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HomeMy WebLinkAboutReso 2024-229RESOLUTION NO. 2024-229 RESOLUTION OF THE CITY COUNCIL OF THE CITY OF CHULA VISTA AUTHORIZING THE APPLICATION AND AMENDING THE PLHA PLAN FOR THE PERMANENT LOCAL HOUSING ALLOCATION PROGRAM WHEREAS, the Department is authorized to provide up to $296 million under the SB 2 Permanent Local Housing Allocation Program Formula Component from the Building Homes and Jobs Trust Fund for assistance to Cities and Counties (as described in Health and Safety Code section 50470 et seq.(Chapter 364, Statutes of 2017 (SB 2)); and WHEREAS, the State of California (the “State”), Department of Housing and Community Development (“Department”) issued a Notice of Funding Availability(“NOFA”) dated 10/15/2024 under the Permanent Local Housing Allocation Program (“PLHA Program”); and WHEREAS, the City of Chula Vista is an eligible Local government who has applied for program funds to administer one or more eligible activities, or a Local or Regional Housing Trust Fund to whom an eligible Local government delegated its PLHA formula allocation; and WHEREAS, the Department may approve funding allocations for PLHA Program, subject to the terms and conditions of the Guidelines, NOFA, PLHA Program requirements, the Standard Agreement, and other contracts between the Department and PLHA grant recipients. NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of Chula Vista, that if the City of Chula Vista receives a grant of PLHA funds from the Department pursuant to the above referenced PLHA NOFA, it represents and certifies that it will use all such funds in a manner consistent and in compliance with all applicable state and federal statutes, rules, regulations, and laws, including without limitation all rules and laws regarding the PLHA Program, as well as any and all contracts Applicant may have with the Department. BE IT FURTHER RESOLVED by the City Council of the City of Chula Vista, that the City of Chula Vista is hereby authorized and directed to receive a PLHA grant, in an amount not to exceed the five-year estimate of the PLHA formula allocations, as stated in Appendix B of the current NOFA $6,356,898 in accordance with all applicable rules and laws. BE IT FURTHER RESOLVED by the City Council of the City of Chula Vista, that the City of Chula Vista hereby agrees to use the PLHA funds for eligible activities as approved by the Department and in accordance with all PLHA Program requirements, Guidelines, other rules, and laws, as well as in a manner consistent and in compliance with the Standard Agreement and other contracts between the Applicant and the Department. Docusign Envelope ID: 4EDC4644-BDBB-4FBE-B342-E375DF29792C Resolution No. 2024-229 Page No. 2 BE IT FURTHER RESOLVED by the City Council of the City of Chula Vista, that pursuant to Sections 302(c)(4) and 302(c)(5) of the Guidelines, the City of Chula Vista’s PLHA Plan Amendment for the 2020-2023 Allocations is attached to this resolution as Exhibit 1, and the City of Chula Vista hereby adopts this PLHA Plan Amendment and certifies compliance with all public notice, public comment, and public hearing requirements in accordance with the Guidelines. BE IT FURTHER RESOLVED by the City Council of the City of Chula Vista, that pursuant to the City of Chula Vista’s certification in this resolution, the PLHA funds will be expended only for eligible Activities and consistent with all program requirements. BE IT FURTHER RESOLVED by the City Council of the City of Chula Vista, that the City of Chula Vista shall be subject to the terms and conditions as specified in the Standard Agreement, the PLHA Program Guidelines and any other applicable SB 2 Guidelines published by the Department. BE IT FURTHER RESOLVED by the City Council of the City of Chula Vista, that the City Manager is authorized to execute the PLHA Program Application, the PLHA Standard Agreement and any subsequent amendments or modifications thereto, as well as any other documents that are related to the PLHA Program, PLHA Program Application, or the PLHA grant awarded to Applicant, as the Department may deem appropriate. [SIGNATURES ON THE FOLLOWING PAGE] Docusign Envelope ID: 4EDC4644-BDBB-4FBE-B342-E375DF29792C Resolution No. 2024-229 Page No. 3 Presented by Approved as to form by Stacey Kurz Marco A. Verdugo Director of Housing and Homeless Services City Attorney PASSED, APPROVED, and ADOPTED by the City Council of the City of Chula Vista, California, this 3rd day of December 2024 by the following vote: AYES: Councilmembers: Chavez, Gonzalez, Morineau, Preciado, and McCann NAYS: Councilmembers: None ABSENT: Councilmembers: None John McCann, Mayor ATTEST: Kerry K. Bigelow, MMC, City Clerk STATE OF CALIFORNIA ) COUNTY OF SAN DIEGO ) CITY