RES 221330 - Laserfiche WebLink

Instructions This application form is limited to Applicants who did not apply to the Rev 2116122 2020 and 2021 Formula Allocation NOFA When opening this file,a yellow banner at the top may appear with a button that says"Enable Content".It is essential that you click this box so that the macros are enabled. Enabling macros is necessary for full worksheet functionality.Macros do not work with Microsoft's Excel version for Apple Mac. Applications must be submitted electronically to the Department's website.Requirements for uploading the Application Workbook and required supporting documentation,including naming conventions,are described in the application instructions available at https://www.hcd.r-a.gov/grants-funding/active-funding/plha.shtmi.All applicable information must be received by HCD no later than 4:00 p.m.on: Monday,October 31,2022 Applications must be on the Department's forms and cannot be altered or modified by the Applicant.Excel forms must be in Excel format and'save as'.xIs or.xIsx.Do not'save as'.xlsm or.pdf format.If you encounter problems with the application,please fill out the Application Support worksheet and email the entire workbook to Application Support at AppSupport@hcd.ca.gov and PLHA@hcd.ca.gov General Instructions Additional instructions and guidance are given throughout the Formula Allocation Application in"red"text and in cell comments. Guideline references are made with"S"and the corresponding guideline section number. "Yellow"cells are for Applicant input.Failure to provide the required attachments and documentation will disqualify your application from consideration. Required attachments are indicated in"orange"throughout the Supplemental Application.Failure to provide the required attachments and documentation may disqualify your application from consideration.Electronically attached riles must use the naming convention in the PLHA Application.For Example:"Appt Payee Data"for Applicant 1 Payee Data Record/STD.204. Threshold items are indicated in"blue"cells. "Red"shaded cells indicate the Sponsor has failed to meet a requirement of the program Applicant must complete the following worksheets in the PLHA Formula Allocation Application, Formula Allocation Application 302(c)(4)Plan Legislative Contacts Checklist Threshold Electronic File Name Document Description Included? Requirement Application and Adopting the Pursuant to section 302(c)(4)of the Guidelines,Applicant's PLHA Plan for 2019-2023 allocations is attached to this X PLHA Plan(2019-2023 resolution,and Applicant certifies compliance with all public notice,comment,and hearing requirements in Included Allocations)Reso accordance with the Guidelines. App1 TIN 0 Included X Applicant Delegation Legally binding agreement between Delegating and Administering Local Governments(sample provided—just click N/A Agreement on icon in row 17,column AI) X Reuse Plan Program Income Reuse Plan describing how repaid loans or accrued interest will be used for eligible activities in Not Applicable Section 301. X Executed Application Provide a copy of the signed application.Signature in blue ink preferred. Included Disclosure of Application(California Public Records Act Statutes of 1968 Chapter 1473):Information provided in the application will become a public record available for review by the public,pursuant to the California Public Records Act Statutes of 1968 Chapter 1473.As such,any materials provided will be disclosable to any person making a request under this Act. The Department cautions Applicants to use discretion in providing information not specifically requested,including but not limited to,bank accounts,personal phone numbers and home addresses.By providing this information to the Department,the Applicant is waiving any claim of confidentiality and consents to the disclosure of submitted material upon request. PLHA Page 1 Instructions&Checklist