CC Resolution No. 16-038 Adopting the 2016-17 Community Development Block Grant (CDBG) Program Annual Action PlanRESOLUTION NO. 16-038
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF CUPERTINO
ADOPTING THE 2016-17 COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG)
PROGRAM ANNUAL ACTION PLAN
WHEREAS, the Housing and Community Development Act of 1974 provides that funds
be made available for the Community Development Block Grant (CDBG) program; and
WHEREAS, the City of Cupertino is required to submit a 2016-17 CDBG Annual Action
Plan to the United States Department of Housing and Urban Development (HUD) for review
and approval prior to being allowed to expend CDBG funds for fiscal year 2016-17; and
NOW, THEREFORE BE IT RESOLVED that the City of Cupertino makes the certifications
required by 24 CPR Sections 91.225 and 570.303 as contained in the CDBG Annual Action Plan
for fiscal year 2016-17; and
BE IT FURTHER RESOLVED that the City Council of the City of Cupertino hereby
approves the 2016-17 CDBG Annual Action Plan; and
BE IT FURTHER RESOLVED that the City Manager is hereby authorized to submit the
2016-17 CDBG Annual Action Plan approved by the City Council of the City of Cupertino to
HUD.
PASS ED AND ADOPTED at a regular meeting of the City Council of the City of
Cupertino this 19th day of April, 2016 by the following vote:
AYES:
NOES:
ABSENT:
ABSTAIN:
ATTEST:
Members of the City Council
Chang, Vaidhyanathan, Paul, Sinks, Wong
None
None
None
APPROVED:
Grace Schmidt, City Clerk
City of Cupertino
2016 Annual Action Plan
CUPERTINO
Prepared by the Department of Community Development
10300 Torre Avenue
Cupertino, CA 95014
Approved by City Council
April 19, 2016
Resolution No. 16-038
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TABLE OF CONTENTS
EXECUTNE SUMMARY .................................................................................. 4
FISCAL YEAR 2015-16 EVALUATION OF PAST PERFORMANCE ............................ .4
FISCAL YEAR 2016-17 RESOURCES AND ACTIVITIES .......................................... .4
FISCAL YEAR 2016-17 CDBG PROPOSED FUNDING ALLOCATIONS ........................ 5
INTRODUCTION ............................................................................................. 6
FEDERAL RESOURCES................................................................................ . ... 6
OTHER RESOURCES ....................................................................................... 6
Below Market-Rate (BMF) Affordable Housing Fund (AHF) ....................................... 6
General Fund Human Service Grants (HSG) Program .................................................. 7
West Valley Community Services (WVCS) ............................................................ 7
Housing Trust Silicon Valley (HTSV) ....................................................................................... 7
HOME Investment Partnerships Program (HOME) ..................................................... 8
Mortgage Credit Certificate (MCC) Program ............................................................................. 8
Second Unit Program .................................................................................................................. 8
Santa Clara County Affordable Housing Fund (SCCAHF) ........................................................ 8
Section 8 Housing Choice Voucher Program ............................................................................. 8
Density Bonus Ordinance ........................................................................................................... 8
CITIZEN PARTICIPATION .......................................................................................................... 8
CONSULTATION WITH OTHER JURISDICTIONS .................................................................. 9
GEOGRAPHIC DISTRIBUTION .................................................................................................. 9
ANTI-POVERTY STRATEGY ..................................................................................................... 9
HOMELESS AND SPECIAL NEEDS ........................................................................................... 9
LEAD-BASED PAINT ................................................................................................................. 10
PUBLIC HOUSING ..................................................................................................................... 10
LEVERAGING OF FUNDS ......................................................................................................... 10
FAIR HOUSING .......................................................................................................................... 10
PROGRAM MONITORING ........................................................................................................ 11
URGENT OR COMMUNITY NEED .......................................................................................... 12
AMENDMENTS TO PLAN ......................................................................................................... 12
SUMMARY OF 2016-17 CDBG, HSG AND BMR AHF APPLICATIONS ............................. 12
CDBG Public Service Applications .................................................................... 13
CDBG Capital Housing Project Applications ......................................................... 13
HSG Applications .......................................................................................... 14
BMR AHF Applications ................................................................................. 15
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2015-20 CONSOLIDATED PLAN GOALS ............................................................ 18
2015 -20 CONSOLIDATED PLAN FIVE YEAR GOALS SUMMARY. ....................... 19
2015-20 CONSOLIDATED PLAN ANNUAL GOALS SUMMARY .......................... 20
AREAS OF MINORITY AND LMI CONCENTRATION MAP ............................... 21
HUD APPLICATION CERTIFICATIONS ........................................................... 22
APPLICATION FOR FEDERAL ASSISTANCE SF-424 .......................................... 30
CITY COUNCIL RESOLUTION ....................................................................... 33
PROOF OF PUBLICATION ............................................................................. 34
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Executive Summary
The Community Development Block Grant (CDBG) Annual Action Plan (hereafter "Action
Plan") is an annual plan covering fiscal year 2016-17 (July 1, 2016 -June 30, 2017), which the
City of Cupe1tino, as lead agency, oversees pursuant to the goals outlined in the 2015-20
Consolidated Plan. The Action Plan details the activities Cupertino will undertake to address the
housing and community development needs and local objectives using funds received during the
2016 program year (July 1, 2016 -June 30, 2017) from CDBG entitlement funds, anticipated
program income (PI) and available uncommitted funds from the prior program year. The Action
Plan includes United States Department of Housing and Urban Development (HUD) developed
forms plus a supplemental narrative.
Fiscal Year 2015-16 Evaluation of Past Performance
Cupertino was successful in addressing the goals and objectives cited in the fiscal year 2015-16
(July 1, 2015 -June 30, 2016) Action Plan. Most of the CDBG funds were used to carry out
activities that benefited low and moderate-income persons. Only CDBG administration funds did
not directly serve low and moderate-income persons. Eligible funded public service activities
included fair housing, food, clothing, senior services and emergency housing services. These
activities continue to make a positive impact on identified needs in the community and are
providing services that might otherwise have gone unmet. Eligible funded capital housing
projects included a single family residence minor repair program which served low-income
homeowners city-wide by addressing accessibility and health and safety measures and a multi-
family residential rehabilitation project. As can be expected, community needs continue to
exceed the available resources.
