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HomeMy WebLinkAboutEscaya_City Affordable Housing Application~HFC 101821Development Services Department Housing Division I Development Processing CHCRYOFSTA AFFORDABLE HOUSING SUPPLEMENTALAPPLICATION I Instructions I. APPLICABILITY The attached Application should be completed and submitted to the Development Services Department, Housing Division for all affordable housing projects defined as having 20 percent of the units to be restricted for lower income households or 100 percent for moderate income households and emergency shelters. All affordable housing development projects will be reviewed by the City's Housing Advisory Commission (HAC). HAC actions are advisory to the City Council and/or Housing Authority. The City Council and/or Housing Authority are the ultimate decision authority. The Housing Advisory Commission will review and comment on three (3) major aspects of the project: 1. A project's ability to effectively serve the City's housing needs and priorities as expressed in the Housing Element and the Consolidated Plan for Housing and Community Development. 2 A project's consistency with the City's affordable housing policies as expressed in the Housing Element, General Plan, other related documents and other applicable State/Federal laws and programs; and 3. A project's feasibility, with emphasis on prospective sources of subsidy, including any proposed City financial assistance and/or incentives. II. PROCESS An applicant shall complete the attached Application, provide all required attachments, and submit the completed package to the Development Services Department, Housing Division. Please note that the applicant must submit an 8'/2 x 11 copy of the site development plan, elevations, and photographs of site and adjacent properties at least seven (7) days prior to the date the project is scheduled for review by the HAC. This Application may be considered as part of the Development Application, if necessary for other discretionary actions. When the Application is deemed to be complete by the Housing Division staff and any outstanding issues have been resolved, the Affordable Housing Project will be scheduled for review by the HAC. A staff report and recommendation will be presented to the HAC with the basic project information submitted within the attached Application. Depending on the readiness of the project, the initial action of the HAC may not include a recommendation to support the project with specific types of financial assistance or incentives. Housing Advisory Commission meetings are scheduled on a quarterly basis (July, October, January, April) on the 4th Wednesday of the month at 4 p.m., City Hall, 276 4th Ave., Bldg. 100. COMMENTS OR QUESTIONS If you have any comments or questions regarding the process or the Application, please contact the Housing Division at (619) 691-5047. 276 Fourth Avenue I Chula Vista I California 91910 1 www.chulavistaca.gov 1 (619) 691-5047 fl Development Services Department Housing Division I Development Processing CHULAVISTA AFFORDABLE HOUSING APPLICATION I Checklist APPLICATION SPECIFICATIONS z All pages 8.5 x 11 inches z One signed original and one electronic copy REQUIREMENTS All ✓ items are REQUIRED. 0 Additional information as may be appropriate. 1. Proposal Submittal: © ✓ Application (NOFA General and/or Affordable Housing) ✓ Project Proforma ✓ Evidence of Site Control — copy of fully executed purchase option or sales contract ® 0 Tenant Rent Rolls (current rent roll and rent roll at time of buyer/seller agreement) 0 The Proposal and the above listed items have been reviewed for completeness. Please note that complete applications can be processed and reviewed more efficiently. Failure to submit all required information may result in your application not being accepted and/or may extend the length of time needed for review. Acknowledgement The undersigned has read and reviewed the "Instructions" and "Checklist" under this Affordable Housing Application. Shaun Bradley Autherized Signature eI Print Name Vice President Affordable Housin Title 10-18-21 Date Return one original, one signed and an electronic copy of this Application to: City of Chula Vista DSD Housing Division ATTN: Affordable Housing Application 