CITY OF RANCHO SANTA MARGARITA 2016-2017 COMMUNITY DEVELOPMENT BLOCK GRANT PUBLIC SERVICE GRANT APPLICATION APPLICATION DUE DATE - 12:00 PM FEBRUARY 5, 2016 Submit 1 original application to: Mike Linares City of Rancho Santa Margarita 22112 El Paseo Rancho Santa Margarita CA 92688 Also submit this Application Form (MS Word format) by the due date/time to: mlinares@cityofrsm.org Only complete applications will be considered. Use the checklist below to ensure your application package is complete. Ensure all required text fields and applicable boxes are completed or checked. To complete the application, click on applicable box to insert text or check mark; Tab from field to field. Avoid hard returns within text box. Narrative text fields are limited in space so provide concise responses. Organization Legal Name: Families Forward PLEASE DO NOT MODIFIED THE APPLICATION FORM Proposed Program Name: Homeless Prevention Program CDBG Amount Requested: $6,000... Application (including Attachment A: Proposed Budget & Attachment B: Proposed CDBG-Funded Personnel) SUBMIT THE FOLLOWING MATERIALS AS PDF FILES COPIED TO A CD-ROM... Proposed Program Application or Intake Sheet... IRS Tax Exempt Documentation... Current Board of Directors Roster... Most Recent 990 Tax Filing...Most Recent Financial Audit (and A-133 Single Audit if applicable) Please do not submit testimonials, letters of support, or program literature.
APPLICANT GENERAL INFORMATION A. Organization Legal Name: Families Forward B. Mailing Address: 8 Thomas - Irvine, CA 92618 C. Proposed Program Name: Homeless Prevention Program D. Check the ONE category that best describes the proposed program Youth Senior Disabled Adults Low/Mod General Homeless Fair Housing Housing E. Is this application submitted by a faith-based organization? Yes No F. Is this request for a New or Existing program? G. Location of where service will be provided (i.e., specify if program is citywide, a street address, a school site, etc.): Families Forward Program Center - 8 Thomas, Irvine, CA 92618 H. Person to contact regarding this application: Name: Jillian Miller Email Address: jmiller@families-forward.org Telephone: 949-716-2727 Fax: 949-552-2727 I. Federal Tax ID Number: 33-0086043 DUNS Number: 610093825 J. Organization officials that will execute agreement (2 required): Name: Margie Wakeham Title: Executive Director Name: Jack Stemper Title: Board President L:\CDBG\CDBG 2016-2017\PSG Applications\Families Forward 16-17 Public Service Grant App.docx 12/2015 1
2. COMMUNITY NEED FOR PROGRAM A. Summarize the proposed program and the nature/extent of Rancho Santa Margarita s (RSM) need for the program. Include information regarding the characteristics of persons to be served (e.g., age, disability, income situation, other distinguishing characteristics), and data that supports the unmet need for the proposed program in RSM. Over the past 31 years, Families Forward's Homeless Prevention Program has helped low-income families throughout Orange County maintain self-sufficiency in spite of the prevalance of under-employment and the increase in housing costs. The Homeless Prevention Program provides comprehensive safety-net services to at-risk families including access to our on-site food pantry, counseling, career coaching, and tenant and life-skills education. According to the 21 st Annual Report on the Conditions of Children in Orange County, 49% of OC students (243,432 children) received free and reduced lunch in the 2014/15 school year. In the Saddleback Valley Unified School District, 25.3% of students received free and reduced lunch. This number is widely viewed as a proxy for the number of children at or near the poverty level. In addition, 5.2% of all children in Rancho Santa Margarita are living in poverty with 5.1% of students enrolled in Saddleback Valley Unified School District being homeless. Families are in vital need of support services and we find that many families who have never before had to ask for assistance are suddenly in dire need. Of the 228 Rancho Santa Margarita residents served in the 2014-15 grant year, 69% were extremely low-income, 27% were very low-income, and 4% were low-income, as definited by HUD. 64% of those served self-identified as Hispanic and 9% were disabled. The requested CDBG funding of $6,000 from the city of Rancho Santa Margarita would allow us to continue serving this vulnerable population with vital safety-net services. B. Discuss if other organizations provide a similar service to RSM residents and how the proposed program differs or augments these similar services? Explain why you consider this program to be costs effective when compared to similar services provided by another agency. Families Forward's comprehensive approach to homeless prevention programs is unduplicated in RSM. By combining food assistance with career coaching, tenant education and access to certified counselors, Families Forward is able to assist families in a wrap around manner, enhancing stability and leading to greater propensity of selfsufficiency. In addition, our programs bring hope and joy to children and their parents with new school supplies at the start of each school year and with meals and gifts during the holidays each year. Thanks to the generous amount of in-kind contributions from the community and the dedication of our volunteers, Families Forward's cost effectiveness is quite remarkable with 89% of all finanical contributions directly funding programs and services to client families. In fact, for the sixth year in a row, Charity Navigator has given Families Forward its top 4-star rating, placing us in the top 3% of ranked charities, nationwide. L:\CDBG\CDBG 2016-2017\PSG Applications\Families Forward 16-17 Public Service Grant App.docx 12/2015 2
