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 2025 2024 BARS24PS-043 2024 2025
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 [email protected] Growing Outreach Growing Opportunities PO Box 92 2025 Executive Director To Serve, Assist, Prevent and Educate.Create bridges, remove barriers that impair quality of life & access to care for all unserved populations through outreach & personalized case management. Our purpose is to fight poverty and insecurities that plaque San Bernardino County. Our towns will not progress if we do not assist those in need and their issues long term and guide them out of poverty with services and resources. To hand hold our residents that do not seek out assistance due to social stigma and fear. We serve all in our town of Barstow and nearby cities. These areas combined have over 38,000 residents. Gogo has served the Barstow community since 2017 including Ft. Irwin, Hinkley and Needles, Ca. We offer supportive services that include support groups, job & life skills training. In 2023 we secured funding from OHS and HHS-ACF. We continue fundraising & receive in-kind donations. These projects will continue until 2034.
7602622620 Executive Director Elizabeth Givens 300 Hutchinson Street Barstow / CA / 92312 Non- Profit 2024 [email protected] 3232373900 Elizabeth Givens barstow / CA / 92311 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? New Public Service Project 2025
We are in partnership and or collaborationwith manyminority and women ownedbusinesses and other non-profitsthat include Inspire together,United States Veteran Support Group andHigh Desert Community Outreach. All these entities are owned and or operated by minority men and women who also are determined to be a part of the solution.
Yes
N/A
2024 X
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 2025 Yes Yes Yes Yes
Thestreetoutreachprogramassiststhose livingat or below poverty level that without our program do not have accessor resources thatwill increase theirqualityof life, accesstocare andsecurelong term housingand careers. San Bernardino countyvision isnow in reach and we areclosing thegap so no one is left behind. We align with the county's vision of having prosperousand meaningful lifestyles for all who live here. Our program is designed to have a positive impact on our clients which in turns has a positive impact on our communities, with crime reduction, drug abuse and violence reduction, saferstreets, safer and cleaner public areas, living wage jobsthat stimulate the local economy and generate a sense of community and pride that will ensurethe county's vision is within reach.
Yes 2024 Yes Yes
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)
The target area for our services is Barstow, CA. Barstow is severely under servedand unserved. The city of Barstow is the most underserved cityin San county with44 percent of teens 18 and under living at or below poverty levels and over 23 percent of seniors living at or below poverty levels per the census reporter.We have high rates of insecurity, poverty, drug abuse, and other victims of crime and youth and young risk. 2025 Yes NoYes NoYes Yes Yes Yes Yes Yes2024 Yes Yes Yes Yes Yes Yes Yes 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 2025 No
This project will serve the city of Barstow.
Yes Yes 2024 Yes
Our priority is to reach the residents that normallywould not seek services or initiate help on their own.Our currentoutreach program ismobileand allows usto show up to the places where our clients are known to frequent. Once we make contact we are ableto provide immediate onsite assistancethat includesat homecovid tests, at homeSTI testing kits, mental health assessments, hygiene kits, food, water, prophylactics, clothing essentials, transportation and intake assessments. Our intake allows us to follow up and engage with our clients who are strongly encouraged to visitourcenter forsupport groups, workshops, customer service training, job development, job placement, life skills training, emergency housing referrals, child care referrals, groceries, clothing, family support events, community activities, referral services and case management.
Oursub activities includesupport groups, computer training, job skills training, job development,personal care, life skills training
Barstow has a population of over 25,000 residentsaccording to welfare info .orgBarstowcurrently has nearly 30 percent of itsresidentsliving in poverty.
We will be able to access andassistnearly 144women, children, youth, young adults and LGBTQIA+persons. This is unduplicated. Our services include mental health assessments, hygiene kits, food, water, prophylactics, clothing essentials, transportation and intake assessments.
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 This will not be the only funds for our street outreach project. These funds will allow us to expand our weekly outreach from one day a week to two days per week for needed supplies and fuel to travel for the year. If funding decreases we will maintain our one day per week outreach campaign. We do not rely on one single source for leveraging, we have multiple fundraising campaigns, local community support, and in-kind donations of monetary value and supplies.
2024 2025
A large part of the success for gogo is that we offer a street outreach program that allows us to go in the community, and meet them where they are and provide onsite assistance and provide detailed information, immediate assistance, immediate assessments and intake for residents that would not seek out assistance otherwise.
The street outreach is needed because our residents are not aware of what resources are available to them. According to ACF-HHS report over 40,000 youth and young adults benefited from street outreach services in a two year period. LAHSA has released there results for their Street outreach efforts and in a six month period they were able to contact and assist over 22,000 people.
This project will close that gap on access to care and resources. Our project address the gap in permanent housing by assisting our clients with securing living wages and addressing all barriers that impede their quality of life. Our city has no other active outreach programs that canvases the community to seek out the unserved and assist them with wrap around services or any services they may need including but not limited to emergency food, clothing, housing, counseling, medical needs, mental health, domestic violence and substance abuse.
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 2025 $100.00 $8,100.00 $2,000.00 $1,000.00 $4,000.00 2024$300.00 $2,000.00 $24,000.00 $41,400.00 $33,300.00 $5,000.00 $3,000.00 Public Services Program Application Fiscal Year –
Exhibit 4A: CDBG Funds Requested and Leveraging Information Indicate the amount being requested by the city.
City Amount Requested ($):
(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
$40,000.00 2025 $8,100.00 $20,000.00 2024 Barstow $20,000.00 Funding Fundraising 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 2025 Intake
Each minor client will have access to a safe haven within hours if needed. and the follow up care assessment will begin immediately and continue until completed within 12 months. GoGO has enlisted Karen Brown, who has a masters degree in social services to oversee and internally review clients cases and progress
400 150 300 2024 85 Outreach 250 750
Each client has an intake assessment that will create an individualized service plan. That will gauge and track completion and progress.
Case Management
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 2025 2025
his project will complete project expenditures , performance and accomplishments in four stages 25 percent will be completed September 2024, we will reach 50 % by December 2024, 75%March 2025 and 100% by June 2025
2024 2024 $2,025.00 $2,025.00 03/31/2025 $8,100.00 09/30/2024 06/30/2025 $2,025.00 $2,025.00 01/30/2024 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 2025 No
We will continue to offer these services through in-kind donations, fundraising and corporate giving. GoGo is actively applying for additional grants and funding with CAL OES and DHHS. We enlist third party for bookkeeping, accounting and payroll. Internally all spending have to be board approved and compliant
2024 No No No
Executive Director - Elizabeth Givens - AA degree in social services ip - 8 years experience Karen Brown Bachelors degree- CSLA
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 2025 NoNo
E-Signature Authorization
San Bernardino County
Community Development and Housing Departmemt
Community Development Block Grant
- 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 2025 2025 2025 Elizabeth Givens 12/11/2023 Executive Director Executive Director Growing Outreach Growing Opportunities 2024 2024 2024 Elizabeth Givens Po Box 92 Barstow, ca 92312 (760) 262-2620 (760) 262-2620 [email protected] 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) 501-0600 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 2024 2025