Agenda — Hemet City Council, October 14, 2025 (part 5 of 6)

Weed Abatement
C:\Users\dduncan\OneDrive - City of Hemet\Documents\Tasks\221_Weed_Abatement_20250929\Maps\Weed_Abatement_Oct_2025.aprx 10/1/2025 Parcels APN(s): 456050041 456050012 456050002 460020007 460020008 460020001 460242037 460250032 460250049 460250052 460250054 456050009 456050036

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Dutch Mill Rd
Walmart
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Sonic
Walgreens
Dusty Hill Rd
Morgan Hill Rd
Veronica Trl
W Stetson Ave
S Kirby St
Jacaranda Way
Manzanita Way
Seven Hills Dr
Chamise Wa
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Halstead Way Jasmine Way
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Sequoia Dr
Belmont Way
Burton St
Carnation Ave
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Flame Tree Way
Ivy St
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S Elk St
Via del Mesa
anta Elena Way
S Lyon Ave
Redondo Way
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Bella Vista D
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Granite Dr
W Tho
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Cobble Ln
Santa Te
Pepper Tree Dr
Lilac St
Carnation Ave
Red
Oa
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Santa Susana D
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Tanbark
Wa
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Sorrel Dr Yellowood Dr
Bishop Dr
Memorial Ave
Haven Pl
Regency Ave
Justice Pl
Tradition Ave
Tribal Ave
S Lyon A
W Stetson Ave
Sierra Dawn
Estates
Peppe
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Malachite St
Zirconia St
S Lyon Ave
Aspen
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Chambers St
Lodgepole Dr
Bishop Dr
S Elk St
Honor Way
Allegiance Ave
Monument St
Via del Mes
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S Palm A
W Thornton A
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Emerald St
Topaz Av
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Cameo Ave
Coral Ave Coral Ave Tierra Linda D
San Marcos Dr
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W Stets
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Chambe
S Palm Ave
Slate Ave
Coquina St
Berm
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Bahama D
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W Thornton Ave
Turquoise St
Emerald St
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Coral Ave
Ruby Ave
Opal Av
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San Marcos Dr
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Thornton Ave
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Spencer Park
Sherwin-Williams
Starbucks
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Thornton Ave
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Bahama Dr
Cayman Dr
S Thompson St
S Buena Vista St
King Ct
E Thornton Av
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Monterey Pl
Montebello Pl
Crenshaw Dr
Nicklaus St
Margaret Ave
Marjorie Ave S Taylor St
E Stetson Ave
Echo Hills Golf
Course
Hemet DMV
CVS Pharmacy
Chambers St
Dove
St
Santa Fe
St
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Weed Abatement
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Mahaffey St
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Nicklaus St
Margaret Ave
Marjorie Av
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Evelyn Way
Evelyn Way
Alcott Ct
S Taylor St
Marion
Ave
E Stetson Ave
Echo Hills Golf
Course
Santa
Fe
St
San Jacinto St
Legend Ln
Thorn
ton Ave
Crest Dr
De Vinna Ct
Frances Ln
Marcella Ln
Dixie DrGrace Ln
R
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Pixie L
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Stonehenge Cir
Sharose D
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Marlyce Ln
Madison Ct
Indian Tree Dr
San Jacinto St S San Jacint
Stetson Ave
Alessandro
Continuation
School
Big Springs Ranch Rd
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Aqueduct Rd
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Warren Rd
Warren Rd
Camino Sueno
Cort
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del Ma
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Spur Dr
Chute D r
Corte Viejo
Via Borrego
Co
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Mustang Wa
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Old Wagon Dr
Lasso Dr
Paseo Famos
Cort
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Warren Rd
Old Canyon Dr
Cottage Dr
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Weed Abatement
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Cove St
Cloudywing Rd
Red Admiral Ln
Pine
White Rd
Duskywing Rd
Cassiope Ct
Bayou Ct
Lagoon Ct
Poplar St
Wrangler Way
Fisher St
Ace St
Belle Way
Banjo Way
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Domenigoni Pkwy
G Roger
Brubaker Park
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Tree St
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Cross Gateway St
Al
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Ln
Seven Hills Golf
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Hills Dr
Malachite St
S Lyon Ave S Lyon Ave
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R3
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Chambers S
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Thornton Ave
Bermuda Dr
Bahama Dr
Cayman Dr
S State St
Mcsweeny
Elementary
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Village Loop
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McSweeny Pkwy Gilia St Everlasting St
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City of Hemet
City Council Meeting

STAFF REPORT
Meeting: City Council Meeting - Oct 14 2025
Department: Finance
Submitted by: Mark Prestwich, City Manager
Candace Sunds, Procurement Administrator;
☐ Receive and File ☐ Consent Calendar ☒ Business Item ☐ Public Hearing TITLE:

Consideration and Award of $100,000 of Community Grant Funds for Fiscal Year 2025-26 RECOMMENDED ACTION:

It is respectfully recommended that the City Council:

Approve Fiscal Year 2025-26 recommended grant awards as follows:
 Count Me In $2,500, Friends of The Valley-Wide Foundation $17,500, Genesis Christian Preschool $5,000, Healthy Valley Foundation $15,000, Hemacinto Music & Arts Alliance $5,000, Hemet Hospice Volunteers $5,000, Hemet Valley Art Association $4,800, Hemet Woman's Club $2,700, High Expectations development Corps $5,000, Independent Living Partnership $5,000, Michelle's Place Cancer Resource Center $5,000, Prince of Peace Family Ministries $2,500, Ramona Hillside Players $5,000, T.H.E. Center $5,000, The Can Man $5,000, VIP Tots $5,000 and Western Science Center $5,000.

The total aggregate amount of funding for FY 2025-26 is $100,000.

BACKGROUND:

On March 25, 2025, the City Council approved the Community Grant Funding Program Framework to support local nonprofit organizations serving Hemet residents. The Fiscal Year (FY) 2025-26 budget includes a $100,000 allocation for the non-profit Community Grant Funding Program.

FY 2025-26, Community Grant Applications were made available to the public on July 14, 2025, with a submittal deadline of 5:00 p.m. on September 15, 2025. Announcements were also mailed out to all non-profit organizations registered with the City.

ANALYSIS:

City staff received 39 applications totaling $547,965 in requests. Per the policy, the applications were reviewed for guideline qualifications and completeness, and all applications were presented to the City's Ad Hoc Committee for funding recommendations.

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DISCUSSION:

The City's Ad Hoc Committee, consisting of Mayor Peterson and Council Member Males, met to review applications with the City Manager, Administration Services Director, and Procurement Administrator, to make recommendations for the FY 2025-26 Community Grant Funding Program.

Below is a listing of the organizations that submitted an application and the Ad Hoc Committee's recommended funding allocation for FY 2025-26.

Applicant Event Amount Requested Ad Hoc
Recommendation
All Persons Housed Open Doors Housing
Program $20,000
Arrid Club Arrid Club $10,000
Boxing for Christ
3rd Annual Boxing for
Christ Youth
Conference
$2,500
Brown Sugar Coffee
Brown Sugar n' Coffee
Community Wellness
Hub
$15,000
Building Blocks Boo Bash $20,000
Community Pantry Support for Seniors
and Veterans $20,000
Count Me In Adaptive Sports and
Social Recreation $2,500 $2,500
Empathy for Autism
Neurodivergent Voices
of the Valley: Hemet
Family Empowerment
Conference
$7,500
Friends of The ValleyWide Foundation Pool Lift Project $20,000 $17,500 Genesis Christian
Preschool
The CHiLDREN'S
PLACE Grand
Opening
$20,000 $5,000
Healthy Valley
Foundation
Neighborhood
Revitalization Through
Comm Led Public Art
$15,000 $15,000
Hemacinto Music &
Arts Alliance
Hemacinto Instrument
Library $20,000
Hemacinto Music &
Arts Alliance
Hemet Jazz and Art
Festival $20,000 $5,000
Hemacinto Music &
Arts Alliance
Keys to Hemet:

Community Piano
Project
$15,000
Hemet Hospice
Volunteers
Charitable Care
Program $10,000 $5,000

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Hemet Valley Art
Association Monthly Art Gathering $4,800 $4,800
Hemet Woman's Club Hemet Woman's Club
Youth Writing Contest $2,750 $2,700
High Expectation
Development Corps Home in a Heartbeat $20,000 $5,000
His Plan Ministry His Plan Ministry
Program Expansion $20,000
Independent Living
Partnership - TRIP
Program
Hemet TRIP Program
Mileage
Reimbursement
$10,000 $5,000
Leading Edge
Educational
Foundation
Student Instructional
Services $15,000
Michelle's Place
Cancer Resource
Center
Cancer Support
Services for Hemet
Residents
$10,000 $5,000
Mrs. B's Table Mrs. B's Toy Shoppe $17,000
My City Youth Center After-School Program
for At-Risk Youth $20,000
Off the Chain Alliance Grief Group Support $7,600
Prince of Peace
Family Ministries
Community
Counseling Center &
Commercial Kitchen
$20,000 $2,500
Ramona Bowl
Amphitheater
Ramona Outdoor Play
Revitalization Project $20,000
Ramona Hillside
Players
Professionalization
and Educational
Outreach
Enhancement
$7,815 $2,500
Renewing Hope Mobile Hope Tour $20,000
Shannon
Martin/GuudSeed
Initiative
Youth Entrepreneur in
Training Program $15,000
Soroptimist
International - San
Jacinto Hemet Valley
Club
Best of Lunafest -
Films by/for Women $2,500
T.H.E. Center Coffee with Horses $8,000 $5,000
Tatis Tots Generation
of Breakout Fit
Foundation
New Year's Health
Promise $15,000
The Can Man Hire Up for Hemet $20,000 $5,000
The Green Coalition of
San Jacinto Valley Hemet Bike Rally $5,000
Time4College Fine Arts Enrichment $20,000

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and College Mentoring
Program
Valley Restart Shelter
Connecting Mobile
Trailers for
Transitional Housing
$20,000
VIP Tots VIP Tots $20,000 $5,000
Western Science
Center Science Saturday $10,000 $5,000
TOTALS $547,965 $100,000
PREVIOUS COUNCIL ACTION:

On March 25, 2025, the City Council approved the Community Grant Funding Program Framework (Attachment 2) along with the Fiscal Year 2024-25 awards as follows:
 Valley Community Pantry - $20,000
 Ramona Bowl - $20,000
 American Legion - $20,000
 Valley Restart - $15,000
 My City Youth - $15,000
 The Rose of Sharon - $10,000
STRATEGIC PLAN INTEGRATION:

GOAL ONE: QUALITY OF LIFE:

To ensure that Hemet is safe, clean, attractive and comfortable for all who live, work, and visit.

Objective 1: Enhance the visual appearance of the community to make it attractive and reduce blight.

Objective 2: Explore and implement homelessness solutions for the City of Hemet.

Objective 3: Increase Public Safety visibility and response.

GOAL THREE: COMMUNITY ENGAGEMENT
To connect and participate in a constant dialogue between members of the community, City staff, and elected officials to promote togetherness and positivity.

Objective 1: Deliver messaging to the Community that connects, is consistent, and relevant.

Objective 2: Increase transparency for the public.

Objective 3: Increase the community's pride within the City.

GOAL FOUR: PARTNERSHIP & COLLABORATION
To pursue partnerships that will increase the opportunities available to the community, including our businesses, unemployed, and youth populations.

Objective 1: Develop concepts and programs to increase opportunities for youth recreation.

Objective 2: Develop concepts and programs to enhance the quality of life services.

Objective 3: Develop programs to offer support to the community's businesses FISCAL IMPACT:

A $100,000 allocation for nonprofit assistance was approved in the Fiscal Year 2025-26 Budget (Account 110.00.2500.52400).

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ALTERNATIVE(S):

The City Council may consider adjustments to the Ad Hoc Committee's recommendations.

