Shelter + Care Program Annual Report to HUDMasterpiece on the Mississippi
TO: The Honorable Mayor and City Council Members
FROM: Michael C. Van Milligen, City Manager
SUBJECT: Shelter + Care Program Annual Report
DATE: October 26, 2010
Dubuque
knerd
AN- America city
1111 r
2007
Housing and Community Development Department Director David Harris recommends
City Council approval of the Shelter + Care Program Annual Report that is required to
be submitted to Housing and Urban Development (HUD).
I concur with the recommendation and respectfully request Mayor and City Council
approval.
' hael C. Van
Milligen
gen
MCVM:jh
Attachment
cc: Barry Lindahl, City Attorney
Cindy Steinhauser, Assistant City Manager
David Harris, Housing and Community Development Department Director
Masterpiece on the Mississippi
TO: Michael Van Milli e, City Manager
FROM: David Ha' Housing and Community Development Department
SUBJECT: Shelter + Care Program Annual Report
DATE: 25 October 10
Attached is the annual report for the Shelter Plus Care Program, required to be
submitted to HUD.
att
Dubuque
knetri
A8- America City
1 1
e
2007
S +C is a `sponsor- based' rental assistance program, providing this assistance to
homeless, disabled persons. Qualifying individuals and families are helped with rent,
and also provided supportive services, in an attempt to stabilize persons experiencing
chronic homelessness.
Project Concern initially submitted the application to HUD, with the City of Dubuque as
grantee, in 2008, as the "Phoenix Housing Program;" we are in the third year of a
$536 000, 5 -year grant. Project Concern leases private apartments, then provides them
to their homeless clients. Currently, the program is serving 13 clients.
We have reviewed the reporting from Project Concern and approved the information as
submitted. The action requested is the Mayor's required signature, certifying the
accuracy of the report.
U. S. Department of Housing
and Urban Development
Office of Community Planning
and Development
OMB Approval No. 2506 -0145 (exp. 11/30/2009)
Annual Progress Report (APR)
for
Supportive Housing Program
Shelter Plus Care
and
Section 8 Moderate Rehabilitation
for Single Room Occupancy
Dwellings (SRO) Program
1
HUD -40118
Grantee:
City of Dubuque, IA
Project Sponsor:
Project Concern, Inc.
Operating Year: (Circle the operating year being reported on)
01 02 03 04 05 06 07 08 09 010
011 012 013 014 015 016 017 018 019 020
Indicate if extension: ❑ Yes ® No
Indicate if renewal: ❑ Yes ® No
Previous Grant Numbers for this project:
Supportive Housing Program (SHP)
❑ Transitional Housing
❑ Permanent Housing for Homeless
Persons with Disabilities
❑ Safe Haven
❑ Innovative Supportive Housing
❑ Supportive Services Only
❑ HMIS
Name & Title of the Person who can answer questions about this report:
Jenny Manders
Address:
1789 Elm Street, Suite B
Dubuque, IA 52001
E -mail Address jmanders @project - concern.org
Shelter Plus Care (S +C)
❑ Tenant -based Rental Assistance (TRA)
® Sponsor -based Rental Assistance (SRA)
❑ Project -based Rental Assistance (PRA)
❑ Single Room Occupancy (SRO)
Signature & Date:
x
2
HUD Grant or Project Number:
IA26C601021
Project Name:
Phoenix Housing
Reporting Period: (month/day /year)
. from: 07/01/2009 to: 06/30/2010
Section 8 Moderate Rehabilitation
❑ Single Room Occupancy
(Sec. 8 SRO)
Summary of the project: (One or two sentences with a description of population, number served and accomplishments this operating year)
Phoenix Housing is a S +C program awarded to the City of Dubuque and sponsored by Project Concern, Inc. Phoenix
Housing serves homeless, disabled persons and their families. During the first operating year, the policies,
procedures, support service network, and extensive community -wide partnerships were formed. During the second
year, a focus was places upon recruiting additional landlords to the program. This was successful and several more
units were leased for a total of seven.
