /www.hudhre.info/ index. cfm? do= viewHomelessAndHousingProgramInfo 1a. Is it feasible for the project to begin Yes operating /under grant agreement by September 30, 2013? 831093653 043073 Exhibit 2 Page 33 09/27/2011 Applicant: St. Matthew's House, Inc. Project: Wolfe Apartments 1b. Is this project a HUD approved Yes consolidation? 1c. Was the original project awarded funding No (in part or whole) under a special housing initiative? 2. Has this project been reduced through the No HHN reallocation process? 3. Grant Term: 1 Year 4. Select the activities for which funding is being requested: Leasing Supportive Services X Operating X HMIS 16D 1 831093653 043073 Exhibit 2 Page 34 09/27/2011 Applicant: St. Matthew's House, Inc. Project: Wolfe Apartments Operating Budget Instructions: 160 1 For each year of the grant term, enter the quantity and total budget request for each operating activity. Revise any information populated from the FY2010 application, to ensure accuracy and completeness of the information submitted in this year's application. Eligible operating: (populated) - the system populates a list of eligible operating activities for which SHP funds can be requested. Please use the 'Other' category to specify any additional, eligible activities, which are not listed. Refer to the SHP Desk Guide for details on eligible operations activities. Quantity: (required) - enter or update the quantity (eg. FTE hours and benefits for staff, utility types, monthly allowance for food and supplies) for each operating activity for which SHP funding is being requested. SHP Request: (required) - for each grant year, enter or update the amount ($) requested for each activity that is DIRECTLY related to operating the housing or supportive services facility. The SHP Request should match budget amounts identified on the Grant Inventory Worksheet. Total: (calculated) - the total SHP funding ($) requested for each activity will automatically calculate in the Total column. Total SHP dollars requested: (calculated) - the total SHP funding ($) requested for each grant year will automatically calculate in the Total SHP dollars requested row. Cash Match: (required) - for each grant year, enter or update the cash amount ($) available to support the SHP request. By law, the grantee or project sponsor must make cash payment for at least 25% of the project's total Operations budget for each grant year. Total SHP Operations Budget: (calculated) - the Total Operations Budget will automatically calculate. Other Resources: (no input required) - if there are in -kind or additional cash resources above the requested cash match requirement, enter the total amount ($) available per grant year. Additional resources: Application Detailed Instructions (on left menu) http: / /esnaps.hudhre.info http: / /www.hudhre. info / index. cfm? do= viewHomelessAndHousingPrograminfo 831093653 043073 Eligible Costs Quantity SHP Total (limit 400 characters) Request Year 1 1.Maintenance /Repair Any and all maintenance $27,000 $27,000 repair issues related to the operation of the apartments 2.Staff FTE Hours and benefits for $6,000 $6,000 staff 3.Utilities The cost of the cable, $25,300 $25,300 electricity, water, garbage removal, and sewer 4.Equipment $0 $0 (lease /buy) 5.Supplies General operating supplies $200 $200 for the apartment complex to function properly Exhibit 2 Page 35 09/27/2011 Applicant: St. Matthew's House, Inc. Project: Wolfe Apartments 16D 1 831093653 043073 B.Insurance The insurance premiums for the property. Fire, wind, and liability $15,000 $15,000 7.Fumishings $0 $0 B.Relocation $0 $0 9.Other (must specify') $0 $0 $0 $0 10.Total SHP Request $73,500 $73,500 11.Cash Match $25,975 $25,975 12.Total SHP Operating Budget $99,475 $99,475 13.OtherResources* (cash and in -kind) $0 $0 * If not specified, the costs will be removed from the budget. The Total values are automatically calculated by the system when you click the "save" button. Exhibit 2 Page 36 09/27/2011 Applicant: St. Matthew's House, Inc. Project: Wolfe Apartments Supportive Services Budget Instructions: 160 i For each year of the grant term, enter the quantity and total budget request for each supportive services cost. Revise any information populated from the FY2010 application, to ensure accuracy and completeness of the information submitted in this year's application. Eligible supportive services: (populated) - the system populates a list of eligible supportive services for which SHP funds can be requested. Please use the 'Other' category to specify any additional, eligible activities, which are not listed. Refer to the SHP Desk Guide for details on eligible supportive services activities. Quantity: (required) - enter or update the quantity (eg. 1 FTE Case Manager Salary + benefits, or child care for 15 children) for each supportive service activity for which SHP funding is being requested. SHP Request: (required) - for each grant year, enter or update the amount ($) requested for each activity that is DIRECTLY related to providing supportive