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Eligibility, 2605(c)(1)(A), 2605 (b)(2) - Assurance 2 3.1 Designate The income eligibility threshold used for the Cooling component: Add Household size Eligibility Guideline Eligibility Threshold 1 All Household Sizes State Median Income 60.00% 3.2 Do you have additional eligibility requirements for Cooling assistance? Yes No 3.3 Check the appropriate boxes below and describe the policies for each. Do you require an Assets test? Yes No If yes, describe: Do you have additional/differing eligibility policies for: Renters? Yes No If yes, describe: Renters Living in subsidized housing? Yes No If yes, describe: Renters with utilities included in the rent? Yes No If yes, describe: Do you give priority in eligibility to: Older Adults (60 years or older)? Yes No If yes, describe: Based on an assessment of each client, Local Service Providers assign points and priority may be given to households with life-threatening emergencies. Additional points are provided to households that include persons 60 years or older. Individuals with a disability? Yes No If yes, describe: Based on an assessment of each client, Local Service Providers assign points and priority may be given to households with life-threatening emergencies. Additional points are provided to households that include individuals with a disability. Young children? Yes No If yes, describe: Based on an assessment of each client, Local Service Providers assign points and priority may be given to households with life-threatening emergencies. Additional points are provided to households that include persons 5 years or younger. Households with high energy burdens? Yes No If yes, describe: Based on an assessment of each client, Local Service Providers assign points and priority may be given to households with life-threatening emergencies. Additional points are provided to households with high energy burden. Other? Yes No If yes, describe: Explanations of policies for each "yes" checked above: 3.4 Describe how you prioritize the provision of cooling assistance to vulnerable populations, e.g., benefit amounts, early application periods, etc. Based on an assessment of each client, Local Service Providers assign points and priority may be given to households with life-threatening emergencies. Additional points are provided to households that include persons 60 years or older, persons five years or younger, and individuals with a disability. Determination of Benefits 2605(b)(5) - Assurance 5, 2605(c)(1)(B) 3.5 Check the variables you use to determine your benefit levels. (Check all that apply): Income Family (household) size Home energy cost or need: Fuel type Climate/region Individual bill Dwelling type Energy burden (% of income spent on home energy) Energy need Other - Describe: CSD conducts an “Individual Utility Company Rate Survey” each year. In the survey, utility companies report their residential rates, by county, for gas and electricity. CSD uses this information to establish average utility costs for each county. These costs are factored into the heating and cooling benefit formula to determine LIHEAP benefit levels. Benefit Levels, 2605(b)(5) - Assurance 5, 2605(c)(1)(B) 3.6 Describe estimated benefit levels for the fiscal year for which this plan applies. Please note: the maximum and minimum benefits must be shown in the payment matrix. Minimum Benefit $283 Maximum Benefit $932 3.7 Do you provide in-kind (e.g., fans, air conditioners) and/or other forms of benefits? Yes No If yes, describe. If any of the above questions require further explanation or clarification that could not be made in the fields provided, attach a document with said explanation here.