Phone: (include area code)
563 - 557 -8331 x 113
Fax Number: (include area code)
563- 588 -3982
I hereby certify that all the information stated herein is true and accurate.
Warning: HUD will prosecute false claims and statements. Conviction may result in criminal and /or civil penalties. (18 U.S.C. 1001,
1010, 1012; 31 U.S.C. 3729, 3802)
Name & Title of Authorized Grantee Official:
Mayor Roy Buol
City of Dubuque x
Name and Title of Authorized Project Sponsor Official: Signature &ate:
Nancy Lewis, Executive Director Project Concern
HUD -40118
Single Persons (from 2b, column 1)
Projected Level
Age
Male
Female
Number of
Families
a.
62 and over
0
0
1
b.
51 -61
3
0
3
c.
31 -50
3
0
4
d.
18 -30
2
0
Number in the program on the last day of the operating year
(a + b - c) = d
e.
17 and under
0
0
Persons in Families (from 2b, columns 2 & 3)
f.
62 and over
0
0
g.
51 - 61
1
0
h.
31 - 50
0
0
i.
18 - 30
0
2
j.
13 -17
0
0
k.
6 -12
0
1
1.
1 -5
0
1
m.
Under 1
0
0
Part I: Project Progress
1. Projected Level of Persons to be served at a given point in time. (This information comes from the most recent CoC
application.)
2. Persons Served during the operating year.
3. Project Capacity.
4. Non - homeless persons. This question is to be completed for Section 8 SRO projects.
I How many income - eligible non - homeless persons were housed by the SRO program during the operating year?
NA
I
5. Age and Gender. Of those who entered the project during the operating year, how many people are in the following age
and gender categories?
3
HUD -401 18
Projected Level
Number of
Singles Not in
Families
Number of
Adults in
Families
Number of
Children in
Families
Number of
Families
a.
Number on the first day of the operating year
6
1
1
1
b.
Number entering program during the operating year
8
3
2
2
c.
Number who left the program during the operating year
4
1
1
1
d.
Number in the program on the last day of the operating year
(a + b - c) = d
10
3
2
2
Part I: Project Progress
1. Projected Level of Persons to be served at a given point in time. (This information comes from the most recent CoC
application.)
2. Persons Served during the operating year.
3. Project Capacity.
4. Non - homeless persons. This question is to be completed for Section 8 SRO projects.
I How many income - eligible non - homeless persons were housed by the SRO program during the operating year?
NA
I
5. Age and Gender. Of those who entered the project during the operating year, how many people are in the following age
and gender categories?
3
HUD -401 18
Projected Level
Number of
Singles Not in
Families
Number of
Adults in
Families
Number of
Children in
Families
Number of
Families
a.
Number on the last day (from 2d, columns 1 and 4)
10 '
6
14
6
b.
Number proposed in application (from 1 a, columns 1 and 4)
17
air
c.
Capacity Rate (divide a by b) = %
59 %
m ��
> 5:.1,
� ,4, >;
33
Part I: Project Progress
1. Projected Level of Persons to be served at a given point in time. (This information comes from the most recent CoC
application.)
2. Persons Served during the operating year.
3. Project Capacity.
4. Non - homeless persons. This question is to be completed for Section 8 SRO projects.
I How many income - eligible non - homeless persons were housed by the SRO program during the operating year?
NA
I
5. Age and Gender. Of those who entered the project during the operating year, how many people are in the following age
and gender categories?
3
HUD -401 18
Projected Level
Number of
Singles Not
in Families
Number of
Adults in
Families
Number of
Children
in Families
Number of
Families
a.
Persons to be served at a given point in time
17
6
14
6
Part I: Project Progress
1. Projected Level of Persons to be served at a given point in time. (This information comes from the most recent CoC
application.)
2. Persons Served during the operating year.
3. Project Capacity.
4. Non - homeless persons. This question is to be completed for Section 8 SRO projects.
I How many income - eligible non - homeless persons were housed by the SRO program during the operating year?
NA
I
5. Age and Gender. Of those who entered the project during the operating year, how many people are in the following age
and gender categories?
