Attachment 1. Application Data Form: Cover Sheet HUD Form – Excel Form East Bay Asian Local Development Corporation San Pablo Avenue Corridor Community Action Plan Att1AppDataFormCover Choice Neighborhoods PLANNING GRANTS U.S. Department of Housing OMB Approval No. 2577‐0269 and Urban Development Office of Public and Indian Housing Application Data Form (exp. 2/28/2011) CHOICE NEIGHBORHOODS ‐ PLANNING GRANTS: Application Data Form: Cover Sheet Category Preference Collaboration among Housing Providers Site/Neighborhood Information Existing Public and/or Assisted Housing Site Name(s): St Andrews Manor Existing Project Number & Contract Number (if any) for the Site(s): HUD # 121‐44818 Neighborhood/ Area of town Name: San Pablo Corridor,Oakland Applicant/Team Information PHA Code (if Lead or Co‐ Applicant is PHA): N/A Lead Applicant: East Bay Asian Local Development Corporation Type of Eligible Applicant * Non‐ Profit Mailing Address: 310 8th Street, Suite 200 Oakland CA 94607 Executive Officer Name & Title: Jeremy Liu, Executive Director Telephone, Fax, Email: (510) 287‐5353, (510) 763‐4143, [email protected] Primary Contact Name & Title: Karoleen Feng, Senior Project Manager Telephone, Fax, Email: (510) 287‐5353 ext 352, (510) 763‐4143, [email protected] Co‐Applicant (if any): N/A Type of Eligible Applicant * Mailing Address: Executive Officer Name & Title: Telephone, Fax, Email: Primary Contact Name & Title: Telephone, Fax, Email: Planning Coordinator: N/A Mailing Address: Executive Officer Name & Title: Telephone, Fax, Email: Primary Contact Name & Title: Telephone, Fax, Email: Additional Entity (if there is more than one entity for one of the roles above): N/A Mailing Address: Executive Officer Name & Title: Telephone, Fax, Email: Primary Contact Name & Title: Telephone, Fax, Email: * Eligible applicants are PHAs, local governments, nonprofits, and for‐profit developers that apply jointly with a public entity. East Bay Asian Local Development Corporation Att1-2CNPlanningApplicationDataFormsAtt 1 Attachment 2. Application Data Form: Existing Units, Occupancy, Vacancy HUD Form – Excel Form East Bay Asian Local Development Corporation San Pablo Avenue Corridor Community Action Plan Att2AppDataFormExistingUnits CHOICE NEIGHBORHOODS Application Data Form: Existing Units, Occupancy, and Vacancy ST. ANDREW'S MANOR Existing Housing Units at the Targeted Public and/or Assisted Site(s) at the Time of Grant Application Building Type Row Size Number Occupied Number Vacant* Total Units 19 51 Converted to Non‐Dwelling Demo Planned 0 BR 1 BR 2 BR 3 BR 4 BR 5 BR 6 BR Total Detached/ Semi‐Detached 0 BR 1 BR 2 BR 3 BR 4 BR 5 BR 6 BR Total Walkup 0 BR 1 BR 2 BR 3 BR 4 BR 5 BR 6 BR Total Elevator 0 BR 32 1 BR 8 8 2 BR 3 BR 4 BR 1 1 5 BR 6 BR Total Grand Total 41 19 60 41 19 60 *Units have been held vacant in preparation for planned rehabilitation efforts. East Bay Asian Local development Corporation Att1-2CNPlanningApplicationDataFormsAtt 2 Attachment 3. Budget HUD Form – Excel Form East Bay Asian Local Development Corporation San Pablo Avenue Corridor Community Action Plan Att3Budget OMB Approval No. 2577-0269 (exp. 2/28/2011) Choice Neighborhoods Planning Grant Budget Part I: Summary Public Reporting Burden for this collection of information is estimated to average 1.25 hour per respon including the time for reviewing instructions, searching existing data sources, gathering and maintain the data needed, and completing and reviewing the collection of informatio This information is necessary to provide details on the funds requested by applicants/grantees. T form displays the amount requested, broken down by budget line item, with each use explained on P II. Any Non-Choice Neighborhoods funds needed in association with the Planning Grant effort must The requested information will be reviewed by HUD to determine if the amount requested