Federal Community Development Block Grant Program Application
Year 46 CDBG Funding 2020 2021
CDBG applications are due at the Community Development Department
Wednesday, January 8, 2020 by 4:30 pm
Community Development Department
166 Boulder Drive, Suite 102
Fitchburg MA 01420
Submit one application with signature.
If printed, please print double-sided.
If additional space is needed to answer the questions, please attach a separate sheet.
Applications can be completed electronically, by email, mail, or delivered to Community
Be sure to include all attachments. See Application Checklist.
For additional information or assistance please contact Cindy Dalton at (978) 829-1899.
Applications missing required information will be considered incomplete.
Extensions will not be allowed.
To receive an electronic copy of the application, please go to:
Important Dates to Remember
November 20, 2019
Community Input Meeting
6:00 pm Fitchburg ideaLab 717 Main Street
December 18, 2019
Optional Application Technical Assistance Meeting
January 8, 2020
CDBG Proposals Due to Community Development Office by 4:30 pm
January 23, 2020
First Public Hearing at 6:00 pm Memorial Middle School 615 Rollstone Street
March 10, 2020
Proposals heard at City Council Finance Committee
March 17, 2020
Proposals Voted on at City Council
CDBG Year 46 Application Checklist
Please be sure that all items listed below are included in your application by the application deadline.
Application with Original Signature
Budget Information
Description of Organization
Organizational Chart
List of the Board of Directors
Authorized Official
Financial Audit
Financial Statement
Certification of Compliance with the Americans with Disabilities Act
Certification of Applicant that it has a Non-Discrimination Policy
Copy of Non-Discrimination Policy
Job Descriptions (if applicable)
Eligible Activities Form
National Objectives Identification Form
Federal Community Development Block Grant Program Application
Year 46 CDBG Funding 2020 – 2021 Cover Page
Sponsoring Agency or Individual:
Physical Address:
Mailing Address (if different):
Is your agency registered on sam.gov?
Does the Organization have a 501(c)3 designation?
Contact Person Name:
Email Address:
Web Address (if applicable):
Name of Proposed Project:
Total CDBG Year 45 Funding Request: $
Is this project currently funded by CDBG?
If yes, what is the grant amount? $
If the Year 46 request amount is greater than the Year 45 award for the same project, please explain the
reason for the increase in the request amount:
If you have prior year CDBG Grant funds (Year 44 or earlier) that are unspent, please provide a plan for
spending down the balance of funding:
Describe the community development or housing needs (as outlined in the City’s Five Year
Consolidated Plan, available on the City of Fitchburg website) to be addressed by the proposed
Describe the goal of the proposed project as it relates to the needs in question:
If you are a municipal entity, please describe how your activity fits within City planning
documents (e.g. 5 Year Consolidated Plan, Economic Development Strategic Plan, Urban
Renewal, etc.):
Describe the proposed project activities to be undertaken to achieve the goal (Activities include
strategies, techniques or types of treatment utilized in the delivery of program services):
Who will be served by the proposed project? (Include specific groups or individuals as well as the
geographic area primarily benefiting from the activity)
How many estimated beneficiaries will be served in Year 45 with CDBG funds?
Is this an unduplicated count? Yes No
Indicate the type of group to be served (check only one):
Individuals Families Business
Households Housing Units
Explain how project performance will be measured:
Number and type of service units to be delivered (e.g. number of meals provided, number of people
offered overnight shelter, hours of translation services, number and dollar amounts of loans, etc.):
Describe the outcome or impact the activity will have on the population to be served (How will
the proposed CDBG program improve the quality of life for recipients?):
Identify the inputs (e.g. staffing, equipment, supplies and other resources) that will be needed for
the proposed CDBG activity. Attach job descriptions of the staff to be paid under the Community
Development Block Grant Program:
If applicable, is the activity site universally (handicap) accessible? Yes No
If it is not, are there plans to make the site accessible (describe)?
Describe your agency’s compliance with Title VI of the Civil Rights Act. What types of language
assistance services, if any, are provided by your agency to Limited English Proficient (LEP)
Will your project be ready to proceed in the 2020-2021 Program Year?
