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CM-07-06-102Certification of Consistency with the Consolidated Plan U.S. Department of Housing and Urban Development crrtify that the proposed activities/projects nt plicate!: lit consistent with the jurisdiction's current. approved Consolidated Plan, lyptt or clearly print the following infornuition:) A ppl ;cant Na Project Name: A Willie of. of the Proe41: Williamson County,Texas o•zniton j a e Program Name of the Federal Program to which the . ContmuumofCare Homeless Assistance Program . . applicant is applying: ___, Name or Ccritlyiisg °pun"°Crs- Certifying of the Jurisdiction Name: James R N Signature: Williamson County Leasing Assistance Program Executive Summary Williamson County is one of the fastest growing counties in the nation and encompasses over 1100 square miles. In 2005, the population was estimated to be 333,457 people. Williamson County is home to large urban cities such as Round Rock (pop. 84,952) and small rural communities such as Weir (pop. 637), and this extraordinary mix of communities brings with it unique issues with regards to homelessness. Historically, Williamson County has a small town facade. However, significant population growth over the past ten years has left the local towns desperately attempting to keep up with the increasing pace of the area. Williamson County was the 12th fastest growing county in the United States, with a 21.5% increase in population, from 2000 to 2003. Williamson County in 2004 was also home to four of the one hundred fastest growing cities in U.S. • #5: Leander +53.5% • #7: Cedar Park +45% • #65: Round Rock +20.8% • #97: Georgetown +16.9 The City of Georgetown serves as the County seat and is centrally located within the County boundaries. The southern half of the County represents a bustling urban area with plenty of high tech and other business and education opportunities. The eastern part of the County is comprised of multi-ethnic and multi -cultural communities. The western part of the County is comprised of several fast growing rural communities where new construction has become a way of life, and the northern portion of the County is largely rural but contains pockets of significant small town growth. With regard to housing, the prospects for affordable housing are discouraging. Currently, there is a surplus in rental stock. However, this is not true when looking specifically at affordable housing units. Continued economic growth in the area indicates rising rental costs in a community where renters already cannot afford decent housing at fair market rent. Lack of affordable housing is particularly worrisome as the number of low- to moderate income households in this community continues to increase with the rise in service sector jobs. With the demand for affordable housing, pressures will persist in outstripping supply. This trend can only lead to increased numbers of households living in cost burdened, overcrowded and/or substandard housing, or homeless. The elderly, disabled and lower income smaller family households indicate a significant proportion of cost burdened housing problems and lower income larger family households show overcrowding. Public Housing Authorities (PHAs) within the County routinely experience waiting lists for Section 8 or public housing apartments, some waiting lists up to three years long. The inability to accurately determine the status of available units is a high priority for local PHAs. None of the PHAs in the county have any type of emergency housing or preference for those households that are homeless. Numerous social and public services needs have been identified to address social and public services which includes collaborating with partners, local social service organizations and other entities to: • Provide job training services to residents of the County, • Provide support for youth program services • Promote and increase the number of county support programs that provide support Local efforts directed at the development of a transportation program to support senior citizens and employment and training in the un -served areas of the County • Support and enhance where possible life skills training programs offered through Williamson County • Collaborate with mental health care providers to increase access to services persons residing in unincorporated • Support those entities that support fair housing counseling • Support those entities that can increase the amount of affordable housing in the County The unprecedented growth and the mix of rural and urban cities have fostered the necessity for a collaborative approach to addressing public services needs throughout the county. Based on this model, the Georgetown Housing Authority (GHA), a member of the Austin/ Travis County Continuum of Care, has partnered with other members of the Williamson County Homeless Task Force to create the Williamson County Leasing Assistance Program (WCLAP). WCLAP is a transitional housing program, created to suit the continually growing homeless population in Williamson County. It is designed to assist homeless families and individuals throughout the county, regardless of the geographic area. The WCLAP is modeled after the Housing Choice Voucher Program, a program funded by the Department of Housing and Urban Development which provides rental assistance to lower-income families for privately owned rental units. However, the WCLAP includes a case -management component that will allow households to receive the life skills necessary to live independently after the housing assistance is over. As the lead applicant for the 2007 Continuum of Care grant funds, the Georgetown Housing Authority (GHA) will apply for the $190,200 for use for transitional rental assistance for individuals and/or families within Williamson County. GHA will administer the funds through its main office in Georgetown. Participating services organizations (PSOs) in the WCLAP will be able to use the funds for rental assistance for homeless individuals and/or families in their programs for up to two years. The rental assistance will pay 100% of rent for the first twelve months. For the second twelve months, the individual/ family will pay 25% of their income towards their rent, and WCLAP will pay the remainder. The PSOs play a vital role in the WCLAP by providing the services and case management to each household to assist them in acquiring the skills, education, employment and permanent housing necessary to become self-sufficient. There will be one lead PSO in each geographic area in Williamson County. North and Central Williamson County — The Caring Place East Williamson County — The Interagency Support Council of East Williamson County West Williamson County — WBCO, Inc. South Williamson County — Round Rock Serving Center In addition, the Hope Alliance will be the Lead PSO for homeless individuals and families who have been victims of domestic violence or sexual assault. Each lead PSO will be the point of entry for the WCLAP program. Individuals and families will be referred to the lead PSO in there area for initial determination of eligibility. The PSO will determine if the family is eligible for the WCLAP program and forward the family to GHA for final eligibility. GHA will perform the screening for the family and if the family is eligible, will inform the PSO. The PSO is then responsible for assisting the family with locating a unit. When a suitable unit is located, the GHA will inspect the unit and insure that the home meets federal standards for livability. GHA, the family and the landlord will sign a rental contract for twelve months. The PSO will provide the family with case -management services and assistance to ensure that the family has access to all the things necessary to become self-sufficient within twenty four months, and the PSO will aid the family in transitioning to more permanent housing. Units subsidized under the WCLAP will be private units within each community, or units already designated for transitional housing through a PSO. The WCLAP will provide rents for units based on the fair market rents in the area, as verified by GHA. Landlords will be required to sign a twelve month lease with the tenant and GHA, and will be required to maintain the units according to Uniform Condition Standards protocol. GHA will inspect the units every six months to ensure that the tenants are maintaining the units in accordance to the lease contract. Each lead PSO will be responsible for working with the individuals and families assisted in the program and helping them transition to more permanent housing. The first requirement of the family will be applying for permanent housing through a local Housing Authority or other housing provider. The PSO will also work with the family to create a service plan which will outline the steps the family will take over a period no longer than twenty-four months to move from transitional housing to permanent housing and to become self-sufficient. The PSOs will help the family apply for basic assistance programs and other community programs and help empower the family to live independently after their exit from the program. PSOs will meet at least every other month to review the progress of the families in the program and to work collectively to address barriers the PSO and participating family may be facing. This will ensure that if a family in one geographic area is lacking in services, a PSO in another area may be able to provide assistance or referrals. WCLAP housing will be set up as an interim stay for veterans with disabling conditions. During their stay in transitional housing, the case manager will advocate for the client to receive SSI or SSDI, medical care and ensure they are placed on the waiting lists for more permanent supportive housing. Referrals will be made to the Texas Rehabilitation Commission as appropriate. Any and all resources will be contacted to encourage involvement or support with residents for the purpose of improving their quality of life during their