5. CLIENT INTAKE– Beneficiary and Performance Data: Provide the actual number of total beneficiaries in the categories listed below: TIME period agency youth youth seniors disabled homeless at-risk at-risk 7/1/15 to 12/31/2015 Provide the actual number of beneficiaries served in the following age categories: performance children adult elderly period 0-12 13-17 18-54 55 & over Agency Agency Agency Agency 7/1/15 to 12/31/15 Provide the proposed number of beneficiaries for Program Year 2016-2017. TIME period agency youth women youth seniors disabled homeless at-risk at-risk 7/1/16 to 6/30/2017 $______Indicate the proposed cost per CDBG beneficiary (CDBG request/CDBG beneficiaries) 6. CLIENT INTAKE INFORMATION CLIENTS SERVED BY INCOME – (Projects previously funded) Report the actual number of unduplicated number of clients your agency served from July 1, 2015 through December 31, 2015. One person can only be counted one time, even though the client may have been served many times during the reporting period. Calculate the totals and percentages for each category: Household CDBG Eligible # Served by # Of # Served # Of residents Size Based on Section Agency below residents by Project served by project 8 Income Limits the Income served by the the below the Income HUD effective Limit Agency below Income Limit 2015, the Income Limit Limit 1 $ 45,650
5. CLIENT INTAKE– Beneficiary and Performance Data: Provide the actual number of total beneficiaries in the categories listed below: TIME period agency youth at-risk youth at-risk seniors disabled homeless 7/1/15 to 12/31/2015 Provide the actual number of beneficiaries served in the following age categories: performance period children 0-12 13-17 adult 18-54 elderly 55 & over Agency Agency Agency Agency 7/1/15 to 12/31/15 Provide the proposed number of beneficiaries for Program Year 2016-2017. TIME period agency youth women at-risk youth at-risk seniors disabled homeless 7/1/16 to 6/30/2017 $______Indicate the proposed cost per CDBG beneficiary (CDBG request/CDBG beneficiaries) 6. CLIENT INTAKE INFORMATION – CLIENTS SERVED BY INCOME (Projects previously funded) Report the actual number of unduplicated number of clients your agency served from July 1, 2015 through December 31, 2015. One person can only be counted one time, even though the client may have been served many times during the reporting period. Calculate the totals and percentages for each category: Household Size CDBG Eligible Based on Section 8 Income Limits HUD effective 2015, # Served by Agency below the Income Limit # Of residents served by the Agency below the Income Limit # Served by Project the Income Limit # Of residents served by project below the Income Limit 1 $ 45,650
2016_2017_CDBG_RFP_FINAL_11_2_15_bid1021.30cm3.docx