WIXLIB

City of PatersonJeffery Jones, MayorCriteria for Development/Rehabilitation Activity Applications: Project readiness – The ability of the applicant to obligate and spend funds within thedeadlines required by CDBG and City guidelines. Affordability – Extent to which project will serve extremely low and very low-incomeresidents. Leveraging of other funds – Extent to which CDBG funds will serve as “gap” financing usedto leverage private or non-city funds. Past experience – applicant’s past experience with federally-funded programs as well asexperience managing affordable housing programs and facility development of the typeproposed here. Policy contribution – Extent to which proposals support the priorities included in the City’sConsolidated and Annual Action Plans and other City policy goals including employmentopportunities for low-income residents, participation of Local Small Disadvantaged BusinessEnterprises, and sustainable development/green building practices. Points by Population Type (separate scoring for: large families, special needs housing,transitional housing, and SRO/studio apartments).General Application GuidelinesApplicants should adhere to the following general guidelines for preparing the application forCDBG funding. The application should be submitted with the required content and in the formatrequested.1)Submit one (1) original and four (4) copies of the entire application package. The entirepackage must be TYPED and UNBOUND on 8.5” x 11” standard paper. Do not submit anydocument that is handwritten, bound (including staples, folders, spiral, or flat spines), onglossy, colored, heavy grade, or legal paper. Documents submitted in an inappropriateformat will not be transferred to the review committee or evaluated.2)Proposals must address the items specified in the Proposal Narrative section and must beorganized exactly as specified in the Application Content, Format, and Order section.Proposals that have incomplete responses to questions or which are improperly organizedwill lose points in the evaluation process in accordance with the corresponding EvaluationCriteria.PY 2012-2013 CDBG APPLICATION6

City of PatersonJeffery Jones, Mayor3)Submit only the documents specified in the Required Documentation sections. Do notsubmit annual proposals, video tapes, flyers, paraphernalia, or any other materials notrequested at this time. Additional materials will not contribute to the evaluation process andwill be discarded.4)Submit ALL DOCUMENTATION requested. Before applications are considered, they must becomplete. A complete application includes ALL requested forms and documentation.Applications that are missing any required documentation will not be transferred to thereview committee or evaluated.5)Submit one (1) complete proposal package for each funding request. Organizations applyingfor funding in more than one priority area should submit a separate application for eachproject. Copies of all requested forms and documentation should be included in eachapplication. Organizations submitting applications for other entitlement programs, i.e. theEmergency Shelter Grant (ESG), Housing Opportunities for Persons with AIDS (HOPWA),and/or the HOME Investment Partnerships Program(s) should complete the application forthat program. The contents and requirements outlined in this application are ONLY forparticipants who intend to solicit financial support under the Community Development BlockGrant (CDBG) program.6)Submit proposals to the Department of Community Development, Office of the Director, 125Ellison Street, 2nd Floor, Paterson, New Jersey 07505. Proposals will only be accepted ifreceived at the above address on or before 12:00 p.m. on Monday, January 16, 2012.Do not deliver proposals to any other office or staff person of the City of Paterson, includingthe Division of Housing, Division of Economic Development, Department of Health andHuman Services, Department of Police, the Office of the Mayor and Agencies, or the Officeof the Business Administrator. Proposals submitted after the deadline and/or delivered toany office other than the Department of Community Development will not be accepted orreviewed.The Department of Community Development reserves the right to request additional informationor documentation not specified in this Request for Proposals at any stage during the process.Applicants will be expected to respond and comply with any additional requests in a timelymanner.Application Content, Format, and OrderThis CDBG Application is divided into three (3) parts: (1) Application Cover Sheet; (2) ApplicationForm; and (3) Proposal Narrative(s). A complete application should include the items listed belowas indicated, in the order, and within the page limits specified.Part 1: Application Cover Sheet (all applicants)PY 2012-2013 CDBG APPLICATION7