276 Fourth Avenue Chula Vista, CA 91910 276 Fourth Avenue I Chula Vista I California 91910 1 www.chulavistaca.gov 1 (619) 691-5047 MY of CHULA VISTA D e v e l o p m e n t S e r v i c e s D e p a r t m e n t Housing Division I Development Processing AFFORDABLE HOUSING APPLICATION I Checklist 2. Before Proceeding to the Housing Advisory Commission ❑X ✓ Preliminary Title Report ❑ ✓ Developer's Board Resolution authorizing submittal of proposal and identifying persons authorized to execute documents ❑ ✓ Developer's Disclosure Statement (see Affordable Housing Application) © ✓ Appraisal by a California -licensed MAI appraiser (no older than three months). For new construction projects, must determine the land -only value. An "as -built" appraisal will be required prior to funding. For rehabilitation projects, must determine both the "as -is" and "after -rehab" values without rent restrictions. 0 0 Physical Needs Assessment (PNA) to correct health and safety issues and repair or replacement of major building systems to extend the service life of the property improvements for a minimum of 15 years. PNA must include replacement reserve analysis. ® 0 Rehabilitation Scope of Work and Cost Estimate. ❑ 0 Evidence of Compliance with Previous City Loans ❑ 0 Summary Statement of Previous Residual Receipts Payments on Previous City Loans © 0 Tenant Characteristics Form if development is currently occupied ❑X ✓ Narrative Describing Operating Reserves and Replacement Reserves 3. Before Proceeding to Housing Authority ❑ ✓ Affirmative Fair Housing Marketing Plan ❑ ✓ Environmental Review Completed (CEQA and NEPA) ❑ ✓ HOME Program Basics — if HOME funds are used ❑ 0 Relocation Plan and Relocation Noticing to Tenants ❑X ✓ Evidence of Compliance with Zoning — Letters from the City of Chula Vista DSD. ❑ ✓ Audited Financial Statements within the last 12 months. ❑ 0 Service Delivery Plan (If providing units for the homeless or Special Purpose Housing Applicants) ❑x ✓ Market Study 276 Fourth Avenue I Chula Vista I California 91910 1 www.chulavistaca.gov 1 (619) 691-5047 ��(� Development Services Department ■ Housing Division I Development Processing inn'SA AFFORDABLE HOUSING APPLICATION I Checklist CHULAV 4. Before Proceeding to City Loan Funding © ✓ ALTA Title Report ❑ ✓ Borrower Attorney's Opinion Letter ❑ ✓ Certified Escrow Instructions ❑ Evidence of Funding Commitments — Letters to identify funder contact information ❑ Certificates of Insurance for Property Insurance and Liability Insurance ® Management Plan ❑ Partnership Agreement, Articles of Incorporation, and By -Laws © Copies of Other Lenders' Loan Documents ❑ City Attorney Approval and Loan Documents Execution 276 Fourth Avenue I Chula Vista I California 91910 1 www.chulavistaca.gov 1 (619) 691-5047 Development Services Department �..�� Housing Division I Development Processing CITY OF AFFORDABLE HOUSING APPLICATION I Part I CHULA VISTA Development Team Information Sponsor/Owner: HomeFed Corporation Address: 1903 Wright Place Contact Person: Shaun Bradley Telephone No. 760-918-8200 E -Mail sbradley@hfc-ca.com Legal Status of Applicant: ❑ For Profit Corporation ❑ Limited Partnership Fax No. ❑ Nonprofit Corporation ® Limited Liability Corp ❑ CHDO ❑ Sole Proprietorship ❑ Other (Please Describe): Federal Tax Identification No. (Sponsor): 330304982 Managing Partner: Address: Telephone No.: Fax No.: Identify Development Team (if applicable; i.e., developer, contractor, management company, etc.): Developer (if different) General Contractor: ReyLenn Construction Management Company: Greystar Tax Credit Syndicator: Credit Enhancer: Attorney: Other (Please Describe): General Project Information Ownership Name: Village of Escaya Apartments, LLC Project Name: Residences at Escaya Project Address/ 1925 Avenida Escaya Site Location: Master Plan Community- Villages of Escaya Fax No (If applicable) Assessor Parcel No(s): 644-061-47-00 276 Fourth Avenue I Chula Vista I California 91910 1 www.chulavistaca.gov 1 (619) 691-5047 Development Services Department �■ Housing Division I Development Processing CITY OF CHULA VISiA AFFORDABLE HOUSING APPLICATION I Part I General Project Information Please attach a street map that identifies the project and neighborhood boundaries Acreage of Site: Zone Designation Total # of Units: Type of Construction: Type of Units: Target Population ❑ Executed Option 7.04 272 Contract Date of Expiration: Census Tract #: SPA Land Use District: Clause to Extend ❑ Yes ❑ No # of Affordable Units: 30 MOD LJ Row house/Townhouse ❑X Garden Apartments ❑X Slab on Grade Frame ❑ Podium ❑ Other (Please Describe): X❑ Multi Story ❑ Single Story ❑ Other (Please Describe): ❑O Family ❑ Disabled ❑ Homeless ❑ Other (Please Describe): # of Elevators? ❑ Elderly/Senior 276 Fourth Avenue I Chula Vista I California 91910 1 www.chulavistaca.gov 1 (619) 691-5047 ❑ New Construction ❑ Acquisition & Rehab ❑ Homeownership ❑ Rehabilitation Only Project Type: ❑ Other (Please Describe): © Rental ❑ Ownership ❑ Unimproved Site ❑ Acquisition & Rehab ❑X Existing Structure Age (years): 2 Project Condition ❑ Commercial ❑X Ownership ❑ Other (Please Describe): Existing Uses of Property: Multifamily Rental Status of Entitlements and Environmental Review. Site Control © Deed ❑ Executed Purchase Acreage of Site: Zone Designation Total # of Units: Type of Construction: Type of Units: Target Population ❑ Executed Option 7.04 272 Contract Date of Expiration: Census Tract #: SPA Land Use District: Clause to Extend ❑ Yes ❑ No # of Affordable Units: 30 MOD LJ Row house/Townhouse ❑X Garden Apartments ❑X Slab on Grade Frame ❑ Podium ❑ Other (Please Describe): X❑ Multi Story ❑ Single Story ❑ Other (Please Describe): ❑O Family ❑ Disabled ❑ Homeless ❑ Other (Please Describe): # of Elevators? ❑ Elderly/Senior 276 Fourth Avenue I Chula Vista I California 91910 1 www.chulavistaca.gov 1 (619) 691-5047 V(! Development Services Department ;t?W Housing Division I Development Processing CITY OF AFFORDABLE HOUSING APPLICATION I Part I CHULA VISTA General Project Information El Rail station, rapid transit, Bedroom Mix Type of Units: bus stop with service at Within least every 30 mins from 7-9 am Bedroom Bedroom Bedrooms Bedrooms Bedrooms Bedrooms ❑ Full scale grocery Within store/supermarket ❑ Convenience market Within ❑ Medical clinic or hospital Within ❑ Public elementary, middle Within or high school ❑ Public park Within ❑ Public library Within ❑ Other: Within For Senior or Special Needs: ❑ Other: Acquisition & Rehabilitation Projects No. of Households potentially subject to tenant relocation Please attach the following: ❑ Copy of current tenant rent rolls and income levels ❑ Relocation plan Within No. of vacant units Mile Mile Mile Mile Mile Mile Mile Mile Mile Describe any special features, amenities, services, programming or commercial facilities to be included within the project (e.g. Internet service, afterschool programs, educational classes, pool, etc): Please attach an 8% x 11 copy of the site development plan, elevations, and photographs of site and adjacent properties. 276 Fourth Avenue I Chula Vista I California 91910 1 www.chulavistaca.gov 1 (619) 691-5047 Bedroom Mix Total Description 0 1 2 3 4 5 Bedroom Bedroom Bedrooms Bedrooms Bedrooms Bedrooms Units Total DUs 0 Affordable 0 DUs Describe any special features, amenities, services, programming or commercial facilities to be included within the project (e.g. Internet service, afterschool programs, educational classes, pool, etc): Please attach an 8% x 11 copy of the site development plan, elevations, and photographs of site and adjacent properties. 276 Fourth Avenue I Chula Vista I California 91910 1 www.chulavistaca.gov 1 (619) 691-5047 t�Slf CITY OF CHULA VISTA Development Services Department Housing Division I Development Processing Project Timeline Housing Advisory Commission Date: City Council Housing/ Authority Date: CTCAC Application Date: CTCAC Allocation Date: CDLAC Application Date: CDLAC Allocation Date: Estimated Acquisition Date: Estimated Permanent Loan Closing Date: Estimated Date to Start Construction/Rehab Estimated Full Occupancy Date: AFFORDABLE HOUSING APPLICATION I Part I 276 Fourth Avenue I Chula Vista I California 91910 1 www.chulavistaca.gov 1 (619) 691-5047 Development Services Department 4 Housing Division I Development Processing CHUL4VISTA AFFORDABLE HOUSING APPLICATION I Part II Financial Assistance and Other Incentives Listed below are the primary documents and information needed to complete the application to provide for the financial analysis of the proposed