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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 State Median Income 60.00% 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. Virginia Department of Housing and Community Development (DHCD) 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: Dwelling units previously weatherized (including dwelling units partially weatherized) may not receive further financial assistance forweatherizationuntil the date that is 15 years after the date such previous weatherization was completed. Subgrantees using LIHEAP funds for purchase of vehicles or equipment over $5,000 must receive approval from DHCD prior to purchase. Additional information is attached. 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: Fuel switching only when a Health & Safety inspection identifies an unsafe appliance - subgrantee shall have the ability to select analternative fuel (electric). The switch will always be modeled by an approved energy audit tool and run as an Energy Conservation Measure when applicable and documentation of original issue shall be required in the client file. DHCD allows the buy down of measures in single family dwellings when utilizing LIHEAP-only funds. 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? See below 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 Rental tenants must have the written permission of the landlord before weatherization measures can be authorized. 5.8 Multi-family weatherization using LIHEAP requires DHCD approval. Further approval by DOE is not required if no DOE funds are utilized in the weatherization. Work orders from a Hancock Energy Audit Tool (HEAT) or the DOE approved Priority List will be accepted. 5.8 Priority is given when a household has no heat and weatherization is done in conjunction with Crisis Assistance. 5.8 Priority may be given when a household is receiving other rehabilitation assistance where weatherization work would be compromised if not done in coordination with rehab. 5.8 Applicants who were deferred for weatherization but participate in DHCD’s Weatherization Deferral Repair Program (WDR) to remediate the cause of deferral prior to weatherization can be added to the weatherization list for services. The applicant must be re-certified for incomeeligibility if initial determination exceeds 12 months. 5.8 Other Households who do not have a permanent, safe and operable heat source. Households with time sensitive projects (i.e., leveraging funds from other sources). Deferrals who participate n Weatherization Deferral Repair Program. 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? $8,250 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 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.