HomeMy WebLinkAboutContracts & Agreements_84-2022PAS Papuan For Fund
DEPARTMENT OF HOUSING
DIVISION OF STATE
STATE GRANT MANAGEMENT
2020 West El Camino,
Sacramento, CA 951133
AND COMMUNRY DEVELOPMENT
FINANCIAL ASSISTANCE
4th Floor
HOMEKEY 2.0 PROGRAM
REQUEST FOR FUNDS (RFF) FORM
Lest Revised: 2/12022
HCD Contract Number'
21-HK-17166
RFF Number:
2
Date:
5/25/2022
Project Sponsor:
The City of Redlands
Project Name:
Redland Good Nita Inn
Authorized Representative Name.
Paul T BarIch
Authorized Representative TMe:
Maya, City of Redlands
PayealEscrow Company Name:
Funds may be issued directly to an approved escrow company Ethel
fu9award is for acquisition per NOFA §402
Shangri-La Industries LLC
Payee Contact Person/Escrow Officer:
Cody Haynes
Payee Full Address:
660 S Figueroa Street, 61888. Los Angeles, CA
80017
Payee Eanail:
cholmes@shengnla.us
Payee Phone 8:
818-4214376
Escrow Number
(If applicable):
Total Award for Capital Costs.
(include amount from Early Application submittal if applicable)
824,142,000.00
HCD Award for Operating Subsidy:
Do not Include expedited occupancy bonus award or
philanthropic funds. Include Eady Application submittal
bonus, it applicable.
$4,878,000BO
Expedited Occupancy Conditional
Bonus Award:
(NOFA§207)
E980,000.00
If pplicable, have Conditions
mat yet?(NOFA 820])
It yes, pleas rbm0 evidence
and Extension Request
for Expedited Occupancy Award been
of occupancy Hong with the Milestone Report
No
Total Homekey Award:
130,000,000.00
Workbook
EXPENDITURE BREAKDOWN
Are you submitting any eligible expenses incurred on or after March 2021 and before the execution of
the Standard Agreement?
No
Eligible Use
Award Amount
Total Draw Amounts
Previously Approved
Draw Amount Requested This
Period
Drawn To Date
Percent of Award
Drawn
Drawn
Amount of Award Remaining
HCD Approved Draw
Amount This Period
Acquisition or Rehabilitation of motels,hotels, or hostels, or other sites and assets
$ 24,142,000.00
1 20,735,500.00
E 3,406,500.00
0 24,142,000.00
100.00%
E
Master basing of propertie for non -congregate housing
1
0.00%
E
Conversion of units from nonresidential to residential
E
0.00%
1
New Construction of Dwelling Units
$
0.00%
5
Purchas of 8fordabifty ovenants nd raslnc0ons fo nits
1
0.00%
E
Relocation costs for individuals who are being displaced as a resort of the Homekey
profit
1
0.00%
E
HCD Award: Capitalized operating subsidies for units purchased, convened,
constructed orakered
54,878,000.00
54,878,000.00
1 4,878,000.00
100.00%
E
Expedited Occupancy Conditional Bonus Award: Capitalized operating ubsldb for
units purchased, convened, constructed or altered
Please note: this amount cannot be disbursed un01 evidence of full occupancy by the 8 month
deadline has been submitted
$ 980,000.00
E
0.00%
1 9130,000.00
TOTAL:
(Expedited Occupancy Bonus amount not Included until condition Is fondled)
1 29,020,000.00
1 20,735,500.00
$ 6,284,500.00
5 29,020,000.00
100.00%
E
CERTIFICATION
"By signing this request, Icert/y to the best of my knowledge and belief that the request is hue, complete, and accurate. and the expendilores, disbursements and cash receipts will be forth purposes and objectives set form inlh terms and conditions orm State ward l am ware that ny false, Scdllous, or fraudulent
information. or the omission of any material rect. may subject me to criminal, civil or administrative penalties for fraud, false statements, !else claims or otherwise (U.S. Coda Title 18, Section 1001 rid Title 31, Sections 3729-3730 and 3801-3812)
e of Authorized Representative
Title of Authorized Representative
800/T Barich
Mayor. City of Redhnds
Sign
' tive
5/25/2022Dab
HCD USE ONLY
Instructions Review and fill out the pre -disbursement checklist to confirm compliance prior to routing this form for approval
SGM Representative Signature
Dab
SGM Manager Signature
Date