OF CHULA VISTA ) I, Kerry K. Bigelow, City Clerk of Chula Vista, California, do hereby certify that the foregoing Resolution No. 2024-229 was duly passed, approved, and adopted by the City Council at a regular meeting of the Chula Vista City Council held on the 3rd day of December 2024. Executed this 3rd day of December 2024. Kerry K. Bigelow, MMC, City Clerk Docusign Envelope ID: 4EDC4644-BDBB-4FBE-B342-E375DF29792C For Allocation Years New & Streamlined Submission Deadline 5-Year Plan Amendment Submission Deadline Year 1 (2019) n/a n/a Year 2 (2020) n/a n/a Year 3 (2021)02/28/2025 06/30/2025 Year 4 (2022)02/28/2026 06/30/2026 Year 5 (2023)02/28/2027 06/30/2027 Website: Permanent Local Housing Allocation Program (PLHA) Tomiquia Moss, Secretary Department of Housing and Community Development Gustavo Velasquez, Director Program Design and Implementation, PLHA Program 651 Bannon Street, Sacramento, CA 95811 Email: PLHA@hcd.ca.gov Business, Consumer Services and Housing Agency Permanent Local Housing Allocation (PLHA) Formula Allocation Notice of Funding Availability (NOFA) October 15, 2024 2024 Application for 5-Year Plan Amendment State of California Gavin Newsom, Governor Docusign Envelope ID: 4EDC4644-BDBB-4FBE-B342-E375DF29792C End of Document Docusign Envelope ID: 4EDC4644-BDBB-4FBE-B342-E375DF29792C Disclosure of Application (California Public Records Act Statutes of 1968 Chapter 1473): Information provided in the application will become a public record available for review by the public, pursuant to the California Public Records Act Statutes of 1968 Chapter 1473. As such, any materials provided will be disclosable to any person making a request under this Act. The Department cautions Applicants to use discretion in providing information not specifically requested, including but not limited to, bank accounts, personal phone numbers and home addresses. By providing this information to the Department, the Applicant is waiving any claim of confidentiality and consents to the disclosure of submitted material upon request." X Reuse Plan Program Income Reuse Plan describing how repaid loans or accrued interest will be used for eligible activities in Section 301. Not Applicable X Executed Application Provide a copy of the signed application. Signature can be typed into the Excel workbook, PDF with Docusigned signature or PDF with wet ink signature in blue ink preferred.Included X Applicant Delegation Agreement Legally binding agreement between Delegating and Administering Local Governments.Not Applicable X Plan Adoption Reso §302(c)(4)(D) Evidence that the Plan was authorized and adopted by resolution by the Local jurisdiction and that the public had an adequate opportunity to review and comment on its content. PLHA webpage for Plan Adoption Resolution Document , located under our Forms tab. Included X Application and Adopting the PLHA Plan (2021-2023 Allocations) Reso Pursuant to section 302(c)(4) of the Guidelines, Applicant’s PLHA Plan for 2021-2023 allocations is attached to this resolution, and Applicant certifies compliance with all public notice, comment, and hearing requirements in accordance with the Guidelines. Included X App1 TIN Provide a signed Gov't TIN Form Included Threshold Requireme Electronic File Name Document Description Included? General Instructions (Additional instructions and guidance are given throughout the Formula Allocation Application in "red" text and in cell comments. Guideline references are made with "§" and the corresponding guideline section number. "Yellow" cells are for Sponsor input. Failure to provide the required attachments and documentation may disqualify your application from consideration. An Applicant must submit a complete application and other documents consistent with the deadlines stated in this NOFA. Applications submitted in response to this NOFA must meet the threshold requirements set forth in this section and in PLHA Guidelines Section 302. Required attachments are indicated in "orange" throughout the Streamline Application. Failure to provide the required attachments and documentation may disqualify your application from consideration. Electronically attached files must use the naming convention in the PLHA Application. For Example: "App1 Tin" or "Reuse Plan". Threshold items are indicated in "blue" cells. "Red" shaded cells indicate the Sponsor has failed to meet a requirement of the program. Cells in the worksheet shaded in "red" indicate that the Applicant has failed to meet the minimum required. Sponsor must complete the following worksheets in the PLHA Formula Allocation Application. Formula Allocation Application Urban County Checklist Applications must be on the Department’s forms and cannot be altered or modified by the Applicant. Excel forms must be in