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{"sheet":"PLHA Request for Funds","index":0,"n_rows":50,"n_cols":8,"rows_kept":50,"cut":false,"hidden":false,"merged":[[9,0,9,7],[35,0,35,7],[19,0,19,7],[10,1,10,3],[36,0,36,7],[12,5,12,7],[20,0,20,7],[37,0,37,7],[13,5,13,7],[14,5,14,7],[15,5,15,7],[18,0,18,7],[16,1,16,3],[16,5,16,7],[17,1,17,3],[17,5,17,7],[7,0,7,6],[48,0,48,1],[47,0,47,1],[48,6,48,7],[47,6,47,7],[47,2,47,5],[48,2,48,5],[12,1,12,3],[13,1,13,3],[14,1,14,3],[15,1,15,3],[10,5,10,7],[11,5,11,7],[41,4,41,7],[11,1,11,3],[44,0,44,3],[38,4,38,7],[39,4,39,7],[38,0,38,3],[50,0,50,1],[50,6,50,7],[49,6,49,7],[49,2,49,5],[50,2,50,5],[49,0,49,1],[44,4,44,7],[45,0,45,3],[45,4,45,7],[46,0,46,7],[39,0,39,3],[40,4,40,7],[41,0,41,3],[40,0,40,3],[42,0,42,3],[42,4,42,7],[43,0,43,3],[43,4,43,7]]}
["beginning of sheet 1: PLHA Request for Funds"]
["DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT"]
["DIVISION OF STATE FINANCIAL ASSISTANCE"]
["STATE GRANT MANAGEMENT "]
["2020 West El Camino, 4th Floor"]
["Sacramento, CA  95833"]
["PLHASGM@hcd.ca.gov "]
["Permanent Local Housing Allocation (PLHA) \n Request for Funds "]
["Last Revised: 4/27/2022"]
["Instructions: Before filling out this form, ensure macros are enabled by clicking \"Enable Content\" on the yellow bar above or going to File-Options-Trust Center-Trust Center Settings, select Macro Settings from the left-hand menu and enable macros. All fillable cells in the first section of the RFF must be completed."]
["HCD Contract Number:",null,null,null," HCD SGM Rep Name:"]
["Project Name:",null,null,null," Request for Funds #:"]
["Project Address:",null,null,null," Preparer  Name:"]
["Contractor Name:",null,null,null," Preparer Title:"]
["Contractor Address:",null,null,null," Preparer E-mail:"]
["Contractor City/State/Zip:",null,null,null," Preparer Phone #:"]
["Type of Allocation:","Select One",null,null,"Total Award Amount:"]
["Allocation Year:\nPlease fill out a separate RFF if drawing from awards in more than one allocation year",null,null,null,"Max Allowable Admin:",{"$f":"0.05*F17","v":0}]
["EXPENDITURE BREAKDOWN"]
["Note: Contractor may request that grant funds awarded for a certain activity can be moved to another activity, but must request in writing and receive approval from HCD. Reallocations of more than 10% of funds among Activities require amendment of the Plan, with approval granted by the governing body at a publicly noticed public meeting. (pursuant to 2019 PLHA Final Guidelines §302(C)(5)) "]
["Instructions: In this section, fill out each applicable \"award amount\" and \"total previously drawn\" for the activities you have been awarded in your contract, even if you are not drawing for that particular activity in this RFF. The total for Administrative costs cannot exceed 5% of the total annual award. "]
["Activity Name",{"$f":"_xlfn.CONCAT(B18,\" Award Amount\")","v":" Award Amount"},"Total Previously Drawn","Draw Amount Requested This Period","Total Drawn to Date","Percent of Award Drawn","Award Remaining","HCD Approved Draw Amount"]
["§301(a)(1). Predevelopment, development, acquisition, rehabilitation, and preservation of multifamily, residential live-work, rental housing that is Affordable to Extremeley low-, Very low-, or Moderate-income households, including necessary Operating Subsidies.",null,null,null,{"$f":"C23+D23","v":0},{"$f":"E23/B23","v":{"$error":"#DIV/0!"}},{"$f":"B23-E23","v":0}]
