Gra~~ p~rks
Planning, HOVSin4. RAM
Community Development Services
Jor Rural Tes9s Since 1919
1705 West Koenig Lane
Austin, Texas 78756
Voice (512) 420-0303
Fax (51~~420-3302
ericC~grantworks.net
COVER MEMO
To: Judge Fred Henneke Date: 09/04/02
Group: Kerr County Project: 2003-04 TCDP Application(s)
Subject: Forms for Your Signature
Remarks:
Enclosed please find several application forms for your 2003-04 TCDP application(s). If
you are applying for a Community Development/Housing Rehabilitation grant and a
Planning grant this time, you will have two sets of the following forms to sign:
• Application for AssistancelForm 424
• TCDP Applicant/Recipient DisclosurelUpdate Report (2 pages)
• TCDP Application Completion Survey (please complete the questions)
All applicants, whether you are applying for one or more grants, will complete and sign
just one of the following forms:
• Minority Employment Form (please ask your payroll department to assist you with
this)
• Certification to Allow Public Review of Pending Application
• TCDP Administrative And Engineering Services Form (this form lets the State
know you have completed the RFP process and are eligible to receive 5 additional
points on your application score)
~~ Cuwl.f"n5 s o on~
You may also find a TCDP Survey Tabulation Form that is used to report the people
whose incomes were surveyed to qualify your project, if a survey was required. In most
cases, the survey was completed by GrantWorks or by City or Water District personnel.
The Tabulation Form states that "to the best of your knowledge' the numbers reported
are accurate.
Please sign all forms as indicated and return to us using the enclosed self-addressed
envelope no later than Thursday, September 12, 2002. Call me or Betty Collier at (512)
420-0303 if you have any questions.
r~,,r~ ~ yam- ~!
~~
Eric Hartzell
~~~~ '
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APPLICATION FOR TCDP ASSISTANCE
OMB Approval No. 0348-004J
		2. DATE SUBMITTED	Applicant Identifier
1. TYPE OF SUBMISSION			3. DATE RECEIVED BY STATE	State Identifier
Application Preapplication				
X Construction Construction			4. Date Received by Federal Agency	Federal Identifier
_ Non-Construction Non-Construction				
5. APPLICANT INFORMATION	
Legal Name:			Organizational Unit:
Kerr County			General Local Government
Address (City, State, Zip code and County)			NamelTitle, Agency or Company, Address, Area Code and
			Telephone Number of Application Preparer.
700 Main			GrantWorks, Inc.
Kerrville, TX			1705 West Koenig Lane
78028			Austin, TX 78756
(Kerr County)			Voice (512) 420-0303 FAX (512) 420-0302
6. EMPLOYER IDENTIFICATION NUMBER (EIN):			7. TYPE OF APPLICANT: (check where appropriate below)
74-6001494			A Municipal B County X
8. TYPE OF APPLICATION:			9. NAME OF FEDERAL AGENCY:
X New			Office of Rural Communit Affairs
_ Continuation			10. CATALOG OF FEDERAL DOMESTIC ASSISTANCE NUMBER
Revision			14-228
			TITLE: Texas Communit Develo ment Pro ram
11. DESCRIPTIVE TITLE OF APPLICANT'S PROJECT:			11a TYPE OF APPLICATION: (check where appropriate below)
			x Community Development Fund
First-time Sewer Service			Colonic Construction Fund
			_ Housing Rehabilitation Fund
12. TARGET AREA(S) AFFECTED BY PROJECT:			13. APPLICANT'S FISCAL YEAR:
			Beginning Date 10/1
Kerrville South/Ranchero Road			
			Ending Date 9/30
14. CONGRESSIONAL DISTRICTS OF: a. Representative: 53 b. Senate: 25 c. Congress: 21
15. ESTIMATED FUNDING:		16.	IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE ORDER
			12372 PROCESS?
a. TCDP Re uest $250,000.00			X YES THIS PREAPPLICATION/APPLICATION WAS MADE AVAILABLE
			TO THE STATE EXECUTIVE ORDER 12372 PROCESS FOR REVIEW ON
b. Federal $			
			DATE 9130102
c. State $			
			NO U PROGRAM IS NOT COVERED BY E.O. 12372
d. A lirant $			
			u OR Program Has Not Been Selected By State For Review
e. Local $12,500.00			
		17.	IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT?
f. Other $			
			Ves If "Yes" attach an explanation X No
.TOTAL $262,500.00			
18. TO THE BEST OF MY KNOWLEDGE AND BELIEF ALL	DATA IN THIS APPLICATIONIPREAPPLICATION ARE TRUE AND CORRECT. THE
DOCUMENT HAS BEEN DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH
THE CERTIFICATIONS AND CITIZEN PARTICIPATION	PLAN INCLUDED IN THE PROCEDURES SECTION OF THE TCDP APPLICATION
GUIDE IF THE ASSISTANCE IS AWARDED.	
