Columbus Consolidated Government
Community Development Block Grant Program
(CDBG)
Economic Development Project Application
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Applicant Agency
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Applicant’s Name and Title
Columbus Consolidated Government
Community Reinvestment Department
420 10
th
Street
Columbus, GA 31901
(706) 653-4613
(706) 653-4486 fax
2019-2020 CDBG Economic Development Project Application
1
Please return one hard copy of all application materials to the following:
Community Reinvestment Department
Attn: Ms. Marilyn Denson
420 10
th
Street
Columbus, GA 31901
In addition to the hardcopy, please submit an electronic copy of the application PDF (as well as any
additional pages used to answer application questions) to mdenson@columbusga.org.
The deadline for submitting all applications is: Wednesday, February 20 2019, 4:00 PM
(Applications received after this date and time will not be accepted. No exceptions will be made)
2
2019-2020 CDBG Economic Development Project Application
GENERAL AND COMPLIANCE ITEMS
Organizational Type;
Governmental Unit of Columbus Consolidated Government
Other governmental unit or authority
Non-profit corporation; date of incorporation
___________________________________________
For-profit Corporation; date of incorporation
___________________________________________
Community Housing Development Organization
(CHDO; date of incorporation
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Type of Funding Requested;
Grant Loan (Explain Below) Combination (Explain Below)
If this is a loan request or a combined loan/grant request, provide proposed repayment schedule and terms.
Please note that for-profit agencies are generally not eligible for grants. (Expand Space below as needed to
answer.)
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Total Amount Requested:_______________________________________________________________
Total Matching Funds, if applicable:______________________________________________________
Is this project consistent with the
FY 2017 – FY 2021 Five Year
Consolidated Plan?
Yes No
Is your agency a faith based
agency?
Yes No
Is your agency minority owned?
Yes No
Is your agency women owned?
Yes No
2019-2020 CDBG Economic Development Project Application
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APPLICANT INFORMATION
Organization’s Legal Name:_____________________________________________________________
DUNS #: _____________________________ Tax ID #: ___________________________________
Applicant Address:____________________________________________________________________
City:_______________________ State:____________________ Zip Code:__________________
Project Manager:______________________________________________________________________
Email:_______________________________________________________________________________
Telephone:________________________________ Fax:___________________________________
Chief Executive Officer Name:__________________________________________________________
E-mail Address:_______________________________________________________________________
Applicant Website Address:_____________________________________________________________
*The signature below must be from the person authorized in the resolution supporting the application.
__________________________________________ ________________________________________
Signature Date
__________________________________________
Title
click to sign
signature
click to edit
2019-2020 CDBG Economic Development Project Application
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National Objective: (Check One)
CDBG requires that each activity funded, except for program administration and planning activities, must
meet one of the three national objectives outlined below. An activity that does not meet a national objective
is not compliant with CDBG requirements and is therefore ineligible for funding. Applicants are strongly
encouraged to consult the application guide for more detailed information.
Primary Objective - Benefit to low- and moderate income (LMI) persons
This objective is known as the “primary” national objective because CDBG regulations require that
funding recipients expend 70% of their CDBG funds to assist low- and moderate-income persons. There
are four methodologies that can be utilized to meet this national objective as listed below:
1.) Area Benefit Activities – these activities must benefit all residents in a particular service
area, where at least 51% (for water, sewer, and flood control projects) or 50.3% (for capital
improvement projects) of persons in the service area are low- and moderate-income, per most
recent U.S. Census Data.
The service area is determined based upon the nature of the activity, location of the
activity, accessibility issues, availability of comparable activities, and boundaries for
public facilities and public services. Service area must be determined prior to provision of
CDBG assistance.
Examples of eligible activities include infrastructure, public facilities, and economic
development.
