CITY OF OAKLAND/CITY OF OAKLAND REDEVELOPMENT AGENCY

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CITY OF OAKLAND/CITY OF OAKLAND REDEVELOPMENT AGENCY HOUSING PREDEVELOPMENT LOAN AND GRANT PROGRAM/ CENTRAL DISTRICT AFFORDABLE HOUSING PREDEVELOPMENT LOAN PROGRAM APPLICATION City-wide Central District Project Name: Amount of Loan Requested: 1. APPLICANT INFORMATION Organization Address : Telephone: ( ) 2. APPLICANT BACKGROUND AND EXPERIENCE Organizational Background Type of Organization: (non-profit, limited partnership) Date of Incorporation: Source of Administrative Funds: Revised 4/99 1

Amount of Administrative Funds (current fiscal year): Area Served (cities/ counties): Please attach Articles of Incorporation, By-laws, tax-exempt [501(c)3] determination from the I.R.S., list of board members, corporate borrowing resolution, and financial statements. Housing Experience Project Name Address # of Units Year Completed List any loans or grants received from the City of Oakland or Oakland Redevelopment Agency (amount, purpose, due date): (if more room is needed, attach sheet to this page)

3. PROPOSED DEVELOPMENT Project Name: Type of Development: (check one in each section) Ownership Type: Type of Structure: Homeownership Single family conventional Cooperative (includes duplexes) Rental Manufactured/Modular units (includes mobile homes) Multi-Family (includes condos/apts) Residential Hotel/SRO Target Population: Type of Construction: Elderly New Construction Disabled Rehabilitation Family Conversion Other (specify): Proposed Housing: Number of stories Elevator? Yes No Number of units by bedroom size and square footage: SRO at SF each 0 BR at SF each 3 BR at SF each 1 BR at SF each 4 BR at SF each 2 BR at SF each BR at SF each Total Units Other Special Features and Amenities:

4. SITE INFORMATION If development includes more than one site, please complete this section for each site. Location: Street Address (include Zip Code): Assessor's Block & Lot No.: Site Control: Does applicant own site? If not, does applicant have site under option or purchase contract? When does option or purchase contract expire? Purchase price of site? $ Planning Information: Please Attach Location and Parcel Maps Please attach option or purchase agreement and preliminary title report, if available. Lot size Present zoning Are any zoning changes, use permits or variances required? If yes, please give details:

What is the schedule for required changes? Special Topographical Problems: Are on and/or off site improvements needed? If yes, give details. 5. ANTICIPATED SOURCES OF PROJECT FINANCING (Construction and Permanent):

Source of Construction Financing (if different): Current Status Development timetable: Please indicate key steps and dates, such as preparation of consultant studies, submission of permanent financing application, zoning changes, start of construction, receipt of take-out financing, estimated repayment date, etc. Attach separate page. Attach (1) preliminary Development Budget which estimates total Project cost, and (2) Predevelopment Budget showing sources and detailed (line item) uses of both City loan funds and matching funds. Loan and Matching Funds: Amount of Predevelopment Loan: Amount of Matching Funds: Source of Match: Attach evidence of commitment of matching funds.

BORROWER'S CERTIFICATION Applicant hereby certifies that it has read and understands the regulations governing the Predevelopment Loan Program, that it agrees to abide by such regulations, and that violation of these regulations shall constitute grounds for cancellation of any commitment or loan. Applicant hereby certifies that the information submitted in the Loan Application and any supporting materials is true, accurate, and complete to the best of its knowledge. Applicant acknowledges and understands that if facts and/or information herein are found to be misrepresented, it shall constitute grounds for the default of the Predevelopment Loan for which application is being made. Signature Date Signature Date Signature Date Signature Date

PREDEVELOPMENT LOAN APPLICATION MATERIALS CHECKLIST APPLICANT: PROJECT: For CEDA Use Only Not Missing/ ITEM Included Applicable Inadequate Waived 1 Cover Letter 2 Materials Checklist 3 Loan Application Form 4 Copy of Articles of Incorporation and Bylaws 5 501(c)3 Determination Letter 6 Names, Background and Experience of Applicant's Board of Directors 7 Authorizing Resolution 8 Evidence of Insurance 9 Financial Statements 10 Location Map 11 Site Plan 12 Preliminary Title Report 13 Evidence of Site Control 14 Development Timetable 15 Total Development Budget and Description of Identified Funding Sources 16 Predevelopment Budget (Sources and Uses) 17 Evidence of Approval of Matching Funds for Predevelopment 18 Evidence of Community Support or Outreach for Proposed Project