Orange County of Continuum of Care – 2016 CoC Renewal Application

EXHIBIT 3: Financial Assessment

Agency Name:Click here to enter text.

  1. How often does your agency draw down funds from LOCCS? Check appropriate box.

☐Monthly / ☐Quarterly
☐Every other month / ☐Other:

If the agency is drawing down less than quarterly per grant, please provide an explanation:

Click here to enter text.

UNSPENT BALANCES BY CONTINUUM OF CARE PROJECT

  1. Has the CoC project returned any funds in the last 3 completed grant terms?

☐Yes☐No

If yes, please complete the chart below for each CoC project.

NOTE: These figures may be verified with HUD.

Project Name: Click here to enter text.

Year / Amount Returned / Reason for return
2014 / Click here to enter text. / Click here to enter text.
2013 / Click here to enter text. / Click here to enter text.
2012 / Click here to enter text. / Click here to enter text.

Project Name: Click here to enter text.

Year / Amount Returned / Reason for return
2014 / Click here to enter text. / Click here to enter text.
2013 / Click here to enter text. / Click here to enter text.
2012 / Click here to enter text. / Click here to enter text.

Project Name: Click here to enter text.

Year / Amount Returned / Reason for return
2014 / Click here to enter text. / Click here to enter text.
2013 / Click here to enter text. / Click here to enter text.
2012 / Click here to enter text. / Click here to enter text.

Project Name: Click here to enter text.

Year / Amount Returned / Reason for return
2014 / Click here to enter text. / Click here to enter text.
2013 / Click here to enter text. / Click here to enter text.
2012 / Click here to enter text. / Click here to enter text.

Please include the following documents:

Attachment 7: A-133 form, if agency receives more than $500,000 in federal funding during a fiscal year

Attachment 8: Two most recent agency financial audits certified by a CPA. Discuss any findings from the audits and actions your agency has taken or plans to take to address any concerns, on a separate document on agency letterhead with Board President’s signature. This document is to be included within the Attachment 8 section.

Attachment 9: Line of Credit Control System (LOCCS) screenshots for current year.

  • Grant Portfolio

  • General Grant InformationYou will submit three (1) screenshot for the current year. This will be submitted for each CoC project.

If assistance is required to obtain the above mentioned screen shots reference 4.1.21 Grant Portfolio on page 4-3 of the eLOCCS Getting Started Guide.

NOTE: LOCCS is not accessible after 5:00 pm PST. Plan to gather requested screenshots prior to 5:00 pm PST on any given day.

Attachment 10: Close-out notice from HUD for three (3) years (per CoC Project)

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