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Home My Public Portal About07-07-2004 CDBG � � • AGENDA '` j�Ctie`� P�� .'. ��{ �d�G�1l��D COMMUNITY DEVELOPMENT BLOCK GRANT CIiYOF LYNWOOD ADVISORY BOARD COMMISSION ClTV,^.LE^F�S QFF'CE WEDNESDAY,JULY 7, 2004 �1�� 0 1 2004 6:00 P.M. AM PM - 7�S ' LYNWOOD CITY HALL COUNCIL CHAMBERS 4,�r� J 11330 BULLIS ROAD, LYNWOOD, CA 90262 /� /�� ¢�, AIDE ORTIZ ��`� L � �� '�� CHAIRPERSON � MARGARET ARAUJO JOANETTE GUTIERREZ VICE CHAIRPERSON COMMISSIONER PATRICIA CARR COMMISSIONER , SYLVIA HERRON CARLOS MANLAPAZ COMMISSIONER COMMISSIONER OPENING CEREMONIES: A. CALL TO ORDER B. FLAG SALUTE C. ROLL CALL ' D. CERTIFICATION OF AGENDA POSTING E. PUBLIC ORALS: (ITEMS ON AGENDA ONLY) F. NEW BUSINESS: � 1. PRESENTATION — HOME Program Presentation 2. CDBG Monthly Report ! G. STAFF ORALS .. ; H. BOARD ORALS I. ADJOURNMENT , � � � DATE: June 2, 2004 TO: HONORABLE CHAIRPERSON AND CDBG COMMISSIONERS FROM: Louis Morales, Redevelopment Dire¢t� r �� Mark Fullerton, Housing Associate �;��. (�,(' Leonna Fletcher, Senior Housing Rehabi il tation Specialist SUBJECT: REVIEW OF HOUSING REHABILITATION PROGRAM APPLICATION FORM The item was requested by the CDBG Commission at its previous meeting. The purpose of this item is to consider revising the format or contents of the Application Form for the Housing Rehabilitation Progam. Attached for your reference is a copy of the cunent appiication form and a copy of a revised application. It is recommended that the Commission discuss the appiication form and consider revisions for a new application and direct staff accordingly. Attachments Housing Rehabilitation Application Form Sample of Revised Application Form I I � i 1 I 1 � I � I I . i I � , � � c�t o� �YN�OOD o ,�, �'� � City �1Aeeting CNaQpenges i' I�'r 11330 BULLIS ROAD LYNWOOD, CALIFORNIA 90262 , . (213)603-0220 � . Dear Applicant Thank you for your interest in the City of Lynwood Housing Rehabilitation Program. Enclosed please find the Housing Rehabilitation Program Application and general program information. In order to verify your eligibiliry for participafion, please submit a copy of the following documents, if applicable, to the Redevelopment Agency. 7, O Last two consecutive Paycheck Stubs for all working household members. z, ❑ 2003 W-2's and 2003 Federal Income Tax Retum (musYbe signed and include all pages). 3. O lf self employed, you must provide 2002 and 2003 "1040" lncome Tax Retums (must be signed and include all pages). 4. ❑ Last two consecutive Checking and Savings Statements for all accounts in the household (all pages.) 5_ ❑ Last rivo consecu[ive Mortgane Payments/Statements. (_ ❑ Recorded Deed of Trus[, Grant Deed, or HCD Mobile Home Regisfration (if applicable). �� * Documents must have the County Recorder's Starnp. 7, ❑ 2004 Properry Insurance Policy. g, ❑ 2004 Property Tax Statement. 9. ❑ Two proofs for other income as necessary: A. Social Security F. Disability B. Pension / Benefits G. Rental Income C. DPSS H. Workman's Compensation ' D. Unemployment Insurance I. A.F.D.C. (inclode Social Security Number) . E. Dividends • J. Child/Spousal Support ,, 10. ❑ All non-working adult household memebers must sign a"Self-Certification of Income". � *** NOTE: COPIES ONLY, ORIGINAL DOCUMENTS WILL NOT BE ACCEPTED! � Please submit the above documents & the application with all applicable forms filled out, signed, dated, and returned to ihis I office. If you need any further assistance or have any questions, please contact � (310) 603-0220 ext. . � � I � , � � �ITY OF LYNWOOD REDEVELOPMENT AGENCY-HOUSING DIVISION � (310) 603-0220 HOUSING GRANT PROGRAM (HOME) NAME: � SPOUSE: ADDRESS: ,'iOME TEL. NO.: WORK TEL. NO.: ; SOCIAL SECUR[TY #: -- --- SPOUSE fi : � � DATE