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1. Tribal name and Tribal Lead Agency name.
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2. Contact person's name, address, phone number, fax number,
and e-mail address.
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3. Description of current child care facilities, including
the number of each type of facility (e.g., homes, centers)
and a brief description of each center (size, type of structure,
condition, and number of children served)
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4. Explanation of why current facilities are not adequate,
and why the lack of facilities will inhibit future program
operations. Must include estimates of children who:
(1) currently receive CCDF services; (2) are currently eligible
and in need but are not being served due to inadequate facilities;
(3) are projected to receive CCDF services over the next five
years (in the absence of this proposed construction/ renovation);
and (4) are projected to be eligible and in need, but will
not be served (without proposed construction/renovation) due
to inadequate facilities, over the next five years.
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5. A statement that adequate facilities are not otherwise
available through lease, donation, purchase by non-CCDF funds,
or other means.
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6.(a) The following written assurance: "The use of CCDF funds
for construction or renovation will not result in a decrease
in the level of child care services provided by the Tribal
Lead Agency, as compared to the level of services provided
in the preceding fiscal year"; and (b) Additionally, a description
of how the current fiscal year's level of child care services
compares to the preceding year's level of services.
The Tribal Lead Agency may define "level of services" in terms
of the number of children served and/or the amount of funds
spent on child care. Regardless of which definition
it chooses, the Tribal Lead Agency should include in its description
information about both the number of children served and the
amount of funds spent on child care.
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7.(a) A description (or map) of the facility's site, and
an explanation of the appropriateness of the location in relation
to the Tribal Lead Agency's service area; and (b) Include
a statement of the effect of the facility's location on the
transportation of children to the program, on the Tribal Lead
Agency's ability to collaborate with other child care, Head
Start, social services and health providers, and on all other
program activities and services.
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8.(a) The plans and specifications for the proposed construction
or renovation, including architectural designs; and (b) Describe
the facility as it will be after construction or renovation
is complete, including information on the size and type of
structure, the number and a description of the rooms, the
lot on which the building is located (including the space
available for a playground and for parking), and the number
of children the facility will serve. For major renovation
requests, describe and identify the current condition of the
facility as well as the proposed renovations.
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9. A proposed schedule for the construction or renovation,
and occupancy, of the facility.
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10. The intended uses of the facility, including information
demonstrating that the facility will be used principally to
provide direct services to children. If the facility
is to be used for other purposes in addition to the operation
of the child care program, the Tribal Lead Agency must state
what portion of the facility is to be used for such other
purposes.
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11. The terms of any proposed or existing loan(s) related
to the construction or renovation and the repayment plans
(detailing balloon payments or other unconventional terms,
if any), and information on all other sources of funding of
the construction or renovation, including any restrictions
or conditions imposed by other funding sources. The
loan, mortgage, deed of trust, or security agreement must
have provisions regarding foreclosure and default; see Program
Instruction.
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12. An estimate and written documentation of the total cost
of the proposed construction or renovation, including estimated
one-time costs (e.g., planning costs; labor, materials and
services; initial equipment) and ongoing costs (e.g., insurance
premiums, maintenance costs, and property taxes).
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13. A statement of the amount of construction or renovation
costs that will be paid with CCDF funds listed separately
by the Federal fiscal year in which the CCDF funds become
(or became) available. Indicate whether the funds should
be transferred from Tribal Mandatory or Discretionary funds.
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14. A statement of whether or not there is a Head Start program
in the Tribal Lead Agency's service area. If there is
a Head Start program in the service area, the applicant must
describe: any child care/Head Start collaboration efforts;
the extent to which Head Start will use the child care facility;
and the extent to which Head Start funds will pay for construction
and renovation costs, if applicable. The applicant must
demonstrate collaboration if there is a Head Start program
in the service area.
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15. A statement of who owns the land on which the facility
is/will be located. If the Tribal Lead Agency proposes
to construct or renovate a facility located on land that it
does not own, the application must describe and provide a
copy of the easement, right of way or land lease it will obtain
or has obtained to allow it undisturbed use and possession
of the facility for the purpose of operating a CCDF program.
(The lease must be long-term and protect the Federal interest;
see Program Instruction).
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16. FOR MAJOR RENOVATION REQUESTS ONLY: A statement
indicating whether the Tribal Lead Agency owns the facility
to be renovated. If the Tribal Lead Agency does not
own the facility, the application must include information
about the owner, a copy of written permission from the owner
allowing the proposed renovation, and a copy of the lease
for the facility. (The lease must be long-term and protect
the Federal interest; see Program Instruction).
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17. Written assurances that the facility will be constructed
or renovated to comply with: (1) applicable licensing and
code requirements; (2) access requirements of the Americans
with Disabilities Act (P.L. 101-336), if applicable; (3) section
504 of the Rehabilitation Act of 1973, as amended (29 U.S.C.
§794); and, (4) the Flood Disaster Protection Act of 1973
(P.L. 93-234), if applicable.
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18.(a) An assessment of the impact of construction or renovation
on the human environment, addressing in particular any significant
change in land use (including substantial increases in traffic
due to transportation services) pursuant to the National Environmental
Policy Act of 1969 (42 U.S.C. §4332(2)(C)); (b) A report showing
results of tests for environmental hazards present in the
facility, ground water, and soil (or justification why testing
is not necessary); and (c) Information necessary to comply
with the National Historic Preservation Act of 1966, as amended
(16 U.S.C. §470f).
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19. An assurance that the Tribal Lead Agency will comply
with the Uniform Relocation Assistance and Real Property Acquisition
Policies Act of 1970, as amended (42 U.S.C. §4601 et seq.),
and information about costs that may be incurred due to compliance.
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20. An assurance that the Tribal Lead Agency will adhere
to the requirements of Executive Orders 13202 and 13208 regarding
Project Labor Agreements.
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21. FOR MODULAR UNIT REQUESTS ONLY: A statement describing
procedures for purchasing the modular unit. This must
include a copy of the unit's specifications and an assurance
that the Tribal Lead Agency will comply with procurement procedures
in 45 CFR Part 92.36, including an assurance that transactions
will be conducted in a manner to provide, to the maximum extent
practical, open and free competition.
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