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NGP-Waiver to Apply - Spring 2024 Round 5

If you have an open/active grant with INRC through the Neighborhood Grant program, you can now apply for a waiver, which will allow you to apply for additional NGP funds. This waiver is to determine if your current project is on track to finish on time and are currently in good standing with any required documentation

You must complete this waiver in one sitting; there is NOT an option to save your work. Waivers are due no later than April 10th, 2024.

Part I. Organization Information

Organization/Association Name

Neighborhood

Project Eligibility

Be located within Qualified Census Tracts (“QCT”) or within a ZIP Code with a COVID-19 Impact Score greater than zero.

Project Address

Please enter the complete address of your proposed project here.

Project Address. Please enter the complete address of your proposed project here.

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Neighborhood Zip Code

Please enter qualified zip code in which proposed project is located: https://www.savi.org/apps/covid-19-impact-index

Qualified Census Tract (QCT)

Please enter qualified census tract in which proposed project is located: QCT Look-Up Tool: https://www.huduser.gov/portal/sadda/sadda_qct.html?

Organization Association Primary Contact

Name

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Verify Email

Phone

What NGP round(s) were you awarded?

Example: 1, 2, 3 or 4

Approximately what % of your project is complete?

Under 40%

40%-80%

over 80%

Have you obtained all the required permits and approvals needed to complete your current active NGP project?

Yes

Does your new possible project required permits and approvals?

Yes

If yes, please explain.

What permits will be required?

Timeline For Current/Open NGP

When do you anticipate your project will be complete?

Fiscal Agent Contact

All applicants must have, or have a fiscal agent that has, active IRS 501c3 status. Grants can be awarded only to organizations with IRS 501(c)(3) status. Please list the name, contact information, organization information (including IRS EIN#) below.

Fiscal Agent Name

First Name

Last Name

Fiscal Agent Contact Information

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Fiscal Agent Email

Please enter the email address of the project's fiscal agent/contact.

Verify Email

Fiscal Agent/Contact Phone

Please enter the phone # of the fiscal agent/contact.

Additional Documentation

Please upload any additional documentation you'd like to share ( letters of support or partnership, etc.)

Additional Documentation Copy

Please upload any additional documentation you'd like to share ( letters of support or partnership, etc.)

Additional Documentation

Please upload any additional documentation you'd like to share ( letters of support or partnership, etc.)

NGP- Round 5 will have a 4 week time frame to obtain permits

This means we will not be able to award projects that take longer to obtain approvals/permits. (Examples: projects that are on Indy Parks Property, AES poles, Signage, Traffic Boxes and IHPC areas)

I understand the limited projects that are eligible in Round 5.