program project file checklist - hcr.ny.gov

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_______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________