["§301(a)(2). Predevelopment, development, acquisition, rehabilitation, and preservation of Affordable rental and ownership housing, including Accessory dwelling units (ADUs), that meets the needs of a growing workforce earning up to 120 percent of AMI, of 150 percent of AMI in high-cost areas.",null,null,null,{"$f":"C24+D24","v":0},{"$f":"E24/B24","v":{"$error":"#DIV/0!"}},{"$f":"B24-E24","v":0}]
["§301(a)(3). Matching portions of funds placed into Local or Regional Housing Trust Funds. ",null,null,null,0,{"$error":"#DIV/0!"},0]
["§301(a)(4). Matching portions of funds available through the Low- and Moderate-Income Housing Asset Fund pursuant to subdivision (d) of HSC Section 34176.",null,null,null,0,{"$error":"#DIV/0!"},0]
["§301(a)(5). Capitalized Reserves for Services connected to the preservation and creation of new Permanent supportive housing.",null,null,null,0,{"$error":"#DIV/0!"},0]
["§301(a)(6) / §401(a)(2). Assisting persons who are experiencing or at-risk of homelessness (see §301(a)(6) and §401(a)(2). of the PLHA NOFA for conditions).",null,null,null,0,{"$error":"#DIV/0!"},0]
["§301(a)(7). Accessibility modifications in Lower-income Owner-occupied housing.",null,null,null,0,{"$error":"#DIV/0!"},0]
["§301(a)(8). Efforts to acquire and rehabilitate foreclosed or vacant homes and apartments.",null,null,null,0,{"$error":"#DIV/0!"},0]
["§301(a)(9). Homeownership opportunities, including, but not limited to, down payment assistance.",null,null,null,0,{"$error":"#DIV/0!"},0]
["§301(a)(10). Fiscal incentives made by a county of a city within the county to incentivize approval of one or more affordable housing projects, or matching funds invested by a county in an Affordable housing development Project in a city within the county (see §301(10). of the PLHA NOFA for conditions).",null,null,null,0,{"$error":"#DIV/0!"},0]
["§401(a)(1) Development of new multifamily rental housing that is Affordable to households at or below 60 percent of AMI or substantial rehabilitation of multifamily rental housing that will be Affordable to households at or below 60 percent of AMI, but which is not currently restricted as Affordable Housing",null,null,null,0,{"$error":"#DIV/0!"},0]
["§301(a)(10)(b). Administrative Costs*\n",null,null,null,0,{"$error":"#DIV/0!"},0]
["TOTAL:",{"$f":"SUM(B23:B34)","v":0},{"$f":"SUM(C23:C34)","v":0},{"$f":"SUM(D23:D34)","v":0},{"$f":"SUM(E23:E34)","v":0},{"$error":"#DIV/0!"},0]
["Please complete the pre-disbursement checklist and other relevant tabs to your project prior to certification"]
["CERTIFICATION"]
["*A Local government that receives an allocation shall use no more than 5 percent of the allocation for costs related to the administration of the Activity(ies) for which the allocation was made. Staff and overhead costs directly related to carrying out the eligible activities described in Section 301 are \"activity costs\" and not subject to the cap on \"administrative costs.\" A Local government may share any funds available for administrative costs with entities that are administering its allocation.\n**Contractor agrees to deposit Grant funds in an interest-bearing checking or savings account insured by the federal or state government. All interest earned from the deposit of Grant funds shall be used for eligible Program activities and accounted for in the Contractor's annual report. \n***By signing this request, I certify to the best of my knowledge and belief that the request is true, complete, and accurate, and the expenditures, disbursements and cash receipts will be  for the purposes and objectives set forth in the terms and conditions of the State award. I am aware that any false, fictitious, or fraudulent information, or the omission of any material fact, may subject me to criminal, civil or administrative penalties for fraud, false statements, false claims or otherwise. (U.S. Code Title 18, Section 1001 and Title 31, Sections 3729-3730 and 3801-3812)"]
