program project file checklist - hcr.ny.gov

1
Program Project File Checklist SHARS #: _______________ LPA Name: ______________________________________________ Date: _____________ Project Address: _________________________________________ Participant Name: ___________________________ Type of Program Activity: _______________________________________________________ Project Cost:____________ SET UP Participant Application Verification of Primary Residence Documentation of Disability Verification of Veteran Status (if applicable) Household Size (number of persons) Income Verification Calculation (SSI, pay stubs, W2 Tax Forms) Verification of Current Homeowner’s Insurance Verification Current on all Property Taxes Award Letter from LPA to Participant Scope of Work Cost Estimate Signed Homeowner/Participant Agreement with LPA Service Provider/Referral Agreement(s) Pre-Construction Inspection Before Photo of Front Elevation of Home Before Photo of Repairs to be Completed Project Setup Form COMPLETION Contractor Bid Package/Proposals Certificate of Contractor Insurance Lead EPA Certification Signed Homeowner/Participant and Contractor Agreement Building Permits Notice to Proceed Change Orders (if applicable) Contractor Affidavit/Waiver of Liens MWBE/SDVOB Outreach MWBE Contractor Bid Solicitation Log Affirmation of Income Payment (if applicable) Record of Construction Monitoring Certificate of Final Inspection Project Completion Form After Photos of Front Elevation of Home After Photos of Completed Repairs Signed Property Maintenance Declaration Copy of Homeowner/Participant Sign-off of Completed Work Note and Mortgage (if applicable) Contractor Invoice(s)/Vouchers Evidence of Contractor Disbursement COMMENTS _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ Date Signed: _____________ for________ years _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________

Upload: others

Post on 17-Mar-2022

1 views

Category:

Documents


0 download

TRANSCRIPT

Program Project File Checklist

SHARS #: _______________ LPA Name: ______________________________________________ Date: _____________

Project Address: _________________________________________ Participant Name: ___________________________

Type of Program Activity: _______________________________________________________ Project Cost:____________

SET UP Participant Application Verification of Primary Residence Documentation of DisabilityVerification of Veteran Status (if applicable) Household Size (number of persons) Income Verification Calculation (SSI, pay stubs, W2 Tax Forms)Verification of Current Homeowner’s Insurance Verification Current on all Property Taxes Award Letter from LPA to Participant Scope of Work Cost Estimate Signed Homeowner/Participant Agreement with LPA Service Provider/Referral Agreement(s) Pre-Construction Inspection Before Photo of Front Elevation of HomeBefore Photo of Repairs to be CompletedProject Setup Form

COMPLETION Contractor Bid Package/Proposals Certificate of Contractor Insurance Lead EPA Certification Signed Homeowner/Participant and Contractor Agreement Building PermitsNotice to Proceed Change Orders (if applicable) Contractor Affidavit/Waiver of LiensMWBE/SDVOB OutreachMWBE Contractor Bid Solicitation LogAffirmation of Income Payment (if applicable)Record of Construction MonitoringCertificate of Final Inspection Project Completion FormAfter Photos of Front Elevation of HomeAfter Photos of Completed RepairsSigned Property Maintenance Declaration Copy of Homeowner/Participant Sign-off of Completed WorkNote and Mortgage (if applicable)Contractor Invoice(s)/VouchersEvidence of Contractor Disbursement

COMMENTS ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Date Signed: _____________ for________ years_______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________