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BROCKTON REDEVELOPMENT AUTHORITY
Fiscal Year 2020
REQUEST FOR PROPOSAL APPLICATION (RFP) FOR
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) FUNDS
Program/Activity:_____________________________________________________________
Due: Submit 1 signed original copy on white, 8.5” x 11” paper (collated and stapled) and send
one copy electronically to ehall@brocktonredevelopmentauthority.com. Packet must be received
by 3:00PM, Thursday, March 20, 2020.
If you have any questions or need assistance, please contact the Brockton Redevelopment
Authority at 508-586-3887.
Applications submitted after Thursday, March 20, 2020 at 3:01PM will not be considered for
funding.
For Office Use
Date Submitted: __________________
Received By: ____________________
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APPLICATION CHECKLIST MUST BE INCLUDED WITH RFP SUBMISSION
General Information (Item I, Page 4)
Organizational Information Provided
Consolidated Plan Strategies (Item III, Pages 6-7)
Goals of Program/Activity Determined (i.e. Housing, Homeless, etc.)
Proposal Outline (Item IV, Pages 8-10)
Outline complete, including:
Executive Summary
Needs Statement
Description of Proposed Program or Project
Goals and Objectives
Methods of Accomplishing Goals and Objectives
Organization Experience
Management & Staff Experience
Strategies for Building on Community Strength
Program Evaluation Process
Matching Funding
Fiscal Management
Project/Activity Budget and Organization Budget (Item V, Pages 10-14)
Completed
Performance Measures (Item VI, Page 15)
Outcomes and Outputs answered
Special Needs Populations and Clientele Information (Items VII and VIII, Page 16)
Outcomes and Outputs answered
*new* Internal Controls Checklist (Page 17)
Completed
Submitted by (Name/Title): _____________________________________________________
Signature: ________________________________________ Date: _____________________
click to sign
signature
click to edit
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HUD ELIGIBILITY CHECKLIST
In order to determine compliance with all applicable HUD regulations and to help to ensure that projects will
be eligible for CDBG funding, the BRA will need to address all HUD requirements. The purpose of this
checklist is to point out areas where potential problems could arise. Please fill it out entirely indicating all
items which are not applicable and include it as part of your proposal application.
A. General Subrecipient Information
Yes
No
N/A
1. Is your project eligible for CDBG funding?
2. Are previous CDBG projects complete to the degree required?
B. Applicant’s Background
Yes
No
N/A
1. Is the applicant a legal non-profit organization or unit of government?
2. Do the proposed clients or users of the project meet HUD Income
Guidelines (see page 7 from RFP Guidelines for CDBG Funds)?
3. Does applicant have the capability to maintain written income
documentation?
4. Has the applicant made a legal or financial commitment to a proposed
project?
5. Is the applicant primarily a religious organization?
6. Has the applicant administered a CDBG project previously?
7. Is your agency willing and able to provide all required reports and
accountability to the BRA as required by HUD
C. Project Location and Land Use Issues
Yes
No
N/A
1. Has a location for the project been selected?
2. Is the proposed project within the City’s limits?
3. Does the proposed project meet local zoning and land use laws?
4. Are any land use permits such as a Site Review required?
5. Have these approvals been obtained?
6. Does the project comply with current building code requirements?
7. Does the project meet handicapped accessibility requirements?
D. Environmental Issues
Yes
No
N/A
1. Is the project located in the 100-year floodplain?
2. Is a wetland located on the project site?
3. Has any environmental contamination been identified on the project site?
4. Has asbestos or lead paint been identified on the project site?
5. If project involves an existing structure, was it built 1978 or earlier? If year
built is known, please specify.
6. Is the proposed project located on a major arterial or near the railroad?
7. Is the proposed project located adjacent to an above ground flammable
storage tank?
8. Does the proposed project involve a structure that is 50 years or older?
E. Labor Requirements
Yes
No
N/A
1. Does the project involve construction over $2,000 in cost?
2. Will the project trigger Davis-Bacon wage requirements?
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BROCKTON, MASSACHUSETTS
APPLICATION FOR FEDERAL COMMUNITY DEVELOPMENT BLOCK GRANT
(CDBG) FUNDS
(July 1, 2020 June 30, 2021)
INSTRUCTIONS: This application contains the minimum amount of information
necessary for proposal review. Additional information should be included as required to
provide detail of funding requested. Use extra sheets, if needed. The Brockton
Redevelopment Authority (BRA) may request more information from the applicants. No
incomplete application will be considered for funding.