Fiscal Year 2016-17 Resources and Activities
For fiscal year 2016-17 (July 1, 2016 -June 30, 2017), the City of Cupertino estimates it will
have a total of up to $394,592 in CDBG funds eligible to allocate. The City of Cupertino
estimates that it will receive $307,592 in entitlement funds for fiscal year 2016-17 . The City of
Cupertino also estimates that it will have $7,000 in program income (PI), plus an estimated
$80,000 in available uncommitted funds from prior fiscal year 2015-16. The estimated total of
$394,592 in CDBG funds for fiscal year 2016-17 is comprised of the estimated 2016-17
entitlement amount of $307,592, plus $7,000 PI, plus $80,000 of available uncommitted funds
from the prior fiscal year 2015-16. CDBG administrative funds will not exceed the 20% cap of
the estimated 2016-17 entitlement amount ($307,592) and PI ($7,000), thus an estimated total of
$62,918 is estimated to be allocated for administrate costs to cover salary and benefits of staff
who assist with the operation of the CDBG program. CDBG public service funds will not exceed
the 15% cap of the 2016-17 entitlement amount ($307,592) and PI ($7,000), thus an estimated
$47,188 is estimated to be allocated toward eligible public service activities. The remaining 65%
of the 2016-17 CDBG entitlement grant funds ($307,592) and PI ($7,000) or $204,484 is
proposed to be allocated toward eligible CDBG capital housing projects. In addition for fiscal
year 2016-17 an estimated $80,000 of available uncommitted funds from the prior fiscal year
2015-16 is estimated to be allocated for eligible CDBG capital housing projects . For fiscal year
2016-17 up to $284,484 is estimated to be utilized for CDBG capital housing projects. If the
federal budget is reduced or increased for fiscal year 2016-17, CDBG grant applicant amounts
will also be reduced or increased proportionately. The table below is a summary of how the
CDBG funds are proposed to be allocated for fiscal year 2016-17.
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Fiscal Year 2016-17 CDBG Proposed Funding Allocations
CDBG Pro.iected Use CDBG Dollar Amount
Entitlement Amount: $307,592
Program Income (PI): $7,000
Administration (20%) $62 ,918
Public Services (15%) $47,188
Capital Housing Projects (65%) $204,484
Uncommitted Funds From Prior Fiscal
Year 2015-16 for Capital Housing $80,000
Projects
Total $394,592
For fiscal year 2016-17 the City of Cupertino anticipates providing CDBG funding for two
eligible public service activities and two eligible capital housing projects. For fiscal year 2016-17
the portion of CDBG funds that is proposed to be allocated toward two eligible public service
activities is estimated to provide up to 121 unduplicated households with food, clothing, senior
services and emergency services. The portion of CDBG funds that is proposed to be allocated
toward two eligible capital housing projects is estimated to serve up to 42 unduplicated
households. CDBG funds are proposed to serve up to a total of 163 unduplicated households for
fiscal year 2016-17.
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INTRODUCTION
The Action Plan is a one-year plan which describes the eligible programs, projects and activities
to be undertaken with funds expected during fiscal year 2016-17 (July 1, 2016 -June 30, 2017)
and their relationship to the priority housing, homeless and community development needs
outlined in the 2015-20 Consolidated Plan .
FEDERAL RESOURCES
The City of Cupertino's Action Plan for fiscal year 2016-1 7 is a comprehensive approach to
addressing the immediate community needs of households who are low-income. The Action Plan
is based on an estimated CDBG 2016-17 entitlement amount of $307,592 that the City
anticipates will be received from HUD plus an estimated amount of $7,000 in PI, plus an
estimated $80,000 in available uncommitted funds from the prior fiscal year 2015-16 . A list of
all applications received per funding source for fiscal year 2016-17 along with the agencies
proposed to receive funding is included in this document. A list of program and/or project
descriptions along with proposed annual goals for each of the agencies is also included in this
document.
PI is derived from outstanding CDBG rehabilitation program loan repayments and is estimated to
total $7,000 and is proposed to be allocated for fiscal year 2016-17. A portion of that PI will be
allocated to suppo11 administration and eligible public service activities. It is estimated that the
City of Cupertino will allocate $47,188 toward eligible public service activities for 2016-17.
Consistent with CDBG regulations, this amount represents no more than 15% of the combined
total of the City's entitlement amount and PL
In 1999 HUD informed the Santa Clara County that the San Jose Metropolitan Statistical Area is
one of the high-income areas where the income limits were increased to the actual 80% of
median income, adjusted for household size. The City of Cupertino will continue to use the
actual 80% of median income limits for all of its CDBG programs in the 2016 Program Year.
Individual activities may use a lower income eligibility criterion.
OTHER RESOURCES
Below Market-Rate (BMR) Affordable Housing Fund (AHF)
The BMR AHF receives its revenue from the payment of housing mitigation fees from non-
residential (office, commercial, retail, research and development (R&D), hotel and industrial)
and residential development. The non-residential housing mitigation fee jobs/housing nexus
study acknowledges housing needs created by the development of office, commercial, retail,
hotel, R&D and industrial development. A fee is applied to new square footage of non-residential
development in the City. The fees collected are deposited in the City's BMR AHF and are to be
used for the provision of affordable housing .
The City's residential housing mitigation fee applies to all new residential development greater
than one unit. Residential developers are required to designate at least 15% of the units in an
ownership development as affordable and are required to pay an impact fee for rental
developments. These designated units are identified as the BMR units. For ownership
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developments of six or fewer units or in the case of all rental developments , the developer may
pay a fee in-lieu of building the affordable units . All affordable units developed under the BMR
program must remain affordable for 99 years from the date of first occupancy and, if for sale
units are resold during that period, a new 99 year time period is established.
The City recently had a residential nexus study analysis and non-residential jobs/housing nexus
study completed in 2015. As a result the City Council adopted updated housing mitigation fees
which went into effect in July 2015 for both residential and non-residential development. With
newly updated fees , the City anticipates increased revenue growth for its BMR AHF.
The City administers the BMR AHF which generates its revenue from the collection of
residential and non-residential housing mitigation fees. Potential uses of BMR AHF funds
include, but are not limited to the following :
1. BMR Program Administration
2. Land Acquisition
3. New Construction
4. Acquisit ion and/or rehabilitation of building for permanent affordability
5. Preserving "at-risk" BMR units
6 . Substantial Rehabilitation
7. Rental Operating Subsidies
8. Down Payment Assistance
9. Direct Gap Financing
10. Fair Housing
A p01tion of the BMR AHF funds will be targeted to benefit the following groups , to the extent
that these target populations are found, to be consistent with the needs identified in the nexus
study:
1. Extremely low-income households and
2. Persons with specials needs (such as the elderly, victims of domestic violence ,
and the disabled, including persons with development disabilities).
General Fund Human Service Grants (HSG) Program
Annually the City Council allocates approximately $40 ,000 from the General Fund to public and
human service agencies within the City of Cupertino .
West Valley Community Services (WVCS)
WVCS is a non-profit organization that assists with the administration of the City's BMR
ownership and rental programs. WVCS also administers additional affordable housing programs
in-house which include providing support services to homeless individuals and managing a
transitional housing facility. Further, WVCS acts as the administrative agent on behalf of the
City of Cupertino in managing and monitoring the BMR program.