2.) Limited Clientele Activities – At least 51% of the beneficiaries of the proposed project
activity must be low- and moderate-income. In contrast to the low-mod area benefit activity
category listed above, it is not the low- and moderate-income concertation of the service
activity that determines eligibility, but rather the actual number of low-and moderate-income
persons that will benefit from the activity. In order to qualify under this category, an activity
must satisfy one of the following criteria:
Benefit a clientele that is generally presumed to be principally low- and moderate-income
including abused children, battered spouses, elderly persons, severely disabled adults,
homeless persons, illiterate adults, persons living with AIDS, and migrant farm workers
or
Document household size and income which demonstrates that at least 51% of the
clientele are low- and moderate-income or
Restrict income eligibility for the activity to low- and moderate-income persons or
Be of such a nature and in such a location that it can be concluded that clients are
primarily low- and moderate-income
3.) Housing Activities – include that are undertaken for the purpose of providing or improving
permanent residential structures which, upon completion, will be occupied by at least 51%
low- and moderate-income households.
4.) Low-mod job creation or retention activities – these activities must be undertaken with the
purpose of creating or retaining permanent jobs, at least 51% of which (computed on a
fulltime equivalent basis) will be made available to or held by low-and moderate-income
persons.
Aid in the prevention or elimination of slums or blight
Prevent or eliminate slum and blight or on an area basis, or eliminate specific conditions of blight or
physical decay on a spot basis that are not located in a slum or blighted area.
2019-2020 CDBG Economic Development Project Application
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PROJECT INFORMATION
Project Title:_________________________________________________________________________
Project Address:______________________________________________________________________
Project Site Control: Indicate below if the organization has in place the items listed. For items not
currently in place, or partially in place, explain in the space below the listing why these are not in place.
Applicant owns property: Date acquired:
___________________________________________
Lease. Expiration Date:
___________________________________________
Option to purchase. Expiration Date:
___________________________________________
Other, please describe (Expand space as
needed to answer.)
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Project Site Compliance: If project operations are currently being carried at the site, indicate if site is
compliant, partially compliant, or is not compliant with the items listed. For items with which the site is
not compliant or partially compliant, explain in the space below what actions are planned to achieve
compliance.
Building Code compliance __________________________________________
Fire Code compliance, and date of last inspection __________________________________________
Health Code compliance, if applicable, and date
of last inspection
__________________________________________
Other, please describe (Expand space as needed
to answer)
___________________________________________
___________________________________________
___________________________________________
___________________________________________
Zoning: Provide the zoning status of the project site. If zoning is not known, contact the Columbus
Consolidated Government’s Planning Department at (706) 653-4421
What is the current zoning classification of
project site? ___________________________________________
Is the site zoned correctly
for the proposed activity?
Yes No Don’t know
If “No” or “Don’t know,” will the project need to obtain a zoning change,
special-use permit, or variance?
Yes / No
If acquisition is required for this
project, is the property vacant?
Yes No
If yes, please specify
how long property has
been vacant: __________
2019-2020 CDBG Economic Development Project Application
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Eligible Economic Development Activities: Please check below the eligible economic development activities
that will be undertaken: (Check all that apply)
Commercial/Industrial land acquisition/disposition
Commercial/industrial infrastructure development
Commercial/industrial building acquisition, construction, rehabilitation
Other commercial/industrial improvements
Direct financial assistance to for-profits
Economic development technical assistance
Micro-enterprise assistance
Other; specify: ________________________________________________________________
Estimated Full-time Private Sector Jobs Created/Retained (if applicable)
# of new jobs to be created: _____________________________________________
# existing jobs to be retained: _____________________________________________
# of jobs to be available to low/mod
persons:
_____________________________________________
Types of Private Sector Jobs Created/Retained (If applicable)
Indicate the specific types of jobs to be created/retained, including the # of each type of job and the pay or
professional level. (Expand space below as needed to answer)
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Estimated number of businesses Assisted (if applicable)
# of new businesses to be assisted _____________________________________________
# of business expansions to be assisted _____________________________________________
# of business relocations to be assisted _____________________________________________
For business relocations: Specify area/location from which business will move, and explain why relocation is
needed. (Expand space below as needed to answer)
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2019-2020 CDBG Economic Development Project Application
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Describe the proposed project and designated project area (must be within Muscogee County): Provide a
detailed description of the project site and area that will benefit. If applicable, please provide any map or
other attachments at the end of this application that shows the project site and area that will benefit)
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Summary of Project Need and Justification: Provide a concise summary of the need for the project and why
this project is a priority. Please indicate who is served or will be served by the facility, and include
information about the location of similar facilities; the demand for services in the surrounding area;
pedestrian, bicycle and public transit accessibility; and the applicant’s financial ability to operate and
maintain the facility. (If additional space is required, please include attachments.)