Applicants must be able to demonstrate ability to provide services as described, adhere to
grant requirements, and meet a need of the Brockton community.
In accordance to Department of Housing & Urban Development (HUD) Regulations and
Amendments to 24 CFR, Part 570, all activities to be funded utilizing Community
Development Block Grant Funds must serve in excess of seventy percent (70%) low and
moderate-income people and 100% for low and moderate benefits for activities carried out
under the category of public services. Applications that are accepted for funding will be
approved subject to submission of certified acceptable documentation relative to the HUD
70% Benefit Rule.
I. General Information:
Organization Name: _________________________________________________________
Organization Address: ________________________________________________________
Project Name: _______________________________________________________________
Project Address: _____________________________________________________________
Contact Person(s): ___________________________________________________________
Telephone Number: ____________________________ Fax Number: __________________
Email Address_______________________________________________________________
Employer IRS ID: _____________________________ DUNS #: ______________________
If you do not presently have a DUNS number, you will be required, if funded by HUD,
to obtain one prior to contract execution.
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II. Basic Eligible Activities
According to HUD regulations, the Community Development Block Grant’s (CDBG) primary
objective is to improve communities by providing decent housing; a suitable living environment;
and expanding economic opportunities “principally for persons of low- and moderate-income”.
As a result, all projects/activities must include some method of documentation that CDBG funds
used benefit persons of low to moderate-income.
Basic Eligible Activities are as follows:
Acquisition; Public Facilities; Clearance Activities; Public Services; Interim Assistance;
Removal of Architectural Barriers; Rehabilitation and Preservation Activities; Special
Economic Development Activities; Microenterprise Assistance; and Special Activities by
Community Based Development Organization.
Please contact BRA prior to completing the application to ensure that your application is
qualified.
Project Eligibility
The project requesting funding must meet at least ONE of the National Objectives of the CDBG
Program listed below:
Benefits Low and Moderate-Income Individuals/Households
Meets an Urgent Need
Must pose a serious and immediate threat to health and welfare of community, i.e. natural
disaster
Prevent or Eliminate Slum or Blight
*For National Objectives: All projects/activities should benefit low/mod income individuals or
families of the City of Brockton ONLY. Brockton has no areas identified as “slums and blight”
nor an “urgent need”, as defined by HUD.
At least one of the objectives of your proposed request must meet the following:
Enhance/Create Suitable Living Environment
In general, this objective relates to activities that are designed to benefit communities,
families, or individuals by addressing issues in their living environment
Create Decent Affordable Housing
The objective focuses on housing programs where the purpose of the program is to meet
individual family or community needs and not programs where housing is an element of a
larger effort (such as would be captured above under Suitable Living Environment)
Creating Economic Opportunity
This objective applies to the types of activities related to economic development,
commercial revitalization, or job creation
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One of the following outcomes must be met by proposed activity:
Availability/Accessibility
This outcome category applies to activities that make services infrastructure, housing, or
shelter available or accessible to low and moderate-income people, including persons
with disabilities. Accessibility does not refer only top physical barriers, but also making
the affordable basics of daily living available and accessible to low- and moderate-
income people.
Affordability
This category applies to activities that provide affordability in a variety of ways in the
lives of low and moderate-income people. It can include the creation or maintenance of
affordable housing, basic infrastructure hook-ups, or services such as transportation or
day care.
Sustainability: Promoting Livable or Viable Communities
This outcome applies to projects where the activity or activities are aimed at improving
communities or neighborhoods, helping to make them livable or viable by providing
benefit to persons of low and moderate-income people or by removing or eliminating
slums or blighted areas, through multiple activities or services that sustain communities
or neighborhoods.
III. Consolidated Plan Strategies
The FY2018-2022 Consolidated Plan has been approved by HUD and the following strategies
are part of that plan. Of the strategies listed, please indicate which goals your project will meet
for FY2020 (check all goals that apply within your project’s applicable strategy):
A. Housing Strategies
Use HOME and/or CDBG funds to maintain, support and preserve the existing housing
stock prevent housing deterioration and vacancies.
Use HOME and/or CDBG funds to underwrite the acquisition and/or rehabilitation of a
property to create or preserve affordable housing.
B. Homeless Strategies
Increase the stock of permanent supportive housing to reduce homelessness among
individuals and families.
Provide emergency and transitional shelter for homeless individuals and families.
Provide outreach and supportive services to homeless individuals and families.