Housing Trust Silicon Valley (HTSV)
The HTSV is a public /private venture , dedicated to increasing affordable housing in Santa Clara
County . The HTSV makes available funds for de velopers to borrow for the construction of the
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affordable units. Cupe1tino originally contributed $250 ,000 to the fund and accessed the fund to
assist in the development of Vista Village, a 24-unit affordable apartment complex constrncted
by BRIDGE Housing and Cupertino Community Services. Subsequently, the City contiibuted
$25,000 in 2008, 2009 and 2010 and an additional $1,000,000 in 2011.
HOME Investment Partnerships Program (HOME)
The City joined the Santa Clara County HOME Consortium in June 2014 . Developers who are
interested in developing affordable housing in the City of Cupertino can apply for HOME funds
through a competitive process for their proposed projects through the Santa Clara County HOME
Consortium .
Mortgage Credit Certificate (MCC) Program
The MCC program provides assistance to first-time homebuyers by allowing an eligible
purchaser to take 20% of their annual mortgage interest payment as a tax credit against federal
income taxes. Santa Clara County administers the MCC Program on behalf of the jurisdictions in
the County, including Cupertino. The program does establish maximum sales price limits on
units assisted in this program and, due to the high housing costs in Cupertino, there have been
few households assisted in Cupertino in recent years.
Second Unit Program
The City's Second Unit Ordinance allows an additional unit to be built on any single-family
residential parcel. The objective of this Ordinance is to encourage additional units on already
developed parcels, such as parcels with single-family dwellings .
Santa Clara County Affordable Housing Fund (SCCAHF)
In July 2002, the Santa Clara County Board of Supervisors created an Office of Affordable
Housing and established a housing trnst fund in the amount of $18 .6 million to be used for
affordable housing developments. The primary goal of the fund is to leverage funding with other
sources and create affordable housing in Santa Clara County.
Section 8 Housing Choice Voucher Program
The Housing Authority of the County of Santa Clara (HACSC) provides rental subsidies and
develops affordable housing for low-income families, seniors and persons with disabilities living
within Santa Clara County.
Density Bonus Ordinance
The City's Density Bonus Ordinance allows up to a 35% increase in density for developments
greater than 5 units that provide a proportion of units for very low or low-income households or
housing for senior citizens . In addition to the density bonus, certain incentives and/or
concessions may also be eligible for the developer to apply for .
CITIZEN PARTICIPATION
The Housing Division of the Community Development Department is the lead agency for
overseeing the development of the Consolidated Plan and Action Plan.
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Per the City's adopted Citizen Participation Plan the City is to allow a 30 day public review
comment period for the Action Plan. The City has published notifications of upcoming public
hearings and the 30 day public review comment period in the local Cupertino Courier newspaper
of general circulation. The City held two adve1tised public hearings on March 10, 2016 and April
19, 2016. The Action Plan 30 day public review period occurred from March 7, 2016 through
April 8, 2016. The City has not received any public comments to-date.
CONSULTATION WITH OTHER JURISDICTIONS
As standard practice, CDBG entitlement jurisdictions from throughout Santa Clara County hold
quarterly meetings to discuss issues of common interest. Meeting agendas cover such topics as
federal, state and local program and project requirements, policy updates, legal updates, HUD
program administration requirements, and other topics of mutual concern. A local HUD field
representative is also invited to attend or join via conference call for these quarterly meetings .
These meetings provide an opportunity for the City to consult with other jurisdictions on its
proposed use of federal funds for the 2016 Program Year.
GEOGRAPHIC DISTRIBUTION
A map is attached which outlines the City's minority and LMI concentration areas. Most of the
City's CDBG public service and capital housing project funded activities benefit LMI
household's city-wide.
ANTI-POVERTY STRATEGY
In a continuing effort to reduce poverty, the city of Cupertino will make it a priority to fund
agencies that provide direct assistance to the homeless and those in danger of becoming
homeless and make a commitment to improve the communication and service delivery
capabilities of agencies and organizations that provide programs to assist the homeless.
Depending on funding availability, Cupertino will continue to provide assistance to public
agencies and nonprofit organizations providing neighborhood housing services, supportive
services to the homeless, older adults with physical or mental impairment, the mentally ill,
victims of domestic violence, and households with abused children among others.
Coordinate with public agencies providing job training, life skills training, lead poisoning
prevention and remediation and other education programs are listed in the 2015-20 Consolidated
Plan strategies. '
HOMELESS AND SPECIAL NEEDS
In previous years, the City of Cupertino appropriated $20,000 in CDBG funds for the Sobrato
Family Living Center Project and contributed to the Home Safe-Santa Clara providing
transitional housing for survivors of domestic violence who are considered at-risk for
homelessness. Most recently, in a 2008 mid-year reallocation, the City contributed $800,000 to
Maitri, a non-profit agency providing transitional housing to victims of domestic violence, for
the purchase of a four-plex in Cupertino.
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In addition to these capital project subsidies, the City has recently supported the reopening of the
Rotating Shelter Program. The City of Cupertino also continues to coordinate services to the
homeless through inter-agency efforts such as Destination HOME, Community Technology
Alliance and the regional Continuum of Care (COC). Cupertino also paiticipated in the bi-annual
Santa Clara County Homeless Census and Survey that took place in 2015.
In addressing senior services, the City will continue advocacy for the increased dissemination of
accurate information and counseling for seniors and other persons regarding housing options
available. This will be accomplished through a cooperative effort with the Cupe1tino Senior
Center, West Valley Community Services and the Cupertino Public Library.
LEAD-BASED PAINT
Lead-based paint awareness and abatement will be fully integrated by the City of Cupertino into
its assisted housing programs. Each tenant, landlord and property owner will be informed of the
dangers, symptoms, testing, treatment and prevention of lead-based paint poisoning. Lead-based
paint hazard stabilization or abatement will be provided in each and every rehabilitation project.
Furthermore, adherence to Federal guidelines for reduction activities with lead-based paint is
provided for in every federally funded rehabilitation loan.
PUBLIC HOUSING
The City will continue to encourage the Housing Authority of the County of Santa Clara
(HACSC) and Housing Trust Silicon Valley (HTSV) to develop affordable units in the City of
Cupe1tino .
LEVERAGING OF FUNDS
To the greatest extent possible, when feasible, the City of Cupertino will leverage public and
private resources to achieve the goals of the 2015-20 Consolidated Plan. The City of Cupe1tino
will continue to request that affordable housing developers seek private financing, grants and
utilize other state and federal funding sources, such as the Building Equity and Growth in
Neighborhoods Program (BEGIN), HOME Investment Partnerships Program (HOME),
Multifamily Housing Program (MHP) and Low Income Housing Tax Credit (LIHTC) programs.
FAIR HOUSING
The City of Cupertino continues to support both the purpose and goal of fair housing and works
to achieve fair housing in administering federal, state and local programs. The City of Cupe1tino
also suppo1ts the development of affordable housing stock that is an imp01tant part of a fair
housing initiative, given the high cost of local housing. The City of Cupertino prepared and
updated an Analysis of Impediments to Fair Housing Choice (Al) in February 2016. A copy of
the updated AI was forwarded to HUD to be kept on file.