["Name of Authorized Person (per signed resolution)",null,null,null,"Title of Authorized Person"]
[]
["Signature of Authorized Person",null,null,null,"Date"]
[]
["Name of Second Authorized Person (if applicable)",null,null,null,"Title of Authorized Person"]
[]
["Signature of Authorized Person",null,null,null,"Date"]
[]
["HCD USE ONLY"]
["     SGM Representative Printed Name                                               ",null,"    Representative Signature",null,null,null,"    Date"]
[]
["SGM Manager Printed Name                                               ",null,"    Manager Signature",null,null,null,"    Date"]

{"sheet":"Unit Mix","index":1,"n_rows":41,"n_cols":6,"rows_kept":41,"cut":false,"hidden":false,"merged":[[0,0,0,5],[1,0,1,5],[5,0,5,5],[34,0,34,2],[34,3,34,5],[2,4,2,5],[4,0,4,5]]}
["beginning of tab 4: Unit Mix"]
["Permanent Local Housing Allocation\nUnit Mix"]
["HCD Contract #",0,null,"Project Name:",0]
["Grantee Name",0]
["Complete this tab if you have been awarded funds for Formula Activities 1, 2, 6 and/or 10, or Competitive Activity 1 or 2. For Formula Activity 2, complete only if your project includes multiple rental or ownership housing units being developed, rehabilitated, or preserved. For Formula Activity 6, complete only if your project includes multiple permanent and/or supportive housing units being developed, rehabilitated or preserved. For Competitive Activity 2, complete only if your project includes new construction, rehabilitation, or preservation of permanent or transitional rental housing. Input the number of units created in your project by AMI restriction level and bedroom size. If projects are not yet complete, provide the planned number of units."]
[]
["Income Restriction\n(% of AMI)","# of Bedrooms (Studio units are \"0\" bedroom)","PLHA-Funded Income Restricted Units","Non-PLHA Income Restricted Units","Unrestricted Units","Total Units"]
["Manager Unit",null,null,null,null,{"$f":"SUM(C8:E8)","v":0}]
["Manager Unit",null,null,null,null,{"$f":"SUM(C9:E9)","v":0}]
["Mod (80%-120% AMI)",null,null,null,null,{"$f":"SUM(C10:E10)","v":0}]
[null,null,null,null,null,{"$f":"SUM(C11:E11)","v":0}]
[null,null,null,null,null,0]
[null,null,null,null,null,0]
[null,null,null,null,null,0]
[null,null,null,null,null,0]
[null,null,null,null,null,0]
[null,null,null,null,null,0]
[null,null,null,null,null,0]
[null,null,null,null,null,0]
[null,null,null,null,null,0]
[null,null,null,null,null,0]
[null,null,null,null,null,0]
[null,null,null,null,null,0]
[null,null,null,null,null,0]
[null,null,null,null,null,0]
[null,null,null,null,null,0]
[null,null,null,null,null,0]
[null,null,null,null,null,0]
[null,null,null,null,null,0]
[null,null,null,null,null,0]
[null,null,null,null,null,0]
[null,null,null,null,null,0]
[null,null,null,null,null,0]
["TOTALS",null,{"$f":"SUM(C10:C33)","v":0},{"$f":"SUM(D10:D33)","v":0},{"$f":"SUM(E8:E33)","v":0},{"$f":"SUM(F8:F33)","v":0}]
["PLHA-Funded"]
["ELI Units:",{"$f":"SUMIF($A$8:$A$33,\"ELI (up to 30% AMI)\",$C$8:$C$33)","v":0},{"$f":"B36/$F$34","v":{"$error":"#DIV/0!"}}]
["LI Units:",{"$f":"SUMIF($A$8:$A$33,\"LI (30%-80% AMI)\",$C$8:$C$33)","v":0},{"$f":"B37/$F$34","v":{"$error":"#DIV/0!"}}]
["Mod Units:",{"$f":"SUMIF($A$8:$A$33,\"Mod (80%-120% AMI)\",$C$8:$C$33)","v":0},{"$error":"#DIV/0!"}]
["Above 120%",{"$f":"SUMIF($A$8:$A$33,\"Above Mod (120%+)\",$C$8:$C$33)","v":0},{"$error":"#DIV/0!"}]
