2024-170-E-AMS-Habitat for Humanity-Supplemental Weatherization to Home Repair

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P a g e 2 o f 18 COVER PAGE Applicant Organization’s Contact Information Organization’s Legal Name: Habitat for Humanity, Orange County, N.C., Inc. Physical Address: 88 Vilcom Center Drive, Suite L110, Chapel Hill, NC 27514 Mailing Address: 88 Vilcom Center Drive, Suite L110, Chapel Hill, NC 27514 Web Address: www.orangehabitat.org Telephone Number: (919) 932-7077 E-Mail: ajacoby@orangehabitat.org Tax ID Number: 58-1603427 Funding Request Summary Please list all Fiscal Year 23-24 Community Climate Action Grant funding requested for the project you are proposing and the proposed use of funds (please list project name only). Applicants will be asked to provide more details on their proposed project budget in the Budget Worksheets attachment. Project Equipment Operations Personnel Total Supplemental Weatherization to Home Repair Projects $0 $55,000 $0 $55,000 Briefly explain your proposed use of funds (2-4 sentences): To the best of my knowledge and belief all information and data in this application is true and current. Signature: August 18, 2023 Applicant’s Authorized Signatory Date Habitat for Humanity of Orange County proposes to use $55,000 in Orange County Climate Action Grant Funds to provide supplemental weatherization services on five homes being repaired through the organization’s Home Preservation program in the coming year. Habitat’s Home Preservation program serves Orange County residents who own their homes but are unable to afford necessary repairs due to low or fixed incomes. Of this amount, $50,000 will go towards the direct cost of the weatherization projects, including materials, subcontractor labor, and direct construction staff labor. The remaining $5,000 is a 10% overhead charge for support staff and other costs to administer the program. DocuSign Envelope ID: DBE8454E-5CDD-4377-A739-3C0016853D4E