services to homeless participants. The SHP Request should match budget amounts identified on the Grant Inventory Worksheet. Total: (calculated) - the total SHP funding ($) requested for each activity will automatically calculate in the Total column. Cash Match: (required) - for each grant year, enter or update the cash amount ($) available to support the SHP request. By law, the grantee or project sponsor must make cash payment for at least 20% of the project's total Supportive Service annual budget. Total SHP Supportive Services Budget: (calculated) - the Total Supportive Services Budget will automatically calculate. Other Resources: (no input required) - if there are in -kind or additional cash resources above the requested cash match requirement, enter or update the total amount ($) available per grant year. Additional resources: Application Detailed Instructions (on left menu) http: / /esnaps.hudhre.info http: / /www.hudhre. info/ index. cfm? do= viewHomelessAndHousingProgramInfo 831093653 043073 Supportive Services Costs Quantity (limit 400 characters) SHP Request Year 1 Total 1. Outreach $0 2. Case Management FTE Case Manager Salary+genefits $34,230 $34,230 3. Life Skills (outside of case management) $0 4. Alcohol and Drug Abuse Services $0 5. Mental Health and Counseling Services $0 6. HIV /AIDS Services $0 7. Health Related and Home Health Services $0 8. Education and Instruction $0 9. Employment Services $0 10. Child Care $0 11. Transportation $0 Exhibit 2 Page 37 09/27/2011 Applicant: St. Matthew's House, Inc. Project: Wolfe Apartments 831093653 043073 13. Other (must specify) $0 $0 $0 14. Total SHP dollars requested $34,230 $34,230 15.Cash Match $8,560 $8,560 16.Total SHP Supportive Services Budget $42,790 $42,790 17.0ther resources (cash and in -kind) $p Exhibit 2 Page 38 1 09/27/2011 Applicant: St. Matthew's House, Inc. Project: Wolfe Apartments Supportive Housing Program (SHP) Summary Budget The following information summarizes the SHP funding request and the available cash match for the total term of the project. However, the appropriate amount of administrative costs must be entered in the field below. Please make sure that the budget amounts requested for all renewal projects correspond to the budget amounts on Grant Inventory Worksheet. Selected Grant Term 1 Year 831093653 043073 SHP Activities SHP Dollars Request Cash Match Totals 1. Acquisition $0 $0 $0 2. Rehabilitation $0 $0 $0 3. New Construction $0 $0 $0 4. Subtotal (Lines 1 - 3) $0 $0 $0 $0 $0 5. Real Property Leasing From Leasing Budget Chart 6. Supportive Services From Supportive Services Budget Chart $34,230 $8,560 $42,790 7. Operations From Operating Budget Chart $73,500 $25,975 $99,475 8. HMIS From HMIS Budget Chart $0 $0 $0 9. SHP Request (Subtotal lines 4-8) $107,730 10. Administrative Costs (Up to 5% of line 9) $5,386 Total SHP Request (Total lines 9 and 10) Total Cash Match Total Budget (Total SHP Request + Total Cash Match) $113,116 $34,535 $147,651 Exhibit 2 Page 39 1 09/27/2011 Applicant: St. Matthew's House, Inc. Project: Wolfe Apartments 8A. Attachment(s) Instructions 1601 1. Sponsor Nonprofit Documentation - Documentation of the sponsor's nonprofit status must be uploaded, if the applicant and project sponsor are different entities, and the sponsor is a nonprofit organization. 2. PHA Certification - Non -PHA Applicants for S +C SRO and Section 8 SRO projects must submit a signed and dated letter from an authorized representative of the local PHA certify that the Applicant is authorized to act on behalf of the PHA. Applicant is authorized to act on behalf of the PHA. 3. Other Attachment(s) - Attach any additional information supporting the project funding request. Use a zip file to attach multiple documents. 831093653 043073 Document Type Required? Document Description Date Attached 1. Sponsor Nonprofit Documentation No 2. PHA Certification Letter No 3. Other Attachment No Exhibit 2 Page 40 09/27/2011 1601 Applicant: St. Matthew's House, Inc. Project: Wolfe Apartments Attachment Details Document Description: Attachment Details Document Description: Attachment Details Document Description: Exhibit 2 Page 41 09/27/2011 831093653 043073 Applicant: St. Matthew's House, Inc. Project: Wolfe Apartments 8B. Certification 16D 1 A. For the Supportive Housing (SHP), Shelter Plus Care (S +C), and Single Room Occupancy (SRO) programs: Fair Housing and Equal Opportunity It will comply with Title VI of the Civil Rights Act of 1964 (42 U.S.C. 2000(d)) and regulations pursuant thereto (Title 24 CFR part 1), which state that no person in the United States shall, on the ground of race, color or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under any program or activity for which the applicant receives Federal financial assistance, and will immediately take any measures necessary to effectuate this agreement. With reference to the real property and structure(s) thereon which are provided or improved with the aid of Federal financial assistance extended to the applicant, this assurance shall