Malden Community Preservation Committee FY23 Application

FY23 Funding Application

City of Malden Community Preservation Committee (CPC)
DUE: NO LATER THAN 11:59 PM, SECOND TUESDAY OF SEPTEMBER (9/13/22)

Please make sure all questions are answered and requested information is provided. Applications missing information will not be accepted.
SECTION 1: Application Information
APPLICANT NAME/ORGANIZATION *
CO APPLICANT (if applicable) *
PROJECT CONTACT PERSON & TITLE *
MAILING ADDRESS *
PHONE *
EMAIL *
example@example.com
DATE *

Month Day Year
Date
Project ID# *
Please upload a copy of your approved CPC pre-application. *

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Is the main Applicant a 501c3 Non-Profit? *

No Yes
Please provide a copy of your organization's most recent audit or Financial Information (If the Applicant is a Non-Profit Organization)

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SECTION 2: Project information
PROJECT NAME *
PROJECT ID# *
CPA FUNDS REQUESTED *
PROJECT ADDRESS *
ASSESSOR'S PARCEL ID *
Interested Municipal Party or Community Organizations (if any) *
Will this project be independent or is it part of another existing project? Please explain. *
Brief Project Description *

0/100
Is this proposal for the design, construction, or other phase of a project? *

Pre-Development Design Construction Other

SECTION 3: Site Information
Lot Size *
Square Feet
Zoning District(s) *
Ward *
Property Owner *
Note: As part of the Pre-Application process, all Community Preservation Fund Applicants are required to have submitted evidence of site ownership, site control, and/or permission of the property owner.
Are there any restrictions or easements that apply to the property? *

Yes No
If applicable, please identify any interested parties whose approval may be needed.
LETTER(S) OF APPROVAL - Please upload letter(s) of approval from direct project stakeholders including, but not limited to, property owners and abutters. *

If you have multiple letters, please combine them into one file to upload here.
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PROOF OF OWNERSHIP/SITE CONTROL - Please upload all of the following as applicable: Deed, purchase and sales agreement, option to purchase, written consent of property owner. Also include any existing deed restrictions that may apply to the property. *

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MAPS, PLANS, PHOTOGRAPHS - Provide a map indicating the project's location, along with any additional pertinent maps (i.e., aerial, zoning, vegetation, and abutting buildings), architectural plans, site plans, photographs, etc.

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SECTION 5: Project Scope
Provide a detailed description of the steps or tasks that the project entails.* *
*Note: CPA funds may only be used for M.G.L. Ch. 44B eligible tasks. If applicable, please indicate other funding sources that are anticipated to pay for CPA ineligible portions of the project.
Please provide a detailed description of the steps or tasks that the project entails and its proposed use relative to the CPA and the City of Malden. *
Why should this project be approved for funding?* *
* At minimum, please address the following in your answer: A) Explain the benefits this project will provide to the city, residents, and/or the environment. Reference the appropriate Criteria and/or City Planning documents, and whether this project is located in an environmental justice community. B) Please specify how this project meets the CPC's General Selection Criteria and the Specific Use Criteria in the Needs Assessment. C) Please include anything else that may be helpful for the Committee's deliberation.
Please provide background information about the applicants & co-applicants.* *
* At minimum, please address the following in your answer: A) Type of organization (i.e. individual, group, non-profit, corporation, city department, etc.) and the city in which it is based. B) Describe the roles and functions of applicants and any other partners in the project (e.g. managers, providers, etc.). C) Provide information about the applicants' previous participation in CPA projects, especially in a managerial role, and explain who, how, and what is/was the status of the projects. D) Indicate if the applicants have experience in similar types of projects and demonstrate that the applicant has successfully completed projects of similar type and scale or has the ability to complete the project as proposed. E) Please include anything else that may be helpful for the Committee's deliberation.
Describe how the project will comply with all Americans with Disabilities Act/Massachusetts Architectural Access Board Regulations (ADA/MAAB) if applicable.
TIMELINE - Provide a detailed project timeline describing the steps or phases for completion, major milestones as well as the processes needed for approval and oversight for each phase.

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For ALL HISTORIC RESOURCES - A) Describe and (if available) provide plans for how the project complies with the U.S. Secretary of the Interior's Standards for Rehabilitation, (as required by the CPA legislation M.G.L. c. 44 under the definition of rehabilitation). B) Explain how the applicant will ensure these standards are adhered to as the project progresses, including identification of who will make historic preservation determinations.
If available for Historic Resource, please provide plans for how the project complies with the U.S. Secretary of the Interior's Standards for Rehabilitation, (as required by the CPA legislation M.G.L. c. 44 under the definition of rehabilitation), including but not limited to a building conditions assessment.

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Please upload SUPPORTING DOCUMENTATION (see below for examples - if applicable).

Please upload one combined document of these types of supporting documentation files here
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SUPPORTING DOCUMENTATION

For example: existing plans, approvals, feasibility assessment, or other supporting documents, may include but not be limited to:
- Natural Resource Limitations (i.e. wetlands, flood plain, etc.).
- Zoning (district, dimensional and use regulations as applies to the land).
- Inspectional reports.
- Environmental assessment reports or evidence that the proposed site is free of hazardous materials or that there is a plan for assessment and/or remediation in place.
- Names and addresses of project architects, contractors and consultants.
- Evidence that appropriate professional standards will be followed if construction, restoration or rehabilitation is proposed.
Additional Supporting Documentation (Optional)

Please upload any additional supporting documentation for your project
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SECTION 6: Project Budget
Please fill out the budget summary tables below and upload an itemized budget following a format that explicates your project in greater detail. Please also upload vendor estimates and commitment letters as requested below.