reasonable and whether the required percentages of capital and supportive services funds are m Responses to the collection are required by the appropriation under which the Choice Neighborhoods Planning gr was funded. The information collected does not lend itself to confidentialit HUD may not conduct or sponsor, and a person is not required to respond to collection of informat unless it displays a currently valid OMB control numbe explained on Part III. Applicant/Grantee Name: Choice Neighborhoods Planning Grant Number: Budget Revision Number: Site Name: Line No. Summary by Budget Line Item 1408 Management Improvements/ Community and Supportive Services 2 1410 Administration 3 1430 Fees and Costs 1 4 5 6 7 Revised Overall Choice Neighborhoods Planning Grant Budget $ 196,250 $ $ 23,750 30,000 $ 250,000 $ 1,705,123 Previous Authorized Amount of Funds in LOCCS Changes Requested in this Revision HUD-Approved Total Authorized Amount of Funds in LOCCS Total Funds Authorization ( Sum Of Lines 1-3) U2000 Funds held in Reserve Amount of Planning Grant ( Sum Of Lines 1-5) NonCN Total Non-Choice Neighborhoods Funds Signature of Lead Applicant/Grantee Executive Officer HUD Certification: In approving this budget and providing assistance to a specific housing development(s), I hereby certify that the assistance will not be more than is necessary to make the assisted activity feasible after taking into account assistance from other government sources (24 CFR 12.50). Signature of Authorized HUD Official X Date 12/9/10 Page 1 of 1 X Date HOPE VI Budget: Part II: Supporting Pages for Revision to Overall Budget, Expenditure Allocation and/or Authorized Spending Amount Prior Bdgt Date Lead Applicant/Grantee: East Bay Asian Local Development Corporation Budget Revision Number Grant Number Development Name: St Andrews Manor Budget Line Item Number Description of Proposed/Approved Action Use of Additional Authorized Funds Current Overall Choice Neighborhoods Planning Grant Budget (All phases) 1 2 3 1408 Requested Change in Disbursed Funds (Realignment) 4 5 Requested Change in Total Funds to be Authorized for Expenditure (New Spread) 7 8 Current Authorized Amount Authorized for Amount Expenditure (Change (Current Spread) in Spread) 6 MANAGEMENT IMPROVEMENTS / COMMUNITY AND SUPPORTIVE SERVICES Community meetings, events, summits: Facilitation, preparation (EBALDC) $ 6,250.00 Community meetings, events, summits: Community Outreach, Mobilization (SPC2) $ 13,750.00 Community Asset Mapping : Community Outreach, Mobilization (SPC2) $ 5,000.00 Community Asset Mapping : Facilitation (EBALDC) $ 11,250.00 $ 3,750.00 $ 3,750.00 $ 18,750.00 $ 5,000.00 $ 3,750.00 $ 5,000.00 $ 6,250.00 $ 21,250.00 Existing Plans and Infrastructure Linkage: Data Research, Analysis, Presentation (CCI) Neighborhood Economic Development Assets and Opportunities: Data Research, Analysis, Presentation (CCI) Longitudinal community Survey: Mobilization and Community Capacity Building Coordination (CCNI) Housing Revitalization and Land Use Opportunities report: Facilitation and Coordination (EBALDC, Satellite) Housing Revitalization and Land Use Opportunities report: Data Research, Analysis, Presentation (EBALDC) Resident Needs Survey (Efforts to Outcome Tracking): Training, Capacity building (EBALDC) Jobs and Youth Services Mapping: Community mobilization, Information gathering, presentation(SPC2) Resource Guide: Participatory Training, community/ resident goal setting, data gathering, decision-making, program implementation (CCNI) Resource Guide: Preparation, facilitation (EBALDC) Prior Bdgt Date Requested Change in Overall Choice Neighborhoods Planning Grant Budget (All phases) $ 12,500.00 Supportive Services based in Housing Plan: Resident engagement & Planning for Support Services (EBALDC, Satellite Housing, Christian Churhc Homes, Oakland Housing Authority) $ 12,500.00 