The proposed actions to be unde1taken by the City in the 2016 Program Year consist of the
following:
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• The City will continue to reqmre developers to provide relocation assistance when
residents will be displaced.
• The City will continue to provide a housing program that allows for accessibility and
modification of existing housing facilitating the needs of persons with disabilities.
• The City will continue to support non-profit organizations whose purpose is to aid in the
furthering of fair housing in the community. Methods of support could include
notification of fair housing rights and responsibilities distributed in brochures located in
public buildings, public service announcements on the local access channel or similar
methods.
• The City will continue to allow for the construction of higher density housing complexes
on a case-by-case basis when possible, for all economic segments of the coffimunity.
PROGRAM MONITORING
Performance monitoring for compliance to federal program requirements is scheduled at least
once annually for both programs and projects that are under service contract. In addition, the
City undertakes an annual Single Audit when applicable according to the requirements of the
federal Office of Management and Budget. As standard practice, notification is made to HUD on
the availability of the City's annual audit.
The City ensures monitoring compliance for public service grant contracts as follows:
Public Services
1. A CDBG Application File Checklist along with subrecipient documentation from the
checklist will be placed in each subrecipient file.
2. All subrecipients will be monitored by City staff quarterly through the collection of quarterly
invoices, quarterly progress reports and other quarterly supporting documentation
(timesheets, pay stubs, payroll records, invoices, profit/loss statements, bank statements ,
etc ... ). Any missing inf01mation will be requested from subrecipient at that time to bring
their file into compliance.
3. Third party consultant on-site annual subrecipient monitoring will be conducted. The City
will contract with a third-paity consultant to perform annual on-site subrecipient monitoring .
Any monitoring findings will be brought to compliance. The consultant will use a separate
monitoring form .
4 . Annual CDBG subrecipient training will be conducted by City staff and/or it's consultant to
assist subrecipients with monitoring and compliance regulations. A copy of the Subgrantee
Administrative Manual will also be provided to subrecipients.
5. HUD on-site monit01ing. From time to time HUD staff will perfo1m on-site monitoring of
both City staff and subrecipients.
The City ensures monitoring compliance for capital grant and/or loan contracts as follows:
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Capital Projects
1. Periodically prope11ies and/or units that have received CDBG assistance for rehabilitation
and/or acquisition ofreal property will be inspected by the City or it's designee to ensure that
all housing codes such as Health and Safety Code (H&S), Housing Quality Standards
(HQS), building codes and code enforcement standards are in compliance. A report of the
findings will be placed in the CDBG grant and/or loan file to ensure long-term compliance
with housing codes.
2. Recipients of CDBG capital project grants and/or loans for rehabilitation and acquisition of
real property will submit annual performance reports to the City by July 31 that summarizes
CDBG assisted household information such as the number of clients served, including their
monthly rent, annual income, income level, household size, race/ethnicity and whether they
are senior, disabled or female head of households for the term of their grant and/or loan
agreement.
3. Recipients of CDBG capital project grants and/or loans for rehabilitation and acquisition of
real property must maintain all required insurance coverage for the term of their grant and/or
loan agreement. A copy of insurance coverage will be placed in the CDBG grant and/or loan
file.
Recipients of CDBG capital project grants and/or loans for rehabilitation and acquisition of real
property must perform an independent fiscal audit in conformance with the generally accepted
standard account principals annually and submit to the City for the term of their grant and/or loan
agreement. A copy the financial audit will be placed in the CDBG grant and/or loan file.
URGENT OR COMMUNITY NEED
In the event of a local, state or federal disaster declaration for areas within the boundaries of the
City of Cupertino, the City will reserve the right to use CDBG funds to abate immediate and
necessary hazards. The funds may be used for staff efforts, grants or loans to affected parties, as
approved by the City Council and allowed under the federal regulations.
AMENDMENTS TO PLAN
Prior to the submission of any substantial amendment in the proposed use of funds, citizens will
be provided reasonable notice of, and the opportunity to comment on, any proposed Action Plan
amendments .
SUMMARY OF 2016-17 CDBG, HSG AND BMR AHF APPLICATIONS
The City of Cupertino adopted its 2015-20 Consolidated Plan in April 2015. The City intends to
provide funding in fiscal year 2016-17 to housing activities which are consistent with the
adopted 2015-20 Consolidated Plan. Listed below is a summary of fiscal year 2016-17
Community Development Block Grant (CDBG) Program, General Fund Human Service Grants
(HSG) Program and Below Market-Rate (BMR) Affordable Housing Fund (AHF) applications
that are recommended for funding and their relationship to 2015-20 Consolidated Plan goals,
strategies and actions that the City intends to fund.
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Community Development Block Grant (CDBG) Public Service Applications:
Application #1
Name of Organization: Live Oak Adult Day Services
Name of Program: Senior Adult Day Care
Funding Request: $15 ,098
Annual Goal: Serve 21 unduplicated frail , depended, low-income Cupertino seniors.
Provide services for seniors at-risk of being institutionalized. Provide specialized
Program Description: program such as recreation, mental stimulation, companionship and meals to
seniors.
Funding Recommendation: $15,098
Goal #3: Strengthen Neighborhoods.
Relationship to 2015-20 Goal Description : Support activities that strengthen neighborhoods through the
Consolidated Plan provision of community services and public improvements to benefit low-income
and special needs households.
Application #2
Name of Organization: West Valley Community Services (WVCS)
Name of Program: Community Access to Resource and Education (CARE)
Funding Request: $25,000
Annual Goal : Serve a total of 100 unduplicated households by providing case management and
support services.
The CARE program incorporates both case management and wrap around services
to help at-risk and vulnerable household's manage crisis and provide stabilization
Program Description : to help them move towards self-sufficiency. The target population of the CARE
program includes low-income seniors, families with children, at-risk youth and
adults. The CARE program includes case management, access to food pantry and
emergency financial assistance.
Funding Recommendation: $32 ,090
Goal #2 : Homelessness.
Goal Description: Support activities to prevent and end homelessness.
Relationship to 2015-20 Goal #3 : Strengthen Neighborhoods. Consolidated Plan Goal Description: Support activities that strengthen neighborhoods through the
provision of community services and public improvements to benefit low-income
and special needs households.
Note: CDBG public service funded amounts may be reduced or increased . If the federal budget is reduced or
increased for fiscal year 2016-17, CDBG grant appli cant amounts that are recommended for funding will also be
reduced or increased proportionately.
Community Development Block Grant (CDBG) Capital Housing Project Applications:
Application #1
Name of Organization : Rebuilding Together Silicon Valley (RTSV)
Name of Project: Housing Repair and Rehabilitation Project
Funding Request: $60,300
Annual Goal : Repair homes to 7 unduplicated Cupertino households.
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Provide home safety repairs, mobility and accessibility improvements for low-
Project Description: income households in Cupertino with the primary consideration being the
correction of safety hazards.