stay in transitional housing, and after their discharge into a more permanent residence. The program will include: 1) Criteria to determine eligible individuals/ families 2) Referral mechanisms so that each PSO with the WCHTF can refer an individual or family to GHA for possible assistance 3) Commitment of services and case -management from each PO to assist referred individuals in becoming self-sufficient and no longer dependent on the transitional rental assistance 4) Commitments from landlords to rent to eligible individuals and families and receive the rent subsidy from GHA 5) Commitment from GHA that they will inspect the units, ensure that rents meet affordability guidelines and all other items required for the application and administration of the funds 6) Commitments from every member of the WCHTF that they will meet at least on a quarterly basis and share services to ensure that each participating individual or family has access to all the services necessary to become self-sufficient and move to permanent housing within two years Several of the PSOs already possess some sort of transitional housing program, but the efforts have been individualized to the different regions of the county and sporadic, at best. The WCLAP will provide a centralized administrative point for administering the grant, and the Homeless Task Force will aid PSOs in linking various services and resources to ensure that households will be able to access and receive all the assistance they need. Each PSO has committed services and resources for the WCLAP, exceeding a 200% leveraging match as evidence of their commitment to this project. The goal of the WCLAP is to create and maintain a program that addresses the needs of the homeless population throughout Williamson County, while ensuring that assistance is available to families in the entire area. For Williamson County, this is an innovative approach to a regional problem and will lay the foundation for future collaborations to address the growing crisis of homelessness in our county. OMB Approval No. 2506-0112 (exp. 3/31/10) Exhibit 2: HUD Homeless Programs Project Application U.S. Department of Housing and Urban Development Office of Community Planning and Development OMB Approval No. 2506-0112 (exp. 3/31/10) The information collection requirements contained in this application have been submitted to the Office of Management and Budget (OMB) for review under the Paperwork Reduction Act of 1995 (44 U.S.C. 3501-3520). This agency may not collect this information, and you are not required to complete this form, unless it displays a currently valid OMB control number. Information is submitted in accordance with the regulatory authority contained in each program rule. The information will be used to rate applications, determine eligibility, and establish grant amounts. Selection of applications for funding under the Continuum of Care Homeless Assistance are based on rating factors listed in the Notice of Fund Availability (NOFA), which is published each year to announce the Continuum of Care Homeless Assistance funding round. The information collected in the application form will only be collected for specific funding competitions. Public reporting burden for this collection of information is estimated to 30 hours including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. To the extent that any information collected is of a confidential nature, there will be compliance with Privacy Act requirements. However, the Continuum of Care Homeless Assistance application does not request the submission of such information. Warning: HUD will prosecute false claims and statements. Conviction may result in criminal and/or civil penalties. (18 U.S.C. 1001, 1010, 1012; 31 U.S.C. 3729, 3802) Form HUD -40090-2 1 OMB Approval No. 2506-0112 (exp. 3/31/10) Section I: Project Summary Information Part A: General Project Information (All Proiects 1. Project Priority Number (From Project Priority Chart in Exhibit/): Previous Grant Number: 3. If renewal, list previous grant number & project identifier number (PIN): PIN Number: 2. /A New Project ❑ Renewal Project ❑ Check box if project is a p J #1 Priority Samaritan Bonus Project 4. HUD -Defined CoC Name: 5. CoC Number: Austin/ Travis County Continuum of Care TX -503 6. Applicant's Organization Name (Legal Name from SF -424) 8. Applicant's DUNS Number Housing Authority of the City of Georgetown (From SF -424): 7. ❑ Check box if Applicant is a Faith -Based Organization // Check box if Applicant has ever received a federal grant, either directly from 78-222-9942 a federal agency or through a state/local agency 9. Project Applicant's Address (From SF -424) 10. Applicant's Employer Street: P. O. Box 60 Identification Number (EIN) (From City: Georgetown State: TX Zip: 78627 SF -424): 74-1536934 11. Contact person of Project Applicant: (From SF -424) ' Name: Naomi C. Walker Phone number: 512.863.5565 12../ Check box if Project Title: Executive Director Fax number: 512.869.3475 Applicant is the same as Project Email Address: Sponsor naomi@georgetownha.org 13. Project Name: 14. Project's location 6 -digit Williamson County Leasing Assistance Program Geographic Code: 489491 15. Project Address (S+C SRAs, if multiple sites list all addresses including): Street: P. O. Box 60 18. ./ Check box if Energy Star is used in this project City: Georgetown State: TX Zip: 78627 19. Project Congressional District(s): 16. ❑ Check box if project is located in a Rural Area 17. If project contains housing units, are these units: / / Leased? ❑ Owned? 31 20. Project Sponsor's Organization Name (If different from Applicant) 22. Sponsor's DUNS Number: 21. ❑ Check box if Project Sponsor is a Faith -Based Organization ❑ Check box if Project Sponsor has ever received a federal grant, either directly from a federal agency or through a state/local agency 23. Project Sponsor's Address (if different from Applicant) 24. Sponsor's Employer Street: Identification Number (EIN): City: State: Zip: 25. Contact person of Project Sponsor (if different from Applicant) Name: Phone number: Title: Fax number: Email Address: Form HUD -40090-2 0 OMB Approval No. Pending Part B: Project Summary Budget B1. Supportive Housing Pro ram (SHP) (All SHP Proiects a. SHP Program c. Grant Term* 1 (Check only one box) ❑ 3 Years b. Component Types (Check only one box) / ❑ ❑ ❑ ❑ Safe Haven/TH ❑ M TH PH SSO HMIS ❑ Safe Haven/PH Year 2 Years d. Proposed SHP Activities e. SHP Dollars Request f. Cash Match g. Totals (Col. e + Col. f) 1. Acquisition 2. Rehabilitation 3. New Construction 4. Subtotal (Lines 1 through 3) 5. Real Property Leasing From Leasing Budget Chart $190,200 $190,200 6. Supportive Services From Supportive Services Budget Chart 7. Operations From Operating Budget Chart 8. HMIS From HMIS Budget Chart 9. SHP Request (Subtotal lines 4 through 8) $190,200 Total Cash Match Total Budget (Total SHP Request + Total Cash Match) 10. Administrative Costs (Up to 5% of line 9) 11. Total SHP Request (Total lines 9 and 10) $190,200 $190,200 New projects must be 2 or 3 years, except new HMIS projects and new hold harmless reallocation projects, which can be 1, 2 or 3 years. form IIUD-40090-4 (3/2006) OMB Approval No. Pending Part C: Point in Time Housing and Participants Chart All Proiects Except Dedicated HMIS Proiects 1. Housing Type* (Check all that apply)lb. la. A Multi -family Facility �1 Scattered Site ❑ Single-family ❑ Congregate ❑Project Based 2. Units, Bedrooms, Beds a. Current Level (Point -in -Time) b. New Effort or Change in Effort (If Applicable) c. Projected Level (column a + col. b) Number of Units 40% 11 11 Number of Bedrooms 21 21 Number of Beds 30 30 3. Participants a. Number of Households with Dependent Children 6 6 i. Number of adults 6 6 ii. Number of children 20 20 iii. Number of disabled persons 0 0 b. Number of Households without Dependent Children 5 5 i. Number of disabled persons 2 2 ii. Of all disabled persons, number of chronically homeless 0 0 *Housing Types: Multi -family (apartments, duplexes, SROs, other buildings with 2 or more units); Single-family; Congregate Facility (dormitory, barracks, shared -living). Part D: Targeted Subpopulations (All Projects Except Dedicated HMIS Projects) List the approximate percentages for each homeless subpopulation you expect to serve. If you expect to serve subpopulations that fit more then one category (i.e. Severely Mentally 111 Persons with Chronic Substance Abuse), you may place overlapping approximate percentages on the appropriate lines. If this is a #1 priority project, it must serve 100% chronically homeless persons to receive the Samaritan bonus. 