Is this project already underway or ongoing? If so, please describe.
Please briefly describe your agency’s background and explain why your agency is well positioned
to provide this proposed activity/service
If the applicant is a non-municipal entity, please attach the following:
The current operating budget (Year 45, 2019 - 2020) for your agency; including all sources of
Report the percentage of CDBG funds that make up the agency’s current total and project budget:
CDBG Funding
Total Project
CDBG Percentage
of Project Budget
Total Agency
Identify efforts to obtain alternative sources of funding for the current fiscal year, but were denied.
The proposed operating budget (Year 46, 2020 - 2021) for your agency; including all sources of
Report the percentage of CDBG funds that make up the agency’s proposed total and project budget:
CDBG Funding
Total Project
CDBG Percentage
of Project Budget
Total Agency
Identify plans to obtain alternative sources of funding to be used for the proposed project.
Applicant’s Signature: _ Date:
click to sign
click to edit
All applicants who are a non-municipal entity please submit one copy of these documents with your
CDBG application. Contracts will not be awarded without the following documents:
Description of Organization: State the number of years in operation, mission, types of services provided
and any licenses held.
Organizational Chart: A chart must be provided which describes the agency’s administrative framework
and staff positions. Identify the proposed CDBG-funded position in the organizational chart.
List of the Board of Directors: A list of the current board of directors or other governing body of the
agency must be submitted. Include the name, telephone number, address, occupation or affiliation of each
member and identify the officers of the governing body.
Authorized Official: Submit a recently signed letter by the board of directors, which identifies an agency
representative who is authorized to negotiate for, and contractually bind, the agency. The agency
representative should not sign for himself or herself.
*Note: the authorized signature on the CDBG application should be the same person who signs the
agency’s contracts.
Financial Audit: Submit a copy of your most recent independent Auditor's Report and Management
Letter for the fiscal year ending June 30, 2019.
Financial Statement: Submit a signed affidavit that applicant organization has a three month cash flow
Certification of Compliance with the Americans with Disabilities Act of 1990 (ADA), as amended (P.L.
Certification of Applicant that it has a Non-Discrimination Policy
Copy of the Non-Discrimination Policy
Eligible Activities and National Objectives Identification Forms
Note: Successful applicants who are awarded $25K or more will be required to obtain a DUNS number
and register on sam.gov as a condition of funding.
Each proposed project must be both an Eligible Activity and meet a National Objective, as defined by
Federal Regulation. Please review the lists of each below and select one Eligible Activity and one National
Objective that best matches your project. Include this completed attachment with your application. If you
are unsure which category your project best fits into, please contact staff at the Fitchburg Department of
Community Development for assistance.
General Policies - §570.200
The primary objective of the CDBG Program is the development of viable urban communities, by
providing decent housing and a suitable living environment, and expanding economic opportunities
principally for persons of low- and moderate- income.
In order to qualify for CDBG funding, a project must be considered an Eligible Activity, defined by
the governing Code of Federal Regulations, Title 24, part 570, Sections 570.200-570.207
Each activity, except planning and administrative activities, must meet one of the CDBG program's three
National Objectives:
To benefit low- and moderate- income persons,
To aid in the prevention or elimination of slums or blight, or
To meet community development needs having a particular urgency.
In addition, at least 70 percent of the total CDBG funds must be used for activities that benefit low- and
moderate-income persons over a one-, two-, or three-year period; and at least 51 percent of the
beneficiaries of individual activities designed to benefit low -and moderate-income persons must be shown
to be of low- and moderate- income.
Income Limits are updated annually and are based on the number of people in a household. The chart
below is effective June 28, 2019:
1 Person
2 People
3 People
4 People
5 People
6 People
7 People
8 People
(80% of
Very Low
(50% of
(30% of
Below is a summary of the activities that are eligible and ineligible for assistance under the Community
Development Block Grant (CDBG) Program.