Excel format and 'save as' .xls or .xlsx. Do not 'save as' .xlsm or .pdf format. For application errors please fill out the Application Support worksheet and email the entire workbook to Application Support for application errors at PLHA@hcd.ca.gov. Instructions Rev. 10/10/24 When opening this file, a yellow banner at the top may appear with a button that says "Enable Content". It is essential that you click this box so that the macros are enabled. Enabling macros is necessary for full worksheet functionality. Macros do not work with Microsoft's Excel version for Apple Mac. Applications must be submitted electronically to the Department’s HCD Portal Sign In website. To receive an award of CY 2021 funds, applicants are required to submit an application and demonstrate a fully compliant Housing Element and submittal of the applicable Annual Progress Report(s) no later than February 28, 2025. All CY 2021 funds must be awarded by June 30, 2025 or they will revert to the Housing Rehabilitation Loan Fund per statute. This NOFA will remain open to eligible applicants through June 30, 2027. PLHA Page 3 Instructions & Checklist Docusign Envelope ID: 4EDC4644-BDBB-4FBE-B342-E375DF29792C §301(a)(3) Matching portions of funds placed into Local or Regional Housing Trust Funds.No §301(a)(4) Matching portions of funds available through the Low- and Moderate-Income Housing Asset Fund pursuant to subdivision (d) of HSC Section 34176.No §301(a)(5) Capitalized Reserves for services connected to the preservation and creation of new permanent supportive housing.No §301(a) Eligible activities are limited to the following:Select below: §301(a)(1) The predevelopment, development, acquisition, rehabilitation, and preservation of multifamily, residential live-work, rental housing that is affordable to Extremely low-,Very low-, Low-, or Moderate-income households, including necessary operating subsidies.No §301(a)(2) The predevelopment, development, acquisition, rehabilitation, and preservation of affordable rental and ownership housing, including Accessory Dwelling Units (ADUs), that meets the needs of a growing workforce earning up to 120 percent of AMI, or 150 percent of AMI in high-cost areas. ADUs shall be available for occupancy for a term of no less than 30 days. No §301(a)(9) Homeownership opportunities, including, but not limited to, down payment assistance.No §301(a)(6) Assisting persons who are experiencing or At-risk of homelessness, including, but not limited to, providing rapid re-housing, rental assistance, supportive/case management services that allow people to obtain and retain housing, operating and capital costs for navigation centers and emergency shelters, and the new construction, rehabilitation, and preservation of permanent and transitional housing. Yes §301(a)(7) Accessibility modifications in Lower-income Owner-occupied housing.Yes §301(a)(8) Efforts to acquire and rehabilitate foreclosed or vacant homes and apartments.No File Name:Gov TIN Provide a signed Gov't TIN Form Uploaded to HCD? Yes File Name:Applicant Delegation Agreement Legally binding agreement between Delegating and Administering Local Governments (sample provided—just click on icon in row 19, column AH)Uploaded to HCD? N/A File Name: Application and/or Adopting the PLHA Plan (2020-2023 Allocations) Reso Pursuant to section 302(c)(4) of the Guidelines, Applicant’s PLHA Plan for 2020-2023 allocations is attached to this resolution, and Applicant certifies compliance with all public notice, comment, and hearing requirements in accordance with the Guidelines. Yes Uploaded to HCD?Yes Zip Code: 91910 §300(d) Is Applicant delegated by another Local government to administer on its behalf its formula allocation of program funds?No §300(d) If Applicant answered "Yes" above, has the Applicant attached the legally binding agreement required by §300(c) and (d)? A sample agreement can be found by double clicking on the icon to the right N/A Address:276 Fourth Ave City:Chula Vista State:CA Zip Code: 91910 Contact Name: Dania Gonzalez Title: Principal Management Analyst Contact Email: dgonzalez@chulavistaca.gov Contact Phone:(619) 407-3575 Address:276 Fourth Ave City:Chula Vista State:CA County: San Diego Auth Rep Name: Maria Kachadoorian Title: City Manager Auth Rep. Email: mkachadoorian@chulavistaca.gov Phone:619-691-5263 City: Chula Vista State: CA Zip: 91910 No Instructions: If the Local Government Recipient of the PLHA Formula Allocation delegated its PLHA formula allocation to a Local Housing Trust Fund or to another Local Government, the Applicant (for which information is required below) is the Local Housing Trust Fund or administering Local Government. The PLHA award will be made to the Applicant (upon meeting threshold requirements) and the Applicant is