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Home My Public Portal About019-2024 - APPLICATIONINDIA�P CITY OF RICHMOND Department of Infrastructure and Development 50 NORTH FIFTH STREET - RICHMOND, IN 47374 PHONE (765) 983-7372 - FAX (765) 962-7024 thillOrichmondindiana.gov www.richmondindiana.gov RE: Ordinance 19-2024 City of Richmond, Wayne Township Trustee, and Beat the Heat - Window Air Conditioning Unit Distribution Program Dear Council Member, RONALD OLER, PhD Mayor DUSTIN PURVIS Director THOMAS HILL GIs Coordinator "Beat the Heat" is a community initiative launched by Indiana University's Environmental Resilience Institute ("ERI") and grant -funded by the Indiana Office of Community and Rural Affairs ("OCRA"), On March 15th, 2021, Common Council approved the Environmental Sustainability Commission's application to Indiana University and OCRA to be selected as a Beat the Heat program partner. We were one of two successful applicants (Richmond and Clarksville) and have had the privilege of working with IU and OCRA on an effort to help vulnerable populations cope with extreme heat events. The grant was for two years, but with 6 months to go, we were notified that our coordinator had been offered a new opportunity in Nol them Indiana. The remainder of her salary and some budgeted program funds left unused money in the grant that needed to be directed to a program. Initially, OCRA supported Richmond's plan to use the funding to purchase and distribute air conditioners and a utility credit to vulnerable populations, with the desire to prioritize adults who are 65+. After some time, OCRA found that the funds could not in fact be used in this way, but their support for the program idea was strong, and they made an additional allocation to Richmond of $20,000 to move forward with the equipment distribution. This was in addition to the support already provided by OCRA and IU. The funding was committed in May/June 2023 and is planned to be transferred to Richmond this spring (2024). The AC Distribution program will be facilitated by Susan Isaacs in the Wayne Township Trustee Office in close collaboration with the City's office of Infrastructure and Development, IU's ERI, and Alison Zaj del -Clark. Please see the attached application to help provide context for the program requirements as well as supplemental information. Two cost estimates of the program are shown below. Option 1 Standard Install Unit Total 40 Modified Install Unit Total 3 Unit Costs 8000 Unit Costs 600 Utility Assistance Costs 4000 Utility Assistance Costs 300 Standard Install Costs 6000 Modified Install Costs 675 Total 18000 Total 1575 go 19575' Total Units Across Standard and Modified : 43 Units Total Cost Across Standard and Modified: 19575 Option 2 Standard Install Unit Total 35 Modified Install Unit Total 8 Unit Costs 7000 Unit Costs 1600 Utility Assistance Costs 3500 Utility Assistance Costs 800 Standard Install Costs 5250 Modified Install Costs 1800 Total 15750 Total 4200 '' 1595f? Total Units Across Standard and Modified : 43 Units Total Cost Across Standard and Modified: 19950 A scoring priority matrix for the program is as follows (priority found in the Application Cover Page): AC Unit Program Scoring Matrix In order to qualify for the program households must first meet the income requirements listed below Members in Household Annual Limit Members in Household Annual Limit 1 $44,200 5 $68,150 2 $50,500 6 $73,200 3 $56,800 7 $78,250 4 $63,100 8 $83,300 For family units with more than 8 members, add $5,050 annually After meeting the income limits, applicants will be scored based on prioritization parameters. First Priority Individuals over the Age of 65 Second Priority Individuals with a Disability Households with a child under the age of 6 with Third Priority an increased medical need for AC Household is located within a Richmond Heat Fourth Priority Vulnerability Index Priority Area Points shall be assigned based on which category the applicant falls into 4 Points Individuals over the Age of 65 3 Points Individuals with a Disability Households with a child under the age of 6 with 2 Points an increased medical need for AC Household is located within a Richmond Heat 1 Point Vulnerability Index