ATTACHMENT(S):

Attachment 1 Fiscal Year 2025-26 Community Grant Resolution Attachment 2 Community Grant Funding Policy
All Persons Housed Grant Application_Redacted
Arrid Club Grant Application_Redacted
Brown Sugar n Coffee Grant Application_Redacted
Boxing for Christ Grant Application_Redacted
Building Blocks Social Skills Grant Application_Redacted Community Pantry Grant Application_Redacted
Count Me In Grant Application_Redacted
Empathy for Autism Grant Application_Redacted
Friends of The Valley Grant Application_Redacted
Genesis Christian Preschool Grant Application_Redacted
Healthy Valley Foundation Grant Application_Redacted
Hemacinto Instrument Library - Grant Application _Redacted Hemet Jazz Art Festival Grant Application _Redacted
Keys to Hemet Community Piano Project Grant Application _Redacted Hemet Hospice Volunteers Grant Application_Redacted
Combined Application Hemet Valley Art Association_Redacted Hemet Woman_s Club Grant Application_Redacted
High Expectations Grant Application_Redacted
His Plan Ministry Grant Application_Redacted
Independent Living Partnership Grant Application_Redacted Leading Edge Educational Foundation Grant Application
Michelle_s Place Cancer Resource Center Grant Application_Redacted Mrs. B_s Table Grant Application_Redacted
My City Youth Grant Application_Redacted
Off The Chain Alliance Grant Application
Prince of Peace Family Ministries Grant Application
Ramona Bowl Amphitheater Grant Application_Redacted
Ramona Hillside Players Grant Application_Redacted
Renewing Hope Grant Application_Redacted
Shannon Martin GuudSeed Initiative Grant Application_Redacted Soroptimist International Grant Application_Redacted
THE Center Grant Application_Redacted
Tatis Tots Grant Application_Redacted
The Can Man Grant Application_Redacted
The Green Coalition Grant Application_Redacted
Time4College Grant Application_Redacted
Valley Restart Shelter Grant Application_Redacted
VIP Tots Grant Application_Redacted
Western Center Museum Grant Application_Redacted

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CITY OF HEMET RESOLUTION NO. 2025-XXX 1
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CITY OF HEMET

HEMET, CALIFORNIA
RESOLUTION NO. 2025-xxx

A RESOLUTION OF THE CITY COUNCIL OF THE CITY

OF HEMET, CALIFORNIA, APPROVING THE FISCAL
YEAR 2025-26 COMMUNITY GRANT AWARDS IN THE
TOTAL AGGREGATE NOT TO EXCEED $100,000
The City Council of the City of Hemet does resolve as follows:

WHEREAS, with the adoption of the fiscal year 2025-26 budget, appropriations in the amount of $100,000 were approved to enhance the community focused programs offered by local non-profit agencies, and;
WHEREAS, applications were made available to the public for fiscal year 2025- 26 on July 14, 2025 with a submittal deadline of 5 p.m. on September 15, 2025, and; WHEREAS, on September 24, 2025, the City’s Ad Hoc Committee, consisting of Mayor Peterson and Council Member Males, met to review applications with the City Manager, Administration Services Director, and Procurement Administrator to make recommendations for fiscal year 2025-26 Community Grant Funding Program, and; WHEREAS, final recommendations were approved as follows: Count Me In $2,500, Friends of The Valley-Wide Foundation $17,500, Genesis Christian Preschool $5,000, Healthy Valley Foundation $15,000, Hemacinto Music & Arts Alliance $5,000, Hemet Hospice Volunteers $5,000, Hemet Valley Art Association $4,800, Hemet Woman's Club $2,700, High Expectations development Corps $5,000, Independent Living Partnership $5,000, Michelle's Place Cancer Resource Center $5,000, Prince of Peace Family Ministries $2,500, Ramona Hillside Players $5,000, T.H.E. Center $5,000,

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CITY OF HEMET RESOLUTION NO. 2025-XXX 2
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The Can Man $5,000, VIP Tots $5,000 and Western Science Center $5,000, for a total aggregate of $100,000.

NOW, THEREFORE, THE CITY COUNCIL OF THE CITY OF HEMET FINDS, DETERMINES, ORDERS AND RESOLVES AS FOLLOWS:

SECTION 1. ACTIONS.

The City Council approves awarding the non-profit recipients as stated above with funding established within the fiscal year 2025-26 appropriations in account 110.00.2500.52400.

SECTION 2. EFFECTIVE DATE.

This Resolution shall become effective on October 14, 2025.

PASSED, APPROVED AND ADOPTED this 14th day of October, 2025. ____________________________
Jackie Peterson, Mayor
ATTEST:
__________________________
John Paul Maier, City Clerk

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CITY OF HEMET RESOLUTION NO. 2025-XXX 3
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State of California )
County of Riverside )
City of Hemet )
I, John Paul Maier, City Clerk of the City of Hemet, do hereby certify that the foregoing resolution was adopted by the Hemet City Council on the 14th day of October, 2025, and was passed by the following vote:

AYES: Council Members:

NOES: Council Members:

ABSTAIN: Council Members:

ABSENT: Council Members:
__________________________
John Paul Maier, City Clerk

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City of Hemet Community Funding
Grant Program Policy and Procedures
FY 2025/26
The City Council has allocated $100,000 in its Operating Budget for its annual Community Funding Grant Program.

Purpose
The purpose of this program is to provide financial assistance to help fund community events, projects, and programmatic services that benefit Hemet residents. Applications are accepted annually during the City’s designated application period.

Funding Philosophy
Community Funding is intended to augment the efforts of non-profit organizations that serve Hemet residents. Due to limited resources, not all requests can be funded. The City encourages a goal of self-sufficiency for all initiatives funded by this program. Accordingly, all organizations requesting funds from the City should continue efforts to establish stable private funding sources, as the City Council discourages an over-reliance on City financial assistance to maintain such programs on an ongoing basis. Submission of a complete application does not guarantee funding nor does receiving an award in the prior funding year.

Applicant Criteria
Applicants may apply for project or program funding that support the funding criteria below:

Projects or programs which promote or benefit the Hemet community with arts, culture, education, or provide support services to City of Hemet residents, including youth/family health and well-being initiatives and related services. The minimum grant request is $2,500 and the maximum grant request is $20,000.

Eligibility Requirements
To be eligible for funding, organizations must be:
• Tax exempt
• A non-profit with 501(c)(3) status in good standing in the State of California • Providing a project/program/event/service benefitting Hemet residents.

Funding is not available for salaries, scholarships, or to fund debt service.

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Note: Community events must be publicly advertised and open to the public.

The organization must obtain and maintain appropriate insurance coverage as determined by the City of Hemet and add the City of Hemet as additional insured, if required.

Guidelines
By law, all Community Funding may only be spent for a public purpose for the City of Hemet and must comply with all applicable laws. The City Council authorizes the City Manager in consultation with the Business Ad Hoc Committee, to make administrative modifications to the Community Funding Grant Program and Application to assist with maintaining proper compliance with applicable laws.

There will be no roll-over of budgeted funds for the Community Funding Grant Program from one fiscal year to another. Any funds not allocated or spent by a non-profit organization by the end of the fiscal year will be returned to the City’s General Fund.

Application Process and Submittal Deadline
• Applications Open July 14, 2025: Applications are available at City Hall and on the City’s website at www.hemetca.gov
• Application Submittal Deadline: Monday, September 15, 2025 at 5:00 p.m. • Submit by Email your Funding Request Form and all required documents prior to the application deadline to:
[email protected]
• It is the applicant’s responsibility to ensure that the application is complete. Incomplete or late applications may not be considered.

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Review Process

1. Initial Screening
Applications are first screened for completeness and eligibility by the City’s Procurement Administrator. Any incomplete applications or those not meeting the basic eligibility requirements may be disqualified.

2. Business Ad Hoc Committee Review
Each application that passes the initial screening will be evaluated by the City’s Business Ad Hoc Committee according to the specific criteria outlined in the guidelines and community needs. The Ad Hoc Committee may also request additional information or clarification from applicants, if needed, and will provide a funding recommendation to the City Council for approval.

3. Funding Decisions
Based on the deliberations, the City Council will make final decisions on which projects, events, or services will receive financial assistance. The Council has the discretion to award full, partial, or no funding to any applicant, depending on the availability of funds and the perceived value of the proposed activities.

Post Award Requirements

1. Reporting:

Recipients must submit a final report detailing the use of funds and the outcomes of the project, event, or services within 30 days of completion.

2. Acknowledgement:

Recipients must acknowledge the City of Hemet’s support in all promotional materials and reports.

3. Deviations from Scope of Work:

Any deviations from the proposed Scope of Work must be approved in writing by the City Manager or authorized by the City Council.

Contact Information
For questions or assistance with the application process, contact the City of Hemet’s Procurement Administrator, Candace Sunds, at 951-765-2348 or [email protected]

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Community Funding Grant Procedures and Application
FY 2025/2026
Purpose: The purpose of this program is to provide financial assistance to help fund community events, projects, and programmatic services that benefit Hemet residents. Applications are accepted annually during the City’s designated application period.

Eligibility Requirements: To be eligible for funding, organizations must be:
• Tax exempt
• A non-profit with 501(c)(3) status in good standing in the State of California • Providing a project/program/event/service benefitting Hemet residents. • Community events must be publicly advertised and open to the public. • Applicants must maintain appropriate insurance coverage as shown in attachment A. *** Please note: Funding is not available for salaries, scholarships, or to fund debt service. *** Application Process and Deadlines:
• Beginning July 14, 2025, Applications will be available at City Hall and on the City’s website at www.hemetca.gov.
• Applications are to be submitted by email to [email protected] no later than 5pm on September 15, 2025. Incomplete or late applications may not be considered. • The minimum request is $2,500, with a maximum limit of $20,000. • Applications are first screened for completeness and eligibility by the City’s Procurement Administrator. Any incomplete applications or those not meeting the basic eligibility requirements may be disqualified.
• Each application that passes the initial screening will be evaluated by the City’s Business Ad Hoc Committee according to the specific criteria outlined in the guidelines and community needs. The Ad Hoc Committee may also request additional information or clarification from applicants, if needed, and will provide a funding recommendation to the City Council for approval.
• Based on the deliberations, the City Council will make final decisions on which projects, events, or services will receive financial assistance. The Council has the discretion to award full, partial, or no funding to any applicant, depending on the availability of funds and the perceived value of the proposed activities.

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Post Award Requirements:
• Recipients must submit a final report detailing the use of funds and the outcomes of the project, event, or services within 30 days of completion. • Recipients must acknowledge the City of Hemet’s support in all promotional materials and reports.
• Any deviations from the proposed Scope of Work must be approved in writing by the City Manager or authorized by the City Council.
[SEE THE NEXT PAGE FOR THE APPLICATION]

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Community Funding Grant Application
FY 2025/2026

1. NAME OF APPLICANT/ORGANIZATION: __________________________________________

2. IS THE ORGANIZATION TAX EXEMPT? YES OR NO

3. IS THE ORGANIZATION A NON-PROFIT WITH A 501(C)(3) IN GOOD STANDING WITH THE STATE OF CALIFORNIA? YES OR NO

4. DO YOU MEET THE MINIMUM INSURANCE REQUIREMENTS LISTED IN ATTACHMENT “A”?

YES OR NO

5. CONTACT PERSON:

NAME: ______________________________________________
TITLE: _______________________________________________
PHONE: ________________________________
EMAIL:

ADDRESS: _ ___________________________
CITY: _______________________ STATE: _____ ZIP: __________

6. NAME OF EVENT/PROJECT/PROGRAM/SERVICE: __________________________________

7. DATE(S) OF EVENT/PROJECT/PROGRAM/SERVICE: ________________

8. LOCATION OF EVENT/PROJECT/PROGRAM/SERVICE: _______________________________

9. DESCRIPTION OF EVENT/PROJECT/PROGRAM/SERVICE: ____________________________ __________________________________________________________________________ __________________________________________________________________________

10. HOW DOES THE PROPOSED EVENT/PROJECT/PROGRAM/SERVICE BENEFIT THE COMMUNITY? ______________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ All Persons Housed
Patricia McClure
Co-Founder
Hemet CA 92545
Open Doors Housing Program
11/11/2025 - 11/112026
Hemet Ca
See attachment for answer Page 1.

See attachment for answer Page 1.

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11. EVENT/PROJECT/PROGRAM/SERVICEPROMOTION: What type of advertising/public relations/promotion methods do you plan to use to advertise the event? _______________ ___________________________________________________________________________

12. ANITICIPATED NUMBER OF ATTENDEES: _______

13. IS THIS EVENT FREE TO THE PUBLIC? YES OR NO

14. TOTAL AMOUNT OF FINANCIAL ASSISTANCE REQUESTED: ___________________________ ***The minimum request is $2,500, with a maximum limit of $20,000***

15. ANTICIPATED NUMBER OF OUT-OF-TOWN OVERNIGHT ATTENDEES: __________________

16. ANTICIPATED NUMBER OF LOCAL ATTENDEES: __________________

17. HOW MANY ESTIMATED HOTEL ROOM NIGHTS WILL BE GERENTATED BY THIS EVENT? __________

OFFICIAL WITH CONTRACTING AUTHORITY FOR THE ORGANIZATION I HEREBY CERTIFY that the facts stated herein this Event Funding Request are true and correct to the best of my knowledge. The Event described herein will be conducted in accordance with all applicable city/county and other regulations and the Event provides equal access to employment and event participation without regard to race, color, religion, sex, national origin, age, disability, or military status in accordance with applicable federal laws. _____________________________________ _____________________________ Officials Signature Date
_____________________________________________________________________________ Official’s Name and Title (Print)
See attachment for answer Page 1.