City of PatersonJeffery Jones, MayorPart 2: Application Form (all applicants as specified)o Section One – Organization Profileo Section Two – Financial Summaryo Section Three – Scope of Services Attachment 1 – Budget/Cost Categories and Elements of Cost Attachment 2 – Costs Summary Attachment 3 – Schedule A. Personnel Costs Attachment 4 – Schedule B. Consultant Services Costs Attachment 5 – Schedule C. Other Cost Categories Work Write-up Photographs Architectural Drawings Cost Estimates and Timeline Lease Requirementso Section Four – Project Description and Request Data (development applicants only)Part 3: Proposal NarrativesFor Public Service Applicants:o Section One – Organization SummaryPart A. Agency BackgroundPart B. Current Programs and ActivitiesPart C. Statement of AchievementsPart D. Organizational Staffing Qualificationso Section Two – Project SummaryPart A. Need Addressed by the Proposed ProjectPart B. Project GoalsPart C. Project Implementation StrategiesPart D. Specific Collaboration StrategiesPart E. Project OutcomesPart F. Methods of Evaluating Project EffectivenessPart G. Major Barriers to Service DeliveryPart H. Description of Project Staff QualificationsFor Development/Rehabilitation Applicants:o Section One – Developer Information Narrativeo Section Two – Project Description and Request Data Narrativeo Section Three – Site Details Proof of Ownershipo Section Four – Environmental RemediationPY 2012-2013 CDBG APPLICATION8

City of PatersonJeffery Jones, Mayor Lead Paint Report Phase One environmental assessmento Section Five – Development Timeline Development Timeline Approvals/Certificateso Appendix 1 Leveraging of Non-City Funds Phased Sources Development Budget Standard Operating Budget Pre-Development Costs Organization Operating Budget (must specify revenues and budgetedexpenditures for FY 2010) Organization Funding Sources (list) Any required approvals including variance application or approval, parkingvariance application or approval, lot merger, or subdivision application orapprovalNOTE- Respondents should organize the Proposal Narrative exactly as described above with thecorresponding title pages described herein. The Proposal Narrative should have section dividerpages, each placed in front of the corresponding section with the title of that section typed atthe top of the page (e.g., Section One – Organization Summary). No other text should be typedon the section divider page. Please complete, use, and submit the fillable forms whereapplicable. All pages of the Proposal Narrative must be numbered. Appendix 2, ProposalNarrative Guide provides additional details on the content that applicants should address ineach subpart of the narrative Appendix 4 - Required City of Paterson Forms* These documents MUST BE NOTARIZED AND/OR INCLUDE THE CORPORATION SEALDeclarationCounterterrorism Compliance FormDisclosure Statement for Nonprofit Sub-recipients (Nonprofits only)Non-Collusion AffidavitStockholder Disclosure Certification (For profit organizations only)Hold Harmless AgreementCertificate of Compliance with NJ Charitable Registration Act (Nonprofits only)Certification of Compliance with Executive Order on Pay to Play Reform (For profitorganizations only)o Paterson Political Contribution Disclosure Form (For profit organizations only)oooooooo Required Documents for All ProposalsPY 2012-2013 CDBG APPLICATION9

City of PatersonJeffery Jones, Mayoro Organization Documents: Articles of Incorporation/By-laws: Documents should include names of boardmembers, officers, and date agency was incorporated. NOTE: On a separatesheet of paper attached to the end of the incorporation documents, the agencymust provide a list of the names, phone numbers, and addresses of allindividuals who are authorized to sign official papers and documents on behalf ofthe organization. Audit Report and Financials: Applicants are required to submit a 2009 FinancialAudit or 2009 IRS Form 990 along with Certified Financial Statements. NOTE:Audit report and financial statements may not have an end date prior toDecember 31, 2010. Annual Report: Applicants are required to submit a 2009 Annual Report. NOTE:Audit report and financial statements may not have an end date prior toDecember 31, 2010. Proof of IRS Status Determination Letter: Legal documentation listing the IRSstatus of the firm or agency. State of New Jersey Business Registration Certificate (For-profit organizationsonly)PY 2012-2013 CDBG APPLICATION10

