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Greater Hill District Neighborhood Reinvestment Fund
1
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2
What initiative are you interested in?
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Development Initiatives
– Supports new construction or rehabilitation of commercial, mixed-use or housing development projects.
Workforce Development Initiatives
– Supports training, education or job placement services that prepare Hill District residents for sustainable employment.
Children, Youth, and Education Initiatives
– Supports community-based organizations providing enrichment, educational, cultural, and youth development programs.
Development Initiatives
Workforce Development Initiatives
Children, Youth and Education Initiatives
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3
Applicant Information
Please provide the information below::
Organization/Entity name
Primary Contact/Title
Email
Phone Number
Employer Identification Number
Is your entity based in the Greater Hill District?
Minority or Women-Owned Enterprise? Please specify.
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4
Project Overview
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Project Title
Project Location
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5
Project Overview
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Project Type (Please check all that apply.)
New Construction
Rehabilitation
Commercial
Residential
Mixed Use
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6
Executive Summary
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Provide a concise summary of your project—summarize the scope, the goals and how it aligns with GHDNRF priorities (500 words or less).
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7
Funding Request
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Total Project Cost
Total Funding Secured
Funding Gap
Grant Amount Requested (cannot exceed $250,000 or 20% of total project costs, whichever is less)
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8
Readiness Documentation
*
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- Site control documentation (e.g. lease, deed, option agreement) - Building permits or zoning approvals - Prior capital commitments and funding agreements
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9
Eligible Activities
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Describe how funds will be used. Debt refinancing, developer fees, and operating expenses are ineligible. Check all applicable .
Hard costs related to construction and rehabilitation
Equipment Purchases
Costs related to securing payment and performance bonds
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10
Compliance and Commitments
*
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By checking each box, applicant certifies compliance. Documentation is requested before disbursement.
I agree to comply with the requirements of the Pennsylvania Prevailing Wage (for projects over $25,000) or Davis-Bacon Act (for certain federally funded contracts over $2,000).
I agree to develop and submit an M/WBE Plan if project costs are equal to or exceed $250,000. The URA’s MWBE goals for projects in the Greater Hill District are 30% MBE and 15% WBE participation.
I agree to secure payment and performance bonds equal to 100% of the general contract value, or a standby letter of credit equal to the amount of the GHDNRF investment, in accordance with the URA’s Bonding Policy, which the URA will provide upon request.
I agree to maintain up-to-date comprehensive general liability and workers compensation insurance and provide a certificate naming the URA as additionally insured on its general liability policy.
I agree to provide recurring impact reports, budget narratives, and project updates.
I agree to photo/media release for promotion of the project.
I certify compliance with all local, state, and federal nondiscrimination laws.
I agree to maintain general liability insurance. If awarded, grantee must provide the URA with a certificate of insurance, listing the URA as additional insured.
I agree to maintain workers' compensation insurance.
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11
Community Benefit and Alignment
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Describe how the project aligns with the Community Collaboration and Implementation Plan and the Greater Hill District Master Plan (500 words or less).
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12
Community Benefit and Alignment
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Describe the expected community benefit, like jobs, housing units, commercial space or cultural or economic value (300 words or less).
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13
Community Benefit and Alignment
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If residential, describe any affordability requirements included in the project.
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14
Attachment Checklist
*
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Please provide the following documents: - Project Budget & Sources/Uses Statement - Evidence of Site Control - Permits/Approvals - Funding Commitment Letters - Insurance Certificates (if available) - Organizational Documents (501(c)(3) determination, business registration, etc.)
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15
Authorization
*
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I certify that the information provided in this application is true and correct to the best of my knowledge. I understand that if awarded, I am required to meet all program requirements including impact reporting, budget tracking, and media releases. I acknowledge that my application may constitute a public record under the Pennsylvania Right-to-Know Law, 65 P.S. 67.101
et seq.
, and the URA cannot guarantee any confidentiality of information submitted as part of my application.
YES
NO
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16
Applicant Information
Please provide the information below
Organization Name
Primary Contact/Title
Email
Phone Number
Is your organization a 501(c)3? enter n/a if using fiscal sponsor
If 501(c)3, please enter EIN. Enter n/a if using fiscal sponsor
Fiscal Sponor Name and Tax ID or EIN (if applicable)
Are you an accredited childcare provider?
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17
Project Overview
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Project Title
Grant Amount Requested (cannot exceed $25,000)
Project Timeline-enter start/end dates of project
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18
Executive Summary
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Describe how your program supports children and youth in the Greater Hill District, and explain how it enhances educational activities and experiences in STEM, arts, athletics, cultural awareness or educational outcomes in the target population (500 words or less).
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19
Objectives and Goals
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Outline the objective of this project and the associated goals (250 words or less).
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20
Project Description
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Please describe the activities and services that are a part of this project and provide an overview of any partnerships that make this project possible, if applicable.
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21
Expected Outcomes
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Define measurable outcomes, like number of participants enrolled, number of participants increasing their educational attainment, improvement on assessments, or other metrics of success (500 words or less).
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22
Community Impact
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Explain how this project will benefit the community and engage young people in the Hill District (500 words or less).
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23
Budget Summary
If you do not have a separate budget document, please enter your proposed budget by category. Enter whole dollar amounts only (request cannot exceed $25,000).
