HomeMy WebLinkAboutAgreement A-21-409 with California Business Consumer Services and Housing Agency.pdfBusiness, Consumer Services and Housing Agency
Gavin Newsom, Governor I Lourdes M. Castro Ramirez, Secretary
C IFO
HOMELESS COORDINATING
AND FINANC ING COUNC I L
Agreemen t No . 21-409
Homeless Housing, Assistance, and Prevention Program Round 3 (HHAP-3)
Standard Agreement to Apply
HHAP-3 funding is provided pursuant to Health & Safety Code 50220 .l{a) and requires all eligible
applicants to submit this Standard Agreement to Apply no later than 5:00pm on October 15, 2021. In this
agreement, applicants must indicate whether t hey intend to apply for HHAP-3 funding jointly with an
o v erlapping jurisdiction or apply as an individual entity. For any eligible applicant who does not submit
an agreement by the deadline, HCFC may choose to re-allocate the applicant 's allocation to an
overlapping jurisdiction 1•
Eligible applicants applying jointly with an overlapping jurisdiction will designate one of the jointl y
applying jurisdictions as the Administrative Entity which will enter into contract with the HCFC to
administer the combined allocations of the joint applicants. Applicants may only apply jointly with a
Continuum of Care {CoC), large city, or county that serves an o v erlapping region . The Administrati v e
Entity is required to submit a binding resolution or agreement that designates a single Administrative
Entity for the combined allocations and an e xplanation of how the jointly applying appli cants wi ll
administer t he funds allocated to them pursuant to this section. This binding resolut ion or agreement
must be signed b y the authorized representatives of a ll applicant s and mus t be submitted with the
sign ed HHAP-3 Initial Dis bursement Contract for Funding , separate from the Standard Agreement to
Apply.
By submitting this form, you agree to participate in the HHAP-3 application process as indicated below
and comply with all requirements as set forth in Health and Safety Code 50220 .7.
APPLICATION SUBMISSION INFORMATION
ALL APPLICANTS:
Eligible Applicant Jurisdiction
D Large City: _____________ _ 0 County: County of Fresno
D Continuum of Care: __________________ _ Coe Number:. ___ _
Administrative Entity : _C_o_u_n_t_y_o_f_F_r_e_s_n_o _____________________ _
Contact Person : Laura Moreno --------------------
Tit I e : Program Manager
Contact Phone Number: 559-600-2335
Contact Email Address : lhaga@fresnocountyca.g~
Individual or Joint Application Designation:
O _______________ will submit an individual application for HHAP-3
funding
[ZI County of Fresno will submit a joint application for HHAP-3 funding
with the following overlapping jurisdiction(s):
1 For the purposes of the HHAP program, overlapping jurisdictions are eligible a pplicants that are located within the
sa me geographic area as the local Coe.
HHAP-3 Agreement to Apply
Published 9/15/2021
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HHAP-3 Agreement to Apply 2
Published 9/15/2021
JOINT APPLICANTS ONLY:
Fund Disbursement/Contract Execution
The jointly applying jurisdictions designate the following jurisdiction as the Administrative Entity of the
total combined allocations and acknowledge that the Administrative Entity will enter into legal
agreement with HCFC and receive any disbursements for which the jointly applying jurisdictions may be
deemed eligible.
Administrative Entity: ☐CoC ☐ Large City ☐ County
Name of Applicant: ______________________________________________________________________
Joint Applicants agree to the following:
1.Joint Applicants must designate a single Administrative Entity to receive the entire combined HHAP-
3 allocations.
2.The Administrative Entity must be a CoC, large city (if applicable), or county that serves the same
region.
3.The Administrative Entity receiving allocations on behalf of joint applicants shall use the funds in the
jurisdiction(s) entitled to the funds or to provide regional housing or services that serve the
population living in each of the jurisdiction(s) entitled to the funds.
4.The Administrative Entity is responsible for complying with all program expenditure requirements and
deadlines for the total combined allocations it is administering.
5.The Administrative Entity must enter into a binding resolution or agreement with joint applicants to
designate the Administrative Entity for the combined allocations which includes an explanation of
how the jointly applying applicants will administer the funds allocated to them. This binding
resolution or agreement must be signed by authorized representatives and will be included with the
contract for funds.
6.The HHAP-3 joint application will clearly identify the intended use of all the funds from each jointly
applying jurisdiction.
7.The HHAP-3 joint application will clearly describe in detail the collaboration between the jointly
applying jurisdictions and an explanation of how the jointly applying jurisdictions will partner to meet
their program goals.
8.The performance goals set in the HHAP-3 joint application will be used to determine the joint
applicants’ eligibility for future bonus funding.