Among those listed below, select one Eligible Activity that best describes your proposed project
Basic Eligible Activities
24 CRF 570.201
Eligible Activity
Acquisition in whole or in part by purchase, long-term lease, donation, or
otherwise, of real property for any public purpose
Disposition of real property acquired with CDBG funds through sale, lease or
donation, or otherwise; or its retention for public purposes.
Acquisition, construction, reconstruction, rehabilitation or installation of public
facilities and improvements, except buildings for the general
conduct of
government. Activities may include:
Design features and improvements which promote energy efficiency; and
Architectural design features and treatments intended to enhance th
hetic quality of facilities and improvements.
Eligible facilities include those serving persons having special needs such as
homeless shelters; convalescent homes; hospitals; nursing homes; battered
spouse shelters; halfway houses for run-
away children, drug offenders or
parolees; group homes for mentally retarded persons; and temporary housing for
disaster victims.
In certain cases, non-profit entities and subrecipients may acquire title to public
facilities; when owned by non-profit entities or subrecipients such facilities must
be operated so as to be open for use by the general public during all normal
hours of operation.
Clearance, demolition, removal of buildings and improvements, and movement
of structures to other sites. Demolition of HUD-assisted housing units may be
undertaken only with the prior approval of HUD.
Provision of public services (including labor, supplies and materials) such as
those concerned with child care, health care, e
ducation, job training, public
safety, fair housing counseling, recreation, senior citizens, homeless persons,
drug abuse counseling and treatments, and energy conservation counseling and
A service must either be new or be a quantifiable increase in the level of an
existing service above that which has been provided by or on behalf of the unit
of general local government (through funds raised by the unit or received by the
unit from the State in which it is located) in the previous twelve calendar months
before submission of the action plan; and
Payment of the non-Federal share required in connection with a Federal grant-
in-aid program undertaken as a part of CDBG activities.
Completion of urban renewal projects funded under Title I of the Housing Act
of 1949, as amended.
Relocation payments and assistance to displaced individuals, families,
businesses, non-profit organizations, and farm operations.
Payment to housing owners for losses of rental income incurred in holding units
for persons displaced by relocation activities.
Removal of material and architectural barriers which restrict the mobility an
accessibility of elderly and handicapped persons to publicly- and privately-
owned buildings, facilities and improvements.
Acquisition, construction, reconstruction, rehabilitation or installation of the
distribution lines and facilities of privately-owned utilities.
Construction of housing assisted under Section 17 of the United States Housing
Act of 1937.
Direct assistance to facilitate and expand low-and moderate-income home
ownership by subsidizing mortgage rates and principal amounts, financing the
acquisition of housing occupied by low- and moderate-income persons,
acquiring guarantees of financing obtained from private lenders, providing up
to 50 percent of down payment, or paying reasonable closing costs.
Eligible Rehabilitation and Preservation Activities - §570.202
24 CRF 570.202
Eligible Activity
Rehabilitation assistance for:
Privately-owned residential buildings and improvements;
Low-income public housing and other publicly-owned residential buildings
and improvements.
Publicly - and privately - owned commercial or industrial buildings;
Manufactured housing, when such housing is considered part of the
community’s permanent housing stock.
Financing assistance through grants, loans, loan guarantees, interest
supplements, or other means for:
Private individuals and entities, including profit-making and non-profit
organizations, to acquire for the purposes of rehabilitation, and to
rehabilitate properties for use or resale for residential purposes
Labor, materials, and other rehabilitation costs, including repair,
replacement o
f principal fixtures and components, installation of security
devices, and renovation of existing structure
Loans for refinancing existing indebtedness secured by a property being
rehabilitated, if the grantee determines that the financing is appropriate to
achieve its community development objectives;
Improvements to increase the efficient use of energy;
Improvements to increase the efficient use of water;
Connection of residential structures to water distribution or local sewer
collection lines;
homeowner warranty premiums, hazard insurance premiums, flood
insurance premiums and lead-
based paint testing and abatement, for
rehabilitation carried out with CDBG funds;
Acquisition of tools to be lent to carry out rehabilitation;
Rehabilitation services related to assisting participants in CDBG-funded
rehabilitation activities (such as rehabilitation counseling, energy auditing,
preparation of work specifications, loan processing, and inspection), and;
Rehabilitation of housing under Section 17 of the U.S. Housing Act of 1937.