OF BIRTH: � SPOUSE: � i HEAD OF HOUSEHOLD: MALE O FEMALE ❑ DO YOU OWN AND RESIDE ON TH15 PROPERTY? YES / NO ;� IS SOMEONE OTHER THAN YOURSELF ON TI7T,E? (Name) :OTAL # IN HOUSEHOLD: TOTAL # OF PERSONS IN HOUSEHOLD CLAIMED AS DEPENDENTS: ' i1ST TI-IE NAMES AND AGES OF ALL DEPENDENTS IN THE HOUSEHOLD: (AGE) (AGE) . (AGE) (AGE) , � _ (AGE) (AGE) : IS ANY MEMBER OF YOUR HOUSEHOLD HANDICAPPED7 YES / NO � ! ANNUAL MCOME FOR TOTAL HOUSEHOLD: S I 1.IST ALIJ SOURCES OF iNCOME FOR EVERY RESIDETJT IN YOUR HOUSEHOLD - includc (as appiicable) wages, social seciuity, child support, . uisability, retiremeny pensions, rrn4 �ncmploymen4 interest and dividrnd income, etc. .' S S S S S S a s a = O WHICH OF THE FOLLOWING E7HNIC GROUP DO YOU BELONG? (Pleau check one) ! C:AUCASIAN _ BLACK _ HISPANIC _ FILIPIIJO _ `� ; ASIAN or PACIFIC _ AM. INDIAN or ALASKAN NATNE _ OTHER _ :;-TAVE YOU EVER RECEIVED A"GRANT" FROM THE CITY OF LYNWOOD? IF SO, WHEN? ' JVFfAT "EMERGENCY" IMPROVEMEN7'S ARE YOU REQUESTING7 ' YEAR HOUSE WAS BUILT: .! E�EREBY CERTIFY that the aforementioned facts are hve. If at any time this information is found faise or incorrect and i[ is than determined .'hat I do rot qualify for the Home Loan/Grant Program, I am liable for all costs incuaed through the program. �t ' APPLICANT$ . ..,._. DATE ___.. _ . . CO-APPLICANTS$IGNATURE_ _ _..__ ..__ _._ _, DATE FOR OFFICE USE OPiLY - I'. TotalHouteholdlncome(yr) S TypeoflncomeVerifica[ion(s) I I ' Vecified by: � Date: ; � I 1 � � ��TY O F LYfV W� �� NJO� � J�N� � R�E�HIAI �'�L �T J1T1'�I�N) �R�O� �R�AI�� r �`�` a c G , ) , H3 'r7�,� .:��: � � ^' �� -3ih r 4, .. r � y [�'� ' P .J �Y-..[�:Ei��b�'ZL' � � # �i.' � Il_ � � la I� ' • v■ �G; '��k�-��..�.: cr:' - , `� �_;.,�.� �� N * ��F"�� • r "t el"��{�'' , a 7 y. ��_ _LL_,_�.�..� ��i�`�� 11330 Bullis Road � Lynwood, California 90262 Office No. (330) 603-0220 Ext. 289 � �I ! A UtENqBAPPL docufer 1 I .. � � PROPERTY REHABILITATION PROGRAM PLEASE FILL IN ALL BLANK, WRITE N/A WHERE NOT APPLICABLE. APPLICATIONS MUST BE SIGNED & DATED. I. APPLICANT(SIINFORMATION Applicant full Name Spouse Fuil Name � � Address Address GtY Zip Code City ' Zip Code Birth Date: Birth Date: Social Security Social Security Phone No. Phone No. Work No._ . Work No. DEPENDENTS (Sl LIST OTHER THAN SPOUSE ' Dependant(s) Name Relationship q LIST OCCUPANTS LNING IN HOUSEHOLD BUT ARE NOT DEPENDANTS Dependant(s) Name ' � Relationship A � CURRENT MONTHLYINCOME 1. APPLICANTS GROSS MON7HLY SAUIRY OR WAGES $ I 2. SPOUSE/]OINT APPLICANTS MONTHLY SALARY $ � 3. PENSION,SOCIALSECURITY,SSI,AFDC,ETC. $ � 4. MONTHLY RENTALPROPERTYINCOME ; � 5. ANY OTHER INCOME � l Total Monthty Income � 1 PLEASE INDICATE WHICH PROGRAM YOU ARE APPLYING FOR 1 � Deferred PaymentLoan Grant � i � -. A:VtEHABAPPLdowsce ' 2 � � � LIST ALL MONTHLY FIXED EXPENSED/ PAYMENT• To Whom Owed: Balance: Monthly Payments: Vehicle $ � � Vehicle � S ' Credit Card y � . Credit Card � $ Other � $ Other � S Has Applicant(s) ever obtained credit under a different name? [] Yes [] No If yes list name(s) Has Applicant(s) ever been subject to hankruptcy Proceeding? [] Yes [] No Please provide further information LIST IMPROVEMENTS PLANNED ( LIST IN PRIORITY ORDERI 1. 6. z• 7. 3. $ 4 � 9. 5. 