City of PatersonJeffery Jones, MayorAdditional Requirements for Development/Rehabilitation ContractorsIf the organization is selected as a sub-recipient under a Development/Rehabilitation category,the organization must comply with the following:A. Davis Bacon and Prevailing Wages – The General Contractor is responsible for fullcompliance with the requirements of Davis Bacon/Prevailing Wage laws for allcontractors, subcontractors, and any lower-tier subcontractors as provided by the DavisBacon Wage Determinations established by the U.S. Department of Labor (provided bythe Division of Housing Assistance).B. Affirmative Action Compliance – Prior to the Order to Proceed, the sub-recipient needs tocomplete the required paperwork to ensure that the contractors and/or itssubcontractors meet the compliance requirements for affirmative action.C. Authorization – Submission of a list of all persons authorized to make signatorydecisions on behalf of the sub-recipient organization.D. Reporting – To ensure compliance, the non-profit must submit a concise monthly report.For projects involving residential rehabilitation or public facilities construction/renovation, the report must follow the format provided by a form from the Division ofHousing Assistance. HUD Form 60002: Section 3 Summary Report must also besubmitted monthly along with the reports.E. Timely completion – Recipients under contract to receive CDBG funds must completeproject work within time specified in the contract unless an extension is obtained fromthe City. Failure to complete project work in the absence of an extension may begrounds, at the City’s discretion, for cancellation of the contract.Special Provisions for All Awarded ProposalsA. Letter from NJ Attorney General Confirming Charitable RegistrationIf a nonprofit organization is selected as a sub-recipient, the nonprofit organization isrequired to provide a copy of the Letter issued by the State of New Jersey AttorneyGeneral confirming charitable registration.B. Certificate of Insurance (Required Coverage and Endorsement)If the organization is selected as a sub-recipient, the organization becomes a vendor andmust provide a certificate of insurance from an insurer with a Best’s rating of no lessthan A- indicating compliance with the required coverage to the City of Paterson. TheVENDOR must notify the CITY immediately, of any material change in insurancecoverage, such as changes in limits, coverage, change in status of policy, etc. As part ofPY 2012-2013 CDBG APPLICATION11

City of PatersonJeffery Jones, Mayorthe certificate of insurance submission a broad endorsement form/additional insuredendorsement form that lists the City of Paterson as additional ensured must also beincluded (see Appendix 6 for an example of the form). The CITY reserves the right torequire complete copies of insurance policies at all times.a. General Requirements: The VENDOR shall maintain for the duration of the contracts,at its cost and expense, insurance against claims for injuries to persons or damagesto property, including contractual liability, which may arise from or in connection withthe performance of the work by the VENDOR, it agents, employees, representatives,assigns or subcontractors. This insurance shall cover such claims as may be causedby any negligent act or omission and shall be in the amounts of 1,000,000 peroccurrence and 2,000,000 aggregate.b. Primary Insurance: The VENDOR’S insurance coverage shall be primary insurance asrespect to the CITY, its officers, officials, employees, agents, and representativesshall apply separately to each project or location. Any insurance or self-insurancemaintained by the CITY, its officers, officials, employees or volunteers shall be excessof the VENDOR’S insurance and shall not contribute with it.c. Workers Compensation Insurance: The VENDOR shall maintain for the duration ofthe contract, at its cost and expense, Workers Compensation Insurance in thestatutory amounts pursuant to N.J.S.A. 34 et seq.d. Additional Insured Status: The CITY must be listed as additional insured for liabilityarising out of activities performed by or on behalf of the VENDOR. As part of thecertificate of insurance submission a broad endorsement form/additional insuredendorsement form that lists the City of Paterson as additional ensured must also beincluded.e. Special Conditions: The insurer must indicate on the Certificate of Insurance that itagrees to defend, indemnify, and hold harmless the City of Paterson, NJ its agents,servants, and administrators from any and all complaints arising out of work orduties to be performed under this contract between the City of Paterson and theVENDOR.f. Amounts: All insurance shall be written up for the following limits of liability:Bodily Injury Liability Insurance: 1,000,000.00 each person 1,000,000.00 each occurrenceProperty Damage Liability Insurance: 1,000,000.00 each person 1,000,000.00 each occurrenceProfessional Liability:PY 2012-2013 CDBG APPLICATION 1,000,000.0012

City of PatersonJeffery Jones, MayorSubmission DeadlineInterested nonprofits must hand deliver or postmark application responses by the January 16,2012 deadline to be considered for funding under the City’s 2012 Annual Action Plan.One (1) original and four (4) copies of typed proposals on 8.5” x 11” paper must be postmarkedor hand-delivered no later than 12:00 pm on Monday, January 16, 2012.Applications must (only) be addressed or hand-delivered to:Lanisha D. Makle, DirectorCity of PatersonDepartment of Community Development125 Ellison Street, 2nd FloorPaterson, New Jersey 07505Failure to meet the submission deadline (no later than 12:00 pm on Monday, January 16,2012) and submission of all required documentation shall preclude a proposal fromconsideration by the City of Paterson.PY 2012-2013 CDBG APPLICATION13