NOTE: CPA FUNDING FOR ANY CATEGORY REQUIRES COMPLIANCE WITH MASSACHUSETTS PROCUREMENT REGULATIONS under direction of Malden's Office of Procurement.
Please describe: A) All attempts to secure funding (successful and unsuccessful). B) How was the CPA amount determined? C) What will happen to the project if CPA funding is rejected or reduced? *

FUNDING REQUEST - Please fill out the fields for "Total Project Cost", and "CPA Funds Requested", and the cost share will be automatically calculated. *

	Total Project Cost	CPA Funds Requested	Cost Share Amount	Cost Share Percent
Project Cost

BUDGET CATEGORIES - If a relevant category is missing for your project, please add the total amount in the row for "Other" and break out the costs (with explanation) in your itemized budget. Please use "N/A" for any category not applicable to your project. *

	CPA FUNDS	OTHER FUNDS (cost share)	TOTAL
Personnel
Equipment
Supplies
Soft Costs/ Contractual
Acquisition
New Construction
Alteration/Addition
Restoration/Remodel
Other
TOTAL

Please upload your itemized budget.* *

*Please include a file with an itemization of all project costs, and proposed source for each line item. Make sure to consider any administrative expenses required (appraisals, environmental assessments, bidding requirements, copying, legal notices, etc.) and how they have been accounted for in this budget. This is particularly necessary for construction and land acquisition projects. Per CPA legislation, city departments and organizations cannot be reimbursed for their general overhead expenses such as staff time, copies, shipping, travel costs, etc. Only expenses directly associated with an eligible CPA activity may be included in a project budget. Vendor budgets may be accepted here.
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Please upload at least two ESTIMATES (preferably 3) on vendor letterhead or a detailed description of how the proposed budget was determined. *

You may combine vendor estimates into one file to upload here, or you may upload them separately. Additional upload fields will appear after each upload field is filled.
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Please upload second vendor estimate here (if applicable).

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Please upload third vendor estimate here (if applicable).

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COST SHARING - Identify the amount of cost sharing for this project from other sources of funding (if applicable) including but not limited to private, federal, state, or local government, or private, etc. Applications will not be accepted without Letters of Commitment attached for funds listed as "secured". Note that in-kind donations may be included as a source below. *

	Source Name	Source Type	Secured (Y/N)	Status (if not secured)	Amount	Source Type
Source 1
Source 2
Source 3
Source 4
Source 5
Source 6

If additional sources of funding are pending or are dependent on the commitment of CPA funds, please describe the process by which additional funds will be sought, including the names of grant programs and anticipated grant application deadlines.
Please upload COMMITMENT LETTERS for any additional funding sources that are cited in your budget.

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Please explain any potential secondary effects your project may have on the city's operating budget. Per M.G.L c44b CPA Funds may not be used for maintenance.* *
*At minimum, please address the following in your answer: Are there any capital improvement projects that rely on the successful completion of your project? If ongoing maintenance is required, how might it be funded?

MAINTENANCE BUDGET (if necessary) - Reminder: CPC cannot fund the maintenance costs for any projects and will prioritize projects with no maintenance required. Please identify the source of maintenance funding in addition to the expected amount. *

	Year 1	Year 2	Year 3	Year 4	Year 5
Amount
Source(s)

SECTION 8: Signatures & Support

TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL INFORMATION IN THIS APPLICATION IS TRUE AND CORRECT. THE DOCUMENT HAS BEEN DULY AUTHORIZED BY THE INDIVIDUAL OR GOVERNING BODY OF THE APPLICANT.
Applicant Signature *

Clear
Date Signed *

Month Day Year
Date
Applicant Name *

First Name Last Name
Applicant Title/Organization *
PROPERTY OWNER SIGNATURE

NOTE: to solicit signatures from other people via this webform, please press "save" at the bottom of this form. A link will be emailed to you which you will be able to share with other people who may provide signatures on this form.
Property Owner Signature (if different). *

Clear
Date Signed by Property Owner *

Month Day Year
Date
Property Owner *

Property Owner First Name Property Owner Last Name
LETTER(S) OF SUPPORT - Please include (in one file) any letters of support your project has received from local community groups, elected officials such as Ward Councillors, the Mayor, etc.

Please include any and all letter(s) of support as one combined file
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	Open Space	Recreational Land	Historic Resources	Community Housing
Acquisition
Creation (not an available category for Historic Resources)
Preservation
Support (Community Housing only)
Rehabilitation

	Known to be present	Possible/ Unknown	Not Present/ Not Applicable
Presence of hazardous materials
Topography, soils, or other physical challenges
Wetlands or Floodplain

FY23 Funding Application

SECTION 1: Application Information

SECTION 2: Project information

SECTION 3: Site Information

SECTION 4: Program-Specific Requirements

Historic Resources Requirements

Community Housing Requirements

Housing Target Class

Open Space and Recreation Special Requirements

SECTION 5: Project Scope

SECTION 6: Project Budget

SECTION 7: Project Application Feasibility Checklist

SECTION 8: Signatures & Support

SECTION 9: Final Application Requirements and Attachments - Checklist