Barstow City Council
February 6, 2023

We are required to communicate with those charged with governance regarding, among other matters, the planned scope and timing of the audit, significant audit findings, and certain internal control-related matters that we identified during the audit.
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Packet Pg. 323 Attachment: Odessa Water District FS Final 1-18-23 (5283 : Odessa Water District Basic Financial Statements) To the Board of Directors
Odessa Water District
City of Barstow, California
Other Reporting Responsibilities
Required Supplementary Information
Accounting principles generally accepted in the United States of America require that the budgetary comparison schedule for the general fund, as listed on the table of contents, be presented to supplement the basic financial statements. Such information is the responsibility of management and, although not a part of the basic financial statements, is required by the Governmental Accounting Standards Board, who considers it to be an essential part of financial reporting for placing the basic financial statements in an appropriate operational, economic, or historical context. We have applied certain limited procedures to the required supplementary information in accordance with auditing standards generally accepted in the United States of America, which consisted of inquiries of management about the methods of preparing the information and comparing the information for consistency with management’s responses to our inquiries, the basic financial statements, and other knowledge we obtained during our audit of the basic financial statements. We do not express an opinion or provide any assurance on the information because the limited procedures do not provide us with sufficient evidence to express an opinion or provide any assurance.

Management has omitted the management’s discussion and analysis that accounting principles generally accepted in the United States of America require to be presented to supplement the basic financial statements. Such missing information, although not a part of the basic financial statements, is required by the Governmental Accounting Standards Board who considers it to be an essential part of financial reporting for placing the basic financial statements in an appropriate operational, economic, or historical context. Our opinion on the basic financial statements is not affected by this missing information.

Other Information
Management is responsible for the other information included in the annual report. The other information comprises the introductory section and statistical section but does not include the basic financial statements and our auditor’s report thereon. Our opinions on the financial statements does not cover the other information, and we do not express an opinion or any form of assurance thereon.

In connection with our audit of the financial statements, our responsibility is to read the other information and consider whether a material inconsistency exists between the other information and the financial statements, or the other information otherwise appears to be materially misstated. If, based on the work performed, we conclude that an uncorrected material misstatement of the other information exists, we are required to describe it in our report.

Other Reporting Required by Government Auditing Standards In accordance with Government Auditing Standards, we have also issued our report dated January 18, 2023 on our consideration of the District’s internal control over financial reporting and on our tests of its compliance with certain provisions of laws, regulations, contracts, and grant agreements and other matters. The purpose of that report is solely to describe the scope of our testing of internal control over financial reporting and compliance and the results of that testing, and not to provide an opinion on the effectiveness of the District’s internal control over financial reporting or on compliance. That report is an integral part of an audit performed in accordance with Government Auditing Standards in considering the District’s internal control over financial reporting and compliance.

Brea, California
January 18, 2023
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Packet Pg. 324 Attachment: Odessa Water District FS Final 1-18-23 (5283 : Odessa Water District Basic Financial Statements) *29(510(17:,'(),1$1&,$/67$7(0(176
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Packet Pg. 325 Attachment: Odessa Water District FS Final 1-18-23 (5283 : Odessa Water District Basic Financial Statements)

ODESSA WATER DISTRICT

STATEMENT OF NET POSITION
Governmental
Activities
Assets:

Capital assets not being depreciated $ 85,000
Total Assets 85,000
Liabilities:

Current Liabilities
Due to City of Barstow 51,081
Noncurrent liabilities:

Due to Barstow Successor Agency 45,462
Total Liabilities 96,543
Net Position:

Net investment in capital assets 39,538
Unrestricted (51,081)
Total Net Position $ (11,543)
JUNE 30, 2022
See Notes to Financial Statements.
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Packet Pg. 326 Attachment: Odessa Water District FS Final 1-18-23 (5283 : Odessa Water District Basic Financial Statements)

ODESSA WATER DISTRICT

STATEMENT OF ACTIVITIES
YEAR ENDED JUNE 30, 2022
Net (Expense)
Revenue and
Changes in
Net Position
Operating Capital
Charges for Contributions Contributions Governmental
Expenses Services and Grants and Grants Activities
Functions/Programs
Primary Government:

Governmental Activities:

Public works $ 4,070 $ - $ - $ - $ (4,070)
Total Governmental Activities 4,070 - - - (4,070)
Total Primary Government $ 4,070 $ - $ - $ - (4,070)
Change in Net Position (4,070)
Net Position at Beginning of Year (7,473)
Net Position at End of Year $ (11,543)
Program Revenues
See Notes to Financial Statements.
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Packet Pg. 327 Attachment: Odessa Water District FS Final 1-18-23 (5283 : Odessa Water District Basic Financial Statements) )81'),1$1&,$/67$7(0(176
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Packet Pg. 328 Attachment: Odessa Water District FS Final 1-18-23 (5283 : Odessa Water District Basic Financial Statements)

ODESSA WATER DISTRICT

RECONCILIATION OF THE BALANCE SHEET OF GOVERNMENTAL FUNDS

TO THE STATEMENT OF NET POSITION
JUNE 30, 2022
Fund balances of governmental funds $ (96,543)
Amounts reported for governmental activities in the statement of net position are different because:

Capital assets net of depreciation have not been included as financial resources in governmental fund activity. 85,000
Net Position of Governmental Activities $ (11,543)
See Notes to Financial Statements.
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Packet Pg. 329 Attachment: Odessa Water District FS Final 1-18-23 (5283 : Odessa Water District Basic Financial Statements)

ODESSA WATER DISTRICT

RECONCILIATION OF THE STATEMENT OF REVENUES, EXPENDITURES,

AND CHANGES IN FUND BALANCES OF GOVERNMENTAL FUNDS

TO THE STATEMENT OF ACTIVITIES
YEAR ENDED JUNE 30, 2022
Net change in fund balances - total governmental funds $ (4,070) Change in Net Position of Governmental Activities $ (4,070) See Notes to Financial Statements.
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Packet Pg. 330 Attachment: Odessa Water District FS Final 1-18-23 (5283 : Odessa Water District Basic Financial Statements)

ODESSA WATER DISTRICT

BALANCE SHEET

GOVERNMENTAL FUNDS
JUNE 30, 2022
General Fund
Liabilities and Fund Balances
Liabilities:

Due to City of Barstow $ 51,081
Due to Successor Agency 45,462
Total Liabilities 96,543
Fund Balances:

Unassigned (96,543)
Total Fund Balances (96,543)
Total Liabilities and Fund Balances $ -
See Notes to Financial Statements.
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Packet Pg. 331 Attachment: Odessa Water District FS Final 1-18-23 (5283 : Odessa Water District Basic Financial Statements)

ODESSA WATER DISTRICT

STATEMENT OF REVENUES,

EXPENDITURES AND CHANGES IN FUND BALANCES

GOVERNMENTAL FUNDS
YEAR ENDED JUNE 30, 2022
General Fund
Expenditures:

Public Works
Fees and Services $ 4,070
Total Expenditures 4,070
Net Change in Fund Balances (4,070)
Fund Balances
Beginning of year (92,473)
End of Year $ (96,543)
See Notes to Financial Statements.
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20 8.a
Packet Pg. 341 Attachment: Odessa Water District FS Final 1-18-23 (5283 : Odessa Water District Basic Financial Statements)

Lance, Soll & Lunghard, LLP 203N. BreaBlvd.,Suite 203 Brea,CA92821 Phone: 714.672.0022 INDEPENDENT AUDITORS’ REPORT ON INTERNAL CONTROL

OVER FINANCIAL REPORTING AND ON COMPLIANCE AND OTHER MATTERS

BASED ON AN AUDIT OF FINANCIAL STATEMENTS PERFORMED IN ACCORDANCE

WITH GOVERNMENT AUDITING STANDARDS
To the Board of Directors
Odessa Water District
City of Barstow, California
We have audited, in accordance with the auditing standards generally accepted in the United States of America and the standards applicable to financial audits contained in Government Auditing Standards issued by the Comptroller General of the United States, the financial statements of the governmental activities and general fund information of the Odessa Water District (the District), a component unit of the City of Barstow, as of and for the year ended June 30, 2022, and the related notes to the financial statements, which collectively comprise the District’s basic financial statements, and have issued our report thereon dated January 18, 2023.

Report on Internal Control over Financial Reporting
In planning and performing our audit of the financial statements, we considered the District’s internal control over financial reporting (internal control) as a basis for designing audit procedures that are appropriate in the circumstances for the purpose of expressing our opinions on the financial statements, but not for the purpose of expressing an opinion on the effectiveness of the District’s internal control. Accordingly, we do not express an opinion on the effectiveness of the District’s internal control.

A deficiency in internal control exists when the design or operation of a control does not allow management or employees, in the normal course of performing their assigned functions, to prevent, or detect and correct, misstatements, on a timely basis. A material weakness is a deficiency, or a combination of deficiencies, in internal control, such that there is a reasonable possibility that a material misstatement of the entity’s financial statements will not be prevented, or detected and corrected, on a timely basis. A significant deficiency is a deficiency, or a combination of deficiencies, in internal control that is less severe than a material weakness, yet important enough to merit attention by those charged with governance.

Our consideration of internal control was for the limited purpose described in the first paragraph of this section and was not designed to identify all deficiencies in internal control that might be material weaknesses or, significant deficiencies. Given these limitations, during our audit we did not identify any deficiencies in internal control that we consider to be material weaknesses. However, material weaknesses or significant deficiencies may exist that were not identified.

Report on Compliance and Other Matters
As part of obtaining reasonable assurance about whether the District’s financial statements are free from material misstatement, we performed tests of its compliance with certain provisions of laws, regulations, contracts, and grant agreements, noncompliance with which could have a direct and material effect on the financial statements. However, providing an opinion on compliance with those provisions was not an objective of our audit, and accordingly, we do not express such an opinion. The results of our tests disclosed no instances of noncompliance or other matters that are required to be reported under Government Auditing Standards.

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Packet Pg. 342 Attachment: Odessa Water District FS Final 1-18-23 (5283 : Odessa Water District Basic Financial Statements) To the Board of Directors
Odessa Water District
City of Barstow, California
Purpose of this Report
The purpose of this report is solely to describe the scope of our testing of internal control and compliance and the results of that testing, and not to provide an opinion on the effectiveness of the District’s internal control or on compliance. This report is an integral part of an audit performed in accordance with Government Auditing Standards in considering the District’s internal control and compliance.

Accordingly, this communication is not suitable for any other purpose.

Brea, California
January 18, 2023
22 8.a
Packet Pg. 343 Attachment: Odessa Water District FS Final 1-18-23 (5283 : Odessa Water District Basic Financial Statements)

Lance, Soll & Lunghard, LLP 203N. BreaBlvd.,Suite 203 Brea,CA92821 Phone: 714.672.0022 January 18, 2023
To the Board of Directors
Odessa Water District
City of Barstow, California
We have audited the financial statements of the governmental activities and general fund information of the Odessa Water District (the District), a component unit of the City of Barstow for the year ended June 30, 2022. Professional standards require that we provide you with information about our responsibilities under generally accepted auditing standards, Government Auditing Standards, and the Uniform Guidance, as well as certain information related to the planned scope and timing of our audit. We have communicated such information in our letter to you dated May 27, 2022. Professional standards also require that we communicate to you the following information related to our audit.

Significant Audit Matters
Qualitative Aspects of Significant Accounting Practices Management is responsible for the selection and use of appropriate accounting policies. The significant accounting policies used by the District are described in Note 1 to the financial statements. As described in Note 6 to the financial statements, the District changed its accounting policies related to leases by adopting Statement of Governmental Accounting Standards (GASB Statement) No. 87, Leases. Accordingly, the cumulative effect of the accounting change as of the beginning of the year is reported in the Statement of Net Position. All significant transactions have been recognized in the financial statements in the proper period.

Accounting estimates are an integral part of the financial statements prepared by management and are based on management’s knowledge and experience about past and current events and assumptions about future events. Certain accounting estimates are particularly sensitive because of their significance to the financial statements and because of the possibility that future events affecting them may differ significantly from those expected.

The financial statement disclosures are neutral, consistent, and clear.

Significant or Unusual Transactions
Management is responsible for the policies and practices used to account for significant or unusual transactions. No significant unusual transactions have occurred during fiscal year 2021-2022.

Difficulties Encountered in Performing the Audit
We encountered no significant difficulties in dealing with management in performing and completing our audit.

8.b
Packet Pg. 344 Attachment: Odessa Water District Audit Communication Letter Final 1-18-23 (5283 : Odessa Water District Basic Financial Statements)

To the Board of Directors
Odessa Water District
City of Barstow, California
Corrected and Uncorrected Misstatements
Professional standards require us to accumulate all known and likely misstatements identified during the audit, other than those that are trivial, and communicate them to the appropriate level of management. We are pleased to report that no such misstatements were identified during the course of our audit.

Disagreements with Management
For purposes of this letter, a disagreement with management is a financial accounting, reporting, or auditing matter, whether or not resolved to our satisfaction, that could be significant to the financial statements or the auditor’s report. We are pleased to report that no such disagreements arose during the course of our audit.

Management Representations
We have requested certain representations from management that are included in the management representation letter dated January 18, 2023.

Management Consultations with Other Independent Accountants In some cases, management may decide to consult with other accountants about auditing and accounting matters, similar to obtaining a “second opinion” on certain situations. If a consultation involves application of an accounting principle to the District’s financial statements or a determination of the type of auditor’s opinion that may be expressed on those statements, our professional standards require the consulting accountant to check with us to determine that the consultant has all the relevant facts. To our knowledge, there were no such consultations with other accountants.

Other Audit Findings or Issues
We generally discuss a variety of matters, including the significant events or transactions that occurred during the year, business conditions affecting the District and business plans and strategies that may affect the risks of material misstatements, the application of accounting principles and auditing standards, with management each year prior to retention as the District’s auditors. However, these discussions occurred in the normal course of our professional relationship and our responses were not a condition to our retention.

Other Matters
We applied certain limited procedures to the budgetary comparison schedule for the General Fund, which are required supplementary information (RSI) that supplements the basic financial statements. Our procedures consisted of inquiries of management regarding the methods of preparing the information and comparing the information for consistency with management’s responses to our inquiries, the basic financial statements, and other knowledge we obtained during our audit of the basic financial statements. We did not audit the RSI and do not express an opinion or provide any assurance on the RSI.

We were not engaged to report on the Introductory section, which accompany the financial statements but are not RSI. Such information has not been subjected to the auditing procedures applied in the audit of the basic financial statements, and accordingly, we do not express an opinion or provide any assurance on it.

8.b
Packet Pg. 345 Attachment: Odessa Water District Audit Communication Letter Final 1-18-23 (5283 : Odessa Water District Basic Financial Statements)

To the Board of Directors
Odessa Water District
City of Barstow, California
The following new Governmental Accounting Standards Board (GASB) pronouncements were effective for fiscal year 2021-2022 audit:

GASB Statement No. 87, Leases.

GASB Statement No. 89, Accounting for Interest Cost Incurred before the End of a Construction Period.

GASB Statement No. 97, Certain Component Unit Criteria, and Accounting and Financial Reporting for Internal Revenue Code Section 457 Deferred Compensation Plans.

The following GASB pronouncements are effective in the following fiscal years’ audits and should be reviewed for proper implementation by management:

Fiscal year 2023
GASB Statement No. 91, Conduit Debt Obligations.

GASB Statement No. 94, Public-Private and Public-Public Partnerships and Availability Payment Arrangement.

GASB Statement No. 96, Subscription-Based Information Technology Arrangements.

Fiscal year 2024
GASB Statement No. 99, Omnibus 2022.

GASB Statement No. 100, Accounting Changes and Error Corrections.

Fiscal year 2025
GASB Statement No. 101, Compensated Absences.

Restriction on Use
This information is intended solely for the use of the Board of Directors and management of the Odessa Water District and is not intended to be, and should not be, used by anyone other than these specified parties.

Very truly yours,
Brea, California

8.b
Packet Pg. 346 Attachment: Odessa Water District Audit Communication Letter Final 1-18-23 (5283 : Odessa Water District Basic Financial Statements) Joint Special CC/BFPD/Odesa
02/6/23 07:00 PM
City Clerk / Records
Christina Rudsell
Travel
Doc ID: 5278

AGENDA ITEM
AGENDA MATTER:

APPROVAL OF TRAVEL FOR CITY CLERK ANDREA FLORES TO ATTEND THE TECHNICAL TRAINING FOR CLERKS SERIES 100
EXECUTIVE SUMMARY:

It is requested that the City Council approve travel to the Technical Training for Clerks Series 100 for City Clerk Andrea Flores.

DISCUSSION:

The Technical Training for Clerks (TTC) Series 100 is scheduled for March 13 - 17, 2023, in Riverside, CA. TTC is recognized by the City Clerks Association of California (CCAC) as an official California training program leading to the professional accreditation of Certified Municipal Clerk (CMC). It is requested that the City Council approve attendance at this training for City Clerk Andrea Flores.

Estimated costs to attend this training are as follows:

Registration $ 1,500.00
Travel/Transportation $ 150.00
Meals $ 300.00
Hotel $ 700.00
TOTAL $ 2,650.00
FISCAL IMPACT:

Funds are available in the FY 2022/23 budget from General Fund Account No. 100.110.132.03.301.

RECOMMENDED ACTION:

Approve travel for City Clerk Andrea Flores to Riverside, CA for the Technical Training for Clerks (TTC) Series 100, March 13 - 17, 2023, in Riverside, CA.
9 Packet Pg. 347
Joint Special CC/BFPD/Odesa
02/6/23 07:00 PM
Environmental Services
Kody Tompkins
Resolution
Doc ID: 5264

COUNCIL AGENDA ITEM
AGENDA MATTER:

APPROVAL OF CLEAN CALIFORNIA MAINTENANCE AGREEMENT
EXECUTIVE SUMMARY:

DISCUSSION:

Part of Governor Gavin Newsom’s California Comeback Plan is a sweeping $1.1 billion effort to remove trash, create thousands of jobs, and engage communities to transform roadsides and restore pride in public places. The Clean California program aims to remove 21,000 tons of trash per year from the state transportation system, engage communities to create shared responsibilities projects, create career opportunities, and support equity by benefitting underserved communities.

One element of this plan, the Clean California Highway Litter and Maintenance Agreement, identifies specific maintenance functions that the City of Barstow will perform in the state right-of-way for the term of the agreement, which ends on June 30, 2024. Costs of these maintenance functions vary specifically related to litter and graffiti removal in the state highway right-of-way, will be reimbursed by the State, up to $200,000.

This agreement allows for maintenance services such as street sweeping, removal and disposal of litter and debris, and removal of graffiti. Only costs associated with this very specific work in the state highway right-of-way on Interstate I-15, I-40, and Highway 58 can be reimbursed. The agreement has fairly stringent reporting requirements associated with this maintenance work. In addition, the agreement specifically excludes the relocation or cleanup of homeless encampments, the cleanup of hazardous materials, or any sort of vegetation maintenance, including weed abatement.

FISCAL IMPACT:

Staff has been working with the Caltrans staff to determine what activities are considered reimbursable.

After those discussions, staff believes that despite the stringent reporting requirements and extremely narrow focus of the agreement, that participation in this program will result in a net cash inflow and positive benefit to the City. The Caltrans staff to also indicated that there may be other communities that choose not to participate, and that their allotted funds may be distributed to other communities, which may increase the total amount that may be reimbursable to the City.

RECOMMENDED ACTION:

That the City Council approve a maintenance agreement with the California State Department of Transportation (Caltrans) for litter and graffiti removal in and around the state highways, associated with the “Clean California Beautification Program of 2021.”
10 Packet Pg. 348
CCMA TR-08-22-CN22
City of Barstow

CLEAN CALIFORNIA MAINTENANCE AGREEMENT

WITH THE CITY OF BARSTOW
This CLEAN CALIFORNIA MAINTENANCE AGREEMENT (“AGREEMENT”) is made by and between the State of California, acting by and through the Department of Transportation (“STATE”), and the City of Barstow (“LOCAL AGENCY”); each may be referred to individually as a “PARTY” and jointly as “PARTIES”.

RECITALS

1. This AGREEMENT will identify the specific maintenance functions STATE requests LOCAL AGENCY to perform in the STATE right of way, including highway and freeway areas situated within LOCAL AGENCY’S jurisdictional limits as authorized in Streets and Highways Code Section 130.

2. Pursuant to the “Clean California Beautification Program of 2021,” the PARTIES desire to identify specific mission-critical maintenance services LOCAL AGENCY will perform on and around STATE right of way situated within LOCAL AGENCY’s jurisdictional limits.

OPERATIVE PROVISIONS

1. Maintenance Services. LOCAL AGENCY shall perform litter, debris, and graffiti removal at the Interstate (I), State Route (SR), post miles (PM) and approximate mile lengths (STATE Right of Way) set forth in Exhibit A. LOCAL AGENCY shall remove and discard litter and debris, including, but not limited to: furniture, appliances, tire casings, bulky and large items, automobile wreckage, auto components, clothing, beverage containers, food packages and garbage.

2. Maintenance Standards. LOCAL AGENCY shall perform all maintenance services in compliance with the provisions of Streets and Highways Code Section 27, and in accordance with California and federal laws and regulations and STATE policies, procedures and specifications in effect and as amended, and applicable municipal ordinances.

3. Prior Maintenance Agreements. The PARTIES agree that this AGREEMENT does not supersede the PARTIES’ existing Delegated Maintenance Agreement or other maintenance agreements, if any.

4. Maintenance Areas. LOCAL AGENCY shall only perform maintenance services in the STATE Right of Way locations described in Exhibit A and listed in Exhibit B.

5. Amendment to Agreement. Changes to LOCAL AGENCY’s maintenance services covered in this AGREEMENT may be made by each PARTY executing amended Exhibits A and B and/or executing additional pages to Exhibits A and B that shall be attached to this AGREEMENT and will supersede the original

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Packet Pg. 349 Attachment: CCMA TR-08-22-CN22 (5264 : Clean California Maintenance Agreement) CCMA TR-08-22-CN22
City of Barstow
Exhibits A and B. Otherwise, this AGREEMENT may only be amended by a written agreement executed by both PARTIES. STATE’s District Maintenance Agreement Coordinator (DMAC)must obtain prior written approval of any amendments from the District 8 Deputy Director of Maintenance before such amendments may become effective and enforceable under this AGREEMENT.

6. Party Representatives and Notices.

LOCAL AGENCY’s GM of Environmental Services is: Kody Tompkins STATE’s DMAC is: Chris Nator
All notices, document submittals and invoices required under this AGREEMENT shall be deemed to have been fully given when made in writing and received by the PARTIES at their respective addresses as follows:

LOCAL AGENCY
Attn: GM of Environmental Services: Kody Tomkins
Address: 220 E. Mountain View St.

Suite A
City, Zip: Barstow, Ca 92311
STATE
Attn: Chris Nator
Address: Caltrans District 8 - Division of Maintenance
Maintenance Project Management, MS-1107
464 W. 4th Street
City, Zip: San Bernardino, Ca 92401-1400

7. Excluded Maintenance Activities.

7.1 Unsheltered Encampment Relocation. LOCAL AGENCY shall not engage in any activities to relocate any persons experiencing homelessness who are situated within STATE Right of Way. LOCAL AGENCY shall comply with the processes and procedures set forth in STATE’s “Interim Guidance on Encampments, Prioritizing and Addressing Encampments on Caltransowned Property,” dated July 2021, and as may be amended during the term of this AGREEMENT (Interim Guidance).

7.2 Abandoned Encampments. If LOCAL AGENCY encounters abandoned homeless encampments at or within STATE Right of Way, LOCAL AGENCY shall comply with the processes and procedures set forth in STATE’s Interim Guidance, including but not limited to coordination with STATE and the local California Highway Patrol.

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Packet Pg. 350 Attachment: CCMA TR-08-22-CN22 (5264 : Clean California Maintenance Agreement) CCMA TR-08-22-CN22
City of Barstow

7.3 Hazardous Material Clean up. LOCAL AGENCY shall not engage in any hazardous material clean-up activities. If LOCAL AGENCY encounters any hazardous materials, including but not limited to bloodborne pathogens, biological waste, feces, syringes, needles, sharp objects or unknown substances during maintenance services performed under this AGREEMENT, LOCAL AGENCY shall immediately contact STATE’s District Hazardous Material Manager for appropriate action.

7.4 Weed Abatement. LOCAL AGENCY shall not perform any weed abatement, remove overgrown brush, trees, grass and limbs or conduct any spraying, grading, mowing or discing for any maintenance services within STATE Right of Way.

8. Graffiti Removal. LOCAL AGENCY’s graffiti removal shall be limited to removal of text only in accordance with Streets and Highway Code Section 96. Any graffiti that in any way resembles a mural, artwork, paintings, or other similar elements may not be removed. LOCAL AGENCY shall discuss such possible art with STATE’s District 8 Transportation Art Coordinator
([email protected]) before conducting any graffiti removal or remediation. STATE shall pay the actual cost of LOCAL AGENCY’s graffiti removal as specified in Section 11 of this AGREEMENT.

9. Maintenance Service Schedule. LOCAL AGENCY shall provide STATE’s District 8 Area Maintenance Superintendent, Lynd Allen, at least twenty-four (24) hour prior telephone or email notice before performing any maintenance services under this AGREEMENT. His email and phone number are:

[email protected] (760) 252-2314. LOCAL AGENCY shall provide the DMAC identified in this AGREEMENT with a litter, debris and graffiti removal schedule. Maintenance services shall be provided at a minimum monthly basis. Maintenance services shall be performed between the hours of 6:00 am and 6:00 pm and may be performed on weekends and holidays if necessary.

LOCAL AGENCY must request through the DMAC a prior written approval from STATE’s District Maintenance Supervisor to perform any maintenance services before 6:00 am or after 6:00 pm.

10.Authorized Reimbursement. The functions and levels of maintenance services delegated to LOCAL AGENCY in the attached Exhibits A and B and amounts appropriated to STATE pursuant to the Clean California Beautification Program of 2021 have been considered in setting authorized total dollar amounts.

LOCAL AGENCY may perform additional work if desired, but STATE will not reimburse LOCAL AGENCY for any work in excess of the authorized dollar limits established herein.

11.Cost Reimbursement. STATE shall reimburse LOCAL AGENCY for LOCAL AGENCY’s actual and necessary costs incurred to perform the maintenance services under this AGREEMENT; provided, however, that STATE’s

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Packet Pg. 351 Attachment: CCMA TR-08-22-CN22 (5264 : Clean California Maintenance Agreement) CCMA TR-08-22-CN22
City of Barstow
reimbursement shall not exceed the maximum authorized expenditures listed in Exhibit B.

11.1 Amendment to Approved Expenditures. Upon LOCAL AGENCY’s written request, the expenditures per route for maintenance services set forth in Exhibits A and B may be increased, decreased, or redistributed between routes pursuant to the PARTIES executing an appropriate amendment in accordance with section 5 above. All such adjustments must be authorized in writing by the District Director or his/her authorized representative.

11.2 Term of Expenditures. Additional expenditures or an adjustment of expenditures once authorized shall apply only for the term of this AGREEMENT and shall not be deemed to permanently modify or change the basic maximum expenditures per route as specified in Exhibits A and B. Any expenditure adjustments shall not affect or alter any other terms of this AGREEMENT.

12.Billing, Payment and Reporting.

12.1 Billing Date. LOCAL AGENCY shall submit billing invoices to STATE’s DMAC each month beginning after the first month LOCAL AGENCY has performed maintenance services under this AGREEMENT. LOCAL AGENCY shall not submit billing invoices for reimbursement of costs less than $500 more than once each quarter. LOCAL AGENCY shall also submit billing invoices promptly following the close of STATE’s fiscal year on each June 30th.

12.2 Billing Submission Format. Each billing invoice shall include all of the following:
(a) STATE’s Clean California Program Code: CLEANCADMA;
(b) AGREEMENT number; CCMA TR-08-22-CN22
(c) Date(s) of services;
(d) Location of services;
(e) Number of hours and hourly rates;
(f) Receipts for trash disposal;
(g) Receipts for equipment, materials and supplies; and (h) LOCAL AGENCY’s Performance Report that includes the information required under section 15 of this AGREEMENT.

STATE shall pay LOCAL AGENCY for the maintenance services satisfactorily performed in accordance with the rates and schedules in Exhibits A and B.

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Packet Pg. 352 Attachment: CCMA TR-08-22-CN22 (5264 : Clean California Maintenance Agreement) CCMA TR-08-22-CN22
City of Barstow

13.Successors. This AGREEMENT shall be binding upon and inure to the benefit of each of the PARTIES’ successors-in-interest, including, but not limited to any public entity to whom any part of the STATE Right of Way covered under this AGREEMENT may be relinquished and any subsequently incorporated city or other municipality established within the LOCAL AGENCY’s jurisdictional limits.

14.Encroachment Permits. Before LOCAL AGENCY may enter STATE Right of Way to perform any maintenance services in the areas covered by this AGREEMENT, STATE’s District 8 Encroachment Permit Office must issue an initial encroachment permit at no cost to LOCAL AGENCY. LOCAL AGENCY must obtain additional encroachment permits, if necessary, to enter or perform any work within STATE right of way not covered by this AGREEMENT. STATE will issue these additional encroachment permits at no cost to LOCAL AGENCY. LOCAL AGENCY’s contractors and sub-contractors must apply for and be issued separate encroachment permits before they may enter STATE Right of Way to perform any maintenance or work under this AGREEMENT.

15.Performance Monitoring. LOCAL AGENCY shall prepare a Performance Report to record and report the quantity and description of litter, debris, and graffiti removed and maintenance services performed at each clean-up site and location set forth in Exhibits A and B. This Performance Report shall include dated and executed documents demonstrating the weight and/or amount of litter, debris, and graffiti removed, including disposal receipts from authorized disposal sites and/or landfills. The DMAC (or other title i.e; RESOURCE MANAGER) may also request that LOCAL AGENCY provide photographs of the sites taken before and after LOCAL AGENCY’s maintenance services are performed.

16. Legal Disposal of Litter Collected.

LOCAL AGENCY shall make its own arrangements for the legal disposal of litter or debris materials to authorized disposal sites. LOCAL AGENCY shall not leave any filled litter bags, litter piles or other groups of litter assembled during its maintenance services along or in STATE Right of Way. Such litter groupings shall be removed out of STATE Right of Way each day LOCAL AGENCY performs the maintenance services in this AGREEMENT.

17. Safety and Worker Compliance. LOCAL AGENCY shall be solely responsible for crew pay, workers compensation and any other benefits required by state and federal law. Subcontractors and crew members are not considered STATE’s employees at any time. LOCAL AGENCY shall comply with all applicable State and Federal statutes and regulations governing worker and public safety, including but not limited to compliance with CAL-OSHA regulations and guidelines. LOCAL AGENCY shall make arrangements through the DMAC if traffic controls, flags, signs, or lane closures are necessary to safely perform any maintenance services.

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Packet Pg. 353 Attachment: CCMA TR-08-22-CN22 (5264 : Clean California Maintenance Agreement) CCMA TR-08-22-CN22
City of Barstow

18. Equipment and Supplies. LOCAL AGENCY shall provide the necessary equipment, tools, personal protective equipment, materials, supplies and products necessary to perform the maintenance services under this AGREEMENT. STATE shall reimburse LOCAL AGENCY for the reasonable costs of such equipment and supplies not to exceed the authorized expenditures set forth in Exhibit B.

19. Legal Relations and Responsibilities.

19.1 No Third-party Beneficiaries. This AGREEMENT is not intended to create duties, obligations, or rights of third parties beyond the PARTIES to this AGREEMENT, nor does this AGREEMENT affect a PARTY’s legal liability by imposing any standard of care for the maintenance of STATE highways different from the standard of care imposed by law.

19.2 Indemnification. Neither STATE nor any of its officers or employees is responsible for any injury, damage or liability occurring by reason of anything done or omitted to be done by LOCAL AGENCY in connection with any work, authority or jurisdiction conferred upon LOCAL AGENCY under this AGREEMENT. LOCAL AGENCY shall fully defend, indemnify, and save harmless STATE and its officers and employees from all claims, suits, or actions of every kind occurring by reason of anything done or omitted to be done by LOCAL AGENCY, its contractors, sub-contractors and/or its agents pursuant to this AGREEMENT.

Neither LOCAL AGENCY nor any of its officers or employees is responsible for any injury, damage or liability occurring by reason of anything done or omitted to be done by STATE, in connection with any work, authority or jurisdiction conferred upon STATE under this Agreement. STATE shall fully defend, indemnify, and save harmless LOCAL AGENCY and its officers and employees from all claims, suits, or actions of every kind occurring by reason of anything done or omitted to be done by STATE under this Agreement.

19.3 Work-related Injuries. If a LOCAL AGENCY-assigned crew member is injured while performing maintenance services under this AGREEMENT, LOCAL AGENCY or its designated subcontractor shall be responsible for ensuring the crew member is given prompt medical care and treatment and, if necessary, transportation to a medical facility. LOCAL AGENCY or its designated subcontractor shall administer any injury and workers compensation claims. LOCAL AGENCY shall notify the DMAC (or other title) within twenty-four (24) hours when any such incident has occurred.

20.Prevailing Wages and Labor Compliance. LOCAL AGENCY shall comply with any and all applicable labor and prevailing wage requirements in Labor Code Sections 1720 through 1815 and implementing regulations for public works or

10.a
Packet Pg. 354 Attachment: CCMA TR-08-22-CN22 (5264 : Clean California Maintenance Agreement) CCMA TR-08-22-CN22
City of Barstow
maintenance contracts and subcontracts executed for the LOCAL AGENCY’s maintenance services under this AGREEMENT.

21.Insurance

21.1 Self-Insured. LOCAL AGENCY is self-insured. LOCAL AGENCY shall deliver evidence of self-insured coverage providing general liability insurance, coverage of bodily injury and property damage liability, in an amount of $1 million per occurrence and $2 million in aggregate and $5 million in excess by delivering a Letter Certifying Self-Insurance. The Letter of SelfInsurance must be substantially in the form of Exhibit C and identify the AGREEMENT number, and location as depicted in Exhibits A and B.

LOCAL AGENCY shall provide the original Letter Certifying Self-Insurance as a condition to STATE’s execution of this AGREEMENT. A copy of the original letter shall be attached to this AGREEMENT as Exhibit C.

21.2 Self-Insured using Contractor. If the work performed under this AGREEMENT is done by LOCAL AGENCY‘s contractor(s), LOCAL AGENCY shall require its contractor(s) to maintain in force, during the term of this AGREEMENT, a policy of general liability insurance, including coverage of bodily injury and property damage liability, naming STATE, its officers, agents and employees as the additional insured in an amount of $1 million per occurrence and $2 million in aggregate and $5 million in excess. LOCAL AGENCY shall provide a certificate of insurance evidencing this insurance in a form satisfactory to STATE.

22. Budget Contingency. STATE’s payments to LOCAL AGENCY are contingent upon the Legislature appropriating sufficient funds under the Budget Act, the allocation of funding by the Clean California State Beautification Program of 2021 as appropriate, and the encumbrance of funding to STATE’s District Office.

23. Termination. This AGREEMENT may be terminated by the mutual written consent of each PARTY. STATE may terminate this AGREEMENT for convenience or for cause upon thirty (30) day prior written notice to LOCAL AGENCY. LOCAL AGENCY may terminate this AGREEMENT upon thirty (30) day prior written notice to STATE.

24. Term of Agreement. This AGREEMENT shall become effective on the last of the dates each PARTY’s authorized representative has executed this AGREEMENT and shall expire on June 30, 2024, unless terminated or amended.

25.Authority. Each individual executing this AGREEMENT on behalf of each PARTY represents and warrants that he/she is duly authorized to execute this AGREEMENT as authorized under Streets and Highways Code Sections 114 and 130. LOCAL AGENCY represents and certifies that it has, through its regular

10.a
Packet Pg. 355 Attachment: CCMA TR-08-22-CN22 (5264 : Clean California Maintenance Agreement) CCMA TR-08-22-CN22
City of Barstow
political process, authorized the execution of this AGREEMENT by appropriate resolution, delegation, or plenary authority as required.

26.Counterparts. This AGREEMENT may be executed in one or more counterparts, each of which shall be deemed an original, but all of which together shall constitute one and the same document.

27.Electronic Signatures. Electronic signatures of the PARTIES, whether digital or encrypted, are intended to authenticate this written AGREEMENT, and shall have the same force and effect as manual signatures for this AGREEMENT.

THE LOCAL AGENCY OF BARSTOW

STATE OF CALIFORNIA

DEPARTMENT OF TRANSPORTATION

Dated:

Dated:

Dr. Paul Anthony Courtney
Mayor

Jim A. Rogers
District Deputy Director
District 8
INITIATED AND APPROVED:

Dated:

Andrea Flores
City Clerk

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Packet Pg. 356 Attachment: CCMA TR-08-22-CN22 (5264 : Clean California Maintenance Agreement) CCMA TR-08-22-CN22
City of Barstow

EXHIBIT A
Route
No.

Length
Miles
Description of Routing Program Code
I-15 1.4 PM 76.0 to 77.4 – Soapmine Rd. to
Ft. Irwin Rd. north bound off
ramp.

CLEANCADMA
SR-247 1.7 PM 76.4 to 78.1 – 0.6 mile south of
Barstow College South Entrance
to Junction Route 15

CLEANCADMA

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Packet Pg. 357 Attachment: CCMA TR-08-22-CN22 (5264 : Clean California Maintenance Agreement) CCMA TR-08-22-CN22
City of Barstow

EXHIBIT B

BREAKDOWN & LISTING OF MAINTENANCE TASKS
Rte
No.

Post
Miles
(PM)
Litter per
Bag
(CY)
Large
Items
Graffiti
Sq. Ft.