C. Strategies to Help Persons With Special Needs
Provide the elderly with transportation and services that enable them to live
independently and actively in the community.
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D. Community Development Strategies
Removal of Architectural Barrier Needs: Continue to bring public facilities into
conformance with the Americans with Disabilities Act (ADA) and make other
improvements to provide access to low- and moderate-income persons.
Infrastructure Improvement Needs: Continue to improve public infrastructure in eligible
areas through streetscape improvements and ADA improvements.
Public Facilities Needs: Construct improvements to eligible park and recreation facilities
to improve the quality of life for low- and moderate-income residents.
Public Service Needs: Improve and expand social service facilities and services to meet
the needs of the community.
Provide the elderly with social services and transportation to enable them to remain living
independently and staying active in their community.
Economic Development Needs: Explore ways to effectively assist businesses in Brockton
and fund commercial area improvements to assist in the success of Microenterprises and
other businesses in eligible areas.
Check appropriate box below. The proposed project involves:
New Construction - Must be for a new unfunded activity only and must have a 100%
benefit to low income people.
Rehabilitation or building alteration (must be to a municipal or a non-profit owned
structure). Must be for a new or a greatly expanded on-going activity.
Funding of social service program's operating expenses
Funding of economic development activity that will directly affect in excess of 70% low
and moderate-income people. Certified documentation on how this will be attained must
be submitted by the applicant.
Other___________________________________________________________________
If project is a new or greatly expanded activity, provide additional information, exhibits,
and funding source(s).
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IV. Proposal Application Outline
Please submit an outline for your project covering the below information. Please be as
descriptive as possible:
1. Executive Summary
Clearly and concisely summarize your request for funding by explaining who will be
served, how many will be served, what program is proposed, and the total amount of
CDBG funds requested to operate this program.
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
2. Needs Statement
Discuss the problem or need your project is designed to address. Provide sufficient data
to document the needs to be met or the problem(s) to be addressed by the program. Please
cite the sources of the information used.
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
3. Description of Proposed Program Project and Target Audience
a. Describe the elements of your proposed program or project, including information on
a target population, numbers of people to be assisted, special features, level of
staffing, and where services will be delivered and how. Identify the service area by
boundary or perimeter streets.
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
b. Will this project directly benefit in excess of 70% low and moderate-income people?
Explain briefly. If the project will not benefit in excess of 70% low and moderate-
income people, what is the percentage?
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
4. Goals and Objectives & Methods of Accomplishment
a. List and describe the goals and objectives of the proposed project. Make sure that
objectives are stated in measurable terms.
_____________________________________________________________________
_____________________________________________________________________
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_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
b. Describe the activities you will use to achieve the stated goals and objectives.
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
5. Strategies for Building on Community Strengths
How do you intend to build on the strengths of the institutions, agencies within the City
and/or your agency in administering your program or project with limited funding?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
6. Program Evaluation Process
Explain how you will evaluate the results of your project. Will this occur monthly or
quarterly? How will you determine that you have accomplished the project’s goals and
objectives? Please describe your method for obtaining this information from all clients
served by your CDBG funded project or program.
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
7. Matching Funding
Describe additional funding you have in place or anticipate applying for. Provide a list of
names or organizations along with exhibit copies of letters of requests and refusals.
Provide documentation of public and or private agencies that are committed to provide
funding for your proposed program during fiscal year 2020. Include agency name,
address, contact person, telephone number and email address.
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________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
8. Fiscal Management
CDBG funds are paid-out to grant recipients on a reimbursement basis. Please describe
your agency’s financial capacity to operate the project on a reimbursement basis.
Describe accounting procedures to ensure accurate financial reporting and fiscal control.
These processes are subject to review during monitoring which will be done each fiscal
year funded in some capacity.
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
9. Schedule of Project Activities
Identify all of the primary tasks that will be completed as a timeline during the fiscal year
as part of your program. This information will form the basis for determining how well
your project is planned. It will also be used as an important monitoring tool if a grant is
awarded for your project. Add as many activities as needed to achieve each goal.
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
V. Project/Activity Funding Request and Budget
1. CDBG Funds Requested: $___________________________
Total funding anticipated to be leveraged from other sources: $__________________
Please use the Budget Summary Worksheet of page 13 for a more specific
breakdown.
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NOTE: Under no circumstances may costs incurred prior to an award of CDBG funds be eligible
for reimbursement through this grant program.
