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11. List the number of project beneficiaries for the July - June grant contract period. First complete <br />the application's Project Description and LMI Benefit Table before summarizing the data here. <br />➢ Estimate the total number of unduplicated persons for each level of service (N, I or S). If you <br />estimate a person is to receive more than one service, pick the best one for these estimates <br />so the numbers of persons in the level of service rows add up to the total number of persons <br />to be served. <br />➢ Based on agency data and income qualification criteria for the CDBG-funded services, <br />estimate the number of LMI persons to benefit. <br />➢ Divide the number of LMI persons by the number of persons to calculate the LMI percentage. <br />The LMI percentage must be at least 51%. <br />➢ Detailed demographic data on actual persons served will be reported on the Quarterly <br />Beneficiary Reporting Form, provided on page 69. <br />12. Predetermined <br />13. List the street address, city and postal code of primary location of subrecipient services (if <br />different than 4.) If CDBG funds will be used primarily for services offered from a satellite office <br />rather than the subrecipient main office, list the address of that satellite office instead. <br />14. This form and certification must be signed by the county's Chief Administrative Official or the <br />county official designated in the Certification of Compliance must sign. An ORIGINAL signature <br />must be submitted. <br />18 <br />