Funding Recommendation: $60,300
Relationship to 2015-2020 Goal#l: Affordable Housing .
Consolidated Plan Goal Description : Assist in the creation and preservation of affordable housing for
low-income and special needs households.
Application #2
Name of Organization: City of Cupertino Public Works Department
Name of Project: City-wide Curb Ramp Installation Project
Funding Request: $200,000
Annual Goal: Install at ion of up to 35 ADA curb ramps in various locations throughout the City .
The project aims to bridge gaps in accessibility by constructing and upgrading curb
Project Description: ramps . The objective of the project is to allow for a continuous path of travel
through the public right of way specifically providing accessibility to the general
public including the disabled .
Funding Recommendation : $224,184
Goal #3: Strengthen Neighborhoods.
Relationship to 2015-20 Goal Description: Support activities that strengthen neigh borhoods through the
Consolidated Plan provision of community services and public improvements to benefit low-income
and special needs households.
Note: CDBG project amounts may be reduced or increased. If the federal b udget is reduced or increased for fiscal
year 2016-17, CDBG grant applicant amounts that are recommended for funding will also be reduced or increased
proportionately.
Ge nera l F un d Human Service Gra nts (HSG) Applicati on s:
Application #1
Name of Organization: Catholic Charities of Santa Clara County
Name of Program: Long-Term Care Ombudsman
Funding Request: $6,500
Provide advocacy by contacting 224 unduplicated residents, 48 unannounced visits
Annual Goal: to five Cupertino long-term care facilities and investigate and resolve up to 16
complaints .
Provide advocacy for Cupertino residents in long-term care facilities to ensure they
Program Description: have a voice in their own care and treatment. The program will receive, investigate
and resolve any complaints associated with the care of the long-term care faci lity
residents.
Funding Recommendation: $6,500
Goal #3: Strengthen Neighborhoods .
Relationship to 2015-20 Goa l Description : Support activities that strengthen neighborhoods through the
Consolidated Plan provision of community services and public improvements to benefit low-income
and special needs househo lds.
Application #2
Senior Adults Le al Assistance
Le al Assistance to Elders
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Funding Request: $10 ,100
Annual Goal : Serve 40 Cupertino seniors .
Provides free legal services to low-income seniors at the Cupertino Senior Center.
Program Description : Legal services provided are in the area of consumer complaints, housing, elder
abuse, and simple wills.
Funding Recommendation: $10,100
Goal #3 : Strengthen Neighborhoods.
Relationship to 2015-20 Goal Description: Support activities that strengthen neighborhoods through the
Consolidated Plan provision of community services and public improvements to benefit low-income
and special needs households .
Application #3
Name of Organization: Maitri
Name of Program: MTH -Direct Client Services
Funding Request: $15,000
Annual Goal: Maitri will provide transitional housing to 16 unduplicated households.
Provides transaction housing and related supportive services to low-income victims
Program Description: of domestic violence who are at high risk of becoming homeless and /or suffering
further abuse to themselves and their children.
Funding Recommendation: $23 ,400
Goal #2: Homelessness .
Goal Description: Support activities to prevent and end homelessness.
Relationship to 2015-20 Goal #3 : Strengthen Neighborhoods .
Consolidated Plan Goal Description : Support activities that strengthen neighborhoods through the
provision of community services and public improvements to benefit low-income
and special needs households.
Below Market-Rate (BMR) Affordable Housing Fund (AHF) Applications:
Application # 1
Name of Organization: West Valley Community Services (WVCS)
Name of Program: Affordable Placement Program
Funding Request: $122 ,400
Annually monitor existing 121 BMR ownership units, annually income recertify
Annual Goal : 138 BMR rental units. Place new affordable income households into either BMR
for-sale or rental units within the City of Cupertino. Manage BMR waiting list,
monitor BMR units, perform orientation and assist with marketing.
West Valley Community Services (WVCS) is responsible for the monitoring,
Program Description: screening and placement services for the City of Cupertino's BMR for-sale and
rental housing units . WVCS maintains a waiting list for qualified applicants and
provides services to those placed in the BMR affordable units.
Funding Recommendation: $122,400
Goal #3: Strengthen Neighborhoods.
Relationship to 2015-20 Goal Description : Support activities that strengthen neighborhoods through the
provision of community services and public improvements to benefit low-income Consolidated Plan and special needs households.
15
Application #2
Name of Organization: Project Sentinel
Name of Program: Landlord/Tenant Rental Mediation
Funding Request: $35,000
Annual Goal: Intake 150 information and referral calls, open 40 landlord/tenant mediation cases
and counsel 40 households.
Provides information and dispute resolution services to tenants, mobile home
Program Description: owners, and landlords . Project Sentinel answers questions and helps to resolve
disputes such as deposits, repairs , rent increases, nonpayment of rent, other rental
housing and mobile home park issues. Provides free counseling services.
Funding Recommendation: $35,000
Goal #3: Strengthen Neighborhoods.
Relationship to 2015 -20 Goal Description: Support activities that strengthen neighborhoods through the
Consolidated Plan provision of community services and public improvements to benefit low-income
and special needs households .
Application #3
Name of Organization : Eden Council for Hope and Opportunity (HOPE)
Name of Program : Fair Housing Services
Funding Request: $10,000
Annual Goal : Perform a total of 15 unduplicated fair housing investigative cases and audits of
suspected discrimination.
Provide fair housing assistance throughout the City of Cupertino, including
Program Description : conducting presentations, counseling housing providers and investigating
allegations of discrimination.
Funding Recommendation: $10,000
Relationship to 2015-2020 Goal #4: Fair Housing
Consolidated Plan Goal Descriotion: Promote fair housing choice.
Application #4
Name of Organization : West Valley Community Services (WVCS)
Name of Proiect: 10311 & 10321 Greenwood Court Renovation Project
Funding Request : $160,000
Annual Goal : Renovate 4 residential duplexes.
Renovate current transitional housing units to make them more suitable for future
Project Description : BMR rental housing . The renovation work will include but not be limited to
replacement of kitchen cabinets, countertops, flooring, light fixtures , doors and
windows along with interior painting.
Funding Recommendation: $160,000
Relationship to 2015-20 Goal#l: Affordable Housing.
Goal Description: Assist in the creation and preservation of affordable housing for Consolidated Plan low-income and special needs households .
Application #5
Name of Organization : MidPen Housing Corporation
Name of Project: *19160 Stevens Creek Blvd . Senior Housing Development
Funding Request: $3,500,000
Annual Goal: Acquire site for a proposed affordable senior hou sing residential multi-family rental
development.
16
Develop site for a future affordable housing senior community . The proposed
project would consist of 30 units (one manager's unit). The project will serve
Project Description: seniors between 30%-50% of the Area Median Income (AMI). The project would
require MidPen to obtain site control in order to apply for necessary funding . The
project would also require a General Plan Amendment (GPA) authorization from
the City Council for proposed rezoning of the site.
Funding Recommendation: $3,500,000
Relationship to 2015-20 Goal#l: Affordable Housing .
