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4.14 Do you provide for equipment repair or replacement using crisis funds?

Yes No If you answered "Yes" to question 4.14, you must complete question 4.15.

4.15 Check appropriate boxes below to indicate type(s) of assistance provided. Winter Crisis Summer Crisis Year-round Crisis Heating system repair

Heating system replacement

Cooling system repair

Cooling system replacement

Wood stove purchase

Pellet stove purchase

Solar panel(s)

Utility poles / gas line hook-ups

Other (Specify): Subgrantees may provide minor repair or replacement up to $1000 of heating or cooling equipment. An explanation of the emergency should be included in the applicant's file. The cost for equipment plus installation, if any, will be reimbursed to the Subgrantee not to exceed $1000. The total reimbursement from LIHEAP may not exceed the total amount for a Crisis benefit payment. The Subgrantee should expend the funds necessary to resolve the crisis situation in a timely manner.

4.16 Do any of the utility vendors you work with enforce a moratorium on shut offs?

Yes No If you responded "Yes" to question 4.16, you must respond to question 4.17.

4.17 Describe the terms of the moratorium and any special dispensation received by LIHEAP clients during or after the moratorium period. The utility vendors agree to accept energy benefit pledges on behalf of LIHEAP eligible customers in crisis situations facing threatened or actual interruption of services. Per Louisiana Public Service Commission: Disconnection during extreme weather: An electric or natural gas utility shall not disconnect service for a residential customer in a parish on a day when the following extreme weather conditions exist within that parish: Winter: The previous day’s highest temperature did not exceed 32 degrees Fahrenheit, and the temperature is predicted to remain at or below that level for the next 24 hours, according to the nearest National Weather Service (NWS) reports; or Summer: The nearest NWS issues a heat advisory as defined by the NWS 4.18 If you experience a natural disaster, do you intend to utilize LIHEAP crisis funds to address disaster related crisis situations? Yes

No If yes, describe Disaster Relief LHC use of LIHEAP Funding for Disaster Relief is based on LIHEAP regulations at 45 C.F.R. 96.50(e). Allowable uses of LIHEAP funds to deal with crisis situations, particularly with respect to assistance for home energy related needs resulting from a hurricane or other natural disaster, include: - Costs to temporarily shelter or house individuals in hotels, apartments, or other living situations in which homes have been destroyed or damaged, i.e., placing people in settings to preserve health and safety and to move them away from the crisis situation. Page 16 of 55