Attachment 1. Application Data Form: Cover Sheet

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, jliu@ebaldc.org
Primary Contact Name & Title: Karoleen Feng, Senior Project Manager
Telephone, Fax, Email: (510) 287‐5353 ext 352, (510) 763‐4143, kfeng@ebaldc.org
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