Goal Description: Assist in the creation and preservation of affordable housing for Consolidated Plan low-income and special needs households.
*Application funding would be subject to site control, City General Plan Amendment (GPA) authorization and
project aooroval by City Council.
17
2015-20 CONSOLIDATED PLAN GOALS
The City of Cupertino adopted its 2015-20 Consolidated Plan in April 2015. Below is a list of the
2015-20 Consolidated Plan goals. The fiscal year 2016-17 CDBG, HSG and BMR AHF
applications above show their relationship to the 2015-20 Consolidated Plan.
Goal #1: Affordable Housing
Goal Description: Assist in the creation and preservation of affordable housing for low-income and
special needs housing
Goal #2: Homelessness
Goal Description: Support activities to prevent and end homelessness.
Goal #3: Strengthen Neighborhoods
Goal Description: Support activities that strengthen neighborhoods through the prov1s10n of
community services and public improvements to benefit low-income and special needs households.
Goal #4: Fair Housing
Goal Description: Promote fair housing choice.
18
2015-20 CONSOLIDATED PLAN FIVE YEAR GOALS SUMMARY
SP-4 5 Go als Summ a ry -9 1.215(a )(4)
Goals Summary Information
Table 79 ·Goals Summary
Sort Goal Name Start End Category Geographic Needs Addressed
Order Year Year Area
I Affordab le 2015 2020 • Affo rd~bl e N/A Affordab le Hous ing
Housing Housing
2 Home lessness 20 15 2020 •Homeless N/A Home lessness
3 Stre ngthen 2015 2020 • Non-Housing ,N/A Community Servic es
Neighborhoods Commu nity an d Public
Developme nt Imp roveme nts
• Non-Homeless
Special eeds
4 Fair Ho using 201; 2020 • Non-Housing N/A Fai r Housing
Co mm unity
De ve lopme nt
Funding Goal outcome lndicatorw
CDBG : $969,595 Rental units reha bil itate d:
12 Hous in g Units
Homeowner hous ing units
reh ab ilitated:
29 Housing Units
CDBG: $80,800 Pub lic service activities other than
for low/mod income housing
benefit
'140 Persons i>.ss isted
CDBG: $269.332 Pub lic service activities other than
for low/mod income housing
benefit
44 Perso ns Assisted
Pub lic fac ilit y or infrastructure
acti vit ies other than for low/mod
income housing benefit:
17 Persons Assisted
CDBG: $26,933 Public service activities other than
for low/mod income hous ing
benefit
45 Persons Assisted
*Accomplishments may vary based on actual proiect and HUD requirements regarding mat nx codes and national ob1 ectwes.
19
2015-20 CONSOLIDATED PLAN ANNUAL GOALS SUMMARY
5 yr. Goal Yr. 1 (2015) Yr. 2 (2016) Yr. 3 (2017) Yr. 4 (2018) Yr. 5 (2019) Total CDBG Goal Goal Goal Goal Goal Plan Plan/ Actual Plan/Actual Plan/ Actual Plan/ Actual Plan/ Actual
Goal #1: Affordable Housing
Rental Units 12 12 0 TBD TBD TBD 12 Rehab i 1 i tated
Owner Units 29 7 7 TBD TBD TBD 14 Rehabilitated
Goal #2: Homelessness
Public Service 340 100 100 TBD TBD TBD 200 Activities
Goal #3: Strengthen Neighborhoods
Public Service 44 11 21 TBD TBD TBD 32 Activities
Public Facility
or 17 0 35 TBD TBD TBD 35 Infrastructure
Activities
Goal #4: Fair Housing
Public Service 45 15 0 TBD TBD TBD 15 Activities
20
N
Data Source:
Dab Source
Comment:
AREAS OF MINORITY AND LMI CONCENTRATION MAP
...
ACS 20or-20 11
··~
I -· -
l •
Legend
LJ C ltj SounU ory
_ P.«ncrtty cw ~e ntr -·r.n (Z) -Mai1Fq:.us1io11 •SI)'!.
F'C" Cens us 'tr.u:1
/
Minorit)' co ncentra ·on is defi ned a; ce ns us trach wh er1< the percentage of indi vi d uals of a part· ular racial o r ethni c
mi nority group is at least 20 percentage po'nts higher th an t he cityw· e a \•erage. LM I concent rat io n is defin e as
cens us t racts wh ere t he median household inco m e is so•· or less tha n t he jurisdiction as a who! ...
21
CERTIFICATIONS
In accordance with the applicable statutes and the regulations governing the consolidated plan
regulations, the jurisdiction certifies that:
Affirmatively Further Fair Housing --The jurisdiction will affirmatively further fair housing,
which means it will conduct an analysis of impediments to fair housing choice within the
jurisdiction, take appropriate actions to overcome the effects of any impediments identified
through that analysis, and maintain records reflecting that analysis and actions in this regard.
Anti-displacement and Relocation Plan --It will comply with the acquisition and relocation
requirements of the Uniform Relocation Assistance and Real Property Acquisition Policies Act
of 1970, as amended, and implementing regulations at 49 CFR 24; and it has in effect and is
following a residential antidisplacement and relocation assistance plan required under section
104(d) of the Housing and Community Development Act of 1974, as amended, in connection
with any activity assisted with funding under the CDBG or HOME programs.
Drug Free Workplace --It will or will continue to provide a drug-free workplace by:
1. Publishing a statement notifying employees that the unlawful manufacture, distribution,
dispensing, possession, or use of a controlled substance is prohibited in the grantee's
workplace and specifying the actions that will be taken against employees for violation of
such prohibition;
2. Establishing an ongoing drug-free awareness program to inform employees about -
(a) The dangers of drug abuse in the workplace;
(b) The grantee's policy of maintaining a dmg-free workplace;
(c) Any available drug counseling, rehabilitation, and employee assistance programs ;
and
( d) The penalties that may be imposed upon employees for drug abuse violations
occurring in the workplace;
3. Making it a requirement that each employee to be engaged in the perfo1mance of the
grant be given a copy of the statement required by paragraph I;
4. Notifying the employee in the statement required by paragraph 1 that, as a
condition of employment under the grant, the employee will -
(a) Abide by the terms of the statement; and
(b) Notify the employer in writing of his or her conviction for a violation of a
criminal drug statute occurring in the workplace no later than five calendar days
after such conviction;
22
5. Notifying the agency in writing, within ten calendar days after receiving notice under
subparagraph 4(b) from an employee or otherwise receiving actual notice of such
conviction. Employers of convicted employees must provide notice, including position
title, to every grant officer or other designee on whose grant activity the convicted
employee was working, unless the Federal agency has designated a central point for the
receipt of such notices. Notice shall include the identification number(s) of each affected
grant;
6. Taking one of the following actions, within 30 calendar days of receiving notice
under subparagraph 4(b ), with respect to any employee who is so convicted -
(a) Taking appropriate personnel action against such an employee, up to and
including termination, consistent with the requirements of the Rehabilitation
Act of 1973, as amended; or
(b) Requiring such employee to participate satisfactorily in a drug abuse assistance
or rehabilitation program approved for such purposes by a Federal, State, or
local health, law enforcement, or other appropriate agency;
7. Making a good faith effort to continue to maintain a drug-free workplace
through implementation of paragraphs 1, 2, 3, 4, 5 and 6.