10. I/WE CERTIFY THAT TFiE ABOVE STATEMENTS ARE TRUE, ACCURATE AND COMPLETE TO THE BEST OF MY/ OUR KNOWLEDGE AND BELIEF. I/WE UNDERSTAND THAT DELIBERATE MISREPRESENTATION OF INFORMATION ON THIS FORM MAY RESULT IN A FINE OF NOT MORE THAN 5,000 AND /OR IMPRISIONMENT FOR NOT MORE THAN TWO (2) YEARS. REPORTS TO THE CITY COUNCIL ON ACTIVITIES CARRIED OUT UNDER THE PROGRAM WILL BE ONLY IN THE AGGREGATE. I/WE THE UNDERSIGNED, UNDERSTAND THAT I/WE MUST ABIDE BY THE REHABILITATION PROGRAM REGULATIONS AND REQUIREMENTS TO BE ELIGIBLE. I/WE ALSO UNDERSTAND THAT I/WE MUST CORRECT ALL VIOLATIONS OF CITY CODES IDENTIFIED AS A RESULT OF THE PROGRAM STAFF'S INSPECTION OF MY /OUR PROEPRTY. I/WE FURTHER UNDERSTAND THAT FAILURE ON MY/OUR PART TO CORRECT SAID IDENTIFIED VIOLATIONS MY RESULT IN A CODE ENFORCEMNT ACTION. NOTE: ALL INFORMATION PROVIDED IN THIS FORM IS SUB]ECT TO VERIFICATION. Signature: Date: � Signature: Date: I ii i I � A:ViEHABAPPL.docwer 3 l � � , , ` � � i � � � STATISTICALINFORAMTION THE POLLOWING INFORMATION IS REQUIRED BY THE FEDERAL GOVERNMENT T( MONITOR THIS PROGRAM'S COMPLAINCE WITH EQUAL CREDIT OPPORTUNITI , AND FAIR HOUSING LAWS. THE LAW PROVIDES THAT A LENDER MAY NEITHEF , DISCRINATE ON THE BASIS O F THIS INFORMATION NOR ON WHETHER OR NOT Il ` IS FURNISHED. FURNISHING THIS INFORMATION IS OPTICAL IF YOU DO NOl WISH TO FURNISH THE FOLLOWING, PLEASE INITIAL BELOW. �� - I do not wish to furnish this information. � . � � Applican[ Co-Appliwnt/Spouse „ . [ ] American Indian � � [ ] American Indian � - [ 7 Asian [ ] Asian � � [] Alaskan Native [- J Alaskan Native � ' . [ ] Biack . [ ] White � . � ' , ' [ ] White ` � [ ] White [ ] tiispanic [ ] Hispanic � � . � - � [ ] . Other [ ] Other �� . . Have you applied to any progrem offered by the Ciry before? [] Yes [] No �_ �. � Are you or co-applicant/Spouse�65 years of age or over? [] Yes [] N � II PROPERTYINFORMATION .� ' Address of property to be improved � . . Number of dwelling units on property . � ' � Number of bedrooms � � . • Number of care (s) garage� � � ' � ' . Estimated value of house . " � . Age of house �� III FINANCIAL INPORMATION . � . - IXISTING �MORTGAGE(S) SECURED BY PROPERTY TO BE IMPROVED �� ❑ � 1" Lenders Name � � ' � � � � . Account Number Loan Balance � � � � - � � Monthly Payments , � � ❑ 2 ntl Lenders Name . . � Account Number Loan Balance � ' . � Monthly Payments � ❑ 3`" Lender Name � � . . � . Account Number Loan Balance . Monthly Paymentr - A:VtEHABAPPI.tlocuser . 4 . , � � ' CITY OF LYNWOOD HOUSING PROGRAM � � � CERTIFICATION OF PRINCIPAL RESIDENCE : In order to be eligible for participation in the City of Lynwood Housing Rehabili[ation � � - Programs and comply with federal regula[ions, the property owner. mus[ occupy the � � _ _ property as their principa] residence. This form must be signed by all applicants to �� • : certify [hat the housing receiving financial assistance is the principal�residence of [he . � " property owner. � �, - ' This is to certify that I am the legal property owner of the property identified below and � � , that I occupy the said property as my principal residence. I also understand that this . certification must be submitted as part of the application process to participate in the CiTy . of Lynwood Affordable Housing Program� and to comply with the federa( regulations that � � _ � � have been established for the Home Investrnent Partnerships Act (HOME) Program. . � � . � I am affimiing by my signature below that the information submit[ed is We. I � � . understand that any information that is determined to be incocrect may disqualify.my . application for program participation. . � Name of Property Owner: • � Property Address: � � � ' � � City, State Zip Code: - � � � � � �� Signature: � � � � � Signature: - � � . - � Date: � � • , . � � SUMMARY OF THE ' RESIDENTIAL REHABILITATION PROGRAM Types of Fundina Assistance '1. Grant Program $ 5,000 maximum � � 2. Deferred Payment Loan $ 30,000 maximum � - REOUIRED DOCUMENTATION � Copies of the following documents must be submitted with a completed � application. Applications wilf not be processed without all documentation. � � � 1. Application � . 2. Three most recent pay checks (Income) � � 3. Two years of Tax Retums or a Letter of Waiver � . . 