C. Provide the following information regarding the anticipated number of individuals to be served by the proposed program from 7/1/2016-6/30/2017: 1. How many unduplicated individuals regardless of city of residence will benefit from the proposed activity? 6,000 Individuals 2. How many of the individuals listed above will be unduplicated RSM residents? 250 Individuals 3. Of the RSM residents listed above, how many will be assisted with requested CDBG funds? 250 Individuals D. From the list below, select one HUD-required Objective and one HUD-required Outcome that will be addressed by the proposed activity. HUD Objectives Create a Suitable Living Environment: Activity designed to benefit the community, families, or individuals by addressing living environment issues. Provide Decent Affordable Housing: Housing activity designed to meet individual family or community housing needs. Create Economic Opportunities: Activity such as economic development or commercial revitalization that creates or expands job opportunities. HUD Outcomes Availability/Accessibility: Services, infrastructure, housing or shelter will be made available/accessible to Low- & Moderate-Income people, including the disabled. Affordability: The activity will provide affordability for Low- & Moderate-Income people including creation/maintenance of affordable housing, basic infrastructure or services. Sustainability (Promoting Livable or Viable Communities): The program/project will improve the community or neighborhoods by making them livable or viable by providing benefits to Lowand Moderate-Income people. E. Regarding the Outcome selected above, describe how success & effectiveness of proposed services will be measured. Include definition of success/effectiveness, tools to measure program success/effectiveness, the % of individuals served that will met the success/effectiveness threshold & how clients will be tracked after they leave the program to measure outcome. If outcome measurements are not in place discuss steps to be taken to implement performance measurements. If awarded the $6,000 CDBG grant from Rancho Santa Margarita, our goal for the 2016-17 program year is to serve 250 RSM residents through a variety of services provided by our Homeless Prevention Program. We expect approximately 150 residents to come to our program center to receive food assistance, allowing these residents to dedicate their limited budget to other essential costs such as rent or utilities. In addition, we will work with liasons in the Saddleback Valley School District to identify and refer at least 100 needy individuals to participate in our seasonal programs including Back-to-School supplies, Thanksgiving food, and holiday gifts from our Adopt-a-Family Program. RSM residents will also have access to career coaching, counseling services and tenant education workshops to increase knowledge and coping strategies to improve their economic and life situations. All services delivered will be tracked in our HMIS-compliant database, ClientTrack, providing a reporting mechanism for tracking the number and type of services provided to RSM clients. L:\CDBG\CDBG 2016-2017\PSG Applications\Families Forward 16-17 Public Service Grant App.docx 12/2015 3
3. ORGANIZATION CAPACITY AND EXPERIENCE A. Summarize your organization s experience to carry out the proposed program. Include information regarding length of time providing service, professional qualification of staff (include license, academic credentials, etc.), and other relevant information. For over 31 years, Families Forward has helped low-income and homeless families move beyond overwhelming circumstances to achieve stable, healthy lives for themselves and their children. As one of our core programs, the Homeless Prevention Program has assisted families with food, counseling, career coaching, and tenant education to provide a safety-net to at-risk families. Families Forward is governed by a 30- person Board of Directors made up of executives and leaders from the community who guide the agency in growth and strategic planning, formulate policies and assist in all aspects of fund development. Key program staff includes: Marissa Hall, Volunteer Manager, manager the volunteers who work on-site at Families Forward on a daily basis both in the front office and in the Food Pantry. Isis Cortina, Program Assistant, assists volunteers and clients in the