Greater Hill District Neighborhood Reinvestment Fund

1

What initiative are you interested in?* This field is required.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

2

Applicant InformationPlease 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.

3

Project Overview* This field is required.

Project Title

Project Location

4

Project Overview* This field is required.Project Type (Please check all that apply.)

New Construction

Rehabilitation

Commercial

Residential

Mixed Use

5

Executive Summary* This field is required.Provide a concise summary of your project—summarize the scope, the goals and how it aligns with GHDNRF priorities (500 words or less).

0/500

6

Funding Request* This field is required.

Total Project Cost

Total Funding Secured

Funding Gap

Grant Amount Requested (cannot exceed $250,000 or 20% of total project costs, whichever is less)

7

Readiness Documentation* This field is required.- Site control documentation (e.g. lease, deed, option agreement) - Building permits or zoning approvals - Prior capital commitments and funding agreements

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Max. file size: 10.6MB

8

Eligible Activities* This field is required.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

9

Compliance and Commitments* This field is required.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.

10

Community Benefit and Alignment* This field is required.Describe how the project aligns with the Community Collaboration and Implementation Plan and the Greater Hill District Master Plan (500 words or less).

0/500

11

Community Benefit and Alignment* This field is required.Describe the expected community benefit, like jobs, housing units, commercial space or cultural or economic value (300 words or less).

0/300

12

Community Benefit and Alignment* This field is required.If residential, describe any affordability requirements included in the project.

13

Attachment Checklist* This field is required.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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Max. file size: 10.6MB

14

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.

YESNO

15

Applicant InformationPlease 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?

16

Project Overview* This field is required.

Project Title

Grant Amount Requested (cannot exceed $25,000)

Project Timeline-enter start/end dates of project

17

Executive Summary* This field is required.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).

0/500

18

Objectives and Goals* This field is required.Outline the objective of this project and the associated goals (250 words or less).

0/250

19

Project Description* This field is required.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.

0/500

20

Expected Outcomes* This field is required.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).

0/500

21

Community Impact* This field is required.Explain how this project will benefit the community and engage young people in the Hill District (500 words or less).

0/500

22

Budget SummaryIf 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

Instructor(s)

Equipment

other (specify)

other(specify)

Materials

Instructor(s)

Equipment

other (specify)

other(specify)

Category

Amount

Category

Amount

Category

Amount

Category

Amount

Category

Amount

Category

Amount

Category

Amount

Category

Amount

23

Budget Narrative* This field is required.Explain how each expense supports the project's goals. Please check the guidelines to ensure all expenses are eligible.

24

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

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Select files to upload

Max. file size: 10.6MB

25

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.

YESNO

26

Applicant InformationPlease 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)

27

Project Overview* This field is required.

Project Title

Requested Grant Amount (cannot exceed $30,000)

Total Project Budget

Project Timeline-enter start/end dates of project

28

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

29

Executive Summary* This field is required.Provide a concise summary of your project—what it is, whom it serves and how it aligns with GHDNRF priorities (500 words or less).

0/500

30

Objectives and Goals* This field is required.Outline the objective of this project and associated goals (250 words or less).

0/250

31

Expected Outcomes* This field is required.Define measurable outcomes, like number of participants enrolled, credentials earned, placement goals, or other outcomes.

0/500

32

Project Description* This field is required.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.

0/500

33

Community Impact* This field is required.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).

0/500

34

Budget SummaryIf 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

Participant Stipend

Wraparound supports

Program supplies/materials

Insurance

Other (specify)

Other(specify)

Other (specify)

Workforce Training Program

Participant Stipend

Wraparound supports

Program supplies/materials

Insurance

Other (specify)

Other(specify)

Other (specify)

Amount

35

Budget Narrative* This field is required.Explain how each expense supports the project's goals. Please check the guidelines to ensure all expenses are eligible.

36

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

37

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.

YESNO