4. Proof of Property Insurance � . " - 5. Grand Deed � � � . � 6. Mortgage Statementr � � � � 7. PropertyTaxBill � � ' A:VCEHAHMPLdocuur 5 ...... . � � �� s� ��' � �� Proqram Proqram Description Allocation April Balance Beneficiaries Fair�Housing Ensuresthathousing Monthly-22 Foundation consumers are afforded an 76,355.00 1,266.25 1,616.69 Year to date -140 200 PineStreet equal opportunity to tent, lease Proposed -150 Long BeacB CA or purchase housing without regard to race, religion, sexual orientation or gender. , Code Enforcement Jdentifies and ensures the 400,000.00 9,147.79 136,05330 Property 11330 Bullis Road correction of residential and Maintenance - t45 Lynwood CA 90262 commercial code violations. Zoning -29 . Building -290 Senior Citizens Provides health, recreation, 60,000.00 1,735.48 2,006.17 Monthly -500 11301 Bullis Road transpoRation, food and Year to date-1,600 Lynwood CA 90262 referral services activities to Proposed - 2000 Lynwood Senior. Crossing Guards Provides safe crossing to 60,000.00 0 0 11330 Bullis Road lynwood children at seven , Lynwood Ca 90262 majorintersections, throughout the City of Lynwood. After School Provides tutoring, sports and 40,000.00 0 0 Monthly - 639 11409 Birch Si field trips to Lynwood youth. Year to date -1,080 Lynwood CA 90262 Proposed -1,500 Natatorium Subsidized City's swimming 40,000.00 0 0 Monthly -1,500 11301 Bullis Road facility during the months of Year to date -1,500 ' Lynwood CA 90262 October, November, January, Proposed -2,000 February, March and April. Project Impact Provides job interview training, 20,000.00 1,672.00 7,608.00 Monthly - 0 2640 Industry Way �esume writing and job Year to date -26 Lynwood CA 90262 preparation workshops. Proposed - 44 Healthy Initiative Provides comprehensive health 15,000.00 0 4,941.75 Monthly -38 3630 East Imperial care, social services, and Year to date -7,538 Lynwood CA 90262 family support services to Proposed - 2,000 children and families residing in Lynwood. , Truevine Outreach Provides emergency shelter, 20,300.00 7,691.28 1,695.92 Monthly - 0 5238 Clark St • counseling in areas such as Year to date 12 Lynwood CA 90262 Drug abuse, Parenting and Proposed -12 Group. Drive By Agony Provides counseling to combat 20,000.00 1,666.00 2,891.50 Monthly -7 3549 MLK Blvd. conflict, anger and peer Year to date -15 Lynwood CA 90262 pressure, also a referral Proposed - 30 services. � � � So. Calif. Rehab. Assist individuals with 5,000.00 650.57 267.84 Monthly - 2 7830 Quill Drive, disabilities by providing 8enefit Year to Date —18 Suite D Counseling, Peer Counseling, Proposed - 50 Downey CA 90242 Independent Living Skill � Training, Housing Assistance, Personal Attendant Services, Assertive Technology, Service , Coordination, Information and Referral Services, Emergency Transportation. RAPESAFE Is designed to help women 18,690.00 2,076.00 8,310.00 Monthly — 0 1951 W. Carson St. escape from their attacker Year to Date —71 Torrance CA through [he techniques ot Jiu- Proposed -100 90501 Jitsu. Domino's Learning Assist low-income parents in 20,000.00 417.20 2,000.00 Monthly — 0 Lynwood with Subsidized � Year to Date —38 childcare. Proposed — 60 Lynwood Street To improve the condition of Improvements CDBG eligible streets including 904,000 20% Complete reconstruction of pavement, Construction concrete curb, getters, sidewalks and driveways Streets: Euclid Ave. ` Burton Ave. Magnolia Ave. School St. Lynwood Street To improve the condition of Design CDBG eligible streets including 180,652 5% Completion reconstruction of pavement, Design concrete curb, getters, sidewalks, and driveways Stockwell Drive Streets: Benwell Dr. Carson Dr. Lilita St. Lesage St. Peach St. 30% Design Senior Center Plan 100,000 Completed