responsible for meeting all program requirements throughout the term of the Standard Agreement. The 302(c)(4) Plan template worksheet requires first choosing one or more of the Eligible Activities listed below. If "Yes" is clicked, the 302(c)(4) Plan worksheet opens a series of questions about what precise activities are planned. Some specific activities, such as providing downpayment assistance to lower-income households for acquisition of an affordable home, could be included under either Activity 2 or 9. Please only choose one of those Activities; don't list the downpayment assistance under both Activities. Please note that 40% of each allocation you are requesting to amend with this application MUST be allocated to an activity that supports Homeownership in accordance with the NOFA. Ownership activities are 2,3,4,7,8,9 (activities 2,3,4, & 8 will only count as ownership if the funds will go towards ownership sub activities as opposed to rental housing sub activities including ADU's) If the PLHA funds are used for the same Activity but for different Area Median Income (AMI) level, select the highest AMI level the Activity will serve (you can always go lower than what is listed but you may not serve higher than what is listed without completing a plan amendment in the future). For each year (2021-2023), allocations must equal 100% annually including the allowable administrative costs of up to 5%. §300 Eligible Applicants §300(a) and (b) Eligible Applicants for the Entitlement and Non-Entitlement formula component described in Section §100(b)(1) and (2) are limited to the metropolitan cities and urban counties allocated a grant for the federal fiscal year 2017 pursuant to the federal CDBG formula specified in 42 USC, Section §5306 and Non-entitlement local governments. Applicant: City of Chula Vista Address: 276 Fourth Ave 2023 PLHA Formula Allocation Amount:n/a 2022 Allowable Local Admin (5%):n/a Admin requested?No §301 Eligible Activities PLHA Formula - Amendment for years 2021, 2022, 2023 Rev. 10/10/24 Eligible Applicant Type: Entitlement Local Government Recipient of PLHA Formula Allocation: Chula Vista 2022 PLHA Formula Allocation Amount:n/a 2021 Allowable Local Admin (5%):n/a Admin requested?No 2021 PLHA Formula Allocation Amount:n/a 2020 Allowable Local Admin (5%):n/a Admin requested? Document PLHA Page 4 Formula Allocation Application Docusign Envelope ID: 4EDC4644-BDBB-4FBE-B342-E375DF29792C §301(a)(10) Fiscal incentives made by a county to a city within the county to incentivize approval of one or more affordable housing Projects, or matching funds invested by a county in an affordable housing development Project in a city within the county, provided that the city has made an equal or greater investment in the Project. The county fiscal incentives shall be in the form of a grant or low-interest loan to an affordable housing Project. Matching funds investments by both the county and the city also shall be a grant or low-interest deferred loan to the affordable housing Project. No PLHA Page 5 Formula Allocation Application Docusign Envelope ID: 4EDC4644-BDBB-4FBE-B342-E375DF29792C §302(c)(4)(E)(ii) Unmet share of the RHNA at the AMI Level Note: complete for years 2021, 2022, 2023 only 1346 §302(c)(4)(E)(iii) A description of major steps/actions and a proposed schedule for the implementation and completion of the Activity. The homeless bridge shelter was completed in May 2023 and has since provided 8,442 bed nights with 66 clients currently enrolled. Clients are provided with restroom, shower, laundry, and meals as well as case management and housing navigation services. In September 2024, the shelter operator held various skill-building seminars for the residents at the shelter with success seen in the resume-building workship as 3 clients gained employment in that month alone. §302(c)(4)(E)(i) Provide a detailed and complete description of how allocated funds will be used for the proposed Activity. Type of Affordable Housing Activity Accessibility modifications in Lower-income Owner- Occupied Housing Funding Allocation Year 2023 §302(c)(4)(E)(i) Provide a detailed and complete description of how allocated funds will be used for the proposed Activity. Type of Affordable Housing Activity Operating and Capital Costs for Emergency Shelters Funding Allocation Year 2023 §302(c)(4) Plan Rev.10/10/2024 §302(c)(4)(A) Describe the manner in which allocated funds will be used for eligible activities. The City of Chula Vista is proposing 60% of its PLHA funding towards housing opportunities for those earning up to 30 percent of the San Diego County Area Median Income (AMI) through funding of a minimum 65 bed Bridge Shelter as well as associated wrap-around services for homeless persons. Chula Vista will continue to