Housing Trust Fund Addendum

Department of Commerce

Housing Trust Fund Addendum

This Section is the Department of Commerce Housing Trust Fund supplemental to the Combined Funders Application.

All applicants requesting funding from the Housing Trust Fund must complete and submit this Section, along with the documentation listed below.

The Housing Trust Fund Addendum must also be submitted to:

• the City of Seattle Office of Housing
• the King County Housing Finance Program
• the Snohomish County Office of Housing and Community Development
• and ARCH

if you are also submitting applications to those funders.

For questions referring to the Trust Fund’s guidelines, please consult the HTF Handbook.

Assembly Instructions for Hardcopy Submission:

• Insert the Housing Trust Fund Table of Contents/Checklist and Affidavits immediately after the Combined Funders Application Table of Contents/Self-Certification Checklist

• Insert each requested attachment behind the Tab specified in the Checklist, placing it behind a colored separator sheet labeled with the attachment’s name

e.g. Place the 3rd Party Construction Cost Estimate behind Tab 6: Development Budgets. Place a colored separator sheet labeled 3rd Party Construction Cost Estimate in front of it.

Department of Commerce

Housing Trust Fund Addendum

Table of Contents/Self-Certification Checklist

• For residential occupants, include type of occupancy (renter vs homeowner), household size, unit size, and household income and rent information that is current as of the date of application. Vacant units should also be listed with the move-out date of the last tenant.
• For commercial occupants, include name and type of business, length of occupancy, and current lease terms

• Copy of signed and dated WSQA Intent to Apply Form

• Copy of letter or e-mail from WSQA confirming receipt of Intent to Apply Form

• Evidence of Application submittal to WSQA (please do not attach your application)

Department of Commerce O&M

Applicants who are applying for Housing Trust Fund Operations & Maintenance (O&M) funding must complete the forms listed below. Consult Chapter 2 of the Housing Trust Fund Guideline and Procedure Handbook to determine if your project is eligible to receive HTF O&M funding. The necessary forms can be downloaded from the Commerce O&M Webpage.

Department of Commerce CDBG-HE

Applicants who are applying for Community Development Block Grant Housing Enhancement (CDBG-HE) funding must complete the forms listed below. Consult Chapter 6 of the Housing Trust Fund Guideline and Procedure Handbook to determine if your project is eligible to receive CDBG-HE funding. The necessary forms can be downloaded from the Commerce CDBG-HE Webpage.

AFFIDAVITS TO COMPLY WITH STATE REQUIREMENTS

ORIGINAL SIGNATURE OF AUTHORIZED OFFICIAL

Section 2 Supplemental Questions

Value of Project Site

1. Date of Appraisal:Click here to enter a date.

1. Project Site current appraised value:$0.00

1. Project Site purchase price:$0.00

1. If the purchase price is not supported by the current appraised value, explain why not:

Greenhouse Gas Emissions Reduction (RCW 70.235.070)

1. Has your organization adopted policies to reduce greenhouse gas emissions?

Yes No

1. Will the proposed project limit greenhouse gas emissions?

Yes No

1. Will the proposed project reduce, or maximize the reduction of, vehicle miles traveled?

Yes No

Phase I Environmental Site Assessment (ESA)/Limited Survey

1. Phase I ESA Completed: Click here to enter a date.

1. Limited Survey Completed: Click here to enter a date.

1. Provide the page number from the Phase 1 ESA/Limited Survey that confirms the presence or absence of the following:
2. Asbestos:Choose an item. Page Number: Click here to enter text.
3. Lead-based paint:Choose an item. Page Number: Click here to enter text.
4. Mold:Choose an item. Page Number: Click here to enter text.
5. Wetlands:Choose an item. Page Number: Click here to enter text.

1. If any of the above were found, describe how each will be abated or managed, and provide an estimate of cost.

Click here to enter text.