food pantry and front desk with client intake and documentation. She also has a key role in the management of clients during our seasonal programs. Kimberli Claytor, Director of Operations, directs Families Forward's operational functions, including managing the Volunteer Manager, Program Assistant, Facilities Assistants and data entry team. Armene Humber, Certified Career Coach, helps client assess their skills, research job opportunities, create powerful resumes and prepare for job interviews. Rose Rivera, Career Coach, facilitates career workshops in Spanish and works closely with clients on resumes, interview skills, and job searches. B. Has your agency received CDBG funding from the City of RSM in the past? Yes No C. Summarize your organization s experience administering CDBG public service grant funds. Name of City or County Providing Prior CDBG $ Year Funds Received CDBG Grant Amount Irvine CDBG 2015 $19,850 Housing Program Program Funded Lake Forest CDBG 2015 $7,180 Food Pantry Program Mission Viejo CDBG 2015 $6,225 Homeless Prevention Program D. Are you requesting CDBG funding for this program from any other City or the County? Yes No If Yes, from whom and how much? City/County CDBG Amount Requested Lake Forest CDBG $10,000 Mission Viejo CDBG $8,000 $ E. Will volunteers, donated good/services, and/or fundraising activities be used to supplement the proposed program? Yes No Summarize these efforts. Families Forward leverages each donations with other vital resources such as volunteer time and in-kind donations to operate a highly effective and efficient agency to deliver safety-net services to vulnerable families. Annually, more than 2,000 volunteers provide over 21,000 hours of service in nearly every aspect of the organization. Homeless Prevention services rely on a significant number of the volunteer hours and donated goods/services. This includes Community Wide Food Drives, food pantry organization and food distribution, donated school supplies and holiday gifts, and the leadership to manage our Back-to-School and Adopt-a-Family programs. F. Compliance with OMB Circular A-133 (Single Audit): L:\CDBG\CDBG 2016-2017\PSG Applications\Families Forward 16-17 Public Service Grant App.docx 12/2015 4
1. In any one of the past 3 years, has your agency expended more than $500,000 in federal funds during a fiscal year? Yes No 2. During this year(s), did your agency prepare a Single Audit compliant with OMB Circular A-133? Yes No If Yes, provide a copy of most recent Single Audit. If No explain why a Single Audit was not prepared. L:\CDBG\CDBG 2016-2017\PSG Applications\Families Forward 16-17 Public Service Grant App.docx 12/2015 5
4. PROGRAM INFORMATION AND BUDGET A. Complete the following budget summary for the proposed program. 1. 2016-2017 CDBG Grant Funds Requested: $6,000 2. Total 2016-2017 Program Budget: $1,105,334 3. Total 2016-2017 Budget for ALL programs offered by your agency: $4,313,770 B. Outline how requested CDBG funds will be utilized (e.g., staff salaries, benefits; program supplies; insurance; direct client assistance, etc.). Include information how requested funds will directly benefit RSM residents. Ensure that Attachment A Proposed Program Budget is reflective of this outline. CDBG funds received by Families Forward will be used to help pay program staff salaries. Families Forward has specifically identified the position of Volunteer Manager whose primary responsibility is to manage more than 2,000 volunteers who contribute over 21,000 hours of services yearly. This position is vital to our ability to efficently and effectively serve RSM residents with critical Homeless Prevention services. C. Provide the following information regarding full-time, part-time, contract and volunteer staff that will be utilized to provide the proposed service. (If CDBG funds are requested for personnel costs, Attachment B CDBG Funded Personnel must be completed.) Full-Time staff: 6 Part-Time staff: 5 Contract staff: Program volunteers: 200 L:\CDBG\CDBG 2016-2017\PSG Applications\Families Forward 16-17 Public Service Grant App.docx 12/2015 6
5. CLIENT INTAKE INFORMATION A. HUD requires that each organization providing services to individuals with CDBG public service grant funds document the size, race/ethnicity, and income of assisted households. Does the proposed program application/intake form collect this information? Yes No If Yes, how is the information documented? 1. Self-Certification: 2. Analysis of household income documents such as tax returns/pay checks: If No, how will this information be collected and/or reported to the City? Note: Income documentation is not required but requested for presumed beneficiary category clients. Per HUD regulations, presumed beneficiaries include: abused children, seniors (over 62 years of age), battered spouses, severely disabled adults, homeless persons, illiterate persons, persons with HIV/AIDS, and migrant farm workers. Documentation of presumed beneficiary status is required. B. Will the proposed program exclusively serve presumed beneficiaries? Yes No If Yes, list the category C. Submit a copy of the proposed program application/intake form with your original application submission package. L:\CDBG\CDBG 2016-2017\PSG Applications\Families Forward 16-17 Public Service Grant App.docx 12/2015 7
