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Applications and all attachments for the Community Development Block Grant must be submitted to the City of Grand Junction electronically no later than 5:00 pm on Friday, March 24, 2023. By completing this form online, and submitting attachments with it, the form and attachments will automatically be delivered to the CDBG Administrator, Kristen Ashbeck. If you have questions, please contact her at 970-244-1491 or kristena@gjcity.org.

You will be prompted to attach the additional files at the end of the submittal process (after clicking the Finalize and Submit button). Some of the attachments are required. The form will not be submitted if you do not attach all required documents, or if any file is too large (250MB max).

Please Note: You may wish to prepare your answers in a Word document and then copy / paste the answers into the online form. For reference purposes, a blank copy of the form may be printed by clicking the printer icon to the left of the form. Alternatively, you can save your partially completed form by clicking the Save icon to the left of the form. This will prompt you to register your email address and password so that you can return to the form at a later date. You will receive an email message containing a link to allow you to return to the form.

Also note that answers have a length limitation (in characters) and must fit within the space provided.
By continuing I agree that I am willing to complete a digital version of the document(s) and that information about my user session will be stored.
OMB-A-133
www.sam.gov/SAM
EEO
NO
Housing Authority
Governmental Agency
Quasi Governmental Agency
Faith based
Public Service Human Services Provider
Public Organization
Other_1
National Objective
Project Type
NO_1
Need for Affordable Housing
Needs of the Homeless or Special Needs Populations
Other Human Service Needs
NO_2
radio_38H
HSProject_new
ProjectConstructionReady
ClientEligibility
The income of each household person receiving assistance will be individually
The types of households or persons served are of special need presumed
Signature HereClick to Sign
04/04/2026Click to Sign
x

Additional Signatures Required

Upload Files

Please upload files where appropriate. Those identified as "[REQUIRED]" must be attached in order to submit the application.  If you have difficulty dragging documents, press "click here" and drag the document onto the next screen.  


There is a 250MB limit on each attachment.


OMB A-133 Single Audit (if applicable) or recent audit or financial statement [REQUIRED] Click Here to Upload
Data Collection Form pertaining to OMB A-133 (SF-SAC) Click Here to Upload
SAM Registration Confirmation [REQUIRED] Click Here to Upload
Affirmative Action Plan [REQUIRED] Click Here to Upload
List of current board members, including their employer and/or other pertinent affiliations [REQUIRED] Click Here to Upload
Copy of project's client intake form or application form used to collect and certify income and racial data [REQUIRED] Click Here to Upload
Copy of your organization's original IRS determination letter indicating 501(c)(3) or tax-exempt status Click Here to Upload
Other attachment as needed Click Here to Upload
Procurement Policy [REQUIRED] Click Here to Upload
Conflict of Interest Policy [REQUIRED] Click Here to Upload
Grievance/Termination Policy [REQUIRED] Click Here to Upload
Confidentiality Policy [REQUIRED] Click Here to Upload