Capacity to serve 24 families (2 rooms x 12 months) or 48 individuals annually. $20,000
0 2
9/15/2025
Capacity to serve 24 families (2 rooms x 12 months) or 48 individuals annually.

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INSURANCE REQUIREMENTS FOR CITY OF HEMET COMMUNITY GRANT

FUNDING
Before JUDQW DZDUGV DUH authorizeG the City of Hemet requires a certificate of insurance including an underwriter’s endorsement prior to commencement of any work.

The general liability policies are to include additional insured endorsements that contain the following provisions:

1. That the City of Hemet and its respective officers and employees are additional insureds under the policy;

2. The policies are primary and non-contributory to any insurance that may be carried by CITY;

3. The CITY is entitled to thirty (30) days’ prior written notice (10 days for cancellation due to non-payment of premium) of cancellation, material reduction, or non-renewal of the policy or policies.

4. The insurance shall be carried only by responsible insurance companies that have rated “A- ” and “V” or better by the A.M. Best Key Rating Guide, that are licensed to do business in the State of California. CITY will accept insurance provided by non-admitted “surplus lines” carriers only if the carrier is authorized to do business in the State of California.

Commercial General Liability (CGL): Insurance written on an occurrence basis to protect Vendor and CITY against liability or claims of liability which may arise out of this order in the amount of Two million ($2,000,000) per occurrence and subject to an annual aggregate of Four million ($4,000,000). There shall be no endorsement or modification of the CGL limiting the scope of coverage for either insured vs. insured claims or contractual liability. All defense costs shall be outside the limits of the policy. 9HQGor VKDOO SroYLGH DQ HQGorVHPHQW WKDW WKH LQVurHr wDLYHV WKH rLJKW oI VuEroJDWLoQ DJDLQVW WKH &,T< DQG LWV rHVSHFWLYH HOHFWHG oIILFLDOV oIILFHrV HPSOo\HHV DJHQWV DQG rHSrHVHQWDWLYHV Vehicle Liability Insurance: Vendor shall also procure and shall maintain during the term of this order vehicle liability insurance in an amount not less than $1,000,000 for injuries, including accidental death, to any one person, and subject to the same minimum for each person, in an amount not less than $1,000,000 for each accident, and property damage insurance in an amount of not less than $1,000,000. 9HQGor VKDOO SroYLGH DQ HQGorVHPHQW WKDW WKH LQVurHr wDLYHV WKH rLJKW oI VuEroJDWLoQ DJDLQVW WKH &,T< DQG LWV rHVSHFWLYH HOHFWHG oIILFLDOV oIILFHrV HPSOo\HHV DJHQWV DQG rHSrHVHQWDWLYHV Workers’ Compensation Insurance: For all of Vendor’s employees who are subject to this order and to the extent required by applicable state or federal law, Vendor shall keep in full force and effect a Workers' Compensation policy. That policy shall provide a minimum of One million ($1,000,000) of employers' liability coverage, and Vendor shall provide an endorsement that the insurer waives the right of subrogation against the CITY and its respective elected officials, officers, employees, agents and representatives. In the event a claim under the provisions of the California Workers' Compensation Act is filed against CITY by a bona fide employee of Vendor participating under this Agreement, Vendor to defend and indemnify the CITY from such claim.

C\EHU 6HFXULW\ DQG 3ULYDF\ /LDELOLW\

LQ WKH HYHQW WKHVH LV FoOOHFWLoQ oI 3HrVoQDO ,GHQWLILDEOH ,QIorPDWLoQ
3,,
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LQVurDQFH wLWK OLPLWV oI 2 SHr oFFurrHQFHOoVV 4 JHQHrDO DJJrHJDWH wKLFK VKDOO LQFOuGH WKH IoOOowLQJ FoYHrDJH

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Community Funding Grant Application
FY2025/2026
NAME OF ARPUCANT/ORGANIZATION: 7AYVV1‘ d‘ClV b
ISTHEORGANIZATIONTAXEXEMPT? @ OR No
IS THE ORGANIZATION A NON-PROFIT WITH A 501(c)(3) IN GOOD STANDING WITH THE STATE OF CALIFORNIA? YES OR No
DO you MEETTHEMINIMUM INSURANCEREQUIREMENTSLISTEDINATTACHMENT”A"? @ OR No
CONTACT PERSON:

NAME: lam; A’rhmeon
TITLE: board Mam bat"
cm: HM STATECAZIP: ‘1254—9
NAMEor EVENT/PRO]ECI'lPROGRAM/SERVICE:Mf?i Cw
DATE(S)OF EVENT/PROJECT/PROGRAM/SERVICE: PM.\‘F
LOCATIONOF EVENT/PROJECI'IPROGRAM/SERVICE: I’D—o9--H>\rv/\VA 9T~ DESCRIPTIONOF EVENT/PRO]ECT/PROGRAM/SERVICE:
.
l 7. 9‘?» hVI5
«CorPagan gapkm WMY mm ol
k!Mca?asI146! V554 D!“

10. HOW DOES THEPROPOSED EVENT]PROJECT/ PROGRAM]SERVICEBENEFITTHE COMMUNITV?\J\/b indoi[hot/56 izgl'é magi—IA .e- 0" 4
Mix! b?ibau‘nninaI/? (r'a-m a ?rm. Ptzkéms
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w
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11. EVENT/PROJECT/PROGRAM/SERVICEPROMOTION: What type of advertising/ public \ relations/promotion methods do you plan to use to advertise the event? W14EYOVId A WLIvéiI’prvv §AtaIaopk- 1»va WWI-ml 9W0

12. ANITICIPATEDNUMBEROF A'lTENDEES: 9

13. ISTHISEVENTFREETO THEPUBLIC? E OR NO

14. TOTAL AMOUNT OF FINANCIALASSISTANCEREQUESTED: i I9‘ 990 “*The minimum request is $2,500, with a maximum limitof $20,000‘“

15. ANTICIPATED NUMBER OF OUT-OF-TOWN OVERNIGHTA1'I'ENDEES: 4' h b

16. ANTICIPATED NUMBER OF LOCALA1'I’ENDEES: @4—

17. HOW MANY ESTIMATEDHOTELROOM NIGHTSWILLBE GERENTATEDBYTHIS EVENT? L

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Monday
TuesdayWednesday
Thursday
FridaySaturdaySunday
No weapons, alcohol drugs or paraphernalia
ARR") CLUBHOURS MEETINGSBIIEIIlllE
5:15 am to 3:15 am11:45 am to 1:15 pm
3:45 pm to 8:15 pm
5:15 am to 8:30 am11:45 am to 1:15 pm3:45 pm to 6:15 pm5:15 am to 8:30 am11:45 am to 1:15 pm3:45 pm to 8:15 pm 5:15 am to 8:30 am11:45 am to 1:15 pm
3:45 pm to 6:15 pm
32:33:33; ARRID C U3:45 pm to 9:45 pm H E M E T C A
5:15 am to 8:30 am 7—7 120 8. HARVARD ST11:45 am to 1:15 pm HEMET, CA 92543 3:45 pm to 6:30 pm /'i

MISSIONSTATEMENT
The Arrid Club has been serving the San Jacinto Valley since June 20, 1973. The Arrid Club Is a non—profitcorporation whose primary purpose is in provide and malntaln a facility for its members and other attendees of 12-step progmms so they may hold meetings and host social and recreational events
5:15 am to 8:30 am9:45 am to 1:15 pm3:45 pm to 6:45 pm
No pets allowed
Service animals only

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11. EVENT PROMOTION: What type of advertising/public relations/promotion methods do you plan to use to advertise the event? ______________________________________________ ___________________________________________________________________________

12. ANITICIPATED NUMBER OF ATTENDEES: _______

13. IS THIS EVENT FREE TO THE PUBLIC? YES OR NO

14. TOTAL AMOUNT OF FINANCIAL ASSISTANCE REQUESTED: ___________________________ ***The minimum request is $2,500, with a maximum limit of $20,000***

15. ANTICIPATED NUMBER OF OUT-OF-TOWN OVERNIGHT ATTENDEES: __________________

16. ANTICIPATED NUMBER OF LOCAL ATTENDEES: __________________

17. HOW MANY ESTIMATED HOTEL ROOM NIGHTS WILL BE GERENTATED BY THIS EVENT? __________

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Community Funding-Grant Application
FY2025/2026

1. NAMEOFAPPLICANT/ORGANIZATION:'Il'
'
’ V”)T"(Tr/'3.

2. ISTHEORGANIZATION TAx EXEMPT? (LES) OR NO

3. Is THE ORGANIZATIONA NON-PROFIT WITH A 501(C)(3) IN GOOD STANDING WITH THE STATE OF CALIFORNIA? @’ OR NO

4. DO YOU MEETTHEMINIMUM INSURANCEREQUIREMENTSLISTEDIN ATTACHMENT“A”? 4??? OR NO K4,]

5. CONTACT PERSON:

CITY STATE: zIP:"
_,-_
NAME OF EVENT:
"
,- .

DATEOF EVENT:
'
'
'
LOCATIONOF EVENT:/ l.
-
DESCRIPTIONOF EVENT: ~
'
_ .-
'
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r
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.- ,. -’_ ‘ r .. fir; . I _. _; ;H_ .- '.-' F ‘I
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Eligibility Requirements: To be eligible for funding, organizations must be:
x Tax exempt
x A non-profit with 501(c)(3) status in good standing in the State of California x Providing a project/program/event/service benefitting Hemet residents. x Community events must be publicly advertised and open to the public. x Applicants must maintain appropriate insurance coverage as shown in attachment A. *** Please note: Funding is not available for salaries, scholarships, or to fund debt service. *** Application Process and Deadlines:
x Beginning July 14, 2025, Applications will be available at City Hall and on the City’s website at www.hemetca.gov.
x Applications are to be submitted by email to [email protected] no later than 5pm on September 15, 2025. Incomplete or late applications may not be considered. x The minimum request is $2,500, with a maximum limit of $20,000. x Applications are first screened for completeness and eligibility by the City’s Procurement Administrator. Any incomplete applications or those not meeting the basic eligibility requirements may be disqualified.
x Each application that passes the initial screening will be evaluated by the City’s Business Ad Hoc Committee according to the specific criteria outlined in the guidelines and community needs. The Ad Hoc Committee may also request additional information or clarification from applicants, if needed, and will provide a funding recommendation to the City Council for approval.
x Based on the deliberations, the City Council will make final decisions on which projects, events, or services will receive financial assistance. The Council has the discretion to award full, partial, or no funding to any applicant, depending on the availability of funds and the perceived value of the proposed activities.

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Post Award Requirements:
x Recipients must submit a final report detailing the use of funds and the outcomes of the project, event, or services within 30 days of completion. x Recipients must acknowledge the City of Hemet’s support in all promotional materials and reports.
x Any deviations from the proposed Scope of Work must be approved in writing by the City Manager or authorized by the City Council.
[SEE THE NEXT PAGE FOR THE APPLICATION]

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Community Funding Grant Application
FY 2025/2026

1. NAME OF APPLICANT/ORGANIZATION: __________________________________________

2. IS THE ORGANIZATION TAX EXEMPT? YES OR NO

3. IS THE ORGANIZATION A NON-PROFIT WITH A 501(C)(3) IN GOOD STANDING WITH THE STATE OF CALIFORNIA? YES OR NO

4. DO YOU MEET THE MINIMUM INSURANCE REQUIREMENTS LISTED IN ATTACHMENT “A”?

YES OR NO

5. CONTACT PERSON:

NAME: ______________________________________________
TITLE: _______________________________________________
PHONE
EMAIL:

ADDRE
CITY: _
ϲ͘ NAME OF EVENTͬWZK:
dͬWZK'ZDͬ^
Zs/
: ____________________________ͺ_____
ϳ͘ DATE;^Ϳ OF
s
EdͬWZK:
dͬWZK'ZDͬ^
Zs/
: ________________
ϴ͘ LOCATION OF
s
EdͬWZK:
dͬWZK'ZDͬ^
Zs/
: ______________________________ͺ
ϵ͘ DESCRIPTION OF
s
EdͬWZK:
dͬWZK'ZDͬ^
Zs/
: ______ͺ_____________________
__________________________________________________________________________ __________________________________________________________________________ ϭϬ͘ HOW DOES THE PROPOSED
s
EdͬWZK:
dͬWZK'ZDͬ^
Zs/

BENEFIT THE
COMMUNITY? _______________ͺͺͺ____________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________

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ϭϭ͘
s
EdͬWZK:
dͬWZK'ZDͬ^
Zs/
PROMOTION: What type of advertising/public
relations/promotion methods do you plan to use to advertise the event? ______________ͺ ___________________________________________________________________________ ϭϮ͘ ANITICIPATED NUMBER OF ATTENDEES: _______

13. IS THIS EVENT FREE TO THE PUBLIC? YES OR NO

14. TOTAL AMOUNT OF FINANCIAL ASSISTANCE REQUESTED: ___________________________ ***The minimum request is $2,500, with a maximum limit of $20,000***

15. ANTICIPATED NUMBER OF OUT-OF-TOWN OVERNIGHT ATTENDEES: __________________

16. ANTICIPATED NUMBER OF LOCAL ATTENDEES: __________________

17. HOW MANY ESTIMATED HOTEL ROOM NIGHTS WILL BE GERENTATED BY THIS EVENT? __________

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INSURANCE REQUIREMENTS FOR CITY OF HEMET &20081,7< *5$17 )81',1*
Before JUDQW DZDUGV DUH authorizeG the City of Hemet requires a certificate of insurance including an underwriter’s endorsement prior to commencement of any work.