1. Homeless Subpopulations 2. Approximate Percentages (%) Chronically Homeless (as defined by HUD) Severely Mentally 111 15% Chronic Substance Abusers 15% Veterans 30% Persons with HIV/AIDS Victims of Domestic Violence 40% Unaccompanied Youth (Under 18 years of age) form HUD -40090-4 2 (3/2006) OMB Approval No. Pending Part F: Project Leveraging Chart (All Projects) HUD homeless program funding is limited and can provide only a portion of the resources needed to successfully address the needs of homeless families and individuals. HUD encourages applicants to use supplemental resources, including state and local appropriated funds, to address homeless needs. Please be aware that undocumented leveraging claims may result in a re -scoring of your application and possible withdrawal of your conditional award(s). For further instructions for filling out this section, see the Instructions section. Type of Contribution Source of: Contribution Identify Source (G) Government* or (P) Private Date of Written Commitment Value of Written Commitment Example: Child Care CDBG G 2/15/06 $10,000 Client intake, initial assessment; case management; basic needs including food, clothing, medical services, and assistance with utilities The Caring Place P 5/8/07 $30,000 Administrative support and collaborative assistance United Way of Williamson County P 5/8/07 $4,495 Basic needs including food, clothing, medical assistance, and assistance with utilities, gasoline, and transportation Round Rock Serving Center P 5/8/07 $32,560 Chemical dependency assessments and referrals to appropriate resources; participation in prevention programs; short- term intervention counseling LifeSteps P 5/8/07 $2,500 Primary health care services Lone Star Circle of Care P 5/8/07 $33,350 Client intake and initial assessment; case management; basic needs including food, clothing, medical services, and assistance with utilities Interagency Support Council of East Williamson County P/ G 5/8/07 $52,400 Client intake and initial assessment; case management; basic needs including food, clothing, medical services, and assistance with utilities and deposits; legal advocacy; counseling Hope Alliance P/ G 5/8/07 $55,962 Client intake, initial assessment; case management; basic needs including food, clothing, medical services, and assistance with utilities WBCO, Inc. P/ G 5/8/07 $15,600 Basic needs including food, clothing, medical assistance, and assistance with utilities, gasoline, and transportation Hill Country Community Ministrie P 5/8/07 $30,000 Counseling, mental health assessments and case management services Williamson County Mobile Outreach G 5/8/07 $6,240 Job assistance, information and referral services Rural Capital Area Workforce Development Board G 5/8/07 $61,655 Administration of the SHP program; unit inspections; participation in HMIS and all associated costs Georgetown Housing Authority G 5/8/07 $57,250 *Government sources are appropriated dollars. TOTAL: $ 382,012 form HUD -40090-4 3 (3/2006) OMB Approval No. Pending Part G: Project Participation and Data Coverage in Homeless Management Information System (HMIS) (All Projects Except Dedicated HMIS Projects) 1. Is this project providing client level data to upload/integration at least annually? ❑ Yes the HMIS either through direct data entry or data /1 No a. If no, when does the project anticipate providing client level data to the HMIS? If not applicable, briefly explain. 06/2008 (mm/yyyy) b. If yes, is the client level data collected on all persons served by the project provided to the HMIS? ❑ Yes ❑ No form HUD -40090-4 4 (3/2006) OMB Approval No. Pending Section II: Project Budgets Part I: SHP Project Budgets (All SHP Projects as Applicable) Il. SHP Leasin e Bud et (All SHP Proiects with Leasin Leased Unit(s) for Housing and/or Services a. Name of metropolitan or non -metropolitan Fair Market Rent (FMR) area: Austin — Round Rock MSA b. New Projects Only, For Renewal Projects, check the appropriate box that relates your rent to the published FMR. skip to items c -g. FMR (PHA approval letter must be attached). (HUD approval letter must be attached)_. 1 1% to 99% of FMR ❑ 100% of FMR ❑ 101% to 110% of ❑ Greater than 110% c. Size of Units d. Number of Units e. HUD Paid Amount f. Number of Months g. Totals SRO 24 = $ 0 Bedroom 3 550 24 = $39,600 1 Bedroom 2 600 24 = $28,800 2 Bedrooms 3 725 24 = $52,200 3 Bedrooms 2 900 24 = $43,200 4 Bedrooms 1 1100 24 = $26,400 5 Bedrooms 24 = $ 6 Bedrooms 24 = $ Other: 24 = $ h. Totals: 11 = $190,200 Leased Structure(s) for Housing and/or Services - No Applicable FMR Structure 1 1 X 1 = $ Address: Street: City: State: Zip: Structure 2 y <_1 x = $ Address: Street: City: State: Zip: form HUD -40090-4 5 (3/2006) OMB Approval No. Pending Section III: New Project Narratives Part K: General Project Narrative Information (All New Projects Except Dedicated HMIS Projects) 1. Provide a general description of the new project. (use less than one-half page). The Georgetown Housing Authority, in partnership with social service organizations throughout Williamson County, will use the SHP funds to provide rental assistance to homeless individuals and families within the Williamson County area. The GHA will administer the program in conjunction with its Housing Choice Voucher program. Participating service organizations (PSOs) will refer eligible individuals to the GHA for possible assistance. GHA will screen the referred individuals using screening criteria modified from the Housing Choice Voucher program. If the individual or family is eligible for assistance and assistance is available, the PSOs will work with the family to locate a suitable rental unit for a term of no longer than 24 months. The PSO will coordinate with the landlord of the unit to ensure that the landlord meets the criteria set forth under the Housing Choice Voucher program. The landlord, the tenant and the GHA will sign a lease contract for a fair market rent. The GHA will subsidize the full amount of rent for the first 12 months. For the second twelve months, the individual or family will be required to pay 25% of their income towards their rent, and GHA will subsidize the remainder. The PSO will be responsible for working with the tenant to ensure that they: 1) Apply for permanent housing assistance in their area 2) Have access to services and funds for basic needs 3) Work to secure employment 4) Counseling and case -management from initial entry into the program and after they locate permanent housing 2. Enter the percentage of homeless participants(s) that will be served (N/A for dedicated HMIS projects): 10% Persons who came from the street or other locations not meant for human habitation.* 60% Persons who came from Emergency Shelters.* 30% Persons in TH who came directly from the street or Emergency Shelters.* 100% Total of above percentages. 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 (use less than one-quarter page). *This includes persons who ordinarily sleep in one of the above places but are spending a short time (30 consecutive days or less) in a jail, hospital, or other institution. 3. Describe the outreach plan to bring these homeless participants into the project. The PSOs will be responsible for referring potentially qualified individuals to the GHA. If a homeless individual or family goes to any Housing Authority, housing provider, or service organization in Williamson County, and that housing provider or service organization is not a participating PSO, the HA or provider will refer the family to the lead PSO in their area. Those lead PSOs will be: form HUD -40090-4 6 (3/2006) OMB Approval No. Pending The Caring Place in Central and North Williamson County WBCO in West Williamson County Interagency Support Council in East Williamson County Round Rock Serving Center in South Williamson County Hope Alliance for Domestic Abuse and Sexual Assault Victims 4. Will basic community amenities (e.g., medical facilities, grocery store, recreation facilities, schools, etc.) be readily accessible (e.g., walking distance, near bus line, etc.) to your clients? 0 Yes, very accessible ❑ Somewhat accessible ❑ Not accessible 5. For transitional housing component only: List the program's maximum allowable length of stay: 24 months 6. For permanent housing for persons with disabilities component where more than 16 persons will reside in a structure: Describe what local market conditions necessitate the development of a project of this size and how the housing will be integrated into the neighborhood. N/A 7. For Shelter Plus Care TRA projects only: N/A Will participants be 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? ❑ Yes ❑ No Explain how and why the project will implement this requirement (use less than one-half page). 8. For Section 8 SRO projects only: N/A a. Describe the rehabilitation proposed for the property and the responsibility you and any other organizations will have in operating and maintaining the property. b. Include a photograph of the building to be assisted with the address (street, city, zip) on the photograph. c. For Non -PHA applicants you must submit a certification letter from the PHA that will administer the rental assistance. Please refer to the instructions for letter content. 9. (SHP ONLY) Will your proposed project use an existing homeless facility or incorporate activities that you are currently providing? r Yes ❑ No If Yes, check one or more of the activities below that describe your proposed project. Facilities that you are currently operating and activities you are currently undertaking to serve homeless persons may only receive SHP funding for the four purposes listed below. My project will: a Increase the number of homeless persons served. ►1 Provide additional supportive services for residents of supportive housing and/or homeless persons not residing in supportive housing. ❑ Bring existing facilities up to a level that meets state and local government health and safety standards. Please explain. ❑ Replace the loss of nonrenewable funding from private, Federal, or other sources (except from the state or local government), which will cease on or before the end of 2008. form HUD -40090-4 7 (3/2006) OMB Approval No. Pending By law, no SHP funds may be used to replace state or local government funds previously used, or designated for use, to assist homeless persons [see 24 CFR 583.150(a)]. If this (fourth) box is checked, you must fully describe the following in order to be eligible for funding: a. The source of the nonrenewable funding, indicating that it is not under the control of the State or local government. b. Why it is nonrenewable. c. When it will cease. d. Document the specific steps you took to obtain other funding, why there are no other sources of funding and why, without the SHP assistance, the activity will cease. Part L: Supportive Services the Participants Will Receive (All New Projects Except Dedicated HMTS Projects) 1. Indicate the type and frequency of the proposed supportive services that would fit the needs of the participants (regardless of the resources that will be used to pay for the services): Supportive Service Daily Weekly Bi -monthly Monthly Other ® Outreach X X X X X /1 Case management X X X X X /1 Life skills (outside of case X X X X X management) L Job training X X X X X 0 Alcohol and Drug Abuse X X Services 0 Mental Health and Counseling X X X Services II HIV/AIDS Services X ►1 Health Related & Home Health X X X X X Services 0 Education and Instruction X X X X X ►1 Employment Services X X X X /1 Child Care X X X X X 1 Transportation X X form HUD -40090-4 8 (3/2006) OMB Approval No. Pending Part M: Accessing Permanent Housing (All New Projects Except Dedicated HMIS Projects) 1. Describe specifically how participants will be assisted both to obtain and also remain in permanent housing. Williamson County encompasses a large geographic area, with both urban and rural cities with populations ranging from several hundred to tens of thousands. Each Participating Service Organization (PSO) will be required to work with the individual or family to obtain permanent housing through one of three methods: 1) For cities with Housing Authorities or other housing providers, the individual or family will be required to submit an application for housing assistance through the Housing Authority or housing provider in their serving area. The Housing Authorities and/or housing providers located in Williamson County are: Georgetown Housing Authority - Georgetown Round Rock Housing Authority - Round Rock Taylor Housing Authority - Taylor Granger Housing Authority - Granger Bartlett Housing Authority — Bartlett WBCO, Inc. - Leander 2) Individuals and families will also be encouraged to apply for affordable housing units throughout Williamson County. In addition to the cities listed above, Cedar Park is home to several affordable housing developments that are available to clients. 