obligate the applicant, or in the case of any transfer, transferee, for the period during which the real property and structure(s) are used for a purpose for which the Federal financial assistance is extended or for another purpose involving the provision of similar services or benefits. It will comply with the Fair Housing Act (42 U.S.C. 3601 -19), as amended, and with implementing regulations at 24 CFR part 100, which prohibit discrimination in housing on the basis of race, color, religion, sex, disability, familial status or national origin. It will comply with Executive Order 11063 on Equal Opportunity in Housing and with implementing regulations at 24 CFR Part 107 which prohibit discrimination because of race, color, creed, sex or national origin in housing and related facilities provided with Federal financial assistance. It will comply with Executive Order 11246 and all regulations pursuant thereto (41 CFR Chapter 60 -1), which state that no person shall be discriminated against on the basis of race, color, religion, sex or national origin in all phases of employment during the performance of Federal contracts and shall take affirmative action to ensure equal employment opportunity. The applicant will incorporate, or cause to be incorporated, into any contract for construction work as defined in Section 130.5 of HUD regulations the equal opportunity clause required by Section 130.15(b) of the HUD regulations. It will comply with Section 3 of the Housing and Urban Development Act of 1968, as amended (12 U.S.C. 1701(u)) and regulations pursuant thereto (24 CFR Part 135), which require that to the greatest extent feasible opportunities for training and employment be given to lower- income residents of the project and contracts for work in connection with the project be awarded in substantial part to persons residing in the area of the project. It will comply with Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. 794), as amended, and with implementing regulations at 24 CFR Part 8, which prohibit discrimination based on disability in Federally- assisted and conducted programs and activities. It will comply with the Age Discrimination Act of 1975 (42 U.S.C. 6101 -07), as amended, and implementing regulations at 24 CFR Part 146, which prohibit discrimination because of age in projects and activities receiving Federal financial assistance. It will comply with Executive Orders 11625, 12432, and 12138, which state that program participants shall take affirmative action to encourage participation by businesses owned and operated by members of minority groups and women. Exhibit 2 Page 42 09/27/2011 831093653 043073 Applicant: St. Matthew's House, Inc. Project: Wolfe Apartments 1601 831093653 If persons of any particular race, color, religion, sex, age, national origin, familial status, or disability who may qualify for assistance are unlikely to be reached, it will establish additional procedures to ensure that interested persons can obtain information concerning the assistance. It will comply with the reasonable modification and accommodation requirements and, as appropriate, the accessibility requirements of the Fair Housing Act and section 504 of the Rehabilitation Act of 1973, as amended. Additional for S +C: If applicant has established a preference for targeted populations of disabled persons pursuant to 24 CFR 582.330(a), it will comply with this section's nondiscrimination requirements within the designated population. B. For SHP Only. 20 -Year Operation Rule. For applicants receiving assistance for acquisition, rehabilitation or new construction: The project will be operated for no less than 20 years from the date of initial occupancy or the date of initial service provision for the purpose specified in the application. 1 -Year Operation Rule. For applicants receiving assistance for supportive services, leasing, or operating costs but not receiving assistance for acquisition, rehabilitation, or new construction: The project will be operated for the purpose specified in the application for any year for which such assistance is provided. C. For S +C Only. Supportive Services. It will make available supportive services appropriate to the needs of the population served and equal in value to the aggregate amount of rental assistance funded by HUD for the full term of the rental assistance. D. Explanation. Where the applicant is unable to certify to any of the statements in this certification, such applicant shall attach an explanation behind this page. Name of Authorized Certifying Official Thomas Van Tassel Date: 09/27/2011 Title: Property Manager Applicant Organization: St. Matthew's House, Inc. PHA Number (For PHA Applicants Only): I certify that I have been duly authorized by X the applicant to submit this Applicant Certification and to ensure compliance. I am aware that any false, ficticious, or fraudulent statements or claims may subject me to criminal, civil, or administrative penalties. (U.S. Code, Title 218, Section 1001). Exhibit 2 Page 43 09/27/2011 043073