The general liability policies are to include additional insured endorsements that contain the following provisions:

1. That the City of Hemet and its respective officers and employees are additional insureds under the policy;

2. The policies are primary and non-contributory to any insurance that may be carried by CITY;

Commercial General Liability (CGL): Insurance written on an occurrence basis to protect Vendor and CITY against liability or claims of liability which may arise out of this order in the amount of 7ZR million ($,000,000) per occurrence and subject to an annual aggregate of )RXU million ($,000,000). There shall be no endorsement or modification of the CGL limiting the scope of coverage for either insured vs. insured claims or contractual liability. All defense costs shall be outside the limits of the policy. 9HQGRU VKDOO SURYLGH DQ HQGRUVHPHQW WKDW WKH LQVXUHU ZDLYHV WKH ULJKW RI VXEURJDWLRQ DJDLQVW WKH &,7< DQG LWV UHVSHFWLYH HOHFWHG RIILFLDOV RIILFHUV HPSOR\HHV DJHQWV DQG UHSUHVHQWDWLYHV Vehicle Liability Insurance: Vendor shall also procure and shall maintain during the term of this order vehicle liability insurance in an amount not less than $1,000,000 for injuries, including accidental death, to any one person, and subject to the same minimum for each person, in an amount not less than $1,000,000 for each accident, and property damage insurance in an amount of not less than $1,000,000. 9HQGRU VKDOO SURYLGH DQ HQGRUVHPHQW WKDW WKH LQVXUHU ZDLYHV WKH ULJKW RI VXEURJDWLRQ DJDLQVW WKH &,7< DQG LWV UHVSHFWLYH HOHFWHG RIILFLDOV RIILFHUV HPSOR\HHV DJHQWV DQG UHSUHVHQWDWLYHV Workers’ Compensation Insurance: For all of Vendor’s employees who are subject to this order and to the extent required by applicable state or federal law, Vendor shall keep in full force and effect a Workers' Compensation policy. That policy shall provide a minimum of One million ($1,000,000) of employers' liability coverage, and Vendor shall provide an endorsement that the insurer waives the right of subrogation against the CITY and its respective elected officials, officers, employees, agents and representatives. In the event a claim under the provisions of the California Workers' Compensation Act is filed against CITY by a bona fide employee of Vendor participating under this Agreement, Vendor to defend and indemnify the CITY from such claim. &\EHU 6HFXULW\ DQG 3ULYDF\ /LDELOLW\

LQ WKH HYHQW WKHVH LV FROOHFWLRQ RI 3HUVRQDO ,GHQWLILDEOH ,QIRUPDWLRQ
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LQVXUDQFH ZLWK OLPLWV RI SHU RFFXUUHQFHORVV JHQHUDO DJJUHJDWH ZKLFK

VKDOO LQFOXGH WKH IROORZLQJ FRYHUDJH

$77$&+0(17 $
3DJH RI Page 32 of 198

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D /LDELOLW\ DULVLQJ IURP WKH WKHIW GLVVHPLQDWLRQ DQGRU XVH RI FRQILGHQWLDO RU SHUVRQDOO\

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3+,
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E 1HWZRUN VHFXULW\ OLDELOLW\ DULVLQJ IURP WKH XQDXWKRUL]HG XVH RI DFFHVV WR RU WDPSHULQJ ZLWK FRPSXWHU V\VWHPV LQFOXGLQJ KDFNHU RU GHQLDO RI VHUYLFH DWWDFNV F /LDELOLW\ DULVLQJ IURP LQWURGXFLQJ D FRPSXWHU YLUXV LQWR RU RWKHUZLVH FDXVLQJ GDPDJH WR YHQGRU
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age 33 of 198

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Community Funding Grant Application
FY2025/2026

1. NAME OF APPLICANT/ORGANIZATloN: WII P[TIT‘y

2. Is THE ORGANIZATION TAX EXEMPT? @ OR NO

3. IS THE ORGANIZATION A NON-PROFIT WITH A 501(C)(3I IN GOOD STANDING WITH THE STATE OF CALIFORNIA? @ OR NO

4. DO YOU MEET THE MINIMUM INSURANCE REQUIREMENTSLISTED IN ATTACHMENT "A"? @ OR NO
5, CONTACT PERSON:

NAME:
. &
TITLE:

PHONE:

EMAIL:

ADDRESS:

CITY: Hzme‘I’
I NAME OF EVENT/PROJECT/PROGRAM/SERVICE: 50! I‘
4 LOCATION OF EVENT/PROJECT/PROGRAM/SERVICE:
6 7‘ DATEIS)OFEVENT.PRDGRAM/5ERVICE: IOTI to RBI/25
8 9
4 X Lw' DI‘W‘I’DI‘
STATE: &- ZIF: q25q¢
jar 52,0{(213+ vawms
I DESCRIPTIONOFEVENT‘PROGRAM/
SERVICE:

Ha am" ETM [1'9
Sem‘ol‘S4. VeI'mnS wiH’Igod. fen-Ia] ?nal”iii/+7
ms gnaw,
MW
,
10‘ How DOES THE PROPOSED EVENT.PROGRAM/SERVICE BENEFITTHE COMMUNITV? Sg?t'g??‘ (Eagna‘f‘ :EI'naaa'aIIy ?bu’zfm m
Mummy. We hm Iv ’I’urWoty smrori
euwydml/who game in ?r rams) 4535an55.
mg can oaIIzgnu/[4g?nd my ’I‘IMC§ m awn-H's
meal“II/{Yb}agsishmce onca Pol“year

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11. EVENT/PROJECT/PROGRAM/SERVICEPROMOTION: What type of advertising/public relations/promotion methods do you plan to use to advertise the event? ‘ e
'
' ‘ or 01° on

12. ANITICIPATED NUMBER OF ATI'ENDEES: 21212

13. IS THIS EVENTFREETO THE PUBLIC? @ OR NO

14. TOTAL AMOUNT or FINANCIALASSISTANCEREQUESTED: 5.201 0 00. ’1’ ***Theminimum request is $2,500, with a maximum limit of $20,000***

15. ANTICIPATED NUMBER OF OUT»OF-TOWN OVERN|GHT ATI'ENDEES: Ml?

16. ANTICIPATED NUMBER OF LOCAL A'I'I'ENDEES: 200

17. HOW MANY ESTIMATED HOTEL ROOM NIGHTS WILL BE GERENTATED BV THIS EVENT? L

OFFICIALWITH CONTRACTINGAUTHORITYFORTHE ORGANIZATION
IHEREBVCERTIFYthat the facts stated herein this Event Funding Request are true and correct to the best of my knowledge. The Event described herein will be conducted in accordance with all applicable city/county and other regulations and the Event provides equal access to employment and event participation without regard to race, color, religion, sex, national origin, age. disability, ilitary us in accordance with applicable federal laws.

Officl Signature
Etuk??e'6in l(8,3
Official’s Name and Title (Print) \

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’ I a ACORD onsmnmnww CERTIFICATE OF LIABILITYINSURANCE 0512512025 THIs CERTIFICATE Is ISSUED As A MATTEROF INFORIvaION ONLV ANDcoNFERs NO RIGHTS UPON THE CERTIFICATE HOLDER THIs CERTIFICATE DoEs NoT AFFIRMATIVELV OR NEGAHVELV AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED av THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THEIssuING INSURER(S). AUTHORIZED REPRESENTATIVE OR PRODUCERAND THE CERTIFICATE HOLDER.

IIIIImRTANT: II the cenmcaie nolder Is an ADDITIONAL INSURED, the policylles) must have ADDITIONAL INSURED pravIsIons or he endmse?.

II sUEROGATION IS WAIVED,subjlcl to II“: um: and con D: of me policy. csnain par ' my mum.In endorsement. A smamom on this Certi?cate does not comer 09015to the ce?i?cate holder' In lieu M such endorsementls).

P“ oDvcER _ _ mm," DFI — erolamD Family Insurance Sewlces 3:5; “MID?“ m 2027 Hamner Ave III; III Err 050735-5335 Iwcm. (9501354750 Narco, CA 92050 £30145: cd®d?lnsurance.cam
License it: DD26889 INsuRsAIsIArmmus COVERAGE Mm .
msuRERA: Nonnro?ls Insurulf-E Alliance of CA
Insusso INEURERB. Skate Compensation Insurance Fund
Hemet Community Pantry INSURERC
P O Box 763 INSURER Hemet, CA 92545
'
’ ’

INSURER
Insunsxr:

COVERAGES CERTIFICATE NUMBER: 95010593535057 REVISION NUMBER: 55 THIS Is To CERTIFY THAT THE POLICIES or INsuRANcE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE poucv PERIOD INDICATED NoTWITHSTANDING ANYREQUIREMENT, TERM OR CONDITIONOF ANv CONTRACT OR OTHER DOCUMENT WITH RESPECT To WHICH THIS CERTIFICATE uAv BE ISSUED OR MAY PERTAIN, THE INSURANCE AEECRDED av THE POLICIES DESCRIBED HEREIN Is SUBJECT Io ALL THE VERA/IS, EXCLUSIONS AND CONDITIONS or SUCH POLICIES LIMITSSHOWN MAv HAVE BEEN REDUCED av PAID CLAIMS Ti: wrsarmsumcs W“;#53 mm mass #8337555;(gaggW) LIMITS
A X COMMERCIALGENERMLIABIUW Y - 0512312025 0512312025 EACHOCCURRENCE 5 2000000 I
DAMAGE ‘IO RENTED CLNMS-MADE X OCCUR PREMIsileaxtumnce) 5 500000 MEDEXPWIanIaDeIsCVII 5 20,000
rEnsaNALsAWINIuAI 3 2,000,000
EENLAGEAEGAIELIMnAwnEssEa azummmsans 5 4000000
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A LWWWLEUABIUW Y - 0512312025 0512312025 fEZI'IEI?‘EIS‘NE‘EJM" 5 1000000 ANVAum sea “mumrumml s
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OFFICER/MEMBER EXCLUDED? I“ A
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unsmwamw 5 1,000,000
A D80 35/13/2025 00231202.; LimiI 31.000000
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nEscIIII-nou OFOPERAYIOMS ILocAnousivsuIcLss (AcoAD IaI,A.Ia.I.mI mans Schedule my mmmmimm gym a TequIedI Certificate Holder named as additional insured.

CERTIFICATEHOLDER CANCELLATION
snouLD Auv OF THE ABOVE DESCRIBED POLICIES sE CANCELLED BEFORE THE EXPIRATIONDATE THEREOF, NOTICE WILL BE DELIVERED IN City of Heme! Accoaonncs WITH THE roucv PROVISIONS. 445 E. Florida Ave,
Hemet. CA 52540 Aumcmzsn RErAEssIITATNE
5;; = "' (con)
© 19882015 ACORD CORPORATION. All rights reserved.