3
HUD -401 18
a.
Non - housing (street, park, car, bus station, etc.)
2
2
Asian
b.
Emergency shelter
5
0
d.
c.
Transitional housing for homeless persons
4
White
13
d.
Psychiatric facility*
1
g.
Asian & White
e.
Substance abuse treatment facility*
0
0
i.
f.
Hospital*
0
Other Multi - Racial
= <:`
g.
Jail /prison*
1
h.
Domestic violence situation
0
b
i.
Living with relatives /friends
0
j.
Rental housing
0
a.
American Indian/Alaskan Native
0
b.
Asian
0
c.
Black/African American
0
d.
Native Hawaiian /Other Pacific Islander
0
e.
White
13
f.
American Indian /Alaskan Native & White
0
g.
Asian & White
0
h.
Black/African American & White
0
i.
American Indian /Alaskan Native & Black/African American
0
j.
Other Multi - Racial
0
a.
Mental illness
8
2
b.
Alcohol abuse
2
0
c.
Drug abuse
2
1
d.
HIV /AIDS and related diseases
0
0
e.
Developmental disability
0
0
f.
Physical disability
1
0
g.
Domestic violence
2
0
h.
Other (please specify)
0
0
a.
Hispanic or Latino
0
b.
Non - Hispanic or Non - Latino
13
6a. Veterans Status. A veteran is anyone who has ever been on active military duty status.
How many participants were veterans?
6b. Chronically homeless person. An unaccompanied homeless individual with a disabling condition who has either been continuously
homeless for a year or more OR has had at least four (4) episodes of homelessness in the past three (3) years. To be considered
chronically homeless a person must have been on the streets or in an emergency shelter (i.e. not transitional housing) during
these stays. For further discussion of the definition of chronic homelessness, see Other Key Definitions under the General Instructions
above.
How many participants were chronically homeless individuals?
7. Ethnicity. How many participants are in the following ethnic categories?
8. Race. How many participants are in the following racial categories?
9b. How many of the participants are disabled? 10
11 1
2
9a. Special Needs. How many participants have the following? Participants may have more than one.
If so, count them in all applicable categories. For each condition, also indicate the number
that were chronically homeless.
All
Chronic
10. Prior Living Situation. Participants slept in the following places the week prior to entering.
All Chronic
4 HUD -40118
11. Amount and Source of Monthly Income at Entry and at Exit. Of those participants who left during the operating year, how many
participants were at each monthly income level and with each source of income? Also, please place the monthly income level and each
source of income for chronically homeless persons in the second column of each chart. The number of participants in Chart A and B
should be the same.
Chronic
All
Chronic
All Chronic
All Chronic
5
HUD -40118
D. Income Sources at Exit
a.
Supplemental Security Income (SSI)
1
0
b.
Social Security Disability Income (SSDI)
1
0
c.
Social Security
0
0
d.
General Public Assistance
0
0
e.
Temporary Aid to Needy Families (TANF)
0
0
f.
State Children's Health Insurance Program (SCHIP)
0
0
g.
Veterans Benefits
0
0
h.
Employment Income
2
0
i.
Unemployment Benefits
0
0
j.
Veterans Health Care
0
0
k.
Medicaid
0
0
I.
Food Stamps
4
0
m.
Other (please specify): Getting Ahead Program
2
0
n.
No Financial Resources
0
0
11. Amount and Source of Monthly Income at Entry and at Exit. Of those participants who left during the operating year, how many
participants were at each monthly income level and with each source of income? Also, please place the monthly income level and each
source of income for chronically homeless persons in the second column of each chart. The number of participants in Chart A and B
should be the same.
Chronic
All
Chronic
All Chronic
All Chronic
5
HUD -40118
C. Income Sources At Entry
a.
Supplemental Security Income (SSI)
1
0
b.
Social Security Disability Income (SSDI)
1
0
c.
Social Security
0
0
d.
General Public Assistance
0
0
e.
Temporary Aid to Needy Families (TANF)
0
0
f.
