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: LIHEAP Weatherization (LWAP) work is not subject to the DOE Weatherization average cost per unit (ACPU). LWAP work is also not subject to the DOE Saving to Investment Ratio (SIR) standards. Energy Conservation Measures with an SIR of 0.5 or greater can be installed with LWAP money. In addition, an entire dwelling can be weatherized with LWAP funds if the cumulative SIR of the dwelling is below the 1.0 threshold require by DOE. Specific Health and Safety measures that are prohibited with DOE money can also be installed with LWAP funds such as air conditioners, doors, and windows. LWAP can also be used for Incidental Repairs that exceed the DOE maximum of $500. 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? 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. Renters must have permission from owner and rent must not increase for one year once weatherization services are completed. Subgrantees prioritize applicants along five categories in the client tracking system (DBA FACSPro/LITT). The system awards between zero and five points based on the characteristics of the applicant’s household. The five categories are listed below. •Elderly – at least one household member is 60 years of age and older •Disabled – at least one household member is disabled •Children – at least one household member is under age 18 •High energy burden – a households energy cost represents at least 20% of their gross income •High energy user – LIHEAP eligible household (FPL is at or below 150%) 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? $10,526 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 Bulbs, HVAC Assessments 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.