Anti-Lobbying--To the best of the jurisdiction's knowledge and belief:
1. No Federal appropriated funds have been paid or will be paid, by or on behalf of it, to any
person for influencing or attempting to influence an officer or employee of any agency, a
Member of Congress, an officer or employee of Congress, or an employee of a Member of
Congress in connection with the awarding of any Federal contract, the making of any
Federal grant, the making of any Federal loan, the entering into of any cooperative
agreement, and the extension, continuation, renewal, amendment, or modification of any
Federal contract, grant, loan, or cooperative agreement;
2. If any funds other than Federal appropriated funds have been paid or will be paid to any
person for influencing or attempting to influence an officer or employee of any agency, a
Member of Congress, an officer or employee of Congress, or an employee of a Member
of Congress in connection with this Federal contract, grant, loan, or cooperative
agreement, it will complete and submit Standard Fo1m-LLL, "Disclosure Fo1m to Rep01t
Lobbying," in accordance with its instructions; and
3. It will require that the language of paragraph 1 and 2 of this anti-lobbying certification be
included in the award documents for all subawards at all tiers (including subcontracts,
subgrants, and contracts under grants, loans, and cooperative agreements) and that all
subrecipients shall certify and disclose accordingly.
Authority of Jurisdiction --The consolidated plan is authorized under State and local law (as
applicable) and the jurisdiction possesses the legal authority to can-y out the programs for
which it is seeking funding, in accordance with applicable HUD regulations.
23
Consistency with plan --The housing activities to be undertaken with CDBG, HOME,
ESG, and HOPW A funds are consistent with the strategic plan.
Section 3 --It will comply with section 3 of the Housing and Urban Development Act of
1968, and implementing regulations at 24 CFR Part 135.
Signature/ Authorized Official Date
City Manager
Title
24
SPECIFIC CDBG CERTIFICATIONS
The Entitlement Community certifies that:
Citizen Participation --It is in full compliance and following a detailed citizen participation plan
that satisfies the requirements of 24 CFR 91.105.
Community Development Plan --Its consolidated housing and community development plan
identifies community development and housing needs and specifies both short-term and long-
term community development objectives that provide decent housing, expand economic
opportunities primarily for persons of low and moderate income. (See CFR 24 570.2 and CFR 24
part 570)
Following a Plan --It is following a current consolidated plan (or Comprehensive Housing
Affordability Strategy) that has been approved by HUD.
Use of Funds --It has complied with the following criteria:
1. Maximum Feasible Priority. With respect to activities expected to be assisted with CDBG
funds, it ce11ifies that it has developed its Action Plan so as to give maximum feasible
priority to activities which benefit low and moderate income families or aid in the
prevention or elimination of slums or blight. The Action Plan may also include activities
which the grantee certifies are designed to meet other community development needs
having a particular urgency because existing conditions pose a serious and immediate
threat to the health or welfare of the community, and other financial resources are not
available);
2. Overall Benefit. The aggregate use of CDBG funds including section 108 guaranteed
loans during program year( s) 2016 (a period specified by the grantee consisting of one,
two, or three specific consecutive program years), shall principally benefit persons of
low and moderate income in a manner that ensures that at least 70 percent of the amount
is expended for activities that benefit such persons during the designated period;
3. Special Assessments . It will not attempt to recover any capital costs of public
improvements assisted with CDBG funds including Section 108 loan guaranteed funds by
assessing any amount against properties owned and occupied by persons of low and
moderate income, including any fee charged or assessment made as a condition of
obtaining access to such public improvements.
However, if CDBG funds are used to pay the proportion of a fee or assessment that
relates to the capital costs of public improvements (assisted in part with CDBG funds)
financed from other revenue sources, an assessment or charge may be made against the
property with respect to the public improvements financed by a source other than CDBG
funds.
25
The jurisdiction will not attempt to recover any capital costs of public improvements
assisted with CDBG funds, including Section 108, unless CDBG funds are used to pay
the proportion of fee or assessment attributable to the capital costs of public
improvements financed from other revenue sources. In this case, an assessment or charge
may be made against the property with respect to the public improvements financed by a
source other than CDBG funds. Also, in the case of properties owned and occupied by
moderate-income (not low-income) families, an assessment or charge may be made
against the property for public improvements financed by a source other than CDBG
funds if the jurisdiction certifies that it lacks CDBG funds to cover the assessment.
Excessive Force --It has adopted and is enforcing:
1. A policy prohibiting the use of excessive force by law enforcement agencies within its
jurisdiction against any individuals engaged in non-violent civil rights demonstrations; and
2. A policy of enforcing applicable State and local laws against physically barring entrance
to or exit from a facility or location which is the subject of such non-violent civil rights
demonstrations within its jurisdiction;
Compliance With Anti-discrimination laws --The grant will be conducted and administered in
conformity with title VI of the Civil Rights Act of 1964 ( 42 USC 2000d), the Fair Housing Act
(42 USC 3601-3619), and implementing regulations.
Lead-Based Paint --Its activities concerning lead-based paint will comply with the requirements
of 24 CFR Pm1 35, subparts A, B, J, Kand R;
Compliance with Laws --It will comply with applicable laws.
Signature/ Authorized Official Date
City Manager
Title
26
APPENDIX TO CERTIFICATIONS
INSTRUCTIONS CONCERNING LOBBYING AND DRUG-FREE WORKPLACE
REQUIREMENTS:
A. Lobbying Certification
This certification is a material representation of fact upon which reliance was
placed when this transaction was made or entered into. Submission of this
certification is a prerequisite for making or entering into this transaction imposed
by section 1352, title 31, U.S. Code. Any person who fails to file the required
certification shall be subject to a civil penalty of not less than $10,000 and not
more than $100,000 for each such failure.
B. Drug-Free Workplace Certification
1. By signing and/or submitting this application or grant
agreement, the grantee is providing the certification.
2. The certification is a material representation of fact upon which reliance is
placed when the agency awards the grant. If it is later determined that the
grantee knowingly rendered a false certification, or otherwise violates the
requirements of the Drug-Free Workplace Act, HUD, in addition to any
other remedies available to the Federal Government, may take action
authorized under the Drug-Free Workplace Act.
3. Workplaces under grants, for grantees other than individuals, need
not be identified on the certification. If known, they may be
identified in the grant application. If the grantee does not identify
the workplaces at the time of application, or upon award, if there is
no application, the grantee must keep the identity of the
workplace(s) on file in its office and make the information available
for Federal inspection. Failure to identify all known workplaces
constitutes a violation of the grantee's drug-free workplace
requirements.
