Sustainability Requirements for Limited Scope Rehabilitation Projects Compliance Agreement and Certification
Requirements
All projects receiving funding from Minnesota Housing are required to meet current sustainability requirements per the April 2023 – 2024 MN Overlay and Guide (MN Overlay) to the 2020 Enterprise Green Communities Criteria (EGCC). Compliance is demonstrated with the Intended Methods Worksheet (IMW).

If Minnesota Housing approves a project as a limited scope rehabilitation (rehab), this document may be used in lieu of the IMW for the purpose of demonstrating compliance with minimum Mandatory Criteria of the current applicable MN Overlay and EGCC. Refer to the full overlay and criteria for detailed information.

Compliance
It is the responsibility of the architect of record, qualified rehab specialist, owner/borrower/developer, general contractor, or prime contractor to make sure all applicable requirements noted as “Yes” are met.

Only improvements performed at the time of a rehabilitation (replacement of equipment, systems, building components, or assembly of components) are required to comply with the mandatory criteria listed below.  

This form may be completed electronically or printed and filled in by hand. When complete, submit to Minnesota Housing in an electronic PDF format via mortgage checklist portal, box.com, email, or as required per funding procedures.

Project Information
Project Name and Location:      

Constructions Costs (Actual, if available; otherwise include an estimate):      

Brief Description of Scope of Work:      

Required Mandatory Criteria (if applicable)
If the proposed scope of work includes the item and will meet the applicable criteria, select “Yes.”
If the proposed scope of work includes the item but will not meet the applicable criteria, select “No.”
If the item is not included in the scope of work, select “N/A.”

Section 1: Ecosystem Services/Landscaping Criteria 3.3
Question	Answer	
If provided, will all the new plants be native or adaptive species? Will the new plants be appropriate for the site’s soil and microclimate? Will none of the new plants be invasive species?	 Yes    No    N/A	

Section 2: Efficient Irrigation and Water Reuse Criteria 3.5
Question	Answer	
If a new irrigation system is included, will it be an efficient system (EPA WaterSense) and/or will there be a water reuse system?	 Yes    No    N/A	

Section 3: Water-Conserving Fixtures Criteria 4.1
Question	Answer	
If plumbing fixtures are being replaced, will the new fixtures meet the following max flow rates?	 Yes    No    N/A	
Toilets ≤ 1.28 gallons per flush (gpf)	 Yes    No    N/A	
Urinals ≤ 0.5 gpf	 Yes    No    N/A	
Showerheads ≤ 2.0 gallons per minute (gpm)	 Yes    No    N/A	
Kitchen Faucets ≤ 2.0 gpm	 Yes    No    N/A	
Bathroom Faucets ≤ 1.5 gpm	 Yes    No    N/A	

Section 4: Building Performance Standard Criteria 5.1b
Question	Answer	
If any Heating Ventilating and Air Conditioning (HVAC) or water heater system (or item) is being upgraded or replaced, will it/they meet required efficiencies through either the Prescriptive Path Option or Performance Path Option?	 Yes    No    N/A	

Section 4a: Building Performance Standard - Prescriptive Path Option Criteria 5.1b
Question	Answer	
Cooling Equipment >/= 13 SEER AC or Heat Pump	 Yes    No    N/A	
Through-wall AC is ENERGY STAR	 Yes    No    N/A	
Gas Furnace >/= 95 AFUE (non-rooftop)	 Yes    No    N/A	
Gas Furnace >/= 90 AFUE Rooftop	 Yes    No    N/A	
Oil Furnace >/= 85 AFUE, ENERGY STAR Qualified	 Yes    No    N/A	
Gas Boiler >/= 90 AFUE, ENERGY STAR Qualified	 Yes    No    N/A	
Oil Boiler >/= 86 AFUE ENERGY STAR Qualified	 Yes    No    N/A	
Steam Boilers and other non-condensing Boilers>/=85 AFUE	 Yes    No    N/A	
Zone 6: 9.5 HSPF/ 15 SEER/ 12 SEER air-source w/ electric or dual-fuel backup.	 Yes    No    N/A	
Zone 7: 3.6 COP/ 17.1 EER ground-sourced w/ electric or dual-fuel backup.	 Yes    No    N/A	
Gas Water Heater
≤55 Gal = 0.67 EF 
0.64 UEF for medium
0.68 UEF for high-draw
>55 Gal = 0.77 Gal 
0.78 UEF for medium
0.80 UEF for high-draw	 Yes    No    N/A	
Electric Water Heater 
≤ 55 Gal = 0.95 EF
>55 Gal = 2.0 EF or UEF	 Yes    No    N/A	
Oil Water Heater 
30 Gal = 0.64EF, 40 Gal = 0.62EF, 50 Gal = 0.60 EF 
60 Gal =0.58 EF, 70 Gal = 0.56 EF, 80 Gal = 0.54 EF	 Yes    No    N/A	

Section 4b: Building Performance Standard - Performance Path Option Criteria 5.1b
Question	Answer	
ENERGY STAR for Homes or an ENERGY STAR for Multifamily High New Construction	 Yes    No    N/A	

Section 5: Sizing of Heating and Cooling Equipment Criteria 5.6
Question	Answer	
If HVAC equipment is being replaced, will it be sized in accordance with the Air Conditioning Contractors of America (ACCA) Manuals, Parts J and S, or ASHRAE handbooks?	 Yes    No    N/A	