State Children's Health Insurance Program (SCHIP)
0
0
g.
Veterans Benefits
0
0
h.
Employment Income
1
0
i.
Unemployment Benefits
0
0
j.
Veterans Health Care
0
0
k.
Medicaid
0
0
1.
Food Stamps
3
0
m..
Other (please specify): Getting Ahead Program
2
0
n.
No Financial Resources
1
0
11. Amount and Source of Monthly Income at Entry and at Exit. Of those participants who left during the operating year, how many
participants were at each monthly income level and with each source of income? Also, please place the monthly income level and each
source of income for chronically homeless persons in the second column of each chart. The number of participants in Chart A and B
should be the same.
Chronic
All
Chronic
All Chronic
All Chronic
5
HUD -40118
B. Monthly Income
at Exit
a.
No income
1
0
b.
$1 -150
1
0
c.
$151 - $250
0
0
d.
$251 -$500
0
0
e.
$501 - $1,000
3
0
f.
$1001 - $1500
0
0
g.
$1501- $2000
0
0
h.
$2001 +
0
0
11. Amount and Source of Monthly Income at Entry and at Exit. Of those participants who left during the operating year, how many
participants were at each monthly income level and with each source of income? Also, please place the monthly income level and each
source of income for chronically homeless persons in the second column of each chart. The number of participants in Chart A and B
should be the same.
Chronic
All
Chronic
All Chronic
All Chronic
5
HUD -40118
A. Monthly Income
at Entry . `: ~
a.
No income
2
0
b.
$1 -150
1
0
c.
$151 - $250
0
0
d.
$251- $500
0
0
e.
$501 - $1,000
2
0
f.
$1001 - $1500
0
0
g.
$1501- $2000
0
0
h.
$2001 +
0
0
11. Amount and Source of Monthly Income at Entry and at Exit. Of those participants who left during the operating year, how many
participants were at each monthly income level and with each source of income? Also, please place the monthly income level and each
source of income for chronically homeless persons in the second column of each chart. The number of participants in Chart A and B
should be the same.
Chronic
All
Chronic
All Chronic
All Chronic
5
HUD -40118
a.
Left for a housing opportunity before completing program
0
0
b.
Completed program
3
0
c.
Non - payment of rent/occupancy charge
0
0
d.
Non - compliance with project
0
0
e.
Criminal activity / destruction of property / violence
1
0
f.
Reached maximum time allowed in project
0
0
g.
Needs could not be met by project
0
0
h.
Disagreement with rules /persons
1
0
i.
Death
0
0
j.
Other (please specify)
0
0
k.
Unknown /disappeared
0
0
a.
Less than 1 month
0
0
b.
1 to 2 months
1
0
c.
3 - 6 months
0
0
d.
7 months - 12 months
3
0
e.
13 months - 24 months
1
0
f.
25 months - 3 years
0
0
g.
4 years - 5 years
0
0
h.
6 years - 7 years
0
0
i.
8 years - 10 years
0
0
j.
Over 10 years
0
0
a.
Less than 1 month
3
0
b.
1 to 2 months
2
1
c.
3 - 6 months
2
1
d.
7 months - 12 months
1
0
e.
13 months - 24 months
3
1
f.
25 months - 3 years
2
1
g.
4 years - 5 years
0
0
h.
6 years - 7 years
0
0
i.
8 years - 10 years
0
0
j.
Over 10 years
0
0
12a. Of those participants who left during the operating year (from 2c, columns 1 and 2), how many were in the project for the following
lengths of time? Also, please place the length of stay for chronically homeless persons who left during the operating year in the second
column.
All Chronic
12b. Length of Stay in Program. For those participants who did not leave during the operating year (from 2d, columns 1 and 2), how long
have they been in the project? Also, please place the length of stay for chronically homeless persons who did not leave during the
operating year in the second column.
All Chronic
13. Reasons for Leaving. Of those participants who left the project during the operating year (from 2c, columns 1 and 2), how many left
for the following reasons? If a participant left for multiple reasons, include only the primary reason. The total number of
participants in the first column ( "All") should equal the number of participants in question 2c, columns 1 and 2. Also, please place
the primary reason for chronically homeless persons who left the project during the operating year in the second column.
