5 WEATHERIZATION ASSISTANCE

Eligibility, 2605(c)(1)(A), 2605(b)(2) - Assurance 2 5.1 Designate the income eligibility threshold used for the Weatherization component Add Household Size Eligibility Guideline Eligibility Threshold 1 All Household Sizes HHS Poverty Guidelines 200.00% 5.2 Do you enter into an interagency agreement to have another government agency administer a WEATHERIZATION component? Yes No 5.3 If yes, name the agency and attach a copy of the Internal Agreement or Contract. 5.4 Is there a separate monitoring protocol for weatherization? Yes No WEATHERIZATION - Types of Rules 5.5 Under what rules do you administer LIHEAP weatherization? (Check only one.) Entirely under LIHEAP (not DOE) rules Entirely under DOE WAP (not LIHEAP) rules Mostly under LIHEAP rules with the following DOE WAP rule(s) where LIHEAP and WAP rules differ (Check all that apply): Income Threshold Weatherization of entire multi-family housing structure is permitted if at least 66% of units (50% in 2- & 4-unit buildings) are eligible units or will become eligible within 180 days Weatherize shelters temporarily housing primarily low income persons (excluding nursing homes, prisons, and similar institutional care facilities). Other - Describe: Mostly under DOE WAP rules, with the following LIHEAP rule(s) where LIHEAP and WAP rules differ (Check all that apply.) Income Threshold Weatherization not subject to DOE WAP maximum statewide average cost per dwelling unit. Weatherization measures are not subject to DOE Savings to Investment Ration (SIR ) standards. Other - Describe: No QCI Final Inspection is required for HHS funded homes. Also, LIHEAP Weatherization follows the DOE 200% income eligibility threshold. Use of HHS funds to address healthy home issues and deferral remediation. These measures are also approved in our DOE State Plan. Eligibility, 2605(b)(5) - Assurance 5 5.6 Do you require an assets test? Yes No 5.7 Do you have additional/differing eligibility policies for : Renters Yes No Renters living in subsidized housing? Yes No Renters with utilities included in the rent? Yes No 5.8 Do you give priority in eligibility to: Older Adults? Yes No Individuals with a disability? Yes No Young Children? Yes No House holds with high energy burdens? Yes No Other? High energy use Yes No If you selected "Yes" for any of the options in questions 5.6, 5.7, or 5.8, you must provide further explanation of these policies in the text field below. A priority ranking system will be used for all homes in the Weatherization Program. Multi-Family buildings (buildings of 5 or more units) are not subject to priority ranking. Weatherization applications are taken on a first-come, first-served basis. Households containing older adults, individuals with a disability, high energy user and/or young children will be given priority for weatherization services. Lower priority-ranked, income-eligible households will be served later in the program year, or when funding is available. Every household is ranked and assigned a priority by the IWx database system. IWx automatically calculates the priority points in the following manner: elderly, disability, high energy user and children. The Weatherization Program requires landlord approval/consent to work on the property of a renter. Before beginning an assessment, the LAA should have the owner/authorized agent review and sign the IHWAP rental agreement. The agreement ensures that the building owner agrees to give permission to implement the weatherization work, confirms that the building is not currently for sale, tenants are to receive the benefits from weatherization, and most importantly, the owner agrees to not raise the rent for at least 12 months from date of project completion. The agreement also makes clear that the weatherization work is guaranteed for one year. The agreement should be submitted as part of the Project Eligibility approval. Without this agreement, it would not make sense to commit resources towards conducting an assessment. Benefit Levels 5.9 Do you have a maximum LIHEAP weatherization benefit/expenditure per household? Yes No 5.9a If yes, what is the maximum? $12,000 5.10 Do you use an Average Cost per Unit (ACPU). Yes No 5.10a If so, what is the ACPU amount? $0 Types of Assistance, 2605(c)(1), (B) & (D) 5.11 What LIHEAP weatherization measures do you provide ? (Check all categories that apply.) Weatherization needs assessments/audits Energy related roof repair Caulking and insulation Major appliance repairs Storm windows Major appliance replacement Furnace/heating system modifications/repairs Windows/sliding glass doors Furnace replacement Doors Cooling system modifications/repairs Water Heater Water conservation measures Cooling system replacement Roof top solar Community solar projects Compact florescent light bulbs Other - Describe: LED lighting replacement, refrigerator/freezer replacement and renewable energy retrofits. Cooling System Replacement. Home repair measures to alleviate deferral conditions. 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.