City of PatersonJeffery Jones, MayorCITY OF PATERSON – REQUEST FOR PROPOSALSPY 2012 – 2013 HUD ENTITLEMENT PROGRAMSCOMMUNITY DEVELOPMENT BLOCK GRANT (CDBG)PART 1 - APPLICATION COVER SHEETPROPOSED ACTIVITYCity of Paterson CDBG Funding Priority Activities: (Check One)Public Services (Various)Public Facilities Development/RehabilitationAddress of Proposed Activity/ProjectDescription of Proposed ActivityAmount Requested for ActivityPROJECT SUB-GRANTEE/SPONSORApplicant Organization (Full Legal Name)Doing Business AsExecutive DirectorProposal Contact NameProposal Contact TitleProposal Contact Street AddressCity, State, Zip CodeProposal Contact PhoneProposal Contact FaxProposal Contact EmailI certify the information contained in this proposal is true and accurate. I further understand material omission orfalse information contained in this proposal constitutes grounds for disqualification of the proposer (s) and thisproposal.Authorized Signature DateTyped NamePY 2012-2013 CDBG APPLICATION14

City of PatersonJeffery Jones, MayorCITY OF PATERSON – REQUEST FOR PROPOSALSPY 2012 – 2013 HUD ENTITLEMENT PROGRAMSCOMMUNITY DEVELOPMENT BLOCK GRANT (CDBG)PART 2 - APPLICATION FORMSECTION ONE – PART A: APPLICANT/ORGANIZATION PROFILEApplicant Organization (Full Legal Name)Applicant (Full Legal Name)Street AddressCity, State, Zip CodePhoneFaxWebsiteEmail AddressMailing Address (If different than above)City, State, Zip CodeType of Entity (check one):For ProfitNonprofitCorporationLLCJoint VentureAssociationNumber of Years in OperationTax Exempt ID #Date of IRS Determination LetterDUNS NumberWomen owned/headed organizationYESNOMinority owned/headed organizationYESNONumber of minority staff membersPY 2012-2013 CDBG APPLICATION15

City of PatersonJeffery Jones, MayorSECTION ONE – PART B: DEVELOPER INFORMATION(for development/rehabilitation projects only)Development Entity NameDevelopment Entity ContactStreet AddressCity, State, Zip CodePhoneFaxWebsiteMailing Address (If different than above)City, State, Zip CodeNumber of Years in OperationType of Entity (check one):For ProfitNonprofitCorporationLLCJoint VentureAssociationProject Management Entity NameProject Management Entity ContactStreet AddressCity, State, Zip CodePhoneFaxAre there any partnerships or interlockingdirectorships among any of the parties orentities listed as members of thedevelopment team? If so, please identify:PY 2012-2013 CDBG APPLICATION16

City of PatersonJeffery Jones, MayorSECTION TWO – FINANCIAL INFORMATION(for public service applicants only)Name of Accountant (if applicable)Street AddressCity, State, Zip CodeAccountant Phone NumberTotal for Organization’s Operating Budget forFY 2010Total Major Funding Sources2009 Financial Audit complete?YesDates covered by Financial AuditFrom:2009 Annual Report complete?YesDates covered by Annual ReportFrom:2009 IRS Form 990 complete?YesNoTo:Completed:To:Completed:NoList Other Sources of Funding or Permanent Financing (ifdevelopment/rehabilitation activities are selected).NoList Funding Amount1.2.3.4.5.6.7.8.9.10.PY 2012-2013 CDBG APPLICATION17

City of PatersonJeffery Jones, MayorSECTION TWO – FINANCIAL INFORMATION(for development/rehabilitation applicants only)Name of Accountant (if applicable)AddressCity, State, Zip CodePhoneAmount of (CDBG) RequestFunds per Assisted Unit/facilityTotal Project CostCost Per Unit/Bed (if applicable)Other Sources ofPermanent Financing(check all that apply):9% Low-Income Housing Tax Credits4% Low-Income Housing Tax CreditsNJHMFA BondsConventional LenderTax-Exempt Multifamily BondsState HOME/CDBG FundsOther, please specify:Please complete the attached documents and place directly after this section (See Appendix 1 for worksheets): “Levering of Non-City Funds” “Phased Sources” worksheet “Development Budget” worksheet “Operating Budget” worksheet “Pre-Development Costs” worksheetPlease attach a Sources-by-Uses matrix to the application.AUDIT INFORMATION:A. Explain any findings or concerns cited in the Sponsor’s prior three years’ Audited FinancialStatements or accompanying management letters.B. Describe actions t

the William Paterson University Non-Profit Certification Program can be obtained from William Paterson University, Department of Continuing and Professional Education at (973) 720-2354. Evaluation Considerations The process for reviewing CDBG proposals is designed to increase efficiency and standardize the evaluation of proposals.