All Chronic
6 HUD -40118
PERMANENT (a -h)
a.
Rental house or apartment (no subsidy)
2
0
b.
Public Housing
0
0
c.
Section 8
0
0
d.
Shelter Plus Care
0
0
e.
HOME subsidized house or apartment
0
0
f.
Other subsidized house or apartment
1
0
g.
Homeownership
0
0
h.
Moved in with family or friends
0
0
TRANSITIONAL (i j)
i.
Transitional housing for homeless persons
0
0
j.
Moved in with family or friends
0
0
INSTITUTION (k -m)
k.
Psychiatric hospital
0
0
1.
Inpatient alcohol or other drug treatment facility
0
0
m.
Jail /prison
1
0
EMERGENCY SHELTER (n)
n.
Emergency shelter
0
0
OTHER (o -q)
o.
Other supportive housing
0
0
p.
Places not meant for human habitation (e.g. street)
0
0
q.
Other (please specify)
0
0
UNKNOWN
r.
Unknown
1
0
a.
Outreach
0
0
b.
Case management
5
0
c.
Life skills (outside of case management)
2
0
d.
Alcohol or drug abuse services
2
0
e.
Mental health services
5
0
f.
HIV /AIDS - related services
0
0
g.
Other health care services
2
0
h.
Education
0
0
i.
Housing placement
0
0
j.
Employment assistance
1
0
k.
Child care
1
0
1.
Transportation
2
0
m.
Legal
0
0
n.
Other (please specify)
0
0
14. Destination. Of those participants who left during the operating year (from 2c, columns 1 and 2), how many left for the following
destination? Also, please place the destination of chronically homeless persons who left during the operating year in the second
column.
All Chronic
15. Supportive Services. Of those participants who left during the operating year (from 2, columns 1 and 2), how many received the
following supportive services during their time in the project? Also, please place the supportive services received for chronically
homeless participants who left during the operating year in the second column. Participants may have received multiple services and all
services should be reported in the table.
All Chronic
7 HUD -40118
16. Overall Program Goals. Under objectives, list your measurable objectives for this operating year (from your application, Technical
Submission, or APR) for each of the three goals listed below. Under Progress, describe your progress in meeting the objectives.
Under Next Operating Year's Objectives, specify the measurable objectives for the next operating year.
a. Residential Stability (System -Level Outcome)
Objectives: Increase the number of housing units available for S +C participants from seven (7) to fifteen (15) units.
(System -Level Outcome).
Progress: This objective is unmet as only thirteen (13) S +C units were leased during this operating year. (See
problems and or changes instituted in operating year)
Next Operating Year's Objectives: Increase the number of housing units available for S +C participants from thirteen
(13) to twenty -three (23) units. (System -Level Outcome). Currently we have 15 units leased, we have dedicated one
staff person to the program, which has helped the program grow and prosper.
b. Increased Skills or Income (Client -Level Outcome)
Objectives: 1) To have 30% of the S +C participants receiving income and 2) to have those not receiving income,
enrolled in a training or educational program or applying for disability.
Progress: Seven (7) of the thirteen (13) participants received income while in the program, that is 54% of all
program participants. Of the other six (6) participants, two (2) are in the process for applying for disability and (2) are
involved with the Getting Ahead, Getting By educational program.
Next Operating Year's Objectives: To have 60% of the S +C participants receiving income and 2) to have those
not receiving income, enrolled in a training or educational program or applying for disability.
c. Greater Self- determination (System Level Outcome)
Objectives: Increase the number of support service providers for shelter plus care participants from four (4) to five
(5). (System Level Outcome)
Progress: This objective has been met as Project Concern has five (5) service providers, Dubuque Community Y
Domestic Violence Program, Hillcrest Family Services, Substance Abuse Services Center, Dubuque County VA Clinic,
and Dubuque County Vocational Rehab, continue to offer services to S +C participants.