project. It is recognized that all documentation and information may not be available at the time of application. Information must be submitted prior to the Housing Division's underwriting evaluation and recommendation of approval of any requested financing Requested ❑ Bonds - Tax ❑ 4% Tax Credits ❑ 9% Tax Credits Assistance/Incentives: Exempt/Taxable ❑ City/Hsg Authority ❑ Affordable Housing Incentives (aka Density Financing Bonus); Please complete the Supplemental Application for Density Bonus & Incentives Identify any other project conditions which may be relevant to project feasibility: BOND FINANCING (If applicable) Use of Bond Proceeds: ❑ Construction Describe status and timing to construction financing. Has construction financing been obtained? ElPermanent Financing El Yes El No Name of Construction Lender: Bond Amount Unrated Bond Amount $ Taxable Bond Amount $ Initial Interest Rate ❑ Fixed ❑ Variable Term months Estimated Annual Debt Service Rating Agency Rating Type of Credit Enhancement Credit Enhancement Provider: 276 Fourth Avenue ' Chula Vista I California 91910 1 www.chulavistaca.gov 1 (619) 691-5047 y�(fl Development Services Department +!tee++ Housing Division Development Processing CITY OF AFFORDABLE HOUSING APPLICATION Part II CHULA VISTA Contact Person Address: Telephone No. Fax No.: Preferred Investment Banking Firm: Contact Person: Address: Telephone No.. Fax No.: Estimated Date of Closing TAX CREDIT FINANCING (If applicable) Tax Credit Amount anticipated: $ Expected Date of Commitment Letter: Partnership Agreement Executed. ❑ Yes ❑ No Date: Expected Internal Rate of Return for Tax Credit Syndicator: % Price per Dollar: Type of Tax Credit Offering - Type of Investors: Type of Credit Enhancement: ❑ Public ❑ Individuals ❑ Funds/Trusts ❑ Private ❑ Corporations ❑ FNMA CONSTRUCTION FINANCING Name of Lender/Source Term in Interest Rate Amount of Funds Months 1 % $ 2 % $ 3 % $ 4 % $ 276 Fourth Avenue I Chula Vista I California 91910 1 www.chulavistaca.gov 1 (619) 691-5047 ��I1f �4 Development Services Housing Division I Department Development Processing CHUITYOF AFFORDABLE HOUSING APPLICATION Part II Total Funds for Construction $46.7MM 1. Name of Lender/Source California Bank and Trust Address: 11622 EI Camino Real Contact Person: Adam Kluzak Telephone No.: 858-793-7472 E -Mail: adam.kluzak@calbt.com ® Committed Type of Financing: Construction ❑ Not Committed 2. Name of Lender/Source Address: Contact Person: Telephone No.: E -Mail ❑ Committed Type of Financing: ❑ Not Committed 3. Name of Lender/Source Address: Contact Person: Telephone No.: E -Mail: ❑ Committed Type of Financing: ❑ Not Committed 4. Name of Lender/Source Address: Contact Person: Telephone No.: E -Mail: ❑ Committed Type of Financing: ❑ Not Committed PERMANENT FINANCING Name of Lender/Source Term in Interest Rate Months Amount of Funds 1 % $ 2. % $ 3 % $ 276 Fourth Avenue I Chula Vista I California 91910 1 www.chulavistaca.gov 1 (619) 691-5047 tiir�r cm of CHULA VISTA 4. Total Permanent Financing Total Tax Credit Equity Total Sources of Project Funds 1. Name of Lender/Source Address: Contact Person: Telephone No.: Type of Financing: 2. Name of Lender/Source Address: Contact Person: Telephone No.: Type of Financing: 3. Name of Lender/Source Address: Contact Person: Telephone No.: Type of Financing: 4. Name of Lender/Source Address: Contact Person: Telephone No.: Type of Financing: Development Services Department Housing Division I Development Processing AFFORDABLE HOUSING APPLICATION I Part If E -Mail: E -Mail: E -Mail E -Mail: $ 0 $ ❑ Committed ❑ Not Committed ❑ Committed ❑ Not Committed ❑ Committed ❑ Not Committed ❑ Committed ❑ Not Committed 276 Fourth Avenue I Chula Vista I California 91910 1 www.chuIavistaca.gov 1 (619) 691-5047 4 � c V) L v vCU co V)E o a c a — a L c Zro v v CL Q a L _ a)c Q v O QZ O > L LA v bjD O o vO 7A c =) ui a O J V) }' 2 CO u c a � � � O w y E O o Q LL LL � O a — v v � > o v � 0 C) 0 O. u v 0 L- CL CL Qj Z V) a a H c a U Q � O' C Q a. co ° a � .° �a aj c m — E � a cn - S: O c U .) 0 x 0 c 0 0 0 0 0 0 0 0 0 0 0 0 0 } O M N N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 cca� N .9E o a� c 0-0 O N N U o a) cc L o o c � Q c c T N E Of Q cn o coo L mm c}o E L D Fo- O I—o I—o H H c (A L t U) a r O o O o O O O O O O O O O O e� 69 6961) W I V)l U'), Vy6,91 W641 U9 W U A c :E�co C: +, 3 O Q fA Efl ffl ffl fR 69 fA ffl Efl Efl (A w w _Ac L cWD _ L a) Z a cfl 6F> wel> 61> UY60- w61� w w w UY Y N c U w 6p� 61!