Category
Amount
Materials
Row 0, Column 0
Row 0, Column 1
Instructor(s)
Row 1, Column 0
Row 1, Column 1
Equipment
Row 2, Column 0
Row 2, Column 1
other (specify)
Row 3, Column 0
Row 3, Column 1
other (specify)
Row 4, Column 0
Row 4, Column 1
other (specify)
Row 5, Column 0
Row 5, Column 1
other (specify)
Row 6, Column 0
Row 6, Column 1
other(specify)
Row 7, Column 0
Row 7, Column 1
Materials
Instructor(s)
Equipment
other (specify)
other (specify)
other (specify)
other (specify)
other(specify)
Category
Row 0, Column 0
Amount
Row 0, Column 1
Category
Row 1, Column 0
Amount
Row 1, Column 1
Category
Row 2, Column 0
Amount
Row 2, Column 1
Category
Row 3, Column 0
Amount
Row 3, Column 1
Category
Row 4, Column 0
Amount
Row 4, Column 1
Category
Row 5, Column 0
Amount
Row 5, Column 1
Category
Row 6, Column 0
Amount
Row 6, Column 1
Category
Row 7, Column 0
Amount
Row 7, Column 1
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24
Budget Narrative
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Explain how each expense supports the project's goals. Please check the guidelines to ensure all expenses are eligible.
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25
Attachment Checklist
*
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Please provide the following documents: - Proof of 501(c)(3) Status (or fiscal sponsor agreement) - Certificate of Insurance - Letters of Support (if applicable) - Project Timeline - Signed Non-Discrimination Certification - Project Budget
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Max. file size
: 10.6MB
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26
Authorization
*
This field is required.
I certify that the information provided in this application is true and correct to the best of my knowledge. I understand that if awarded, I am required to meet all program requirements including impact reporting, budget tracking, and media releases. I acknowledge that my application may constitute a public record under the Pennsylvania Right-to-Know Law, 65 P.S. 67.101
et seq.
, and the URA cannot guarantee any confidentiality of information submitted as part of my application.
YES
NO
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27
Applicant Information
Please provide the information below.
Organization Name
Primary Contact/Title
Email
Phone Number
Is your organization a 501(c)3?
If 501(c)3, please enter EIN.
Fiscal Sponor Name and Tax ID or EIN (if applicable)
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28
Project Overview
*
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Project Title
Requested Grant Amount (cannot exceed $30,000)
Total Project Budget
Project Timeline-enter start/end dates of project
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29
Project Overview
*
This field is required.
Target Population (check all that apply)
Youth (16-24)
Unemployed Adults (25+)
Older Adults(55+)
Individuals involved in the legal system
Individuals returning from incarceration
Individuals lacking a diploma or degree
Individuals seeking career changes
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30
Executive Summary
*
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Provide a concise summary of your project—what it is, whom it serves and how it aligns with GHDNRF priorities (500 words or less).
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31
Objectives and Goals
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Outline the objective of this project and associated goals (250 words or less).
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32
Expected Outcomes
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Define measurable outcomes, like number of participants enrolled, credentials earned, placement goals, or other outcomes.
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33
Project Description
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Please describe the activities and services that are a part of this project and provide an overview of any partnerships that make this project possible, if applicable.
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34
Community Impact
*
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Describe how your project directly benefits Hill District residents and how this project will contribute to economic opportunities and neighborhood stability (500 words or less).
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35
Budget Summary
If you do not have a separate budget document, please enter your proposed budget by category. Enter whole dollar amounts only (request cannot exceed $30,000).
Amount
Workforce Training Program
Row 0, Column 0
Participant Stipend
Row 1, Column 0
Wraparound supports
Row 2, Column 0
Program supplies/materials
Row 3, Column 0
Insurance
Row 4, Column 0
Other (specify)
Row 5, Column 0
Other(specify)
Row 6, Column 0
Other (specify)
Row 7, Column 0
Workforce Training Program
Participant Stipend
Wraparound supports
Program supplies/materials
Insurance
Other (specify)
Other(specify)
Other (specify)
Amount
Row 0, Column 0
Amount
Row 1, Column 0
Amount
Row 2, Column 0
Amount
Row 3, Column 0
Amount
Row 4, Column 0
Amount
Row 5, Column 0
Amount
Row 6, Column 0
Amount
Row 7, Column 0
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36
Budget Narrative
*
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Explain how each expense supports the project's goals. Please check the guidelines to ensure all expenses are eligible.
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37
Attachment Checklist
*
This field is required.
Please provide the following documents: - Proof of 501(c)(3) Status (or fiscal sponsor agreement) - Certificate of Insurance - Letters of Support (if applicable) - Project Timeline - Signed Non-Discrimination Certification - Project Budget
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
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Cancel
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38
Authorization
*
This field is required.
I certify that the information provided in this application is true and correct to the best of my knowledge. I understand that if awarded, I am required to meet all program requirements including impact reporting, budget tracking, and media releases. I acknowledge that my application may constitute a public record under the Pennsylvania Right-to-Know Law, 65 P.S. 67.101
et seq.
, and the URA cannot guarantee any confidentiality of information submitted as part of my application.
YES
NO
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Greater Hill District Neighborhood Reinvestment Fund
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