Next Operating Year's Objectives: Increase the number of support service providers for shelter plus care participants
from five (5) to six (6). (System Level Outcome)
17. Beds. SHP recipients answer 17a. S +C recipients answer 17b. SRO recipients answer 17c. (SHP -SSO projects do
not complete this question)
b. S+C. How many beds and dwelling units were being assisted with project funds at the end of the operating year?
(Include beds for all participants, other family members, and care givers.)
Number of Beds: 8
Number of Dwelling Units: 7
Part II: Financial Information
18. Supportive Services.
8 HUD -40118
For Shelter Plus Care (S +C), this exhibit tracks the supportive services match requirement. Specify the value of supportive services from all
sources that can be counted as match that all homeless persons received during the operating year. (S +C grantees should keep documentation
on file, including source, amount, and type of supportive services.)
9 HUD -40118
Supportive Services
Dollars
a.
Outreach
b.
Case management
$12,355
c.
Life skills (outside of case management)
$5,667
d.
Alcohol and drug abuse services
$2,777
e.
Mental health services
$15,224
f.
AIDS - related services
g.
Other health care services
h.
Education
i.
Housing placement
j.
Employment assistance
$579
k.
Child care
1.
Transportation
m.
Legal
n.
Other (please specify)
$
o.
TOTAL (Sum of a through n)
$36,602
Cumulative amount of match provided to date for the
Shelter Plus Care Program under this grant
$56,611.33
For Shelter Plus Care (S +C), this exhibit tracks the supportive services match requirement. Specify the value of supportive services from all
sources that can be counted as match that all homeless persons received during the operating year. (S +C grantees should keep documentation
on file, including source, amount, and type of supportive services.)
9 HUD -40118
19. Supportive Housing Program: Leasing, Supportive Services, Operating Costs, HMIS Activities and Administration
All grantees receiving funding under the Supportive Housing Program must complete these charts each operating year. For expansion projects:
If SHP grant funds are for the expansion of a pre- existing homeless facility, only the people and expenditures for the additional expansion may
be included, as in the original application or any grant amendments. Documentation of resources used is not required to be submitted with this
report but should be kept on file for possible inspection by HUD and Auditors. Do not include any expenditures made before the SHP grant
was executed.
Summary of Expenditures. Enter the amount of SHP grant funds and cash match expended during the operating year for each activity. This
table should add up both horizontally and vertically. The SHP supportive services total should be the same as the SHP supportive services in
Question 18.
Note: Payments of principal and interest on any loan or mortgage may not be shown as an operating expense.
Sources of Cash Match. Enter the sources of cash identified in the Cash Match column, above, in the following categories. Use additional
sheets, as necessary.
a.
b.
c.
d.
Grantee /project sponsor cash
Local government (please specify)
State government (please specify)
Federal government (please specify)
Community Development Block Grant (CDBG)
Amount
10 HUD -40118
SHP Funds
Cash Match
Total Expenditures
a.
Leasing
b.
Supportive Services
c.
Operating Costs
d.
HMIS Activities
e.
Administration
f.
Total
19. Supportive Housing Program: Leasing, Supportive Services, Operating Costs, HMIS Activities and Administration
All grantees receiving funding under the Supportive Housing Program must complete these charts each operating year. For expansion projects:
If SHP grant funds are for the expansion of a pre- existing homeless facility, only the people and expenditures for the additional expansion may
be included, as in the original application or any grant amendments. Documentation of resources used is not required to be submitted with this
report but should be kept on file for possible inspection by HUD and Auditors. Do not include any expenditures made before the SHP grant
was executed.
Summary of Expenditures. Enter the amount of SHP grant funds and cash match expended during the operating year for each activity. This
table should add up both horizontally and vertically. The SHP supportive services total should be the same as the SHP supportive services in
Question 18.
Note: Payments of principal and interest on any loan or mortgage may not be shown as an operating expense.
Sources of Cash Match. Enter the sources of cash identified in the Cash Match column, above, in the following categories. Use additional
sheets, as necessary.
a.
b.
c.
d.
