DOE 2018 State Plan
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OMB Number: 4040-004 Expiration Date: 10/31/2019 APPLICATION FOR FEDERAL ASSISTANCE SF-424 Version 02 1. Type of Submission: 2. Type of Application: If Revision, select appropriate letter(s) Preapplication New X Application X Continuation Other (specify): Changed/Corrected Application Revision 3. Date Received 4. Applicant Identifier: 5a. Fed Entity Identifier: 5b. Federal Award Identifier: DE-EE0007952 State Use Only: 6. Date Received by State: 07/01/2018 7. State Application Identifier: TX-W-200 8. APPLICANT INFORMATION: a. Legal Name: State of Texas b. Employer/Taxpayer Identification Number (EIN/TIN): c. Organizational DUNS: 742610542 806781902 d. Address: Street 1: P.O. BOX 13941 Street 2: City: Austin County: State: TX Province: Country: U.S.A. Zip / Postal Code: 787113941 e. Organizational Unit: Department Name: Division Name: Texas Department of Housing and Community Affairs Community Affairs Division f. Name and contact information of person to be contacted on matters involving this application: Prefix: Mr First Name: Michael Middle Name: Last Name: DeYoung Suffix: Title: Community Affairs Division Director Organizational Affiliation: Texas Dept. of Housing and Community Affairs Telephone Number: 5124752125 Fax Number: 5124753935 Email: [email protected] OMB Number: 4040-004 Expiration Date: 10/31/2019 APPLICATION FOR FEDERAL ASSISTANCE SF-424 Version 02 9. Type of Applicant: A State Government 10. Name of Federal Agency: U. S. Department of Energy 11. Catalog of Federal Domestic Assistance Number: 81.042 CFDA Title: Weatherization Assistance Program 12. Funding Opportunity Number: DE-WAP-0002018 Title: 2018 Weatherization Assistance Program Funding 13. Competition Identification Number: Title: 14. Areas Affected by Project (Cities, Counties, States, etc.): Statewide 15. Descriptive Title of Applicant's Project: Provide Statewide Weatherization Assistance OMB Number: 4040-004 Expiration Date: 10/31/2019 APPLICATION FOR FEDERAL ASSISTANCE SF-424 Version 02 16.Congressional District Of: a. Applicant: Texas Congressional District 01 b. Program/Project: TX-Statewide Attach an additional list of Program/Project Congressional Districts if needed: 17. Proposed Project: a. Start Date: 07/01/2018 b. End Date: 06/30/2019 18. Estimated Funding ($): a. Federal 6,067,254.00 b. Applicant 0.00 c. State 0.00 d. Local 0.00 e. Other 0.00 f. Program Income 0.00 g. TOTAL 6,067,254.00 19. Is Application subject to Review By State Under Executive Order 12372 Process?: a. This application was made available to the State under the Executive Order 12372 Process for review on: b. Program is subject to E.O. 12372 but has not been selected by the State for review. X c. Program is not covered by E.O. 12372 20. Is the applicant Delinquent On Any Federal Debt? (If "Yes", provide explanation) No 21. By signing this application, I certify (1) to the statements contained in the list of certifications** and (2) that the statements herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to comply with any resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may subject me to criminal, civil, or administrative penalties. (U.S. Code Title 218, Section 1001) I AGREE ** The list of certifications and assurances, or an internet site where you may obtain this list, is contained in the announcement or agency specific instructions. Authorized Representative: Prefix: Mr First Name: Timothy Middle Name: K. Last Name: Irvine Suffix: Title: Executive Director Telephone Number: 5124753296 Fax Number: 5124753858 Email: [email protected] Signature of Authorized Representative: Date Signed: Authorized for Local Reproduction Standard Form 424 (Revised 10/2005) Prescribed by OMB Circular A-102 OMB Approval No. 0348-0044 BUDGET INFORMATION - Non-Construction Programs 1. Program/Project Identification No. 2. Program/Project Title EE0007952 Weatherization Assistance Program 3. Name and Address State of Texas 4. Program/Project Start Date 07/01/2018 P.O. BOX 13941 Austin, TX 787113941 5. Completion Date 06/30/2019 SECTION A - BUDGET SUMMARY Grant Program Estimated Unobligated Funds New or Revised Budget Function or Federal Activity Catalog No. Federal Non-Federal Federal Non-Federal Total (a) (b) (c) (d) (e) (f) (g) 1. 2018 WAP 81.042 $ 1,200,000.00 $ 6,067,254.00 $ 7,267,254.00 Formula Funds 2. STATE $ 0.00 $ 0.00 $ 0.00 3. 4. 