3) For cities that don't have an affordable housing provider or developments, clients will work closely with the referring PSO to determine if permanent housing is available and/or accessible in their geographic areas. If there is not housing available, the client will work with the PSO to find a unit close to the supportive services they will most likely be partaking in. Once a family is in permanent housing, they will remain under the case management of the PSO for a minimum of six months to ensure that they remain employed and have access to continued services and assistance. form HUD -40090-4 9 (3/2006) ►1 Transitional Living Services X X X X X /t Other — specify: X X X X X Basic Needs Part M: Accessing Permanent Housing (All New Projects Except Dedicated HMIS Projects) 1. Describe specifically how participants will be assisted both to obtain and also remain in permanent housing. Williamson County encompasses a large geographic area, with both urban and rural cities with populations ranging from several hundred to tens of thousands. Each Participating Service Organization (PSO) will be required to work with the individual or family to obtain permanent housing through one of three methods: 1) For cities with Housing Authorities or other housing providers, the individual or family will be required to submit an application for housing assistance through the Housing Authority or housing provider in their serving area. The Housing Authorities and/or housing providers located in Williamson County are: Georgetown Housing Authority - Georgetown Round Rock Housing Authority - Round Rock Taylor Housing Authority - Taylor Granger Housing Authority - Granger Bartlett Housing Authority — Bartlett WBCO, Inc. - Leander 2) Individuals and families will also be encouraged to apply for affordable housing units throughout Williamson County. In addition to the cities listed above, Cedar Park is home to several affordable housing developments that are available to clients. 3) For cities that don't have an affordable housing provider or developments, clients will work closely with the referring PSO to determine if permanent housing is available and/or accessible in their geographic areas. If there is not housing available, the client will work with the PSO to find a unit close to the supportive services they will most likely be partaking in. Once a family is in permanent housing, they will remain under the case management of the PSO for a minimum of six months to ensure that they remain employed and have access to continued services and assistance. form HUD -40090-4 9 (3/2006) OMB Approval No. Pending Part N: Participant Self -Sufficiency (All New Projects Except Dedicated HMIS Projects) 1. Describe specifically how participants will be assisted both to increase their employment and/or income and to maximize their ability to live independently. Each family will have a sponsoring PSO which will be responsible for ensuring that the family becomes self-sufficient within twenty four months. Each PSO will employ a slightly different method, based on their services. In general, during their stay in transitional housing, the household will be assigned a case manager who will provide a minimum of one home visit per month and individualized case management services for the entire family. These services will include a family centered service plan and discussion of long and short-term goal setting for the entire family related that includes employment, education or both. The case manager will facilitate referrals into programs that may provide the education or certification that will assist the resident to achieve their goals. The case manager will monitor compliance with the service plan. Residents of transitional housing will be assisted by their case manager with regards to the guidelines and qualifications of the various community resources available for assistance with the intention of empowering the client to live self sufficiently after discharge. The case manager will also make appropriate referrals for other household members to ensure that all needs have been met. This includes referrals to MI-IMR, substance abuse programs, Medicare or Medicaid programs, food stamps, CCMS, and other services. Follow through with referrals for all household members will be encouraged by the case manager in order to comply with requirements of the transitional housing arrangement. The Rural Capital Area Workforce Center is the county agency responsible for the design and implementation of the workforce center system. They will provide all households with assistance in locating employment through the various centers located in Williamson County. Family members will have access to interne, copiers, fax and phones for their use and staff will assist residents with job searching and maneuvering the state's job matching system, Work in Texas. They will also serve as a mechanism for locating various training and educational programs to assist families in gaining skills necessary to enter the workforce. PSOs will meet at least every two months to review the progress of the families in the program and to work collectively to address barriers the PSO and participating family may be facing. This will ensure that if a family in one geographic area is lacking in services, a PSO in another area may be able to provide assistance or referrals. 2. If you are proposing to serve persons with disabling conditions, please describe how this project will assist these persons to address their needs. Transitional housing will be set up as an interim stay for individuals with disabling conditions. During their stay in transitional housing, the case manager will advocate for the client to receive SSI or SSDI and medical care and ensure they are placed on the waiting lists for more permanent supportive housing. Referrals will be made to the Texas Rehabilitation Commission as appropriate. Any and all resources will be contacted to encourage involvement or support with residents for the purpose of improving their quality of life during their stay in transitional housing, and after their discharge into a more permanent residence. form HUD -40090-4 10 (3/2006) OMB Approval No. Pending While the Georgetown Housing Authority does not offer a waiting list preference for disabled persons, the Housing Authority of the City of Taylor does employ a preference for disabled persons. Households that qualify for these preferences will be assisted by their PSO in gathering the required documentation to verify the preference for the purposes of applying for permanent housing. form HUD -40090-4 1 1 (3/2006) OMB Approval No. Pending Part 0: Experience Narrative (All New Projects) 1. List the specific type and length of experience of all organizations involved in implementing the proposed project, including the project sponsor, housing and supportive service providers, and any key subcontractors. Describe experience directly related to their role in the proposed project as well as their overall experience working with homeless people. For projects contracting for and overseeing the construction or rehabilitation of housing or administering rental assistance, describe experience, as applicable. A project sponsor must meet the same eligibility standards as applicants. The Georgetown Housing Authority (GHA) was created in 1967 and has administered affordable housing assistance for almost forty years. GHA is the primary organization in Georgetown for assistance with affordable housing, either through direct assistance or referrals to other local low- income housing providers. In administering its housing programs, GHA has extensive experience in managing its projects and programs, to include all admissions functions, daily operations of its properties, and all functions related to apartment management and maintenance. Currently, GHA manages three programs for affordable housing: 1) Public Housing (158 families and individuals); 2) Housing Choice Voucher program (87 families); and 3) Section 8 New Construction (60 families). Their staff have been trained in all aspects of HUD rules and regulations for all admissions and continued occupancy programs, and both Housing Quality Standards and Uniform Physical Conditions Standards protocols. In the past, GHA has worked with homeless families who apply for permanent housing programs to determine eligibility and placement into one of their three housing programs. GHA also has a long history of partnering with local agencies to provide services for its residents. GHA has partnered with the Stonehaven Senior Center since 1973 to provide services on