["Unrestricted Units:",{"$f":"SUMIF($A$8:$A$33,\"Not Restricted\",$E$8:$E$33)","v":0},{"$error":"#DIV/0!"}]
["Manager Units",{"$f":"SUMIF($A$8:$A$33,\"Manager Unit\",$E$8:$E$33)","v":0},{"$f":"B41/$F$34","v":{"$error":"#DIV/0!"}}]

{"sheet":"Funding Sources","index":2,"n_rows":22,"n_cols":7,"rows_kept":22,"cut":false,"hidden":false,"merged":[[8,6,8,7],[1,6,1,7],[4,0,4,7],[5,6,5,7],[6,6,6,7],[7,6,7,7],[3,0,3,7],[21,0,21,1],[9,6,9,7],[10,6,10,7],[11,6,11,7],[12,0,12,1],[13,0,13,7],[15,6,15,7],[16,6,16,7],[17,6,17,7],[18,6,18,7],[19,6,19,7],[20,6,20,7],[14,6,14,7]]}
["beginning of sheet 4: funding sources"]
["TRANSACTION SUMMARY",null,"Project Name",null,{"$f":"'PLHA Request for Funds'!B12","v":0},"Contract #",{"$f":"'PLHA Request for Funds'!B11","v":0}]
[]
["Complete this tab if you have been awarded funds for Formula Activities 1, 2, 6 and/or 10, or Competitive Activity 1 or 2. For Formula Activity 2, complete only if your project includes multiple rental or ownership housing units being developed, rehabilitated, or preserved. For Formula Activity 6, complete only if your project includes multiple permanent and/or supportive housing units being developed, rehabilitated or preserved. For Competitive Activity 2, complete only if your project includes new construction, rehabilitation, or preservation of permanent or transitional rental housing. \nComplete the funding source table which includes new funding sources currently committed to your project, and any prior existing debt if applicable."]
["Construction Sources (which includes existing debt on the project)"]
["Lien Position","Name of Lender/Grantor ","Term Maturity (months)","Interest\nRate\n","Amount","Funding Type","Comments\n(if HCD, enter contract #)"]
[null,null,null,null,null,"Select One"]
[null,null,null,null,null,"Select One"]
[null,null,null,null,null,"Select One"]
[null,null,null,null,null,"Select One"]
[null,null,null,null,null,"Select One"]
[null,null,null,null,null,"Select One"]
[null,null,null,null,{"$f":"SUM(E7:E12)","v":0}]
["Permanent Sources (which includes assumed existing debt on the project)"]
["Lien Position","Name of Lender/Grantor","Term to\nMaturity\n(years)","Interest\nRate\n","Amount","Funding Type","Comments\n(if HCD, enter contract #)"]
[null,null,null,null,null,"Select One"]
[null,null,null,null,null,"Select One"]
[null,null,null,null,null,"Select One"]
[null,null,null,null,null,"Select One"]
[null,null,null,null,null,"Select One"]
[null,null,null,null,null,"Select One"]
[null,null,null,null,{"$f":"SUM(E16:E21)","v":0}]

{"sheet":"Scope of Work","index":3,"n_rows":16,"n_cols":5,"rows_kept":16,"cut":false,"hidden":false,"merged":[[0,0,0,8],[12,4,12,8],[2,1,2,3],[3,1,3,3],[4,1,4,3],[5,1,5,3],[11,1,11,3],[12,1,12,3],[13,1,13,3],[6,1,6,3],[7,1,7,3],[8,1,8,3],[9,1,9,3],[10,1,10,3],[14,4,14,8],[15,4,15,8],[13,4,13,8],[1,0,1,8],[14,1,14,3],[15,1,15,3],[2,4,2,8],[3,4,3,8],[4,4,4,8],[5,4,5,8],[6,4,6,8],[7,4,7,8],[8,4,8,8],[9,4,9,8],[10,4,10,8],[11,4,11,8]]}
["Permanent Local Housing Allocation\nScope of Work "]
["Instructions: Provide a description of the scope of work beside each activity for which you are requesting funds on this form. The description should be a current outline of the work that will be performed."]
["Activity","PLHA Activity - Formula Grantees Only",null,null,"Description of Scope of Work"]
[1,"Predevelopment, development, acquisition, rehabilitation, and preservation of multifamily, residential live-work, rental housing that is Affordable to Extremeley low-, Very low-, or Moderate-income households, including necessary Operating Subsidies."]