Traffic
Control
Other
(CY)
Maximum Authorized
Expenditures
I-15 76.0 to

77.4 X X X X X Actual Cost
SR-247 76.4 to

78.1 X X X X X Actual Cost

TOTAL MAXIMUM AUTHORIZED EXPENDITURES: $200,000_

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Packet Pg. 358 Attachment: CCMA TR-08-22-CN22 (5264 : Clean California Maintenance Agreement) CCMA TR-08-22-CN22
City of Barstow

EXHIBIT C
LETTER CERTIFYING CITY’S SELF-INSURED STATUS
On Local Agency letterhead
California Department of Transportation District 8 ________________, 20___ ATTN: Jim A. Rogers, Deputy District Director, Maintenance 464 W. 4th Street
San Bernardino, Ca 92401, MS 1206
Re: Statement of Self-Insurance for City of Barstow for Clean California Maintenance Agreement No. CCMA TR-08-22-CN22 with California Department of Transportation for the maintenance services along I-15 at PM

76.0/77.4 and SR-247 PM 76.4-78.1
Dear Mr. Rogers:

This letter certifies that the City of Barstow is self-insured and self-funded covering third-party claims arising out of its general operations (i.e.; commercial general liability and automobile liability insurance). Further, the CITY is self-insured covering workers’ compensation claims and has received the consent of the State Department of Industrial Relations to do so.

Each fiscal year, as a part of its budgetary process, the CITY appropriates funds specifically to satisfy valid third-party claims and workers’ compensation claims, which may be brought against the CITY.

The CITY certifies its self-insured, general liability coverage for bodily injury and property damage liability, and meets the required coverage amounts in section 21 (Insurance) of the Clean California Maintenance Agreement, specifically general liability insurance, coverage of bodily injury and property damage liability in an amount of $1 million per occurrence and $2 million in aggregate and $5 million in excess.

If you need any additional information regarding this letter, please direct those inquiries through my office.

Sincerely,
Finance Manager/Risk Manager/Authorized Representative’s Title

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Packet Pg. 359 Attachment: CCMA TR-08-22-CN22 (5264 : Clean California Maintenance Agreement) Joint Special CC/BFPD/Odesa
02/6/23 07:00 PM
Waste Water Plant
Kody Tompkins
Budget
Doc ID: 5274

AGENDA ITEM
AGENDA MATTER:

APPROVAL OF PURCHASE OF A COMBINATION TRUCK
EXECUTIVE SUMMARY:

Staff seeks the City Council's approval to enter into an agreement, with Haaker Equipment in the amount of $566,322.15 to purchase a New Vactor 2112 Sewer Cleaner.

DISCUSSION:

Staff is currently using a Mongoose 4000-PSI, with an 18 GPM jetter trailer, and a small vacuum trailer. In order to perform collection system cleaning, we have to tow both units out with two Ford F350 pickups, using more fuel consumption, unnecessary wear on vehicles, and double the staff in order to tow multiple vehicles. In collections maintenance, the jetter takes the brunt of the work, and the age of this machine has started to show, within the past few years. Staff has rebuilt the pump in-house on several different occasions throughout owning this equipment at $3,500 just for a rebuild kit. This equipment is critical to a Sanitary Sewer Overflow (SSO). The jetter is only rated to clean up to 15-inch pipe as originally laid out in the contract operation days. Since the City assumed wastewater treatment operations in-house, we have been forced to contract any service cleanings greater than 15 inches. With new California Air Resources Board (CARB) restrictions it has reduced the amount of contractors available also extending the response time. CARB is also why the City removed its 1980s Vactor from its fleet. This increased response time increases the liability for the City as each gallon spilled on ground can result in monetary fines from the State Water Resources Control Board. The City owns and maintains approximately 126 miles of collection system, of which 34 miles would not be serviceable with our current sewer maintenance equipment. If approved, staff will issue an intent to purchase as there is a lead-time that will extend into the next fiscal year.

FISCAL IMPACT:

Description amount for the Vactor 2112 Sewer Cleaner at $566,322.15 including tax, and delivery.

Appropriate $566,322.15 from the wastewater enterprise fund.

RECOMMENDED ACTION:

Staff recommends that the City Council take the following actions:

1. Authorize the purchase of a new Vactor 2112 Sewer Cleaner, from Haaker Equipment, by appropriating $566,322.15 from the Wastewater Enterprise Fund and;

2. Authorize the City Manager or designee to issue the intent to purchase and the authority to execute the necessary agreement when the equipment becomes available. 11 Packet Pg. 360
2070 North White Avenue, La Verne, California 91750
(909) 598-2706 ~ FAX (909) 598-1427 -Haaker.com
QUOTE
January 23, 2023
TO: CITY OF BARSTOW ATTN: Mr. Wesley Garrison
2200 Riverside Drive 760-577-1001
Barstow, CA 92311 Email: [email protected]
In Accordance With Your Request, We Are Pleased To Submit The Following Proposal For Your Consideration And Approval Based On The Sourcewell Cooperative Purchasing Agreement - Contract #101221-VTR.

ONE (1) NEW VACTOR 2112 SEWER CLEANER (80505)
12 Yard Debris Body With 18" Vacuum, 1500 Gallons Of Fresh Water, Mounted On A New International HV607, Model Year Based On Availability, 6x4 370hp, With Allison Automatic Transmission. Equipped With All Standard/Optional Equipment Listed:

STANDARD EQUIPMENT INCLUDED
· 48" x 22" x 24" Curb Side Aluminum Toolbox
· Aluminum Fenders
· Mud Flaps
· Electric/Hydraulic Four Way Boom
· Color Coded Sealed Electrical System
· Remote Pendant Control w/35' Cord
· Intuitouch Electronic Package
· Double Acting Dump Hoist Cylinder
· Handgun Assembly w/35' x 1/2" Hose w/Quick Disconnects · 3" Y-Strainer at Water Pump Inlet
· Ex-Ten Steel Cylindrical Debris Tank
· Flexible Hose Guide
· 30 Deg. Sand Nozzle w/Carbide Inserts
· 30 Deg. Sanitary Nozzle w/Carbide Inserts
· 15 Deg. Penetrator Nozzle w/Carbide Inserts
· Nozzle Storage Rack
· Vacuum Tube Storage: Curbside (2) Pipe, Rear Door (2) Pipe · 1" Nozzle
· 10' Leader Hose
· Flat Rear Door w/Hydraulic Locks and Door Power-up/Down, Open/Close Feature
· Dual 10" Stainless Steel Float Shut Off System/Rear Mounted · Debris Body Vacuum Relief System
· Debris Deflector Plate
· 60" Dump Height
· Water Sight Gauge DS/PS
· Liquid Float Level Indicator
· Boom Transport Post Storage
· 3" Y-Strainer @ Water Pump w/3" Drain Valve
· Performance Package: (Hyd Variable Flow, Dual PTO's. Dual Hyd.

Pumps)
· 1" Water Relief Valve for Vactor Water Pump
· Stainless Steel Microstrainer
· Blower Air Shift Controls
· Hydraulic Cooling Package
· Midship Handgun Coupling
· Side Mounted Water Pump
· Hose Wind Guide (Dual Roller)
· Hose Reel Manual Hyd. Extend/Retract
· Hose Reel Chain Cover (Full)
· Tachometer/Chassis Engine W/Hour meter
· Circuit Breakers
· LED Lights. Clearance, Back-Up, Stop, Tail & Turn
· Tow Hooks, Front and Rear
· Electronic Back-Up Alarm
· Hydraulic Tank Shutoff Valves
· 8" Vacuum Pipe Package
· Emergency Flare Kit
· Fire Extinguisher 5 Lbs.
· Low Water Alarm with Water Pump Flow Indicator
· Front Joystick Boom Control
· Rodder System Accumulator- Jack Hammer on/off control w/ manual valve
· Digital Hose Footage Counter
· Water Pump Hour Meter
· PTO Hour Meter
· Camera System, Rear Only
· Hydraulic Oil Temp Alarm
· Digital Water Pressure Gauge
· Chassis Modifications

11.a
Packet Pg. 361 Attachment: Haaker 2022 Demo Unit (5274 : Approval of Purchase of a Combination Truck)

OPTIONAL EQUIPMENT INCLUDED
· Roots 824-18" Hg. Blower
· 180 Degree Rotation, 10 Ft. Hydraulic Telescoping Boom, Front Loading 8" Suction Hose
· Boom Out of Position Indicator/Alarm
· 80 GPM Variable Flow Water System
· 2500 PSI Water Pressure
· 1" x 800' Sewer Hose, 2500 PSI
· Hydraulic Extending/Rotating 15" Hose Reel (1" x 800') Capacity · Module Paint, Dupont Imron Elite - Sanded Primer Base · Debris Body Flush Out System
· 6" Butterfly Valve, Rear Door, 3:00 Position
· 6" Knife Valve w/Cam-Loc, Rear Door, 6:00 Position
· Pump off Ports Only
· Additional Water, Water and Debris Tanks Joined
· Centrifugal Separators
· Folding Pipe Rack, Curbside, 8" Pipe
· Folding Pipe Rack, Streetside, 8" Pipe
· Rear Door Pipe Rack Removed
· Rear Door Splash Shield
· Lube Manifold
· Plastic Lube Chart
· Wireless Controls, including hose reel controls
· Rotatable Boom Inlet Hose, Telescoping Boom
· Handgun Couplers, Front and Rear
· Hydro Excavation Kit - Includes Lances, Nozzles, Storage Tray, and Vacuum Tubes
· Automatic Hose Level Wind Guide, Indexing
· High Pressured Hose Reel
· Front Hose Reel Storage
· Rodder Pump Drain Valves
· Hand Light w/Bumper Plug
· LED Mid-Ship Turn Signals
· Body Out of Position Indicator/Alarm
· Worklights (2), LED, Telescoping Boom
· Worklights (2), LED, Rear Door
· Worklights, LED, Operators Station
· Toolbox, Front Bumper Mounted, 16 x 12 x 18 w/ (2) LED Side Markers
· Toolbox, Driver Side Chassis Frame, 24w x 24h x 24d
· (4) Long Handle Tool Storage Locations behind Cab
· Safety Cone Storage Rack - Post Style
· (2) Additional Cone Racks
· Digital Water Level Indicator
· Digital Debris Body Level Indicator
· Door Stripe Material, Reflective Tape
· (1) 8" x 7'-6" Aluminum Vacuum Tube
· Vactor Supplied Chassis, Tandem Axle, 2023 Freightliner 114SD SFA 6x4, 370 HP, Auto, 66,000 GVWR, GHG
· Extended Factory Warranty - 3Yrs
· Vactor Standard Manual and USB Version - 1
· Whelen Light Package Includes LED Light Bar, Strobes, LED Traffic Advisor
Sourcewell Unit Price: ...................................................................................... $ 531,423.00 Sourcewell Discount: ....................................................................................... ($ 10,667.00) Subtotal: .............................................................................................................. $ 520,756.00 Sales Tax (8.75%).................................................................................................... $ 45,566.15 TOTAL UNIT PRICE, FOB: BARSTOW, CA: ........................................... $ 566,322.15

THE PROPERTY HEREIN IS GUARANTEED BY MANUFACTURER'S WARRANTY ONLY AND SELLER MAKES NO

WARRANTY EXPRESSED OR IMPLIED, OF MERCHANTABILITY OR OTHERWISE, OR OF FITNESS FOR ANY PARTICULAR PURPOSE, THAT EXTENDS BEYOND THE ABOVE DESCRIPTION OF THE EQUIPMENT.

NOTE: Price is good until 15 Days. Cost increases due to the addition of Government mandated safety or environmental devices incurred after the date of this proposal, will be charged to you at our cost. Proof of such costs, if any, will be documented.

TAXES: SALES TAX applicable at time of delivery will be shown on our invoice. FEDERAL EXCISE TAXES, if applicable, will require payment unless a properly executed Exemption Certificate is submitted.

DELIVERY: 14-20 Days TERMS: Net 30
We appreciate the opportunity to present this proposal and look forward to being of further and continued service.

HAAKER EQUIPMENT COMPANY ACCEPTED BY:

BY: George Lopez DATE:

GEORGE LOPEZ/ Sales Representative

11.a
Packet Pg. 362 Attachment: Haaker 2022 Demo Unit (5274 : Approval of Purchase of a Combination Truck) Jan 1, 2023
To Whom it may Concern:

The only Authorized Elgin and Vactor Distributor for Southern California and Southern Nevada is:

Haaker Equipment Haaker Equipment
2070 N White Ave 4645 Copper Sage St
La Verne, CA 91750 Las Vegas, NV 89115
Tel: 909-598-2706 702-639-0156
Fax: 909-598-1427 702-639-1843
url: www.haaker.com
As an Authorized Elgin and Vactor Distributor, Haaker Equipment maintains an inventory of Elgin and Vactor Performance Matched Replacement Parts and a staff of factory trained technicians to provide service and support to users of Elgin and Vactor Products.

We often learn of instances where other parts suppliers have attempted to represent themselves as suppliers of genuine Elgin and Vactor Parts, or as being an authorized by Elgin and Vactor to manufacture replacement parts. Please be advised that Elgin and Vactor Performance Matched Replacement Parts are sold only through Authorized Elgin and Vactor Distributors. The Elgin Sweeper Company and Vactor Manufacturing do not provide other suppliers - will fitters - with our design specifications. In addition, we have not authorized any other manufacturer to make or distribute current Elgin or Vactor Performance Matched Replacement Parts.

If you have a question regarding identification of an Authorized Elgin or Vactor Distributor, please call the Elgin Sweeper Company at 847-741-5370 or Vactor Manufacturing at 815-672-3171. We will be happy to provide you with the required information.

Sincerely,
Michael Troidl
Western Regional Service Support Manager
Federal Signal Environmental Solutions Group
Elgin Sweeper Company and Vactor Manufacturing.

11.b
Packet Pg. 363 Attachment: Haaker Sole Source Letter 2023 (5274 : Approval of Purchase of a Combination Truck) www.nixonegli.com
• S. CALIFORNIA: 2044 South Vineyard Avenue, Ontario, CA 91761 • (909) 930-1822 • FAX (909) 923-2356 • N. CALIFORNIA: 800 East Grant Line Road, Tracy, CA 95376 • (209) 830-8600 • FAX (209) 830-8884 City of Barstow October 3, 2022
2200 Riverside Dr
Barstow, California 92311
Attn: Mr. Wesley Garrison
Reference: Secoa 900-ECO-9
Sewer Equipment Sourcewell Contract# 101221-SCA
City of Barstow Sourcewell Contract# 139371
Mr. Garrison,
We are pleased to provide you a quotation one new Sewer Equipment Company of America 900 ECO-9 Combination Sewer Cleaning Truck equipped as follows:

Vacuum System:
• 4400 CFM Blower
• 8" Vacuum Hose system
• 18" Hg vacuum rating
• Dual Cyclone Separator
• Dual Element 10 Micron Final Filter
• Remote Vacuum Relief
• Analog Vacuum Display
• (6) Tube / Tube Rack
Boom:
• Telescoping Boom System
• Telescoping Reach 17' 2" to 27' 2"
• Hydraulic Powered Boom
• 180° Working Radius
• Boom Joystick Control
Debris Tank:
• 9 Cubic Yard Capacity
• Hydraulic Dump, 50° Dump Angle
• Dual Ported Rear Door w/ Knife Valve
• Dump Height 60"
• Hydraulic Open/Close/Lock Door

11.c
Packet Pg. 364 Attachment: Nixen new truck quote (5274 : Approval of Purchase of a Combination Truck) www.nixonegli.com
• S. CALIFORNIA: 2044 South Vineyard Avenue, Ontario, CA 91761 • (909) 930-1822 • FAX (909) 923-2356 • N. CALIFORNIA: 800 East Grant Line Road, Tracy, CA 95376 • (209) 830-8600 • FAX (209) 830-8884 Water System:
• 1000 Gallon Capacity Water Tank
• Giant plunger style Triplex 65 GPM @ 2000 psi w/ 30 min run dry • Black Duraprolene™ Water Tank Construction w/ 10 Year Warranty • Cold Weather Recirculation System
• 2.5" Hydrant Fill system
• Air Purge Valve
• Variable Volume Delivery
• Low Water Warning Light
• Analog Pressure Display
• Front and Mid Ship Handgun Ports
Electrical:
• NEMA 4 Control panel
• Hour meter (blower & water pump)
• Military spec. sealed switches
Truck:
• Mounting to Approved Chassis
• Alum Toolbox 24"x42"x100" - Behind Cab
• LED D.O.T. Approved Lighting
• TOW HOOKS FRONT BUMPER
Hose Reel & Hose:
• Front Mounted Telescoping & Rotating
• 800' X 1" Hose Capacity
• 10' Leader Hose
• Single Side Controls
Accessories:
• (3) 8" x 6' Extension Tube
• 8" X 3' Extension Tube
• 8" x 6' Crowned Suction Nozzle
• 6" x 10' Flat Discharge Hose
• BB Hose Guide
• Tri-Star (chisel point) nozzle
• DD (high flow) nozzle
• Finned Nozzle extension
• Nozzle Rack (Mounted midship toolbox)
• 25' Fill Hose

11.c
Packet Pg. 365 Attachment: Nixen new truck quote (5274 : Approval of Purchase of a Combination Truck) www.nixonegli.com
• S. CALIFORNIA: 2044 South Vineyard Avenue, Ontario, CA 91761 • (909) 930-1822 • FAX (909) 923-2356 • N. CALIFORNIA: 800 East Grant Line Road, Tracy, CA 95376 • (209) 830-8600 • FAX (209) 830-8884 • Upstream Pulley Guide
• Washdown gun
• Cleaner, Tip,Torch,Small
• Hydrant Wrench
• Paper Owner's Manual
Additional Selected Options Included in Pricing Below:
• Automatic Level Wind with Hydraulic Up/Down Action
• Digital "Smart Counter" Footage Meter
• Footage Meter (Mounted on Jet Hose Reel)
• Secondary Operators Station (Controls Include Analog Water and Vacuum Pressure Gauges And Reel Payout/Retrieve)
• (800’) Sewer Hose (3/4” I.D., 3000 P.S.I. Operating Pressure) Per Ft • 25’ Leader Hose (In Lieu Of Standard 10')
• Triplex Plunger Style Water Pump Rated At 55 GPM @ 3000 Psi (Includes Drain Valves) (Confirm Chassis Horsepower Requirements)
• Additional 200 Gallon Duraprolene™ Water Tank W/ 10 Year Warranty- (Driver Side Rail) Note #1: Subject to Chassis Load Capacity Specifications. • Digital Water Tank Level Gauge
• Water Tank Low Level Audible Alarm (Level Set Point Is Fixed At 150 Gallons) • Fill Hose Storage Rack
• Standard Hydroexcavation Cleaning Kit 20 GPM @ 2000 Psi (8" X 6' Digging Tube, 8gpm Rotary Digging Wand, 10gpm Linear Nozzle (Shipped Loose), (2) 5' Extension Wands and Automatic Reel W/ 75' Of 3/8" Hose)
• 2" Y-Strainer on Inlet Fill System
• Central Washdown System (Includes 50' Of 1/2" Hose on A Spring Retracting Hose Reel Mounted MidShip) • Rear Toolbox Group (Includes (2) 24"X18"X18" Boxes And (1) 63.75"X17.25"X12" Center Section with Pass-Thru Opening) (Only Available with Single Axle Chassis) • Long Handled Tool Storage (Includes (2) 4" Tubes & 63.75"X17.25"X12" Cabinet) - Confirm Rear Suspension
• "(2) 30""X18""X18"" Passenger Side Toolboxes with Retractable Two-Step Ladder • Additional 18"X18"X30" Aluminum Toolbox - (1 Maximum Mounted Passenger Side Rail) Note: Not Available with Single Piston Pump Option.
• Debris Body Pump Off System (4" Hydraulic Driven Pump Rated @ 800 GPM Located on Rear Door of Debris Box, Includes Swing Out Decant Screen)
• Debris Liquid Level Audible Alarm (Level Set Point is Adjustable) Note: Tied to Vacuum Relief and Opens Vacuum Relief Valve • Dual Variable Vacuum Control Valve (Located at Both Hose Reel & Midship Stations) • Debris Body Wash Out System (Includes Dual Nozzles in Debris Box) • Decant Screen on Rear Door Port (Swing Out Perforated Shield)

11.c
Packet Pg. 366 Attachment: Nixen new truck quote (5274 : Approval of Purchase of a Combination Truck) www.nixonegli.com
• S. CALIFORNIA: 2044 South Vineyard Avenue, Ontario, CA 91761 • (909) 930-1822 • FAX (909) 923-2356 • N. CALIFORNIA: 800 East Grant Line Road, Tracy, CA 95376 • (209) 830-8600 • FAX (209) 830-8884 • Wireless Remote-Control Pendant (Controls Include Hose Reel Payout/Retrieve, Water Pump On/Off, Vacuum Relief Open/Close, Boom Up/Down, Boom Left/Right, Boom Extend/Retract and Module Kill Switch)
• Wireless Remote Alarm (Buzzer Alarm Sounds Off When Truck Is Taken Out of Neutral with Remote Not in Docking Station)
• Enhanced Visibility Camera System (Includes Front and Rear Mounted Camera Heads with Monitor in Cab)
• (6) Led Flush Mounted Strobes: (2) Front, (2) Side & (2) Rear Facing • Led Arrow Stick
• Led Manhole Area Work Light
• Led Curbside Body Mounted Work Light
• Led Boom Mounted Work Lights (2) (Complete with Limb Guard) • Led Rear Mounted Work Lights (2): Located Above Rear Door • Six (6) 28" D.O.T. Safety Cones and Holder
• Central Lubrication System
• Additional Paper Operators Manual
• USB Operators Manual
Chassis:
• Freightliner 114SD Tandem Rear Axle Chassis / Diesel Powered Unit List Price: $370,502.00
Sourcewell Discount 3%: -$11,115.06
Unit Price: $359,386.94
Sewer Equipment Market Adjustment: $35,938.69
Chassis: $128,464.00
Dealer Items: $16,700.00
Sales Tax (San Bernardino County 8.75%): $47,292.84
Outbound Freight: $2,000.00
Total Price: $589,782.47

11.c
Packet Pg. 367 Attachment: Nixen new truck quote (5274 : Approval of Purchase of a Combination Truck) www.nixonegli.com
• S. CALIFORNIA: 2044 South Vineyard Avenue, Ontario, CA 91761 • (909) 930-1822 • FAX (909) 923-2356 • N. CALIFORNIA: 800 East Grant Line Road, Tracy, CA 95376 • (209) 830-8600 • FAX (209) 830-8884 Freight will be via driveaway service.

This quote is valid for 30 days.

Thank you for the opportunity to quote on your equipment needs. If you have any further questions, please feel free to contact me.

Sincerely,
NIXON-EGLI EQUIPMENT CO.

Christian Velasco
Municipal Area Manager

11.c
Packet Pg. 368 Attachment: Nixen new truck quote (5274 : Approval of Purchase of a Combination Truck)

www.nixon-egli.com
 SO. CALIFORNIA: 2044 South Vineyard Avenue, Ontario, CA 91761 • (909) 930-1822 • FAX (909) 923-2356  NO. CALIFORNIA: 800 East Grant Line Road, Tracy, CA 95376 • (209) 830-8600 • FAX (209) 830-8884

11.c
Packet Pg. 369 Attachment: Nixen new truck quote (5274 : Approval of Purchase of a Combination Truck) De
January 1, 2023
To Whom It May Concern:

Thanks for reaching out and for your inquiry regarding our Elgin Sweeper and Vactor products and the use of our Sourcewell contract to purchase these products. I wanted to clarify that Federal Signal is the parent holding company for the Elgin Sweeper and Vactor Manufacturing Companies. For this reason, our products are sold and serviced through our network of authorized dealers across North America. The dealers are trained to sell and service these products and are also well versed on the use of our Sourcewell contract. The process for using the contract is as simple as requesting a quote/proposal (in accordance with our Sourcewell contract) from your local dealer. All you need to do is provide your membership number and then submit your purchase order to the dealer – we will take care of the rest.

The authorized Elgin and Vactor dealer in Southern CA, and Southern NV is Haaker Equipment Company and their business locations are shown below. Please feel free to contact them directly.

Haaker Equipment Haaker Equipment
2070 N White Ave 4645 Copper Sage St
La Verne, CA 91750 Las Vegas, NV 89115
If you have any questions regarding the use of the Sourcewell contract or the identification of an authorized Elgin or Vactor distributor, please call Elgin Sweeper Company at 847- 741-5370 or Vactor Manufacturing at 815-672-3171. We will be happy to provide you with the requested information.

Best regards,
John E. Abramowski
Regional Sales Manager
Federal Signal Environmental Solutions Group
Elgin Sweeper & Vactor Products
847-682-8918
ELGIN
VACTOR
1300 W. Bartlett Road ▪ Elgin, IL 60120 ▪ p. (847)741-5370 ▪ f. (847)742-3035 ▪ www.elginsweeper.com

11.d
Packet Pg. 370 Attachment: Sourcewell and Authorized Vactor Elgin Dealer Letter Southern CA 2023 (5274 : Approval of Purchase of a Combination Truck) Joint Special CC/BFPD/Odesa
02/6/23 07:00 PM
Engineering
Domingo Gonzales
Public Hearing
Doc ID: 5272

COUNCIL AGENDA ITEM
AGENDA MATTER:

FY2023/24 COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) ALLOCATION FOR PROJECTS EXECUTIVE SUMMARY:

The City of Barstow estimated allocation from Community Development Block Grant (CDBG) funds is $262,046. The City Council must review the applications and recommend which project(s) and funding amount will get submitted to CDBG for approval.

DISCUSSION:

The City of Barstow is not considered an “Entitlement City” which means the City does not meet the 50,000 plus population threshold required by the Housing & Urban Development Federal Agency (HUD) to receive funding directly. Since the City is not an Entitlement City, the City of Barstow contracts with San Bernardino County to receive funds to support construction projects and public services programs that meet the needs of the community. The Community Development & Housing Agency for San Bernardino County administers the program and reviews all the applications prior to submitting them to the individual non-entitlement communities within San Bernardino County. Following the Public Hearing, the Council awards the funds to the individual projects they consider best suited to meet the needs of the community. The Council’s recommendations are then submitted to San Bernardino County for the Comprehensive Plan that is submitted to HUD for final approval. Public Services Programs must spend their allocation no later than June 30, 2023. Any remaining funds are rolled into the City’s Unprogrammed Fund Balance which is $5,439.40. CDBG Unprogrammed Funds cannot be used for Public Services Programs.

For the 2022-2023 Program Year, the City anticipates receiving an estimated annual allocation of $262,046. This amount is based on U.S. Census poverty, overcrowded housing counts and population estimates. Policy requires fifteen percent (15%) or $39,307 be allocated towards Public Services Programs which leaves a balance of $222,739 for Construction Projects.

According to CDBG policy, The City Council can recommend a maximum of two (2) construction projects and five (5) Public Services projects. CDBG has received three (3) application for construction and seven (7) applications for Public Services. A copy of the applications and a summary sheet has been attached for City Council review.

FISCAL IMPACT:
$262,046 contributed to the local economy.

RECOMMENDED ACTION:

Staff recommends the City Council take the following actions:

1. According to CDBG policy, City Council selects construction project(s) and amounts to be awarded (Maximum of 2 projects).
12 Packet Pg. 371
Joint Special CC/BFPD/Odesa
02/6/23 07:00 PM
Engineering
Domingo Gonzales
Public Hearing
Doc ID: 5272

COUNCIL AGENDA ITEM

2. According to CDBG Policy, City Council selects public service project(s) and amounts to be awarded(Maximum of five(5) projects).

3. Authorize the City Manager to execute all necessary forms.

4. Direct staff to submit City Council's project recommendations to San Bernardino County for consideration by the San Bernardino County Board of Supervisors. 12 Packet Pg. 372
San Bernardino County
Department of Community Development and Housing
2023-24 CDBG Project Proposals
Location Applicant Application # Project Title Amount
Requested Comments Eligible: Yes/NO
Barstow
Darrin Fikstad, President/CEO
Desert Manna
201 N. 1st Avenue, Suite B
Barstow, CA 92311
[email protected]
760-684-2400
BARS23CN-011 Barstow: Desert Manna Food Bank Building 2023 $ 170,000.00 Eligible Construction - this project consists of construction of a food bank warehouse, owned by nonprofit organization Desert Manna that serves residents who are low to moderate income and/or homeless. Desert Manna Food Bank program is ongoing year round providing Emergency Food Boxes and Community Action Partnership of San Bernardino (CAPS) to those in need and supplying additional product when available. Compliance with the Davis-Bacon and other related Acts could increase the cost of this project by 20% or more. Project will be done in phases to ensure CDBG funds are spent in a timely manner. Site Address: 2320 E. Main Street, Barstow, CA 92311 Yes
Barstow
Willie A. Hopkins Jr., City Manager
City of Barstow
220 E. Mountain View Street
Barstow, CA 92311
[email protected]
760-255-5156
BARS23CN-013 Barstow: Cora Harper Fitness Center HVAC
Replacement Project $ 332,500.00
Eligible Construction - The City of Barstow Cora Harper Fitness Center project is comprised of replacement of the Chiller and heat exchange units, that will include Air-Purified Equipment with HEPA filters and UV light. The project will replace a chiller and Seven (7) the air handlers for the facility. At each air handler, an air purification system will also be installed. Approximately 2,460 individuals will benefit from these improvements. The City owns the facility. Compliance to the Davis-Bacon Federal Wage Rates and other related Acts including Section 3 may increase the cost of construction by as much as 20%.

Yes
Barstow
Amanda Hernandez, Economic Development
Administrator
City of Barstow
220 Mountain View Street, Suite A
Barstow, CA 92311
[email protected]
760-255-5109
BARS23CN-014 Barstow: ADA Curb Ramps, Curb, Gutters and Infrastructure Improvement Project $ 170,000.00
Eligible Construction Project - Construction will be managed by the City of Barstow to include Northern Barstow ADA infrastructure improvements, such as replacement of broken and lifted sidewalks, ADA curb cut ramps, curbs and gutters. These sidewalk locations are not within the lowand moderate-income targeted areas for City of Barstow, for the most part. This project will serve 11,285 residents in the local areas, of which 4,025 are low- and moderate-income. Eligibility is subject to City of Barstow funding participation and use of federal prevailing wage rates.

Yes
Barstow
Peggi Fries, Executive Director
703 E. Main Street
Barstow, CA 92311
[email protected]
760-256-3733
BARS23PS-010 Barstow: Case Management Services - Desert Sanctuary $ 15,000.00
Expanding Eligible Public Service - Desert Sanctuary will provide Case Management Services to approximately 60 battered and abused spouses in the City of Barstow and surrounding areas. Public Services are limited to low-and moderate-income persons and require monthly documentation that at least 51% of the persons served qualify as low-and moderate-income. Battered and abused spouses are a presumed 51% low-to moderate-income population. However, documentation is still required. Also, a quantifiable increase in the level of service or a new additional service is required in order to continue to be eligible for CDBG funding. This activity was funded in previous years (less than 12 months) and is a continuing activity.

Yes
Barstow
James Noble, President
Noble Strong Inc.
1264 East Main St.

Barstow, CA 92311
[email protected]
760-953-0831
BARS23PS-020 Barstow: Noble Strong Youth Project $ 26,500.00 Eligible Public Service -The City of Barstow, through Noble Strong, Inc., will provide sports fitness and education programs to approximately 75 youth from low-and moderate-income households in Barstow and surrounding areas for year- around activity. These services are intended to establish healthy habits, build confidence, character, and team building to assist youth in taking on life's challenges. The funding is intended to be spent to purchase transportation services to events, provide sponsorships to individuals for fitness and athletic training, offset the cost of uniforms/ apparel, and contract with mentors. Public Services are limited to low-and moderate-income households and require monthly documentation that at least 51% of the households served qualify as low-and moderate-income.

Yes

12.a
Packet Pg. 373 Attachment: Barstow 2023-24 Eligible Applications (5272 : FY2023/24 Cdbg Allocation for Construction San Bernardino County
Department of Community Development and Housing
2023-24 CDBG Project Proposals
Location Applicant Application # Project Title Amount
Requested Comments Eligible: Yes/NO
Barstow
Darrin Fikstad, President/CEO
Desert Manna
201 N. 1st Avenue, Suite B
Barstow, CA 92311
[email protected]
760-684-2400
BARS23PS-027 Barstow: Desert Manna Food Bank $ 15,000.00 Eligible Public Service - Desert Manna, under contract with the City of Barstow, will provide emergency food and commodities to approximately 1,035 low- and moderate-income households and to area non-profit organizations for distribution to approximately 11,800 low- and moderate income households in the City of Barstow and surrounding areas. Public Services are limited to lowand moderate-income persons and require monthly documentation that at least 51% of the households served qualify as low- and moderate-income. Desert Manna's direct distribution to lowand moderate-income households is an eligible activity with documentation that at least 51% of the households served qualify as low- and moderate-income. Distribution to non-profit organizations for redistribution is not eligible for funding as compliance with a National Objective cannot be documented.

Yes
Barstow
Elizabeth Givens, Executive Director
Growing Outreach Growing Opportunities
1041 W. Main St.

Barstow, CA 92311
[email protected]
323-237-3900
BARS23PS-043 Barstow: Growing Outreach Growing Opportunities (G.O. G.O.) Street Outreach $ 19,640.00
Eligible Public Service - G.O. G.O., under contract with the City of Barstow, will provide street outreach to approximately 384 low- and moderate-income persons and case management and life skills training to approximately 192 low- and moderate income persons in the City of Barstow and surrounding area. Public Services are limited to low- and moderate-income persons and require monthly documentation that at least 51% of the households served qualify as low- and moderateincome.

Yes
Barstow
Angela Pasco, Executive Director
New Hope Village, Inc.
100 W. Fredericks Street
Barstow, CA 92311
[email protected]
760-256-1900
BARS23PS-045 Barstow: New Hope Village - Housing & Services $ 15,000.00 Expanding Eligible Public Service - New Hope Village, under contract with the City of Barstow, will provide subsidized housing and wraparound services to approximately 42 unduplicated homeless persons in Barstow and the surrounding area. Public Services are limited to low-and moderateincome persons and require monthly documentation that at least 51% of the persons served qualify as low-and moderate-income. Homeless are a presumed 51% low-to moderate-income population.

However, documentation is still required. Also, a quantifiable increase in the level of service or a new additional service is required in order to continue to be eligible for CDBG funding. This contractor will provide increased units of service. This activity was funded in previous years (less than 12 months) and is a continuing activity.

Yes
Barstow
Bushawn Carpenter, Executive Director
Total Restoration Church (Reaching Our Kids)
400 S. Second Ave., Suite 103
Barstow, CA 92311
[email protected]
760-718-8396
BARS23PS-053 Barstow: Total Restoration Church (Reaching Our Kids - R.O.K.) $ 21,168.00
Eligible Public Services - Total Restoration Church - Reaching Our Kids (R.O.K.), under contract with the City of Barstow, will provide 90 unduplicated middle and high-school youth from low- and moderate-income households with monthly Social and Emotional Learning (SEL) training and Science Technology Engineering Math (STEM) training; weekly academic advising and family services; and quarterly college field trips and community service opps. Public Services are limited to low- and moderate-income persons and require monthly documentation that at least 51% of the households served qualify as low- and moderate-income.

Yes

12.a
Packet Pg. 374 Attachment: Barstow 2023-24 Eligible Applications (5272 : FY2023/24 Cdbg Allocation for Construction San Bernardino County
Department of Community Development and Housing
2023-24 CDBG Project Proposals
Location Applicant Application # Project Title Amount
Requested Comments Eligible: Yes/NO
Barstow
Melanie Orosco, County Librarian
268 W. Hospitality Lane, 3rd Floor
San Bernardino, CA 92415
[email protected]
909-387-2220
BARS23PS-054 Barstow: Adult Literacy Program $ 10,000.00 Expanding Eligible Public Service. Services are limited to low- and moderate-income clients and requires documentation of at least 51% of the clients are low- to moderate-income. Client eligibility (for all clients including illiterate adults) must be evidenced by documentation and data concerning beneficiary family size and income. This activity was funded in previous fiscal years and is a continuing activity. Therefore a quantifiable increase in the level of service is required. CDBG funds will be used to pay for personnel services. Services are provided by San Bernardino County Library Department staff and volunteers. Project Address: 304 East Buena Vista, Barstow, CA 92311.

Prior to COVID-19, the San Bernardino County Library Adult Literacy Program saw gradual increases in the number of learners served at each location. However, after COVID-19, the number of patrons who visited the library has significantly decreased. This has directly impacted how many potential learners came into the branch as well as how many current learners felt comfortable returning to the program due to health and safety. Therefore, the number of learners served has not increased this year, but the expansion of the program has included the following: (1) expansion of support hours provided by the library staff to tutors who need training; (2) expansion of support hours provided by the library staff to learners who need additional resources and meetings to revisit roles and goals; (3) expansion of library of materials and curriculum used to teach adult learners how to improve reading and writing; (4) expansion of hours available for tutors and learners to meet together in the Library for tutoring sessions (formerly limited to 1-2 hours per week will now expand to 3+ hours per week, depending on the tutor-learner pair’s availability, willingness to meet more, and need to meet a specific goal); and (5) expansion of outreach and planning to promote the program to the local community (higher number of community connections, more meetings with adult-literacy-assignedlibrary-staff to develop awareness events and strategize to bring in more learners and tutors).

Yes

12.a
Packet Pg. 375 Attachment: Barstow 2023-24 Eligible Applications (5272 : FY2023/24 Cdbg Allocation for Construction Construction Program Application Fiscal Year –
San Bernardino County
Fiscal Year -
Construction Improvement Application
The following documents must be submitted in the order listed, please be sure to submit all attachments to your application.