� cfl cfl e3 64� 69� 61), 6F> 61> W 64!> Y LL j CO^ VJ W a U) E c O L ma m N Y E C D O �a m O Co o Z D a) m o CL Gi Y Y Y D f0 (0 Q m U w w CD 2 0 61), 69� bl) U .) 0 0 J 40 O M N N U O cn E o o a� c o a) cc L o o c � Q c Of Q cn o coo L mm c}o E Fo- O I—o I—o H H �ltlt CITY OF CHULA VISTA Development Services Department Development — Operating Expense Housing Division I Development Processing AFFORDABLE HOUSING APPLICATION I Part III OPERATING EXPENSE ITEM ANNUAL COST COST PER UNIT General Administrative Advertising & Marketing $ $ Legal/Partnership Expenses $ $ Accounting/Audits $ $ Security $ $ Property Tax $ $ Subtotal: $ $ Management— Fees $ $ Utilities Gas & Electric $ $ Water & Sewer $ $ Trash Removal $ $ Operating Payroll Taxes & Overhead $ $ Telephone $ $ Insurance $ $ Office Expenses $ $ All other operating $ $ Subtotal: $ $ Maintenance Maintenance — Labor $ $ Maintenance — Supplies $ $ Repairs — Labor $ $ Repairs — Supplies $ $ Landscape & Grounds — Labor $ $ Landscape & Grounds — Supplies $ $ Pest Control $ $ Replacement Reserve $ $ Subtotal: $ $ ANNUAL OPERATING COST $ $ 276 Fourth Avenue I Chula Vista I California 91910 1 www.chulavistaca.gov 1 (619) 691-5047 +, c E 4- f0 Q Q) r) a, a, l/1 4- c a, E 0- 0 0 a) aJ 0 bn c N Ln N U 0 a a--' c () E Q. 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Q LU } EA 61) 69 w EA w EA w w Efl w w 69 C1 Q LU } Yy 69 w 69 fA 69 69 w w 61) 69 69 69 O T Q W } W 69 64 W 649 69 64 W W 69 69 69 Ni O E Z O U a) O O N 0 = Z H c c O 0 a 0 C-— s �_ U a) 0 E O a) O X c ch E U N c �' v °U 0 O m E .Z WOO U rn _V rn W C U > O N m O O m +: �C— M fA C U m O "O O N N N N N m Q _ N N O O Q O 7 0 CD > W 0 z 0 wcl� 0 0 U 69 C 7 O E Q O 0) cu rn tf 0 Z U) LU U) Q W it V \ Z J E Q O Z — Z Q L_ 0 O W 06 � (0 (n C cn O Q Of 0 N c0 Q' N O) ca rn tf O O U O U C N Q X W m C (0 N Q Lel u c0 N } N N 0) ca rn tf 0 2 0 r c D O N E Z U) W N Z W d E9 K 69 EA 69 W 06 i6 W � N U c 0 ill z o U } c illQ E O U w C ill E O C a L_ a. } 0� 0 0 Of v 0 0 10 6 O O7 O V 8 N O s V 3 3 3 0 a o� a E `o 0 U O O 7 s V N C N Q } O L 10 N N rr� MY OF CHULA VISTA Development Services Department Housing Division I Development Processing AFFORDABLE HOUSING APPLICATION I Part IV Required Attachments The following items must be attached to this request: • Completed Disclosure Statement of Ownership Interests within the project (Appendix A) • Street map that identifies the project and neighborhood boundaries. • Site development plan for affordable housing units; and • Complete description of financial assistance or incentives including specific terms that are, or will be requested from the City of Chula Vista for the project, if applicable. Certification/Authorization Shaun Bradley , an authorized representative of the developer, certifies that the information contained in this application is true and correct. Authorization is provided to the City of Chula Vista and its Housing Authority to verify information provided in this application, including but not limited to the developer's credit rating, status and payment history of real estate loans and performance on contracts with third parties. The City/Authority is further authorized to use photocopies of this authorization to obtain third party contractual and credit references and status of the developer's obligations. The confidentiality of the information you have furnished will be preserved except where disclosure of this information is required by applicable law. Signature. Printed Name: Title: Vice President, Affordable Housing Address: 1903 Wright Place, Carlsbad, CA 92008 Telephone 760-918-8200 No.: Date: 10-18-2021 E -Mail: Sbradley@hfc-ca.com FOR DEPARTMENT USE ONLY Date Request Received: Staff Recommendation: Date of Housing Advisory Commission Review: Action on Request by Housing Advisory Commission: Other Comments 276 Fourth Avenue I Chula Vista I California 91910 1 www.chulavistaca.gov 1 (619) 691-5047 Development Services Department Housing Division I Development Processing TY OF CH CIA AFFORDABLE HOUSING APPLICATION I Part V Disclosure Statement Pursuant to City Council