GHA's public housing site for elderly residents in Williamson County. GHA also has worked with the City of Georgetown police department to track and monitor criminal activity; The Caring Place to assist with rent and utility payments; the Department of Mental Health and Mental Retardation to assist with disabled clients in need of services, case management or medication assistance; various home health care agencies to provide home assistance; the Boys & Girls Club of Georgetown to provide after-school programs for the youth of Georgetown; and various churches, non -profits, local service organizations, and businesses to provide assistance to its residents. Participating Service Organizations: The Caring Place (TCP) is the only nonprofit agency providing emergency assistance of food, rent, utilities, clothing, and medical services to residents of Georgetown and northern Williamson County. Since 1985, TCP has delivered emergency services to individuals and families. TCP also provides individualized case management services to clients with the goal of helping them achieve self-sufficiency. The Caring Place was founded by the Ministerial Alliance in the 1980's, and has maintained the support of local churches and civic organizations in the community. The mission of The Caring Place has always been to assist community members with basic needs such as food, clothing and financial assistance. For this reason, The Caring Place volunteers and staff have experience with working with the homeless or near homeless. Recipients of the services of the Caring Place often form HUD -40090-4 12 (3/2006) OMB Approval No. Pending find themselves in emergent crisis situations. When food, clothing or financial assistance for rent, utilities, or other expense would be sufficient and effective it is provided by a Caring Place caseworker, but in more chronic situations where the recipient might benefit from longer term, more involved services, they are referred to case management. Case management or enrollment in the Self Sufficiency Series at The Caring Place means that person will benefit from longer term services that may include group work, individual advocacy or support, money management classes, energy conservation classes, employment search or coaching, or classes for ongoing physical or emotional healthy living. The Caring Place is also one of the partner agencies for the Capital Area Food Bank. Fresh produce is given to the public every first, third and fifth Monday of the month. The homeless population has always been assisted on a transient basis with food, clothes or transportation as needed, and during times of harsh and inclement weather, The Caring Place will pay for hotel lodging. TCP provides services to over 35,000 individuals each year and over 2,500 of these receive individual case management services. Hope Alliance is Williamson County's Domestic Violence and Sexual Assault Program. Founded in 1984, Hope Alliance is dedicated to empowering victims of family violence, sexual assault, and other violent crimes through support and advocacy, while promoting community awareness, compassion, and responsibility for creating a safer community. Currently, Hope Alliance provides outreach services, case management, mental health and counseling services, and emergency shelter to domestic violence and sexual assault victims. The shelter can house up to 35 individuals, and Hope Alliance also assists 2-4 families a month with hotel stays. Last year, Hope Alliance served over 780 individuals through their emergency shelter, and more than half were children. They also provide legal advocacy, counseling, support groups and assistance with basic needs. Hope Alliance also has two transitional housing programs, and serves approximately 20 families through this program. One of the requirements to participate in the transitional housing programs is that the head of household must be employed or working towards gainful employment. Hope Alliance assists clients in their efforts towards independent living by referring them to the Texas Workforce Commission for job training and employment, and by offering in-house resume -writing, interview practice, and business appropriate attire. The Round Rock Area Serving Center is a nonprofit social services agency and food pantry that serves the Round Rock, Hutto, and Wells Branch neighborhood in neighboring Travis County. The Serving Center has been providing assistance since 1986. In addition to the food pantry, the Round Rock Area Serving Center also provides Coats for Kids and Computers for Kids programs, the community gardens, and financial assistance for rent, utilities, transportation, temporary lodging, and prescriptions. The agency is staffed by 200 volunteers, pays an Executive Director and caseworker, and is supported by local churches, civic groups, businesses, the United Way of Williamson County, and the community of Round Rock. The Round Rock Area Serving Center provides food from a food pantry every two weeks. Clothing vouchers are issued every two months, and furniture vouchers are issued for those families in emergency situations. Financial assistance is also available for utility bills, prescriptions, gasoline, transportation and temporary shelter. In 2006, a total of 51,297 people were assisted at the Serving Center, and the caseload increased by 26% for programs for under -privileged, low income, and disadvantaged people. The food pantry filled a total 10,911 food vouchers, and 3,710 households were served from the Fresh Food for Families program. The Round Rock Serving Center has also assisted families in emergency homeless situations by providing rent and hotel vouchers for form HUD -40090-4 13 (3/2006) OMB Approval No. Pending transitional stays. LifeSteps: Williamson County Council on Alcohol and Drugs is a not-for-profit organization serving Williamson County, Texas residents for almost 30 years. Organized in 1978, the Williamson Council on Alcohol and Drugs' mission was to assist residents of Williamson County, Texas with problems related to the use and abuse of alcohol, tobacco and other drugs. Services historically included education and substance abuse assessments and counseling, but due to the population explosion in Williamson County, Lifesteps has expanded its services to include a variety of new programs. LifeSteps currently provides an array of services that include school-based prevention, substance abuse assessments and referrals, family programs, community activities, and educational classes. LifeSteps uses a variety of prevention strategies to provide a comprehensive prevention program for residents of Williamson County. Programs target individuals, families, schools and the community - at -large and utilize research -based educational curriculum. They include prevention programs, such as Life Skills Training, Family Focus, Rainbow Connection, Profiles in Courage, JumpStart, and the Williamson County Coalition on Underage Drinking. Other programs include chemical dependency assessments, treatment alternatives to incarceration, offender education, drug and alcohol testing, and parenting programs. Currently, LifeSteps works with the Williamson County DWI/ Drug Court and often treats clients whose involvement with drugs and alcohol is a contributing factor to their homelessness. LifeSteps newest program, Families in Transition, supports families in the process of a divorce. Many of their clients are also experiencing circumstances which factor into their homeless or near -homeless conditions, and LifeSteps works with families to improve their personal and familial skills to help them become more stable. The Lone Star Circle of Care is a 501c3 nonprofit, operating seven community health clinics for the uninsured and underinsured in Williamson County. They are the only full-time, nonprofit primary care provider for the medically underserved residents of Williamson County. Services include adult and pediatric primary health care, psychiatry and counseling, dental services, comprehensive women's health, chronic disease prevention, treatment and management, health education classes and low cost medications. LSCC will provide 73,000 patient visits to over 30,000 adults and children in 2007. Lone Star Circle of Care is a Federally Qualified Health Center, which is an organization with Federally Qualified Health Center status that is charged with being a "safety net" for its service area. FQHCs are medical homes to the uninsured and underinsured residents in their service area, and increase access to healthcare while remaining sustainable. Because FQHCs receive a higher reimbursement rate for treating Medicaid patients, they are required to comply with a number of rules and regulations, such as serving patients regardless of their ability to pay, providing medical, dental, and mental health services, conducing annual audits that meet Federal requirements. In Williamson County, uninsured patients who fall at or below 100% of the Federal Poverty Line pay a maximum of $15.00 which includes the medical visit, labs, and medications. Patients from 101- 200% pay a sliding fee based on federal guidelines and payment plans are available for all of our patients. As the only non-profit primary care provide in Williamson County, they are the medical resources for families that have no money for services, which includes the majority of the homeless population in Williamson County. They also work hand in hand with the service providers within the county to accept families who have no other alternatives. form HUD -40090-4 14 (3/2006) OMB Approval No. Pending The Interagency Support Council of East Williamson County was formed in 1998 to serve as the Community Planning Group for East Williamson County under the Criminal Justice Division, Capital Area Planning Council, and the Regional Councils of Governments. From 1998 to 2006 they met monthly and addressed community needs when they were identified, such the housing and relocation of Katrina families. In 2006, the agency received its 501c3 status, an