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2019-2020 CDBG Economic Development Project Application
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Detailed Project Description: Describe specifically what you propose to do with the requested funds, how
you propose to do it, and how you anticipate the City’s funding will be used. Describe any partnerships or
collaborations that are an integral part of the proposed project.
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2019-2020 CDBG Economic Development Project Application
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Leveraging other funding: If applicable, please describe how your municipality or agency will leverage other
funds, public or private, over the long-term to support similar projects and reduce reliance upon the City’s
CDBG funding.
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2018 CDBG Economic Development Project Application
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Timetable: Provide your timetable for execution of project activities, explaining any phasing or staging of
activities that will be required. Assume that the City’s funding will be available after June of the program
year from which funding is being requested. Timetable should include any needed design or bid preparation
activities, procurement actions, and all major components up to occupancy of the facility.
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2018 CDBG Economic Development Project Application
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BUDGET INFORMATION
(For Construction/Development Projects)
Budget: Complete the budget chart below. Include all items associated with implementing the proposed
activities. If the project has more than one distinct component – for example, a project that will be developing
two or three different cost items at each site – copy this budget form and complete a separate budget for each
separate component. Complete the heading below to indicate which component the budget covers.
N/A; no components
Project component or site (name): ____________________________
Budget line item Total Project Cost $ City $s Requested
Acquisition/Land
Acquisition/Structures
Appraisals
Demolition
Site Preparation
Relocation
Architect/Engineering
Lead-Based Paint
Assessment/Abatement
Insurance/Bonding
1
Construction Management Fees
Builder/Developer Fees
Audit
2
Other (Specify):_______________
Other (Specify):_______________
Other (Specify):_______________
Construction (List below by
components):
____________________________
____________________________
____________________________
____________________________
____________________________
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Grand Totals $
1
Note that General Liability Insurance or General Commercial Liability (1 million); Automobile Liability Insurance, Worker’s
Compensation, Fidelity Bond (100% of contract amount), and Payment and Performance Bonding are usually required for all
contractors. Builders’ Risk Insurance is required for all new construction. Costs for coverage should be included in this Budget
Summary. If you do not already have this coverage, it is an eligible CDBG expense. All policies must have endorsement specifically
naming Columbus Consolidated Government as additional insured.
2
All projects must have annual independent audit. Agencies with federal or federally-derived funded expenditures of $750,000 or
more must have an annual A-133 audit. Cost of conducting this audit is an eligible CDBG expense.
2018 CDBG Economic Development Project Application
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Matching Funds, In-Kind Resources, and/or Donations from Other Sources: Complete the chart below to
show cash match, donated or in-kind physical match (such as free space, equipment, etc.) or in-kind
professional match. Also include other Federal, State, County, and City funding, as well as Low Income
Housing Tax Credits (LIHTC) if applicable.
NOTE: If project includes both capital and operational funding and agency is submitting request for funding
for both components, the same match cannot be used for both components.
Proposed Source C/IK
3
$ Value Status Code
4
Date that $/Resource will
be available to project
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Total $ Value
___________
3
Indicate whether Resource is being provided as Cash (C) or and In Kind (IK) Contribution.
4
Status Codes (See Below):
C = Committed: Attach documentation or provide timetable for subm
i
ssion of documentation. Professional in-kind match
is considered as Committed only with written documentation. For continuing-funding resources not yet
committed for next year, provide most recent award letters. Additional documentation may be submitted
as available through August. If committed but undocumented, explain in an attachment to this
application.