[2,"Predevelopment, development, acquisition, rehabilitation, and preservation of Affordable rental and ownership housing, including Accessory dwelling units (ADUs), that meets the needs of a growing workforce earning up to 120 percent of AMI, of 150 percent of AMI in high-cost areas."]
[3,"Matching portions of funds placed into Local or Regional Housing Trust Funds. "]
[4,"Matching portions of funds available through the Low- and Moderate-Income Housing Asset Fund pursuant to subdivision (d) of HSC Section 34176."]
[5,"Capitalized Reserves for Services connected to the preservation and creation of new Permanent supportive housing."]
[6,"Assisting persons who are experiencing or at-risk of homelessness (see §301(a)(6). of the PLHA NOFA for conditions)."]
[7,"Accessibility modifications in Lower-income Owner-occupied housing."]
[8,"Efforts to acquire and rehabilitate foreclosed or vacant homes and apartments."]
[9,"Homeownership opportunities, including, but not limited to, down payment assistance."]
[10,"Fiscal incentives made by a county of a city within the county to incentivize approval of one or more affordable housing projects, or matching funds invested by a county in an Affordable housing development Project in a city within the county (see §301(a)(10). of the PLHA NOFA for conditions)."]
["Activity","PLHA Activity - Competitive Allocation Grantees Only",null,null,"Description of Scope of Work"]
[1,"Development of new multifamily rental housing that is Affordable to households at or below 60 percent of AMI or substantial rehabilitation of multifamily rental housing that will be Affordable to households at or below 60 percent of AMI, but which is not currently restricted as Affordable Housing"]
[2,"Assistance to persons who are experiencing or at-risk of homelessness (see §401(a)(2). of the PLHA NOFA for conditions)."]

{"sheet":"Formula Checklist","index":4,"n_rows":11,"n_cols":6,"rows_kept":11,"cut":false,"hidden":true,"merged":[[0,1,0,5],[2,1,2,5],[9,2,9,5],[1,2,1,3],[10,1,10,5]]}
[null,"Permanent Local Housing Allocation (PLHA) \nPre-Disbursement Checklist - Formula Allocation Component"]
[null,"Project:",{"$f":"'PLHA Request for Funds'!B12","v":0},null,"Contract #:",{"$f":"'PLHA Request for Funds'!B11","v":0}]
[null,"Please complete column C by selecting Yes, No or N/A from the drop-down menu indicating that the appropriate documentation by activity has been attached. Columns D-F are for HCD Staff to complete upon review and approval of the documents submitted. The Department shall have the right to request copies of documentation of the activities of the Permanent Local Housing Allocation at any time prior to or after disbursement of Program Funds on or in addition to what is listed on this checklist. Refer to your Standard Agreement or contact your State Grant Management Representative for more information."]
[null,"Please Note:  Draft copies of all loan documents and/or contracts/agreements must be submitted to HCD for review and approval prior to disbursement of funds.","Documentation Submitted","Rep Approval (initials)","Manager Approval (initials) ","Date of Manager Approval"]
[null,"Draft of Recorded Deed Restriction on property (pursuant to PLHA Final Guidelines §302(c)(6)(A)-(C)) - Acquisition, Construction or Rehabilitation of For-Sale housing only - Activities 2,7,8, or 9"]
[null,"Draft of Promissory Note with the provision that PLHA assistance be provided in the form of a low-interest deferred loan to the project Sponsor. (pursuant to PLHA Final Guidelines §302(c)(7)) - Rehabilitation or Construction of Affordable Rental Housing Developments Only  - Activities 1,2,6,8,9 or 10"]
[null,"Draft of Deed of Trust securing the Promissory Note (pursuant to PLHA Final Guidelines §302(c)(7)) - Rehabilitation or Construction of Affordable Rental Housing Developments Only  - Activities 1,2,6,8, 9 or 10"]
[null,"Draft of Regulatory Agreement with requirements for household income levels and rent restrictions for not less than 55 years for all units assisted by program funds. (pursuant to PLHA Final Guidelines §302(c)(7)) Rehabilitation or Construction of Affordable Rental Housing Developments Only - Activities 1,2,6,8 or 10"]