ACORD 2512015103) The mom: name and Iogo are legislated marks M AcoHD Pnrued by ODD on 06/25/2025 at II 1ZAM

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Community Funding Grant Application
FY2025/2026

1. NAMEOF APPLICANT/ORGANIZATION: EEK ghves: DEA 610ri MéDI/

2. ISTHEORGANIZATION TAx EXEMPT? YES OR NO

3. IS THE ORGANIZATION A NONPROFIT WITH A 501(c)(3) IN GOOD STANDING WITH THE STATE OF CALIFORNIA? YES, OR NO
a. DO YOU MEET THE MINIMUM INSURANCE REQUIREMENTSLISTEDIN ATTACHMENT "A"? @ OR NO

5. CONTACTPERSON:

NAME: fwr LIE/“£5
TITLE: 5&5 LII/2672
PHONE:

EMAIL:

WM‘M‘IADDRESS:

CITv: Heme/r STATE: c? ZIP: 4Zf74/
NAME 0FEVENT/PRO]ECT/PROGRAM/SERWCE: AJWJI w ?rk WA SdUIJ Magi-?g:

DATE(S) OF EVENT/PRO]ECT/PROGRAM/SERVICEILog '23192”“: gIZSLIfItIL? Yuri/i 555153, I1I »
LOCATION OF EVENT/PROJECT/PROGRAM/SERVICE: 6 30 S EdinmU I'erAr-IAi-ienewL (A?g DESCRIPTIONOF EVENT/PRO]ECT/PROGRAM/SERVICE:W4”: E/Jwéff gap/I77” gy? g (frag; fa (421/ Ski/j! S?JK/S [VI/M 1434al/ff. [MAJ cc mfhw‘ #7 dma ”4071’A/L/

10. HOW DOESTHE PROPOSED EVENT/PROIEcr/PROGRAM/SERVICE BENEFITTHE COMMUNITY? thIu/e a mI; ma} (é: ”In“ Q: MILLUs Md olIIUwV’ Drmra/MS6Ln<l<eI'I/I<JJ. CuumLIMé ‘L'n ?rm’“165wa{)foI;ram! (M 94"“(11 idmil-7I ?va m‘mI‘rmi @M?vni'W/?/
I’Jdi’?m
I program:

Ifqu hawI’Iw Jm375M19»3am A/ “.21 AIi/J. Mdakamm:(15
Q l“ g munihh L.1)].ably] WIr/U Aver “[71a“ 0151,?
/ ZVIM/fMr”
Tim [Yo?fM‘V‘LVJ'fLQG‘VHm? j,“ [gowlv'rw .5 50/{44(lama gym I“ («s fig/iv [ls I90 III/4 (AA/590% Is /7 20M?) SIMVW NW 5“ We 5"““4 “Mmrzmp)! oKZIIjz/b/m’ DIzIIyIzwa/S’,

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11. EVENT/PROJECI'IPROGRAM/SERVICEPROMOTION: What type of advertising/public relations/promotion methods do you plan to use to advertise the event? 114,12;/LE ”?u/Hz -/"/4«77I (”E71 , ?aw by k, 7”!7(é€4/(7~M .

12. ANITICIPATEDNUMBER OF A'I'I’ENDEES: ~/ a
/

13. ISTHIS EVENTFREETO THEPUBLIC? YES 0R @

14. TOTAL AMOUNT OF FINANCIALASSISTANCEREQUESTED: 2530 ’ "*The minimum request is $2,500, with a maximum limit of $20,000***

15. ANTICIPATEDNUMBER OF OUT-OF‘TOWN OVERNIGHTATTENDEES: g

16. ANTICIPATEDNUMBER OF LOCALATTENDEES: 2
" I 3 0

17. HOW MANY ESTIMATEDHOTEL ROOM NIGHTS WILLBE GERENTATED 8V THIS EVENT? _,4/_

M
Date
dDZ‘ 4,570.25 mix/2e?
Official’s Name and Title (Print)

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26655 Del Rosa Drive, Hemet, CA 92544
Count-Me—In.net
August 11, zuz:

Dear City of Hemet, Community Funding Grant committee,
We have changed our name to EEKFltness, lnc. DBACount»Me~ln. We are looking forward to our new year and new name.

Founded in 2005, by two mothers of disabled children. Class size has grown from 5 to 90 sewing over 700 children and adults over the past 20 years. Throughout the years we have offered 20 different types of programs. Current programs include: 1) weekly Bowling, 2) twenty-four weeks of MartialArts, 3) weekly Yoga, 4) eight weeks of Baseball, 5) eight weeks of Basketball,6) Arts & Craftsweekly, 7) eight weeks of Flag football, 8) eight weeks of Soccer, 9) fourteen weeks of Social Skills,10) specialized ?tness class weekly. A monthly dance for ages 13 and up is held at Hemet United Methodist Churchsponsored by Count—Me-ln, San Jacinto LionsClub and United Way.

Just as there is a need for extracurricular activlties for the average person, there is an equal, and arguable greater need for people with Intellectual and Developmental Dlsabilities. Disabledpeople are often isolated in their homes because of the lack of opportunities to participate in extracurricular activities. These children and adults tend to develop behavioral, social and anger issues as they become older. Many ofthese behavior problems can be avoided if opportunities are provided to participate in sports and other activities in socially supportive environments.

Count-Me-ln provides opportunities for these individualsand their siblings to participate in extra-curricular activities while parents and caregivers are offered support. We willcontinue to offer an array of desirable programs to our participants. We provide a wlde range of support to meet individualstrengths and needs.

We willcontinue our outreach efforts to support parents and encourage siblings to participate in extra— curricular activities with peers, family and the community.

We are seeking funds to support our upcoming year of programs. We provide educated and quali?ed program instructors for our programs. AbdelhacAmrouche is a Personal Fitness Trainer, Sports Injury Specialist/Metabolic Specialist. He has been an adaptlve P.E. coach since 2013. He instructs our Fltness Class, Soccer, Baseball,Basketball, ?tness and allother sports related programs. Jennifer Lewisis a credentialed teacher, educational advocate, and parent of multiple children with special needs. She teaches Arts and Craft class. Michele Knight,is our Yoga Instructor with 14 years of experience. Brittney Estrellais a Speech Pathologist, owner of Naturally You Speech Therapy. She teaches our Social Skills program. These qualified personnel provide weekly services for $40.00 and up per session. Thisis far below competitive wages, but offsets travel expenses. They donate theirtime and effort.

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26655 Del Rosa Drive, Hemet, CA 92544
Count-Me-ln.net
The local community supports us through fundraising and donation. The Hemet United Methodist Church supports us through providing indoor and outdoor spaces for a minimal rental fee San Jacinto Llons, United Way pay for the food and electricity for our monthly dances. Providing these valuable services and programs are only made possiblethrough donations, fundraisers, and Grants.

We are requestlng $2,500.00 in giving from the Grant Committee to support the continuance of these programs. Your consideration is greatly appreciated.

Sincerely,
(47/51/17 ‘
£44»
Jodi Lewis
EEKFitness, lnc‘ DBA Count-Me-In
Treasurer

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i NONPROFITS‘ In INSURANCE NONPROFITSOWN® - AWE 0s unromu Panof MonthsInsumnoeAlbum[NW
| COMMERCIALGENERAL LIABILITYCOVERAGE DECLARATION |
MEMBERIn:_ poucv N0: —
NAMEDINSUREDAND MAILINGADDRESS PRODUCER AND MAIIJNGADDRESS 3431 EEK Fitness Inc. DFI Preterred Insurance &Financial Services LLC 2027 Hamner Ave
. NurcD.CA 92860
POUCY PERIOD: FROM07/16I2025 To 07/16/2026 AT 12:01 AM STANDARD TIMEAT YOUR MAILINGADDRESS SHOWN ABOVE.

IN RETURN FOR THE PAYMENTOF THE PREMIUM, ANDSUBJECT TO ALLTERMS OF THIS POLICY, WE AGREE WITHYOU TO PROVIDE THEINSURANCE AS STATED IN THIS POLICY.

COMMERCIAL GENERAL LIABIIJTYCOVERAGE

LIMITSOF INSURANCE
GENERAL AGGREGATE $3,000,000
PRODUCTS — COMPLETED OPERATIONS AGGREGATE $3,000,000
PERSONAL INJURY &ADVERTISING INJURY $1,000,000
EACH OCCURRENCE 51,000,000
DAMAGETO PREMISES RENTEDTO YOU $500,000 any one Premises MEDICAL EXPENSE $20,000 any one Parson
06/27/2025 BY
800.“!C”/a~
(AUTHORIZEDREPRESENTATIVE)
NOTICE: Thle rlsk pooling contract ls Issued by a poollng arrangement authorized by calliomla Corporations Code Section 5005.1. The pooling arrangement Is not subject to all of the insurance laws of the State of California and Is not subject to regulation by the Insurance Commissioner. Insurance guaranty funds are not available to pay clalms in the event the risk pool becomes insolvent.

NIA—DEC GL

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'5' -
NONPROFITS°

INSURANCE
ALLIANCEor CALFOINIA
PunctNunprdis lmumm Album rum

QUOTEIPOLICY
INSURED: EEK Fitness. Inc.

DECLARATION
NONPROFITSOWN ®
EFFECTIVEDATE: 07/16/2025
PRODUCER: DFI Preferred lnsuranoe 8. Financial
Services LLC

ITEMTWO - SCHEDULE OF COVERAGES AND COVERED AUTOS
This policy provides only those coverages where a charge is shown in the premium column below. Each of these coverages willapply only to those "autos"shown as covered "autos". “Autos" are shown as oavered “autos" for a particular coverage by the entry of one or more oisymbols iron the Covered Autos Sectlon of the Business Auto Coverage Form next to the name of the coverage.

COVERED
AUTOS

SYMBOLS COVERAGES LIMITS PREMIUM
8 Hired/Borrowed Auto $1.000,000 $90
9 Non Owned Liabllity See Item Five For Non Owned Liability $295 Added Personal Injury Protection(Or 30
Equivalent Added Nc«Faull Coverage)
ESTIMATED POLICYPREMIUM $385.00
"This policy may be subject to ?nal audit
06/27/2025 BY Wei/Q
(AUTHORIZED REPRESENTATIVE)
“NOTICE: This risk pooling contract Is Issued by a poollng arrangement authorized by California Corporations Code Section 5005.1. The poollng arrangement is not subject to all of the insurance laws ofthe State of California and is not subject to regulatlon by the Insurance Commlssloner. Insurance guaranty lunde are not available to pay claims In the event the risk pool becomes insolvent." NIA—DECCA

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I
POLICYNUMBER:—7 COMMERCIALAUTO —
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ ITCAREFULLY.

WAIVER OF TRANSFER OF RIGHTS OF RECOVERY

AGAINST OTHERS TO US (WAIVEROF SUBROGATION)
This endorsement modi?es insurance provided under the following:

AUTO DEALERSCOVERAGEFORM

BUSINESS AUTO COVERAGEFORM

MOTORCARRIER COVERAGE FORM
With respect tn coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement.

This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below.

Named Insured: m Fitness, Inc.

Endorsement Effective Date: 07/ 16/2025

SCHEDULE
Name(s) Of Person(s) Or Organization(s):

Any person or organization as required under a written contract: or agreement:
currently in effect, or becoming effective during the term of this policy. lnlormation required to complete this Schedule. if not shown above. willbe shown in the Declarations.

The Transfer Of Ri Ms 01 Recovery Agalnst
Others To Us condition does not apply to the
person(s) or organization(s) shown in the Schedule.
but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with
that person or organization.

CA04 M 10 13 © Insurance Services Office.inc, 2011 Page 1 0H

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‘
.I- NONPROFITS° D INSURANCE NONPROFITSoww - AIHANCEOFCALFOINIA mm NonprofitsInsuranceAtriummm
THIS ENDORSEMENTCHANGESTHE POLICY. PLEASEREAD ITCAREFULLY.

NONPROFITS OWN ENHANCEMENT ENDORSEMENT
This endorsement modi?es insumnce provided under the following:

COMMERCIAL GENERAL LIABILITYCOVERAGE FORM
It SCHEDULE OF ADDITIONALCOVERAGES, BENEFITS AND LIMITS The following is a summary of additional coverages and limitsprovided by this endorsement. Iftwo or more AdditionalCoverages Identi?ed withinthis endorsement apply to a claim.lass and/or suit, the Additional Coverage with the greatest limitshall be the sole and only AdditionalCoverage provided by us applicable to the claim.loss and/or suit,
Coveage M P?é
Abuse of Process 2
2 2
Damage to Property 0! Others $5.000 Occurrence / 2
$25,000 Aggregate
Electronic Data and Protected Health Information $50,000 2 Executive RecruitmentExpense $50,000 3
Identity Theft Expense $30,000 3
Kidnap Expense $50,000 3
Network Security Reimbursement $10,000 3
Newly Formed Entities - until end of policy period N/A 4 Non—ownedWatercraft (up to 75 feet) N/A 4
Security Event Costs and Expenses $50,000 4
Subpoena Response Expense $10,000 4
Terrorism Travel Reimbursement $30,000 4
Unsatis?ed Contributions $25,000 4
Workplace ViolenceI Crisis Incident / Outside Aggressor $100,000 5 Bene t L_irnjt Egg
Supplementary Payments — Ball Bonds $5,000 5
Supplementary Payments — Investigation or Defense $1.000 / per day 5 NIA-101 GL 05 20 Nonpro?ts Insurance Alliance“ and NONPROFITSowns are brands or Page 1 at 5 Alliance Member Services” [AMS), ©AMS, Allrights reserved,

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ll. ADDITIONALCOVERAGES
Abuse of Process
Section V 7 De?nitions, Paragraph 14.b, is replaced by the following, b. Malicious prosecution or abuse of process;
Cyber Breach Management and Reward Expenses
We willreimburse you for allreasonable costs and expenses you incur, with our prior written consent, for "Cyber breach management" due to a "Cyber security event", ifthat "Cyber security event" takes place during the policy period.