seek funding for these activities to leverage and make the most efficient and effective use of various funding sources that may be available at a given time. Use of PLHA funds for this unmet housing need through beds in a Bridge Shelter is consistent with the City’s 2013-2021 Certified Housing Element. Additionally, the City is proposing to use 40% of funds towards an accessibility modification program (mobility ramps, widening of doorways and hallways, handrails, grab bars, replacing doorknobs with lever handles, kitchen modifications to lower cabinets and countertops, etc.), consistent with the new AOWH requirements to serve low-income homeowners. While the program may assist with households up to 150% of the area median income as San Diego County is a high-cost area, priority will be given to low-income homeowners with a priority to those areas identified in the 2021-2029 Housing Element as disadvantaged. It is the City's goal to extend these resources through grants to households who may be in need of accessibility modifications so that they may age in place and have a good quality of life. The program will be leveraged and supplement the City's existing rehabilitation loan program which focuses on health and safety improvements as further discussed below. §302(c)(4)(B) Provide a description of the way the Local government will prioritize investments that increase the supply of housing for households with incomes at or below 60 percent of Area Median Income (AMI). PLHA funding will be allocated to 1. Homeless shelter operations seeking to benefit households that are homeless with household incomes at or less than 30% of the Area Median Income services and, as such, serving the homeless meets the requirement to prioritize investments that increase the supply of housing for households with incomes at or below 60% AMI; and 2. accesibility modifications for households earning 80% or below, with priorities given to households earning 60% of the AMI or below. The City has experience in leveraging HOME funds and Housing Successor funds to support acquisition and rehabilitation and new construction projects serving households at 30% to 60% AMI that have been funded with tax credits, Multifamily Housing Revenue bonds, State Multifamily Housing funds and other state and county funds. This existing plan will be utilized for administering PLHA funds as well. The City and its Housing Authority proposes to combine its available CDBG, ESG, HOME and remaining Housing Successor funds with PLHA funds to maximize the services and beds available. §302(c)(4)(C) Provide a description of how the Plan is consistent with the programs set forth in the Local Government’s Housing Element. As outlined within Chula Vista's 2021-2029 Housing Element, Housing Policy 2.16 specifically calls for the City to "Encourage sufficient short and long-term supportive housing and facilities for people experiencing homelessness throughout the City, especially sites that are co- located with support services for health, mental health, and workforce development and that are located near transit." With over 650 homeless persons within Chula Vista as of the 2024 Point in Time Count and 77% of those being unsheltered and as further detailed within the Housing Element there is a significant gap of the number of unsheltered within the community and the beds available for the general population of homeless. Of the policies and programs in Chula Vista's Housing Element, Program 1.2 states that the City will "continue implementation of the City’s Community Housing Improvement Program (CHIP), which provides favorable loans to low-income homeowners to fund improvements to correct unsafe, unsanitary, or illegal housing conditions, reduce barriers to accessibility, and improve energy efficiency, water conservation, and lead-based paint abatement." While this is a loan program, these funds can be leveraged to meet other needs that an accessibility modification grant might not and work together to meet the needs of the whole household, and not limit the repairs to what can be afforded at the time. Activities Detail (Activities Detail (Must make a selection on Formula Allocation Application worksheet under Eligible Activities, §301)) §301(a)(6) Assisting persons who are experiencing or At risk of homelessness, including, but not limited to, providing rapid rehousing, rental assistance, supportive/case management services that allow people to obtain and retain housing, operating and capital costs for navigation centers and emergency shelters, and the new construction, rehabilitation, and preservation of permanent and transitional housing. Funding will be allocated to support the operations of the homeless bridge shelter and/or other emergency housing and wrap-around