office was opened and staff put in place. The staff of the Interagency Support Council of East Williamson County has over 30 years of experience working with Williamson County Government and has a membership of 32 independent social services agencies which provide services in Williamson County. Through the Interagency Support Council of East Williamson County, households in cities such as Taylor, Granger, Thorndale, Hutto, Jarrell, and others can find services such as basic needs, healthcare, transitional housing, mental health services, children's services, job training and employment. Currently, the Interagency Support Council works with a private landlord to provide housing for the many homeless veterans in their area. The Interagency Support Council's Boot Strap Project and the City of Taylor Community Development staff will continue to improve the housing opportunities in Taylor and surrounding communities. The Taylor Ministerial Alliance, with its twenty-seven Faith Communities, and Williamson County Veteran Affairs Office have agreed to partner with Interagency Support Council to refer potential applicants to and to provide support services to families and individuals housed under the Leasing Assistance Program. Williamson -Burnet County Opportunities, Inc. (WBCO) was established in 1966 as the area's official Community Action Agency. The organization is a private non-profit charitable corporation governed by elected officials, community leaders and target area representatives. Throughout its history, WBCO has administered a wide range of social service and economic opportunity programs benefiting many thousands of low and moderate income persons. These programs currently include Head Start, a Senior Nutrition Program (Meals -on -Wheels), adult day/ health care, neighborhood centers that provide a wide variety of emergency assistance. WBCO has also developed affordable multi -family housing developments, and currently manages two affordable housing properties in West Williamson County. They also work with Hill Country Community Ministries to provide housing and assistance to families facing homelessness in Leander and Cedar Park. Hill Country Community Ministries is a nonprofit organization, a coalition of churches founded in 1983 to help families in crisis and those living in poverty in southwest Williamson and far northwest Travis counties. They are supported by area churches, businesses, civic organizations, concerned individuals, and the United Way of Williamson County—including the dedicated service of more than 200 volunteers. They operate a Food Pantry and a Clothes Closet, and provide financial assistance to families for rent, utilities, medical and dental needs, prescriptions, and more. Hill Country Community Ministries also has two homes in far West Williamson County that have been utilized for transitional and emergency housing. form HUD -40090-4 15 (3/2006) OMB Approval No. Pending Intervention Services was established in 1992 to provide school and community based mental health services for the Central Texas region, including crisis intervention, individual and group counseling, and training for counselors and educators. They currently serve approximately 2000 students in 25 schools each year. Intervention Services is a non-profit 501c3 organization and one of their programs is the Mobile Outreach Unit. This team responds to mental health crises throughout Williamson County, working very closely and cooperatively with the Williamson County Sheriff's Crisis Intervention Team. The mission of the team is to link person in crisis with mental health, social service, or medical providers and prevent escalation or interaction with law enforcement and other first responders. The Rural Capital Area Workforce Development Board (RCAWDB) is responsible for the design and implementation of the workforce center system in the nine county area surrounding Travis County. These counties are: Bastrop, Blanco, Burnet, Caldwell, Fayette, Hays, Lee, Llano and Williamson. The goals of the RCAWDB are 1) Enhance and sustain the integrated career development system; 2) Increase the number of employers using one-stop services; 3) Increase incumbent worker training opportunities for small and mid-size employers; and 4) Inform and educate employers and job seekers about the services available at the one-stop centers. In 2005, two area United Ways (Georgetown Area United Way and the United Way of Greater Williamson County) merged, resulting in a streamlined organization even better equipped to serve the citizens of Williamson County. Though their name may be new, United Way of Williamson County's simple premise remains the same as their predecessors: They take care of the individuals and families in the community. Whether partnering with local nonprofits that run efficient, effective programs benefiting the health and wellness of all who live in Williamson County, mobilizing community resources during disasters and emergencies of a national or regional scope, or providing access to multiple services during tragedies that don't make headlines, the United Way of Williamson County assists families throughout the county. They are also one of the few agencies that are working to effect collaborations between cities within Williamson County, and have and are providing support and assistance as the agencies work together. 2. Have you ever received a Federal grant either directly from a Federal Agency or through a state/local agency? ® Yes ❑ No If Yes, a. List all HUD McKinney-Vento Act grants, other than ESG, received after 2001, including for each grant: the year awarded, grant number, grant amount, and amounts spent to date. Only list HUD -issued grant numbers. If you are unclear about the HUD grant number assigned to any project, please contact your HUD field office for assistance. Add rows as needed. Year Awarded Grant Number Grant Amount Amount Spent to Date Example: 2002 CA16B200062 $500,000 $375,412 b. Please explain any delays in implementing any of the grants listed in (2a) above which exceed the applicable timeliness standards described in the Notice of Funding Availability (NOFA). c. Identify any unresolved HUD monitoring findings, or outstanding audit findings related to any of the grants listed in (2a). form HUD -40090-4 16 (3/2006) OMB Approval No. Pending 3. Is the applicant or sponsor a nonprofit organization (rather than a state or unit of local Government)? n Yes ® No If Yes, one of the following must be attached for each organization: a. IRS ruling, providing tax-exempt status under Section 501 C (3) of the IRS Code of 1986, as amended, or documentation of nonprofit status as described in the Glossary in Section I.A.7 of the program section of the NOFA. b. Public nonprofit community mental health centers must attach a letter or other document acceptable to HUD from an authorized official stating that the organization is a public nonprofit organization. form HUD -40090-4 17 (3/2006) US Department of Housing and Urban Development Applicant Name: eLogic ModelTM co c m E J Z., 0 • .' c to N . • 10 E m < Project Name: m as r m 0 E c c 0 0 0 A. 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C ryl O o S y U L t C O y «. 2 N 0 40,y yNyEO O EO o> yLUL y N md yYa'-' l0 y Ea€D0 C O v W N -0 w 2 >> w D_ = O y b CO c cl _ ` E N co o• C CO 0 m N -. y U O O C O O os i4JDHH C O M' O W S `-' 2 CO t0 O y N N co 'L" U d R a O 0 0 C 0 C lin! C m Y O: C 1.6U' V C E y N C C C O V co L 1'-0 E 7 cw > my nr ' U v O 0 C E L Project Experience The Georgetown Housing Authority (GHA) was created in 1967 and has administered affordable housing assistance for almost forty years. GHA is the primary organization in Georgetown for assistance with affordable housing, either through direct assistance or referrals to other local low-income housing providers. In administering its housing programs, GHA has extensive experience in managing its projects and programs, to include all admissions functions, daily operations of its properties, and all functions related to apartment management and maintenance. Currently, GHA manages three programs for affordable housing: 1) Public Housing (158 families and individuals); 2) Housing Choice Voucher program (87 families); and 3) Section 8 New Construction (60 families). Their staff have been trained in all aspects of HUD rules and regulations for all admissions and continued occupancy programs, and both Housing Quality Standards and Uniform Physical Conditions Standards protocols. GHA has been designated a High Performing Agency by the Department of Housing and Urban Development and is one of the few Housing Authorities that manages three different housing programs and has done so successfully for forty years. GHA also has a long history of partnering with local agencies to provide services for its residents. GHA has partnered with the Stonehaven Senior Center since 1973 to provide services on GHA's public housing site for elderly residents in Williamson County. GHA also has worked with the City of Georgetown police department to track and monitor criminal activity; The Caring Place to assist with rent and utility payments; the Department of Mental Health and Mental Retardation to assist with disabled clients in need of services, case management or medication assistance; various home health care agencies to provide home assistance; the Boys & Girls Club of Georgetown to provide after-school programs for the youth of Georgetown; and various churches, non -profits, local service organizations, and businesses to provide assistance to its residents. Recently, GHA has partnered with a number of organizations to create the Family -Self - Sufficiency program. This is a mandated program for GHA, but the program in Georgetown has been created with the intent that it can be used community -wide. The Caring Place, Habitat for Humanity, and various other organizations have come together to build a program that will not only decrease a family's dependency on public assistance, but will ultimately lead to home ownership. While