We willreimburse you for all reasonable costs and expenses you incur, with our prior written consent, for payment of a "reward".

Our maximumaggregate limitof liability for all 'Cyber breach management" and "reward"costs and expenses covered by this policy shall be $25,000.

Cyber Extortion
We wilt reimburse you for reasonable costs and expenses you incur, with our prior written consent, because of a threat or threats. during the policy period. that include an actual extortion demand related to your computer system.

Our maximumaggregate limitof liabilityfor all costs and expenses due to extortionoovered by this policy shall be $50,000.

Damage to Property of Others

1. We will pay:
a. For damage to property of others when such damage is the result of an act committedby your “client"and the property damaged is owned by someone other than you or any of your ‘clients", employees or volunteers; or
be Those sums for which you are legally obligated to pay for damage to property which is rented or occupied by you, including any costs or expenses incurredby you or any other person. organization or entity for repair. replacement, enhancement, restoration or maintenance of such property lor any reason, including prevention of injury to a person or damage to anothei’s property, which is not die result of an act committed by your “client”.

2. Our maximum limitfor all damage to property of others and/or damage to property which is rented or occupied by you is 35,000 for any one act, error or omission, or a series of related acts, errors or omissions, subject to an annual aggregate limitof $25,000t

3. Iftwo or more coverage parts. forms or policies written by us apply to a property damage claim, the coverage part, lorm, or policy provided by us with the highest limit applicable to that property damage shall be the sole coverage provided by us applicable to that property damage.

A. if other coverage not written by Us applies to a claim for damage to property to which this endorsement applies, you agree:
a. to transfer to the extent of payment made pursuant to the coverage provided by this endorsement, any rights to that other coverage to us;
be to do nothing to impair those rights or the hansfer of those rights to us; and MIA-101GL 05 20 Nonpro?ts Insurance Alliance” and NONPROFITSOWNO are brands of Page 2 MB Alllenoo Member Services"I (AMS). 6AMS, All rights reserved.

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c. to cooperate with us in the pursuit and enforcement of those rights.

Any claim for property damage which arises out of an act. error or omission, or a series of related acts, errors or omissions which commences in one policy year and continues and/or results in additionalproperty damage in a subsequent policy year, willbe construed as though the property damage was sustained or incurredsolely in the policy year In which the damage ?rst commenced.

Electronic Data and Protected Health Information
We will pay those sums that the insured becomes legally obligated to pay as damages because of the loss of "Electronic data" or disclosure of “Protected health information". The loss of “Electronicdata" must be caused by a negligent act, error or omissionor a series of causally related negligent acts or errors or omissions which take place during the time that this policy is in effect Alldamages which arise out of an offense whichconstitutes a disclosure, loss or use of “Protected health inlormatlon'or a series of continuous or interrelated disclosures.losses or uses of “Protected health information"willbe considered as arising out of one disclosure, loss or use of “Protected health information”which shall be deemed to be an offense committed on the date of the ?rst such disclosure, loss or use of “Protected health information" or violation of privacy rights through the disclosure, loss or use of "Protected health inlon'nation', which disdosure, loss. use or violation must take place during the time that this policy is in effect
The most we willpay forthe sum of all damages and expenses under this policy because of ”Loss of electronic data" and/or the disclosure, loss or use of “Protected health information" shall be an annual aggregate limit of $50,000.

Executive Recruitment Expense
We willreimburse necessary and reasonable extra expense incurred to recruit a person to replace the Chief Executive Ottioer or Executive Director of the "Organization” it the Chief Executive Officer or the Executive Directordies by accident during the policy period. Such extra expense includes amounts paid by the "Organization" for advertising. travel reimbursement, legal costs and executive search ?rm consulting fees. This additional coverage is subject to an annual aggregate of $50000, which isthe most we will pay for the sum of all recruitment expense claims under mis policy.

Identity Theft Expense
We willreimburse any natural person who quali?es as a cunent “Member”.for necessary and reasonable “Identity theft expense“ due to an "Identity theft" ?rst discovered by the “Member“during mepolicy period. reported to us within 60 days after discovery, and it the “identity theft" occurred whilethe “Member”was acting within the scope of employment for the “Organization".This additionalcoverage is subject to an annual aggregate of $30,000. which is the most we will pay for the sum of all "identity theft expense" claims under this policy.

Kidnap Expense
We willreimburse necessary and reasonable expenses incurred by the ‘Organization” resulting directly from the kidnapping of a “Member"or a “Relative" during the policy period. This additional coverage is subject to an annual aggregate of $50,000, which is the must we will pay for the sum of all kidnap expense claims under this policy.

Necessary and reasonable kidnap expenses include:

1. Fees and costs of independent negotiators;

2. Travel costs and accommodations incurred by a ‘Member" or a "Relative"; MIA-101GL05 20 Nonpro?ts Insurance Alliance” and NONPROFiTs owneare brands or Page 3 or3 Alliance Member Services" (AMSt o AMS. Allrights resented

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3. Salary paid by the “Organization“to a "Member"who is kidnapped, from the date of abduction to the earliest of:
a. Up to 30 days after release ifthe kidnapped "Member'has not yet returned to work; b. Discovery of the kidnapped "Member’s"death;
c. 120 days after the last credible evidence following abduction that the kidnapped “Member" is still alive:or
d. 60 months alter the Member‘s"abduction.

4. Interest costs tor any loan from a ?nancial institution taken by the “Organization" to pay a ransom demand;

5. Reward money paid by the "Organization" to an Informant, other than a “Member“ or a “Relative,” that leads to the arrest and convictionof parties responsible for loss under this additionalcoverage.

Network Security Reimbursement
We willreimburse you up to $10,000 for reasonable costs and expenses you have incurred.with our prior written consent and subject to veri?cation, for payment of an insurance deductibleand/or self-insured retention for insurance issued to you as the named insured by an entity other than us, which insurance has been paid to you or on your behalf tor a loss sustained during the time that this endorsement is in effect or a claim for damage sustained during the time that this endorsement is in elfect, which loss or damage results from the unauthorized access to. disclosure fromor interference with your computer system, including the tailure by you to prevent such unauthorized access. disclosure or interference, Newly Formed Entities
Section N- Who is an Insured, Paragraph 3. a. is replaced by the following:

3. Coverage under this provision is afforded until the end of the policy period.

Non-owned Watercraft
COVERAGE A - BODILY INJURY AND PROPERTY DAMAGELIABILITY. Paragraph 2.9.Exclusions.

Aircraft.Auto.or Watercraft Subparagreph (2) (a) is replaced by the following:
(a) Less than 75 feet long; and
Security Event Costs and Expenses
We willreimburse you for reasonable costs and expenses you incur.with our prior written consent, for noti?cation of a 'Security event" to thirdparties in compliance with governmental or judicial requirements, or for credit protection services furnished to thirdparties whose private information may have been disclosed.

Our maximum aggregate limitof liabilityfor all "Security event" costs and expenses covered by this policy shall be $50,000.

Subpoena Response Expense
We willreimburse an insuredfor expenses inclined in responding to a subpoena which the Insured ?rst receives during the term of this policy and has reported in writing to us priorto the lncurring of the expenses.

The maximum amount reimbursableunder this coverage. regardless of the numberot subpoenas or number of insureds receiving subpoenas is $10,000 per policy period.

MIA-101GL05 20 Nonpro?ts Insurance Alliance" and NONPROFITSOWNGare brands at Page 4 of 8 Alliance Member Sen/loss” (AMS). 0 M5. Allrights reserved.

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Terrorism Travel Reimbursement
We willreimburse any current “Member“ lor necessary and reasonable "Extraordinary travel expense" incurred because of a “Certi?ed Actof Terrorism'Iduring the policy period This additionalcoverage is subject to an annual aggregate 0' $30,000. which is the most we willpay for the sum of all“Extraordinary travel expense" claims under this policy
Unsatis?ed Contributions
We willpay, with respect to an "Unsatis?ed contribution", the unpaid balance of a prior written pledge to contribute, up to an annual aggregate amount of $25,000 for all such claims.

This Additional Coverage does not apply to:

1. An "Unsatis?ed contribution" from a donor who ?led for, or who was in, bankruptcy before you received the donor's written pledge to contribute:

2. Any amount in excess of the fair market value of an "Unsatis?ed contribution"of goods. services or property:

3. An “Unsatis?ed contribution" where either the donor or you believed at the time of the written pledge that the donor would not be able to contribute the full amount pledged;

4. An ”Unsatis?ed contribution"arising out of a written pledge made prior to the poliw period;

5. An "Unsatis?ed contribution"?rst known to you after the policy period.

Workplace Violence I Crisis Incident I Outside Aggressor We willpay with respect to a “Workplace violence incident".“Crisis incident", or “Outside aggressor incident"(collectivelyreierred to herein as the incident) during the policy period and withour prior written consent the following:

1. all reasonable expenses you incur for psychological counseling of your 'employee(s)" during the six months following the incident, subject to Exclusion 2.d of Section l, Coverage A within the Commercial General LiabilityCoverage Form to which this endorsement is ethached regarding Workers’ Compensation and similarlaws;

2. reimbursement for the cost of the physical damage to or loss at use of personal property used in your business caused by the incident;
public relations consultant costs incurred by you within 90 days of the incident; recruitment costs to replace your employee(s) who were physically present during the incident and are unable to continue working as a result of the incident where such costs are incurred within 90 days of the incident;

5. reimbursement of security costs or measures incurred by you within 30 days of the incident:and reimbursement of funeral costs of up to $10,000 per “employee" as a result of the incident.

Our maximum aggregate limitfor all costs and expenses includedwithin the Workplace violenceI Crisis incident/ Outside aggressor coverage shall be $100,000 per policy period. This coverage shall not be applicable to any cost and/or expense which is covered by any other coverage issued by us to the Named insured of the policyto which this endorsement is attached NiA—101BL 05 20 Nonpro?ts Insurance Alllance‘“ and NONPROFITS 0WN® are brands 0' Page 5 of 8 Alliance Member Services" (AMS).o AMSVAllrights men/ed.

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lll. SUPPLEMENTARY PAYMENTS
Bail Bonds
Supplementary Payments — Coverages A and 3. Paragraph 1. b. is replaced by the following:
b. Up to $5.000 for cost of bail bonds required because of accidents or traf?c law violationsarising out of the use of any vehicleto which the Bodily InjuryLiabilityCoverage applies. We do not have to furnish these bonds.

Investigation or Defense
Supplementary Payments — Coverages A and B, Paragraph 1. d. is replaced by the following:
d. Allreasonable expenses Incurred by the insured at our request to assist us in the investigation or defense of the claim or ”suit”.including actual loss of earnings up to $1,000 a day because of time offfrom work.

IV. COVERAGE B - PERSONAL AND ADVERTISINGINJURY LIABILITY For the purposes of the coverage provided by this endorsement the following Exclusionis added to Coverage B - Personal and Advertising Injury Liability:

2. Exclusions:
q. Fines, Penalties and Damages
Fines.penalties, sanctions, punitive or exemplary damages, the multiplied portion of multiplied damages, non-pecuniary relief or any amount arising from matters deemed uninsurable under the law pursuant to which this policy shall be construed
V. ADDITIONALDEFINITIONS
“Certi?ed Act of Terrorism” means an act that is certi?ed by the Secretary of the Treasury, in concurrence with the Secretary of State and the Attorney General of the UnltedStates. to be an act of terrorism pursuant to the federal Terrorism RiskInsurance Act of 2002 or any extension or amendment of the Terrorism Risk Insurance Act of 2002 or any similar law. “Client"means an individual or individualsenrolled or participating in a program, class, activity, and/or receiving services administered, managed, supervised or governed by you. "Crisis incident" means a dangerous or unsafe event, such as the discharge of pollutants or politically inspired violence at your business premises or at an event sponsored by you. resulting in death or serious bodily injury to three or more persons, including a public announcement that a “Crisis incident“has occurred on your business premises or at an event sponsored by you. “Cyber breach management" means hiring for a speci?ed period of time following 3 "Cyber security event" such organizations as a law?rm. an information security ?rm or a public relations ?rm. as wellas preparation and placement of advertisements and public relations activities. "Cyber security event" means:

1. An act, error or omission that results.during the policy period. in unauthorizedaccess or unauthorized use of your computer system; or

2. Unauthorized or unexpected interference by anyone that restricm or prevents access. during the policy period, to a computer system by persons who are authorized to gain such access: or MIA-101BL 05 20 Nonpro?ts Insurance Alliance“ and NONPROFITS OWNE are brand: of Page 6 of 8 Alliance Member Services“ (AMS).18AMS.Allrights reserved.