supportive services, which may include case management, street outreach, housing navigation, meals, laundry, bathroom/shower and laundry facilities as well as coordinated service linkages. Improvements include the installation of water, sewer, electrical, grading and foundation. For the remainder of the years, funding will be allocated to support the operations of the homeless bridge shelter wrap-around supportive services with include case management, housing navigation, meals, laundry, bathroom/shower and laundry facilities as well as coordinated service linkages. Complete the table below for each proposed Activity to be funded with 2021-2023 PLHA allocations. If a single Activity will be assisting households at more than one level of Area Median Income, please list the highest AMI to be served. §302(c)(4)(E)(ii) Area Median Income Level Served 30%TOTAL §302(c)(4)(E)(i) Percentage of Funds Allocated for the Proposed Activity 60% 1346 §302(c)(4)(E)(ii) Projected Number of Households Served 65 65 §302(c)(4)(E)(iv) Period of Affordability for the Proposed Activity (55 years required for rental housing projects) N/A §301(a)(7) Accessibility modifications in Lower-income Owner-occupied housing. Working in partnership with the current Community Housing Improvement Program which provides a loan for housing quality standards repairs, homeowners will now be able to apply to receive a grant up to $20,000 to make necessary accessibility modifications to their homes. These modifications may include, but are not limited to mobility ramps, widening of doorways and hallways, handrails, grab bars, replacing doorknobs with lever handles, kitchen modifications to lower cabinets and countertops, etc. Not only would this provide a much needed and often costly service, but it will also improve the quality of life of many Chula Vista residents. Low-income homeowners will apply for this program, go through the eligibility process, identify an eligible contractor, and the City would issue funds to the contractor directly. This grant program would require homeowners to reside in the home for 2 years following the modifications. Complete the table below for each proposed Activity to be funded with 2021-2023 PLHA allocations. If a single Activity will be assisting households at more than one level of Area Median Income, please list the highest AMI to be served. §302(c)(4)(E)(i) Percentage of Funds Allocated for the Proposed Activity 40% §302(c)(4)(E)(ii) Area Median Income Level Served 80%TOTAL What Percentage of the Percentage Above Will be Used for Ownership Housing?40% §302(c)(4)(E)(ii) Unmet share of the RHNA at the AMI Level Note: complete for years 2021, 2022, 2023 only 1378 1378 §302(c)(4)(E)(ii) Projected Number of Households Served 13 13 §302(c)(4)(E)(iv) Period of Affordability for the Proposed Activity N/A §302(c)(4)(E)(iii) A description of major steps/actions and a proposed schedule for the implementation and completion of the Activity. It is the City's goal, that if the plan amendment is approved, the implementation of this program can begin in January 2024. File Name:Plan Adoption Reso §302(c)(4)(D) Evidence that the Plan was authorized and adopted by resolution by the Local jurisdiction and that the public had an adequate opportunity to review and comment on its content.Uploaded to HCD? Yes Total Percentage of Funds Allocated Calculator (2021 - 2023) 2021 Allocation 2022 Allocation 2023 Allocation PLHA Page 6 302(c)(4) Plan Docusign Envelope ID: 4EDC4644-BDBB-4FBE-B342-E375DF29792C Funds Allocated 100% Total Percentage of Funds Allocated for 2021 0%Total Percentage of Funds Allocated for 2022 0%Total Percentage of Funds Allocated for 2023 100% End of Document Admin 0%Admin 0%Admin 0% Funds Allocated 0%Funds Allocated 0% PLHA Page 7 302(c)(4) Plan Docusign Envelope ID: 4EDC4644-BDBB-4FBE-B342-E375DF29792C End of Document 25 PLHA Supp App 24 PLHA Supp App 23 PLHA Supp App 22 PLHA Supp App 21 PLHA Supp App 20 PLHA Supp App 19 PLHA Supp App 18 PLHA Supp App 17 PLHA Supp App 16 PLHA Supp App 15 PLHA Supp App 14 PLHA Supp App 13 PLHA Supp App 12 PLHA Supp App 11 PLHA Supp App 10 PLHA Supp App 9 PLHA Supp App 8 PLHA Supp App 7 PLHA Supp App 6 PLHA Supp App 5 PLHA Supp App 4 PLHA Supp App 3 PLHA Supp App 2 PLHA Supp App 1 PLHA Supp App Issue #Program Name & Tab Section Cell# Update/Comment Urgency ADT Status Status Date Organization: Email: Contact Phone: Application Development Team (ADT) Support Form Rev. 10/10/24 Please complete the "yellow" cells in the form below and email a copy to: PLHA@hcd.ca.gov. A member of the Application Development Team will respond to your request within ASAP. Full Name: Date Requested: Application Version Date: PLHA Page 8 Application Support Docusign Envelope ID: 4EDC4644-BDBB-4FBE-B342-E375DF29792C