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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 1 State Median Income 50.00% 2 2 State Median Income 50.00% 3 3 State Median Income 50.00% 4 4 State Median Income 50.00% 5 5 State Median Income 50.00% 6 6 State Median Income 50.00% 7 7 HHS Poverty Guidelines 200.00% 8 8 HHS Poverty Guidelines 200.00% 9 9 HHS Poverty Guidelines 200.00% 10 10 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: For income eligiblity, these funds use 200% of federal poverty or eligible for assistance under the LIHEAP income threshold, whichever is greater at the time of eligibility determination. Allowable measures by event type: Audit events: Audit event activities will follow Section 4 of the MN WAP Policy Manual and associated appendices (attached). Standalone events: Standalone event activities will follow Section 5 of the MN WAP Policy Manual and associated appendices (attached). EAPWX standalone funds may be used for allowed activities in non-emergency situations during the entire grant period (WAP Policy 5.1). State level EAP and WAP coordination includes: Annual EAP and WAP planning activities Coordination and communication of issues identified through monitoring of local Service Providers Coordination and management of complaints, appeals, suspected fraud, local Service Provider issues, etc. Only EAPWX administrative funds may be used for Training and Technical Assistance (T&TA) cost. EAPWX program funds may be used for local travel expenses. EAPWX funds may be used for purchasing or leasing of hardware, software, and/or equipment (including vehicles). Commerce WAP is responsible for the review and approval of these purchases in accordance with USDOE rules. 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. 5.7 Eligible Dwellings: Standalone Events have the same dwelling eligibility as Audit Events with the following exceptions: Rental dwellings are eligible for a Standalone Event only if there is written documentation in the household file that the property owner is unable to make needed repairs/replacements. • There is a $3,000 limit per Standalone Event on rental properties. • Owner occupied dwellings are not subject to the $3,000 limit. • Vacant or otherwise ineligible rental units are not eligible for a Standalone Event. • In the event where that an eligible owner-occupied dwelling is a multifamily property with a shared heating system, and a standalone event is being requested, contact Commerce on a case-by-case situation for direction. • Property Owner Agreement is required. • Multifamily Income Eligibility: For a multifamily building to be weatherized, at least 66% (50% for duplex and four-plex, and with Commerce approval, certain multifamily buildings that meet requirements found in WPN 22-12) of units in the building must meet one of the following: Are income eligible dwelling units, or Will become an eligible dwelling unit within 180 days under a Federal, State, or local government program for rehabilitating the building or making similar improvements to the building. 5.8 Priority for Providing Weatherization Services: POLICY: In accordance with 10 CFR 440.16, when identifying and providing weatherization assistance to households, priority must be given where one or more of the following exist: High energy consumption (high energy use) High energy burden Elderly household member(s) (60 years or over) Disabled household member(s) Household member(s) under the age of 19 Households that do not meet at least one of the priority categories may only be served if all eligible priority households in the Service Provider’s territory have been served, with the exception detailed in Section 2.2.1. Within the above listed priorities, Service Providers may choose the order in which households are served. Priority systems must be applied equally to both renter and owner-occupied dwellings and applied equitably to all areas of the Service Provider’s territory. Within the priority categories, Service Providers may choose to consider additional criteria for order of service including but not limited to: Using the oldest application approval date for positioning applicants within the same category; An emergency referral from the Energy Assistance Program (EAP) for a life-threatening emergency; Opportunity to complete other rehabilitation work with non-weatherization funds; or An official state or federal disaster designation. Each Service Provider determines the order in which they will serve the priority categories. Priority categories may be treated equally, ranked so that one group is served before another, or combined to create a ranking based on a household having multiple priority designations. The approach each Service Provider chooses, or any subsequent changes must be communicated to Commerce by entering the sorting criteria into FACSPro. Service Providers must use the client search and waiting list tabs in FACSPro to implement their preference in how to serve the priority categories. Priority List Exception Any income eligible household, whether they have a priority category or not, may be moved to the top of the priority list for immediate service when either non-federal leveraged funds are available for use on the household, or the household is part of a targeted outreach strategy. In such cases where this exception is utilized, no US DOE funds may be used on the household and a note documenting why the exception was used must be entered into FACSPro. 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? $0 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: EAPWX funds can be used to complete measures included in the MN Weatherization Assistance Program Policy Manual and its associated addendums (see attachment). 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.