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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 All Household Sizes HHS Poverty Guidelines 150.00% 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. Department of Business and Industry, Housing Division 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: Weatherization activities/materials noted in 45 CFR Section 96.87 may be included in the services offered. Also, when LIHEAP funds are not used in conjunction with DOE funds, DOE Health & Safety requirements do not apply. Allowable countable income is based on DOE rules. DOE allows 200% poverty so for LIHEAP customers eligibility for those households will be at or below 200% of the poverty level, except that the Secretary may establish a higher level if it is determined that a higher level is necessary. The DOE average cost per unit is not applicable because most projects require additional weatherization measures exceeding this limit. A figure of $8,000 will be used. The FEAC eligibility list is used instead of an SIR for weatherization measures. 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? Weatherization related health and safety hazard. 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 Households living in master metered complexes or other properties where both utilities are in the landlord's name and the tenant does not receive a separate bill that includes their consumption and usage, the household is not eligible to receive weatherization services. If utility usage is unable to be verified for the applicant, the household is not eligible to receive Weatherization services. Priority assistance is provided to households who have weatherization related health and safety hazards or inoperative primary heating or cooling systems. Then to households whose members are either elderly, disabled, contain children under the age of six, or have a high energy burden. Funds may be utilized to provide emergency supplies such as portable space heaters, coolers or fans to households experiencing loss of electricity and/ or heating for an extended period of time. Multifamily buildings are eligible if 66% of the dwelling units in the building (50% if fewer than 5 units) meet WAP’s income eligibility requirement of 200% below poverty. If a multifamily building meets the eligibility requirement, the entire building may be weatherized. * Renters need to qualify for the weatherization program (not the homeowner) and a Homeowner/Landlord. Do you give priority in eligibility to: Priority assistance is provided to households who have weatherization related health and safety hazards or inoperative primary heating or cooling systems. Then to households whose members are either elderly, disabled, or contain children under the age of six, or have a high energy burden, funds may be utilized to provide emergency supplies such as portable space heaters, coolers or fans to households experiencing loss of electricity and/or heating for an extended period of time. 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? $10,000 5.10 Do you use an Average Cost per Unit (ACPU). Yes No 5.10a If so, what is the ACPU amount? $8,000 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: Solar screens, storm doors, mobile home roof coating, LEDs, air infiltration sealing, carbon monoxide and smoke alarms. 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.