Exhibit 1: Organization Information
Exhibit 2: Project Information
Exhibit 3: Project Characteristics
Exhibit 4: Priority Needs:

Exhibit 5: Project Budget & Sources
Exhibit 6: Proposed Goals and Milestones
Exhibit 7: Agency Capacity Narrative
Exhibit 8: Civil Rights Laws Compliance And HUD Good Standing Exhibit 9: Signatures And Assurances
Maintenance And Operations Agreement
Application Checklist
________________
Log Number
(Office Use Only)
1 ✔
2024 ✔
✔
2023 ✔
✔
2023 ✔
2024 ✔
BARS23CN-011 ✔
✔
✔
✔

12.b
Packet Pg. 376 Attachment: BARS23CN-011- Desert Manna, Inc (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Construction Program Application Fiscal Year –
Exhibit 1: Organization Information
Organization Name:

Organization Address:

City/State/Zip:

Phone:

Fax:

Email:

Applicant Type:

Authorized Person Name:

Authorized Person’s Title:

Address:

City/State/Zip:

Phone:

Fax:

Email:

Application Contact Person’s Name:

Application Contact Person’s Title:

Explain the Agency’s 1) Mission, 2) Purpose, 3) Population Served, 4) Number of years serving population, 5) Supportive Services, their Funding Sources, and Start/End Dates. 2 2024 7602567797
With funding from the Federal McKinney Act, Desert Manna opened in 1988 as the first emergency shelter in San Bernardino.Since opening as an emergency shelter, Desert Manna has expanded available services to include job training, rapid rehousing/permanent supportive housing, food assistance, human and social services, utility assistance, and supportive services to veterans, senior citizens, special needs, and supportive services to the homeless outreach and low-income individuals and families.Desert Manna reaches the throughout the Mojave Valley Desert, which includes the Greater Barstow Area, surrounding rural communities, to the Nevada State Line. The Desert Manna Food Bank program is ongoing year round providing Emergency Food Boxes and Community Action Partnership of San Bernardino (CAPS) to those in need and supplying additional product when available. 201 North First Avenue, Suite B Barstow / California / 92311 Darrin Fikstad 201 North First Ave, Suite BEugene Butticci 760-256-4043 Barstow / CA / 92311 760-256-4043 [email protected] Desert Manna Executive Director 2023 Non-profitPresident/CEO [email protected] 760-684-2400

12.b
Packet Pg. 377 Attachment: BARS23CN-011- Desert Manna, Inc (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Construction Program Application Fiscal Year –
Exhibit 2: Project Information
Project Title:

Address:

City /State/Zip:

County Supervisorial District where project will be located:

Project Type (Description):

If requesting additional funds for an existing CDBG project, provide prior CDBG project number? Eligible Block Group
Indicate eligible Block Group to be benefited by CDBG Funds requested.

Provide a map identifying the eligible census block as indicated in the Eligible Census Blocks. 3 1
st District 2nd District 3rd District: 4
th District 5th District
Is this a new construction project, or a request for additional funding to an existing CDBG Project? Barstow / California / 92311 X
2023 2024
New Desert Manna Food Bank warehouse facility in the designated Human Services District in Barstow, California, 2320 East Main Street.
2023 East Main Street New Construction Project Desert Manna Food Bank Building 2023 City of Barstow, surrounding communities of Dagget, Yermo, Hinkley, Newberry Springs

12.b
Packet Pg. 378 Attachment: BARS23CN-011- Desert Manna, Inc (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Construction Program Application Fiscal Year –
EXHIBIT 2A: Countywide Vision
Indicate Yes/No in the table below which countywide vision goals are pertinent to the proposed project.

Countywide Vision
Countywide Vision Yes/ No
Implement the Countywide Vision.

Create, Maintain and Grow Jobs and Economic
Value in the County.

Improve County Government Operations.

Operate in a Fiscally-Responsible and Business-Like
Manner.

Ensure Development of a Well-Planned, Balanced,
and Sustainable County.

Maintain Public Safety.

Provide for the Health and Social Services Needs of
County Residents.

Pursue County Goals and Objectives by Working
with Other Governmental Agencies.

Provide a brief narrative of how your project meets the Countywide Vision:
4 Yes Yes Yes Yes Yes Yes Yes 2023 2024
Primary Health & Human Services provider for the greater Barstow area. Collaborate with Federal, State, County, City agencies. Collaboration with area nonprofit and service organization and charities. Provide a safe & healthy environment through our programs & services. Fiscally responsible through our board, management & staff. Partner with SB County Workforce Development Department to provide job training Yes

12.b
Packet Pg. 379 Attachment: BARS23CN-011- Desert Manna, Inc (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Construction Program Application Fiscal Year –
Exhibit 3: Project Characteristics
Street address and nearest cross streets of the site where the program will be carried out:

Legal property owner:

What is the current zoning?
Is this use permitted in this zoning?
Is a conditional use permit required? Yes/No
Complete applicable items for all construction projects:
• Assessor's parcel number:
• Square footage of proposed building or building addition:
• Square footage of construction site parcel:
• Length of improvements if street, water or sewer project:
• Service capacity of existing facility:
• Improved service capacity of the facility:
• Age of structure:
• Is the structure registered as a historic landmark under state, federal or local Law? Describe the geographic boundaries of the neighborhood, community, or region to be served by this project. This description must include service area boundaries if land acquisition or structural improvements are proposed (attach a map):
5 Desert Manna Food Bank primarily serves the cities of Barstow, additionally servicing the nearby communities such as Dagget, Yermo, Newberry Springs. 2,000 Desert Manna No 2023 No n/a n/a Yes 10424-241-49 15,000 2024 n/a 2,000 Per City oi Barstow, zoned for Human Services and Industrial

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Packet Pg. 380 Attachment: BARS23CN-011- Desert Manna, Inc (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Construction Program Application Fiscal Year –
Exhibit 4: Priority Needs:

Complete the table below by answering “Yes” or “NO”.

Public Facility’s Needs: Yes/ No:

Senior Center Improvements
Community Center Improvements
Child Care Center Improvements
Youth Center Improvements
Park & Recreation Improvements
Social Care Facility Improvements
Code Enforcement Needs
Code Enforcement
Demolition and Clearance
Blight Abatement
Infrastructure Needs
Water and Sewer Improvements
Drainage Improvements
Street Improvements
Sidewalk Improvements
Commercial/ Industrial Infrastructure Development
Accessibility Needs
Removal of Architectural Barriers
Historic Preservation Needs:

Historic Preservation Improvements
Other:
6 2024 Yes No Yes No Yes Yes No Yes No Yes No Yes Yes No Yes No No No No No Yes 2023

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Packet Pg. 381 Attachment: BARS23CN-011- Desert Manna, Inc (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Construction Program Application Fiscal Year –
Exhibit 4: Priority Needs (continued)
HUD Demographics: (Please indicate Yes/No)
• Does this project help prevent homelessness?
• Does this project help the homeless?
• Does this project help those with HIV or AIDS?
• Does this project primarily help persons with disabilities? Why this project is considered a priority?
Why this project is needed, Site the evidence to substantiate the need? Why must this proposed project be funded now versus receiving funding in future years?
What are the ramifications if this project is not recommended for funding in this fiscal year?
7 Yes
Without CDBG funding, growth of our services to meet the needs of our target population may be hindered from meeting the expanding needs of the food insecure.

No
This project improves our facility which serves residents who are low to moderate income and/or homeless. Facility improvements are needed to serve the expanded needs due to COVID-19/post pandemic inflation.

Yes 2024
The effects of COVID-19/post pandemic inflation has created in increase of the vulnerable population and the need for the services the Desert Manna Food Bank has to offer. 2023
With the current building deterioration due to age current site is difficult to access which creates hardship for community i.e. public transportation/inadequate parking accommodations. This will provide a new fully code compliant facility with easy public access.

Yes

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Packet Pg. 382 Attachment: BARS23CN-011- Desert Manna, Inc (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Construction Program Application Fiscal Year –
What is the project’s population to be served?
What is the projects accomplishment level?
Summarize the Scope of Work; include in your summary the number of units or activities the project will complete with CDBG funds.

Describe how the project preserves a low and moderate-income neighborhood, or provides other community benefits.
8 Desert Manna serves low to moderate income families, Veterans, Seniors, disabled persons, and homeless in Barstow, CA with food services. Many in our community rely on social service agencies such as ours. Needed improvements to the site will not only improve our operations, but make our services more accessible to those who require wheelchairs or walkers. Desert Manna is a hub servicing nearby rural communities totaling 60,000 in population
2023 2024
This project provides Emergency Food bags, Summer Sack lunches to youth, After School Programs (PAL), USDA commodities, and fresh produce to a community that may otherwise go without food some days of the month, over 4,000 local residents receive hot nutritious meals distributed by three local food kitchens. Improving the development of the neighborhood. Our services provide food sustainability and nutrition for Barstow residences directly and through numerous Barstow charities and service organizations that would otherwise travel out of town for food bank support (150 miles roundtrip).

Bids for projects I Select bids for projects I Begin project work I Complete projects to schedule Scope is to build a more accessible Food Bank Facility. building plans (licensed architect), grading & foundation, permits, building & development impact fees, curb/gutter/sidewalk/10,000 sq/ft. parking lot (all ADA compliant), fencing, electrical/plumbing/septic connection, building construction.All work to be completed by licensed contractor and paid federally mandated wage.

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Packet Pg. 383 Attachment: BARS23CN-011- Desert Manna, Inc (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Construction Program Application Fiscal Year –
Exhibit 5: Project Budget & Sources
Provide the estimated financial data for the project as requested below for the appropriate project group. Costs should be based on the best information available. When preparing this data, consider the following factors: (a) project should be completed in one phase if possible, or if phased, operational capability of the phases should be independent of each other: (b) a phased project should be prioritized and broken into distinct parts, with estimated cost and priority for each part; (c) apply federal prevailing wage rates to construction projects over $2,000.

Project Budget
SB County Share ($): Other Source ($):

Architectural and
engineering services
Site acquisition
Local Review application
Construction
Other:

Total
Overall Total Project Cost: (CDBG Share + Other Source) 9 $170,000.00 $846,000.00 $105,000.00 $15,000.00 $676,000.00 $20,000.00 $25,000.00 $595,000.00 $20,000.00 2023$66,000.00 2024

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Packet Pg. 384 Attachment: BARS23CN-011- Desert Manna, Inc (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Construction Program Application Fiscal Year –
Exhibit 5A: CDBG Funds Requested and Leveraging Information Indicate the amount being requested by the city.

City Amount Requested ($)
(This amount should match the grand
total requested from CDBG Share)
10 Leveraging items may include any written commitments that will be used towards your cash match requirements in the project, as well as any written commitments for building, equipment, materials, services and volunteer time.

Source of
Funding:

Type of Funding: (Grant Name,
EFSP Money)
Amount ($): Date
Available:
(11/22/2016)
Federal
Funding
State
Funding
County
Funding
Private
Funding
Other:

Total Leveraging Funds
03/01/2024
Barstow
07/01/2022 $595,000.00
CDBG Real Estate Asset
$50,000.00 $66,000.00

EFS - NOFA
06/01/2016
2023 $170,000.00 07/01/2023
2024
$50,000.00 $761,000.00
Fund Raising

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Packet Pg. 385 Attachment: BARS23CN-011- Desert Manna, Inc (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Construction Program Application Fiscal Year –
Exhibit 6: Proposed Goals and Milestones
Explain how the project will meet contract goals and milestones. For example, project expenditures and performance/accomplishment goals of 40% by September 30th, 50% by December 31st, 80% by March 31st, and 100% by June 30th.

Fill-in the table below with dates for submission of reimbursement claims and the estimated amount of each.

Date of
Reimbursement:

Amount ($):

Total Reimbursement:
11 $0.00 06/01/2024 05/01/2024 $170,000.00 11/01/2023 $50,000.00 08/01/2023 $0.00 $26,250.00 03/01/2024 2024 02/01/2024 12/01/2023 $0.00 $15,000.00 $26,250.00 10/01/2023 $26,250.00 $0.00 09/01/2023 $0.00 04/01/2024 $26,250.00 $0.00 2023 01/01/2024 07/01/2023 First Quarter: building plans (licensed architect), grading & foundation, permits, building & development impact fees 60%Second Quarter: curb/gutter/sidewalk/10,000 sq/ft. parking lot (all ADA compliant), fencing, electrical/plumbing/septic connection 40%

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Packet Pg. 386 Attachment: BARS23CN-011- Desert Manna, Inc (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Construction Program Application Fiscal Year –
EXHIBIT 7: Agency Capacity Narrative
(Non-Profit Organizations Only)
• Describe the roles of key administrators, staff members, and volunteers within your agency that will implement the proposed project. In your description include experience, education, and licensing qualifications.
• Describe your agency’s experience in administering government and/or public funds. • Describe your method to sustain project viability over the multi-year process if funding decreases.

INSTRUCTIONS: Complete the table below by marking “YES” or “NO to the questions listed below.

Question: Yes/ No
Example: Have you received federal funds in the past five years? Yes In the past ten years, has your organization ever had its nonprofit status revoked or withheld by the IRS, the Secretary of State, the State Attorney General, or the Franchise Tax Board?
Has your organization been sued in the last five years? Are any of your managers or staff with fiscal responsibilities involved in litigation presently that has any bearing on fiduciary trust or employee relations?
Have any unfavorable rulings been handed down by any court against your organization or Executive Director the last five years? Does your organization currently have any unresolved fiscal, reporting, or program issues with any of its funding sources?
12 No No No
We actively submit numerous grant applications for Federal, State, national, & Private Sector.

President/CEO: Approve contracts, supervise work projects. Treasurer/CFO: Approve financial reports, supervise/disperse funds. Program Director: Supervise staff and volunteers, social media/PSA, reports
No
2023 2024
No
Before 2010, we received funds for emergency shelter from HUD. We have 30 years of experience providing meals and emergency food. We have successfully administered a variety of grants funds including federal.& state government, foundations, public, and private.

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Packet Pg. 387 Attachment: BARS23CN-011- Desert Manna, Inc (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Construction Program Application Fiscal Year –
Exhibit 8: Civil Rights Laws Compliance And HUD Good Standing Answer the following questions:

Has your organization been a past recipient of assistance under a HUD McKinney Act program or the HUD Single Family Property Disposition Homeless Program? If you have been a recipient under either of these programs, has your agency experienced any project or construction delay, HUD finding or outstanding audit that HUD deems serious regarding the administration of HUD McKinney Act programs or the HUD Single Family Property Disposition Homeless Program?
If you answered “Yes”, please explain the circumstances and outcome below.

Applicants must be in compliance with applicable civil rights laws and Executive Orders. Applications will be rejected if your agency has any of the following: (1) Any pending civil rights lawsuit instituted by the U.S. Department of Justice; (2) Any noncompliance with civil rights statutes, Executive Orders or regulations as a result of formal administrative proceedings, unless the applicant is operating under a HUD-approved compliance agreement designed to correct the area of noncompliance or is currently negotiating such an agreement; (3) Any unresolved Secretarial charge of discrimination issues under Section 810(g) of the Fair Housing Act, as implemented by 24 CFR 103:400; (4) Any adjudication of a civil rights violation in a civil action brought against the Organization by a private individual, unless the applicant is operating in compliance with a court order designed to correct the area of noncompliance or the applicant has discharged any responsibility arising from such litigation; (5) Any deferral of the processing of applications from the sponsor imposed by HUD under Title VI of the Civil Rights Act of 1964, the Attorney General’s Guidelines (28 CFR 50.3) or the HUD Title VI regulations (24 CFR 1.8) and procedures, or under Section 504 of the Rehabilitation Act of 1973 and HUD Section 504 regulations (24 CFR 8.57). If one or more of these situations exists with your Organization, please attach a brief description.
13 Desert Manna was founded through the McKinney Act in 1988 2023 Yes No 2024

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Packet Pg. 388 Attachment: BARS23CN-011- Desert Manna, Inc (5272 : FY2023/24 Cdbg Allocation for Construction Projects) 14 E-Signature Authorization
San Bernardino County
Community Development and Housing Departmemt
Community Development Block Grant
Martha Zepeda
Deputy Executive Officer
In order to comply with all applicable federal grant regulations, a hard-copy of this E-Signature Authorization containing an original wet signature must be filed with the San Bernardino County Community Development and Housing (CDH) in order for the applicant to electronically sign the Community Development Block Grant (CDBG) application documents online. This authorization may only be completed by a registered owner, partner, executive officer, or authorized employee (with proof of authorization) of the applicant submitting this form and must contain an original signature to be submitted to the CDH.

Authorization Agreement
I am an owner, partner, executive officer, or duly authorized employee of the below-listed applicant and have authority to enter into agreements on behalf of the below-listed applicant. CDH may rely on the receipt of such agreements executed and delivered by facsimile or other electronic means as if the original had been received. The undersigned agrees that the electronic signatures appearing on documents submitted from the below-listed applicant are the same as handwritten signatures for the purposes of validity, enforceability and admissibility. By signing this Electronic Signature Authorization Agreement, I authorize the CDH to accept, via electronic submission, documents submitted from the below-listed applicant as required by the CDH's CDBG - Funding Application.

I understand that CDH may change the CDBG application system from time to time. I agree that the below-listed applicant will electronically sign all documents requiring a signature related to the CDBG funding application.

My signature on this form certifies that:

I agree that entering my name in the CDBG funding application system constitutes my electronic signature. I understand that any information and documents submitted using my name is electronically certifying my signature. I understand that I am legally bound, obligated, and responsible by use of my electronic signature as much as I would be by my handwritten signature. I agree that I will protect my signature from unauthorized use, and that I will contact CDH immediately, upon discovery that my electronic signature has been compromised. I certify that my electronic signature is for my own use, and that I will not delegate it or share it with any individual.

This request is effective immediately upon receipt by the CDH and will remain in effect until the end of the - CDBG funding cycle or I choose to cancel this request via written notification to the CDH. I understand that it is my responsibility to update and/or cancel this request under all circumstances, including my departure or terminated association with the below-listed applicant.

By signing the E- Signature Authorization Form we certify that this agency will also comply with the following:

Non-discrimination
This organization will, through all possible means, ensure equal opportunity for all persons to receive services, to participate in the volunteer structure, and to be employed regardless of age, handicap, national background, race, religion, or sex. An existing sectarian nature of the agency shall not suffer impairment under this agreement, but participation in religious observances, rituals or services will not be required as a condition of receiving food, services, or shelter paid for by this grant.

Accountability
We commit this organization, if a grant is received, to provide all reports to the County as required; to expend monies only on eligible costs; to keep complete documentation (copies of all canceled checks, invoices, receipts, etc.) on all expenditures for a minimum of three years; to spend all funds and close out the program on the required date; to return any unused funds to the County to cooperate with monitoring or site visits, and; to provide complete documentation of expenses to the County, if requested, by the required date.

We affirm that all information in this application is true and correct to the best of our knowledge and that the applicant under our authority will execute its responsibility under the proposed contract and adhere to all other applicable rules and regulations to the fullest extent possible.

Non-collusion
This proposal is genuine, and not sham or collusive, nor made in the interest or in behalf of any person not herein named; the proposer has not directly induced or solicited any other proposer to put in a sham proposal, or any other person, firm or corporation to refrain from submitting a proposal; the proposer has not in any manner sought by collusion to secure for him/herself an advantage over any other proposer.

Applicant Information
Agency Name: Federal Tax ID No.:

Mailing Address: Phone No.:

Email Address: Fax No:

Authorized Signature
Print Name: Print Title:

Signature: Date:
- Application
Please send the signed copy of this one page agreement to:

San Bernardino County Community Development and Housing Department 215 North D Street, Suite 302, San Bernardino, CA 94215-0043 Attn: CDBG Application
[email protected] 201 North First Avenue 2023 2023 2023 Eugene Butticci - Executive Director Eugene Butticci 33-0264040 12/06/2022 (760) 256-4043 Executive Director 2024 2024 2024 (760) 256-7797 Desert Manna Desert Manna

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Packet Pg. 389 Attachment: BARS23CN-011- Desert Manna, Inc (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Construction Program Application Fiscal Year -
Maintenance and Operations Agreement
Please keep in mind the Maintenance and Operations cost is ineligible for CDBG funds.

All capital improvements or facilities will require a Maintenance and Operation (M & O) contract. The MAINTENANCE AND OPERATION COMMITMENT must be signed by a representative of the M & O entity with authority to obligate the organization.
1) MAINTENANCE AND OPERATION COMMITMENT: The governing body of the below named public, quasi-public, or non-profit entity has the financial capacity and is willing to assume the Maintenance and Operation (M & O) responsibility and costs associated with the indicated community development project. This body has reviewed the "Estimated Annual Maintenance and Operation Budget" part of this section. To the best of this body's ability, it has determined this budget to be a true and accurate estimate of the annual M & O costs for the proposed project.

It is understood that without a commitment for maintenance and operation, the indicated project may not be considered for funding under the Community Development Block Grant program. Should this project be funded, a formal M & O contract shall be written and signed before any funds can be released.

NOTE: The Maintenance and Operation cost for capital improvements and facilities are not eligible for CDBG funding.

Proposed Project:

Legal/ Incorporated Name of Prospective M&O Entity:

Address:

Federal I.D. Number of M&O Entity:

Signature: ____________________________________ Title: _____________________ Print Name: ___________________________________ Date:
15 33-0264040 12/06/2022 2023 2024 Desert Manna Inc. Eugene Butticci Desert Manna Food Bank Building 2023 201 North First Avenue, Suite B Eugene Butticci Executive Director

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Packet Pg. 390 Attachment: BARS23CN-011- Desert Manna, Inc (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Construction Program Application Fiscal Year -
Maintenance and Operations Expenses
Utilities Amount ($):

Electric
Water
Gas
Telephone
Disposal Service
Other:

Sub-Total
Materials
Janitorial Supplies
Office Supplies
Recreational Supplies
Ground Supplies
Other:

Sub-Total
Maintenance – Capital Improvements
Building Repair
Maintenance of Equipment
Improvements to Property
Other:

Sub-Total
Insurance
Liability
Fire
Other:

Sub-Total
16 2023 $0.00 2024 $0.00 $0.00 $0.00

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Packet Pg. 391 Attachment: BARS23CN-011- Desert Manna, Inc (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Construction Program Application Fiscal Year -
Personnel
Maintenance
Secretary
Administrator
Program Staff
Other:

Sub-Total
M& O Annual Expense Total
List out all sources and liabilities such as budget sources, membership, user fees, etc.

Revenue Sources: Amount ($):

Budgeted Revenue Total
Assets/ Liabilities Amount ($):

Budgeted Revenue minus M&O Expense
17 2024 $0.00$0.00 $0.00 2023 $0.00

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Packet Pg. 392 Attachment: BARS23CN-011- Desert Manna, Inc (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Construction Program Application Fiscal Year -
CDBG Application Checklist
(Non-Profit Agency Only)
Community-based organizations are required to include one copy of the items listed below. If you are not submitting these items at this time, please notify Community Development and Housing at (909) 387-4705 to make other arrangements. The following information is required before any contract or reimbursement can be completed.
o Summary of agency’s current year General Operating Budget o List of agency’s Board of Directors, including names and addresses o Proof of existing non-profit/tax-exempt status (Letters from the Federal Internal Revenue Service and State Franchise Tax Board)
o Current certificate of insurance and amounts covered
o Organizational chart
o Minutes of last Board meeting
o Non- Profit agency’s must be Registered in the System of Award Management (SAM) website. Agency cannot be funded if they have been debarred in the past. o Provide board minutes/letter that authorizes the executive director or program manager to run the project.

If your application is funded you will be required to provide a copy of your last audit and your Articles of Incorporation and Bylaws must be on file.
18 2023 2024

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Packet Pg. 393 Attachment: BARS23CN-011- Desert Manna, Inc (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Construction Program Application Fiscal Year –
San Bernardino County
Fiscal Year -
Construction Improvement Application
The following documents must be submitted in the order listed, please be sure to submit all attachments to your application.

Exhibit 1: Organization Information
Exhibit 2: Project Information
Exhibit 3: Project Characteristics
Exhibit 4: Priority Needs:

Exhibit 5: Project Budget & Sources
Exhibit 6: Proposed Goals and Milestones
Exhibit 7: Agency Capacity Narrative
Exhibit 8: Civil Rights Laws Compliance And HUD Good Standing Exhibit 9: Signatures And Assurances
Maintenance And Operations Agreement
Application Checklist
________________
Log Number
(Office Use Only)
1 ✔
2024 ✔
✔
2023 ✔
✔
2023 ✔
2024 ✔
BARS23CN-013 ✔
✔
✔
✔

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Packet Pg. 394 Attachment: BARS23CN-013 - City of Barstow, Cora Harper Community Center - HVAC replacement (5272 : FY2023/24 Cdbg Allocation for Construction Program Application Fiscal Year –
Exhibit 1: Organization Information
Organization Name:

Organization Address:

City/State/Zip:

Phone:

Fax:

Email:

Applicant Type:

Authorized Person Name:

Authorized Person’s Title:

Address:

City/State/Zip:

Phone:

Fax:

Email:

Application Contact Person’s Name:

Application Contact Person’s Title:

Explain the Agency’s 1) Mission, 2) Purpose, 3) Population Served, 4) Number of years serving population, 5) Supportive Services, their Funding Sources, and Start/End Dates. 2 2024 17602555156
The mission of the City of Barstow is to provide quality public services, promote economic development, expanding and provide housing, education, recreation and community pride while celebrating our diverse culture history. The city is a progressive desert community with small-town advantages that preserves and promoted a quality environment in which to live, work, and play. The 2020 census indicates the population of Barstow to be 25,415 220 E. Mountain View Street Barstow / CA / 92311 Willie A. Hopkins Jr, 220 E. Mountain View Street Domingo D Gonzales (760)256-1750 City of Barstow / CA / 92311 [email protected] City of Barstow Engineering Services Administrator 2023 ConstructionCity Manager [email protected] (760)255-5101

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Packet Pg. 395 Attachment: BARS23CN-013 - City of Barstow, Cora Harper Community Center - HVAC replacement (5272 : FY2023/24 Cdbg Allocation for Construction Program Application Fiscal Year –
Exhibit 2: Project Information
Project Title:

Address:

City /State/Zip:

County Supervisorial District where project will be located:

Project Type (Description):

If requesting additional funds for an existing CDBG project, provide prior CDBG project number? Eligible Block Group
Indicate eligible Block Group to be benefited by CDBG Funds requested.

Provide a map identifying the eligible census block as indicated in the Eligible Census Blocks. 3 1
st District 2nd District 3rd District: 4
th District 5th District
Is this a new construction project, or a request for additional funding to an existing CDBG Project? Barstow / Ca / 92311 X
2024 X
N/A
2023
Replacement of Chiller and heat exchanged units that will include Air-Purified Equipment with HEPA filters and UV light.
841 Barstow Road New Construction Project Cora Harper Fitness Center HVAC Replacement Project This project benefits and serves a community categorized as low-income in Census Tract 009500. The geographic boundaries of the program include the City of Barstow, as the surrounding areas, such as Hinkley, Daggett, and Yermo.

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Packet Pg. 396 Attachment: BARS23CN-013 - City of Barstow, Cora Harper Community Center - HVAC replacement (5272 : FY2023/24 Cdbg Allocation for Construction Program Application Fiscal Year –
EXHIBIT 2A: Countywide Vision
Indicate Yes/No in the table below which countywide vision goals are pertinent to the proposed project.

Countywide Vision
Countywide Vision Yes/ No
Implement the Countywide Vision.

Create, Maintain and Grow Jobs and Economic
Value in the County.

Improve County Government Operations.

Operate in a Fiscally-Responsible and Business-Like
Manner.

Ensure Development of a Well-Planned, Balanced,
and Sustainable County.

Maintain Public Safety.

Provide for the Health and Social Services Needs of
County Residents.

Pursue County Goals and Objectives by Working
with Other Governmental Agencies.

Provide a brief narrative of how your project meets the Countywide Vision:
4 Yes No Yes Yes Yes Yes 2023 2024
The project meets the Countywide Vision since it serves a diversity of people and support the envision of a sustainable heathy community. The Community Center also host arts and cultural events that is part of the Countywide Vision to support the best of life has to offer.

Yes

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Packet Pg. 397 Attachment: BARS23CN-013 - City of Barstow, Cora Harper Community Center - HVAC replacement (5272 : FY2023/24 Cdbg Allocation for Construction Program Application Fiscal Year –
Exhibit 3: Project Characteristics
Street address and nearest cross streets of the site where the program will be carried out:

Legal property owner:

What is the current zoning?
Is this use permitted in this zoning?
Is a conditional use permit required? Yes/No
Complete applicable items for all construction projects:
• Assessor's parcel number:
• Square footage of proposed building or building addition:
• Square footage of construction site parcel:
• Length of improvements if street, water or sewer project:
• Service capacity of existing facility:
• Improved service capacity of the facility:
• Age of structure:
• Is the structure registered as a historic landmark under state, federal or local Law? Describe the geographic boundaries of the neighborhood, community, or region to be served by this project. This description must include service area boundaries if land acquisition or structural improvements are proposed (attach a map):
5 The geographic boundaries of the program include the City of Barstow, as the surrounding areas, such as Hinkley, Daggett, and Yermo.

City of Barstow 2023 No N/A Yes 018314403 N/A 2024 >40 Years N/A PF

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Packet Pg. 398 Attachment: BARS23CN-013 - City of Barstow, Cora Harper Community Center - HVAC replacement (5272 : FY2023/24 Cdbg Allocation for Construction Program Application Fiscal Year –
Exhibit 4: Priority Needs:

Complete the table below by answering “Yes” or “NO”.

Public Facility’s Needs: Yes/ No:

Senior Center Improvements
Community Center Improvements
Child Care Center Improvements
Youth Center Improvements
Park & Recreation Improvements
Social Care Facility Improvements
Code Enforcement Needs
Code Enforcement
Demolition and Clearance
Blight Abatement
Infrastructure Needs
Water and Sewer Improvements
Drainage Improvements
Street Improvements
Sidewalk Improvements
Commercial/ Industrial Infrastructure Development
Accessibility Needs
Removal of Architectural Barriers
Historic Preservation Needs:

Historic Preservation Improvements
Other:
6 2024 No Yes Yes No No No No No No No No No No No No No No Yes No Yes 2023

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Packet Pg. 399 Attachment: BARS23CN-013 - City of Barstow, Cora Harper Community Center - HVAC replacement (5272 : FY2023/24 Cdbg Allocation for Construction Program Application Fiscal Year –
Exhibit 4: Priority Needs (continued)
HUD Demographics: (Please indicate Yes/No)
• Does this project help prevent homelessness?
• Does this project help the homeless?
• Does this project help those with HIV or AIDS?
• Does this project primarily help persons with disabilities? Why this project is considered a priority?
Why this project is needed, Site the evidence to substantiate the need? Why must this proposed project be funded now versus receiving funding in future years?
What are the ramifications if this project is not recommended for funding in this fiscal year?
7 No
Programs such as basketball, gymnastics, cheerleading, judo, in-door soccer, programs for the elderly, and fitness gym will be closed or not available to the community.

No
According to San Bernardino County: Our Community Vital Signs, 2013 data report. Barstow had the highest death rates for the five major causes of death nationally in 20011 were heart disease, cancer, chronic lower respiratory diseases stroke, and accidents.

No 2024
The City wants to encourage a healthier community by providing programs that encourages active living.
2023
The HVAC system continuously needs repairs and the parts are becoming hard to find. This has resulted in the community center be closed due to extreme heat. Additionally, the city plans on improving the air quality with UV and HEAPA filters.

No

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Packet Pg. 400 Attachment: BARS23CN-013 - City of Barstow, Cora Harper Community Center - HVAC replacement (5272 : FY2023/24 Cdbg Allocation for Construction Program Application Fiscal Year –
What is the project’s population to be served?
What is the projects accomplishment level?
Summarize the Scope of Work; include in your summary the number of units or activities the project will complete with CDBG funds.

Describe how the project preserves a low and moderate-income neighborhood, or provides other community benefits.
8 The census for City of Barstow is approximately 25,000 but surrounding adjacent communities increase the population to over 40,0000. The project will serve the disadvantaged community, the community, and visitors.
2023 2024
The majority of the city is considered disadvantage community based on the CalEnviroScreen tool. The facility provides fitness and sports activities and community events for these members. Provide a clean air to the facilities for all community members and visitors. Reduce the infection by providing filtration and air purification and create a enjoy able atmosphere for active living programs and youth/community activities.

The project will replace a chiller and Seven (7) the air handlers for the facility. At each air handler, an air purification system will also be installed.

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Packet Pg. 401 Attachment: BARS23CN-013 - City of Barstow, Cora Harper Community Center - HVAC replacement (5272 : FY2023/24 Cdbg Allocation for Construction Program Application Fiscal Year –
Exhibit 5: Project Budget & Sources
Provide the estimated financial data for the project as requested below for the appropriate project group. Costs should be based on the best information available. When preparing this data, consider the following factors: (a) project should be completed in one phase if possible, or if phased, operational capability of the phases should be independent of each other: (b) a phased project should be prioritized and broken into distinct parts, with estimated cost and priority for each part; (c) apply federal prevailing wage rates to construction projects over $2,000.

Project Budget
SB County Share ($): Other Source ($):

Architectural and
engineering services
Site acquisition
Local Review application
Construction
Other:

Total
Overall Total Project Cost: (CDBG Share + Other Source) 9 $0.00 $332,500.00 $332,500.00 $292,600.00 $0.00 $0.00 $39,900.00 2023 2024

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Packet Pg. 402 Attachment: BARS23CN-013 - City of Barstow, Cora Harper Community Center - HVAC replacement (5272 : FY2023/24 Cdbg Allocation for Construction Program Application Fiscal Year –
Exhibit 5A: CDBG Funds Requested and Leveraging Information Indicate the amount being requested by the city.

City Amount Requested ($)
(This amount should match the grand
total requested from CDBG Share)
10 Leveraging items may include any written commitments that will be used towards your cash match requirements in the project, as well as any written commitments for building, equipment, materials, services and volunteer time.

Source of
Funding:

Type of Funding: (Grant Name,
EFSP Money)
Amount ($): Date
Available:
(11/22/2016)
Federal
Funding
State
Funding
County
Funding
Private
Funding
Other:

Total Leveraging Funds
Barstow
$0.00

N/A N/A
$0.00 $0.00 $0.00
N/A
2023
N/A
$332,500.00 2024
$0.00 $0.00
N/A

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Packet Pg. 403 Attachment: BARS23CN-013 - City of Barstow, Cora Harper Community Center - HVAC replacement (5272 : FY2023/24 Cdbg Allocation for Construction Program Application Fiscal Year –
Exhibit 6: Proposed Goals and Milestones
Explain how the project will meet contract goals and milestones. For example, project expenditures and performance/accomplishment goals of 40% by September 30th, 50% by December 31st, 80% by March 31st, and 100% by June 30th.

Fill-in the table below with dates for submission of reimbursement claims and the estimated amount of each.

Date of
Reimbursement:

Amount ($):

Total Reimbursement:
11 $332,500.00 04/21/2023 $110,000.00 12/22/2023 $90,000.00 2024 $19,900.00 02/24/2023 01/20/2023 $90,000.00 $22,600.00 2023 11/17/2023 Design and Plans 100% by August 31, 2023Advertising and bidding by September 29, 2023Construction Started by November 6,2023Completed by February 23, 2023Project Close-Out by April 21, 2023

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Packet Pg. 404 Attachment: BARS23CN-013 - City of Barstow, Cora Harper Community Center - HVAC replacement (5272 : FY2023/24 Cdbg Allocation for Construction Program Application Fiscal Year –
EXHIBIT 7: Agency Capacity Narrative
(Non-Profit Organizations Only)
• Describe the roles of key administrators, staff members, and volunteers within your agency that will implement the proposed project. In your description include experience, education, and licensing qualifications.
• Describe your agency’s experience in administering government and/or public funds. • Describe your method to sustain project viability over the multi-year process if funding decreases.

INSTRUCTIONS: Complete the table below by marking “YES” or “NO to the questions listed below.

Question: Yes/ No
Example: Have you received federal funds in the past five years? Yes In the past ten years, has your organization ever had its nonprofit status revoked or withheld by the IRS, the Secretary of State, the State Attorney General, or the Franchise Tax Board?
Has your organization been sued in the last five years? Are any of your managers or staff with fiscal responsibilities involved in litigation presently that has any bearing on fiduciary trust or employee relations?
Have any unfavorable rulings been handed down by any court against your organization or Executive Director the last five years? Does your organization currently have any unresolved fiscal, reporting, or program issues with any of its funding sources?
12 Yes No No
If funding is decreased, the project scope would be reduced and placed on a future project list.

Brad Merrell, Consultant City Engineer, PE; Domingo Gonzales, Engineering Services Administrator, Associate of Science, 32 years local government on Capital Improvement Project (CIP).

No
2023 2024
No
Since the incorporation of the City in 1947, the City has been managing CIP projects(CIP).

CIP projects are in an annual amount of approximately 2.5 million per year.

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Packet Pg. 405 Attachment: BARS23CN-013 - City of Barstow, Cora Harper Community Center - HVAC replacement (5272 : FY2023/24 Cdbg Allocation for Construction Program Application Fiscal Year –
Exhibit 8: Civil Rights Laws Compliance And HUD Good Standing Answer the following questions:

Has your organization been a past recipient of assistance under a HUD McKinney Act program or the HUD Single Family Property Disposition Homeless Program? If you have been a recipient under either of these programs, has your agency experienced any project or construction delay, HUD finding or outstanding audit that HUD deems serious regarding the administration of HUD McKinney Act programs or the HUD Single Family Property Disposition Homeless Program?
If you answered “Yes”, please explain the circumstances and outcome below.

