AgdaPkt 2005-01-10 - Laserfiche WebLink

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5. .3 A-1 Public Service/Shelter Operations/Fair Housing Application Instructions and Checklist Applicant: Project/Program: To be accepted, your application must contain the following: this application form and all of the requested attachments. Each attachment must be identified by Attachment Number And Title in the upper ril!ht hand corner of the page. If the attachment involves multiple pages, you must put the Attachment Number And Title on a separate divider page in front of the actual attachment pages. If a particular Attachment is not available, not applicable, or the information is contained in one of the other Attachments, you still must provide a separate place-holder page with the Attachment Number and Title and indicate the status of that Attachment. All Attachments must be placed behind the last question on the application in numerical order, The entire application should be clipped together; do not use staples. In addition, you must attach one set of the appropriate organizational documents to the back of the original application packet. Each document must be identified in the same manner as the application attachments. Application Checklist: Original plus 8 collated copies - Application - Attachment I - Project Team - Attachment 2 - Budgets 2a - Current Year Budget 2b - Proposed Budget 2c - Other Funds Attachment 3 - Marketing Attachment 4 - Hazardous Materials Mitigation Attachment 5 - Project Timeline Or anizational Documents Checklist: 0 Non-Profit or anization Resolution from your Board of Directors authorizing - submission of this application. The resolution should also authorize a specific person, by name or title, responsible for executing all documents in support of the funding re uest. Roster of your Board of Directors and dates on which our Board met durin the ast 12 months - Audit - Copy of the most recent financial audit or your organization, including any management letters. Please note the A-122 and A-133 single audit requirement if your organization received more than $500,000 in federal funding from any sources. If your organization did not expended $500,000 or more offederal funds from any source in anyone year, you must attach a certification indicating this fact. If the audit provided covers a period prior to FY 2003-04 and your program/project is selected for funding, you will need to provide the FY 2003-04 audit rior to release of an Count funds. Proof of non-profit status (eg. 501(c)(3) designation). Corporate By-Laws And Articles Of Incorporation. e Audit - Copy of the most recent financial audit or your organization, including any management letters, Please note the AI33 single audit requirement if your organization received more than $500,000 in federal funding from any sources. If your organization did not expended $500,000 or more of federal funds from any source in anyone year, you must attach a certification indicating this fact. If the audit provided covers a period prior to FY 2003-04 and your program/project is selected for funding, you will need to provide the FY 2003-04 audit prior to release of any County funds. 0 Count A enc Letter of Authorization from the division! department head authorizing the application and designating a contact erson, The application is in Word format. We suggest that you print out the entire application before you begin. Navigating through the application is a simple process. When you open the document, your cursor will be located in the first grey highlighted, fill-in box; use the 'Tab" key to move from box to box. Using "Shift-Tab" moves you backwards through the various responses. To mark a check box, tab to the appropriate box and click on it; this will mark it with an X; clicking the same box again removes the X. Your answers will show in grey highlight; this should disappear when you actually print the document. Except for the check boxes, you should put an entry into each box; if the question does not apply to your program/project put "n!a". Starting on Page 2 are a series of questions; tab to the answer box which will expand to accommodate your answer; we encourage you to be concise, but provide enough detail for us to adequately evaluate your application. Note: you will not be able to use the tab function when typing your answers because that function is superceded to navigate you to the next question. Following the question page is a list of required attachments. Once you get to this page, you will need to use the scroll bar to view the complete list of attachments.