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3. Infection of your computer system. during the policy period. by corrupting or harmful computer code.
"Electronicdata" means inion'nation.facts or programs stored as or on, created or used on. or transmitted to or from computer software, including systems and applications so?ware, hard or ?oppy disks.CDROMS.tapes. drives, cells, data processing devices or any other media which are used with electronically controlled equipment.
“Extraordinary travel expense“ means necessary and reasonable hotel expense incurredwithin48 hours of a “Certi?ed Act of Terrorism” that caused a “Members" commercial train trip or airline ?ight to be cancelled, as well as the increased amount necessarily and reasonably incurred by the “Member”due to rescheduling train or airline transportation that was cancelled as a result oi a ‘Certi?ed Act oi Terrorism". ‘ldentity theft" means fraudulent use of the social security number or other method of identifying a currem "Membef’, except the "Organization". and Includes fraudulently using the personal identity of the "Member"to establish credit, secure loans, enter into contracts or commitcrimes. "ldentity theft expense" means necessary and reasonable expense for:

1. Costs oi re-iilingapplications for loans. grants or other credit instruments that are rejected solely as the result of an “Identity theft"; or

2. Costs of notarizing af?davits or other similar documents, long distance telephone calls and postage solely as a result of the “Member's“ efforts to report an “Identity Theft"or amend or rectify records with respect to the "Member’s”tme name or identity as a result of an “identity theft".
"Lossof electronicdata" means:

1. Damage to, loss oi, loss of use of, corruption of, inability to access or inability to manipulate "electronicdata". and

2. "Identity the?'.
"Member" means the “Organization”and any natural person who was, Is, or becomes duly elected a director or trustee, or duly elected or appointed of?cer, employee. committeemember.volunteer, intern orstudent in training of the "Organization",solely in his or her capacities as such. "Member‘ also means the spouse of a director, trustee, of?cer, employee. committee member, volunteer, intern or student in training for a claim arising solely out of his or her status as the spouse of a member, "Organization” means the entity(ies) designated as the Named Insured in the declarations. “Outside aggressor event" means an attack at or adjacent to your business premises by a person or group or persons, not your employee or employees. actively engaged in killing.attempting to killor causing serious physical inlury to a person or group of persons. “Protected health information"means any information.whether oral or recorded in any form or medium:

1. That relates to the past. present or future physical or mental condition of an indivtdual; the provision of health care to an individual; or the past, present or iuture payment for the provision of health care to an individual:

2. That identi?esthe individual or with respect to whichthere is a reasonable basis to believe the iniormation can be used to identifythat individual; and

3. as de?ned within the Health Insurance Portability and Accountability Act of 1996.42 U.S.C. §1320d-1320d-& ("HlPAA")and other similar federal, state or local laws or statutes.

NIA—101GL05 20 Nonpro?ts Insurance Alliance" and NONPROFITS OWN® are brands of Page 7 M8 Alliance Member Services" (AMS) 0 MS. Allrights VaseNed‘

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“Relative” means the spouse. parent. child (including a ward or foster child) or legally recognized domestic partner of a “Member”.
"Reward"means the reasonable amount that you pay a person for information regarding a “security even " or threatened or actual extortion covered by this policy;provided that the information is not otherwise available and leads to the arrest and conviction ot a person responsible for the "security event“ or extortion.
"Security event" means:

1. An act. error or omissionthat results.during the policy period. in unauthorized access or unauthorized use of your computer system; or

2. Unauthorized or unexpected interference by anyone that restricts or prevents access.during the policy period. to a computer system by persons who are authorized to gain such access:or

3. Infection of your computer system. during the policy period. by corrupting or harmful computer code.
"Unsatis?ed contribution" means a contribution of money. goods. sen/Ices or property, pledged to you in writing. that is not honored because of the donor‘s bankmp’lcy, reorganization, unemployment or incapacitation where such bankruptcy, reorganization. unemployment or incapacitation prevents the donor from ful?lling its terms of mecontribution.
“Workplace violence incident" means any intenu‘onalthreat or act 01deadly force, including stalking and/or actual or attempted suicide.occurring on your premises and resulting in “bodily injury"to your employee(s). to your guest(s). or to your business invitee(s).

MIA-101GL05 20 Nonpro?ts Insurance Alliance" and NONPROFITS 0WN® are brands of Page 3 at 8 Alliance Member Services" (AMS).0 MS. Allrights mxerved.

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POLICY NUMBER: 0 1-CP-0023622—01-17 COMMERCIALGENERAL LIABILITY CO 20 12 04 13
THIS ENDORSEMENTCHANGES THE POLICY. PLEASE READITCAREFULLY.

ADDITIONALINSURED — STATE OR GOVERNMENTAL
AGENCY 0R SUBDIVISIONOR POLITICAL
SUBDIVISION — PERMITS OR AUTHORIZATIONS
This endorsement modi?es insurance provided under the following:

COMMERCIALGENERAL LIABILITYCOVERAGE PART

SCHEDULE
State Or Governmental Agency Or Subdivision Or Political Subdivision:

Any state or political subdivision that issues a permit or authorizationto the named insured Information required to complete this Schedule, if not shown above willbe shown in the Declarations.

A. Section II — Who Is An Insured is amended to
include as an additional insured any state or
governmental agency or subdivision or political
subdivision shown in the Schedule, subject to the
following provisions:

1. This insurance applies only with respect to
operations performed by you or on your behalf
for which the state or governmental agency or
subdivision or political subdivision has issued a
permit or authorization.

However:
or The insurance afforded to such additional
insured only applies to the extent permitted
by law: and
or I! coverage provided to the additional
insured is required by a contract or
agreement the insurance afforded to such
additional insured will not be broader than
that which you are required by the contract
or agreement to provide lor such additional
insured.

CG 20‘12 0413 © Insurance Services Of?ce, Incl, 2012

2. This insurance does not apply to:
a. "Bodily injury". "property damage” or
"personal and advertising injury" arising out
at operations performed for the federal
government. state or municipality; or
b. "Bodilyinjury" or “property damage” included
within the “products-completed operations
hazard".

B. With respect to the insurance afforded to these
additional insureds, the following is added to
Section III- Limits Of Insurance:

Ii coverage provided to the additional insured is
required by a contract or agreement, the most we
willpay on behalf of the additional insured is the
amount of insurance:

1. Required by the contract or agreement; or

2. Available under the applicable Limits of
Insurance shown in the Declarations:
whichever is less,
This endorsement shall not increase the applicable
Limits oi Insurance shown in the Declarations.

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poucv NUMBER— COMMERCIALGENERAL LIABILITY -
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL INSURED - DESIGNATED

PERSON OR ORGANIZATION
This endorsement modi?es insurance provided under the following:

COMMERCIALGENERAL LIABILITYCOVERAGE PART

SC HEDULE
Name Of Additional Insured Person(s) Or 0rganizarion(s):

Any person or organization that you are required to add as an additional insured on this policy, under a written contract or agreement currently in effect or becoming effective during the term of this policy The additional insured status willnot be afforded with respect to liability arising out of or related to your activities as a real estate manager for that person or organization.

Information required to complete this Schedule Ifnot shown above. will be shown in the Declarations A. Section II — Who Is An Insured is amended to
include as an additional insured the person(s) or
organization(s) shown in the Schedule, but only
with respect to liability for "bodily injury". “property damage" or "personal and advertising injury"
caused, in whole or in part, by your acts or
omissions or the acts or omissions of those acting
on your behalf:

1. In the performance of your ongoing operations:
or

2. In connection with your premises owned by or
rented to you.

However:

1. The insurance afforded to such additional
insured only applies to the extent permitted by
law:and

2. I1coverage provided to the additional insured is
required by a contract or agreement, the
insurance afforded to such additional insured
will not be broader than that which you are
required by the contract or agreement to provide
for such additional insured.

CG 20 261219 © Insurance Services Office, Inc., 2018
B. With respect to the insurance afforded to these
additional insureds. the following is added to
Section III- Limits Of Insurance:

If coverage provided to the additional insured is
required by a contract or agreement, the must we
will pay on behalf of the additional insured is the
amount of insurance:

1. Required by the contract or agreement: or

2. Available under the applicable limits of
insurance:
whichever is less.

This endorsement shall not increase the applicable
limits of insurance.

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POLICY NUMBER:—' COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONALINSURED — OWNERS, LESSEES OR
CONTRACTORS — SCHEDULED PERSON OR

ORGANIZATION
This endorsement modi?es insurance provided under the following:

COMMERCIALGENERAL LIABILITYCOVERAGE PART

SCHEDULE
Name of Additional Insured Personis)
Or Organizationis) Locationts) Of Covered Operations
Any person or organrzation that you are required to
add as an additionalinsured on this policy. under a
written contract or agreement currently in effect, or
becoming effective during the term of this policy.

The additional insured status willnot be afforded
with respect to liabilityarising out of or related to
your activities as a real estate manager for that
person or organization
information required to complete this Schedule, if not shown above. willbe shown in the Declarations.

A. Section II - Who Is An Insured is amended to
include as an additional insured the personis) or
organizationis) shown in the Schedule, but only
with respect to liability lor "bodily injury". "property damage" or "personal and advertising injury"
caused. in whole or in part, by:

1. Your acts or omissions: or

2. The acts or omissions of those ac?ng on your
behalf:
in the performance of your ongoing operations for
the additional insuredis) at the location(s)
designated above.

However:

1. The insurance afforded to such additional
insured only applies to the extent permitted by
law; and

2. If coverage provided to the additional insured is
required by a contract or agreement, the
insurance afforded to such additional insured
will not be broader than that which you are
required by the contract or agreement to provide
for such additional insured.

CG 20 1D 12 19 © Insurance Services Office Inc. 2018
B. With respect to the insurance afforded to these
additional insureds. the following additional
exclusions apply:

This insurance does not apply to "bodily injury" or
"property damage“ occurring after:

1. Allwork including materials. pans or equipment
furnished in connection with such work, on the
project (other than service. maintenance or
repairs) to be performed by or on behalf of the
additional insured(s) at the location oi the
covered operations has been completed: or

2. That portion of "your work" out of which the
injury or damage arises has been put to Its
intended use by any person or organization
other than another contractor or subcontractor
engaged in periorming operations for a principal
as a part of the same project.

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c. With respect to the insurance afforded to these 2. Available under the applicable limits cf additional insureds, the following is added to insurance; Section III- leits 0' Insurance: ‘ whicheveris less,
" coverage provided to the additional insured '5 This endorsement shall not increase the applicable requlred by a contract or agreement. the me! we limits of insurance. willpay on behalf of the edditianei insured is me
amount of insurance:

1. Required by the contract or agreement: or

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Community Funding Grant Application
FY2025/2026

1. NAMEOFAPPLICANT/ORGANIZATION: E

2. ISTHEORGANIZATIONTAXEXEMPT?

3. IS THE ORGANIZATIONA NON-PROFITWITH A 501(c)(3) IN GOOD STANDING WITH THE STATE OF CALIFORNIA? OR NO

4. DO you MEETTHEMINIMUM INSURANCERE UIREMENTSLISTEDINATTACHM ENT
"A"?
_\r~)e. w\\\ CM am OWd ?I’O\)\Ap. YES OR NO PVOOQ De
{m‘wedé$\S$SOIV\U—C0Vk’r0\fa,eo 300Agnu/TL 5. CONTACT PERSON:

NAME: KQEES? ( SQIMIQ
TITLE:

PHONE:

EMAIL:

ADDRE
CITY: Mad r \T \n

6. NAME OF EVENT: ‘
JSTATE: 0Q ZIP: 3;)? ’S

7. DATE OF EVENT:$3 '

8. LOCATIONOF EVENT: on\or\\ dob houw (A Sena/1\-\I\\s/ HamobrxIym6:
59 3:
15 9. DESCRIPTION OF EVENTTmC: cg£ “\Smgm?g Le>7no+g giggIgers/ QIQXI: g “mggggggs2mg; g ggguI Cy [\JemiocSQQ
‘ ‘ S V\ r r

10. HOW DOESTHE pnoposm EVENTa EFITTHECOMMUNITY? I'm ; 9 egg; g M 2 w\\\ i3:FEAQATNIA Mum“ Comm I
-

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11. EVENT PROMOTION: What type of advertising/public relations/promotion methods do you plan to use to advertise the event? 93M03n a 53 II-A'I;rLLmp; CIISI r InAQ mf \ACA) Nor x (An r} c (hm own: A S Cd Muck ‘\\.\:r:1 Li \EC

12. m?élpA'FEbdNnggnho?uQrIehb 25:0'\L2’;g\—J§8\( ("5° ”Am“ W Ah J?"1 N "A 019"rm

13. IS THIS EVENT FREETO THE PUBLIC? @ OR NO

14. TOTAL AMOUNT OF FINANCIALASSISTANCEREQUBTEDZi 7. SO0 ”’The minimum request is $2,500, with a maximum limit of$20,000’”

15. ANTICIPATED NUMBER OF OUT—OF—TOWNOVERNIGHTA'ITENDEES: Z4] — 5'; 2

16. ANTICIPATED NUMBER OF LOCALA'I'IENDEES: II) 0

17. HOW MANY ESTIMATED HOTEL ROOM NIGHTS WILLBE GERENTATED BY THIS EVENT? _C_

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10. Community Funding Grant Application
FV2025/2026
NAMEor APPLICANT/ORGANIZATION: Friends of Valley-V‘?de Foundation Is THEORGANIZATIONTAx EXEMPT? ® OR NO
Is THE ORGANIZATIONA NON-PROFITWITH A 501(c)(3) IN GOOD STANDINGWITHTHE STATEOF CALIFORNIA? (ED OR NO
DO YOUMEETTHEMINIMUM INSURANCEREQUIREMENTSLISTEDIN AITACHMENT "A"? @ OR NO
CONTACTPERSON:

NAME: MariaJ.Vivanco
TITLE: Event Coordinator
PHONE:

EMAIL:

ADDRES
CITV: Hemet STATE: CA ZIP: 92544
NAME or EVENT/PRO]ECI/PROGRAM/SERVICE: Pool lift Project DATEIS)0F EVENT/PRO]ECT/PROGRAM/SERVICE:TBD
LOCATIONor EVENT/PRO]ECT/PROGRAM/SERVICE: DiamondValley Aguatic Center DESCRIPTION OF EVENT/PROJECT/PROGRAM/SERVICE:

The project is the purchase and installationof a new pool liftat the Diamond Valley Aquatic Center.