a. Typed Name of Authorized Representative		b. Title	c. Telephone Number
Fred Henneke		County Judge	(830) 792-2275
d. re of A or' ed Represe alive		e. Dat Signe
		d
- .-
Previous Editions Not Usable
STANDARD FORM 424 (REV-4-88)
ATTACHMENT 5 TCDP APPLICANT/RECIPIENT DISCLOSURE/UPDATE REPORT
PART I APPLICANT/RECIPIENT INFORMATION
Indicate Whether This Is An Initial Report Q Or An Update Report ^
1. Applicant Name, Address, And Phone Number (Include Area Code)	TCDP Assigned Number
Kerr County	
700 Main	N/A
Kerrville, TX 78028	
2. Project Assisted/To Be Assisted (ProjecUActivity Description And Its Location	3. Amount Requested/
By City And County)	Received
First-time Sewer Service, Kerrville South	$250,000
Kerr Count	
PART II OTHER GOVERNMENT ASSISTANCE PROVIDED/REQUESTED
No Other Government Assistance To Disclose ^
1. DepartmenUState/Local Agency Name

Upper Guadalupe River Authority	Address (City, State and Zip Code)
125 Lehman Drive, Suite 100
Kerrville, TX 78028
Program
Kerrville South Wastewater	Type Of Assistance
Cash	Amount Requested/Provided
$12,500
2. DepartmenUState/Local Agency Name	Address (City, State and Zip Code)
Program	Type Of Assistance	Amount Requested/Provided
3. DepartmenUStatelLocal Agency Name	Address (City, State and Zip Code)
Program	Type Of Assistance	Amount Requested/Provided
4. DepartmenUState/Local Agency Name	Address (City, State and Zip Code)
Program	Type Of Assistance	Amount Requested/Provided
PART III INTERESTED PARTIES
There Are No Persons With A Reportable Financial Interest To Disclose Q
List All Persons With A Reportable Financial	Social Security Number	Type Of Participation In	Financial Interest
Interest In The Project Or Activity	Or Employee ID Number	ProjecUActivity	In ProjecUActivity
			Dollars And
RFP process completed; contracts for			
engineering and administration will be			
awarded contingent upon receiving a			
grant award.			
PART IV REPORT ON EXPECTED SOURCES AND USES OF FUNDS
Funds
See Form 424,Table 1, and Resolution
Use Of Funds
See Project Surrimary Page 3, Table 1 and Table 2
CERTIFICATION: I certify that the informdtion given on this form is true and complete.
Signature Date
</~~~ 2
Fred enneke, County Judge
ATTACHMENT 4 TCDP MINORITY EMPLOYMENT FORM Kerr County
THE INFORMATION PROVIDED BY THE APPLICANT IN THIS FORM MUST INCLUDE CURRENT
INFORMATION ON ALL FULL-TIME PERMANENT EMPLOYEES. ELECTED OFFICIALS, PART-TIME, OR
TEMPORARY EMPLOYEES MUST NOT BE INCLUDED ON THIS FORM.
APPLICANT JURISDICTION: Kerr
MALE FEMALE
WHITE (NON-HISPANIC ORIGIN)	118	WHITE (NON-HISPANIC ORIGIN)	111
BLACK (NON-HISPANIC ORIGIN)	1	BLACK (NON-HISPANIC ORIGIN)	0
HISPANIC	15	HISPANIC	19
			
ASIAN OR PACIFIC ISLANDER	0	ASIAN OR PACIFIC ISLANDER	0
AMERICAN INDIAN OR ALASKAN		AMERICAN INDIAN OR ALASKAN	0
NATIVE	0	NATIVE	
			
TOTAL FULL-TIME PERMANENT		TOTAL FULL-TIME PERMANENT	
MALE EMPLOYEES	134	FEMALE EMPLOYEES	i 30
TOTAL FULL-TIME PERMANENT 264
EMPLOYEES (Male and Female)
CERTIFICATION: I certify that the information given on this form is correct and true to the best of my
knowledge and was reported in accordance with the instructions. I also attest that this information reflects
current information prior to submission of the application and supporting documentation will be maintained
and available at an time for review b the Texas De artment of Housin and Communit Affairs.
NAME OF TCDP MINORITY FORM PREPARER (PLEASE PRINT)	TITLE
Cynthia K. Nix	Chief Deputy Treas.