6. CERTIFICATION I hereby certify that I am authorized to submit this application for CDBG public service grant funding provided by the City of Rancho Santa Margarita ( City ) by the Board of Directors of Families Forward ( Agency ). If grant funds are granted, funds will be used solely to benefit low- and moderate-income Rancho Santa Margarita residents. Agency understands that general liability, auto liability insurance, and workers compensation insurance are required and will be provided per terms of a grant agreement to be executed between the City and the Agency. Agency understands that grant funds are provided on a reimbursement basis and will provide appropriate documentation to substantiate expenditures submitted for reimbursement. Grant funds will be administered pursuant to this agreement and consistent with applicable federal regulations. If the Agency fails to serve eligible Rancho Santa Margarita residents during the term of the contract, or fails to substantially attain projected accomplishments (defined as at least 75% of projected number of persons to be served), Agency may be required to repay all or a portion of funds already disbursed to the Agency by the City and/or forego receipt of additional grant funds. Agency also certifies that it is in compliance with all local zoning/land use regulations and possesses all required licenses and permits to operate/provide program. Name: Margie Wakeham Title: Executive Director Original Signature/Date on file Signature Date L:\CDBG\CDBG 2016-2017\PSG Applications\Families Forward 16-17 Public Service Grant App.docx 12/2015 8
ATTACHMENT A PROPOSED 2016-2017 PROGRAM BUDGET BUDGET CATEGORY CDBG $ OTHER $ TOTAL $ Agency Administration Staff Salaries & Benefits Program Staff Salaries & Benefits $0.00 $0.00 $0.00 $6,000.00 $237,662.00 $243,662.00 Program Supplies $0.00 $31,480.00 $31,480.00 Rent/Lease $0.00 $34,215.00 $34,215.00 Communications $0.00 $390.00 $390.00 Utilities $0.00 $28,100.00 $28,100.00 Insurance $0.00 $5,609.00 $5,609.00 Professional Services (Specify) Other (Specify) In-Kind Contributions Other (Specify) Rental Assist/Client Exp. Other (Specify) Payroll process/meetings Other (Specify) $0.00 $0.00 $0.00 $0.00 $725,000.00 $725,000.00 $0.00 $16,090.00 $16,090.00 $0.00 $20,778.00 $20,778.00 $ $ $ TOTAL $6,000.00 $109,934.00 $1,105,334.00 SOURCE OF OTHER PROGRAM FUNDS List Source of Other Program Funds AMOUNT OF OTHER PROGRAM FUNDS ARE FUNDS ALREADY SECURED VIA CONTRACT? RSM CDBG $6,000.00 Yes No Other CDBG $17,005.00 Yes No Private Grants $86,000.00 Yes No Community Contributions $271,329.00 Yes No In-Kind Contributions $725,000.00 Yes No TOTAL $1,105,334.00 L:\CDBG\CDBG 2016-2017\PSG Applications\Families Forward 16-17 Public Service Grant App.docx 12/2015 9
ATTACHMENT B PROPOSED CDBG FUNDED PERSONNEL (Only list staff for which CDBG funding is requested) Not Applicable AGENCY ADMINISTRATION STAFF POSITION TITLE ANNUAL SALARY ANNUAL BENEFITS TOTAL CDBG FUNDS REQUESTED % OF TIME POSITION IS DEDICATED TO RSM CDBG COMPENSATION ACTIVITY $ $ $ $ % $ $ $ $ % $ $ $ $ % $ $ $ $ % $ $ $ $ % PROGRAM STAFF POSITION TITLE ANNUAL SALARY ANNUAL BENEFITS % OF TIME POSITION IS TOTAL CDBG FUNDS DEDICATED TO RSM CDBG COMPENSATION REQUESTED ACTIVITY Volunteer Manager $51,000.00 $9,180.00 $60,180.00 $3,000.00 4.00% Program Assistant $36,000.00 $6,480.00 $42,480.00 $3,000.00 4.00% $ $ $ $ % $ $ $ $ % $ $ $ $ % PROGRAM CONTRACT STAFF % OF TIME POSITION IS TOTAL CDBG FUNDS POSITION TITLE ANNUAL SALARY ANNUAL BENEFITS DEDICATED TO RSM CDBG COMPENSATION REQUESTED ACTIVITY $ $ $ $ % $ $ $ $ % $ $ $ $ % 12/2015 10
Officers BOARD OF DIRECTORS & OFFICERS 2015-2016 Jack Stemper President First Foundation Advisors Dr. James Berman VP Program Internal Medicine Sandy Avzaradel VP Fund Development, Co-Chair Irvine Unified School District Michael Kaufman VP Fund Development, Co-Chair Community Leader Victoria Parret VP Governance King Parret & Droste Mark Engstrom Treasurer Deloitte & Touche, LLP Mary Earl Spencer Secretary Doncaster Gary Cohn Member at Large Marx Okubo Associates Inc. James Klingler Member at Large JK Advisors Ryan Warne-McGraw Immediate Past President Good Shepherd Lutheran Church Members of the Board Kevin Andrade Real Estate Developer Kevin Baldridge Tricon American Homes Mary Ann Bentrott Community Leader Rhonda Bolton KIA Motors America Nancy Chase Community Leader Deborah Coombs AvalonBay Communities Ken Coulter William Lyon Homes Robert Davis Parsons Corporation Mark Harryman Unire Real Estate Group Mark Henigan Irvine Company Teri Hoops Community Leader Khairulnissa Hotaki U.S. Bank Shige Itoh Rutan & Tucker, LLP Kathleen Lockhart Community Leader Susan McClintic Early Childhood Educator Tracie McCloskey TLM Interiors Peter Reynolds Community Leader Trish Scarborough Community Leader Diana Wong Capital Group Companies Karen Wong Wells Fargo