Policy 101-01, prior to any action on a matter that requires discretionary action by the City Council, Planning Commission or other official legislative body of the City, a statement of disclosure of certain ownerships, financial interests, payments, and campaign contributions must be filed. The following information must be disclosed: 1. List the names of all persons* having a financial interest in the project that is the subject of the application, project or contract (e.g., owner, applicant, contractor, subcontractor, material supplier). HomeFed Corporation California Bank and Trust 2. If any person* identified in section 1. is a corporation or partnership, list the names of all individuals with an investment of $2000 or more in the entity. NA 3. If any person* identified in section 1. is a non-profit organization or trust, list the names of any person who is the director of the non-profit organization or the names of the trustee, beneficiary and trustor of the trust. NA 4. Please identify every person,* including any agents, employees, consultants, or independent contractors, whom you have authorized to represent you before the City in this matter. CM FA 276 Fourth Avenue I Chula Vista I California 91910 1 www.chulavistaca.gov 1 (619) 691-5047 t�S�r Development Services Department Housing Division I Development Processing CITY OF AFFORDABLE HOUSING APPLICATION I Part V CHULA VISTA Disclosure Statement — Page 22 5. Has any person* identified in 1., 2., 3., or 4., above, or otherwise associated with this contract, project or application, had any financial dealings with an official** of the City of Chula Vista as it relates to this contract, project or application within the past 12 months? ❑x Yes ❑ No If yes, briefly describe the nature of the financial interest the official** may have in this contract. Informative outreach regarding JPA Middle-income Program 6. Has any person* anyone identified in 1., 2., 3., or 4., above, or otherwise associated with this contract, project or application, made a campaign contribution of more than $250 within the past twelve (12) months to an official of the City of Chula Vista? ® Yes ❑ No If Yes, briefly describe the nature of the financial interest the official** may have in this contract. Mayoral Race Contributions 7. Has any person* identified in 1., 2., 3., or 4., above, or otherwise associated with this contract, project or application, provided more than $440 (or an item of equivalent value) to an official** of the City of Chula Vista in the past twelve (12) months? (This includes any payment that confers a personal benefit on the recipient, a rebate or discount in the price of anything of value, money to retire a legal debt, gift, loan, etc.) ❑ Yes 0 No If Yes, which official** and what was the nature of item provided? 8. Has any person* identified in 1., 2., 3., or 4., above, or otherwise associated with this contract, project or application, been a source of income of $500 or more to an official** of the City of Chula Vista in the past twelve (12) months? ❑ Yes © No If yes, which official** and the nature of the item provided? 276 Fourth Avenue I Chula Vista I California 91910 1 www.chulavistaca.gov 1 (619) 691-5047 Development Services Department MY of CHULA VISTA Disclosure Statement — Page 23 10-18-2021 Date Housing Division I Development Processing AFFORDABLE HOUSING APPLICATION I Part V Signature of Contractor/Appl; lent Shaun Bradley Print or type name of Contractor/Applicant * Person is identified as: any individual, firm, co -partnership, joint venture, association, social club, fraternal organization, corporation, estate, trust, receiver, syndicate, any other county, city, municipality, district, or other political subdivision, or any other group or combination acting as a unit. ** Official includes, but is not limited to: Mayor, Council member, Planning Commissioner, Member of a board, commission, or committee of the City, and City employees or staff members. ***This Disclosure Statement must be completed at the time the project application, or contract, is submitted to City staff for processing, and updated within one week prior to consideration by the legislative body. 276 Fourth Avenue I Chula Vista I California 91910 1 www.chuIavistaca.gov 1 (619) 691-5047