2026-103-E-County Mgr-Weaver Community Housing Association-Energy Efficient Windows Installation

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D38. Is there anything else you would like to add about the benefits of your project, how much community engagement and/or education it will create, or how long it will last? (150 word limit) As this is a co-operative community, benefits for every one of our residential units counts as a benefit for all of our residents. W CHA will take advantage of this opportunity to educate residents, at monthly meetings and a windows dedication event, about the long-term financial and environmental benefits of prioritizing energy saving installations in their homes. Criterion 7 - Time to Complete This criterion has a maximum score of 3 points (out of a total of 26 points). D39. How long will it take your project to complete and demonstrate the positive impacts you describe? (200 word limit) 4 - 6 weeks Section 5. Attachments D40. Applicant Organization’s Budget Please complete your organization budget using the template that can be found here. Please submit the budget in PDF form. Applicant Organization’s Budget File Upload Organization_Annual_Budget_2025_OCCCA.pdf D41. Applicant Project Budget Please complete your project budget using the template that can be found here. Please submit the budget in PDF form. Applicant Project Budget File Upload Project_Budget_OCCCA_WCHA.pdf D42. IRS Federal Form 990 or 2024 Tax Returns A copy of the applicant organization’s most recent IRS Form 990 or IRS Tax Return is required to determine eligibility. The specific form depends upon the applicant organization’s financial activity. Review the IRS guide for more details. For Form 990-N (e-postcard) filers, include a copy of the postcard, with the organization’s application materials. �� Redact/black out all sensitive information such as social security numbers, personal home addresses, and personal phone numbers from all individuals before uploading these documents. IRS Federal Form 990 or 2024 Tax Returns File Upload IRS_990_2023_2024.pdf D43. If awarded, a Certificate of Liability Insurance (COI) will be required of the organization. Organizations that have not already provided an EFT and W -9 to Orange County will need to do so. Certificate of Liability Insurance A copy of the applicant organization’s current certificate, from the organization’s insurance carrier. Table 1 below outlines insurance types and minimums required, for each jurisdiction. If exempt from Worker’s Compensation compliance, include a statement explaining why, with the applicant organization’s application materials. The copy of the applicant organization’s current certificate must include all information in the highlighted sections and be worded exactly as presented in the example linked here. NOTE: Proof of insurance is not required at the time of application submission. If your agency is approved for funding, documentation of insurance must be provided to the jurisdiction awarding the funding when the contract is awarded. The insurance certificate should reflect the funding jurisdiction as an additional insured party and certificate holder and provide coverage for the duration of the funding period (two years, beginning as early as October 1, 2024). If proof of insurance can only be written for one year, an update will be required for all ongoing projects. Renewal certificates must be sent to the jurisdiction 30 days prior to any expiration date, cancellation or modification of any stipulated insurance coverage. NOTE: Upon request, insurance requirements may be reviewed on a case by case basis by the County. Please contact the staff identified on the Submission Requirements on Page 12 if you have questions or would like to request a review of your insurance requirements. The table below includes guidance regarding the forms of liability insurance and minimum policy amounts that are required if a grant is awarded. Table 1. Forms of Liability Insurance and Minimum Policy Amounts Required (1).xlsx Docusign Envelope ID: 9BD8B7A7-7606-416D-8B35-9C4C6D7EF1DB