Applicants must be in compliance with applicable civil rights laws and Executive Orders. Applications will be rejected if your agency has any of the following: (1) Any pending civil rights lawsuit instituted by the U.S. Department of Justice; (2) Any noncompliance with civil rights statutes, Executive Orders or regulations as a result of formal administrative proceedings, unless the applicant is operating under a HUD-approved compliance agreement designed to correct the area of noncompliance or is currently negotiating such an agreement; (3) Any unresolved Secretarial charge of discrimination issues under Section 810(g) of the Fair Housing Act, as implemented by 24 CFR 103:400; (4) Any adjudication of a civil rights violation in a civil action brought against the Organization by a private individual, unless the applicant is operating in compliance with a court order designed to correct the area of noncompliance or the applicant has discharged any responsibility arising from such litigation; (5) Any deferral of the processing of applications from the sponsor imposed by HUD under Title VI of the Civil Rights Act of 1964, the Attorney General’s Guidelines (28 CFR 50.3) or the HUD Title VI regulations (24 CFR 1.8) and procedures, or under Section 504 of the Rehabilitation Act of 1973 and HUD Section 504 regulations (24 CFR 8.57). If one or more of these situations exists with your Organization, please attach a brief description.
13 2023 No No 2024

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Packet Pg. 406 Attachment: BARS23CN-013 - City of Barstow, Cora Harper Community Center - HVAC replacement (5272 : FY2023/24 Cdbg Allocation for 14 E-Signature Authorization
San Bernardino County
Community Development and Housing Departmemt
Community Development Block Grant
Martha Zepeda
Deputy Executive Officer
In order to comply with all applicable federal grant regulations, a hard-copy of this E-Signature Authorization containing an original wet signature must be filed with the San Bernardino County Community Development and Housing (CDH) in order for the applicant to electronically sign the Community Development Block Grant (CDBG) application documents online. This authorization may only be completed by a registered owner, partner, executive officer, or authorized employee (with proof of authorization) of the applicant submitting this form and must contain an original signature to be submitted to the CDH.

Authorization Agreement
I am an owner, partner, executive officer, or duly authorized employee of the below-listed applicant and have authority to enter into agreements on behalf of the below-listed applicant. CDH may rely on the receipt of such agreements executed and delivered by facsimile or other electronic means as if the original had been received. The undersigned agrees that the electronic signatures appearing on documents submitted from the below-listed applicant are the same as handwritten signatures for the purposes of validity, enforceability and admissibility. By signing this Electronic Signature Authorization Agreement, I authorize the CDH to accept, via electronic submission, documents submitted from the below-listed applicant as required by the CDH's CDBG - Funding Application.

I understand that CDH may change the CDBG application system from time to time. I agree that the below-listed applicant will electronically sign all documents requiring a signature related to the CDBG funding application.

My signature on this form certifies that:

I agree that entering my name in the CDBG funding application system constitutes my electronic signature. I understand that any information and documents submitted using my name is electronically certifying my signature. I understand that I am legally bound, obligated, and responsible by use of my electronic signature as much as I would be by my handwritten signature. I agree that I will protect my signature from unauthorized use, and that I will contact CDH immediately, upon discovery that my electronic signature has been compromised. I certify that my electronic signature is for my own use, and that I will not delegate it or share it with any individual.

This request is effective immediately upon receipt by the CDH and will remain in effect until the end of the - CDBG funding cycle or I choose to cancel this request via written notification to the CDH. I understand that it is my responsibility to update and/or cancel this request under all circumstances, including my departure or terminated association with the below-listed applicant.

By signing the E- Signature Authorization Form we certify that this agency will also comply with the following:

Non-discrimination
This organization will, through all possible means, ensure equal opportunity for all persons to receive services, to participate in the volunteer structure, and to be employed regardless of age, handicap, national background, race, religion, or sex. An existing sectarian nature of the agency shall not suffer impairment under this agreement, but participation in religious observances, rituals or services will not be required as a condition of receiving food, services, or shelter paid for by this grant.

Accountability
We commit this organization, if a grant is received, to provide all reports to the County as required; to expend monies only on eligible costs; to keep complete documentation (copies of all canceled checks, invoices, receipts, etc.) on all expenditures for a minimum of three years; to spend all funds and close out the program on the required date; to return any unused funds to the County to cooperate with monitoring or site visits, and; to provide complete documentation of expenses to the County, if requested, by the required date.

We affirm that all information in this application is true and correct to the best of our knowledge and that the applicant under our authority will execute its responsibility under the proposed contract and adhere to all other applicable rules and regulations to the fullest extent possible.

Non-collusion
This proposal is genuine, and not sham or collusive, nor made in the interest or in behalf of any person not herein named; the proposer has not directly induced or solicited any other proposer to put in a sham proposal, or any other person, firm or corporation to refrain from submitting a proposal; the proposer has not in any manner sought by collusion to secure for him/herself an advantage over any other proposer.

Applicant Information
Agency Name: Federal Tax ID No.:

Mailing Address: Phone No.:

Email Address: Fax No:

Authorized Signature
Print Name: Print Title:

Signature: Date:
- Application
Please send the signed copy of this one page agreement to:

San Bernardino County Community Development and Housing Department 215 North D Street, Suite 302, San Bernardino, CA 94215-0043 Attn: CDBG Application
[email protected] 220 E. Mountain View Street 2023 2023 2023 Willie A. Hopkins, Jr. Willie A. Hopkins Jr. 95-6000675 12/06/2022 (760) 255-4472 City Manager 2024 2024 2024 (760) 255-515_ City of Barstow City of Barstow

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Packet Pg. 407 Attachment: BARS23CN-013 - City of Barstow, Cora Harper Community Center - HVAC replacement (5272 : FY2023/24 Cdbg Allocation for Construction Program Application Fiscal Year -
Maintenance and Operations Agreement
Please keep in mind the Maintenance and Operations cost is ineligible for CDBG funds.

All capital improvements or facilities will require a Maintenance and Operation (M & O) contract. The MAINTENANCE AND OPERATION COMMITMENT must be signed by a representative of the M & O entity with authority to obligate the organization.
1) MAINTENANCE AND OPERATION COMMITMENT: The governing body of the below named public, quasi-public, or non-profit entity has the financial capacity and is willing to assume the Maintenance and Operation (M & O) responsibility and costs associated with the indicated community development project. This body has reviewed the "Estimated Annual Maintenance and Operation Budget" part of this section. To the best of this body's ability, it has determined this budget to be a true and accurate estimate of the annual M & O costs for the proposed project.

It is understood that without a commitment for maintenance and operation, the indicated project may not be considered for funding under the Community Development Block Grant program. Should this project be funded, a formal M & O contract shall be written and signed before any funds can be released.

NOTE: The Maintenance and Operation cost for capital improvements and facilities are not eligible for CDBG funding.

Proposed Project:

Legal/ Incorporated Name of Prospective M&O Entity:

Address:

Federal I.D. Number of M&O Entity:

Signature: ____________________________________ Title: _____________________ Print Name: ___________________________________ Date:
15 2023 2024

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Packet Pg. 408 Attachment: BARS23CN-013 - City of Barstow, Cora Harper Community Center - HVAC replacement (5272 : FY2023/24 Cdbg Allocation for Construction Program Application Fiscal Year -
Maintenance and Operations Expenses
Utilities Amount ($):

Electric
Water
Gas
Telephone
Disposal Service
Other:

Sub-Total
Materials
Janitorial Supplies
Office Supplies
Recreational Supplies
Ground Supplies
Other:

Sub-Total
Maintenance – Capital Improvements
Building Repair
Maintenance of Equipment
Improvements to Property
Other:

Sub-Total
Insurance
Liability
Fire
Other:

Sub-Total
16 2023 $0.00 2024 $0.00 $0.00 $0.00

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Packet Pg. 409 Attachment: BARS23CN-013 - City of Barstow, Cora Harper Community Center - HVAC replacement (5272 : FY2023/24 Cdbg Allocation for Construction Program Application Fiscal Year -
Personnel
Maintenance
Secretary
Administrator
Program Staff
Other:

Sub-Total
M& O Annual Expense Total
List out all sources and liabilities such as budget sources, membership, user fees, etc.

Revenue Sources: Amount ($):

Budgeted Revenue Total
Assets/ Liabilities Amount ($):

Budgeted Revenue minus M&O Expense
17 2024 $0.00$0.00 $0.00 2023 $0.00

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Packet Pg. 410 Attachment: BARS23CN-013 - City of Barstow, Cora Harper Community Center - HVAC replacement (5272 : FY2023/24 Cdbg Allocation for Construction Program Application Fiscal Year -
CDBG Application Checklist
(Non-Profit Agency Only)
Community-based organizations are required to include one copy of the items listed below. If you are not submitting these items at this time, please notify Community Development and Housing at (909) 387-4705 to make other arrangements. The following information is required before any contract or reimbursement can be completed.
o Summary of agency’s current year General Operating Budget o List of agency’s Board of Directors, including names and addresses o Proof of existing non-profit/tax-exempt status (Letters from the Federal Internal Revenue Service and State Franchise Tax Board)
o Current certificate of insurance and amounts covered
o Organizational chart
o Minutes of last Board meeting
o Non- Profit agency’s must be Registered in the System of Award Management (SAM) website. Agency cannot be funded if they have been debarred in the past. o Provide board minutes/letter that authorizes the executive director or program manager to run the project.

If your application is funded you will be required to provide a copy of your last audit and your Articles of Incorporation and Bylaws must be on file.
18 2023 2024

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Packet Pg. 411 Attachment: BARS23CN-013 - City of Barstow, Cora Harper Community Center - HVAC replacement (5272 : FY2023/24 Cdbg Allocation for Construction Program Application Fiscal Year –
San Bernardino County
Fiscal Year -
Construction Improvement Application
The following documents must be submitted in the order listed, please be sure to submit all attachments to your application.

Exhibit 1: Organization Information
Exhibit 2: Project Information
Exhibit 3: Project Characteristics
Exhibit 4: Priority Needs:

Exhibit 5: Project Budget & Sources
Exhibit 6: Proposed Goals and Milestones
Exhibit 7: Agency Capacity Narrative
Exhibit 8: Civil Rights Laws Compliance And HUD Good Standing Exhibit 9: Signatures And Assurances
Maintenance And Operations Agreement
Application Checklist
________________
Log Number
(Office Use Only)
1 ✔
2024 ✔
✔
2023 ✔
✔
2023 ✔
2024 ✔
BARS23CN-014 ✔
✔
✔
✔

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Packet Pg. 412 Attachment: BARS23CN-014 - City of Barstow, Concrete Project (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Construction Program Application Fiscal Year –
Exhibit 1: Organization Information
Organization Name:

Organization Address:

City/State/Zip:

Phone:

Fax:

Email:

Applicant Type:

Authorized Person Name:

Authorized Person’s Title:

Address:

City/State/Zip:

Phone:

Fax:

Email:

Application Contact Person’s Name:

Application Contact Person’s Title:

Explain the Agency’s 1) Mission, 2) Purpose, 3) Population Served, 4) Number of years serving population, 5) Supportive Services, their Funding Sources, and Start/End Dates. 2 2024 17602555156
The mission of the City of Barstow is to provide quality of public services, promoting economic development, expanding housing, education, and recreation, celebrating our diverse cultural history, and creating pride in our community. The city is a progressive High Desert community with a small-town advantages that preserves and promotes a quality environment in which to live, work and play. The 2020 Census data estimates the population of Barstow to be 25,415.

Serving the population since the City of Barstow was incorporated in 1947. 220 E. Mountain View Street City of Barstow / CA / 92311 Willie A. Hopkins, Jr. 220 E. Mountain View Street Domingo D Gonzales (760)256-4472 City of Barstow / CA / 92311 17602561750 [email protected] City of Barstow Engineering Services Administrator 2023 ConstructionCity Manager [email protected] (760)255-5101

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Packet Pg. 413 Attachment: BARS23CN-014 - City of Barstow, Concrete Project (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Construction Program Application Fiscal Year –
Exhibit 2: Project Information
Project Title:

Address:

City /State/Zip:

County Supervisorial District where project will be located:

Project Type (Description):

If requesting additional funds for an existing CDBG project, provide prior CDBG project number? Eligible Block Group
Indicate eligible Block Group to be benefited by CDBG Funds requested.

Provide a map identifying the eligible census block as indicated in the Eligible Census Blocks. 3 1
st District 2nd District 3rd District: 4
th District 5th District
Is this a new construction project, or a request for additional funding to an existing CDBG Project? Barstow / CA / 92311 X
2024
N/A
2023
Address ADA barriers within the City of Barstow and CDBG project area. The ADA barriers may be uplifted, broken, damaged, or missing sidewalks, curbs, or gutters. Additionally, the project will replace or modify curb ramps.

Varies New Construction Project City of Barstow's ADA curb ramps, curbs, gutters, and infrastructure improvement Project Block Group 5, Census Tract 95; Block Group 4 Census Tract 118; Blcok Group 1, Census Tract 120.1; Block Group 4, Census Tract 120.2; Block Group 2, Census Tract 120.2; Block Group 2, Census Tract 95;Block Group 1, Census Tract 95

12.d
Packet Pg. 414 Attachment: BARS23CN-014 - City of Barstow, Concrete Project (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Construction Program Application Fiscal Year –
EXHIBIT 2A: Countywide Vision
Indicate Yes/No in the table below which countywide vision goals are pertinent to the proposed project.

Countywide Vision
Countywide Vision Yes/ No
Implement the Countywide Vision.

Create, Maintain and Grow Jobs and Economic
Value in the County.

Improve County Government Operations.

Operate in a Fiscally-Responsible and Business-Like
Manner.

Ensure Development of a Well-Planned, Balanced,
and Sustainable County.

Maintain Public Safety.

Provide for the Health and Social Services Needs of
County Residents.

Pursue County Goals and Objectives by Working
with Other Governmental Agencies.

Provide a brief narrative of how your project meets the Countywide Vision:
4 Yes No Yes Yes Yes Yes No 2023 2024
The Countywide Vision is to achieve a sustainable system which provides high-quality education, community health, public safety, housing, retail, recreation, arts, culture and infrastructure. The project provides the infrastructure to ADA requirements and promotes infrastructure for alternate transportation methods and healthier community.

Yes

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Packet Pg. 415 Attachment: BARS23CN-014 - City of Barstow, Concrete Project (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Construction Program Application Fiscal Year –
Exhibit 3: Project Characteristics
Street address and nearest cross streets of the site where the program will be carried out:

Legal property owner:

What is the current zoning?
Is this use permitted in this zoning?
Is a conditional use permit required? Yes/No
Complete applicable items for all construction projects:
• Assessor's parcel number:
• Square footage of proposed building or building addition:
• Square footage of construction site parcel:
• Length of improvements if street, water or sewer project:
• Service capacity of existing facility:
• Improved service capacity of the facility:
• Age of structure:
• Is the structure registered as a historic landmark under state, federal or local Law? Describe the geographic boundaries of the neighborhood, community, or region to be served by this project. This description must include service area boundaries if land acquisition or structural improvements are proposed (attach a map):
5 The majority of the City is considered a disadvantage community. Being a disadvatage community, many residents relay on walking as a primary form of transportation. Additionally, the City is encouraging the community to walk and bicycle to improve the health of the community. N/A City of Barstow No 2023 No N/A Varies Yes N/A N/A 2024 Greater than 20 Years N/A Varies

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Packet Pg. 416 Attachment: BARS23CN-014 - City of Barstow, Concrete Project (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Construction Program Application Fiscal Year –
Exhibit 4: Priority Needs:

Complete the table below by answering “Yes” or “NO”.

Public Facility’s Needs: Yes/ No:

Senior Center Improvements
Community Center Improvements
Child Care Center Improvements
Youth Center Improvements
Park & Recreation Improvements
Social Care Facility Improvements
Code Enforcement Needs
Code Enforcement
Demolition and Clearance
Blight Abatement
Infrastructure Needs
Water and Sewer Improvements
Drainage Improvements
Street Improvements
Sidewalk Improvements
Commercial/ Industrial Infrastructure Development
Accessibility Needs
Removal of Architectural Barriers
Historic Preservation Needs:

Historic Preservation Improvements
Other:
6 2024 Yes No No No Yes No No No No No Yes No No Yes No No No Yes No Yes 2023

12.d
Packet Pg. 417 Attachment: BARS23CN-014 - City of Barstow, Concrete Project (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Construction Program Application Fiscal Year –
Exhibit 4: Priority Needs (continued)
HUD Demographics: (Please indicate Yes/No)
• Does this project help prevent homelessness?
• Does this project help the homeless?
• Does this project help those with HIV or AIDS?
• Does this project primarily help persons with disabilities? Why this project is considered a priority?
Why this project is needed, Site the evidence to substantiate the need? Why must this proposed project be funded now versus receiving funding in future years?
What are the ramifications if this project is not recommended for funding in this fiscal year?
7 Yes
The ramification of this project not being recommended for funding in this fiscal year includes potential hazards to citizens, possible injuries, lack of transportation access and claims against the city. Furthermore, lack of or poor infrastructure may decrease health goals.

No
The project is a priority to assist persons with disabilities, promotes active transportation methods, and enhances the community's health.

Yes 2024
The city's transitional plan, city staff, and the community identifies, and records reports of damage, broken, uplifted, or out of compliance infrastructure. 2023
The city needs to provide accessibility to all members of the community. The city continues to improve accessibility issues and encourages an active lifestyle. According to San Bernardino County's; Our Community's Vital Signs, Barstow has critical health issues to address.

No

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Packet Pg. 418 Attachment: BARS23CN-014 - City of Barstow, Concrete Project (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Construction Program Application Fiscal Year –
What is the project’s population to be served?
What is the projects accomplishment level?
Summarize the Scope of Work; include in your summary the number of units or activities the project will complete with CDBG funds.

Describe how the project preserves a low and moderate-income neighborhood, or provides other community benefits.
8 The project will serve the disadvantage community, the citizens, and visitors. 2023 2024
Many of the residential that are considered low and moderate-income do not have vehicles and rely on walking. This project provides the facilities to walk or use other types of transportation to their destinations. Provide accessibility to facilities for all community members and visitors. Improve active transportation corridors throughout the city.

The project will replace approximately 6,500 square feet of sidewalks, 500 feet of curb or curb and gutter and repair or replace several ADA ramps.

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Packet Pg. 419 Attachment: BARS23CN-014 - City of Barstow, Concrete Project (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Construction Program Application Fiscal Year –
Exhibit 5: Project Budget & Sources
Provide the estimated financial data for the project as requested below for the appropriate project group. Costs should be based on the best information available. When preparing this data, consider the following factors: (a) project should be completed in one phase if possible, or if phased, operational capability of the phases should be independent of each other: (b) a phased project should be prioritized and broken into distinct parts, with estimated cost and priority for each part; (c) apply federal prevailing wage rates to construction projects over $2,000.

Project Budget
SB County Share ($): Other Source ($):

Architectural and
engineering services
Site acquisition
Local Review application
Construction
Other:

Total
Overall Total Project Cost: (CDBG Share + Other Source) 9 $0.00 $170,000.00 $170,000.00 $160,000.00 $0.00 $0.00 $0.00 $10,000.00 2023 2024

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Packet Pg. 420 Attachment: BARS23CN-014 - City of Barstow, Concrete Project (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Construction Program Application Fiscal Year –
Exhibit 5A: CDBG Funds Requested and Leveraging Information Indicate the amount being requested by the city.

City Amount Requested ($)
(This amount should match the grand
total requested from CDBG Share)
10 Leveraging items may include any written commitments that will be used towards your cash match requirements in the project, as well as any written commitments for building, equipment, materials, services and volunteer time.

Source of
Funding:

Type of Funding: (Grant Name,
EFSP Money)
Amount ($): Date
Available:
(11/22/2016)
Federal
Funding
State
Funding
County
Funding
Private
Funding
Other:

Total Leveraging Funds
Barstow
$0.00 $0.00 $0.00 $0.00
2023 $170,000.00 2024
$0.00 $0.00

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Packet Pg. 421 Attachment: BARS23CN-014 - City of Barstow, Concrete Project (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Construction Program Application Fiscal Year –
Exhibit 6: Proposed Goals and Milestones
Explain how the project will meet contract goals and milestones. For example, project expenditures and performance/accomplishment goals of 40% by September 30th, 50% by December 31st, 80% by March 31st, and 100% by June 30th.

Fill-in the table below with dates for submission of reimbursement claims and the estimated amount of each.

Date of
Reimbursement:

Amount ($):

Total Reimbursement:
11 $180,000.00 $5,000.00 01/19/2024 $50,000.00 2024 05/19/2023 03/17/2023 $50,000.00 $75,000.00 2023 10/27/2023 Plans and Specifications completed by October 2023Advertise and Bidding completed by December 2023Construction completed by April 2023Final project by the end of July 2023

12.d
Packet Pg. 422 Attachment: BARS23CN-014 - City of Barstow, Concrete Project (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Construction Program Application Fiscal Year –
EXHIBIT 7: Agency Capacity Narrative
(Non-Profit Organizations Only)
• Describe the roles of key administrators, staff members, and volunteers within your agency that will implement the proposed project. In your description include experience, education, and licensing qualifications.
• Describe your agency’s experience in administering government and/or public funds. • Describe your method to sustain project viability over the multi-year process if funding decreases.

INSTRUCTIONS: Complete the table below by marking “YES” or “NO to the questions listed below.

Question: Yes/ No
Example: Have you received federal funds in the past five years? Yes In the past ten years, has your organization ever had its nonprofit status revoked or withheld by the IRS, the Secretary of State, the State Attorney General, or the Franchise Tax Board?
Has your organization been sued in the last five years? Are any of your managers or staff with fiscal responsibilities involved in litigation presently that has any bearing on fiduciary trust or employee relations?
Have any unfavorable rulings been handed down by any court against your organization or Executive Director the last five years? Does your organization currently have any unresolved fiscal, reporting, or program issues with any of its funding sources?
12 Yes No No
If funding is decreased, the project scope would be reduced and placed on a future project list. No
2023 2024
No
Since the incorporation of the City in 1947, the city has been managing Capital Improvement Projects (CIP). CIP projects estimated annual amount is approximately 2.5 million.

12.d
Packet Pg. 423 Attachment: BARS23CN-014 - City of Barstow, Concrete Project (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Construction Program Application Fiscal Year –
Exhibit 8: Civil Rights Laws Compliance And HUD Good Standing Answer the following questions:

Has your organization been a past recipient of assistance under a HUD McKinney Act program or the HUD Single Family Property Disposition Homeless Program? If you have been a recipient under either of these programs, has your agency experienced any project or construction delay, HUD finding or outstanding audit that HUD deems serious regarding the administration of HUD McKinney Act programs or the HUD Single Family Property Disposition Homeless Program?
If you answered “Yes”, please explain the circumstances and outcome below.

Applicants must be in compliance with applicable civil rights laws and Executive Orders. Applications will be rejected if your agency has any of the following: (1) Any pending civil rights lawsuit instituted by the U.S. Department of Justice; (2) Any noncompliance with civil rights statutes, Executive Orders or regulations as a result of formal administrative proceedings, unless the applicant is operating under a HUD-approved compliance agreement designed to correct the area of noncompliance or is currently negotiating such an agreement; (3) Any unresolved Secretarial charge of discrimination issues under Section 810(g) of the Fair Housing Act, as implemented by 24 CFR 103:400; (4) Any adjudication of a civil rights violation in a civil action brought against the Organization by a private individual, unless the applicant is operating in compliance with a court order designed to correct the area of noncompliance or the applicant has discharged any responsibility arising from such litigation; (5) Any deferral of the processing of applications from the sponsor imposed by HUD under Title VI of the Civil Rights Act of 1964, the Attorney General’s Guidelines (28 CFR 50.3) or the HUD Title VI regulations (24 CFR 1.8) and procedures, or under Section 504 of the Rehabilitation Act of 1973 and HUD Section 504 regulations (24 CFR 8.57). If one or more of these situations exists with your Organization, please attach a brief description.
13 2023 No No 2024

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Packet Pg. 424 Attachment: BARS23CN-014 - City of Barstow, Concrete Project (5272 : FY2023/24 Cdbg Allocation for Construction Projects) 14 E-Signature Authorization
San Bernardino County
Community Development and Housing Departmemt
Community Development Block Grant
Martha Zepeda
Deputy Executive Officer
In order to comply with all applicable federal grant regulations, a hard-copy of this E-Signature Authorization containing an original wet signature must be filed with the San Bernardino County Community Development and Housing (CDH) in order for the applicant to electronically sign the Community Development Block Grant (CDBG) application documents online. This authorization may only be completed by a registered owner, partner, executive officer, or authorized employee (with proof of authorization) of the applicant submitting this form and must contain an original signature to be submitted to the CDH.

Authorization Agreement
I am an owner, partner, executive officer, or duly authorized employee of the below-listed applicant and have authority to enter into agreements on behalf of the below-listed applicant. CDH may rely on the receipt of such agreements executed and delivered by facsimile or other electronic means as if the original had been received. The undersigned agrees that the electronic signatures appearing on documents submitted from the below-listed applicant are the same as handwritten signatures for the purposes of validity, enforceability and admissibility. By signing this Electronic Signature Authorization Agreement, I authorize the CDH to accept, via electronic submission, documents submitted from the below-listed applicant as required by the CDH's CDBG - Funding Application.

I understand that CDH may change the CDBG application system from time to time. I agree that the below-listed applicant will electronically sign all documents requiring a signature related to the CDBG funding application.

My signature on this form certifies that:

I agree that entering my name in the CDBG funding application system constitutes my electronic signature. I understand that any information and documents submitted using my name is electronically certifying my signature. I understand that I am legally bound, obligated, and responsible by use of my electronic signature as much as I would be by my handwritten signature. I agree that I will protect my signature from unauthorized use, and that I will contact CDH immediately, upon discovery that my electronic signature has been compromised. I certify that my electronic signature is for my own use, and that I will not delegate it or share it with any individual.

This request is effective immediately upon receipt by the CDH and will remain in effect until the end of the - CDBG funding cycle or I choose to cancel this request via written notification to the CDH. I understand that it is my responsibility to update and/or cancel this request under all circumstances, including my departure or terminated association with the below-listed applicant.

By signing the E- Signature Authorization Form we certify that this agency will also comply with the following:

Non-discrimination
This organization will, through all possible means, ensure equal opportunity for all persons to receive services, to participate in the volunteer structure, and to be employed regardless of age, handicap, national background, race, religion, or sex. An existing sectarian nature of the agency shall not suffer impairment under this agreement, but participation in religious observances, rituals or services will not be required as a condition of receiving food, services, or shelter paid for by this grant.

Accountability
We commit this organization, if a grant is received, to provide all reports to the County as required; to expend monies only on eligible costs; to keep complete documentation (copies of all canceled checks, invoices, receipts, etc.) on all expenditures for a minimum of three years; to spend all funds and close out the program on the required date; to return any unused funds to the County to cooperate with monitoring or site visits, and; to provide complete documentation of expenses to the County, if requested, by the required date.

We affirm that all information in this application is true and correct to the best of our knowledge and that the applicant under our authority will execute its responsibility under the proposed contract and adhere to all other applicable rules and regulations to the fullest extent possible.

Non-collusion
This proposal is genuine, and not sham or collusive, nor made in the interest or in behalf of any person not herein named; the proposer has not directly induced or solicited any other proposer to put in a sham proposal, or any other person, firm or corporation to refrain from submitting a proposal; the proposer has not in any manner sought by collusion to secure for him/herself an advantage over any other proposer.

Applicant Information
Agency Name: Federal Tax ID No.:

Mailing Address: Phone No.:

Email Address: Fax No:

Authorized Signature
Print Name: Print Title:

Signature: Date:
- Application
Please send the signed copy of this one page agreement to:

San Bernardino County Community Development and Housing Department 215 North D Street, Suite 302, San Bernardino, CA 94215-0043 Attn: CDBG Application
[email protected] 220 E. Mountain View Street 2023 2023 2023 Willie A. Hopkins, Jr. Willie A. Hopkins Jr. 95-6000675 12/06/2022 (760) 255-4472 City Manager 2024 2024 2024 (760) 255-5101 City of Barstow City of Barstow

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Packet Pg. 425 Attachment: BARS23CN-014 - City of Barstow, Concrete Project (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Construction Program Application Fiscal Year -
Maintenance and Operations Agreement
Please keep in mind the Maintenance and Operations cost is ineligible for CDBG funds.

All capital improvements or facilities will require a Maintenance and Operation (M & O) contract. The MAINTENANCE AND OPERATION COMMITMENT must be signed by a representative of the M & O entity with authority to obligate the organization.
1) MAINTENANCE AND OPERATION COMMITMENT: The governing body of the below named public, quasi-public, or non-profit entity has the financial capacity and is willing to assume the Maintenance and Operation (M & O) responsibility and costs associated with the indicated community development project. This body has reviewed the "Estimated Annual Maintenance and Operation Budget" part of this section. To the best of this body's ability, it has determined this budget to be a true and accurate estimate of the annual M & O costs for the proposed project.

It is understood that without a commitment for maintenance and operation, the indicated project may not be considered for funding under the Community Development Block Grant program. Should this project be funded, a formal M & O contract shall be written and signed before any funds can be released.

NOTE: The Maintenance and Operation cost for capital improvements and facilities are not eligible for CDBG funding.

Proposed Project:

Legal/ Incorporated Name of Prospective M&O Entity:

Address:

Federal I.D. Number of M&O Entity:

Signature: ____________________________________ Title: _____________________ Print Name: ___________________________________ Date:
15 2023 2024

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Packet Pg. 426 Attachment: BARS23CN-014 - City of Barstow, Concrete Project (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Construction Program Application Fiscal Year -
Maintenance and Operations Expenses
Utilities Amount ($):

Electric
Water
Gas
Telephone
Disposal Service
Other:

Sub-Total
Materials
Janitorial Supplies
Office Supplies
Recreational Supplies
Ground Supplies
Other:

Sub-Total
Maintenance – Capital Improvements
Building Repair
Maintenance of Equipment
Improvements to Property
Other:

Sub-Total
Insurance
Liability
Fire
Other:

Sub-Total
16 2023 $0.00 2024 $0.00 $0.00 $0.00

12.d
Packet Pg. 427 Attachment: BARS23CN-014 - City of Barstow, Concrete Project (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Construction Program Application Fiscal Year -
Personnel
Maintenance
Secretary
Administrator
Program Staff
Other:

Sub-Total
M& O Annual Expense Total
List out all sources and liabilities such as budget sources, membership, user fees, etc.

Revenue Sources: Amount ($):

Budgeted Revenue Total
Assets/ Liabilities Amount ($):

Budgeted Revenue minus M&O Expense
17 2024 $0.00$0.00 $0.00 2023 $0.00

12.d
Packet Pg. 428 Attachment: BARS23CN-014 - City of Barstow, Concrete Project (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Construction Program Application Fiscal Year -
CDBG Application Checklist
(Non-Profit Agency Only)
Community-based organizations are required to include one copy of the items listed below. If you are not submitting these items at this time, please notify Community Development and Housing at (909) 387-4705 to make other arrangements. The following information is required before any contract or reimbursement can be completed.
o Summary of agency’s current year General Operating Budget o List of agency’s Board of Directors, including names and addresses o Proof of existing non-profit/tax-exempt status (Letters from the Federal Internal Revenue Service and State Franchise Tax Board)
o Current certificate of insurance and amounts covered
o Organizational chart
o Minutes of last Board meeting
o Non- Profit agency’s must be Registered in the System of Award Management (SAM) website. Agency cannot be funded if they have been debarred in the past. o Provide board minutes/letter that authorizes the executive director or program manager to run the project.

If your application is funded you will be required to provide a copy of your last audit and your Articles of Incorporation and Bylaws must be on file.
18 2023 2024

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Packet Pg. 429 Attachment: BARS23CN-014 - City of Barstow, Concrete Project (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
San Bernardino County
Fiscal Year -
PublicServices ProgramApplication
The following documents must be submitted in the order listed, please be sure to submit all attachments with your application.

Exhibit 1: Organization Information
Exhibit 2: Project Information
Exhibit 3: Community Needs and Target Population
Exhibit 4: Project Budget & Sources
Exhibit 5: Performance & Outcomes
Exhibit 6: Agency Capacity Narrative
Exhibit 7: Civil Rights Laws Compliance and HUD Good Standing Exhibit 8: Signature and Assurances
Application Checklist
_______________
Log Number
(Office Use Only)
1 ✔
2023 ✔
✔
2024 ✔
✔
2024 ✔
BARS23PS-010 2023 ✔
✔
✔

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Packet Pg. 430 Attachment: BARS23PS-010, Desert Sanctuary (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 1: Organization Information
Organization Name:

Organization Address:

City/State/Zip:

Phone:

Fax:

Email:

Applicant Type:

Authorized Person Name:

Authorized Person’s Title:

Address:

City/State/Zip:

Phone:

Fax:

Email:

Application Contact Person’s Name:

Application Contact Person’s Title:

Explain the Agency’s 1) Mission, 2) Purpose, 3) Population Served, 4) Number of years serving population, 5) Supportive Services, their Funding Sources, and Start/End Dates. 2 7602563733 Peggi Fries 703 E. Main703 E. Main Barstow / CA / 92311 7602563733 7602563793 Executive Director Desert Sanctuary Inc. 2023 Peggi Fries [email protected] [email protected] 760-256-3793Non-ProfitExecutive Director Our mission: To provide for people in need, including-but not limited to individuals and families affected by domestic abuse, and to provide a haven safe from violence, a place of temporary refuge. Our case management program has been developed by our top advocates using tools acquired through First 5, Strategies and many trainings and classes. The program is incentive based and client driven. This program has truly turned lives around. We serve the northern Mojave Desert, (population approx. 60,000). We have been providing for 40 years. Supportive services include; emergency and extended stay shelter, assistance with restraining orders, court support, peer support groups, professional counseling, parenting classes, job readiness, relaxation and stress management, financial management and life skills and emergency food and clothing.
2024 Barstow / CA / 92311

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Packet Pg. 431 Attachment: BARS23PS-010, Desert Sanctuary (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 2: Project Information
Project Title:

Project Address:

County Supervisorial District where project will be located:
1 st District 2nd District 3
rd District 4th District 5th District
If you are requesting funds for an existing CDBG project, provide prior CDBG project number.

Will this project provide an opportunity to hire minority-owned and women owned businesses? If YES, describe what actions will be completed to implement such subcontracting plans to monitor this component of the proposed project. If NO, discuss why and what actions are being taken to encourage minority-women businesses to apply for this project. 3 If this is an Expansion of Service to previously funded CDBG project, please explain how this is an expansion of service?. (i.e For 2015 we proposed 60 units of service, this year the agency is planning to serve 100 units of service)
Is this a New Public Service Project, or request to expand services to an existing CDBG project? Case Management Services - Desert Sanctuary Inc. BARS-22-01-05L/2435 Expansions of Service to an Existing Project 2023 No703 E. Main Street, Barstow, Ca. 92311 X 2024
Our case management program is now a referral for some county agencies and our community college. The program has experienced great success and has a proven record of client satisfaction. The program is incentive based and client driven. Clients receive incentives for achieving goal they have set. We began with a ½time case manager. We now have 3 and are in process of training an additional ½time case manager.

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Packet Pg. 432 Attachment: BARS23PS-010, Desert Sanctuary (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
EXHIBIT 2A: Countywide Vision
Indicate Yes/No in the table below if any of these countywide vision goals are pertinent to the proposed project.

Countywide Vision
Countywide Vision Yes/ No
Implement the Countywide Vision.

Create, Maintain and Grow Jobs and
Economic Value in the County.

Improve County Government Operations.

Operate in a Fiscally-Responsible and
Business-Like Manner.

Ensure Development of a Well-Planned,
Balanced, and Sustainable County.

Maintain Public Safety.

Provide for the Health and Social Services
Needs of County Residents.

Pursue County Goals and Objectives by
Working with Other Governmental
Agencies.

Provide a brief narrative of how your project meets the Countywide Vision:
4 Yes NoYes 2023 Yes
Through prevention, intervention, awareness education and direct services to victims of domestic violence, Desert Sanctuary Inc. contributes to the Countywide Vision through our efforts to maintain public safety, promote personal and family health and assist with social service provision, referral and advocacy. These services will result in family stabilization including encouraging and preparing clients to become self-sufficient. This includes access to education, job skills, community resources, job preparation and all supportive services. In addition, we provide Case Management for victims of domestic violence as well as community members experiencing crisis, need for change or are referred by county agencies of our local college. Our Case Management services are strengths centered, client driven and incentive based.
2024 Yes Yes NoYes

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Packet Pg. 433 Attachment: BARS23PS-010, Desert Sanctuary (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 3: Community Needs and Target Population
Community Needs Target Population
Public Service
Needs:

Yes/No Proposed Community: Yes/No
Senior Services Low and Moderate Persons
Handicapped
Services
Low and Moderate
Households
Youth Services Abused Children
Child Care
Services
Handicapped Persons
Transportation
Services
Illiterate Persons
Substance Abuse
Services
Homeless Persons
Employment
Training
Migrant Farm Workers
Health Services Elderly People
Lead Hazard
Screening
Crime
Awareness
5 City/Target Area of Project Beneficiaries
Participating Cities: (i.e Redlands, Colton, Yucaipa)
No Yes Yes Yes No Yes NoYes Yes No Yes2023 Yes NoYes Yes I don't believe Barstow is a "participating City", but our target population would be victims of domestic violence and their children, members of the community who are asking for assistance with emerging or emergency needs, low-income families in need of resource and referral services and our outreach services to the most remote areas of the northern Mojave desert. (Cima, Nipton, Baker, Trona to name a few). Our area is quite large although the population is small. Our area need is huge.
2024 Yes Yes Yes

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Packet Pg. 434 Attachment: BARS23PS-010, Desert Sanctuary (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 3: Community Needs and Target Population (continued) Describe the geographic boundaries of the neighborhood, community or area in which clients of the proposed program reside (attach a map if needed):

HUD Demographics: (Yes/No)
 Does this project help prevent homelessness?
 Does this project help the homeless?
 Does this project help those with HIV or AIDS?
 Does this project primarily help persons with disabilities? Summarize the description of your project to include 1) priority, 2) sub-activity, 3) population(s) to be served, and 4) accomplishment level, and 5) services to be provided. 6 Yes NoYes
Desert Sanctuary Inc. provides Case Management services to victims of domestic violence and their children. Our program was developed using tools from First 5, Strategies and many trainings and classes. We have seen this program truly change lives. Building on client strengths we can help and guide them to access many resources and opportunities. We can assist with supportive services and access while they attend school, acquire employment and develop a safe and stable home for themselves and their children. The Case Management program works with participants to achieve goals they have set for themselves. Through a beginning self-assessment, they define areas of their lives, (safe housing, parenting connection, finances, education, employment, health and well-being ect.) and they prioritize which area they would like to begin with. We work hard to gather the resources needed to celebrate and reward accomplishment. (incentive). One of the best qualities is the ability to adapt and change to every new and emerging need. We have even more confidence in this ability to adapt and change after surviving the Covid-19 pandemic and finding ways throughout to continue to provide direct and vital services. 2023 No
Barstow, Yermo, Hinkley, Daggett, Newberry springs, Baker, Trona. From Stateline to Hodge.