Supportive Services Based in Housing Plan: Preparation, facilitation (EBALDC) $ 12,500.00 Educational Resource/Partnership Identification: Facilitation (EBALDC) $ 7,500.00 Continuum of Cradle to College Strategies: Facilitation, Coordination(EBALDC) $ 7,500.00 Community Action Plan - Vision, Community Asset Map, Outcomes, Implementation Plan, Resource/Partner Collaboration: Facilitation, preparation (EBALDC) $ 33,750.00 Community Action Plan - Vision, Community Asset Map, Outcomes, Implementation Plan, Resource/Partner Collaboration: technical data analysis, preparation (CCI) $ 6,250.00 Total Changes Previous Approved Budget Totals page 2 of 4 form HUD-52825-A HOPE VI Budget: Part II: Supporting Pages for Revision to Overall Budget, Expenditure Allocation and/or Authorized Spending Amount Budget Line Item Number Description of Proposed/Approved Action Use of Additional Authorized Funds Current Overall Choice Neighborhoods Planning Grant Budget (All phases) 1 2 3 1410 NEW TOTALS FOR HUD APPROVAL $ Percentage of BLI Budget 196,250.00 $ 16,250.00 $ 7,500.00 Previous Approved Budget Totals NEW TOTALS FOR HUD APPROVAL $ Percentage of BLI Budget 23,750.00 Prior Bdgt Date Prior Bdgt Date Requested Change in Disbursed Funds (Realignment) 4 5 Requested Change in Total Funds to be Authorized for Expenditure (New Spread) 7 8 Current Authorized Amount Authorized for Amount Expenditure (Change (Current Spread) in Spread) 6 ADMINISTRATION Marketing and Communication (EBALDC) Resource Development (EBALDC) 1430 Requested Change in Overall Choice Neighborhoods Planning Grant Budget (All phases) Total Changes FEES AND COSTS Neighborhood Peer to Peer Visit Exchange: Travel and Lodging $ 10,000.00 Community meetings, events, summits (SPC2) $ 20,000.00 Previous Approved Budget Totals NEW TOTALS FOR HUD APPROVAL $ Percentage of BLI Budget 30,000.00 Total Changes Total Changes Previous Approved Budget Totals NEW BLI TOTAL $ 250,000.00 page 3 of 4 form HUD-52825-A Part III. Non-Choice Neighborhoods Funds List on this spreadsheet any Non-Choice Neighborhoods funds (e.g., from match/leverage funds) that will be used to pay for costs associated with the Planning Grant effort that are not paid for by the Choice Neighborhoods grant funds. Use/Activity Source (Costs Non-Choice Neighborhoods Funds will be used for) Housing Revitalization, Community Capacity Building, Partnership 408,000 Development, Longitudinal Community Survey Supportive Services Planning, Street‐level Outreach,Longitudinal Community Survey Partnership Development, Community Capacity‐building and 706,370 development Neighborhood Planning, Housing Revitalization Planning, Resident 128,454 Engagement, Community Asset Mapping, Services Planning Dollar Amount City of Oakland $ County of Alameda $ EBALDC Satellite Housing Oakland Housing Authority Christian Church Homes East Bay Community Recovery St. Vincent de Paul $ $ $ $ $ $ Center for Cities and Schools, University of Berkeley $ TOTAL $ 39,000 45,000 49,000 112,299 168,000 Housing Revitalization Financing Plan, Housing Revitalization Community Asset Mapping, Housing Revitalization Community Asset Mapping, Housing Revitalization, Services Planning Coalition Leadership, Neighborhood Planning, Services Planning Coalition Leadership, Neighborhood Planning, Services Planning 49,000 Educational Opportunities Planning and Capacity Building 1,705,123 Attachment 4. Eligible Applicants Documentation Principal Applicant – EBALDC 501C(3) Determination Letter East Bay Asian Local Development Corporation San Pablo Avenue Corridor Community Action Plan Att4EligApplicantsDoc Attachment 5. Binding Contract with Planning Coordinator for Planning Grants NOT APPLICABLE East Bay Asian Local Development Corporation Att5BindContractPlanning Coordinator NA San Pablo Avenue Corridor Community Action Plan
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