SUBMISSIONS DUE SEPTEMBER 13, 2024

Organizations applying for new, renewal, and expansion projects in the PA-502 Delaware County CoC FY24-25 Continuum of Care Grant Competition must complete and submit this survey in addition to their HUD e-snaps project application(s) to be considered for inclusion in the CoC's grant competition submission to HUD. Survey answers will be incorporated into the project review, scoring, and rating process by the CoC's Project Review Team. The Local Competition Scoring Tool is posted online at https://delcohomelessservices.org.

Submissions are due on or before September 13, 2024 at 5:00 PM EST.

If you have any questions about this survey, please email the CoC's Consultant: jason@capacityforchange.com.

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* 1. Organization Name:

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* 2. Organization's Valid UEI (Unique Entity Identifier) Number - a UEI is required to be eligible for federal funding:

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* 3. Contact information for the person authorized to complete and submit this survey on behalf of your organization. By submitting this survey, this person is affirming that all answers and statements provided are accurate and true to the best of their knowledge.

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* 4. Enter the proposed name of any new CoC Bonus or DV Bonus projects the organization is submitting in HUD e-snaps for the PA-502 CoC FY24-25 Continuum of Care Grant Local Competition. (If none, leave blank.)

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* 5. Enter the Name and Grant Number of any Renewal or Expansion projects the organization is submitting in HUD e-snaps for the PA-502 CoC FY24-25 Continuum of Care Grant Local Competition. (If none, leave blank.)

The Grant Number can be located in your HUD contract or the FY24 Grant Inventory Worksheet (GIW) posted online here: https://www.hud.gov/program_offices/comm_planning/coc/competition/giws.

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* 6. Please answer Yes or No to the following Project Threshold questions.

If your organization does not meet one or more of these threshold requirements, your project application(s) may not be eligible for federal funding.

According to HUD: A false statement in an application is grounds for denial or termination of an award and may result in criminal, civil, and/or administrative sanctions, including fines, penalties, and imprisonment. Recipient or applicant confirms all statements are truthful.

  Yes No
Does your organization have an Active SAM registration with current information and maintain an active SAM registration annually?
Does your organization have any Debarments and/or Suspensions – In accordance with 2 CFR 2424?
Does your organization have a financial management system that meets Federal standards as described at 2 CFR 200.302?
Has your organization ever violated any Federal criminal law involving fraud, bribery, or gratuity violations? (If yes, please describe in the Comment box below.)
Does your organization engage in lobbying activities? Applicants are subject to the provisions of Section 319 of Public Law 101-121, 31 U.S.C. 1352, (the Byrd Amendment), and 24 CFR part 87, which prohibit recipients of federal awards from using appropriated funds for lobbying the executive or legislative branches of the Federal government in connection with a Federal award.
Does your organization have any outstanding civil rights matters? (If yes, please describe in the Comments box below.) Outstanding civil rights matters be resolved before the application submission deadline. Project applicants, who after review are confirmed to have civil rights matters unresolved at the application submission deadline, will be deemed ineligible.
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