From Lucerne Valley to Kramer Junction including Trona. 2024

12.e
Packet Pg. 435 Attachment: BARS23PS-010, Desert Sanctuary (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Describe how this project meets the priority population and activities selected.

Explain why this project is needed and what evidence can you substantiate the need.

Describe what gaps of service in the county this project fills.

What are the critical factors for the success of your project (include both financial and human resources)? For instance, is this the only funding for this project? What happens if funding decreases? Does this project rely on only one source of leveraging? Is there adequate staff involved with the project if there is project turnover? Please address any factor that is critical to project success.
7 Domestic violence is a national problem and services and resources for victims are too few.

The incidents and severity of Domestic Violence in San Bernardino County and in the City of Barstow's service area, have increased due to the stress of Covid-19, jobs going away and the rising costs of housing and all needed products. We work closely with the Police, County, schools including the college and hospital for referrals. 2023
Desert Sanctuary Inc. is the community's Domestic Violence provider. We serve victims of domestic violence and their children through an organized, well designed and comprehensive program that fosters healing, self-awareness, development of parenting skills, support system building, integration with the community and establishment of a stable and violence- free home. This program strives to strengthen the family unit. 2024
Case Management services are crucial to the core goals of our clients. We strive to guide them as they set goals and decide what success looks like for them. Because our program is "client" driven (they set their own priorities and goals) and incentive based (when they achieve their goals we can provide incentives, rewards and encouragement to continue.) This program is funded through many sources. (San Manuel, CDBG, Cal-WORKs, Presley, Cal-OES and DVPO.) and the Valenzuela Foundation. The program is far too successful to not find a way to continue to provide it.

Our proven Case Management program builds on the strengths of the family and guides families through the of establishing relationships with agencies, entities, resources, referrals and people who can assist clients to achieved their personal goals. Because our program does not tell any client what we thing "they" need, but rather assists them with achieving the goals or needs "they" have prioritized. The impact is the history of client success with setting a course to self-sufficiency.

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Packet Pg. 436 Attachment: BARS23PS-010, Desert Sanctuary (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 4: Project Budget & Sources
Project Budget
SB County Share: ($) Other Source: ($)
Personnel
Equipment (Rental, Lease or Purchase)
Consultant Services
(Auditing, Accounting or Payroll)
Space Rent
Insurance
Consumable Supplies
Other
Total Costs
Total Project Budget Cost: (CDBG Share + Other Source)
8 $15,000.00 $218,500.00 $203,500.00 $203,500.00 2023 2024 $15,000.00

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Packet Pg. 437 Attachment: BARS23PS-010, Desert Sanctuary (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 4A: CDBG Funds Requested and Leveraging Information Indicate the amount being requested by the city.

City Amount Requested ($):
(This amount should match the grand
total requested from CDBG Share)
9 Leveraging items may include any written commitments that will be used towards your cash match requirements in the project, as well as any written commitments for building, equipment, materials, services and volunteer time.

Source of
Funding:

Type of Funding: (Grant Name,
EFSP Money)
Amount ($): Date
Available:
(11/22/2016)
Federal
Funding
State
Funding
County
Funding
Private
Funding
Other:

Total Leveraging Funds
VOCA, FVPSA, CAL-WORKs, EFSP Barstow $15,000.00 $86,500.00 $15,000.00 $46,000.00 2023 Presley/CFS/Cal-OES DVP0 Foundation/donations 10/01/2022 2024 United Way/Thrift store income 10/01/2022 10/01/2022 07/01/2022 $203,500.00 $56,000.00

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Packet Pg. 438 Attachment: BARS23PS-010, Desert Sanctuary (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 5: Performance and Outcomes
Definitions:

Unduplicated Clients: The number clients/persons projected to be served during the program year (e.g. 25 clients, 50 seniors):

Duplicated Clients: The estimated yearly units of service (duplicated, e.g. 25 clients x 10 visits=250 units of service):

Complete the chart below with the number of Duplicated and Unduplicated Clients to be served.
• In column 1 identify activities that will be completed (e.g. intervention, counseling, and case management).
• In column 2 indicate the number of Unduplicated Clients to be served. • In column 3 identify the number of Duplicated Clients to be served.

Activities to be Completed (1) Unduplicated
Clients to be
Served (2)
Duplicated Clients
projected to be
served (3)
Performance and Outcomes, answer the following narrative questions using minimum funds request.

Indicate a timeline of services provided to client(s) in order to meet project outcome(s).

Describe how your agency determines client(s) success.

Describe your methodology to evaluate project outcomes. 10 60
Case Management clients achieve success when they complete goals that they have set for themselves. They develop a network of support.

During the 2022/2023 year, 60 unduplicated households will receive quality Case Management services. We will provide approximately 1600 hours of Case Management services including educational sessions.

Case Management Services
We use a system of evaluation that measures all life impacts. This tool is used to develop a management plan. Pre, mid and post.
2023 700 2024

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Packet Pg. 439 Attachment: BARS23PS-010, Desert Sanctuary (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 5A: Proposed Goals & Milestones
Explain how the project will meet contract goals and milestones and be completed within 12 months (July 1, – June 30, ). For example, project expenditures and performance/ accomplishment goals of 40% by November 30th, 50% by December 31st, 80% by March 31st, and 100% by June 30th.

Fill-in the table below with dates for submission of reimbursement claims and the estimated amount of each.

Date of Reimbursement: Amount ($):

Total Reimbursement:
($)
11 $15,000.00 11/01/2023 $1,250.00 08/01/2023 $1,250.00 The goals and milestones will be accomplished through on-going sessions and evaluations between the case manager and the client. Numbers are important, however, of more importance is the outcome of establishing lives, homes and families that are violence-free and self-sustaining. We use assessment tools from many years of training and experience.

We re-address these tools often and work with licensed social workers who provide input and opinion of the need to adjust or alter them. Using a Pre-Mid and post testing evaluation keeps us, and the clients updated.
$1,250.00 $1,250.00 $1,250.00 07/01/2024 02/01/2024 $1,250.00 09/01/2023 2023 2023 $1,250.00 12/01/2023 $1,250.00 $1,250.00 05/01/2024 03/01/2024 10/01/2023 $1,250.00 01/01/2024 2024 2024 $1,250.00 $1,250.00 06/01/2024 04/01/2024

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Packet Pg. 440 Attachment: BARS23PS-010, Desert Sanctuary (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 6: Agency Capacity Narrative
(Non-Profit Organizations Only)
Describe the roles of key administrators, staff members, and volunteers within your agency that will implement the proposed project. In your description include experience, education, and licensing qualifications.

Describe your agency’s experience in administering government and/or public funds.

Describe your method to sustain project viability over the multi-year process if funding decreases.

Instructions: Complete the table below by marking “YES” or “NO” to the questions listed below.

Question:

Example: Have you received federal funds in the past
five years? Yes
In the past ten years, has your organization ever had its nonprofit status revoked or withheld by the IRS, the
Secretary of State, the State Attorney General, or the
Franchise Tax Board?
Has your organization been sued in the last five years? Are any of your managers or staff with fiscal
responsibilities involved in litigation presently that has any bearing on fiduciary trust or employee relations?
Have any unfavorable rulings been handed down by any
court against your organization or Executive Director the last five years?
Does your organization currently have any unresolved
fiscal, reporting, or program issues with any of its funding sources?

YES/ NO
12 No
All staff have completed 40-hour training required by State and Federal Government. Other trainings are on-going and constant.

No No
Our agency has been appropriately and transparently administering government and public funding for 40 years.
2023 2024 No
Each program is protected by funding through multiple sources. We may face a need to lower frequency or numbers we can serve, but it is unlikely we would eliminate any successful program.

No

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Packet Pg. 441 Attachment: BARS23PS-010, Desert Sanctuary (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
EXHIBIT 7: Civil Rights Laws Compliance and HUD Good Standing Answer the following questions.

Has your organization been a past recipient of assistance under a HUD McKinney Act program or the HUD Single Family Property Disposition Homeless Program? If you have been a recipient under either of these programs, has your agency experienced any project or construction delay, HUD finding or outstanding audit that HUD deems serious regarding the administration of HUD McKinney Act programs or the HUD Single Family Property Disposition Homeless Program?
If you answered “Yes”, please explain the circumstances and outcome below.

Applicants must be in compliance with applicable civil rights laws and Executive Orders. Applications will be rejected if your agency has any of the following: (1) Any pending civil rights lawsuit instituted by the U.S. Department of Justice; (2) Any noncompliance with civil rights statutes, Executive Orders or regulations as a result of formal administrative proceedings, unless the applicant is operating under a HUD-approved compliance agreement designed to correct the area of noncompliance or is currently negotiating such an agreement; (3) Any unresolved Secretarial charge of discrimination issues under Section 810(g) of the Fair Housing Act, as implemented by 24 CFR 103:400; (4) Any adjudication of a civil rights violation in a civil action brought against the Organization by a private individual, unless the applicant is operating in compliance with a court order designed to correct the area of noncompliance or the applicant has discharged any responsibility arising from such litigation; (5) Any deferral of the processing of applications from the sponsor imposed by HUD under Title VI of the Civil Rights Act of 1964, the Attorney General’s Guidelines (28 CFR 50.3) or the HUD Title VI regulations (24 CFR 1.8) and procedures, or under Section 504 of the Rehabilitation Act of 1973 and HUD Section 504 regulations (24 CFR 8.57). If one or more of these situations exists with your Organization, please attach a brief description.
13 No 2023 2024 No

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Packet Pg. 442 Attachment: BARS23PS-010, Desert Sanctuary (5272 : FY2023/24 Cdbg Allocation for Construction Projects) E-Signature Authorization
San Bernardino County
Community Development and Housing Departmemt
Community Development Block Grant
Martha Zepeda
Deputy Executive Officer
- Application
In order to comply with all applicable federal grant regulations, a hard-copy of this E-Signature Authorization containing an original wet signature must be filed with the San Bernardino County Community Development and Housing (CDH) in order for the applicant to electronically sign the Community Development Block Grant (CDBG) application documents online. This authorization may only be completed by a registered owner, partner, executive officer, or authorized employee (with proof of authorization) of the applicant submitting this form and must contain an original signature to be submitted to the CDH.

Authorization Agreement
I am an owner, partner, executive officer, or duly authorized employee of the below-listed applicant and have authority to enter into agreements on behalf of the below-listed applicant. CDH may rely on the receipt of such agreements executed and delivered by facsimile or other electronic means as if the original had been received. The undersigned agrees that the electronic signatures appearing on documents submitted from the below-listed applicant are the same as handwritten signatures for the purposes of validity, enforceability and admissibility. By signing this Electronic Signature Authorization Agreement, I authorize the CDH to accept, via electronic submission, documents submitted from the below-listed applicant as required by the CDH's CDBG - Funding Application.

I understand that CDH may change the CDBG application system from time to time. I agree that the below-listed applicant will electronically sign all documents requiring a signature related to the CDBG funding application.

My signature on this form certifies that:

I agree that entering my name in the CDBG funding application system constitutes my electronic signature. I understand that any information and documents submitted using my name is electronically certifying my signature. I understand that I am legally bound, obligated, and responsible by use of my electronic signature as much as I would be by my handwritten signature. I agree that I will protect my signature from unauthorized use, and that I will contact CDH immediately, upon discovery that my electronic signature has been compromised. I certify that my electronic signature is for my own use, and that I will not delegate it or share it with any individual.

This request is effective immediately upon receipt by the CDH and will remain in effect until the end of the - CDBG funding cycle or I choose to cancel this request via written notification to the CDH. I understand that it is my responsibility to update and/or cancel this request under all circumstances, including my departure or terminated association with the below-listed applicant.

By signing the E- Signature Authorization Form we certify that this agency will also comply with the following:

Non-discrimination
This organization will, through all possible means, ensure equal opportunity for all persons to receive services, to participate in the volunteer structure, and to be employed regardless of age, handicap, national background, race, religion, or sex. An existing sectarian nature of the agency shall not suffer impairment under this agreement, but participation in religious observances, rituals or services will not be required as a condition of receiving food, services, or shelter paid for by this grant.

Accountability
We commit this organization, if a grant is received, to provide all reports to the County as required; to expend monies only on eligible costs; to keep complete documentation (copies of all canceled checks, invoices, receipts, etc.) on all expenditures for a minimum of three years; to spend all funds and close out the program on the required date; to return any unused funds to the County to cooperate with monitoring or site visits, and; to provide complete documentation of expenses to the County, if requested, by the required date.

We affirm that all information in this application is true and correct to the best of our knowledge and that the applicant under our authority will execute its responsibility under the proposed contract and adhere to all other applicable rules and regulations to the fullest extent possible.

Non-collusion
This proposal is genuine, and not sham or collusive, nor made in the interest or in behalf of any person not herein named; the proposer has not directly induced or solicited any other proposer to put in a sham proposal, or any other person, firm or corporation to refrain from submitting a proposal; the proposer has not in any manner sought by collusion to secure for him/herself an advantage over any other proposer.

Applicant Information
Agency Name: Federal Tax ID No.:

Mailing Address: Phone No.:

Email Address: Fax No:

Authorized Signature
Print Name: Print Title:

Signature: Date:

Please send the signed copy of this one page agreement to:

San Bernardino County Community Development and Housing Department 215 North D Street, Suite 302, San Bernardino, CA 94215-0043 Attn: CDBG Application
14 95-3837425 [email protected] Desert Sanctuary Inc. 2023 2023 2023 Executive Director Executive Director (760) 256-3793 (760) 256-3793 703 E. Main Street, Barstow, Ca. 92311 11/17/2022 Peggi Fries 2024 2024 2024 Peggi Fries / Executive Director (760) 256-3733 (760) 256-3733

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Packet Pg. 443 Attachment: BARS23PS-010, Desert Sanctuary (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
CDBG Application Checklist
(Non-Profit Organizations Only)
Community-based organizations are required to include one copy of the items listed below. If you are not submitting these items at this time, please notify Community Development and Housing at (909) 387-4705 to make other arrangements. The following information is required before any contract or reimbursement can be completed.
o Summary of agency’s current year General Operating Budget o List of agency’s Board of Directors, including names and addresses o Proof of existing non-profit/tax-exempt status (Letters from the Federal Internal Revenue Service and State Franchise Tax Board) o Current certificate of insurance and amounts covered
o Organizational chart
o Minutes of last Board meeting
o Non- Profit agencies must be Registered in the System of Award Management (SAM) website.

Agency cannot be funded if they have been debarred in the past. o Provide board minutes/letter that authorizes the executive director or program manager to run the project.

If your application is funded you will be required to provide a copy of your last audit and your Articles of Incorporation and Bylaws must be on file. 15 2023 2024

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Packet Pg. 444 Attachment: BARS23PS-010, Desert Sanctuary (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
San Bernardino County
Fiscal Year -
PublicServices ProgramApplication
The following documents must be submitted in the order listed, please be sure to submit all attachments with your application.

Exhibit 1: Organization Information
Exhibit 2: Project Information
Exhibit 3: Community Needs and Target Population
Exhibit 4: Project Budget & Sources
Exhibit 5: Performance & Outcomes
Exhibit 6: Agency Capacity Narrative
Exhibit 7: Civil Rights Laws Compliance and HUD Good Standing Exhibit 8: Signature and Assurances
Application Checklist
_______________
Log Number
(Office Use Only)
1 ✔
BARS23PS-020 ✔
✔
✔
2023 ✔
2023 2024 ✔
✔
✔
✔
2024

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Packet Pg. 445 Attachment: BARS23PS-020, Noble Strong Inc. (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 1: Organization Information
Organization Name:

Organization Address:

City/State/Zip:

Phone:

Fax:

Email:

Applicant Type:

Authorized Person Name:

Authorized Person’s Title:

Address:

City/State/Zip:

Phone:

Fax:

Email:

Application Contact Person’s Name:

Application Contact Person’s Title:

Explain the Agency’s 1) Mission, 2) Purpose, 3) Population Served, 4) Number of years serving population, 5) Supportive Services, their Funding Sources, and Start/End Dates. 2 James Noble 1264 East Main Street [email protected] President Barstow / CA / 92311 Non-Profit President James Noble 7609530831 Barstow / CA / 92311 7609531733 2023 481 Silverado Street [email protected] Noble Strong Inc. is dedicated to creating a brighter future for Barstow's at-risk youth, inspiring them through character building and innovative thinking via sports programs all year round. Since the organization was founded in 2021, over 500 youths have visited annually during operating hours from 3:00 PM - 8:00 PM daily. Beyond sporting activities for young people; Noble Strong also offers services related to educational pursuits & support systems like law enforcement or first responders as part of their commitment towards empowering community members throughout Barstow alike! All efforts are funded generously by both individual donations & fundraisers held on an annual basis, thus making it possible to positively impact even more lives within California’s great locales each day.Our youth are enriched each year through the support of various sport & leadership organizations, which provide a culture that encourages positive guidance.
2024 Noble Strong Inc.

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Packet Pg. 446 Attachment: BARS23PS-020, Noble Strong Inc. (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 2: Project Information
Project Title:

Project Address:

County Supervisorial District where project will be located:
1 st District 2nd District 3
rd District 4th District 5th District
If you are requesting funds for an existing CDBG project, provide prior CDBG project number.

Will this project provide an opportunity to hire minority-owned and women owned businesses? If YES, describe what actions will be completed to implement such subcontracting plans to monitor this component of the proposed project. If NO, discuss why and what actions are being taken to encourage minority-women businesses to apply for this project. 3 If this is an Expansion of Service to previously funded CDBG project, please explain how this is an expansion of service?. (i.e For 2015 we proposed 60 units of service, this year the agency is planning to serve 100 units of service)
Is this a New Public Service Project, or request to expand services to an existing CDBG project? X X
1264 East Main Street Barstow, Ca 92311 New Public Service Project 2023 Our team is committed to ensuring equitable and diverse representation in upcoming projects.

All applicants are welcome, but we especially encourage minority-owned businesses to place bids - a minimum of 3 will be considered for each project opportunity. Our goal is to create an inclusive environment where everyone's voice can contribute! X X
2024 Yes Noble Strong Inc.Youth Project 2023 X

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Packet Pg. 447 Attachment: BARS23PS-020, Noble Strong Inc. (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
EXHIBIT 2A: Countywide Vision
Indicate Yes/No in the table below if any of these countywide vision goals are pertinent to the proposed project.

Countywide Vision
Countywide Vision Yes/ No
Implement the Countywide Vision.

Create, Maintain and Grow Jobs and
Economic Value in the County.

Improve County Government Operations.

Operate in a Fiscally-Responsible and
Business-Like Manner.

Ensure Development of a Well-Planned,
Balanced, and Sustainable County.

Maintain Public Safety.

Provide for the Health and Social Services
Needs of County Residents.

Pursue County Goals and Objectives by
Working with Other Governmental
Agencies.

Provide a brief narrative of how your project meets the Countywide Vision:
4 Yes Yes No NoYes 2023 Yes
Noble Strong Inc. project is a volunteer organization that looks to empower the youth of Barstow and its surrounding areas through sports activities, education programs, and other initiatives with the aim of instilling healthy habits, building confidence & character amongst them all year round. Supporting Countywide Vision objectives by investing in their mental & physical health - enhancing economic value within local communities while ensuring balanced sustainability. This project serves approximately 160 boys and girls from low-or moderateincome households across this area who will benefit directly as they take on life's challenges empowered with increased knowledge & self assurance!
Yes 2024 Yes

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Packet Pg. 448 Attachment: BARS23PS-020, Noble Strong Inc. (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 3: Community Needs and Target Population
Community Needs Target Population
Public Service
Needs:

Yes/No Proposed Community: Yes/No
Senior Services Low and Moderate Persons
Handicapped
Services
Low and Moderate
Households
Youth Services Abused Children
Child Care
Services
Handicapped Persons
Transportation
Services
Illiterate Persons
Substance Abuse
Services
Homeless Persons
Employment
Training
Migrant Farm Workers
Health Services Elderly People
Lead Hazard
Screening
Crime
Awareness
5 City/Target Area of Project Beneficiaries
Participating Cities: (i.e Redlands, Colton, Yucaipa)
No No Yes
The project serves the entire City of Barstow and surrounding military base families.

Yes No Yes Yes 2023 No Yes Yes Yes Yes NoYes 2024 Yes No No No

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Packet Pg. 449 Attachment: BARS23PS-020, Noble Strong Inc. (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 3: Community Needs and Target Population (continued) Describe the geographic boundaries of the neighborhood, community or area in which clients of the proposed program reside (attach a map if needed):

HUD Demographics: (Yes/No)
 Does this project help prevent homelessness?
 Does this project help the homeless?
 Does this project help those with HIV or AIDS?
 Does this project primarily help persons with disabilities? Summarize the description of your project to include 1) priority, 2) sub-activity, 3) population(s) to be served, and 4) accomplishment level, and 5) services to be provided. 6 The project serves the entire City of Barstow, which has a population of 24,132, as well as the immediate surrounding region which has a population of over 40,000.

This project will focus on supporting the Barstow community, a population of more than 24 000 people. We'll be providing transportation to events as well as sponsoring fitness and athletic training for individuals. Additionally, we're proud to offer ordering uniforms/apparel and bringing in mentors—all with an emphasis on empowering youth growth! No No 2023 Yes 2024 No

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Packet Pg. 450 Attachment: BARS23PS-020, Noble Strong Inc. (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Describe how this project meets the priority population and activities selected.

Explain why this project is needed and what evidence can you substantiate the need.

Describe what gaps of service in the county this project fills.

What are the critical factors for the success of your project (include both financial and human resources)? For instance, is this the only funding for this project? What happens if funding decreases? Does this project rely on only one source of leveraging? Is there adequate staff involved with the project if there is project turnover? Please address any factor that is critical to project success.
7 Noble Strong Inc. is igniting a spark of inspiration that will light the way to healthier lifestyles in Barstow! This project provides vital resources and programs needed for both mental and physical well-being, giving this community an invaluable opportunity to thrive as one united force.

Despite offering some community events designed to support youth development, there is still a need for accessible year-round activities. By providing these programs we will be able to make an even greater impact on the lives of young people in our area.

Faced with a lack of education, health services, and job prospects, too many young people are exiting the global school system ill-equipped to tackle work and life. Alarmingly one in every four children miss out on primary schooling–with unemployment amongst this demographic three times higher than adults – it's clear urgent action is needed. This project looks to support youth health at an age when technology reigns supreme yet traditional aspects often get overlooked.
2023 2024
Investing in this program is an invaluable opportunity to cultivate the Tremendous Potential of Creativity, a natural resource that can drive sustainable socio-economic growth for all ages within Barstow. With new ideas and innovation at its core, the creative industries sparked by project could fuel employment prospects while providing educational opportunities beyond what was previously available.

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Packet Pg. 451 Attachment: BARS23PS-020, Noble Strong Inc. (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 4: Project Budget & Sources
Project Budget
SB County Share: ($) Other Source: ($)
Personnel
Equipment (Rental, Lease or Purchase)
Consultant Services
(Auditing, Accounting or Payroll)
Space Rent
Insurance
Consumable Supplies
Other
Total Costs
Total Project Budget Cost: (CDBG Share + Other Source)
8 $4,200.00 $10,000.00 2023 $26,500.00 $0.00 $2,300.00 $26,500.00 2024 $5,000.00 $5,000.00

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Packet Pg. 452 Attachment: BARS23PS-020, Noble Strong Inc. (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 4A: CDBG Funds Requested and Leveraging Information Indicate the amount being requested by the city.

City Amount Requested ($):
(This amount should match the grand
total requested from CDBG Share)
9 Leveraging items may include any written commitments that will be used towards your cash match requirements in the project, as well as any written commitments for building, equipment, materials, services and volunteer time.

Source of
Funding:

Type of Funding: (Grant Name,
EFSP Money)
Amount ($): Date
Available:
(11/22/2016)
Federal
Funding
State
Funding
County
Funding
Private
Funding
Other:

Total Leveraging Funds
Barstow $0.00 $26,500.00 2023 2024

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Packet Pg. 453 Attachment: BARS23PS-020, Noble Strong Inc. (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 5: Performance and Outcomes
Definitions:

Unduplicated Clients: The number clients/persons projected to be served during the program year (e.g. 25 clients, 50 seniors):

Duplicated Clients: The estimated yearly units of service (duplicated, e.g. 25 clients x 10 visits=250 units of service):

Complete the chart below with the number of Duplicated and Unduplicated Clients to be served.
• In column 1 identify activities that will be completed (e.g. intervention, counseling, and case management).
• In column 2 indicate the number of Unduplicated Clients to be served. • In column 3 identify the number of Duplicated Clients to be served.

Activities to be Completed (1) Unduplicated
Clients to be
Served (2)
Duplicated Clients
projected to be
served (3)
Performance and Outcomes, answer the following narrative questions using minimum funds request.

Indicate a timeline of services provided to client(s) in order to meet project outcome(s).

Describe how your agency determines client(s) success.

Describe your methodology to evaluate project outcomes. 10 Uniforms/Appearal 229 25 288 25
Client success will be determined by attendance tracking and fitness health monitoring services.
2023 288
Applications to be sponsored will be sent out during the first week. Candidates will be selected by Noble Strong Inc. after week 3. Funds and services will be started during week 4. A3 Toyota production system will be used to insure best outcome. A3 methodology was developed to foster learning, collaboration, and growth.

Transportation 2024 Sponsorships 25

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Packet Pg. 454 Attachment: BARS23PS-020, Noble Strong Inc. (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 5A: Proposed Goals & Milestones
Explain how the project will meet contract goals and milestones and be completed within 12 months (July 1, – June 30, ). For example, project expenditures and performance/ accomplishment goals of 40% by November 30th, 50% by December 31st, 80% by March 31st, and 100% by June 30th.

Fill-in the table below with dates for submission of reimbursement claims and the estimated amount of each.

Date of Reimbursement: Amount ($):

Total Reimbursement:
($)
11 Project expenditures and performance/accomplishment goals of 50% by June 2023, 75% by September 2023, 100% by December 2023.
2023 2023 2024 2024 $0.00

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Packet Pg. 455 Attachment: BARS23PS-020, Noble Strong Inc. (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 6: Agency Capacity Narrative
(Non-Profit Organizations Only)
Describe the roles of key administrators, staff members, and volunteers within your agency that will implement the proposed project. In your description include experience, education, and licensing qualifications.

Describe your agency’s experience in administering government and/or public funds.

Describe your method to sustain project viability over the multi-year process if funding decreases.

Instructions: Complete the table below by marking “YES” or “NO” to the questions listed below.

Question:

Example: Have you received federal funds in the past
five years? Yes
In the past ten years, has your organization ever had its nonprofit status revoked or withheld by the IRS, the
Secretary of State, the State Attorney General, or the
Franchise Tax Board?
Has your organization been sued in the last five years? Are any of your managers or staff with fiscal
responsibilities involved in litigation presently that has any bearing on fiduciary trust or employee relations?
Have any unfavorable rulings been handed down by any
court against your organization or Executive Director the last five years?
Does your organization currently have any unresolved
fiscal, reporting, or program issues with any of its funding sources?

YES/ NO
12 President of Noble Strong Inc. handled company funds for Mercedes Benz United States International for 6 years.

No No No
President has Bachelors degree- Industrial Technology, Vice President has Masters degree in Education. Certified personal trainer & CPR/AED
2023
Noble Strong Inc. plans to partner with public education facilities that assist with career development of youth individuals.

No 2024 No

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Packet Pg. 456 Attachment: BARS23PS-020, Noble Strong Inc. (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
EXHIBIT 7: Civil Rights Laws Compliance and HUD Good Standing Answer the following questions.

Has your organization been a past recipient of assistance under a HUD McKinney Act program or the HUD Single Family Property Disposition Homeless Program? If you have been a recipient under either of these programs, has your agency experienced any project or construction delay, HUD finding or outstanding audit that HUD deems serious regarding the administration of HUD McKinney Act programs or the HUD Single Family Property Disposition Homeless Program?
If you answered “Yes”, please explain the circumstances and outcome below.

Applicants must be in compliance with applicable civil rights laws and Executive Orders. Applications will be rejected if your agency has any of the following: (1) Any pending civil rights lawsuit instituted by the U.S. Department of Justice; (2) Any noncompliance with civil rights statutes, Executive Orders or regulations as a result of formal administrative proceedings, unless the applicant is operating under a HUD-approved compliance agreement designed to correct the area of noncompliance or is currently negotiating such an agreement; (3) Any unresolved Secretarial charge of discrimination issues under Section 810(g) of the Fair Housing Act, as implemented by 24 CFR 103:400; (4) Any adjudication of a civil rights violation in a civil action brought against the Organization by a private individual, unless the applicant is operating in compliance with a court order designed to correct the area of noncompliance or the applicant has discharged any responsibility arising from such litigation; (5) Any deferral of the processing of applications from the sponsor imposed by HUD under Title VI of the Civil Rights Act of 1964, the Attorney General’s Guidelines (28 CFR 50.3) or the HUD Title VI regulations (24 CFR 1.8) and procedures, or under Section 504 of the Rehabilitation Act of 1973 and HUD Section 504 regulations (24 CFR 8.57). If one or more of these situations exists with your Organization, please attach a brief description.
13 NoNo 2023 2024

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Packet Pg. 457 Attachment: BARS23PS-020, Noble Strong Inc. (5272 : FY2023/24 Cdbg Allocation for Construction Projects) E-Signature Authorization
San Bernardino County
Community Development and Housing Departmemt
Community Development Block Grant
Martha Zepeda
Deputy Executive Officer
- Application
In order to comply with all applicable federal grant regulations, a hard-copy of this E-Signature Authorization containing an original wet signature must be filed with the San Bernardino County Community Development and Housing (CDH) in order for the applicant to electronically sign the Community Development Block Grant (CDBG) application documents online. This authorization may only be completed by a registered owner, partner, executive officer, or authorized employee (with proof of authorization) of the applicant submitting this form and must contain an original signature to be submitted to the CDH.

Authorization Agreement
I am an owner, partner, executive officer, or duly authorized employee of the below-listed applicant and have authority to enter into agreements on behalf of the below-listed applicant. CDH may rely on the receipt of such agreements executed and delivered by facsimile or other electronic means as if the original had been received. The undersigned agrees that the electronic signatures appearing on documents submitted from the below-listed applicant are the same as handwritten signatures for the purposes of validity, enforceability and admissibility. By signing this Electronic Signature Authorization Agreement, I authorize the CDH to accept, via electronic submission, documents submitted from the below-listed applicant as required by the CDH's CDBG - Funding Application.

I understand that CDH may change the CDBG application system from time to time. I agree that the below-listed applicant will electronically sign all documents requiring a signature related to the CDBG funding application.

My signature on this form certifies that:

I agree that entering my name in the CDBG funding application system constitutes my electronic signature. I understand that any information and documents submitted using my name is electronically certifying my signature. I understand that I am legally bound, obligated, and responsible by use of my electronic signature as much as I would be by my handwritten signature. I agree that I will protect my signature from unauthorized use, and that I will contact CDH immediately, upon discovery that my electronic signature has been compromised. I certify that my electronic signature is for my own use, and that I will not delegate it or share it with any individual.

This request is effective immediately upon receipt by the CDH and will remain in effect until the end of the - CDBG funding cycle or I choose to cancel this request via written notification to the CDH. I understand that it is my responsibility to update and/or cancel this request under all circumstances, including my departure or terminated association with the below-listed applicant.

By signing the E- Signature Authorization Form we certify that this agency will also comply with the following:

Non-discrimination
This organization will, through all possible means, ensure equal opportunity for all persons to receive services, to participate in the volunteer structure, and to be employed regardless of age, handicap, national background, race, religion, or sex. An existing sectarian nature of the agency shall not suffer impairment under this agreement, but participation in religious observances, rituals or services will not be required as a condition of receiving food, services, or shelter paid for by this grant.

Accountability
We commit this organization, if a grant is received, to provide all reports to the County as required; to expend monies only on eligible costs; to keep complete documentation (copies of all canceled checks, invoices, receipts, etc.) on all expenditures for a minimum of three years; to spend all funds and close out the program on the required date; to return any unused funds to the County to cooperate with monitoring or site visits, and; to provide complete documentation of expenses to the County, if requested, by the required date.

We affirm that all information in this application is true and correct to the best of our knowledge and that the applicant under our authority will execute its responsibility under the proposed contract and adhere to all other applicable rules and regulations to the fullest extent possible.

Non-collusion
This proposal is genuine, and not sham or collusive, nor made in the interest or in behalf of any person not herein named; the proposer has not directly induced or solicited any other proposer to put in a sham proposal, or any other person, firm or corporation to refrain from submitting a proposal; the proposer has not in any manner sought by collusion to secure for him/herself an advantage over any other proposer.

Applicant Information
Agency Name: Federal Tax ID No.:

Mailing Address: Phone No.:

Email Address: Fax No:

Authorized Signature
Print Name: Print Title:

Signature: Date:

Please send the signed copy of this one page agreement to:

San Bernardino County Community Development and Housing Department 215 North D Street, Suite 302, San Bernardino, CA 94215-0043 Attn: CDBG Application
14 President President 12/31/2022 873681224 (760) 953-0831 (760) 953-0831 2023 2023 2023 james noble Noble strong inc. 1264 East Main Street James Noble/President 2024 2024 2024 [email protected]

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Packet Pg. 458 Attachment: BARS23PS-020, Noble Strong Inc. (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
CDBG Application Checklist
(Non-Profit Organizations Only)
Community-based organizations are required to include one copy of the items listed below. If you are not submitting these items at this time, please notify Community Development and Housing at (909) 387-4705 to make other arrangements. The following information is required before any contract or reimbursement can be completed.
o Summary of agency’s current year General Operating Budget o List of agency’s Board of Directors, including names and addresses o Proof of existing non-profit/tax-exempt status (Letters from the Federal Internal Revenue Service and State Franchise Tax Board) o Current certificate of insurance and amounts covered
o Organizational chart
o Minutes of last Board meeting
o Non- Profit agencies must be Registered in the System of Award Management (SAM) website.

Agency cannot be funded if they have been debarred in the past. o Provide board minutes/letter that authorizes the executive director or program manager to run the project.

If your application is funded you will be required to provide a copy of your last audit and your Articles of Incorporation and Bylaws must be on file. 15 2023 2024

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Packet Pg. 459 Attachment: BARS23PS-020, Noble Strong Inc. (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
San Bernardino County
Fiscal Year -
PublicServices ProgramApplication
The following documents must be submitted in the order listed, please be sure to submit all attachments with your application.

Exhibit 1: Organization Information
Exhibit 2: Project Information
Exhibit 3: Community Needs and Target Population
Exhibit 4: Project Budget & Sources
Exhibit 5: Performance & Outcomes
Exhibit 6: Agency Capacity Narrative
Exhibit 7: Civil Rights Laws Compliance and HUD Good Standing Exhibit 8: Signature and Assurances
Application Checklist
_______________
Log Number
(Office Use Only)
1 ✔
2023 2024 ✔
2024 ✔
✔
✔
BARS23PS-027 ✔
✔
✔
2023 ✔

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Packet Pg. 460 Attachment: BARS23PS-027, Desert Manna, Inc (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 1: Organization Information
Organization Name:

Organization Address:

City/State/Zip:

Phone:

Fax:

Email:

Applicant Type:

Authorized Person Name:

Authorized Person’s Title:

Address:

City/State/Zip:

Phone:

Fax:

Email:

Application Contact Person’s Name:

Application Contact Person’s Title:

Explain the Agency’s 1) Mission, 2) Purpose, 3) Population Served, 4) Number of years serving population, 5) Supportive Services, their Funding Sources, and Start/End Dates. 2 BARSTOW / CA / 92311 President/CEO 2024 760-256-7797 760-684-2400 760-256-4043 BARSTOW / CA / 92311 201 Second Avenue Suite B 201 Second Avenue, Suite B President/CEO Darrin Fikstad Darin Fikstad Desert Manna, Inc.