Code enforcement in deteriorating or deteriorated areas where such enforcement
together with public improvements, rehabilitation, and services to be provided,
may be expected to arrest the decline of such areas.
Rehabilitation, preservation or restoration of publicly- or privately- owned
historic properties, except for buildings used for the general conduct of
Renovation of closed schools or other buildings for use as an eligible public
facility or housing.
Special Economic Development Activities - §570.203
24 CRF 570.203
Eligible Activity
Acquisition, construction, reconstruction, rehabilitation or installation of
commercial or industrial buildings, structures, and
other real property
equipment and improvements, including railroad spurs or similar extensions.
Such activities may be carried out by the recipient, or public or private non-
profit subrecipients.
The provision of assistance to private for-profit businesses, including, but not
limited to, grants, loans, loan guarantees, interest supplements, technical
assistance, and other forms of support, for any other activity where the
assistance has been determined appropriate to carry out an economic
development project -
except for buildings for the general conduct of
government, general government expenses, and political activities - provided
that such assistance does not unduly enrich the for-profit business. Economic
development projects must create or retain jobs for low- and moderate- income
persons, prevent or eliminate slums or blight, meet urgent needs, create or retain
businesses owned by community residents, assist businesses that provide goods
or services to low- and moderate-income residents, or pr
ovide technical
assistance to promote any of the above activities. To the extent practicable,
economic development projects must minimize displacement of existing
businesses and jobs.
Special Activities by Community Based Development Organizations - §570.204
24 CRF 570.204
Eligible Activity
Assistance may be provided to certain eligible subrecipients who are CBDOs to
carry out a neighborhood revitalization, community economic development, or
energy conservation project, including activities listed as eligible; and activities
not otherwise listed as eligible elsewhere- except for assistance to buildings for
the general conduct of government, general government expenses, and political
activities-if the recipient determines that these
are appropriate to achieve its
community development objectives. Please refer to 24 CRF570.204 (b) for a list
of ineligible activities. CBDO’s are generally non-profit development entities,
see 24 CFR 204 (c) for details on eligible CBDOs.
Eligible Administrative Costs - §570.206*
24 CRF 570.205
Eligible Activity
Reasonable costs of overall program management, coordination, monitoring,
and evaluation, including:
Staff salaries, wages, and related costs;
Travel costs;
Administrative services such as general legal, accounting and audit services
performed under third-party contracts; and
Other goods and services required for administration of the program.
Provision of information and other resources to residents and citizen
Provision of fair housing counseling services and activities.
Indirect costs.
Preparation of applications for Federal programs.
Overall program management of any active Rental Rehabilitation Program or
Development Grant Program grants.
Planning and Administrative costs are limited to 20% of the total allocation in that year.
Ineligible Activities, as specified under §570.207
The following is a general list of ineligible activities.
Assistance for:
Buildings used for the general conduct of government;
Government expenses; and
Political activities.
Assistance for:
Purchase of construction equipment; purchase of furnishings and personal property, unless part of
public services are necessary for use by a grantee in the administration of the CDBG program;
Repairing, operating and maintaining public facilities, improvements and services, except
expenses associated with eligible public service activities, interim assistance, and office space for
CDBG program staff; New housing construction, except under the special provisions provided
at§570.207(b)(3)(i)-(iii); and
Income payments.
Summary of National Objectives
The Three National Objectives are outlined below, and are further divided into detailed subcategories
based on activities and measurements.
Of the detailed subcategories on pages 7-9, select the one Detailed National Objective that best describes
the outcome you aim to achieve with this project
Activities benefitting low-and-moderate-income persons
Area Benefit Activities
Detailed National Objective
24 CFR
Data needed
Low Mod Area: Activities providing
benefits that are available to all the
residents of a particular area, at least 51%
of whom are low/mod income.
Census Tract:
% Low/Mod Income:
Source of Data:
The service area must be primarily
residential, and the activity must meet the
identified needs of low- and moderate-
income persons.