Grantee /project sponsor cash
Local government (please specify)
State government (please specify)
Federal government (please specify)
Community Development Block Grant (CDBG)
Amount
10 HUD -40118
e.
f.
g.
h.
Foundations (please specify)
Private cash resources (please specify)
Occupancy charge / fees
Total
11 HUD -40118
20. Supportive Housing Program: Acquisition, Rehabilitation, and New Construction
All grantees that received SHP funds for acquisition, rehabilitation, or new construction must complete these charts in the year one APR
only. This exhibit will demonstrate to HUD that the grantee has contributed enough cash to at least equally match the amount of SHP funds
spent for acquisition, rehabilitation, or new construction. Documentation that matching funds were provided is not required to be submitted
with this report but should be kept on file for possible inspection by HUD and Auditors.
Summary of Expenditures. Enter the amount of SHP grant funds and cash match expended during the operating year for each activity.
Cash Match. Enter the sources of cash identified in the Cash Match column, above, in the following categories. Use
additional sheets, as necessary.
a.
b.
c.
d.
e.
f.
g.
h.
Grantee /project sponsor cash
Local government (please specify)
State government (please specify)
Federal government (please specify)
Community Development Block Grant (CDBG)
Foundations (please specify)
Private cash resources (please specify)
Occupancy charge/ fees
Total
Amount
12 HUD -40118
SHP Funds
Cash Match
Total Expenditures
a.
Acquisition
b.
Rehabilitation
c.
New construction
d.
Total
20. Supportive Housing Program: Acquisition, Rehabilitation, and New Construction
All grantees that received SHP funds for acquisition, rehabilitation, or new construction must complete these charts in the year one APR
only. This exhibit will demonstrate to HUD that the grantee has contributed enough cash to at least equally match the amount of SHP funds
spent for acquisition, rehabilitation, or new construction. Documentation that matching funds were provided is not required to be submitted
with this report but should be kept on file for possible inspection by HUD and Auditors.
Summary of Expenditures. Enter the amount of SHP grant funds and cash match expended during the operating year for each activity.
Cash Match. Enter the sources of cash identified in the Cash Match column, above, in the following categories. Use
additional sheets, as necessary.
a.
b.
c.
d.
e.
f.
g.
h.
Grantee /project sponsor cash
Local government (please specify)
State government (please specify)
Federal government (please specify)
Community Development Block Grant (CDBG)
Foundations (please specify)
Private cash resources (please specify)
Occupancy charge/ fees
Total
Amount
12 HUD -40118
HMIS Activities Only
Dollars
Central Server(s)
Personal Computers and Printers
Networking
Security
Subtotal
Software / User Licensing
Software Installation
Support and Maintenance
Supporting Software Tools
Subtotal
Training by Third Partids
Hosting / Technical Services
Programming: Customization
Programming System Interface
Programming. Data Conversion
Security Assessment and Setup
On -line Connectivity (Internet Access)
Facilitation
Disaster and Recovery
Subtotal
Project Management / Coordination
Data Analysis
Programming
Technical Assistance and Training
Administrative Support Staff
Subtotal
Space Costs
Operational Costs
Total
FOR HMIS ACTIVITIES ONLY
21. For Supportive Housing (SHP) — HMIS Activities
This exhibit provides information to HUD on how SHP -HMIS funding for supportive services was spent during the operating year. Enter the
amount of SHP -HMIS funding spent on these activities.
13 HUD -40118
Describe any problems and/or changes implemented during the operating year.
In May of 2010, Project Concern hired a staff person to coordinate the Phoenix Housing Program exclusively. Project
Concern feels having one person dedicated to the program would allow the program to serve clients more effectively
and allow the program to meet its goals.
Technical Assistance and Recommendations
Based on your experience during the last year, are there any areas in which you need technical advice or assistance? If so, please describe.
Describe any problems and /or changes implemented during the operating year.
Technical Assistance and Recommendations
Based on your experience during the Last year, are there any areas in which you need technical advice or assistance? If so, please describe.
14 HUD -40118