A = Applied for: Provide Status and estimated notification date in additional attachment.
TBR = To be Raised: Describe funding plan and timetable in additional attachment.
2018 CDBG Economic Development Project Application
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BUDGET INFORMATION
(For Service/Operational Costs)
*Note: A project that has both physical improvement and operational components in the same project should complete both
budget sections. For Development/Construction projects, do not use this budget.
Summary Budget: Complete the budget chart below. Include all items associated with implementing the
proposed activities, regardless of funding source. Include only the costs associated with the proposed activity,
not all of the agency or organization expenses or resources.
Budget line item Total Project Cost $ City $s Requested
Staff Salaries
5
Staff Fringe Benefits
Staff Travel
Office/Program Communications
Office/Program Rental/Lease
Office/Program Utilities
Equipment Purchase
Printing and Reproduction
Office/Program Materials/Supplies
Insurance/Bonding
6
Contractual Services
Audit
7
Office/Program Maintenance and Repairs
Other direct Office/Program Cost
Direct client Cost
8
Indirect Costs
9
Grand Total $
5
Attach job descriptions of all staff members to be paid under this project.
6
Note that General Liability Insurance or General Commercial Liability (1 million); Automobile Liability Insurance, Worker’s
Compensation, Fidelity Bond (100% of contract amount), and Payment and Performance Bonding are usually required for all
contractors. Builders’ Risk Insurance is required for all new construction. Costs for coverage should be included in this Budget
Summary. If you do not already have this coverage, it is an eligible CDBG expense. All policies must have endorsement specifically
naming Columbus Consolidated Government as additional insured.
7
All projects must have annual independent audit. Agencies with federal or federally-derived funded expenditures of $750,000 or
more must have an annual A-133 audit. Cost of conducting this audit is an eligible CDBG expense.
8
Direct client costs Include those expenses that can be tied directly with a benefitting client or household, and those tangible items
that are supplied directly to clients. These costs can include: rental/lease of a housing unit; payment of utility bills for a housing unit;
MARTA Breeze cards; furniture or equipment for a housing unit; financial aid to prevent homelessness or to enable a family to move
into a permanent housing unit; clothing or hygiene supplies for clients; etc.
9
Under the OMB “Omni Circular” published 12-26-2013 (https://www.federalregister.gov/a/2013-30465), non-profit subrecipient
may include, in their project budgets, an Indirect Cost charge as appropriate given the funded project or activity. For subrecipient
entities with a negotiated indirect cost rate, their federally approved rate must be used. Subrecipient entities that have never
received a negotiated indirect cost rate, may elect to charge a de Minimis rate of 10% of modified total direct costs (MTDC) which
may be used indefinitely.
2019-2020 CDBG Economic Development Project Application
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Matching Funds, In-Kind Resources, and/or Donations from Other Sources: Complete the chart below to
show cash match, donated or in-kind physical match (such as free space, equipment, etc.) or in-kind
professional match. Also include other Federal, State, County, and City funding, as well as Low Income
Housing Tax Credits (LIHTC) if applicable.
NOTE: If project includes both capital and operational funding and agency is submitting request for funding
for both components, the same match cannot be used for both components.
Proposed Source C/IK
10
$ Value Status Code
11
Date that $/Resource will
be available to project
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Total $ Value
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10
Indicate whether Resource is being provided as Cash (C) or and In Kind (IK) Contribution.
11
Status Codes (See Below):
C = Comm
i
tted: Attach documentation or provide timetable for submission of documentation. Professional in-kind match
is considered as Committed only with written documentation. For continuing-funding resources not yet
committed for next year, provide most recent award letters. Additional documentation may be submitted
as available through August. If committed but undocumented, explain in an attachment to this
application.
A = Applied for: Provide Status and estimated notification date in additional attachment.
TBR = To be Raised: Describe funding plan and timetable in additional attachment.