Examples include: street improvements;
water and sewer lines; neighborhood
facilities; and facade improvements in
neighborhood commercial districts.
Limited Clientele Activities
Detailed National Objective
24 CFR
Data needed
Low/Mod Limited clientele benefit:
Activities that benefit a limited clientele,
at least 51% of whom are low/mod
income. LMC activities provide benefits
to a specific group of persons rather than
to all the residents.
Household size and
documentation, or
Presumed benefit
documentation*, or
Examples: construction of a senior center;
public services for the homeless; meals on
wheels for the elderly; and construction of
job training facilities for the handicapped.
Is architectural
barrier project**
Low/mod limited clientele, micro-
Activities carried out under 24 CFR
570.201(o) that benefit micro-enterprise
owners/developers who are low/mod
business income
Jobs created/retained
Low/mod limited clientele, job service
Activities that provide job training,
placement and/or employment support
services in which the
percentage of
low/mod persons assisted is less than 51%
but the proportion of total cost paid by
CDBG does not exceed the proportion of
low/mod persons assisted
Documentation of
income for persons
Eligible persons
assisted does not
exceed portion of
budget funded
*Presumed benefit: eligibility by nature of population or program presumed to be principally low- and moderate-
income includes abused children, battered spouses, elderly persons, handicapped persons, homeless persons,
illiterate persons, and migrant farm workers
**Architectural Barrier Project is a special project directed for removal of material and architectural barriers
which restrict the mobility and accessibility of elderly or handicapped persons to publicly- and privately-owned
non-residential buildings, facilities and improvements and the common areas of residential structures containing
more than one dwelling unit.
Housing Activities
Detailed National Objective
24 CFR Citation
Data needed
Low/Mod housing benefit: Activities
undertaken to provide or improve
permanent residential structures that will
be occupied by low/mod income
households. Examples include: property
acquisition or rehabilitation of property
for permanent
housing; conversion of
non-residential structures into permanent
housing; and new housing construction.
Household size and
Project scope of work
Documentation of
affordable rents
Job Creation or Retention Activities
Detailed National Objective
24 CFR Citation
Data needed
Low/Mod job creation and retention*: An
activity designed to create or retain
permanent jobs where at least 51 percent
of which, computed on a full time
equivalent basis, involve the employment
of low and moderate-income persons.
FTE job count
of employee’s
pre-job household
Low/mod job creation and retention*,
public facility improvement benefit:
Public facility improvement activities
undertaken principally for the benefit of
one or more business; resulting in
creation/retention of jobs.
FTE job count
of employee’s
pre-job household
Low/mod job creation, location based:
Activities where a job is held by or made
available to a low/mod person based on
the location of the person’s residence or
the location of the assisted business.
FTE job count
Documentation of
employee’s pre-job
household income
Census tract data
*Job retention requires documentation that, but for the assistance provided, the job would have been lost.
Jobs are only considered to be available to low- and moderate- income persons when Special skills that can only
be acquired with substantial training or work experience or education beyond high school are not a prerequisite
to fill such jobs, or the business agrees to hire unqualified persons and provide training; and Local government
and the assisted business take actions to ensure that low- and moderate- income persons receive first consideration
for filling such jobs.
Activities which aid in the prevention or elimination of slums or blight
Detailed National Objective
24 CFR Citation
Data needed
Slum/Blight area benefit: Activities
undertaken to prevent or eliminate slims
or blight in a designated area.
Documentation of
area designated by
Slum/Blight, spot basis: Activities
undertaken on
a spot basis to address
condition of blight or physical decay not
located in designated slum/blight areas.
Documentation of
slum/blight at
Funding for Slum/blight removal activities is limited
Activities designed to meet an urgent community development need
The City does not expect to fund activities under Urgent Need.
Detailed National Objective
24 CFR
Data needed
Urgent Need: Activities that alleviate
emergency conditions of recent origin and
pose a serious and immediate threat to the
health or welfare of the community;
eligible only if the grantee cannot finance
the activity on its own and no other
sources of funding are available.
Documentation of