Priority Area Tie Breaker In the situation where a tie breaker is necessary, the household income will be averaged by the number of household members. The application with the lower average income per household member will be given the unit. Formula for Tie Breaker (Household Income) / (Number of Members in Household) _ Average Income per Household Member Respectfully submitted, Thomas Hill GIS Coordinator City of Richmond, Wayne Township Trustee, and Beat the Heat Window Air Conditioning Unit Distribution Program Application "Beat the Heat" is a community initiative launched by Indiana University's Environmental Resilience Institute and grant -funded by the Indiana Office of Community and Rural Affairs. The program's central goal is to assist communities in building resilience to extreme heat. This is done by creating tangible, long-term, and sustainable projects that help residents' well being as the number of hot days increases. Beat the Heat has led to creation and adoption of the City of Richmond's Heat Management Plan. 11 INDIANA UNIVERSITY ENVIRONMENTAL RESILIENCE INSTITUTE 13 LUDDY SCHOOL OF INFORMATICS, COMPUTING, AND ENGINEERING Program Requirements In order to be eligible for the program applicants must first meet the Income Limit (See Below) and Live Within Richmond City Limits (Including the 2 Mile Fringe). Prioritization for AC Units Prioritization for AC Units will be given to individuals that fit one of the following categories: 1. Senior Citizen - age 65 and above 2. An individual with a disability 3. A household with a child under the age of 6 that has an increased medical need for air conditioning 4. The household is located within an identified priority area for Richmond's Heat Vulnerability Index Submission Instructions Completed applications should be submitted to Susan Isaacs at the Wayne Township Trustee Office. Applications can be: 1. Sent via Email to susan@waynetownshiptrustee.com 2. Sent via Mail or Dropped Off In Person to 401 E Main Street, Richmond IN 47374 Required Documents 1. A valid, government -issued identification card 2. Current proof of income for everyone in the household (over the age of 18) for the past 8 weeks (Must be Income Eligible) ✓ If you're paid biweekly, submit 4 current pay stubs ✓ If you're paid weekly, submit 8 current pay stubs ✓ If disabled, submit proof of Supplemental Security Income (SSI) and Social Security Disability Insurance (SSDI) 3. If you have a child under the age of 6 that has an increased medical need for air conditioning, you have to present a Letter of Need from a physician Note: Customers who received an Air Conditioner this year will not be eligible again for THREE (3) years. Income Limits (FY 2023) Members in Household Annual Limit Members in Household Annual Limit 1 $44,200 5 $68,150 2 $50,500 6 $73,200 3 $56,800 7 $78,250 4 $63,100 8 $83,300 For family units with more than 8 members, add $5,050 annually Window Air Conditioning Unit Application "PLEASE REVIEW PROGRAM REQUIREMENTS AND REQUIRED DOCUMENTS BEFORE SUBMITTING THIS APPLICATION* (SEE BACK PAGE) APPLICANT INFORMATION i Name: Gender: _Female _Male —Non-Binary ---- ..__......... -- --- .....-........_..._.. —...-- .._.._.._._..._ Date of Birth: State ID type/number: Phone: _._.__............ __ _—....... -_------ -..... _._._..... .......... .._....... ........ _.......... --.......... .... ---._....... ---. ...-- ---- —--....------....--.._._—....__....... --..-__--- ._............_..... - Current Address: j ......... ........._.......__..----.........___...... _......... ------- _.... ...... ......... .._............ __ City: State: Zip Code: _......... .._...._............ -- ._..........._._...__....---.._.._—.....- -- -- ... ----- ---- ....,. _.._...... ....._- ..---..-........_....-------._..._.__.--._... --........-.._.... -- Disabled: Yes No Health Insurance: Yes No Education Level: ----.._.—_.._..__.._._..-.. __... _... ......_._._—.........._.-.......---- ..............................----.._.._.._..........._...—._.........--- --- -- - Marital Status (Check one): Race (Check one or more): _African American _Asian --- ._............ .._.......... ----- --- Do you have a child under 6 with an _Never Married _Married _Seperated _American Indian or Alaska Native _Caucasian increased medical need for AC? _Divorced _Widowed —Hispanic/Latino Other: _Yes _ No OTHER MEMBERS OF HOUSEHOLD Name: Relationship to Applicant: Date of Birth: Gender: _Female _Male _Non -Binary Disabled: _Yes No Health Insurance: Yes No Education Level: Race: Monthly Income: Name: Relationship to Applicant: Date of Birth: Gender: _Female _Male —Non-Binary Disabled: _Yes _No — — Health Insurance: _Yes No Education Level: Race: _ �— —� Monthly Income: — * If you need additional space for other members of household, please ask for an additional member sheet* FAMILY TYPE — — —_Single —Multi Single Parent Female _Single Parent Male Parent Non -Binary -Parent Household Single Person Two Adults No Children Other: INCOME Monthly Income: Monthly Rent or Mortgage AC C_ompatability Amount: $ — $ Window Width Source of Income (check all that apply): _Own No Income _SSI _Rent Window Opening _Employment _SS 8 Height: _Section How often are you paid? _Child Support _SSDI _Weekly _Bi-Weekly _Pension/Retirement Distance from Middle _Families First In which room will this AC unit be of Window Base to installed Semi-monthly _Monthly Outlet: Suggested Locations: Is the Outlet 3-Prong: Bedroom, Living Room "YES or NO SIGNATURE _ I certify to the best of my knowledge all of the information given by me is true and correct. I also authorize the verification of any and all information for the purpose of certification and for assistance. I understand that if I withhold any information or submit false information and receive services to which I am not entitled, I may be subject to criminal prosecution under the laws of the State of Indiana. I certify that I have not received an air conditioner from Wayne Township Trustee/City of Richmond within the last three years. ..... . .................... ---...... ---................ —..._—._.........._..-------...... ........ ....... _........... ..................._...._....._—....__...__...----...._—..._..__........__.................---......... _--._..... —_ Signature of applicant: iDate: ............... _.... _... ..... -- -- - OFFICE USE ONLY: (Applicant do not complete) Wayne Township Trustee Staff Date MEMBERS OF HOUSEHOLD _OTHER _ Name: Gender: Female Male Non -Binary Relationship to Applicant: Date of Birth: Type and Number: Disabled: Yes No Health Insurance: Yes No ]Education Education Level: Race: Monthly Income: Name: u� Gender: Female Male Non -Binary Relationship to Applicant: Date of Birth: ID Type and Number: — — Disabled: Yes No — Health Insurance: Yes No � Education Level: � Race: Monthly Income Name: -Gender: Female Male Non -Binary Relationship to Applicant: Date of Birth: ID Type and Number: Disabled: Yes No--------,---- _ Health Insurance: Yes No _ Education Level: _ _— ____ Race: — Monthly Income: Name: FGe—nder: Female Non -Binary Relationship to Applicant: Date of Birth: _Male Type and Number: Disabled Yes No Health Insurance: Yes — No ��Education Level: (Race: Monthly Income: Name: Gender: Female Male Non -Binary Relationship to Applicant: Date of Birth: ID Type and Number: Disabled: Yes No Health Insurance: Yes No Education Level: Race: Monthly Income: Gen der nder Female Male Non -Binary Relationship to Applicant. Date of Birth. ID Type and Number. Disabled Yes No Health Insurance: Yes No Education Level: Race: -- -------------------------- Monthly Income: Name: Gender: Female Male Non -Binary Relationship to Applicant: _ Date of Birth:—� _ _ ID Type and Number: _ Disabled: Yes —_ No Health Insurance: Yes No Education Level: — _ Race: Monthly Income: Name:Gender: _ Female Male Non -Binary Relationship to Applicant: Date of Birth: ID Type and Number: Disabled: Yes --No _ Health Insurance: Yes No Education Level: Race: _ Monthly Income: Name: _ _ Gender: Female Male Non -Binary Relationship to Applicant: Date of Birth: ID Type and Number: Disabled: Yes No Health Insurance: Yes No Education Level: Race: Monthly Income: Name: Gender:P Female Male Non -Binary Relationship to Applicant: — ID Type and Number: — Disabled: Yes No Date of Birth:_ _ _ Health Insurance: Yes No Education Level —_ Race: Monthly Income: Window AC Compatibility Information Sheet i Does your oulet have three prongs? is