[null,"Where program funds are used for activities other than Construction or Rehabilitation, please provide fully executed documents that support the functions within the activities performed such as: contracts, authorizing resolutions, or agreements. "]
[null,"Additional Comments:"]
[null,"*****SPECIAL INSTRUCTIONS*****\nAfter the close of escrow the grantee shall provide SGM with copies of fully executed and recorded PLHA loan documents, as well as all other lender(s) executed and recorded loan documents who were involved in the transaction. Other documentation to be provided may include as applicable:  The Certificate of Occupancy and/or Completion; Proforma Title Insurance Policy and Tax Credit Allocation Committee (TCAC) Reservation Letter.  "]

{"sheet":"Competitive Checklist","index":5,"n_rows":12,"n_cols":6,"rows_kept":12,"cut":false,"hidden":true,"merged":[[0,1,0,5],[2,1,2,5],[10,2,10,5],[1,2,1,3],[11,1,11,5]]}
[null,"Permanent Local Housing Allocation (PLHA) \nPre-Disbursement Checklist - Competitive Allocation Component"]
[null,"Project:",{"$f":"'PLHA Request for Funds'!B12","v":0},null,"Contract #:",{"$f":"'PLHA Request for Funds'!B11","v":0}]
[null,"Please complete column C by selecting Yes, No or N/A from the drop-down menu indicating that the appropriate documentation by activity has been attached. Columns D-F are for HCD Staff to complete upon review and approval of the documents submitted. The Department shall have the right to request copies of documentation of the activities of the Permanent Local Housing Allocation at any time prior to or after disbursement of Program Funds on or in addition to what is listed on this checklist. Refer to your Standard Agreement or contact your State Grant Management Representative for more information."]
[null,"Please Note:  Draft copies of all loan documents and/or contracts/agreements must be submitted to HCD for review and approval prior to disbursement of funds.","Documentation Submitted","Rep Approval (initials)","Manager Approval (initials) ","Date of Manager Approval"]
[null,"Department has authorized loan closing for development projects, (pursuant to PLHA Final Guidelines §405 (d)(1)) - Rehabilitation or Construction projects only"]
[null,"All general and special conditions per the Contractor's Standard Agreement Exhibit E have been met (pursuant to PLHA Final Guidelines §405 (d)(2))"]
[null,"Draft of Promissory Note with the provision that PLHA assistance be provided in the form of a low-interest deferred loan to the project Sponsor (pursuant to PLHA Final Guidelines §405 (e)) - Rehabilitation or Construction of Affordable Rental Housing Developments Only "]
[null,"Draft of Deed of Trust securing the Promissory Note (pursuant to PLHA Final Guidelines §405 (e)) - Rehabilitation or Construction of Affordable Rental Housing Developments Only "]
[null,"Draft of Regulatory Agreement sets forth requirements for household income levels to be at or below 60% and rent restrictions for not less than 55 years for all units assisted by program funds. (pursuant to PLHA Final Guidelines §401 (a)(1) and §402(c)(5)(B)) Rehabilitation or Construction of Affordable Rental Housing Developments Only. The Regulatory Agreement shall adhere to the requirements as stated in the Uniform Multifamily Regulations (UMR's)"]
[null,"Where program funds are used for activities other than Construction or Rehabilitation, please provide fully executed documents that support the functions within the activities performed such as: contracts, resolutions, or grant agreements. - Activity 2"]
[null,"Additional Comments:"]
[null,"*****SPECIAL INSTRUCTIONS*****\nAfter the close of escrow the grantee shall provide SGM with copies of fully executed and recorded PLHA loan documents, as well as all other lender(s) executed and recorded loan documents who were involved in the transaction. Other documentation to be provided may include as applicable:  The Certificate of Occupancy and/or Completion; Proforma Title Insurance Policy and Tax Credit Allocation Committee (TCAC) Reservation Letter.  "]

{"sheet":"Drop Down Box","index":6,"n_rows":13,"n_cols":1,"rows_kept":13,"cut":false,"hidden":true,"merged":[]}
["Income Levels"]
["ELI (up to 30% AMI)"]
["LI (30%-80% AMI)"]
["Mod (80%-120% AMI)"]
["Above Mod (120%+)"]
["Not Restricted"]
[]
["Finance Types"]
["Select One"]
["Grant"]
["Loan "]
["Deferred Payment Grant"]
["Deferred Payment Loan"]