Section 6: Energy Star Appliances Criteria 5.7
Question	Answer	
If new appliances are being provided, will the clothes dryers, clothes washers, dishwashers, refrigerators, and through-wall air conditions be ENERGY STAR labeled?	 Yes    No    N/A	

Section 7: Efficient Lighting Criteria 5.8
Question	Answer	
If new light fixtures are provided, will they be high efficacy Light Emitting Diode (LED) fixtures or fixtures with LED bulbs?	 Yes    No    N/A	

Section 8: Low/No VOC Paints and Primers Criteria 6.4
Question	Answer	
If provided, will the paints and primers have less than or be equal to the following VOC levels in grams per liter based on a combination of the South Coast Air Quality Management District, MPI and Green Seal standards?
Flats ≤ 50 g/L, Non-flats ≤ 50 g/L, Floor ≤ 100 g/L, 
Primers and sealers ≤ 100 g/L, Clear woods ≤ 275 g/L	 Yes    No    N/A	

Section 9: Low/No VOC Adhesives and Sealants Criteria 6.4
Question	Answer	
If new adhesives or sealants are being provided, will they have the following maximum VOC Limits (G/L)?	 Yes    No    N/A	
Indoor Carpet adhesives of 50	 Yes    No    N/A	
Carpet Pad adhesives of 50	 Yes    No    N/A	
Outdoor Carpet adhesives of 150	 Yes    No    N/A	
Wood Flooring adhesives of 100	 Yes    No    N/A	
Rubber Flooring adhesives of 60	 Yes    No    N/A	
Subfloor adhesives of 50	 Yes    No    N/A	
Ceramic Tile adhesives of 65	 Yes    No    N/A	
VCT and Asphalt Tile adhesives of 50	 Yes    No    N/A	
Drywall and Panel adhesives of 50	 Yes    No    N/A	
Cove Base adhesives of 50	 Yes    No    N/A	
Multipurpose Construction adhesives of 70	 Yes    No    N/A	
Structural Glazing adhesives of 100	 Yes    No    N/A	
Single-Ply Roof Membrane adhesives of 250	 Yes    No    N/A	

Section 10: Composite Wood Products that Emit Low or No Formaldehyde Criteria 6.4
Question	Answer	
If interior, composite wood products are included, such as cabinetry, plywood, particle board, orientated strand board, or medium density overlay, will the composite wood products be compliant with California 93120, or will all exposed edges be sealed with a low VOC sealant?	 Yes    No    N/A	

Section 11: Environmentally Preferable Flooring Criteria 6.4
Question	Answer	
If new flooring is being provided, will a hard surface material (no carpet) be used at entryways, laundry rooms, bathrooms, kitchens/ kitchenettes, and utility rooms?	 Yes    No    N/A	
If carpet (including pad and adhesives) is being provided, will it meet the Carpet and Rug Institute’s Green Label and Green Label Plus Certification?	 Yes    No    N/A	
If hard surface flooring is being provided, will it be ceramic tile or unfinished hardwood? Or will it comply with the Scientific Certification System’s FloorScore program?	 Yes    No    N/A	

Section 12: Bath, Kitchen, Laundry Surfaces Criteria 6.6
Question	Answer	
If new finishes are provided in wet locations (e.g., bathrooms, kitchens, and/or laundry rooms), will the new materials be durable with cleanable surfaces such as sheet vinyl, grouted tile, sealed concrete, etc. (not vinyl composition tile or vinyl plank)?	 Yes    No    N/A	
If new tub/shower surrounds are provided, will non-paper backing materials such as cement board or equivalent substrate be specified?	 Yes    No    N/A	

Section 13: Combustion Equipment Criteria 7.3
Question	Answer	
Will all existing or new gas space heating or gas water heating equipment be direct vented, sealed, or power vented? Check “No” if any existing or new gas heating equipment has passive venting.	 Yes    No    N/A	

Section 14: Ventilation Criteria 7.7
Question	Answer	
If being replaced, will all new bath exhaust fans be ENERGY STAR-labeled; exhausted to the outdoors; connected to a light switch; and equipped with a humidistat, timer, or other control?	 Yes    No    N/A	
If being replaced, will all new kitchen exhaust be via an exhaust hood/ fan over the range hard-ducted to the exterior, or a recirculating exhaust hood as part of a whole-house mechanical ventilation system?	 Yes    No    N/A	

Comments
If “No” is selected on any of the questions above and require an exception to the criteria, provide an explanation. Include additional pages, if needed. 
     

Compliance Agreement and Certification
The architect, qualified rehab specialist, general contractor, prime contractor, or the owner/borrower/developer, by signing below, agrees to comply with requirements as noted throughout this document. Only one signature is required. 

Certified by (indicate one):
 Architect	 
Qualified Rehab Specialist	 
General Contractor	 
Prime Contractor	Owner/Borrower/Developer	

By execution of this form and by the authorized officers, partners or members, I hereby certify that:
1.	The information contained in this document is true, correct and complete; and that
2.	The execution and delivery of this project will meet requirements noted in this document.

     	
Name of Organization	
	
     	     	
Printed Name	Title 	
	
     	     	
Signature 	Date