5. TOTAL $ 1,200,000.00 $ 0.00 $ 6,067,254.00 $ 0.00 $ 7,267,254.00 SECTION B - BUDGET CATEGORIES 6. Object Class Categories Grant Program, Function or Activity Total (1) GRANTEE (2) SUBGRANTE (3) GRANTEE (4) SUBGRANT (5) ADMINISTR E T&TA EE T&TA ATION ADMINISTR a. Personnel $ 171,053.00 $ 0.00 $ 158,343.00 $ 0.00 $ 329,396.00 b. Fringe Benefits $ 42,763.00 $ 0.00 $ 39,586.00 $ 0.00 $ 82,349.00 c. Travel $ 0.00 $ 0.00 $ 27,720.00 $ 0.00 $ 27,720.00 d. Equipment $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 e. Supplies $ 3,000.00 $ 0.00 $ 1,875.00 $ 0.00 $ 4,875.00 f. Contract $ 0.00 $ 408,567.00 $ 22,000.00 $ 506,550.00 $ 6,664,954.00 g. Construction $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 h. Other Direct Costs $ 10,428.00 $ 0.00 $ 950.00 $ 0.00 $ 11,378.00 i. Total Direct Charges $ 227,244.00 $ 408,567.00 $ 250,474.00 $ 506,550.00 $ 7,120,672.00 j. Indirect Costs $ 76,119.00 $ 0.00 $ 70,463.00 $ 0.00 $ 146,582.00 k. Totals $ 303,363.00 $ 408,567.00 $ 320,937.00 $ 506,550.00 $ 7,267,254.00 7. Program Income $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 Previous Edition Usable Authorized for Local Reproduction Standard Form 424A (Rev. 7-97) Prescribed by OMB Circular A-102 OMB Approval No. 0348-0044 BUDGET INFORMATION - Non-Construction Programs 1. Program/Project Identification No. 2. Program/Project Title EE0007952 Weatherization Assistance Program 3. Name and Address State of Texas 4. Program/Project Start Date 07/01/2018 P.O. BOX 13941 Austin, TX 787113941 5. Completion Date 06/30/2019 SECTION A - BUDGET SUMMARY Grant Program Estimated Unobligated Funds New or Revised Budget Function or Federal Activity Catalog No. Federal Non-Federal Federal Non-Federal Total (a) (b) (c) (d) (e) (f) (g) 1. 2. 3. 4. 5. TOTAL $ 1,200,000.00 $ 0.00 $ 6,067,254.00 $ 0.00 $ 7,267,254.00 SECTION B - BUDGET CATEGORIES 6. Object Class Categories Grant Program, Function or Activity Total (1) PROGRAM (2) HEALTH (3) LIABILITY (4) FINANCIAL (5) OPERATION AND INSURANCE AUDITS S SAFETY a. Personnel $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 329,396.00 b. Fringe Benefits $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 82,349.00 c. Travel $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 27,720.00 d. Equipment $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 e. Supplies $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 4,875.00 f. Contract $ 4,748,548.00 $ 837,979.00 $ 123,710.00 $ 17,600.00 $ 6,664,954.00 g. Construction $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 h. Other Direct Costs $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 11,378.00 i. Total Direct Charges $ 4,748,548.00 $ 837,979.00 $ 123,710.00 $ 17,600.00 $ 7,120,672.00 j. Indirect Costs $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 146,582.00 k. Totals $ 4,748,548.00 $ 837,979.00 $ 123,710.00 $ 17,600.00 $ 7,267,254.00 7. Program Income $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 Previous Edition Usable Authorized for Local Reproduction Standard Form 424A (Rev. 7-97) Prescribed by OMB Circular A-102 DOE F 540.2 OMB Control No: 1910-5127 (08/05) Expiration Date: 02/29/2020 U.S. Department of Energy WEATHERIZATION ASSISTANCE PROGRAM (WAP) WEATHERIZATION ANNUAL FILE WORKSHEET (Grant Number: EE0007952, State: TX, Program Year: 2018) IV.1 Subgrantees Subgrantee (City) Planned Funds/Units $553,705.00 Alamo Area Council of Governments (San Antonio) 77 $848,451.00 BakerRipley (Houston) 121 $89,177.00 Big Bend Community Action Committee (Marfa) 9 $218,033.00 Brazos Valley Community Action Program (College Station) 27 $140,851.00 Combined Community Action, Inc. (Giddings) 16 $196,654.00 Community Action Committee of Victoria Texas (Victoria ) 24 $756,140.00 Community Action Corporation of South Texas (Alice) 107 $128,486.00 Community Council of South Central Texas, Inc (Seguin) 14 $116,339.00 Concho Valley Community Action Agency (San Angelo) 13 $533,267.00 Dallas County Health & Human Services (Dallas) 74 $184,925.00 Economic Opportunities Advancement Corporation (Waco) 22 $301,284.00 El Paso Community Action Program, Project Bravo (El Paso) 39 $324,310.00 Fort Worth, City of (Fort Worth) 42 $621,473.00 Greater East Texas Community Action Program (Nacogdoches) 87 $175,763.00 Hill Country Community Action Association, Inc. (San Saba) 21 $103,738.00 Nueces County Community Action Agency (Corpus Christi) 11 $179,147.00 Panhandle Community Services (Amarillo) 21 $282,681.00 Rolling Plains Management Corporation (Crowell) 36 $161,881.00 South Plains Community Action Association, Inc. (Levelland) 19 $351,450.00 Texoma Council of Governments (Sherman) 46 $198,024.00 Travis County Health and Human Services and Veterans Services (Austin) 24 $177,175.00 West Texas Opportunities (Lamesa) 21 $6,642,954.00 Total: 871 Page 1 / 3 DOE F 540.2 OMB Control No: 1910-5127 (08/05) Expiration Date: 02/29/2020 U.S.