1. If you have environmental issues identified in your ESA, provide a plan to abate or manage what was identified. Include page numbers and an estimate of cost.

Click here to enter text.

1. Did the Phase I ESA recommend a Phase II be completed?

Yes No

1. If yes, explain the plan and budget to address the issues that triggered this requirement (note: this cost estimate should be included in your development budget).

Section 6 Supplemental Questions

1. Describe any efforts to secure competitive fees for professional services.

1. Describe how project functions will be delineated across the development team to avoid redundancy and duplication of fees.

Capital Needs Assessment

1. Recommended capitalization of replacement reserves: $0.00 Page Number Click here to enter text.

1. Recommended annual contribution to replacement reserves:$0.00 Page Number Click here to enter text.

Construction Cost Estimate

1. 3rd party Total Construction Cost estimate: $0.00

1. Base construction contract identified in Form 6A:$0.00

1. Detail how your construction cost estimate aligns with the Development Budget. Explain any increases, decreases, exclusions, additions, inflation, the escalation factor applied and number of months applied, or any other factor in your budget that deviates from the Construction Cost Estimate. Where an alternate escalation factor is applied, state the rationale for its use.

1. Describe any notable cost drivers that significantly affect your cost per unit. Note: you may be asked to provide additional information if your costs significantly exceed those of comparable projects (refer to the HTF Cost Policy)

1. Describe specific measures taken to reduce the development cost of the project. To the extent possible, quantify savings achieved by the adoption of each measure.

Click here to enter text.

Section 9 Supplemental Questions

1. Describe how your organization’s by-laws and articles of incorporation (or other governing documents) ensure an effective role for the board of directors. In addition, describe how board members’ biographies illustrate the diversity of skills needed for an effective board.

1. Describe the experience and cultural competencies of your development team, management team and Executive Director. Where organizational leadership is not representative of the diversity of populations being served, please describe efforts to increase this capacity, whether through intentional outreach, meaningful partnerships or professional internship opportunities.

Click here to enter text.

1. Describe your organization’s approach to asset management and long-term portfolio planning. Include details on your methods of the following. Be certain to include the name(s) of staff responsible:
2. tracking operational/dashboard performance;
3. assessment and projections of your properties using Capital Needs Assessments and reserve analyses; and
4. portfolio preservation planning. i.e., your priorities and financial plan to achieve those goals. Include examples of successful recapitalization strategies you’ve utilized and major improvements to buildings in your portfolio that you’ve accomplished.

1. Describe the last three development projects completed by your organization, including whether the projects were completed within the planned timeframe and budget, any challenges experienced, hurdles overcome, lessons learned, and any subsequent process improvements initiated.

1. Describe the development pipeline of the lead sponsor. Include all potential or pending projects with the expected development timeline and anticipated date of application for financing (if not already funded).

1. When was the Sponsor organization last audited? Click here to enter a date.

1. Were there any findings?

Yes No

1. If so, please describe the nature of the findings:

Click here to enter text.

1. Have these findings been resolved?

Yes No

1. If not, what is your plan for resolution?

Organizational Pipeline

1. List by name all projects your organization is submitting an application for in this Round, in order of priority (highest to lowest). State your rationale for this order (e.g., committed funding, local priority population).

Washington State Quality Award Program (RCW 43.185C.210, § (5)(a))

1. During the prior calendar year, did your organization receive a total of more than $500,000 from the following sources:

• State housing-related funding sources (includes operating and capital)
• Affordable housing for all surcharge in RCW 36.22.178
• Home security fund surcharges in RCW 36.22.179 and RCW 36.22.1791
• Any other surcharge imposed under chapter 36.22 or RCW 43.185C to fund homelessness programs or other housing programs.

Yes No

• Copy of signed and dated WSQA Intent to Apply Form

• Copy of letter or e-mail from WSQA confirming receipt of Intent to Apply Form

• Evidence of Application submittal to WSQA (please do not attach your application)