With funding from the Federal McKinney Act, Desert Manna opened in 1988 as the first emergency shelter in San Bernardino.Since opening as an emergency shelter, Desert Manna has expanded available services to include job training, rapid rehousing/permanent supportive housing, food assistance, human and social services, utility assistance, and supportive services to veterans, senior citizens, special needs, and supportive services to the homeless and low-income individuals and families.Desert Manna reaches throughout the Mojave Valley Desert, which includes the Greater Barstow Area, surrounding rural communities, to the Nevada State Line. The Desert Manna Food Bank program is ongoing year round providing Emergency Food Boxes and Community Action Partnership of San Bernardino (CAPS) to those in need and supplying additional product when available. 2023 [email protected] [email protected] Public Services Program Application 760-256-4043

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Packet Pg. 461 Attachment: BARS23PS-027, Desert Manna, Inc (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 2: Project Information
Project Title:

Project Address:

County Supervisorial District where project will be located:
1 st District 2nd District 3
rd District 4th District 5th District
If you are requesting funds for an existing CDBG project, provide prior CDBG project number.

Will this project provide an opportunity to hire minority-owned and women owned businesses? If YES, describe what actions will be completed to implement such subcontracting plans to monitor this component of the proposed project. If NO, discuss why and what actions are being taken to encourage minority-women businesses to apply for this project. 3 If this is an Expansion of Service to previously funded CDBG project, please explain how this is an expansion of service?. (i.e For 2015 we proposed 60 units of service, this year the agency is planning to serve 100 units of service)
Is this a New Public Service Project, or request to expand services to an existing CDBG project? No 2024 Desert Manna Food Bank 2023 X
2410 Armory Road, Barstow, CA 92311 New Public Service Project 2023

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Packet Pg. 462 Attachment: BARS23PS-027, Desert Manna, Inc (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
EXHIBIT 2A: Countywide Vision
Indicate Yes/No in the table below if any of these countywide vision goals are pertinent to the proposed project.

Countywide Vision
Countywide Vision Yes/ No
Implement the Countywide Vision.

Create, Maintain and Grow Jobs and
Economic Value in the County.

Improve County Government Operations.

Operate in a Fiscally-Responsible and
Business-Like Manner.

Ensure Development of a Well-Planned,
Balanced, and Sustainable County.

Maintain Public Safety.

Provide for the Health and Social Services
Needs of County Residents.

Pursue County Goals and Objectives by
Working with Other Governmental
Agencies.

Provide a brief narrative of how your project meets the Countywide Vision:
4 Yes Yes 2024 Yes Yes Yes Yes
Primary Health & Human Services provider for the greater Barstow area. Collaborate with Federal, State, County, City agencies. Collaboration with area nonprofit and service organizations and charities. Provide a safe & healthy environment through our programs & services. Fiscally responsible through our board, management & staff. Partner with SB County Workforce Development Department to provide job training Yes Yes 2023

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Packet Pg. 463 Attachment: BARS23PS-027, Desert Manna, Inc (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 3: Community Needs and Target Population
Community Needs Target Population
Public Service
Needs:

Yes/No Proposed Community: Yes/No
Senior Services Low and Moderate Persons
Handicapped
Services
Low and Moderate
Households
Youth Services Abused Children
Child Care
Services
Handicapped Persons
Transportation
Services
Illiterate Persons
Substance Abuse
Services
Homeless Persons
Employment
Training
Migrant Farm Workers
Health Services Elderly People
Lead Hazard
Screening
Crime
Awareness
5 City/Target Area of Project Beneficiaries
Participating Cities: (i.e Redlands, Colton, Yucaipa)
Yes
City of Barstow, Communities of Yermo, Daggett, Newberry Springs, Lenwood NoYes Yes NoYes 2024 Yes Yes Yes Yes Yes Yes Yes No Yes2023 Yes Yes Yes

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Packet Pg. 464 Attachment: BARS23PS-027, Desert Manna, Inc (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 3: Community Needs and Target Population (continued) Describe the geographic boundaries of the neighborhood, community or area in which clients of the proposed program reside (attach a map if needed):

HUD Demographics: (Yes/No)
 Does this project help prevent homelessness?
 Does this project help the homeless?
 Does this project help those with HIV or AIDS?
 Does this project primarily help persons with disabilities? Summarize the description of your project to include 1) priority, 2) sub-activity, 3) population(s) to be served, and 4) accomplishment level, and 5) services to be provided. 6 Yes 2024 Yes
This project is for operation of our food programs designed to assist low to moderate income Barstow residents with overcoming or avoiding homelessness and food insecurity. Activities and services include: Monthly USDA Commodities, Emergency Food every 45 days per household, Bi-monthly pickups of produce to be used in Pop-Up Markets (reducing food waste per California AB 341 ), food support to after school programs (such as PAL), and food support to local area non-profits who serve our target population (such as churches, pantries, and soup kitchens). Food distribution for 2019-2020 was 900,000 pounds. 2020 and 2021 year we distributed an additional 1.3 million pounds of food for those affected due to the COVID-19 pandemic shutdown for a total of 2.1 million pounds of food distributed to Barstow and surrounding areas. This represents an increase of 145% of services provided. Desert Manna provides food for 4,000 meals monthly through three public feeding kitchens and one homeless outreach organization. For 34 years Desert Manna has offered a multitude of social services to Barstow and surrounding area.This includes affordable housing and providing nutritious foodfor the food insecure in the area.Desert Manna provides emergency food boxes serving 5,580 High Desert households monthly, 66,965 High Desert households annually.That is over 2.1 million pounds.

Yes
Desert Manna Food Bank primarily serves the cities of Barstow, additionally servicing the nearby communities such as Daggett, Yermo, Newberry Springs, Lenwood 2023 Yes

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Packet Pg. 465 Attachment: BARS23PS-027, Desert Manna, Inc (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Describe how this project meets the priority population and activities selected.

Explain why this project is needed and what evidence can you substantiate the need.

Describe what gaps of service in the county this project fills.

What are the critical factors for the success of your project (include both financial and human resources)? For instance, is this the only funding for this project? What happens if funding decreases? Does this project rely on only one source of leveraging? Is there adequate staff involved with the project if there is project turnover? Please address any factor that is critical to project success.
7 According to Census.gov, Barstow has a poverty rate of 36.7% (12. 1% national average).

Many in our community rely on social service agencies such as ours. Not only is there a growing demand from the clients we directly serve, the number of non-profits we provide food to have grown along with their need for food. COVID-19 and post pandemic inflation has created a surge in demand food support.
2024
Food is a basic yet vital need that members of our community tend to struggle with. While there are resources for help, many households still find themselves struggling to make ends meet. The nearest food. bank is 170 miles round-trip, and many of our residents lack transportation or funds to shop throughout the month for food This project is funded by private donors, our Board of Directors, and fundraising. Our staff and Board are dedicated to continuing to seek out funding sources for this project. We also own rental properties which provided additional revenue. We have three key staff members and a strong job training program for our volunteers who provide support to our various programs while obtaining the skills to become more self-sufficient. Our staff members are cross-trained in multiple programs.

This project serves residents with a variety of demographic backgrounds, residing in Barstow, CA, who are low to moderate income and/or homeless. This project addresses the basic need of food security, which leads to improved physical and mental health as well as better financial health by lowing household food expenses.
2023

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Packet Pg. 466 Attachment: BARS23PS-027, Desert Manna, Inc (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 4: Project Budget & Sources
Project Budget
SB County Share: ($) Other Source: ($)
Personnel
Equipment (Rental, Lease or Purchase)
Consultant Services
(Auditing, Accounting or Payroll)
Space Rent
Insurance
Consumable Supplies
Other
Total Costs
Total Project Budget Cost: (CDBG Share + Other Source)
8 Fuel/Maintenance Refrigerated Truck $51,000.00 $95,700.00 2024 $6,000.00 $7,200.00 $3,000.00 $1,000.00 $1,500.00 $80,700.00 $1,300.00 $1,000.00 $9,000.00 $3,500.00 2023 $1,500.00 $2,500.00 $7,200.00 $15,000.00

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Packet Pg. 467 Attachment: BARS23PS-027, Desert Manna, Inc (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 4A: CDBG Funds Requested and Leveraging Information Indicate the amount being requested by the city.

City Amount Requested ($):
(This amount should match the grand
total requested from CDBG Share)
9 Leveraging items may include any written commitments that will be used towards your cash match requirements in the project, as well as any written commitments for building, equipment, materials, services and volunteer time.

Source of
Funding:

Type of Funding: (Grant Name,
EFSP Money)
Amount ($): Date
Available:
(11/22/2016)
Federal
Funding
State
Funding
County
Funding
Private
Funding
Other:

Total Leveraging Funds
07/01/2023 $40,700.00 2024 Board of Directors Barstow $80,700.00 $15,000.00 Grants, Misc. Funding 2023 $40,000.00

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Packet Pg. 468 Attachment: BARS23PS-027, Desert Manna, Inc (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 5: Performance and Outcomes
Definitions:

Unduplicated Clients: The number clients/persons projected to be served during the program year (e.g. 25 clients, 50 seniors):

Duplicated Clients: The estimated yearly units of service (duplicated, e.g. 25 clients x 10 visits=250 units of service):

Complete the chart below with the number of Duplicated and Unduplicated Clients to be served.
• In column 1 identify activities that will be completed (e.g. intervention, counseling, and case management).
• In column 2 indicate the number of Unduplicated Clients to be served. • In column 3 identify the number of Duplicated Clients to be served.

Activities to be Completed (1) Unduplicated
Clients to be
Served (2)
Duplicated Clients
projected to be
served (3)
Performance and Outcomes, answer the following narrative questions using minimum funds request.

Indicate a timeline of services provided to client(s) in order to meet project outcome(s).

Describe how your agency determines client(s) success.

Describe your methodology to evaluate project outcomes. 10 2024 Emergency Food & Commodities
Monthly food program services to area non-profitsMonthly USDA CommoditiesWeekly distribution of emergency food boxesWeekly food for public feeding kitchensPeriodic bulk surplus food distribution
We document all food distributions through data sheets.Feedback is provided by clients during food distributions.Social media, website, etc. provides formats for comments as well. 163250
All data is recorded in the monthly consolidated report. 1035 2023 Food Distributions to Area Nonprofits 11800 12420

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Packet Pg. 469 Attachment: BARS23PS-027, Desert Manna, Inc (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 5A: Proposed Goals & Milestones
Explain how the project will meet contract goals and milestones and be completed within 12 months (July 1, – June 30, ). For example, project expenditures and performance/ accomplishment goals of 40% by November 30th, 50% by December 31st, 80% by March 31st, and 100% by June 30th.

Fill-in the table below with dates for submission of reimbursement claims and the estimated amount of each.

Date of Reimbursement: Amount ($):

Total Reimbursement:
($)
11 $1,250.00 $1,250.00 $1,250.00 $1,250.00 $1,250.00 2024 2024 09/30/2023 $1,250.00 $1,250.00 03/31/2024 $15,000.00 $1,250.00 12/30/2023 01/31/2024 $1,250.00 $1,250.00 08/31/2023 04/28/2024 02/28/2024 1 Quarter: 25%2 Quarter: 50%3 Quarter: 75%4 Quarter: 100% 11/30/2023 06/30/2024 10/31/2023 2023 2023 07/29/2023 $1,250.00 05/31/2024 $1,250.00

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Packet Pg. 470 Attachment: BARS23PS-027, Desert Manna, Inc (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 6: Agency Capacity Narrative
(Non-Profit Organizations Only)
Describe the roles of key administrators, staff members, and volunteers within your agency that will implement the proposed project. In your description include experience, education, and licensing qualifications.

Describe your agency’s experience in administering government and/or public funds.

Describe your method to sustain project viability over the multi-year process if funding decreases.

Instructions: Complete the table below by marking “YES” or “NO” to the questions listed below.

Question:

Example: Have you received federal funds in the past
five years? Yes
In the past ten years, has your organization ever had its nonprofit status revoked or withheld by the IRS, the
Secretary of State, the State Attorney General, or the
Franchise Tax Board?
Has your organization been sued in the last five years? Are any of your managers or staff with fiscal
responsibilities involved in litigation presently that has any bearing on fiduciary trust or employee relations?
Have any unfavorable rulings been handed down by any
court against your organization or Executive Director the last five years?
Does your organization currently have any unresolved
fiscal, reporting, or program issues with any of its funding sources?

YES/ NO
12 No
34 years of successfully administering government and private fundsSuccessful MOU w/City of Barstow (29yr)
2024 No
Consistent & active Board of DirectorsMr. Butticci, 35 years experience in business and food mgmtCurrent staff & volunteers w/DM 5+ years
We actively submit numerous grant applications for Federal, State, County, City, Foundations & CorporationsBOD active in fundraising events
No 2023 No No

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Packet Pg. 471 Attachment: BARS23PS-027, Desert Manna, Inc (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
EXHIBIT 7: Civil Rights Laws Compliance and HUD Good Standing Answer the following questions.

Has your organization been a past recipient of assistance under a HUD McKinney Act program or the HUD Single Family Property Disposition Homeless Program? If you have been a recipient under either of these programs, has your agency experienced any project or construction delay, HUD finding or outstanding audit that HUD deems serious regarding the administration of HUD McKinney Act programs or the HUD Single Family Property Disposition Homeless Program?
If you answered “Yes”, please explain the circumstances and outcome below.

Applicants must be in compliance with applicable civil rights laws and Executive Orders. Applications will be rejected if your agency has any of the following: (1) Any pending civil rights lawsuit instituted by the U.S. Department of Justice; (2) Any noncompliance with civil rights statutes, Executive Orders or regulations as a result of formal administrative proceedings, unless the applicant is operating under a HUD-approved compliance agreement designed to correct the area of noncompliance or is currently negotiating such an agreement; (3) Any unresolved Secretarial charge of discrimination issues under Section 810(g) of the Fair Housing Act, as implemented by 24 CFR 103:400; (4) Any adjudication of a civil rights violation in a civil action brought against the Organization by a private individual, unless the applicant is operating in compliance with a court order designed to correct the area of noncompliance or the applicant has discharged any responsibility arising from such litigation; (5) Any deferral of the processing of applications from the sponsor imposed by HUD under Title VI of the Civil Rights Act of 1964, the Attorney General’s Guidelines (28 CFR 50.3) or the HUD Title VI regulations (24 CFR 1.8) and procedures, or under Section 504 of the Rehabilitation Act of 1973 and HUD Section 504 regulations (24 CFR 8.57). If one or more of these situations exists with your Organization, please attach a brief description.
13 2024 No 2023 Yes

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Packet Pg. 472 Attachment: BARS23PS-027, Desert Manna, Inc (5272 : FY2023/24 Cdbg Allocation for Construction Projects) E-Signature Authorization
San Bernardino County
Community Development and Housing Departmemt
Community Development Block Grant
Martha Zepeda
Deputy Executive Officer
- Application
In order to comply with all applicable federal grant regulations, a hard-copy of this E-Signature Authorization containing an original wet signature must be filed with the San Bernardino County Community Development and Housing (CDH) in order for the applicant to electronically sign the Community Development Block Grant (CDBG) application documents online. This authorization may only be completed by a registered owner, partner, executive officer, or authorized employee (with proof of authorization) of the applicant submitting this form and must contain an original signature to be submitted to the CDH.

Authorization Agreement
I am an owner, partner, executive officer, or duly authorized employee of the below-listed applicant and have authority to enter into agreements on behalf of the below-listed applicant. CDH may rely on the receipt of such agreements executed and delivered by facsimile or other electronic means as if the original had been received. The undersigned agrees that the electronic signatures appearing on documents submitted from the below-listed applicant are the same as handwritten signatures for the purposes of validity, enforceability and admissibility. By signing this Electronic Signature Authorization Agreement, I authorize the CDH to accept, via electronic submission, documents submitted from the below-listed applicant as required by the CDH's CDBG - Funding Application.

I understand that CDH may change the CDBG application system from time to time. I agree that the below-listed applicant will electronically sign all documents requiring a signature related to the CDBG funding application.

My signature on this form certifies that:

I agree that entering my name in the CDBG funding application system constitutes my electronic signature. I understand that any information and documents submitted using my name is electronically certifying my signature. I understand that I am legally bound, obligated, and responsible by use of my electronic signature as much as I would be by my handwritten signature. I agree that I will protect my signature from unauthorized use, and that I will contact CDH immediately, upon discovery that my electronic signature has been compromised. I certify that my electronic signature is for my own use, and that I will not delegate it or share it with any individual.

This request is effective immediately upon receipt by the CDH and will remain in effect until the end of the - CDBG funding cycle or I choose to cancel this request via written notification to the CDH. I understand that it is my responsibility to update and/or cancel this request under all circumstances, including my departure or terminated association with the below-listed applicant.

By signing the E- Signature Authorization Form we certify that this agency will also comply with the following:

Non-discrimination
This organization will, through all possible means, ensure equal opportunity for all persons to receive services, to participate in the volunteer structure, and to be employed regardless of age, handicap, national background, race, religion, or sex. An existing sectarian nature of the agency shall not suffer impairment under this agreement, but participation in religious observances, rituals or services will not be required as a condition of receiving food, services, or shelter paid for by this grant.

Accountability
We commit this organization, if a grant is received, to provide all reports to the County as required; to expend monies only on eligible costs; to keep complete documentation (copies of all canceled checks, invoices, receipts, etc.) on all expenditures for a minimum of three years; to spend all funds and close out the program on the required date; to return any unused funds to the County to cooperate with monitoring or site visits, and; to provide complete documentation of expenses to the County, if requested, by the required date.

We affirm that all information in this application is true and correct to the best of our knowledge and that the applicant under our authority will execute its responsibility under the proposed contract and adhere to all other applicable rules and regulations to the fullest extent possible.

Non-collusion
This proposal is genuine, and not sham or collusive, nor made in the interest or in behalf of any person not herein named; the proposer has not directly induced or solicited any other proposer to put in a sham proposal, or any other person, firm or corporation to refrain from submitting a proposal; the proposer has not in any manner sought by collusion to secure for him/herself an advantage over any other proposer.

Applicant Information
Agency Name: Federal Tax ID No.:

Mailing Address: Phone No.:

Email Address: Fax No:

Authorized Signature
Print Name: Print Title:

Signature: Date:

Please send the signed copy of this one page agreement to:

San Bernardino County Community Development and Housing Department 215 North D Street, Suite 302, San Bernardino, CA 94215-0043 Attn: CDBG Application
14 Desert Manna Eugene Butticci - Executive Director 33-0264040 (760) 256-4043 (760) 256-4043 2024 2024 2024 12/06/2022 Eugene Butticci Executive Director Executive Director [email protected] (760) 256-7797 (760) 256-7797 2023 2023 2023 201 North First Avenue, Suite B

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Packet Pg. 473 Attachment: BARS23PS-027, Desert Manna, Inc (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
CDBG Application Checklist
(Non-Profit Organizations Only)
Community-based organizations are required to include one copy of the items listed below. If you are not submitting these items at this time, please notify Community Development and Housing at (909) 387-4705 to make other arrangements. The following information is required before any contract or reimbursement can be completed.
o Summary of agency’s current year General Operating Budget o List of agency’s Board of Directors, including names and addresses o Proof of existing non-profit/tax-exempt status (Letters from the Federal Internal Revenue Service and State Franchise Tax Board) o Current certificate of insurance and amounts covered
o Organizational chart
o Minutes of last Board meeting
o Non- Profit agencies must be Registered in the System of Award Management (SAM) website.

Agency cannot be funded if they have been debarred in the past. o Provide board minutes/letter that authorizes the executive director or program manager to run the project.

If your application is funded you will be required to provide a copy of your last audit and your Articles of Incorporation and Bylaws must be on file. 15 2023 2024

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Packet Pg. 474 Attachment: BARS23PS-027, Desert Manna, Inc (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
San Bernardino County
Fiscal Year -
PublicServices ProgramApplication
The following documents must be submitted in the order listed, please be sure to submit all attachments with your application.

Exhibit 1: Organization Information
Exhibit 2: Project Information
Exhibit 3: Community Needs and Target Population
Exhibit 4: Project Budget & Sources
Exhibit 5: Performance & Outcomes
Exhibit 6: Agency Capacity Narrative
Exhibit 7: Civil Rights Laws Compliance and HUD Good Standing Exhibit 8: Signature and Assurances
Application Checklist
_______________
Log Number
(Office Use Only)
1 2023 2024 2024 BARS23PS-043 2023

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Packet Pg. 475 Attachment: BARS23PS-043, Growing Outreach, Growing Opportunities (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 1: Organization Information
Organization Name:

Organization Address:

City/State/Zip:

Phone:

Fax:

Email:

Applicant Type:

Authorized Person Name:

Authorized Person’s Title:

Address:

City/State/Zip:

Phone:

Fax:

Email:

Application Contact Person’s Name:

Application Contact Person’s Title:

Explain the Agency’s 1) Mission, 2) Purpose, 3) Population Served, 4) Number of years serving population, 5) Supportive Services, their Funding Sources, and Start/End Dates. 2 barstow / CA / 92311Executive Director 2024 7602622620 3232373900 Barstow / CA / 92311 27744 De anza street 1041 w. Main st Executive Director Elizabeth Givens Elizabeth Givens Growing Outreach Growing Opportunities Our mission at G.O.G.O.is to Serve, Assist, Prevent and Educate. We create bridges while removingbarriers that impair the quality of life and access to care forminorities, ensuring they have the tools and support to lead happy, productive, healthy, successful and meaningful lives.2. reach out to the minority residents that do not normallyseek out assistance due to social stigma and fear.3. We serve the citizensin our town of Barstow , CAFt. Irwin.4.

Gogohas served the Barstow communitysince 2017 and is committed togrowing our servicesto the other unserved and underserved cities of Ft. Irwin, Hinkley and needles ,Ca 5.

We offersupportiveservices that include support groups, job training, life skills training, emergency food, clothing, street outreach andcase management. All of ourfunding has come fromfundraising and in-kind donations, volunteers and communitysupport. These projects will continue until 2032.
2023 [email protected] [email protected] non- profit

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Packet Pg. 476 Attachment: BARS23PS-043, Growing Outreach, Growing Opportunities (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 2: Project Information
Project Title:

Project Address:

County Supervisorial District where project will be located:
1 st District 2nd District 3
rd District 4th District 5th District
If you are requesting funds for an existing CDBG project, provide prior CDBG project number.

Will this project provide an opportunity to hire minority-owned and women owned businesses? If YES, describe what actions will be completed to implement such subcontracting plans to monitor this component of the proposed project. If NO, discuss why and what actions are being taken to encourage minority-women businesses to apply for this project. 3 If this is an Expansion of Service to previously funded CDBG project, please explain how this is an expansion of service?. (i.e For 2015 we proposed 60 units of service, this year the agency is planning to serve 100 units of service)
Is this a New Public Service Project, or request to expand services to an existing CDBG project? Yes
We have ensured that the company that we use for office space is owned and operated by a certified MBE. We use and subcontract with Black women owned businesses for supplies and needed materials.
2024 Go Go Street Outreach X
N/A
1041 W. Main Street Barstow, CA 92311 /Mobile 2023

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Packet Pg. 477 Attachment: BARS23PS-043, Growing Outreach, Growing Opportunities (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
EXHIBIT 2A: Countywide Vision
Indicate Yes/No in the table below if any of these countywide vision goals are pertinent to the proposed project.

Countywide Vision
Countywide Vision Yes/ No
Implement the Countywide Vision.

Create, Maintain and Grow Jobs and
Economic Value in the County.

Improve County Government Operations.

Operate in a Fiscally-Responsible and
Business-Like Manner.

Ensure Development of a Well-Planned,
Balanced, and Sustainable County.

Maintain Public Safety.

Provide for the Health and Social Services
Needs of County Residents.

Pursue County Goals and Objectives by
Working with Other Governmental
Agencies.

Provide a brief narrative of how your project meets the Countywide Vision:
4 Yes Yes 2024 Yes Yes Yes Yes
Thecountyhas a vision thataligns withGoGo visions andideas for the future of Barstow , Ca.

We firmlybelieve thatif we are in streets and places thatlow income, homeless and others at risk,we canreach and serve citizens who other wise don't know of the services available.Our project directlyaddresses the visionsof San Bernardino county by ensuringthat we include minorities and we offer services thatwill improve their qualityof life , jobpreparedness to ensure they canhave options and access to success.

Yes Yes 2023

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Packet Pg. 478 Attachment: BARS23PS-043, Growing Outreach, Growing Opportunities (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 3: Community Needs and Target Population
Community Needs Target Population
Public Service
Needs:

Yes/No Proposed Community: Yes/No
Senior Services Low and Moderate Persons
Handicapped
Services
Low and Moderate
Households
Youth Services Abused Children
Child Care
Services
Handicapped Persons
Transportation
Services
Illiterate Persons
Substance Abuse
Services
Homeless Persons
Employment
Training
Migrant Farm Workers
Health Services Elderly People
Lead Hazard
Screening
Crime
Awareness
5 City/Target Area of Project Beneficiaries
Participating Cities: (i.e Redlands, Colton, Yucaipa)
Yes
The target area for our services is Barstow, CA. Barstow is severely under-served and has no active street outreach that initiates wrap around services to help the entire city.

NoYes Yes Yes Yes 2024 Yes Yes Yes Yes Yes Yes Yes Yes2023 No Yes Yes

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Packet Pg. 479 Attachment: BARS23PS-043, Growing Outreach, Growing Opportunities (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 3: Community Needs and Target Population (continued) Describe the geographic boundaries of the neighborhood, community or area in which clients of the proposed program reside (attach a map if needed):

HUD Demographics: (Yes/No)
 Does this project help prevent homelessness?
 Does this project help the homeless?
 Does this project help those with HIV or AIDS?
 Does this project primarily help persons with disabilities? Summarize the description of your project to include 1) priority, 2) sub-activity, 3) population(s) to be served, and 4) accomplishment level, and 5) services to be provided. 6 Yes 2024 Yes
Our priority is to thesections of thecitylisted on the map as 1,3, and 4. Thesearea have the highest crime rates, poverty and un-sheltered residents. Our priorityis toprovide immediate and onsite services that include assessments of their long term needs and start case management for wrap around services.Oursub activities includesupport groups, computer training, skills training, job development,personal care, life skills trainingBarstow has a populations of over 25,000 residentsaccording to welfare info.orgBarstowcurrently has nearly40 percent of it sresidentsliving in poverty, hosing insecure, LGTBQIA+, youth, minorities and seniors.We will be able to access andassist178 residents not including their children and families. This is unduplicated.Our services includeimmediate assessments and case management, our clients are assessed to determine what long term needs are. That includesrehabilitaton, housing relocation, obtaining a career, obtainingchild care , transportation, medicaland mental health needs, therapy, support groups, activitiesfor theirchildren servicesfor their children and teens.

Yes
Barstow has a large sub area Lenwood, the inner city house three public hosing complexes and large mobile home parks. Areas 1,3,4. Map attached. 2023 Yes

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Packet Pg. 480 Attachment: BARS23PS-043, Growing Outreach, Growing Opportunities (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Describe how this project meets the priority population and activities selected.

Explain why this project is needed and what evidence can you substantiate the need.

Describe what gaps of service in the county this project fills.

What are the critical factors for the success of your project (include both financial and human resources)? For instance, is this the only funding for this project? What happens if funding decreases? Does this project rely on only one source of leveraging? Is there adequate staff involved with the project if there is project turnover? Please address any factor that is critical to project success.
7 The streetoutreach is needed becauseour residents are not aware of what resources are available to them or how to access them. According toACF-HHS reportover40,000 youth and young adultsbenefited from street outreach services in a two year period. LAHSAhasreleased there results for theirStreet outreachefforts andin a six monthperiod they were ableto contact and assist over22,000 people.
2024
This projectwill close that gap onaccess to careand resources. Our city has no other active outreach programs thatcanvasesthe communityto seek out theunserved and assist them with wrap around servicesor any services they may need including but not limited toemergency food, clothing, housing, counseling, medical needs, mental health, domestic violenceand substance abuse. Thisproject will also close the gap on prevention and education for those at risk.

This will not be the onlyfundsfor our street outreach project. These funds will allow us to expand our weekly outreachfrom one day a week to two daysper week for needed supplies and fuel to travel for the year. If funding decreases we willmaintain our one day per week outreach campaign. We do not rely on one single sourcefor leveraging, we have multiple fundraising campaigns, local community support, and in-kind donations of monetary value and supplies. We have a total of 9 volunteers and the executive director to operate and oversee this outreach project.

Alarge part of thesuccess forG.O.G.O.is that we offera streetoutreachprogramthatallowsus to go outto thecommunityandprovide onsite assistance and provide detailed information to reachresidents women that would notseek outassistance otherwise. We reach out to the overlook and not inlcuded with our mobile office and our commitment Serve, Assist, Prevent and Educate.
2023

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Packet Pg. 481 Attachment: BARS23PS-043, Growing Outreach, Growing Opportunities (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 4: Project Budget & Sources
Project Budget
SB County Share: ($) Other Source: ($)
Personnel
Equipment (Rental, Lease or Purchase)
Consultant Services
(Auditing, Accounting or Payroll)
Space Rent
Insurance
Consumable Supplies
Other
Total Costs
Total Project Budget Cost: (CDBG Share + Other Source)
8 $8,640.00 $45,340.00 2024 $4,000.00 $2,000.00 $5,000.00 $0.00 $25,700.00 $8,640.00 $0.00 $600.00 $2,000.00 2023 $5,000.00 $4,000.00 $5,460.00 $19,640.00

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Packet Pg. 482 Attachment: BARS23PS-043, Growing Outreach, Growing Opportunities (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 4A: CDBG Funds Requested and Leveraging Information Indicate the amount being requested by the city.

City Amount Requested ($):
(This amount should match the grand
total requested from CDBG Share)
9 Leveraging items may include any written commitments that will be used towards your cash match requirements in the project, as well as any written commitments for building, equipment, materials, services and volunteer time.

Source of
Funding:

Type of Funding: (Grant Name,
EFSP Money)
Amount ($): Date
Available:
(11/22/2016)
Federal
Funding
State
Funding
County
Funding
Private
Funding
Other:

Total Leveraging Funds
01/04/2023 $5,000.00 2024 Fundraising 01/04/2023 Barstow $25,700.00 $19,640.00 Donations 2023 $20,700.00

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Packet Pg. 483 Attachment: BARS23PS-043, Growing Outreach, Growing Opportunities (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 5: Performance and Outcomes
Definitions:

Unduplicated Clients: The number clients/persons projected to be served during the program year (e.g. 25 clients, 50 seniors):

Duplicated Clients: The estimated yearly units of service (duplicated, e.g. 25 clients x 10 visits=250 units of service):

Complete the chart below with the number of Duplicated and Unduplicated Clients to be served.
• In column 1 identify activities that will be completed (e.g. intervention, counseling, and case management).
• In column 2 indicate the number of Unduplicated Clients to be served. • In column 3 identify the number of Duplicated Clients to be served.

Activities to be Completed (1) Unduplicated
Clients to be
Served (2)
Duplicated Clients
projected to be
served (3)
Performance and Outcomes, answer the following narrative questions using minimum funds request.

Indicate a timeline of services provided to client(s) in order to meet project outcome(s).

Describe how your agency determines client(s) success.

Describe your methodology to evaluate project outcomes. 10 life skills training 2024 Case management
Clients area assessed immediately, emergency housing services within 24 hours and receive case management services with 72 hours, and long term training and resources for 12 months or longer if needed .
768
Case management tracking that shows completion of training or rehabilation, clients securing employment, clients that have been housed, clients enrolled in trade school or college. 384
We have Utilization manager , Karen Brown who oversees and provides internal audits, will ensure our project stays on track and compliant.
192 192 2023 Intake 384 1151

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Packet Pg. 484 Attachment: BARS23PS-043, Growing Outreach, Growing Opportunities (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 5A: Proposed Goals & Milestones
Explain how the project will meet contract goals and milestones and be completed within 12 months (July 1, – June 30, ). For example, project expenditures and performance/ accomplishment goals of 40% by November 30th, 50% by December 31st, 80% by March 31st, and 100% by June 30th.

Fill-in the table below with dates for submission of reimbursement claims and the estimated amount of each.

Date of Reimbursement: Amount ($):

Total Reimbursement:
($)
11 $1,637.00 $1,637.00 $1,636.00 $1,636.00 $1,637.00 2024 2024 10/31/2023 $1,636.00 $1,636.00 05/31/2024 $19,636.00 $1,636.00 02/29/2024 03/31/2024 $1,636.00 $1,637.00 09/30/2023 06/30/2024 04/30/2024 Each month 10 percent of the project will be executed with twice a week street outreach. 30 percent in three months, 60% in 6 months. reaching our goal by the end of April 2024 on going to June 2024. 8 days per month for a total of 96 days of outreach service 50% completion by December 2023. 100% completion By May 2024 and additional events until June 2024.
01/31/2024 07/31/2023 11/30/2023 2023 2023 08/31/2023 $1,636.00 06/30/2023 $1,636.00

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Packet Pg. 485 Attachment: BARS23PS-043, Growing Outreach, Growing Opportunities (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 6: Agency Capacity Narrative
(Non-Profit Organizations Only)
Describe the roles of key administrators, staff members, and volunteers within your agency that will implement the proposed project. In your description include experience, education, and licensing qualifications.

Describe your agency’s experience in administering government and/or public funds.

Describe your method to sustain project viability over the multi-year process if funding decreases.

Instructions: Complete the table below by marking “YES” or “NO” to the questions listed below.

Question:

Example: Have you received federal funds in the past
five years? Yes
In the past ten years, has your organization ever had its nonprofit status revoked or withheld by the IRS, the
Secretary of State, the State Attorney General, or the
Franchise Tax Board?
Has your organization been sued in the last five years? Are any of your managers or staff with fiscal
responsibilities involved in litigation presently that has any bearing on fiduciary trust or employee relations?
Have any unfavorable rulings been handed down by any
court against your organization or Executive Director the last five years?
Does your organization currently have any unresolved
fiscal, reporting, or program issues with any of its funding sources?

YES/ NO
12 No
We have several years of experiencewith administrating funds, we are always compliant, and keep and track all spending with board approval
2024 No
Karen Brown Masters degree in EconomicsJasmine Nelson- Bachelor's Degree in PsychologyElizabeth Givens - AA degree in social services We will continue to offer these servicesthroughin-kind donations, fundraisingand corporategiving. GoGo is actively applying for additional grants and funding with CAL OES and DHHS.

No 2023 No No

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Packet Pg. 486 Attachment: BARS23PS-043, Growing Outreach, Growing Opportunities (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
EXHIBIT 7: Civil Rights Laws Compliance and HUD Good Standing Answer the following questions.

Has your organization been a past recipient of assistance under a HUD McKinney Act program or the HUD Single Family Property Disposition Homeless Program? If you have been a recipient under either of these programs, has your agency experienced any project or construction delay, HUD finding or outstanding audit that HUD deems serious regarding the administration of HUD McKinney Act programs or the HUD Single Family Property Disposition Homeless Program?
If you answered “Yes”, please explain the circumstances and outcome below.

Applicants must be in compliance with applicable civil rights laws and Executive Orders. Applications will be rejected if your agency has any of the following: (1) Any pending civil rights lawsuit instituted by the U.S. Department of Justice; (2) Any noncompliance with civil rights statutes, Executive Orders or regulations as a result of formal administrative proceedings, unless the applicant is operating under a HUD-approved compliance agreement designed to correct the area of noncompliance or is currently negotiating such an agreement; (3) Any unresolved Secretarial charge of discrimination issues under Section 810(g) of the Fair Housing Act, as implemented by 24 CFR 103:400; (4) Any adjudication of a civil rights violation in a civil action brought against the Organization by a private individual, unless the applicant is operating in compliance with a court order designed to correct the area of noncompliance or the applicant has discharged any responsibility arising from such litigation; (5) Any deferral of the processing of applications from the sponsor imposed by HUD under Title VI of the Civil Rights Act of 1964, the Attorney General’s Guidelines (28 CFR 50.3) or the HUD Title VI regulations (24 CFR 1.8) and procedures, or under Section 504 of the Rehabilitation Act of 1973 and HUD Section 504 regulations (24 CFR 8.57). If one or more of these situations exists with your Organization, please attach a brief description.
13 2024 No 2023 No

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Packet Pg. 487 Attachment: BARS23PS-043, Growing Outreach, Growing Opportunities (5272 : FY2023/24 Cdbg Allocation for Construction Projects) E-Signature Authorization
San Bernardino County
Community Development and Housing Departmemt
Community Development Block Grant
Martha Zepeda
Deputy Executive Officer
- Application
In order to comply with all applicable federal grant regulations, a hard-copy of this E-Signature Authorization containing an original wet signature must be filed with the San Bernardino County Community Development and Housing (CDH) in order for the applicant to electronically sign the Community Development Block Grant (CDBG) application documents online. This authorization may only be completed by a registered owner, partner, executive officer, or authorized employee (with proof of authorization) of the applicant submitting this form and must contain an original signature to be submitted to the CDH.

Authorization Agreement
I am an owner, partner, executive officer, or duly authorized employee of the below-listed applicant and have authority to enter into agreements on behalf of the below-listed applicant. CDH may rely on the receipt of such agreements executed and delivered by facsimile or other electronic means as if the original had been received. The undersigned agrees that the electronic signatures appearing on documents submitted from the below-listed applicant are the same as handwritten signatures for the purposes of validity, enforceability and admissibility. By signing this Electronic Signature Authorization Agreement, I authorize the CDH to accept, via electronic submission, documents submitted from the below-listed applicant as required by the CDH's CDBG - Funding Application.

I understand that CDH may change the CDBG application system from time to time. I agree that the below-listed applicant will electronically sign all documents requiring a signature related to the CDBG funding application.

My signature on this form certifies that:

I agree that entering my name in the CDBG funding application system constitutes my electronic signature. I understand that any information and documents submitted using my name is electronically certifying my signature. I understand that I am legally bound, obligated, and responsible by use of my electronic signature as much as I would be by my handwritten signature. I agree that I will protect my signature from unauthorized use, and that I will contact CDH immediately, upon discovery that my electronic signature has been compromised. I certify that my electronic signature is for my own use, and that I will not delegate it or share it with any individual.