the program is new, the agencies involved have been providing services and self-sufficiency opportunities for many years. A few of the participating service organizations in the Williamson County Leasing Assistance Program include: The Caring Place (TCP) is the only nonprofit agency providing emergency assistance of food, rent, utilities, clothing, and medical services to residents of Georgetown and northern Williamson County. Since 1985, TCP has delivered emergency services to individuals and families. TCP also provides individualized case management services to clients with the goal of helping them achieve self-sufficiency. TCP provides services to over 35,000 individuals each year and over 2,500 of these receive individual case management services. Hope Alliance is Williamson County's Domestic Violence and Sexual Assault Program. Founded in 1984, Hope Alliance is dedicated to empowering victims of family violence, sexual assault, and other violent crimes through support and advocacy, while promoting community awareness, compassion, and responsibility for creating a safer community. Currently, Hope Alliance provides outreach services, case management, mental health and counseling services, and emergency shelter to domestic violence and sexual assault victims. The shelter can house up to 35 individuals, and Hope Alliance also assists 2-4 families a month with hotel stays. Last year, Hope Alliance served over 780 individuals through their emergency shelter, and more than half were children. They also provide legal advocacy, counseling, support groups and assistance with basic needs. Hope Alliance also has two transitional housing programs, and serves approximately 20 families through this program. One of the requirements to participate in the transitional housing programs is that the head of household must be employed or working towards gainful employment. The Interagency Support Council of East Williamson County was formed in 1998 to serve as the Community Planning Group for East Williamson County under the Criminal Justice Division, Capital Area Planning Council, and the Regional Councils of Governments. From 1998 to 2006 they met monthly and addressed community needs when they were identified, such the housing and relocation of Katrina families. In 2006, the agency received its 501c3 status, an office was opened and staff put in place. The staff of the Interagency Support Council of East Williamson County has over 30 years of experience working with Williamson County Government and has a membership of 32 independent social services agencies which provide services in Williamson County. The Interagency Support Council's Boot Strap Project and the City of Taylor Community Development staff improve the housing opportunities in Taylor and surrounding communities. Williamson -Burnet County Opportunities, Inc. (WBCO) was established in 1966 as the area's official Community Action Agency. The organization is a private non-profit charitable corporation governed by elected officials, community leaders and target area representatives. Throughout its history, WBCO has administered a wide range of social service and economic opportunity programs benefiting many thousands of low and moderate income persons. These programs currently include Head Start, a Senior Nutrition Program (Meals -on -Wheels), adult day/ health care, neighborhood centers that provide a wide variety of emergency assistance, and affordable multi -family housing developments. OMB Number: 4040-0004 Expiration Date: 01/31/2009 Application for Federal Assistance SF -424 Version 02 *1. Type of Submission: *2. Type of Application * If Revision, select appropriate letter(s) *Other (Specify) ■ Preapplication 0 New 0Application IIContinuation ■ Changed/Corrected Application ■ Revision 3. Date Received: 4. Applicant Identifier: 5a. Federal Entity Identifier: *5b. Federal Award Identifier: State Use Only: 6. Date Received by State: 7. State Application Identifier: 8. APPLICANT INFORMATION: *a. Legal Name: Georgetown Housing Authority *b. Employer/Taxpayer Identification Number (EIN/TIN): 74-1536934 *c. Organizational DUNS: 782229942 d. Address: *Street 1: P. O. Box 60 Street 2: *City: Georgetown County: Williamson *State: TX Province: *Country: US *Zip / Postal Code 78627 e. Organizational Unit: Department Name: Division Name: f. Name and contact information of person to be contacted on matters involving this application: Prefix: Ms. *First Name: Naomi Middle Name: C *Last Name: Walker Suffix: Title: Executive Director Organizational Affiliation: *Telephone Number. 512.863.5565 Fax Number: 512.869.3475 *Email: naomi@georgetownha.org OMB Number: 4040-0004 Expiration Date: 01/31/2009 Application for Federal Assistance SF -424 Version 02 *9. Type of Applicant 1: Select Applicant Type: L. Public/Indian Housing Authority Type of Applicant 2: Select Applicant Type: Type of Applicant 3: Select Applicant Type: *Other (Specify) Georgetown Housing Authority *10 Name of Federal Agency: Department of Housing and Urban Development 11. Catalog of Federal Domestic Assistance Number. 14.235 CFDA Title: Suuportive Housing Program *12 Funding Opportunity Number. FR -5100-N-14 *Title: Continuum of Care Homeless Assistance Program 13. Competition Identification Number: CoC-14 Title: 14. Areas Affected by Project (Cities, Counties, States, etc.): Williamson County, TX 15. Descriptive Title of Applicant's Project: Williamson County Leasing Assistance Program OMB Number: 4040-0004 Expiration Date: 01/31/2009 Application for Federal Assistance SF -424 Version 02 16. Congressional Districts Of: *a. Applicant: TX -031 *b. Program/Project: TX -031 17. Proposed Project *a. Start Date: 03/01/2008 *b. End Date: 02/28/2010 18. Estimated Funding (5): *a. Federal 190,200 *b. Applicant 0 *c. State *d. Local *e. Other *f. Program Income 0 *g. TOTAL 190,200 *19. Is Application Subject to Review By State Under Executive Order 12372 Process? Order 12372 Process for review. for review on ■ a. This application was made available to the State under the Executive ■ b. Program is subject to E.O. 12372 but has not been selected by the State CI c. Program is not covered by E. O. 12372 *20. Is the Applicant Delinquent On Any Federal Debt? (If "Yes", provide explanation.) ■ Yes 0 No 21. *By signing this application, I certify (1) to the statements contained in the herein are true, complete and accurate to the best of my knowledge. I also with any resulting terms if I accept an award. I am aware that any false, fictitious, me to criminal, civil, or administrative penalties. (U. S. Code, Title 218, Section list of certifications** and (2) that the statements provide the required assurances** and agree to comply or fraudulent statements or claims may subject 1001) obtain this list, is contained in the announcement or 0 ** I AGREE ** The list of certifications and assurances, or an internet site where you may agency specific instructions Authorized Representative: Prefix: Ms. *First Name: Naomi Middle Name: C. *Last Name: Walker Suffix: *Title: Executive Director *Telephone Number: 512.863.5565 Fax Number: 512.869.3475 * Email: naomi@georgetownha.org *Signature of Authorized Representative: *Date Signed: Authorized for Local Reproduction Standard Form 424 (Revised 10/2005) Prescribed by OMB Circular A-102 OMB Number: 4040-0004 Expiration Date: 01/31/2009 Application for Federal Assistance SF -424 Version 02 *Applicant Federal Debt Delinquency Explanation The following should contain an explanation if the Applicant organization is delinquent of any Federal Debt. INSTRUCTIONS FOR THE SF -424 Rubitc reporting burden for this to e^.ricn of information is estimated to average 60 ri notes per response. including tine for reviewing instructions, searchnrg existing data sources. gathering and maintaining the data needed, and competing and renewing the collection of informatitan. Send comments regarding the burden estimate or any other aspect of this co lection of information, including suggestions for reducing this buraen, to the Office of Management and Budget. Papenvark Rec ction Project t0348-0042), Washington. DC 20d03. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. This s is a standard form (including the continuation sheet) required for use as a corer sheet for submission of preappltcations and applications and related information under discretionary programs. Some of the items are required and some are optional at the discretion of the applicant or the Federal agency- (aunty). Required items are 'detained with an asterisk on the foent and are specified in the instructions below. In addition to the tnstntcttons provided below, applicants must consult agency instructions to determine specific requirements_ Item Entry: item Entry: Type of Submission: (Require:): Select one type of ss rnissian in accordance with agency instructions. ?reapplication . Appiiation • Changed/Corrected Applicator - if requested by the agency, check if this submission is to change or correct a prerr susly submitted application. Unless requested by the agency, applicants may not use this to submit changes alter the closing date. 10_ Name Of Federal Agency: (Required) Enter the iar,e of the Federal agency from winch assistance is being requested with this. application. 11. Catalog Of Federal Domestic Assistance Number/Title: Enter the Catalog of Federal Domestic Assistance nur'tbef and title of the program under which assistance is requested, as found in the program artnouncernerat, if appticabie. 1. Type of Application:1Reouired) Select one type of application in accordance with agency instructions. . New- An application that is being submitted to an agency for the first lime. • Continuation - An extenson for an additional funding'budget period for a pry with a projected oarnplettion date. Thos can include renewals. • Revision - Any Mtge in the Feder* Government's franca obligation or contingent liability from an existing obligation .f a revision, enter the appropriate iettens). More than one may be selected. if "Other' is selected. please spe y in text box proviced. A. inorease Award B. Decrease Award C. increase Duration 0 Decrease Duration E. Other (specify) 12. Funding Opportunity Number/Title: (Required) Enter the Funding Opportunity Number and tole of the opportunity under which assistance is requested. as found in the program announcement. 