2. In order for a program to be funded back to back fiscal years, the program must be an
expansion of the year before. This means it could be new clients from the prior year,
or a new program. Please indicate below which best applies to the proposed
project/activity:
New Program
Expansion of existing Program. Description of such expansion:
_____________________________________________________________________
Support of Existing Program (with no expansion). What type of support?
_____________________________________________________________________
New “support” program
Existing “support” program (with no expansion)
Other (Explain)
_____________________________________________________________________
_____________________________________________________________________
3. What is the total cost of the proposed project/activity? Attach a copy of your
organization’s budget for proposed activity. Provide estimates obtained for project
costs to substantiate request for funding.
a. For public services: Use Program Budget Form on page 14 to provide a budget
summary for the proposed project/service. Use it to estimate all costs directly
related to the proposed project or services. If approved, you may be required to
further itemize costs.
b. For rehabilitation/construction projects/activities: attach a budget with sources
and uses for the project. Your proposal must include copies of contractor and/or
architect/engineer estimates. If you have applied for funding from any other
source(s) for this project include any letter(s) of commitment for ongoing funds or
approved funds from other source(s) to assist with the proposed project/services
that you are requesting. Should the budgeted funds not be sufficient to carry out
the approved requested improvements, the BRA will either reduce the scope of
the requested improvements, request the applicant to provide matching funds in
an amount sufficient to carry out the improvements or reject the project activity
due to lack of funding.
NOTE: All rehabilitation and/or alterations must be carried out as determined by the Secretary of
Labor in accordance with the Davis-Bacon Act, as amended, (40 USC.276a - 276a-5)
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4. What is/are the current source(s) of funding for the project/service? What are your
organization’s major source(s) of revenue to operate programs?
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
5. Has the organization attempted to coordinate the project/service with other agencies
to avoid duplication of services? If yes, please explain.
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
6. Please list names and addresses (to the best of your knowledge) of other agencies in
the City of Brockton (including non-profit and government) that are performing the
same or similar activity or program as contained in your CDBG funding request. How
do the programs differ? How do they overlap? Is there collaboration with other
agencies?
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
____________________________________________________________________
7. As a prerequisite for possible funding, all agencies or non-profit groups applying for
Community Development Block Grant Funds MUST SUBMIT, with their
application(s), their latest copy of a certified Audit on the expenditure of Federal,
State, City or private funds in carrying out their program activities. The Brockton
Redevelopment Authority will utilize the Audit to not only review the qualifications
of the applicant, but to also project as to whether or not Federal CDBG Funds will be
used for a new or greatly expanded activity. The audit should also specifically outline
the cost of each activity being carried out under the applicant's program.
NOTE: Applications submitted without a copy of the latest certified audit will not be reviewed by
the Brockton Redevelopment Authority for possible funding. A list of all funding sources along
with amounts received must also be submitted with the audit.
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ESTIMATED CDBG PROJECT/PROGRAM BUDGET SUMMARY WORKSHEET
Budget Category
CDBG Funding
Request
(should match the
requested amount)
Other Funding
(should complete
amounts needed for
project to operate)
Total Project
Budget
Salary & Wages
Fringe Benefits
Consultant/Contract
Services
TOTAL
PERSONNEL
BUDGET
Office Rent
Utilities
Telephone
Office Supplies
Equipment
Printing
Travel/Conference
Police Detail
Liability Insurance
Other (specify)
TOTAL NON-
PERSONNEL
BUDGET
TOTAL PROJECT
BUDGET
*Please revise this form and annotate budget items as needed.
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
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TOTAL PROGRAM BUDGET
Identify Dates of Present Budget Year Thru Budget/Revenue Summary
Current Year Grant Request Year
Private Sector
Budgeted (FY2019)
Projected Budget (FY2020)
Contributions - General
Special Events
Bequests
Endowments
Associated Organizations
Allocations from United Way Agencies
Membership Dues-Local Member Unit
Program Service Fees
Sale of Supplies/Services to Local Unit
Sales to the Public
Investment Income
Miscellaneous Revenue
SUB-TOTAL
Public Sector
Federal
State
County
Municipal
Other
SUB-TOTAL
TOTAL SUPPORT/REVENUE
Do not include FY2020 CDBG Request for Funding. Only other federal grants anticipated or
secured.