SIGN	TELEPHONE NUMBER
	830 792-2275
A HO ED SIGNATORY (Mayor, County Judge, Local Official)	DATE REVIEWED/SIGNED
Fred Henneke ,Count Judge	
ATTACHMENT 8 TEXAS COMMUNITY DEVELOPMENT PROGRAM APPLICATION COMPLETION SURVEY
Fund Type (check one):
X Community Development Fund Colonic Construction Fund Housing Rehabilitation Fund
The Texas Community Development Program (TCDP) was requested to help address our agency's need to identify the customers
of the services provided by the Office of Ruml Community Affairs and to assess the level of satisfaction by customers with the
services provided by ORCA. A Customer Satisfaction Assessment is required by Section 68, Article IX, House Bill 1, 75th
Legislature. The TCDP has identified two, main sets of "customers", grantees and applicants. A survey will be administered to
grantees as they approach closure of their grants. The survey below is required to be submitted with the application.
Name of locality: Kerr Count Region: 18
Name of person completing survey: Title: Count Jud e
r Henne <e
Number of years in this position: ~/
1. The locality received information regarding the application process in a helpful fashion:
X Yes No
2. Rank the order (#1, #2, #3) with #1 indicating your opinion of which entity was most responsible for ensuring satisfactory
completion of the application:
1 City or county 2 consultant 3 state
3. The application process now completed or being completed was:
X satisfactory unsatisfactory
4. If applicable, any difficulty experienced was associated with:
Completion of the application within the time allotted
Fulfillment of requirements. (e.g., hearings, proof of low/mod income person benefit, etc.)
Turnover of local officials and/or staff
Insufficient performance, technical assistance and/or reporting by consultants, regional council
Existing grant monitoring findings or audit problems
Insufficent technical assistance from TCDP about application requirements
Other:
5. Locality has its application guide and a copy of its completed application on file:
X Yes No Why Not?
6. A local official attended application workshop(s) prior to preparation oT the application:
Yes
X No Why not? Our consultant attended
7. The wnsultant(s) and local officials met regularly to discuss activities being accomplished toward application completion.
Yes
No Why not?
Not applicable
B. The locality would like more technical assistance or information to be offered regarding:
TCDP requirements;
TCDP Application requirements;
TCDP Contract requirements;
Other services offered from the Office of Rural Community Affairs
ATTACHMENT 9 TCDP ADMINISTRATIVE AND ENGINEERING SERVICES FORM
A Community Development Fund applicant can receive five (5) points (See Other Considerations scoring on
Pages P-18 and P-19 of the Application Guide) if the applicant has completed the request-for-proposals
(RFP) process prior to the September 26, 2002 application deadline for the engineering services and
administrative services needed to complete the application activities (if the application is funded).
(Assuming that the applicant will need to procure these services.)
In order for the TCDP to determine if the applicant is eligible to receive these points, the applicant must
complete and submit this form with the application.
The TCDP will not request this information from the applicant after the application has been submitted. If
the applicant has not provided this information, then the TCDP will assume that the applicant does not
qualify to receive these points
APPLICANT JURISDICTION: Kerr County
Below, please place a check mark or an X next to the statement that describes the engineering services and
administrative services needed to complete the activities included in this application.
X Engineering and Administrative services are needed to complete the application activities
Only Engineering services are needed to complete the application activities
Only Administrative services are needed to complete the application activities
Below, please place a check mark or an X next to the statement or statements that describe the sources for
engineering services and administrative services needed to complete the activities included in this
application.
X Procurement of Engineering services through RFP process
X Procurement of Administrative services through RFP process
Existing City or County employees will provide Engineering services
Existing City or County employees will provide Administrative services
Below, please place a check mark or an X next to the applicable statement or statements.
X Applicant has completed the RFP process for Engineering services needed for completion of the
application activities prior to the application deadline and has submitted a Resolution or the
minutes of the meeting tc document the selection of the engineer
X Applicant has completed the RFP process for Administrative services needed for completion of
the application activities prior to the application deadline and has submitted a Resolution or the
minutes of the meeting to document the selection of the administrative consultant.
SIGN OF AUTHO IZED APPLICATION SIGNATORY	DATE
F d nne e, Coun Jud e	
CERTIFICATION TO ALLOW PUBLIC REVIEW OF PENDING APPLICATION
TEXAS COMMUNITY DEVELOPMENT PROGRAM
I, Fred Henneke, County Judge of Kerr County, hereby certify that the TCDP application submitted by Kerr
County is available for public review both at the local office of the County Judge and the respective regional
council office. The release of information is effective for any party that may be interested in reviewing this
Texas Community Development Program application. I hereby waive any authorization under the Texas
Open Records Act to keep this information confidential until the competition has been completed.
Signature
Date
County Judoe
Title