13. Competition Identification Numberftle: Enter the Competition Identification Number and title of the own :titian under which assistance is requested, if appricab:e. 14. Areas Affected By Project: List the areas or entities using the categories (e.g., cities, townies, states, etc.) specified in agency instructions. Use the continuation Sheet tc enter additional areas, if needed. 3. Date Received: Leave this_ f=e o blank This date will be assigned by the Federal agency. 15. Descriptive Title of Applicant's Project: (Requr_d)) Enter a brief descriptive tole of the project. If appropriate, attach a map showing project location (e.g.. construction or real property projects). For prey tions. attach a su rnmari desa;rticn of the protect. 4. Applicant Identifier: Enter the entity identifier ass red by the Federal agency. if any. or applcant's control number, if apptcable. 5a Federal Entity Identifier. Enter the number assigned to your organization by the Federal Agency, if any. 16. Congressional Districts Of: (Required)16a. Enter the applicant's Congressional District and 16b. Enter all District(s) affected by the program or prcfeci. Enter in the format. 2 characters State Abbrevaaiion - 3 characters Distinct Purer, e.g.. CA -0055 for California 5" district, CA -012 for Ca, fomia 12" district, NC -103 for North Carolina's 103'1 ctrstrrct • If aS congressional districts in a state are affected, enter 'all' for the district number. e.g., MD -all for all congressional •districts in Maryland. • If nationwide, i.e. all districts within all states are affected, enter US -aft. If the program?projec is outside the U.S. enter 017-0O0. 5b. Federal Award Identifier: For new applications leave blank. For a continuation or revision to an existing award, enter the previously assigned Federal award identifier number_ if a changedJcorrectec application, enter the Federal Identifier in accordance with agency instructions. 6. Date Received by State: Leave this f eid bank. This date wi be assigned by the State. if applicable. 7. State Application Identifier: Leave this field blank. ihn identfier yin be assigned by the State. if applicable. b. A Applicant Information: Enter the following• ppl in accordance w h agency instructions: a. Legal Name: (:Required): Enter the legal name of applicant that will undertake the asS stance activity. This is the name that the organiza:ion has registered with the Central Contractor Registry. Information on registering with CCR may be obtained by visiting the Grants.ttov website. 17. Proposed Project Start and End Dates: (Required} Enter the proposed start date and end date of the protect b. EmployerfTaxpayer Number {EINITINj: (Required): Enter the Employer or Taxpayer fdentihcaton Number (EIN or TIN) as assigned by the Internet Revenue Service. if your organization is net in the US, enter 44-4444444. 18. Estimated Funding: (Required) Enter the amount requested or to be cormibuled during the first funding:budget period by each dcntributar. Value of in-kind contributions should be included on appropriate toes, as applicable_ if the action will result in a dollar change to an existing award. indicate only the amount of the change. For decreases, encase the amounts in parentheses_ c. Organizational DUNS: (Required) Enter the organizations DUNS or DUNS+4 number received from Dun and Bradstreet. lnforrna: ion on obtaining a DUNS number may be obtained by visiting the Grants.gov website. d. Address: Enter the complete address as follows: Street address n ne 1 reuredj, City (Requ:.Yea}, County, State (Required. if country is US), Province. Country (Required). 2ip'Postal Code (Required, if oo ntry US). 19 Is Application Subject to Review by State Under Executive Order 12372 Process? App scants should contact the State Single Pant of Contact (SPDC) for Feaeral Executive Order 12372 to determine Nether the application is sub: ct to the e. Organizational Unit: Enter the name of the primary organ.zational unit (and department or oivision, if applrabe) chat will undertake the assistance activity. applicable. State intergovernnenta review process. Se ect the appropriate box. If 'a.' is se ected, enter the date the appcation was submitted to the State f. Name and contact information of person to be contacted on matters involving this application: Enter the name 1Frst and last-flame required). organizational affiliation (if affiliated with an organization other than the app cant organization1. telephone number (Required).. fax number, and email address (Requireei of the person to contact on matters related to this application. 20. Is the Applicant Delinquent on any Federal Debt? (Required) Select t i. appropriate box_ This queston applies to the applicant organization, not the person who signs as the authorized representative. Categories of debt include delinquent audit cisatowances, bans and taxes. tf yes, include an explanation on the oanlirvatcn street. P. Type of Manz: (Required) Select up to three applicant type(s) in ;a000rdance with agency 21. Authorized Representative: (Requred) To tte signed and dated by the authorized representative of the applicant organization. Enter the name (First and last name requr-ed) title (Required), telephone number (Required), fax number.. and email aod€ess (Required) of the person .autnorized to sign for the .applicant A copy of the governing body's authonzaton for you to sign this applicator as the official representative -frust to on foe in the applicant's offce. (Certain Federal agencies may require that this authorizaiicn be submitted as par: of the application.) instructions. A. State Government 8. County Government C. City or Township Government D. Special District Government E. Regional Organ°:zatton F. U.S. Territory or Possession G.independent SSI District HPubx State Controlled Institution of Higher Education lndiantNative American Tribal Government (Federally Recognized) 3. indiantHative American Tribal Government (Other than Federally Recognized) K. usdianiNative American Tribally Designated Organization L. Publittinaian l-tousing A.uthority M. Nonprofit with 501C3IRS Status (Other than Institution of Higher Education) N. Nonprofit nvithout 50103 IRS Status (Other titan inslitut xi of Higher Education) O. Private Instihjaon of Higher Educato P. individual O. For-Profit Organizati.on (Other than Small Business) R. Small Business S. Hispanic-serving institution T. Historically Black Caeges and Universities tH8CUsl U. Tribally controlled Colleges and Universities (TCCaUs) V. Alaska Native and Native Hawaiian Serving Institutions W. Non-domestic (non-US) Entity X_ Other (specify) Part II: CoC Housing and Service Needs H: CoC Services Inventory Chart Using the format below, list the provider organizations and identify the service components currently being provided within your CoC. Place the name of each provider organization only once in the first column (add rows to the chart as needed), followed by an "X" in the appropriate column(s) corresponding to the service(s) provided by the organization. CoCs will only need to update this chart every other year; as such, the CoC may choose to provide the chart submitted in the 2006 application. (1) Provider Organizations (2) Prevention (3) Outreach (4) Supportive Services 'Mortgage Assistance ental Assistance Utilities Assistance Counseling/Advocacy Legal Assistance Street Outreach U_ C U Law Enforcement y c c t) [Alcohol & Drug Abuse ental Heath Counseling ealthcare Q Education Employment Child Care Transportation The Caring Place X X X X XX XX X XXX Hope Alliance X X X XX XX X X Round Rock Serving Center X X X X LifeSteps X X X X X X Lone Star Circle of Care X X X Interagency Support Council of East Williamson County X X X X X X XX X X XXX Williamson -Burnet County Opportunities, Inc. X X X Hill Country Community Ministries X X X X X Intervention Services X X X X Rural Capital Area Workforce Development Board X X X United Way of Williamson County X DATE: June 11, 2007 SUBJECT: City Manager Approval ITEM: Request from the Georgetown Housing Authority for the City of Round Rock Certifying Official to sign HUD form 2991 Certification of a Consistency with the Consolidated Plan. Department: Staff Person: .justification: Planning Department Mona Ryan, Community Development Coordinator The 2004-2009 Community Development Consolidated Plan adopted by Resolution R04 -07-22-13C1 addresses homeless assistance and prevention with the objective being to work with agencies at the regional level. Funding: Cost: $0 Source of funds: N/A Background Information: The Office of Community Development facilitated a regional meeting to discuss how best to use available homeless funds offered by HUD. Agencies from Round Rock, Georgetown, Austin, Leander and Cedar Park met with representatives from the Texas Homeless Network (THN) and from Foundation Communities (FC) in April. The consensus of the group was to pool funds available from HUD for Williamson County and Round Rock ($190K) and let the Georgetown Housing Authority (GHA) submit an application for these funds through Foundation Communities for a leasing program to house homeless individuals. The Georgetown Housing Authority has been developing a program to assist the homeless population of Williamson County and was better prepared to apply for funding on short notice. The Texas Homeless Network and Foundation Communities are competing for the same HUD Super NOFA homeless funds. The GHA application will garner additional scoring points for Foundation Communities. The City of Round Rock and Williamson County are entitlement entities. In order for GHA to submit its application, both entitlement entities must certify that the GHA plan is consistent with its Consolidated Plans. Updated 3-10-05