FHSP: Proposal Submission 

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Thank you for visiting the Project Based Site Proposal Submission form, hosted by Brilliant Corners in partnership with Los Angeles County Department of Health Services. 
Before You Get Started:

Below is a list of the required documents needed to complete this form. You may also access them here. Please have all of the following materials ready before submitting. You will be prompted to upload all of the relevant files below, if applicable, and will not be able to submit the form without doing so. 

Please be advised, that a Property Management Company MUST be identified prior to submitting this form.

If you have any questions during this application process, please reach out to pbvpipeline@brilliantcorners.org.
Required Documents
  1. Project Narrative - description of the building (type, floors, units), completion date, construction/renovation timeline, and location description
  2. Certificate of Occupancy or Temporary Certificate of Occupancy (if building construction is complete)
  3. Photos of construction (if construction is incomplete)
  4. PDF document of construction timeline (if construction is incomplete)
  5. Title Report (if construction is complete)
  6. Floor Plan with Building Schematics
  7. Unit Matrix Spreadsheet with Unit Details (Click here for template)
  8. Copy of Property Deed or Purchase Contract
  9. Copy of Master Lease Agreement (if applicable)
  10. Pro Forma - Please provide a 5-year pro forma if the building is a new construction. 
  11. Operating Budget
  12. Experience and Capacity Form (Click here for template)
Optional Documents 
  1.  Applicable Memorandum of Understanding (MOU) or Contracts
Disclaimer: Completing the form does not guarantee a contract with Brilliant Corners. The PBV Pipeline Team will review all applications with County Funders and make a final decision.
Thank you for your understanding.
DHS Funding Opportunity 






Please note, DHS will not provide funding for any capital improvements, including those necessary for units to pass HQS.

Owner Information 

Owner's Contact Information




Business Information 


Example: LP, LLC, Nonprofit, etc.







Provide a Point of Contact





Please Provide Business Information 



Example: LP, LLC, Nonprofit, etc.





Project Details - Part 1

Project Site Details and Amenities 







Description of the building (type, floors, units), completion date, construction/renovation timeline, and location.

Project Site Details - Part 2

Completion Stage










**Please note: DHS will not provide funding for any capital improvements, including those necessary for units to pass HQS**
Utilities 

To select multiple, hold ctrl on keyboard

To select multiple, hold ctrl on keyboard


Building Funding Sources

Funding Sources 

i.e.: TCAC, LACDA, Private Equity, etc.

To select multiple, hold ctrl on keyboard










EX: 30% AMI: 40% AMI, etc.

Intensive Case Management Services Provider Details 


Identified ICMS must be on this list.
Contact Information 
Please provide the name of the ICMS entity that will be providing services to the property, and a point of contact. 





Details of ICMS Service Space
Please provide the details on the reserved space for ICMS Staff since ICMS are required to have a separate space from property management to service clients. 


Note: Brilliant Corners will not be furnishing ICMS office spaces.

Property Management Information 

Please provide the name of the property management company and a point of contact.
Property Management Information


Point of Contact Information 




Upload Documents Here

To finish this form, please upload the following documents either as a PDF or Word File. Note: some are required to complete, whereas others are conditional. Conditional documents may be required later from the PBV Pipeline Team during the lease up process if your application is accepted. 
Required Documents:

Please upload as a PDF

Include unit numbers, size, type, AMI, sqft, accessibility




Optional Documents