This request is effective immediately upon receipt by the CDH and will remain in effect until the end of the - CDBG funding cycle or I choose to cancel this request via written notification to the CDH. I understand that it is my responsibility to update and/or cancel this request under all circumstances, including my departure or terminated association with the below-listed applicant.

By signing the E- Signature Authorization Form we certify that this agency will also comply with the following:

Non-discrimination
This organization will, through all possible means, ensure equal opportunity for all persons to receive services, to participate in the volunteer structure, and to be employed regardless of age, handicap, national background, race, religion, or sex. An existing sectarian nature of the agency shall not suffer impairment under this agreement, but participation in religious observances, rituals or services will not be required as a condition of receiving food, services, or shelter paid for by this grant.

Accountability
We commit this organization, if a grant is received, to provide all reports to the County as required; to expend monies only on eligible costs; to keep complete documentation (copies of all canceled checks, invoices, receipts, etc.) on all expenditures for a minimum of three years; to spend all funds and close out the program on the required date; to return any unused funds to the County to cooperate with monitoring or site visits, and; to provide complete documentation of expenses to the County, if requested, by the required date.

We affirm that all information in this application is true and correct to the best of our knowledge and that the applicant under our authority will execute its responsibility under the proposed contract and adhere to all other applicable rules and regulations to the fullest extent possible.

Non-collusion
This proposal is genuine, and not sham or collusive, nor made in the interest or in behalf of any person not herein named; the proposer has not directly induced or solicited any other proposer to put in a sham proposal, or any other person, firm or corporation to refrain from submitting a proposal; the proposer has not in any manner sought by collusion to secure for him/herself an advantage over any other proposer.

Applicant Information
Agency Name: Federal Tax ID No.:

Mailing Address: Phone No.:

Email Address: Fax No:

Authorized Signature
Print Name: Print Title:

Signature: Date:

Please send the signed copy of this one page agreement to:

San Bernardino County Community Development and Housing Department 215 North D Street, Suite 302, San Bernardino, CA 94215-0043 Attn: CDBG Application
14 Growing Outreach Growing Opportunities Elizabeth Givens 2024 2024 2024 12/07/2022 Elizabeth Givens Executive Director Executive Director [email protected] (760) 262-2620 (760) 262-2620 2023 2023 2023 1041 w. Main st

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Packet Pg. 488 Attachment: BARS23PS-043, Growing Outreach, Growing Opportunities (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
CDBG Application Checklist
(Non-Profit Organizations Only)
Community-based organizations are required to include one copy of the items listed below. If you are not submitting these items at this time, please notify Community Development and Housing at (909) 387-4705 to make other arrangements. The following information is required before any contract or reimbursement can be completed.
o Summary of agency’s current year General Operating Budget o List of agency’s Board of Directors, including names and addresses o Proof of existing non-profit/tax-exempt status (Letters from the Federal Internal Revenue Service and State Franchise Tax Board) o Current certificate of insurance and amounts covered
o Organizational chart
o Minutes of last Board meeting
o Non- Profit agencies must be Registered in the System of Award Management (SAM) website.

Agency cannot be funded if they have been debarred in the past. o Provide board minutes/letter that authorizes the executive director or program manager to run the project.

If your application is funded you will be required to provide a copy of your last audit and your Articles of Incorporation and Bylaws must be on file. 15 2023 2024

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Packet Pg. 489 Attachment: BARS23PS-043, Growing Outreach, Growing Opportunities (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
San Bernardino County
Fiscal Year -
PublicServices ProgramApplication
The following documents must be submitted in the order listed, please be sure to submit all attachments with your application.

Exhibit 1: Organization Information
Exhibit 2: Project Information
Exhibit 3: Community Needs and Target Population
Exhibit 4: Project Budget & Sources
Exhibit 5: Performance & Outcomes
Exhibit 6: Agency Capacity Narrative
Exhibit 7: Civil Rights Laws Compliance and HUD Good Standing Exhibit 8: Signature and Assurances
Application Checklist
_______________
Log Number
(Office Use Only)
1 ✔
2023 2024 ✔
2024 ✔
✔
✔
BARS23PS-045 ✔
✔
✔
2023 ✔

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Packet Pg. 490 Attachment: BARS23PS-045, New Hope Village, Inc (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 1: Organization Information
Organization Name:

Organization Address:

City/State/Zip:

Phone:

Fax:

Email:

Applicant Type:

Authorized Person Name:

Authorized Person’s Title:

Address:

City/State/Zip:

Phone:

Fax:

Email:

Application Contact Person’s Name:

Application Contact Person’s Title:

Explain the Agency’s 1) Mission, 2) Purpose, 3) Population Served, 4) Number of years serving population, 5) Supportive Services, their Funding Sources, and Start/End Dates. 2 Barstow / CA / 92311Executive Director 2024 7602561900 17602561900 17608884446 Barstow / CA / 92311 100 West Fredricks 100 West Fredricks Executive Director Angela M Pasco Angela M Pasco New Hope Village, Inc Our mission is to provide subsidized housing and wraparound supportive services to unsheltered families and individuals in order to empower them to break out of homelessness, food insecurity, and poverty. Our vision is a community where our alumni are active citizens who use the skills learned in our program to create new lives of hope. Our purpose is to provide safe, sanitary, affordable housing to assist motivated homeless families and individuals to gain self-sufficiency. We have been serving our homeless population since 1999. Our life skills programs are employment, goals, education, weekly group meetings, tenant meetings, recovery, health and safety. We also include clients' saving their money in their credit report savings to pay off debts and saving their money to a general savings account. Our funding sources include HUD, DBH, CDBG, private donations and foundation grants. Our fiscal year is July thru June of each year. 2023 [email protected] [email protected] Public Service Project 7608184446

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Packet Pg. 491 Attachment: BARS23PS-045, New Hope Village, Inc (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 2: Project Information
Project Title:

Project Address:

County Supervisorial District where project will be located:
1 st District 2nd District 3
rd District 4th District 5th District
If you are requesting funds for an existing CDBG project, provide prior CDBG project number.

Will this project provide an opportunity to hire minority-owned and women owned businesses? If YES, describe what actions will be completed to implement such subcontracting plans to monitor this component of the proposed project. If NO, discuss why and what actions are being taken to encourage minority-women businesses to apply for this project. 3 If this is an Expansion of Service to previously funded CDBG project, please explain how this is an expansion of service?. (i.e For 2015 we proposed 60 units of service, this year the agency is planning to serve 100 units of service)
Is this a New Public Service Project, or request to expand services to an existing CDBG project? No
Our executive director and all but one of our staff is women. 2024 BARS-21-1-03T/2427 Housing & Services for Unsheltered Neighbors X We will increase our numbers by units of service
100 West Fredricks Barstow, CA 92311 2023

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Packet Pg. 492 Attachment: BARS23PS-045, New Hope Village, Inc (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
EXHIBIT 2A: Countywide Vision
Indicate Yes/No in the table below if any of these countywide vision goals are pertinent to the proposed project.

Countywide Vision
Countywide Vision Yes/ No
Implement the Countywide Vision.

Create, Maintain and Grow Jobs and
Economic Value in the County.

Improve County Government Operations.

Operate in a Fiscally-Responsible and
Business-Like Manner.

Ensure Development of a Well-Planned,
Balanced, and Sustainable County.

Maintain Public Safety.

Provide for the Health and Social Services
Needs of County Residents.

Pursue County Goals and Objectives by
Working with Other Governmental
Agencies.

Provide a brief narrative of how your project meets the Countywide Vision:
4 NoYes 2024 Yes Yes NoYes
Our project meets the Countywide Vision by helping to create a county in which those who reside and invest can prosper and achieve well-being. We believe by providing housing and services to our motivated unsheltered population they will use the skills gained to sustain gainful employment, pay off debts, and maintain a substance free lifestyle and achieved a better quality of life. By providing self-sufficient members of our community, it helps our city and our county be a better place to live, work, and play! Yes Yes 2023

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Packet Pg. 493 Attachment: BARS23PS-045, New Hope Village, Inc (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 3: Community Needs and Target Population
Community Needs Target Population
Public Service
Needs:

Yes/No Proposed Community: Yes/No
Senior Services Low and Moderate Persons
Handicapped
Services
Low and Moderate
Households
Youth Services Abused Children
Child Care
Services
Handicapped Persons
Transportation
Services
Illiterate Persons
Substance Abuse
Services
Homeless Persons
Employment
Training
Migrant Farm Workers
Health Services Elderly People
Lead Hazard
Screening
Crime
Awareness
5 City/Target Area of Project Beneficiaries
Participating Cities: (i.e Redlands, Colton, Yucaipa)
Yes
City of Barstow
NoNo NoYes 2024 No No Yes Yes Yes No Yes No No2023 No Yes Yes

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Packet Pg. 494 Attachment: BARS23PS-045, New Hope Village, Inc (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 3: Community Needs and Target Population (continued) Describe the geographic boundaries of the neighborhood, community or area in which clients of the proposed program reside (attach a map if needed):

HUD Demographics: (Yes/No)
 Does this project help prevent homelessness?
 Does this project help the homeless?
 Does this project help those with HIV or AIDS?
 Does this project primarily help persons with disabilities? Summarize the description of your project to include 1) priority, 2) sub-activity, 3) population(s) to be served, and 4) accomplishment level, and 5) services to be provided. 6 Yes 2024 Yes
We provide safe, sanitary, decent, and affordable housing for unsheltered families and individuals since 1999. Our 10 apartments and 2 houses are fully furnished with everything they need to rebuild and begin life over again. We are the only transitional housing and permanent supportive housing program in the High Desert that serves our homeless population. We serve all populations of homeless: single men, single women, single parent families, two parent families, veterans, seniors, and our disabled population recovering from substance and alcohol abuse. They have weekly case management and life skill meetings.

Life skills include but are not limited to budgeting, time management, health, safety, goals, education, and employment. We have our Hope Hut Thrift Store in which our clients gain valuable employment skills. We volunteer in our community as we feel it is important to give back to our community. We have the clients save their money into their credit report savings to pay off evictions and outstanding utility bills. They also save money into their general savings account so they have a little nest egg to take with them. We pay for employment clothes so they may seek employment, create resume's and conduct mock interviews to assist them. We pay for their identification card or driver's license to help reduce the barriers to employment. We still are at an 96% success rate of clients increasing income and securing their own place to live!
No
City of Barstow
2023 No

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Packet Pg. 495 Attachment: BARS23PS-045, New Hope Village, Inc (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Describe how this project meets the priority population and activities selected.

Explain why this project is needed and what evidence can you substantiate the need.

Describe what gaps of service in the county this project fills.

What are the critical factors for the success of your project (include both financial and human resources)? For instance, is this the only funding for this project? What happens if funding decreases? Does this project rely on only one source of leveraging? Is there adequate staff involved with the project if there is project turnover? Please address any factor that is critical to project success.
7 We have two-page pre-applications that are completed and kept on file. We have at least 30 pre-applications of families and individuals whom are waiting to be able to take advantage of our program.
2024
As stated before, we are the only transitional and permanent housing project in the High Desert that serves homeless families and individuals! We have secured different funding sources to help us continue our mission. We began new collaborations and new sources of funding. We are supported by our community. We have great relationships with our City of Barstow, County of San Bernardino, HUD, private donors, foundations, businesses, and other service organizations. We have learned that we cannot only rely on one source of funding/leveraging.

Our priority population is homeless. All of our activities noted above are given to help our clients have a greater self-determination. We hope they use all the skills learned and gained in our program, so they never have to be homeless again. 2023

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Packet Pg. 496 Attachment: BARS23PS-045, New Hope Village, Inc (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 4: Project Budget & Sources
Project Budget
SB County Share: ($) Other Source: ($)
Personnel
Equipment (Rental, Lease or Purchase)
Consultant Services
(Auditing, Accounting or Payroll)
Space Rent
Insurance
Consumable Supplies
Other
Total Costs
Total Project Budget Cost: (CDBG Share + Other Source)
8 Program Expenses $30,000.00 $80,000.00 2024 $0.00 $0.00 $0.00 $0.00 $0.00 $65,000.00 $15,000.00 $0.00 $1,000.00 $27,000.00 2023 $0.00 $2,000.00 $5,000.00 $0.00 $15,000.00

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Packet Pg. 497 Attachment: BARS23PS-045, New Hope Village, Inc (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 4A: CDBG Funds Requested and Leveraging Information Indicate the amount being requested by the city.

City Amount Requested ($):
(This amount should match the grand
total requested from CDBG Share)
9 Leveraging items may include any written commitments that will be used towards your cash match requirements in the project, as well as any written commitments for building, equipment, materials, services and volunteer time.

Source of
Funding:

Type of Funding: (Grant Name,
EFSP Money)
Amount ($): Date
Available:
(11/22/2016)
Federal
Funding
State
Funding
County
Funding
Private
Funding
Other:

Total Leveraging Funds
$17,000.00 07/01/2023 $3,000.00 2024 Foundation McKinney-Vento 07/01/2023 04/01/2023 Barstow $65,000.00 $15,000.00 Mojave Valley United Way 04/01/2023 2023 $15,000.00 $30,000.00 DBH-SUDRS

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Packet Pg. 498 Attachment: BARS23PS-045, New Hope Village, Inc (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 5: Performance and Outcomes
Definitions:

Unduplicated Clients: The number clients/persons projected to be served during the program year (e.g. 25 clients, 50 seniors):

Duplicated Clients: The estimated yearly units of service (duplicated, e.g. 25 clients x 10 visits=250 units of service):

Complete the chart below with the number of Duplicated and Unduplicated Clients to be served.
• In column 1 identify activities that will be completed (e.g. intervention, counseling, and case management).
• In column 2 indicate the number of Unduplicated Clients to be served. • In column 3 identify the number of Duplicated Clients to be served.

Activities to be Completed (1) Unduplicated
Clients to be
Served (2)
Duplicated Clients
projected to be
served (3)
Performance and Outcomes, answer the following narrative questions using minimum funds request.

Indicate a timeline of services provided to client(s) in order to meet project outcome(s).

Describe how your agency determines client(s) success.

Describe your methodology to evaluate project outcomes. 10 Employment Services 2024 Life Skills
Our timeline of services provided to clients in order to meet project outcomes is normally one year.
774
We enter all of our case notes and use weekly goal sheets to determine our clients' successes. Verification is documented and filed in their case to ensure they are completed in a timely fashion.
770
Our outcomes are individualized and structured with our clients' input. We enter all of our information into HMIS data system.
3442 2023 Case Management 42 772

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Packet Pg. 499 Attachment: BARS23PS-045, New Hope Village, Inc (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 5A: Proposed Goals & Milestones
Explain how the project will meet contract goals and milestones and be completed within 12 months (July 1, – June 30, ). For example, project expenditures and performance/ accomplishment goals of 40% by November 30th, 50% by December 31st, 80% by March 31st, and 100% by June 30th.

Fill-in the table below with dates for submission of reimbursement claims and the estimated amount of each.

Date of Reimbursement: Amount ($):

Total Reimbursement:
($)
11 $1,250.00 $1,250.00 $1,250.00 $1,250.00 $1,250.00 2024 2024 09/15/2023 $1,250.00 $1,250.00 03/15/2024 $15,000.00 $1,250.00 12/15/2023 01/15/2024 $1,250.00 $1,250.00 08/15/2023 04/15/2024 02/15/2024 We will accomplish our project expenditures and performance by 100% by June 30, 2024 and reported by July 31, 2024.
11/15/2023 06/15/2024 10/15/2023 2023 2023 07/15/2023 $1,250.00 05/15/2024 $1,250.00

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Packet Pg. 500 Attachment: BARS23PS-045, New Hope Village, Inc (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 6: Agency Capacity Narrative
(Non-Profit Organizations Only)
Describe the roles of key administrators, staff members, and volunteers within your agency that will implement the proposed project. In your description include experience, education, and licensing qualifications.

Describe your agency’s experience in administering government and/or public funds.

Describe your method to sustain project viability over the multi-year process if funding decreases.

Instructions: Complete the table below by marking “YES” or “NO” to the questions listed below.

Question:

Example: Have you received federal funds in the past
five years? Yes
In the past ten years, has your organization ever had its nonprofit status revoked or withheld by the IRS, the
Secretary of State, the State Attorney General, or the
Franchise Tax Board?
Has your organization been sued in the last five years? Are any of your managers or staff with fiscal
responsibilities involved in litigation presently that has any bearing on fiduciary trust or employee relations?
Have any unfavorable rulings been handed down by any
court against your organization or Executive Director the last five years?
Does your organization currently have any unresolved
fiscal, reporting, or program issues with any of its funding sources?

YES/ NO
12 No
Our organization has major experience in administering government and or public funds for over 22 years.
2024 No
Executive Director has over 22 years' experience/capacity with New Hope Village Our board/staff has been involved with non-profits for years We aggressively seek out and apply for grants that are in line with our mission. We must do so in order to sustain our organization.

No 2023 No No

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Packet Pg. 501 Attachment: BARS23PS-045, New Hope Village, Inc (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
EXHIBIT 7: Civil Rights Laws Compliance and HUD Good Standing Answer the following questions.

Has your organization been a past recipient of assistance under a HUD McKinney Act program or the HUD Single Family Property Disposition Homeless Program? If you have been a recipient under either of these programs, has your agency experienced any project or construction delay, HUD finding or outstanding audit that HUD deems serious regarding the administration of HUD McKinney Act programs or the HUD Single Family Property Disposition Homeless Program?
If you answered “Yes”, please explain the circumstances and outcome below.

Applicants must be in compliance with applicable civil rights laws and Executive Orders. Applications will be rejected if your agency has any of the following: (1) Any pending civil rights lawsuit instituted by the U.S. Department of Justice; (2) Any noncompliance with civil rights statutes, Executive Orders or regulations as a result of formal administrative proceedings, unless the applicant is operating under a HUD-approved compliance agreement designed to correct the area of noncompliance or is currently negotiating such an agreement; (3) Any unresolved Secretarial charge of discrimination issues under Section 810(g) of the Fair Housing Act, as implemented by 24 CFR 103:400; (4) Any adjudication of a civil rights violation in a civil action brought against the Organization by a private individual, unless the applicant is operating in compliance with a court order designed to correct the area of noncompliance or the applicant has discharged any responsibility arising from such litigation; (5) Any deferral of the processing of applications from the sponsor imposed by HUD under Title VI of the Civil Rights Act of 1964, the Attorney General’s Guidelines (28 CFR 50.3) or the HUD Title VI regulations (24 CFR 1.8) and procedures, or under Section 504 of the Rehabilitation Act of 1973 and HUD Section 504 regulations (24 CFR 8.57). If one or more of these situations exists with your Organization, please attach a brief description.
13 2024 No 2023 Yes

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Packet Pg. 502 Attachment: BARS23PS-045, New Hope Village, Inc (5272 : FY2023/24 Cdbg Allocation for Construction Projects) E-Signature Authorization
San Bernardino County
Community Development and Housing Departmemt
Community Development Block Grant
Martha Zepeda
Deputy Executive Officer
- Application
In order to comply with all applicable federal grant regulations, a hard-copy of this E-Signature Authorization containing an original wet signature must be filed with the San Bernardino County Community Development and Housing (CDH) in order for the applicant to electronically sign the Community Development Block Grant (CDBG) application documents online. This authorization may only be completed by a registered owner, partner, executive officer, or authorized employee (with proof of authorization) of the applicant submitting this form and must contain an original signature to be submitted to the CDH.

Authorization Agreement
I am an owner, partner, executive officer, or duly authorized employee of the below-listed applicant and have authority to enter into agreements on behalf of the below-listed applicant. CDH may rely on the receipt of such agreements executed and delivered by facsimile or other electronic means as if the original had been received. The undersigned agrees that the electronic signatures appearing on documents submitted from the below-listed applicant are the same as handwritten signatures for the purposes of validity, enforceability and admissibility. By signing this Electronic Signature Authorization Agreement, I authorize the CDH to accept, via electronic submission, documents submitted from the below-listed applicant as required by the CDH's CDBG - Funding Application.

I understand that CDH may change the CDBG application system from time to time. I agree that the below-listed applicant will electronically sign all documents requiring a signature related to the CDBG funding application.

My signature on this form certifies that:

I agree that entering my name in the CDBG funding application system constitutes my electronic signature. I understand that any information and documents submitted using my name is electronically certifying my signature. I understand that I am legally bound, obligated, and responsible by use of my electronic signature as much as I would be by my handwritten signature. I agree that I will protect my signature from unauthorized use, and that I will contact CDH immediately, upon discovery that my electronic signature has been compromised. I certify that my electronic signature is for my own use, and that I will not delegate it or share it with any individual.

This request is effective immediately upon receipt by the CDH and will remain in effect until the end of the - CDBG funding cycle or I choose to cancel this request via written notification to the CDH. I understand that it is my responsibility to update and/or cancel this request under all circumstances, including my departure or terminated association with the below-listed applicant.

By signing the E- Signature Authorization Form we certify that this agency will also comply with the following:

Non-discrimination
This organization will, through all possible means, ensure equal opportunity for all persons to receive services, to participate in the volunteer structure, and to be employed regardless of age, handicap, national background, race, religion, or sex. An existing sectarian nature of the agency shall not suffer impairment under this agreement, but participation in religious observances, rituals or services will not be required as a condition of receiving food, services, or shelter paid for by this grant.

Accountability
We commit this organization, if a grant is received, to provide all reports to the County as required; to expend monies only on eligible costs; to keep complete documentation (copies of all canceled checks, invoices, receipts, etc.) on all expenditures for a minimum of three years; to spend all funds and close out the program on the required date; to return any unused funds to the County to cooperate with monitoring or site visits, and; to provide complete documentation of expenses to the County, if requested, by the required date.

We affirm that all information in this application is true and correct to the best of our knowledge and that the applicant under our authority will execute its responsibility under the proposed contract and adhere to all other applicable rules and regulations to the fullest extent possible.

Non-collusion
This proposal is genuine, and not sham or collusive, nor made in the interest or in behalf of any person not herein named; the proposer has not directly induced or solicited any other proposer to put in a sham proposal, or any other person, firm or corporation to refrain from submitting a proposal; the proposer has not in any manner sought by collusion to secure for him/herself an advantage over any other proposer.

Applicant Information
Agency Name: Federal Tax ID No.:

Mailing Address: Phone No.:

Email Address: Fax No:

Authorized Signature
Print Name: Print Title:

Signature: Date:

Please send the signed copy of this one page agreement to:

San Bernardino County Community Development and Housing Department 215 North D Street, Suite 302, San Bernardino, CA 94215-0043 Attn: CDBG Application
14 New Hoe Village, Inc. Angela M Pasco 01-0653116 (760) 818-4446 (760) 818-4446 2024 2024 2024 12/07/2022 Angela M Pasco Executive Director Executive Director [email protected] (760) 256-1900 (760) 256-1900 2023 2023 2023 100 West Fredricks Barstow, CA 92311

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Packet Pg. 503 Attachment: BARS23PS-045, New Hope Village, Inc (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
CDBG Application Checklist
(Non-Profit Organizations Only)
Community-based organizations are required to include one copy of the items listed below. If you are not submitting these items at this time, please notify Community Development and Housing at (909) 387-4705 to make other arrangements. The following information is required before any contract or reimbursement can be completed.
o Summary of agency’s current year General Operating Budget o List of agency’s Board of Directors, including names and addresses o Proof of existing non-profit/tax-exempt status (Letters from the Federal Internal Revenue Service and State Franchise Tax Board) o Current certificate of insurance and amounts covered
o Organizational chart
o Minutes of last Board meeting
o Non- Profit agencies must be Registered in the System of Award Management (SAM) website.

Agency cannot be funded if they have been debarred in the past. o Provide board minutes/letter that authorizes the executive director or program manager to run the project.

If your application is funded you will be required to provide a copy of your last audit and your Articles of Incorporation and Bylaws must be on file. 15 2023 2024

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Packet Pg. 504 Attachment: BARS23PS-045, New Hope Village, Inc (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
San Bernardino County
Fiscal Year -
PublicServices ProgramApplication
The following documents must be submitted in the order listed, please be sure to submit all attachments with your application.

Exhibit 1: Organization Information
Exhibit 2: Project Information
Exhibit 3: Community Needs and Target Population
Exhibit 4: Project Budget & Sources
Exhibit 5: Performance & Outcomes
Exhibit 6: Agency Capacity Narrative
Exhibit 7: Civil Rights Laws Compliance and HUD Good Standing Exhibit 8: Signature and Assurances
Application Checklist
_______________
Log Number
(Office Use Only)
1 ✔
2023 2024 ✔
2024 ✔
✔
✔
BARS23PS-053 ✔
✔
✔
2023 ✔

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Packet Pg. 505 Attachment: BARS23PS-053, Total Restoration Church (Reaching Our Kids) (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 1: Organization Information
Organization Name:

Organization Address:

City/State/Zip:

Phone:

Fax:

Email:

Applicant Type:

Authorized Person Name:

Authorized Person’s Title:

Address:

City/State/Zip:

Phone:

Fax:

Email:

Application Contact Person’s Name:

Application Contact Person’s Title:

Explain the Agency’s 1) Mission, 2) Purpose, 3) Population Served, 4) Number of years serving population, 5) Supportive Services, their Funding Sources, and Start/End Dates. 2 Barstow / California / 92311 Executive Director 2024 760-678-7313 760-718-8396 Barstow / California / 92311 400 S. Second Avenue 400 S. Second Avenue, Suite 103 Executive Director Bushawn Carpenter Bushawn Carpenter Total Restoration Church (Reaching Our Kids) Mission: Reaching Our Kids provides mentoring and academic sponsorships to at-risk Barstow Jr. High and High School students who display academic promise, in order to equip them for leadership, social responsibility, and career preparation. Population Served: At-Risk Jr. High and High School students and their families in the Barstow area and surrounding communities (with a heavy emphasis on minority and economically disadvantaged youth).

Number of Years Serving Population: The program is completing its first year. Supporting Services: STEM Training Workshops, Exposure to new career pathways, Social & Emotional Learning workshops, Group Mentoring, College preparatory workshops (including A-G Requirements), College Tours, Anti-bullying training, Community Service Projects, leadership opportunities, scholarships, and one-on-one mentoring (next phase). Funding Sources:

Private Donations. Start/End Dates: Mar. '22 - Feb. '23 2023 [email protected] [email protected] Public Service

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Packet Pg. 506 Attachment: BARS23PS-053, Total Restoration Church (Reaching Our Kids) (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 2: Project Information
Project Title:

Project Address:

County Supervisorial District where project will be located:
1 st District 2nd District 3
rd District 4th District 5th District
If you are requesting funds for an existing CDBG project, provide prior CDBG project number.

Will this project provide an opportunity to hire minority-owned and women owned businesses? If YES, describe what actions will be completed to implement such subcontracting plans to monitor this component of the proposed project. If NO, discuss why and what actions are being taken to encourage minority-women businesses to apply for this project. 3 If this is an Expansion of Service to previously funded CDBG project, please explain how this is an expansion of service?. (i.e For 2015 we proposed 60 units of service, this year the agency is planning to serve 100 units of service)
Is this a New Public Service Project, or request to expand services to an existing CDBG project? No
N/A
2024 Reaching Our Kids X
Not an expansion of a previously funded CDBG project.
400 S. Second Ave, Suite 103 New Public Service Project 2023

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Packet Pg. 507 Attachment: BARS23PS-053, Total Restoration Church (Reaching Our Kids) (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
EXHIBIT 2A: Countywide Vision
Indicate Yes/No in the table below if any of these countywide vision goals are pertinent to the proposed project.

Countywide Vision
Countywide Vision Yes/ No
Implement the Countywide Vision.

Create, Maintain and Grow Jobs and
Economic Value in the County.

Improve County Government Operations.

Operate in a Fiscally-Responsible and
Business-Like Manner.

Ensure Development of a Well-Planned,
Balanced, and Sustainable County.

Maintain Public Safety.

Provide for the Health and Social Services
Needs of County Residents.

Pursue County Goals and Objectives by
Working with Other Governmental
Agencies.

Provide a brief narrative of how your project meets the Countywide Vision:
4 Yes No 2024 Yes Yes NoYes
The Reaching Our Kids program plans to provide at-risk students (and their parents) with the social and emotional tools to engage in sensitive social conversations that will celebrate diversity while building a true sense of community. We believe that ROK's academic programs (e.g. STEM workshops, college preparatory advising, and career-related networking) will help produce a highly educated, skilled workforce in Barstow and its surrounding areas. We truly believe that our comprehensive program will help build a pipeline to some of our nation's most prestigious universities. Many of these children are destined to become leaders of the next generation and return to San Bernardino County to help build a positive, affirming culture where public safety is enhanced and children are supported in their aspirations.

Yes Yes 2023

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Packet Pg. 508 Attachment: BARS23PS-053, Total Restoration Church (Reaching Our Kids) (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 3: Community Needs and Target Population
Community Needs Target Population
Public Service
Needs:

Yes/No Proposed Community: Yes/No
Senior Services Low and Moderate Persons
Handicapped
Services
Low and Moderate
Households
Youth Services Abused Children
Child Care
Services
Handicapped Persons
Transportation
Services
Illiterate Persons
Substance Abuse
Services
Homeless Persons
Employment
Training
Migrant Farm Workers
Health Services Elderly People
Lead Hazard
Screening
Crime
Awareness
5 City/Target Area of Project Beneficiaries
Participating Cities: (i.e Redlands, Colton, Yucaipa)
Yes
Barstow and surrounding areas.

NoYes No Yes No 2024 No No No Yes No Yes Yes Yes No2023 No NoYes

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Packet Pg. 509 Attachment: BARS23PS-053, Total Restoration Church (Reaching Our Kids) (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 3: Community Needs and Target Population (continued) Describe the geographic boundaries of the neighborhood, community or area in which clients of the proposed program reside (attach a map if needed):

HUD Demographics: (Yes/No)
 Does this project help prevent homelessness?
 Does this project help the homeless?
 Does this project help those with HIV or AIDS?
 Does this project primarily help persons with disabilities? Summarize the description of your project to include 1) priority, 2) sub-activity, 3) population(s) to be served, and 4) accomplishment level, and 5) services to be provided. 6 No 2024 Yes
The Reaching Our Kids Program is designed to target at-risk Jr. High and High School students who have dreams of attending a university but have no support system to help them get there. We recognize that some of our community's most gifted students will trade in their lofty dreams and aspirations for temporary gratification that often looks like petty crime and street life. At the age of 13, these children will make decisions that will affect the trajectory of their lives. With the proper support, affirmation, and encouragement some of these children who were once on the borderline of failure will jump on the road to success and change their family stories forever. This program takes the dreams of Jr. High children and builds an educational and community plan to help them get there. Some of the activities that we have already instituted include college visits, interview training, community service projects, mentoring, Mindfulness Training, Social & Emotional Learning, and educational networking.

Although we already engage in a group mentoring model, ROK plans to include one-on-one mentoring and financial literacy in the next year of service. We fully expect all of our ROK Scholars to attend a four-year university. But we also expect our scholars to be leaders and influencers among their peers. We believe that ROK scholars will help shift the culture in our secondary schools and decrease teenage pregnancy and high school dropout rates.

No
The Reaching Our Kids program targets Jr. High and High School students in Barstow and its surrounding areas (includes Barstow Unified School District and Oro Grande School District). 2023 No

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Packet Pg. 510 Attachment: BARS23PS-053, Total Restoration Church (Reaching Our Kids) (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Describe how this project meets the priority population and activities selected.

Explain why this project is needed and what evidence can you substantiate the need.

Describe what gaps of service in the county this project fills.

What are the critical factors for the success of your project (include both financial and human resources)? For instance, is this the only funding for this project? What happens if funding decreases? Does this project rely on only one source of leveraging? Is there adequate staff involved with the project if there is project turnover? Please address any factor that is critical to project success.
7 Barstow non-profit organizations do a great job serving youth. But far too many of our youth fail to realize their post-secondary goals. Although Barstow students graduate at a 94% rate, the percentage of graduates who are proficient in math is 16%; while reading proficiency is 43% (much lower than state averages).1 Only 22% of BHS Graduates are A-G eligible. ROK is needed to help our kids reach college.2(See attached ref.) 2024
The Police Activities League, Barstow Youth Activities League, Noble Fitness, and Barstow Community Football provide great after-school programs. The GIA Program introduces 8thgrade Black males to STEM opportunities, while the EXP Young Fellows Program provides high school boys of color with virtual mentoring sessions. ROK remains the only local program that targets at-risk Jr. High boys and girls, develops a customized plan for each student, provides STEM, community, and leadership training, then walks with them through every step on the way to college.

Many programs wait for grant funding to start offering services, but we were unwilling to lose another class of students to the streets. We enlisted a group of competent, well-trained volunteers, leveraged partnerships with other organizations to maximize resources, and raised over $20,000 in private donations. We are witnessing an incredible impact in our first year. But we recognize the need for paid staff positions to bring this program to its full potential. This funding will help with the administrative support necessary to ensure the sustainability of the program.

Our target population is at-risk Jr. High and High School students in the Barstow area. All of our students will be the first in their families to graduate from a 4-year college or university.

Our program surrounds the ROK Scholars with a variety of services that help them become well-rounded, socially responsible, civically engaged students who look forward to impacting the city of Barstow for years to come.
2023

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Packet Pg. 511 Attachment: BARS23PS-053, Total Restoration Church (Reaching Our Kids) (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 4: Project Budget & Sources
Project Budget
SB County Share: ($) Other Source: ($)
Personnel
Equipment (Rental, Lease or Purchase)
Consultant Services
(Auditing, Accounting or Payroll)
Space Rent
Insurance
Consumable Supplies
Other
Total Costs
Total Project Budget Cost: (CDBG Share + Other Source)
8 $20,000.00 $48,368.00 2024 $600.00 $0.00 $800.00 $0.00 $27,200.00 $20,000.00 $0.00 $2,000.00 2023 $368.00 $2,400.00 $1,000.00 $1,200.00 $21,168.00

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Packet Pg. 512 Attachment: BARS23PS-053, Total Restoration Church (Reaching Our Kids) (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 4A: CDBG Funds Requested and Leveraging Information Indicate the amount being requested by the city.

City Amount Requested ($):
(This amount should match the grand
total requested from CDBG Share)
9 Leveraging items may include any written commitments that will be used towards your cash match requirements in the project, as well as any written commitments for building, equipment, materials, services and volunteer time.

Source of
Funding:

Type of Funding: (Grant Name,
EFSP Money)
Amount ($): Date
Available:
(11/22/2016)
Federal
Funding
State
Funding
County
Funding
Private
Funding
Other:

Total Leveraging Funds
2024 Private Dontations Barstow $30,000.00 $21,168.00 2023 $30,000.00

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Packet Pg. 513 Attachment: BARS23PS-053, Total Restoration Church (Reaching Our Kids) (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 5: Performance and Outcomes
Definitions:

Unduplicated Clients: The number clients/persons projected to be served during the program year (e.g. 25 clients, 50 seniors):

Duplicated Clients: The estimated yearly units of service (duplicated, e.g. 25 clients x 10 visits=250 units of service):

Complete the chart below with the number of Duplicated and Unduplicated Clients to be served.
• In column 1 identify activities that will be completed (e.g. intervention, counseling, and case management).
• In column 2 indicate the number of Unduplicated Clients to be served. • In column 3 identify the number of Duplicated Clients to be served.

Activities to be Completed (1) Unduplicated
Clients to be
Served (2)
Duplicated Clients
projected to be
served (3)
Performance and Outcomes, answer the following narrative questions using minimum funds request.

Indicate a timeline of services provided to client(s) in order to meet project outcome(s).

Describe how your agency determines client(s) success.

Describe your methodology to evaluate project outcomes. 10 Accountability/Mentoring 2024 STEM Training
During the 2023/24 year, 90 unduplicated clients will receive monthly SEL training and STEM training; weekly academic advising and family services; and quarterly college field trips, and community service opps.
950
Yearly client success is based on meeting pre-established goals (min. GPA, excellent student discipline & attendance, positive school and community behavior, and serving as a role model at school and at home).
500
Weekly check-ins with students and parents provide documentation of the student's progress, performance, and attendance.
2540 2023 Social & Emotional Learning/ Leadership Training90 250

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Packet Pg. 514 Attachment: BARS23PS-053, Total Restoration Church (Reaching Our Kids) (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 5A: Proposed Goals & Milestones
Explain how the project will meet contract goals and milestones and be completed within 12 months (July 1, – June 30, ). For example, project expenditures and performance/ accomplishment goals of 40% by November 30th, 50% by December 31st, 80% by March 31st, and 100% by June 30th.

Fill-in the table below with dates for submission of reimbursement claims and the estimated amount of each.

Date of Reimbursement: Amount ($):

Total Reimbursement:
($)
11 $1,764.00 $1,764.00 $1,764.00 $1,764.00 $1,764.00 2024 2024 10/01/2023 $1,764.00 $1,764.00 04/01/2024 $21,168.00 $1,764.00 01/01/2024 02/01/2024 $1,764.00 $1,764.00 09/01/2023 05/01/2024 03/01/2024 The goals and milestones of the Reaching Our Kids Program will be achieved by ongoing group training, group workshops, and accountability sessions with the students, counselors, teachers, coaches, administrators, and parents. Our job is not done until the student(s) graduate from high school, enroll in a 4-year university, develop a college support team, and circle back to invest in more local kids who aspire to follow in their footsteps. Until then, we expect 25% of expenditures/accomplishments by Sept 30, 50% by Dec. 31, 75% by Mar. 31, 100% by June 30.
12/01/2023 07/01/2024 11/01/2023 2023 2023 08/01/2023 $1,764.00 06/01/2024 $1,764.00

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Packet Pg. 515 Attachment: BARS23PS-053, Total Restoration Church (Reaching Our Kids) (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 6: Agency Capacity Narrative
(Non-Profit Organizations Only)
Describe the roles of key administrators, staff members, and volunteers within your agency that will implement the proposed project. In your description include experience, education, and licensing qualifications.