4. Workplace identifications must include the actual address of
buildings (or parts of buildings) or other sites where work under
the grant takes place. Categorical descriptions may be used (e.g.,
all vehicles of a mass transit authority or State highway department
while in operation, State employees in each local unemployment
office, performers in concert halls or radio stations).
5. If the workplace identified to the agency changes during the
performance of the grant, the grantee shall inform the agency of the
27
change(s), if it previously identified the workplaces in question (see
paragraph three).
6. The grantee may inse1i in the space provided below the site(s)
for the performance of work done in connection with the specific
grant:
Place of Performance (Street address, city, county, state, zip code)
10300 Torre Avenue, Cupertino, CA 95014 and any satellite offices.
Check_if there are workplaces on file that are not identified here.
This information with regard to the drug-free workplace is required by 24 CFR part 21.
7. Definitions of terms in the Nonprocurement Suspension and Debarment
common rule and Drug-Free Workplace common rule apply to this
certification. Grantees' attention is called, in particular, to the following
definitions from these rules:
"Controlled substance" means a controlled substance in Schedules I
through V of the Controlled Substances Act (21 U.S.C. 812) and as
further defined by regulation (21CFR1308.11through1308.15);
"Conviction" means a finding of guilt (including a plea of nolo contendere)
or imposition of sentence, or both, by any judicial body charged with the
responsibility to determine violations of the Federal or State criminal drug
statutes;
"Criminal drug statute" means a Federal or non-Federal criminal statute
involving the manufacture, distribution, dispensing, use, or possession of
any controlled substance;
"Employee" means the employee of a grantee directly engaged in the
performance of work under a grant, including: (i) All "direct charge"
employees; (ii) all "indirect charge" employees unless their impact or
involvement is insignificant to the performance of the grant; and (iii)
temporary personnel and consultants who are directly engaged in the
performance of work under the grant and who are on the grantee's payroll.
This definitiOn does not include workers not on the payroll of the grantee
(e.g ., volunteers, even if used to meet a matching requirement ; consultants
28
or independent contractors not on the grantee's payroll; or employees of
subrecipients or subcontractors in covered workplaces).
29
Application for Federal Assistance SF-424
* 1. Typ e of Subm iss ion : * 2. Type of Application: •If Revis ion , se lect ap propriate letter(s):
0 Preapplication 0New I
~ Application ~ Continuation •Other (Spec ify):
0 Changed/Corrected Application 0 Revision I
* 3. Date Rece ive d : 4. Applicant Identifier:
I I IB-15-MC-06-0057 I
5a . Federal Entity Identifier: 5b . Federal Award Identifier:
I I IB-15-MC-06-0057
State Use Only :
6 . Date Recei ve d by State : I I 17 . State Application Identifier: I
8 . APPLICANT INFORMATION:
•a. Legal Name : lei ty of Cupertino
* b. Emplo ye r/Ta xpayer Identification Number (EIN/TIN): • c. Organizational DUNS :
194 -6027368 I 10049524790000 I
d. Address:
* Street1: 110300 Torre Avenue
Street2 : I
*City: l cupertino I
County/Parish: I I
•State: I CA: California
Provi nce : I I
*Country:
I USA: UNITED STATES
* Zip I Pos ta l Code : 195014 I
e. Organizational Unit:
Departm ent Name: Division Name :
!community Development Dept. I !Housing Division
f. Name and contact information of person to be contacted on matters involving this application:
Prefi x: IMr. I
• Fi rst Name : lchristopher
Middle Name : 1J. I
•Last Nam e: l valenzuela
Suffix: I I
Title : !senior Housing Planner I
Organizat ional Affiliation :
l city of Cupertino
•Telephone Number. 1408. 777 . 3251 I Fax Number. 1408. 777. 3333
•Emai l: l christopherv@ cupe rtino.org
I
I
OMB Number: 4040-0004
Expiration Date : 8/3 1/2 016
I
I
I
I
I
I
I
I
I
I
I
I
I
Application for Federal Assistance SF-424
• 9. Type of Applicant 1: Select Applicant Type:
le: City or Township Government I
Type of Applican t 2: Select Applicant Type :
I
Type of Applicant 3: Select Applicant Type:
I
* Other (specify):
I
• 10. Name of Federal Agency:
u .s . Departmen t of Ho u sing and Urban Development I
11 . Catalog of Federal Domestic Assistance Number:
114 -218 I
CFDA Title:
'Commun i ty Development Block Grant
I
• 12. Funding Opportunity Number:
I
*Title :
I .. I
13. Competition Identification Number:
I
Title:
14. Areas Affected by Project (Cities, Counties , States, etc.):
I I Add Attachment 11 Delete Attachment 11 View Attachment I
• 15. Descriptive Title of Applicant's Project :
Community Deve l opme n t Block Grant Program
Attach support ing documents as specified in agency in struc tions.
I Add Attachments 11 Delete Attachments 11 · View Attachments I
Application for Federal Assistance SF-424
16. Congressional Districts Of:
• a. Applicant !15th I • b. Program /Project !15th I
Attach an add itional li st of Program /Proje ct Congress ional Dis tricts if needed .
I I I Add Attachment 11 Delete Attachment 1 1 View Attachment I
17 . Proposed Project:
• a. Start Date : 10110 112016 I • b. End Date : 106/30/20 1 7 1
18. Estimated Funding($):
•a. Federal I 307 , 592 . oo l
• b. Applicant
• c. State
• d. Loca l
• e. Other
* f. Program Income I 7 , ooo . oo i
* g. TOTAL I 314 , 592 . oo i
• 19. Is Application Subject to Review By State Under Executive Order 12372 Process?
0 a . This application was made available to the State under the Executive Order 12372 Process for review on I I·
0 b. Program is subject to E .O . 12372 but has not been selected by the State for review .
~ c . Program is not covered by E .O . 12372 .
• 20. Is the Applicant Delinquent On Any Federal Debt? (If ''Yes," provide explanation in attachment.)
QYes ~No
If "Yes", provide explanation and attach
I I I Add Attachment 11 Delete Attachment 11 View Attachment I
21. *By signing this application, I certify (1) to the statements contained in the list of certifications** and (2) that the statements
herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to
comply with any resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may
subject me to criminal, civil, or administrative penalties . (U.S . Code, Title 218, Section 1001)
~**I AGREE
** The list of certifications and assuran ces , or an internet site where you may obtain thi s li st, is contained in the announcement or agency
specific instructions .
Authorized Representative:
Prefi x: IMr . I * First Name : l oavid I
Middle Nam e: I I
*Last Nam e: !Brandt I
Suffi x: I I
'Title : !city Ma n ager I
*Telephone Number: 1408 . 777 . 3250 I Fax Number: 1408. 777 . 3366 I
*Em ail: ldavidb@cupertino.o rg I
* Sig na ture of Au thorize d Representative :
I I
* Date Signed : I I