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
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VI. Performance and Outcome Measures
The US Department of Housing and Urban Development (HUD) requires entitlement grantees to
implement a performance measure system that gathers information to determine how the
programs and projects are meeting local needs. Based on the intent when funding a project, the
grantee should determine under which of three objectives listed below to report the outcomes of
their projects and activities. Once the objective is chosen, the grantee should choose which of the
three outcome categories, also listed, best reflects what the project is seeking to achieve (the
results) in funding a particular activity. While maintaining the flexibility of the CDBG programs
by allowing grantees to determine program objectives based on the intent of the project/activity,
the system also offers a specific menu of objectives and outcomes so that reporting can be
standardized, and the achievements of these programs can be aggregated to the national, state
and local level.
HUD requires that all recipients of federal funds accept productivity and the impact of their
programs. The following questions address your program operations and accountability:
MEASURES
ESTIMATED
COMPLETION
OUTPUTS
(Outputs are the direct
product of the program’s
activity, they are
quantifiable goals,
typically measured in
terms of the volume of
work accomplished; i.e.
number of low-income
households)
1.
2.
3.
OUTCOMES
(Outcomes describe the
intended effect or impact
of the program’s activity
described in the objectives
and they should be put into
the timeframe of the grant;
answer “Why am I
undertaking this activity?”)
1.
2.
3.
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VII. Special Needs Populations
Please identify any special needs populations (see list below) that your project will serve if
known. More than one group may be identified.
Special Needs Populations
Number/Estimate
Only
Persons who are homeless
Persons with physical disabilities
Persons with mental disabilities
Elderly persons (62 or older)
At-risk children and/or youth, type of risk:
Other (specify):
VIII. Clientele Information
Please fill out the following table:
How many persons in total will benefit from the proposed
project?
What percentage of all funds will benefit low- and moderate-
income City residents?
When did your agency begin to provide this service?
How many unduplicated clients did your agency serve last year?
Of the total unduplicated clients, what percentage were new
clients?
What percentage of the total unduplicated clients are residents
of the City of Brockton?
Given funding request, what number of clients does your agency
expect to serve that are of low and moderate income? Must be
over 51% of program overall total served.
0.00%
0.00%
0.00%
0.00%
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INTERNAL CONTROLS CHECKLIST
*New to 2020 Funding Application*
This list of items will need to be included for a complete application. Carefully note that some
are for your overall organization and some are program/project specific. The only attachments
that can be left off, and still be considered a complete application, are program specific requests
for NEW programs only, but will be due at/by contract signing if awarded. New organizations
must have all items to be considered ready for funding.
o IRS 501(c)3 Letter
o Articles of Incorporation
o By-Laws
o Procedures Flow Chart(s) for Program or Project
o Organization Chart (only needs to be for program/project and up)
o Job Evaluation Tool and Job Description (if funding goes to program staff)
o Organization Policies and Procedures Manual this may not be the title at your
organization for the document, so below is the checklist of policies that we are looking
for in a document or amongst a few different documents
o Non-Discrimination Policy
o Code of Ethics
o Conflict of Interest Policy
o Procurement Policy (only required if procurement is part of application)
o Grievance (staff and clients) Policy and/or Whistleblower Policy
o Termination (staff and clients) Policy
o Confidentiality Policy
o Record Retention Policy
o Monitoring Policy
o If Housing Activities Involved:
Fair Housing Policy
Lead-Based Paint Policy
*After this program year, these items will only need to be provided when: updated, application
for new program comes in, and/or the first year of funding in our 5-year Consolidated Plan
applications (which will be clearly stated again in that year’s application).
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DISCLOSURE
If additional space is necessary, please attach a separate sheet.
1. State the name(s) of each “employee” of the City of Brockton or Brockton Redevelopment
Authority having a financial or personal interest in the above mentioned “organization” or
project proposed.
Name: _________________________________________________________
Job Title: _________________________________________________________
City Department: _________________________________________________________
2. State the name(s) of any current or prior elected or appoint “official”, of the City of
Brockton/Brockton Redevelopment Authority having a potential “financial interest” in the
organization or project.
Name/Title: _________________________________________________________
3. Provide the names of each “board member” of the Organization seeking CDBG-funding
(may be attached as a separate sheet).
1.____________________________________________________________________________
2.____________________________________________________________________________
3.____________________________________________________________________________
4.____________________________________________________________________________
5.____________________________________________________________________________
6.____________________________________________________________________________
7.____________________________________________________________________________
8.____________________________________________________________________________
9.____________________________________________________________________________
10.___________________________________________________________________________
Additional:
If the applicant has provided names in question 1 or 2, please provide details regarding any
known potential conflicts of interest in an attached narrative
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
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