Describe your agency’s experience in administering government and/or public funds.

Describe your method to sustain project viability over the multi-year process if funding decreases.

Instructions: Complete the table below by marking “YES” or “NO” to the questions listed below.

Question:

Example: Have you received federal funds in the past
five years? Yes
In the past ten years, has your organization ever had its nonprofit status revoked or withheld by the IRS, the
Secretary of State, the State Attorney General, or the
Franchise Tax Board?
Has your organization been sued in the last five years? Are any of your managers or staff with fiscal
responsibilities involved in litigation presently that has any bearing on fiduciary trust or employee relations?
Have any unfavorable rulings been handed down by any
court against your organization or Executive Director the last five years?
Does your organization currently have any unresolved
fiscal, reporting, or program issues with any of its funding sources?

YES/ NO
12 No
Total Restoration Church has administered public funds since October of 2013, but this is our first time seeking government funding.
2024 No
The President, Derrick Delton, has over 27 years of experience helping districts manage multimillion dollar budgets to support students.

Although private donations and business sponsorships will always be a key part of our funding strategy, ROK is looking to diversify by including funding from corporate and government sources.

No 2023 No No

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Packet Pg. 516 Attachment: BARS23PS-053, Total Restoration Church (Reaching Our Kids) (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
EXHIBIT 7: Civil Rights Laws Compliance and HUD Good Standing Answer the following questions.

Has your organization been a past recipient of assistance under a HUD McKinney Act program or the HUD Single Family Property Disposition Homeless Program? If you have been a recipient under either of these programs, has your agency experienced any project or construction delay, HUD finding or outstanding audit that HUD deems serious regarding the administration of HUD McKinney Act programs or the HUD Single Family Property Disposition Homeless Program?
If you answered “Yes”, please explain the circumstances and outcome below.

Applicants must be in compliance with applicable civil rights laws and Executive Orders. Applications will be rejected if your agency has any of the following: (1) Any pending civil rights lawsuit instituted by the U.S. Department of Justice; (2) Any noncompliance with civil rights statutes, Executive Orders or regulations as a result of formal administrative proceedings, unless the applicant is operating under a HUD-approved compliance agreement designed to correct the area of noncompliance or is currently negotiating such an agreement; (3) Any unresolved Secretarial charge of discrimination issues under Section 810(g) of the Fair Housing Act, as implemented by 24 CFR 103:400; (4) Any adjudication of a civil rights violation in a civil action brought against the Organization by a private individual, unless the applicant is operating in compliance with a court order designed to correct the area of noncompliance or the applicant has discharged any responsibility arising from such litigation; (5) Any deferral of the processing of applications from the sponsor imposed by HUD under Title VI of the Civil Rights Act of 1964, the Attorney General’s Guidelines (28 CFR 50.3) or the HUD Title VI regulations (24 CFR 1.8) and procedures, or under Section 504 of the Rehabilitation Act of 1973 and HUD Section 504 regulations (24 CFR 8.57). If one or more of these situations exists with your Organization, please attach a brief description.
13 2024 No 2023 No

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Packet Pg. 517 Attachment: BARS23PS-053, Total Restoration Church (Reaching Our Kids) (5272 : FY2023/24 Cdbg Allocation for Construction Projects) E-Signature Authorization
San Bernardino County
Community Development and Housing Departmemt
Community Development Block Grant
Martha Zepeda
Deputy Executive Officer
- Application
In order to comply with all applicable federal grant regulations, a hard-copy of this E-Signature Authorization containing an original wet signature must be filed with the San Bernardino County Community Development and Housing (CDH) in order for the applicant to electronically sign the Community Development Block Grant (CDBG) application documents online. This authorization may only be completed by a registered owner, partner, executive officer, or authorized employee (with proof of authorization) of the applicant submitting this form and must contain an original signature to be submitted to the CDH.

Authorization Agreement
I am an owner, partner, executive officer, or duly authorized employee of the below-listed applicant and have authority to enter into agreements on behalf of the below-listed applicant. CDH may rely on the receipt of such agreements executed and delivered by facsimile or other electronic means as if the original had been received. The undersigned agrees that the electronic signatures appearing on documents submitted from the below-listed applicant are the same as handwritten signatures for the purposes of validity, enforceability and admissibility. By signing this Electronic Signature Authorization Agreement, I authorize the CDH to accept, via electronic submission, documents submitted from the below-listed applicant as required by the CDH's CDBG - Funding Application.

I understand that CDH may change the CDBG application system from time to time. I agree that the below-listed applicant will electronically sign all documents requiring a signature related to the CDBG funding application.

My signature on this form certifies that:

I agree that entering my name in the CDBG funding application system constitutes my electronic signature. I understand that any information and documents submitted using my name is electronically certifying my signature. I understand that I am legally bound, obligated, and responsible by use of my electronic signature as much as I would be by my handwritten signature. I agree that I will protect my signature from unauthorized use, and that I will contact CDH immediately, upon discovery that my electronic signature has been compromised. I certify that my electronic signature is for my own use, and that I will not delegate it or share it with any individual.

This request is effective immediately upon receipt by the CDH and will remain in effect until the end of the - CDBG funding cycle or I choose to cancel this request via written notification to the CDH. I understand that it is my responsibility to update and/or cancel this request under all circumstances, including my departure or terminated association with the below-listed applicant.

By signing the E- Signature Authorization Form we certify that this agency will also comply with the following:

Non-discrimination
This organization will, through all possible means, ensure equal opportunity for all persons to receive services, to participate in the volunteer structure, and to be employed regardless of age, handicap, national background, race, religion, or sex. An existing sectarian nature of the agency shall not suffer impairment under this agreement, but participation in religious observances, rituals or services will not be required as a condition of receiving food, services, or shelter paid for by this grant.

Accountability
We commit this organization, if a grant is received, to provide all reports to the County as required; to expend monies only on eligible costs; to keep complete documentation (copies of all canceled checks, invoices, receipts, etc.) on all expenditures for a minimum of three years; to spend all funds and close out the program on the required date; to return any unused funds to the County to cooperate with monitoring or site visits, and; to provide complete documentation of expenses to the County, if requested, by the required date.

We affirm that all information in this application is true and correct to the best of our knowledge and that the applicant under our authority will execute its responsibility under the proposed contract and adhere to all other applicable rules and regulations to the fullest extent possible.

Non-collusion
This proposal is genuine, and not sham or collusive, nor made in the interest or in behalf of any person not herein named; the proposer has not directly induced or solicited any other proposer to put in a sham proposal, or any other person, firm or corporation to refrain from submitting a proposal; the proposer has not in any manner sought by collusion to secure for him/herself an advantage over any other proposer.

Applicant Information
Agency Name: Federal Tax ID No.:

Mailing Address: Phone No.:

Email Address: Fax No:

Authorized Signature
Print Name: Print Title:

Signature: Date:

Please send the signed copy of this one page agreement to:

San Bernardino County Community Development and Housing Department 215 North D Street, Suite 302, San Bernardino, CA 94215-0043 Attn: CDBG Application
14 Total Restoration Church (Reaching Our Kids) Bushawn L. Carpenter, Executive Director 46-4064102 2024 2024 2024 12/07/2022 Bushawn L. Carpenter Executive Director Executive Director [email protected] (760) 718-8396 (760) 718-8396 2023 2023 2023 400 S. Second Ave

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Packet Pg. 518 Attachment: BARS23PS-053, Total Restoration Church (Reaching Our Kids) (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
CDBG Application Checklist
(Non-Profit Organizations Only)
Community-based organizations are required to include one copy of the items listed below. If you are not submitting these items at this time, please notify Community Development and Housing at (909) 387-4705 to make other arrangements. The following information is required before any contract or reimbursement can be completed.
o Summary of agency’s current year General Operating Budget o List of agency’s Board of Directors, including names and addresses o Proof of existing non-profit/tax-exempt status (Letters from the Federal Internal Revenue Service and State Franchise Tax Board) o Current certificate of insurance and amounts covered
o Organizational chart
o Minutes of last Board meeting
o Non- Profit agencies must be Registered in the System of Award Management (SAM) website.

Agency cannot be funded if they have been debarred in the past. o Provide board minutes/letter that authorizes the executive director or program manager to run the project.

If your application is funded you will be required to provide a copy of your last audit and your Articles of Incorporation and Bylaws must be on file. 15 2023 2024

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Packet Pg. 519 Attachment: BARS23PS-053, Total Restoration Church (Reaching Our Kids) (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
San Bernardino County
Fiscal Year -
PublicServices ProgramApplication
The following documents must be submitted in the order listed, please be sure to submit all attachments with your application.

Exhibit 1: Organization Information
Exhibit 2: Project Information
Exhibit 3: Community Needs and Target Population
Exhibit 4: Project Budget & Sources
Exhibit 5: Performance & Outcomes
Exhibit 6: Agency Capacity Narrative
Exhibit 7: Civil Rights Laws Compliance and HUD Good Standing Exhibit 8: Signature and Assurances
Application Checklist
_______________
Log Number
(Office Use Only)
1 2023 2024 2024 BARS23PS-054 2023

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Packet Pg. 520 Attachment: BARS23PS-054, San Bernardino County Library (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 1: Organization Information
Organization Name:

Organization Address:

City/State/Zip:

Phone:

Fax:

Email:

Applicant Type:

Authorized Person Name:

Authorized Person’s Title:

Address:

City/State/Zip:

Phone:

Fax:

Email:

Application Contact Person’s Name:

Application Contact Person’s Title:

Explain the Agency’s 1) Mission, 2) Purpose, 3) Population Served, 4) Number of years serving population, 5) Supportive Services, their Funding Sources, and Start/End Dates. 2 San Bernardino / CA / 92415 Regional Manager 2024 909-387-2220 909-387-2220 909-387-2288 San Bernardino / CA / 92415 268 W. Hospitality Lane 3rd Floor 268 W. Hospitality Lane 3rd Floor County Librarian Melanie Orosco Ina Feeney San Bernardino County Library The San Bernardino County Library System is a network of branch libraries that serve a diverse population over a vast geographic area. We strive to provide equal access to information, technology, programs, and services for all the people who call San Bernardino County home. Our Adult Literacy Program has been in place over 30 years, allowing us to help those struggling with illiteracy in our communities. This branch is currently funded exclusively by San Bernardino County Library but will still work towards expanding our goal to help literacy learners get one-on-one tutoring and meet their literacy goals. 2023 [email protected] [email protected] CDBG Funding 909-387-2288

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Packet Pg. 521 Attachment: BARS23PS-054, San Bernardino County Library (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 2: Project Information
Project Title:

Project Address:

County Supervisorial District where project will be located:
1 st District 2nd District 3
rd District 4th District 5th District
If you are requesting funds for an existing CDBG project, provide prior CDBG project number.

Will this project provide an opportunity to hire minority-owned and women owned businesses? If YES, describe what actions will be completed to implement such subcontracting plans to monitor this component of the proposed project. If NO, discuss why and what actions are being taken to encourage minority-women businesses to apply for this project. 3 If this is an Expansion of Service to previously funded CDBG project, please explain how this is an expansion of service?. (i.e For 2015 we proposed 60 units of service, this year the agency is planning to serve 100 units of service)
Is this a New Public Service Project, or request to expand services to an existing CDBG project? No 2024 BARS-15-150Z/7502 San Bernardino County Barstow Branch Library X We are expanding our services for the individuals who are in our Adult Literacy Program.

Moving forward we hope to continually increase the quality of materials and services that the Barstow Branch is able to provide. See attached document for more detailed explanation. 304 East Buena Vista, Barstow, CA 92311 Expansions of Service to an Existing Project 2023

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Packet Pg. 522 Attachment: BARS23PS-054, San Bernardino County Library (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
EXHIBIT 2A: Countywide Vision
Indicate Yes/No in the table below if any of these countywide vision goals are pertinent to the proposed project.

Countywide Vision
Countywide Vision Yes/ No
Implement the Countywide Vision.

Create, Maintain and Grow Jobs and
Economic Value in the County.

Improve County Government Operations.

Operate in a Fiscally-Responsible and
Business-Like Manner.

Ensure Development of a Well-Planned,
Balanced, and Sustainable County.

Maintain Public Safety.

Provide for the Health and Social Services
Needs of County Residents.

Pursue County Goals and Objectives by
Working with Other Governmental
Agencies.

Provide a brief narrative of how your project meets the Countywide Vision:
4 NoYes 2024 NoYes No No
By tutoring illiterate adults and providing them the tools to learn to read and write, we help them build self-confidence to accomplish many goals such as applying for jobs, being able to vote and much more. This results in them becoming more socially prepared to participate in all the County has to offer. Additionally, the Adult Literacy program supports the county’s Cradle to Career Road Map to achieve the Countywide vision. When we teach illiterate adults to read, we are not only helping them but are also helping their children, as parents who read are able to support the literacy support a child needs to succeed.

Yes No 2023

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Packet Pg. 523 Attachment: BARS23PS-054, San Bernardino County Library (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 3: Community Needs and Target Population
Community Needs Target Population
Public Service
Needs:

Yes/No Proposed Community: Yes/No
Senior Services Low and Moderate Persons
Handicapped
Services
Low and Moderate
Households
Youth Services Abused Children
Child Care
Services
Handicapped Persons
Transportation
Services
Illiterate Persons
Substance Abuse
Services
Homeless Persons
Employment
Training
Migrant Farm Workers
Health Services Elderly People
Lead Hazard
Screening
Crime
Awareness
5 City/Target Area of Project Beneficiaries
Participating Cities: (i.e Redlands, Colton, Yucaipa)
Barstow
No NoNo No No 2024 No No Yes NoYes No No No Yes2023 No NoYes

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Packet Pg. 524 Attachment: BARS23PS-054, San Bernardino County Library (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 3: Community Needs and Target Population (continued) Describe the geographic boundaries of the neighborhood, community or area in which clients of the proposed program reside (attach a map if needed):

HUD Demographics: (Yes/No)
 Does this project help prevent homelessness?
 Does this project help the homeless?
 Does this project help those with HIV or AIDS?
 Does this project primarily help persons with disabilities? Summarize the description of your project to include 1) priority, 2) sub-activity, 3) population(s) to be served, and 4) accomplishment level, and 5) services to be provided. 6 Yes 2024 No
The San Bernardino County Library (SBCL), Barstow Branch Adult Literacy Services Program will provide programming and instruction for low-to-moderate income illiterate adults and senior residents of Barstow. Individualized tutoring and one-on-one Literacy instruction (reading, spelling, and basic computer skills) will be provided to qualifying adult participants during Fiscal Year 23-24. Library Adult Literacy Services are provided free of charge to all learners participating in the program. Direct services and assistance are provided by Library staff as well as a ream of trained Literacy Tutors. Dedicated tutoring space and special Adult Literacy Program materials (leveled student readers, workbooks, dictionaries, GED Test Prep packets) are provided to participating learners at no charge. Learners are strongly encouraged to attend free Basic Computer Skills Classes taught in the library. Those with young children are encouraged to attend Early Learning and Preschool Storytime Activities to foster a love of reading and ensure school-age readiness. The Barstow Branch is dedicated in improving the literacy rates in the Barstow community.

No
Barstow
2023 No

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Packet Pg. 525 Attachment: BARS23PS-054, San Bernardino County Library (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Describe how this project meets the priority population and activities selected.

Explain why this project is needed and what evidence can you substantiate the need.

Describe what gaps of service in the county this project fills.

What are the critical factors for the success of your project (include both financial and human resources)? For instance, is this the only funding for this project? What happens if funding decreases? Does this project rely on only one source of leveraging? Is there adequate staff involved with the project if there is project turnover? Please address any factor that is critical to project success.
7 Per recent U.S. National Assessment of Adult Literacy, one in seven adults have difficulty reading anything more challenging than a child’s picture book. It is estimated that at 3.4 million Californians fall at the “Below Basic” Literacy Level. In the County of San Bernardino alone, it is estimated that at least 500,000 adults cannot read at all. This service provides assistance to adults who fall into this category.
2024
This program focuses on adult individuals who are illiterate or who have low literacy skills. The County Library Adult Literacy Program provides a no cost alternative for adults to gain these skills.

This program is funded primarily through the Library Department budget. Additional State and County funding helps the Library Department to expand the program and reach a larger audience than would be possible through internal funding alone. The Literacy Program is a multi-branch program, with branch staff interacting with learners and tutors while reporting is overseen by administrative staff. We have taken steps to ensure that any staff turnover will not impede the Literacy Program and that services would continue to be offered through the cross-training of staff.

The Adult Literacy Services Program assesses illiterate and presumed low-income adults and senior residents of Barstow, and provides those that qualify with programming, tutoring, and instruction to aid them in meeting their literacy goals. 2023

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Packet Pg. 526 Attachment: BARS23PS-054, San Bernardino County Library (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 4: Project Budget & Sources
Project Budget
SB County Share: ($) Other Source: ($)
Personnel
Equipment (Rental, Lease or Purchase)
Consultant Services
(Auditing, Accounting or Payroll)
Space Rent
Insurance
Consumable Supplies
Other
Total Costs
Total Project Budget Cost: (CDBG Share + Other Source)
8 $27,500.00 $37,500.00 2024 $27,500.00 $10,000.00 2023 $10,000.00

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Packet Pg. 527 Attachment: BARS23PS-054, San Bernardino County Library (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 4A: CDBG Funds Requested and Leveraging Information Indicate the amount being requested by the city.

City Amount Requested ($):
(This amount should match the grand
total requested from CDBG Share)
9 Leveraging items may include any written commitments that will be used towards your cash match requirements in the project, as well as any written commitments for building, equipment, materials, services and volunteer time.

Source of
Funding:

Type of Funding: (Grant Name,
EFSP Money)
Amount ($): Date
Available:
(11/22/2016)
Federal
Funding
State
Funding
County
Funding
Private
Funding
Other:

Total Leveraging Funds
$22,500.00 2024 07/01/2023 Barstow $27,500.00 California State Library Literacy Service $10,000.00 $5,000.00 08/01/2023 2023 County

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Packet Pg. 528 Attachment: BARS23PS-054, San Bernardino County Library (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 5: Performance and Outcomes
Definitions:

Unduplicated Clients: The number clients/persons projected to be served during the program year (e.g. 25 clients, 50 seniors):

Duplicated Clients: The estimated yearly units of service (duplicated, e.g. 25 clients x 10 visits=250 units of service):

Complete the chart below with the number of Duplicated and Unduplicated Clients to be served.
• In column 1 identify activities that will be completed (e.g. intervention, counseling, and case management).
• In column 2 indicate the number of Unduplicated Clients to be served. • In column 3 identify the number of Duplicated Clients to be served.

Activities to be Completed (1) Unduplicated
Clients to be
Served (2)
Duplicated Clients
projected to be
served (3)
Performance and Outcomes, answer the following narrative questions using minimum funds request.

Indicate a timeline of services provided to client(s) in order to meet project outcome(s).

Describe how your agency determines client(s) success.

Describe your methodology to evaluate project outcomes. 10 2024
Learners are assessed by branch staff and matched with a tutor. They are scheduled for weekly tutoring sessions in order to meet individual goals set by the learner and plan new goals as the learner progresses.

Learners set individual goals that they want to meet and tutors help learners meet those goals.

Regular assessments of the learner’s progress are used to track improvement. 120
We track the number of goals met in correlation to the number of goals set by the individual learners.
2023 Literacy Tutoring 12

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Packet Pg. 529 Attachment: BARS23PS-054, San Bernardino County Library (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 5A: Proposed Goals & Milestones
Explain how the project will meet contract goals and milestones and be completed within 12 months (July 1, – June 30, ). For example, project expenditures and performance/ accomplishment goals of 40% by November 30th, 50% by December 31st, 80% by March 31st, and 100% by June 30th.

Fill-in the table below with dates for submission of reimbursement claims and the estimated amount of each.

Date of Reimbursement: Amount ($):

Total Reimbursement:
($)
11 $2,500.00 $2,500.00 2024 2024 04/01/2024 $10,000.00 01/01/2024 $2,500.00 As mandated by the California State Library Literacy Services (CLLS), individual adult learners are required to list one or more personal Literacy goals via the Roles & Goals Intake Form. 75% of total Barstow Adult Literacy Program learners are anticipated to achieve one or more of their person goals set during program year 22-23. We plan to meet 25% of our tutor/learner pairing goal each quarter; 25% by October 1st, 50% by January 1st, 75% by April 1st, and 100% by June 30th.
06/30/2024 2023 2023 10/01/2023 $2,500.00

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Packet Pg. 530 Attachment: BARS23PS-054, San Bernardino County Library (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
Exhibit 6: Agency Capacity Narrative
(Non-Profit Organizations Only)
Describe the roles of key administrators, staff members, and volunteers within your agency that will implement the proposed project. In your description include experience, education, and licensing qualifications.

Describe your agency’s experience in administering government and/or public funds.

Describe your method to sustain project viability over the multi-year process if funding decreases.

Instructions: Complete the table below by marking “YES” or “NO” to the questions listed below.

Question:

Example: Have you received federal funds in the past
five years? Yes
In the past ten years, has your organization ever had its nonprofit status revoked or withheld by the IRS, the
Secretary of State, the State Attorney General, or the
Franchise Tax Board?
Has your organization been sued in the last five years? Are any of your managers or staff with fiscal
responsibilities involved in litigation presently that has any bearing on fiduciary trust or employee relations?
Have any unfavorable rulings been handed down by any
court against your organization or Executive Director the last five years?
Does your organization currently have any unresolved
fiscal, reporting, or program issues with any of its funding sources?

YES/ NO
12 No
We have been funded for the Adult Literacy Program and administrating CDBG grants and funds since 1984.
2024 No
Library Events Coordinator, Admin Librarian I, Branch Managers, Library Assistants, Volunteer Tutors. See Attachment for detailed answer.

This is a multi-branch program with a network of branch and administrative staff and a portion of the overall library budget set aside to improve and continue this program.

No 2023 No No

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Packet Pg. 531 Attachment: BARS23PS-054, San Bernardino County Library (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
EXHIBIT 7: Civil Rights Laws Compliance and HUD Good Standing Answer the following questions.

Has your organization been a past recipient of assistance under a HUD McKinney Act program or the HUD Single Family Property Disposition Homeless Program? If you have been a recipient under either of these programs, has your agency experienced any project or construction delay, HUD finding or outstanding audit that HUD deems serious regarding the administration of HUD McKinney Act programs or the HUD Single Family Property Disposition Homeless Program?
If you answered “Yes”, please explain the circumstances and outcome below.

Applicants must be in compliance with applicable civil rights laws and Executive Orders. Applications will be rejected if your agency has any of the following: (1) Any pending civil rights lawsuit instituted by the U.S. Department of Justice; (2) Any noncompliance with civil rights statutes, Executive Orders or regulations as a result of formal administrative proceedings, unless the applicant is operating under a HUD-approved compliance agreement designed to correct the area of noncompliance or is currently negotiating such an agreement; (3) Any unresolved Secretarial charge of discrimination issues under Section 810(g) of the Fair Housing Act, as implemented by 24 CFR 103:400; (4) Any adjudication of a civil rights violation in a civil action brought against the Organization by a private individual, unless the applicant is operating in compliance with a court order designed to correct the area of noncompliance or the applicant has discharged any responsibility arising from such litigation; (5) Any deferral of the processing of applications from the sponsor imposed by HUD under Title VI of the Civil Rights Act of 1964, the Attorney General’s Guidelines (28 CFR 50.3) or the HUD Title VI regulations (24 CFR 1.8) and procedures, or under Section 504 of the Rehabilitation Act of 1973 and HUD Section 504 regulations (24 CFR 8.57). If one or more of these situations exists with your Organization, please attach a brief description.
13 2024 No 2023 No

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Packet Pg. 532 Attachment: BARS23PS-054, San Bernardino County Library (5272 : FY2023/24 Cdbg Allocation for Construction Projects) E-Signature Authorization
San Bernardino County
Community Development and Housing Departmemt
Community Development Block Grant
Martha Zepeda
Deputy Executive Officer
- Application
In order to comply with all applicable federal grant regulations, a hard-copy of this E-Signature Authorization containing an original wet signature must be filed with the San Bernardino County Community Development and Housing (CDH) in order for the applicant to electronically sign the Community Development Block Grant (CDBG) application documents online. This authorization may only be completed by a registered owner, partner, executive officer, or authorized employee (with proof of authorization) of the applicant submitting this form and must contain an original signature to be submitted to the CDH.

Authorization Agreement
I am an owner, partner, executive officer, or duly authorized employee of the below-listed applicant and have authority to enter into agreements on behalf of the below-listed applicant. CDH may rely on the receipt of such agreements executed and delivered by facsimile or other electronic means as if the original had been received. The undersigned agrees that the electronic signatures appearing on documents submitted from the below-listed applicant are the same as handwritten signatures for the purposes of validity, enforceability and admissibility. By signing this Electronic Signature Authorization Agreement, I authorize the CDH to accept, via electronic submission, documents submitted from the below-listed applicant as required by the CDH's CDBG - Funding Application.

I understand that CDH may change the CDBG application system from time to time. I agree that the below-listed applicant will electronically sign all documents requiring a signature related to the CDBG funding application.

My signature on this form certifies that:

I agree that entering my name in the CDBG funding application system constitutes my electronic signature. I understand that any information and documents submitted using my name is electronically certifying my signature. I understand that I am legally bound, obligated, and responsible by use of my electronic signature as much as I would be by my handwritten signature. I agree that I will protect my signature from unauthorized use, and that I will contact CDH immediately, upon discovery that my electronic signature has been compromised. I certify that my electronic signature is for my own use, and that I will not delegate it or share it with any individual.

This request is effective immediately upon receipt by the CDH and will remain in effect until the end of the - CDBG funding cycle or I choose to cancel this request via written notification to the CDH. I understand that it is my responsibility to update and/or cancel this request under all circumstances, including my departure or terminated association with the below-listed applicant.

By signing the E- Signature Authorization Form we certify that this agency will also comply with the following:

Non-discrimination
This organization will, through all possible means, ensure equal opportunity for all persons to receive services, to participate in the volunteer structure, and to be employed regardless of age, handicap, national background, race, religion, or sex. An existing sectarian nature of the agency shall not suffer impairment under this agreement, but participation in religious observances, rituals or services will not be required as a condition of receiving food, services, or shelter paid for by this grant.

Accountability
We commit this organization, if a grant is received, to provide all reports to the County as required; to expend monies only on eligible costs; to keep complete documentation (copies of all canceled checks, invoices, receipts, etc.) on all expenditures for a minimum of three years; to spend all funds and close out the program on the required date; to return any unused funds to the County to cooperate with monitoring or site visits, and; to provide complete documentation of expenses to the County, if requested, by the required date.

We affirm that all information in this application is true and correct to the best of our knowledge and that the applicant under our authority will execute its responsibility under the proposed contract and adhere to all other applicable rules and regulations to the fullest extent possible.

Non-collusion
This proposal is genuine, and not sham or collusive, nor made in the interest or in behalf of any person not herein named; the proposer has not directly induced or solicited any other proposer to put in a sham proposal, or any other person, firm or corporation to refrain from submitting a proposal; the proposer has not in any manner sought by collusion to secure for him/herself an advantage over any other proposer.

Applicant Information
Agency Name: Federal Tax ID No.:

Mailing Address: Phone No.:

Email Address: Fax No:

Authorized Signature
Print Name: Print Title:

Signature: Date:

Please send the signed copy of this one page agreement to:

San Bernardino County Community Development and Housing Department 215 North D Street, Suite 302, San Bernardino, CA 94215-0043 Attn: CDBG Application
14 San Bernardino County Library Melanie Orosco County Librarian 95-6002748 (909) 387-2288 (909) 387-2288 2024 2024 2024 Melanie Orosco County Librarian County Librarian [email protected] (909) 387-2220 (909) 387-2220 2023 2023 2023 268 W. Hospitality Lane 3rd Floor, San Bernardino CA, 92415

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Packet Pg. 533 Attachment: BARS23PS-054, San Bernardino County Library (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Public Services Program Application Fiscal Year –
CDBG Application Checklist
(Non-Profit Organizations Only)
Community-based organizations are required to include one copy of the items listed below. If you are not submitting these items at this time, please notify Community Development and Housing at (909) 387-4705 to make other arrangements. The following information is required before any contract or reimbursement can be completed.
o Summary of agency’s current year General Operating Budget o List of agency’s Board of Directors, including names and addresses o Proof of existing non-profit/tax-exempt status (Letters from the Federal Internal Revenue Service and State Franchise Tax Board) o Current certificate of insurance and amounts covered
o Organizational chart
o Minutes of last Board meeting
o Non- Profit agencies must be Registered in the System of Award Management (SAM) website.

Agency cannot be funded if they have been debarred in the past. o Provide board minutes/letter that authorizes the executive director or program manager to run the project.

If your application is funded you will be required to provide a copy of your last audit and your Articles of Incorporation and Bylaws must be on file. 15 2023 2024

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Packet Pg. 534 Attachment: BARS23PS-054, San Bernardino County Library (5272 : FY2023/24 Cdbg Allocation for Construction Projects) Joint Special CC/BFPD/Odesa
02/6/23 07:00 PM
Code Compliance
Mary Willbond
Public Hearing
Doc ID: 5203

COUNCIL RESOLUTION
AGENDA MATTER:

PROTEST HEARING - UNPAID NUISANCE ABATEMENT FEES
EXECUTIVE SUMMARY:

Conduct a protest hearing for those property owners who have been notified regarding an assessment for certain unpaid nuisance abatement fees.

DISCUSSION:

At the meeting on December 19, 2022 the City Council set January 17, 2023 at 7:00 p.m. as the date and time for a hearing regarding the report of unpaid nuisance abatement fees. The hearing was then rescheduled to February 6, 2023 due to noticing requirements.

The hearing is for property owners who have been notified by letter regarding an assessment for certain unpaid nuisance abatement fees.

Records are updated as payments are received from property owners. Delinquent amounts are reflected as of December 19, 2022.

FISCAL IMPACT:

Accounts will be forwarded to the County of San Bernardino. Upon adoption of the resolution, the past due nuisance abatements will be added to the property owners' property tax bill for collection. At this time, there is $5,368.88 in past due nuisance abatement fees.

RECOMMENDED ACTION:

Conduct a protest hearing. Subject to testimony received, adopt attached Resolution No. ____-2023, Making Determinations and Confirming Assessments and Proceedings for Unpaid Nuisance Abatement Fees, and waive the reading.
13 Packet Pg. 535
City Council Resolution No XXXX-2023 1
RESOLUTION NO. ____-2023

RESOLUTION OF THE CITY COUNCIL OF THE CITY OF BARSTOW, CALIFORNIA

MAKING DETERMINATIONS AND CONFIRMING ASSESSMENTS AND
PROCEEDINGS FOR UNPAID NUISANCE ABATEMENT FEES FOR APN #’s 0181- 011-40-0000 and 0181-011-41-0000, BARSTOW, CA 92311
WHEREAS, the properties located on parcels APN # 0181-011-40-0000 and #0181-011- 41-0000, Barstow, California were not maintained in accordance with Chapter 6.28 of the Barstow Municipal Code;
WHEREAS, the owner of said property allowed the property to deteriorate; WHEREAS, on August 23, 2022, City officials commenced nuisance abatement proceedings pursuant to Chapter 6.28 of the Barstow Municipal Code; WHEREAS, after the property owner failed to correct the nuisance conditions, a Notice with Intent to Abate was duly noticed and conducted, at which time the property was deemed a public nuisance;
WHEREAS, pursuant to the lack of response from said land owners of record and/or responsible parties and after obtaining an Abatement Warrant from the Superior Court, contractors were engaged to perform specified work to secure the property and obscure unsightly conditions;
WHEREAS, the owner has been advised of the costs of abatement in the sum of $11,857.50 (APN # 0181-011-40-0000) and $11,857.50 (APN # 0181-011-41-0000) but has failed to tender payment within the thirty day (30) day period; WHEREAS, the City seeks recovery of abatement costs, and conducts a protest hearing to confirm the abatement costs pursuant to Sections 6.28.180 through 6.28.220 of the Barstow Municipal Code in order for said costs to become a lien on the property and a personal obligation against the property owner;
WHEREAS, the City Manager of the City of Barstow has filed in the office of the City Clerk of said City an assessment for unpaid abatement costs in said City, in accordance with Section 6.28.180 through 6.28.220 of the Barstow Municipal Code; WHEREAS, the City Manager has, as required, given notice of time fixed for the hearing by the City Council;
WHEREAS, the property owner and affected parties involved in this assessment have been duly notified of the date, time and place of said hearing 15 days prior to said hearing;

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Packet Pg. 536 Attachment: Reso XXXX-2023 105 Crooks and 109 Crooks (5203 : Protest Hearing - Property Abatement Liens and Assessments) City Council Resolution No XXXX-2023 2
WHEREAS, a hearing was held before the City Council of the City of Barstow at 7:00 p.m. on February 6, 2023 in the City Council Chambers, 220 E Mountain View Street, Barstow, California, the time and place fixed in such notice; WHEREAS, during the aforementioned hearing, all protests or objections, if any, were duly presented and the City Council gave all persons noticed and present desiring to be heard, an opportunity of be heard in respect to any matter relating to said assessment, to the corrections of said assessment, or to any matter relating to the corrections of said assessments, or to any matter relating to said assessments or the proceedings therefore; and
WHEREAS, all such persons desiring to be heard have been heard by the City Council.

NOW, THEREFORE, THE CITY COUNCIL OF THE CITY OF BARSTOW DOES HEREBY FIND, RESOLVE, DETERMINE, AND ORDER AS FOLLOWS:

Section 1. That said hearing has been duly held; that each and every step in the proceedings prior to and including the hearing has been duly and regularly taken; that this City Council is satisfied with the correctness of the assessment; the proceedings and all matters relating thereto; and that all protests and objections are hereby overruled and denied; and the City Council does hereby confirm said proceedings and said assessment.

Section 2. That cost for the abatement is confirmed in the amounts of $11,857.50 and $11,857.50 and shall be assessed against the benefiting property and shall be assessed as a lien on the property benefited thereby, with the lien being included on the tax roll for taxes levied against the property.

Section 3. That the cost of the abatement, as confirmed, shall also be a personal obligation against the property owners, Suprena Townsend (APN # 0181-011-40-0000) and Est. of Hampton, Carlize (APN # 0181-011-41-0000), per Section 6.28.210 of the Barstow Municipal Code.

Section 4. That the parcels to be liened and the itemized costs of the abatement for said lien is set forth on Exhibit “A” in the total sum of $11,857.50 and $11,857.50 attached hereto and made a part hereof.

Section 5. The City Clerk shall certify to the adoption of this Resolution.

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Packet Pg. 537 Attachment: Reso XXXX-2023 105 Crooks and 109 Crooks (5203 : Protest Hearing - Property Abatement Liens and Assessments) City Council Resolution No XXXX-2023 3
PASSED, APPROVED AND ADOPTED This 6th day of February, 2023. ________________________________
Paul Anthony Courtney, Dr.,B.A., Mayor
ATTEST:
_____________________________
Andrea Flores, City Clerk
I, Andrea Flores, City Clerk of the City of Barstow do hereby certify that the foregoing Resolution No. XXXX-2023 is the actual Resolution duly and regularly adopted by the City Council at a regular meeting on the 6th day of February, 2023, by the following vote:

AYES:

NOES:

ABSENT:

ABSTAIN:
_____________________________
Andrea Flores, City Clerk

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Packet Pg. 538 Attachment: Reso XXXX-2023 105 Crooks and 109 Crooks (5203 : Protest Hearing - Property Abatement Liens and Assessments)

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Packet Pg. 539 Attachment: 105 Crooks Signed Statement of Abatement Costs (5203 : Protest Hearing - Property Abatement Liens and Assessments)

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Packet Pg. 540 Attachment: 105 Crooks Signed Statement of Abatement Costs (5203 : Protest Hearing - Property Abatement Liens and Assessments)

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Packet Pg. 541 Attachment: 109 Crooks signed Statement of Abatement Costs (5203 : Protest Hearing - Property Abatement Liens and Assessments)

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Packet Pg. 542 Attachment: 109 Crooks signed Statement of Abatement Costs (5203 : Protest Hearing - Property Abatement Liens and Assessments) Joint Special CC/BFPD/Odesa
02/6/23 07:00 PM
City Clerk / Records
Christina Rudsell
Ordinance
Doc ID: 5280

AGENDA ITEM
AGENDA MATTER:

INTRODUCTION AND FIRST READING OF ORDINANCE ____-2023 OF THE CITY COUNCIL OF THE CITY OF BARSTOW AMENDING CHAPTER 2.04 OF THE BARSTOW MUNICIPAL CODE REGARDING CITY COUNCIL MEETING TIME AND PLACE AND REPEALING ORDINANCE 889-2011 EXECUTIVE SUMMARY:

The City Council is asked to consider changing the day and time of the City Council meeting to the first and third Tuesday of each month at 6:00 p.m.

DISCUSSION:

Mayor Courtney and Councilmember Dyer Kruse have requested a discussion on changing the City Council meeting day and time. The City Council is asked to consider changing the day and time of the City Council meeting to the first and third Tuesday of each month at 6:00 p.m. The City Council is also being asked to approve the 1st reading and introduction of Ordinance ____-2023 amending Chapter 2.04 of the Barstow Municipal Code.

FISCAL IMPACT:

None
RECOMMENDED ACTION:

1. Approve the first reading and introduction of Ordinance ____-2023 by title only.

2. Direct the City Clerk to publish Ordinance ____-2023 according to Government Code Section 36933.

3. Direct the City Clerk to bring Ordinance ____-2023 back for the second reading and adoption at the February 21, 2023 meeting.
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