Jurisdiction Name Applicant Type (County, CoC, or City)
HHAP-3 APPLICATION REQUIREMENTS
Application Requirements -ALL APPLICANTS:
By initialing below, the el igible applicant{s) ac know ledges their intent to pa rt ic ipate in t he HHAP -3
application process a s follows :
~ the e li gible applicant{s) w ill rece ive an Initial d isbursemen t equaling no m ore than 20% {o r 25% ~ apply ing applicants) of their tota l allocation if th is Agreement to Part icipate is submitt ed b y
5:00pm on October 15 , 20 2 1 per HSC 50220.7{a){4){A){ii ).
~~ Initial funds may be used to complete the local homeless action plan, as required by HSC
~) (3) {AJ, including paying for any technical assistance or contracted entities to support the
completion of the homelessness action plan.
L:., J}-., As stated in HSC § 50220 .7 {a) { 5), priority for ini t ial funds, above the costs of completing the
~ness action plan, shall be for sys t ems improvement, including, but not limited t o, all of t he
following:
(AJ Capacity bui lding and workforce development f or service providers within the
jurisdiction, including removing barriers to contracting with culturally specific service
providers and building capacity of providers to administer culturally specific services.
{BJ Funding existing evidence-based programs serving people experiencing
homelessness.
(C) Investing in dat a systems to meet reporting requirements or strengthen the recipient's
Homeless Management Info rmation System.
(DJ Improving homeless point -in-t ime counts.
(E) Improving coord inated entry systems to eliminate racia l bias o r to create a youth-
specific coordinated entry system .
< I( To rece iv e the remaining balance of its round 3 program allocatio n, an appl ica nt sha ll subm it
~a ti on to the council b y June 30 , 202 2, that includes a local homelessnes s action pla n and
specific ou t come goals in accordance wit h the requirements la id out in HSC § 50 220.l {b J.
~ R The applicant shall eng a ge with the council on its local plan and outcome goals before
~g a comp le t e application, per HSC § 50220.7(bJ(lJ.
<..d< For city, cou nty, and co nt in uum of care applicants, local homelessness action plans pursuant
~50220 .7{b){3J {A) and outcome goals pursuant to HSC § 50220 .7(b){3J (C) shall be agendized at
a regular meeting of the governing body, including receiving public comment, before being submitted
to the council, per HSC § 50220.7{b){2J . -S8-A complete application shall conform to the requirements laid out in HSC § 50220.7{bJ {3J.
HHAP-3 Agreement to Apply
Published 9/15/2021
FORM CONTINUES ON PAGE 4
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HHAP-3 GRANTEE AWARD DISBURSEMENT INFORMATION
ALL APPLICANTS :
Instructions: Please fill out the information below, which is needed to process your HHAP Round
3 (HHAP-3) initial award disbursement:
Administrative Entity /Contracting Agency Name
County of Fresno
Administrative Entity/Contracting Agency Business Address
P.O. Box 1912, Fresno, CA 93718
Contract Manager Name
Laura Moreno
Contract Manager Email Address
lhaga@fresnocountyca.gov
Contract Manager Phone Number
559-600-2335
Award Check Mailing Address (Include "Attention to:" if applicable)
County of Fresno
P.O. Box 24055, Fresno, CA 93779
For grantees who have previously contracted with BCSH, in order to reduce the amount of
paperwork needed to process your HHAP-3 award, HCFC is offering the opportunity to use the
Tax ID Form (Government Taxpayer ID Form for governmental entities or STD 204 Form for non-
governmental entities) and/or Authorized Signatory Form currently on file with HCFC for
HHAP-3 award disbursements. You may revoke these authorizations by submitting an
updated Tax ID Form or Authorized Signatory Form to hhap@bcsh .ca .gov.
Select one:
IZl The information on the Tax ID Form used for the HHAP-2 award disbursement is accurate,
and I am authorizing HCFC to use the previously submitted form for the HHAP-3 initial
award disbursement
DI have included a new Tax ID Form for the initial HHAP -3 award disbursement
Select one:
[Z] The information on the most recent Authorized Signatory Form on file with HCFC is
accurate, and I am authorizing HCFC to use the form on file for HHAP-3
DI have included a new authorized signatory form for HHAP -3
CERTIFICATION
I certify that the signature below is authorized to sign for all applicable documents for the HHAP-3 grant
on behalf of the Eligible Applicant Jurisdiction listed above.
Steve Brandau, Ch irman, County of Fresno Board of Supervisors
Name and Title
HHAP -3 Agreement to Apply
Published 9/15/2021
Date
ATTEST:
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