HOW DOESTHE PROPOSED EVENT/PROJECT/PROGRAM/SERVICE BENEFITTHE COMMUNITV?
The project aims to provide safe, ADA-oompliant pool access lor individualswith mobility limitations.

By ensuring accessible entry and exit.the project willempower individials and familiesto enjoy the pool with con?dence, independence, and comfort, creating a more inclusive and enjoyable recreational exnerienoe for all.

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11. EVENT/PRO]ECT/PROGRAM/SERVICEPROMOTIONz What type Of advertising/public relations/promotion methods do you plan to use to advertise the event? The project would be advertised in our monthly newsletter, website. A plaque would be placed on the chair or at the facility I
. . . . 3 i
,

12. ANITICIPATEDNUMBEROFATrENDEEs:Wtendees

13. Is THIs EVENTFREETo THEPUBLIC? v® OR NO

14. TOTALAMOUNTOF FINANCIALASSISTANCEREQUESTED: $20.000.00 *“The minimum request is $2,500, with a maximum limitof $20,000’**

15. ANTICIPATEDNUMBERor OUT-OF-TOWN OVERNIGHTATTENDEEs: g

16. ANTICIPATEDNUMBERor LOCALATI'ENDEES: 10.25 angmjggs

17. HOW MANY ESTIMATEDHOTEL ROOM NIGHTSWILL BE GERENTATEDav THIS EVENT? _(J__

OFFICIALWITHCONTRACTINGAUTHORITYFORTHEORGANIZATION
I HEREBYCERTIFVthat the facts stated herein this Event Funding Request are true and correct to the best of my knowledge. The Event described herein will be conducted in accordance with all applicable city/county and other regulations and the Event provides equal access to employment and event participation without regard to race, color, religion, sex, national origin, age, disability, or military status in accordance with applicable federal laws. ”3.,” MJ— mI-Lf
Of?cials Signature Date
Dean Wetter, Volunteer Executive Director
Of?cial's Name and Title (Print)

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”9&3?"‘%Next Day Access - Orange County
700 North Valley Street | Ste B l Anaheim, California92801 7147190691 l
infosocal®nextdayaccesscom | httsz/www.nextdayaccess.com/orange— county-cal
RECIPIENT: Quote #1729
Jusiin Schweitz Sam on May05' 2025
‘8°”‘"”'e”‘“""”e
Hemel, California92545 —Total $1160 4
Product/Service Description my. unit Price ToIal
F-MTY400 LIFT- MIGHTY400 - 400LB CAP , ANCHOR 1 $8,130.93 $8,130.93 NOT INCLUDED- WHITE/ BLUE 7
F-BOSSA ANCHOR KIT- MIGHTYLIFTS» STANDARD 1 $112.35 $112.35 APPS
F-BO8SA
Labor Labor 1 $7,975.00 $7 97500"
Installation - Concrete - Anchor
'

JOB DETAIL
.SAWCUT, BREAKAND RENIOVE
.(1) 4' x 4' x 6“Concrete Pool Deck
. Hand Digto 10" Depth
.AllDebris Hauled Away
.General Clean Up
.PROVIDELABOR&MATERIAL
.Drill8. Set with Simpson Set -3G Epoxy
. (20) #4 x 40" Rebar With 6" Embedrnent
.Place &Tie (10) #4 Rebar BottomNlat
.Place 8.Secure Customer Provided Anchor
Sy'stem
. Place & Finish w'ith 4500 PSI Concrete
.(1) zl'x4‘ x 10"
. General Clean Up
1" PRICE IS BASED ON ALLWORK TO BE

PERFORMED WITHINONEMOVE
ON DURINGNORMALBUSINESSHOURS.

2. PRICE EXCLUDESALLLAYOUT,

TEMPORARY PROTECTIVE COVERS,

INISPECTIONS, EXTENSIVEAREACLEANUP,
ETC.

Installation- Pool Lift Installation oi new lift 1 $650.00 $550009:
removal& disposal of old lilt
Shipping Shipping Charges 1 $795.00 $795_00*
* Non-taxable
A deposit of $8,801.07 will be required to begin.
1 ol 2 pages

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?e“ Day . Next Day Access - Orange County
C C e S S
700 NorthValley Street | SteB | Anaheim, California92801 714-719-0691 i
[email protected] | htlps:l/wwwtnextdayaocess‘com/nrangecounty-ca/ Subtotal $11663,28
Discount — $70000
California, Orange $82.43
County (1.0%)
calllornia. Orange $4122
County Dlstrlc
(0.5%)
Calliomia State $51521
(6.25%)
Total $17,602.14
This quote is valid iorthe next 30 days, after which values may be subject to change.

AllSpecial order projects require a 50% deposit with approved credit. 2 of 2 pages

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10. Community Funding Grant Application
FY2025/2026
NAMEOF AP LICANT/ORGANIZATION: Genesis Christian Preschool IS THE ORGA IZATIONTAX EXEMPT?Ves
ISTHEORGA IZATIONA NON-PROFITWITHA 501(c)(3) INGOODSTANDINGWITHTHE STATE OF CALFORNIA?Ves
DO YOUMEETTHEMINIMUMINSURANCEREQUIREMENTSLISTEDIN ATTACHMENT"A”? Yes

CONTACTPERSON
NAME: Marie Markham
TITLE:Founder/Director
PHONE:

EMAIL:

ADDRES
CITY:Hemet STATE:CA ZIP:92545
NAMEOF EVENT:THECHiLDREN'SPLACEGrand Opening
DATEOF EVE T: October 1, 2025
LOCATIONOF VENT:TBD
DESCRIPTION F EVENT:A Grand Opening event, welcoming the community. including community le ders and local police and fire departments, to promote our new program for c ildren ages 5-12 during school closure hours and days. we are active y inviting community members and local businesses to participate in this vent, adverti ing their own business, as well as donating items for a silent auction undraiser we hope to host at this same event. We will also have resources for families egarding the ariety of support services offered in and around Hemet.

OW DOEST E PROPOSED EVENT BENEFITTHE COMMUNITY?
s a Director fa preschool here in Hemet for 7 years I have talked with many parents he are iuggli g long commutes, changing work shifts, and the every day worry of 'Where will vchild be after school or during school breaks?” Aprogram lik ours, providing a safe, nurturing space for children ages 5-12 during the critical school losure hours and days, gives these families a safe, reliable place for heir kids to la d. Children get caring adult supervision, help with homework, healthy nacks and m als.mentorship, and enriching activities that build con?dence and keep hem engaged — not drifting into unsafe and unsupervised downtime. 'or many wor ing and single-parent households, this kind of support can be the difference be een keeping a job and losing one. It also helps kidsstay connected to earning, whic supports better attendance, stronger academics, and healthier social- Fmotional gro th. Over time, that means more prepared students moving up through emet's scho Is — and eventually into our local workforce. n short: we gi e kids a safe place to grow, we help parents stay working, and we trengthen th whole community. ihesupport fr m this grant would help us furnish the facility we are hoping to open in rder to serve hese children and families in here in Hemet.

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‘Please see a ached documentsfor additional informationand descriptionsof The Children'sPla e and how we can make a lasting impact in our be utiful city of emet. 11. EVENTPROM TlON: What type of advertising/public relations/pr: motion meth ds do you plan to us to advertise the event?
We plan to us localsocial media pages to advertise, as well as I cal publicatio s and posters at Inc 1shops who are willing to allow us to post our eve t. We’d also I ke to hang banners t a few key locationsthroughout the city to ensur all residents are made aware fthe event.

12. NTICIPATEDUMBEROF ATTENDEES: 100

13. 5 THISEVENTFREETOTHEPUBLIC?Yes

14. TOTALAMOU T OFFINANCIALASSISTANCEREQUESTED:$20,000
“‘"The minim m request is $2,500, with a maximum limitof $20, 00‘”M

15. ANTICIPATEDUMEROF OUT-OF~TOWNOVERNIGHTATTENDEES: 0

16. ANTICIPATEDUMBEROF LOCALATTENDEES:100

17. HOW MANYE TIMATEDHOTEL ROOM NIGHTS WILLBEGENERATEDBYTHIS EVENT?0 OFFICIAWITHCONTRACTINGAUTHORITYFORTHEORGA iZATlON
I HEREEVCERTIFYthe the facts stated herein this Event Funding Request re true and correct to the bes of my knowl ge. TheEvent described herein willbe conducted in accordance with all applica le city/county and other regulations and the Event provides equal access to employment and eve t articipation without regard to race, color, religion, sex, national origin, age, disabi‘ty, or ' ry tatus in accordance with applicable federallaw . 1ka75"
Date
Ambdrfltc,pMAILL. AS5I$+9“”+ Q??mr Of?cial's Name and Title (Print) Sig ature

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Community Funding Grant Application
FY 2025/2026

1. NAME OF APPLICANT/ORGANIZATION:

Hemet San JacintoCommunity Health Foundation,DBA Healthy Valley Foundation

2. IS THE ORGANIZATION TAX EXEMPT? YES

3. IS THE ORGANIZATION A NON-PROFIT WITH A 501(c)(3) IN GOOD STANDING WITH THE STATE OF CALIFORNIA? YES

4. DO YOU MEET THE MINIMUM INSURANCE REQUIREMENTSLISTED IN ATTACHMENT “A”? No
Please see a breakdownof our coverage. And please note that we are Willing to seek out additional coverage:

Commercial General Liability (CGL): we currently have $3,000,000/$I,000,000.

Vehicle Liability Insurance: we do not own any agency vehiclcsitravel is minimal.

Workers” Compensation Insurance: $1,000,000.

Cyber Security and Privacy Liability: 0

5. CONTACT PERSON:

NAME: Jennifer O’Farrcll
TITLE: President and CEO
PHONE:

EMAIL:

ADDRESS: ---
CITY: Hemet STATE: CA ZIP: 92545

6. NAME OF EVENT/PROJECT/PROGRAM/SERVICE:

Neighborhood Revitalization Through Community-Led Public Art

7. DATE(S) OF EVENT/PROJECT/PROGRAM/SERVlCE: October 2025 - June 2026, with the Ribbon Cutting Ceremony by June 2026‘

8. LOCATION OF EVENT/PROJECT/PROGRAM/SERVICE:

This would be determined in partnershipwith the City ofHernet (Flaming and Economic Development) as part of the City of Hemet‘s2030 Master Plan, and the An and Culture Adhoc Committee. We can also use the Healthy Place Index on census tracts to dctermme neighborhoods with the greatest need for revitalization.

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9. DESCRIPTION OF EVENT/PROJECT/PROGRAM/SERVICE:

The Neighborhood RevitalizationThrough Community-Led Public Art program is a best practice across Southern California that harnessesthe power of the arts to revitalize a public space, increaselocal pride, cultivate resident/communitybelonging, and develop a local arts scene. The grant funds will offset the costs to contract with a resident artist that will lead the neighborhood mural discussions,guide the discussionand design the mural with the community; purchase suppliesfor the mural, and host the unveiling/ribbon cutting. Note, that the resident artist is a temporary contract for service and is not a salaried employee.

The program will include a broad range of partners: City ofHemet departments, City’s Art Ad hoc Committee, Hemet USD, Hemet Valley Art Association,Riverside Arts Council, local businessesthrough the Chamber, residents,youth, and community leaders. The funding will support the co—creationof a public mural, foster social cohesion, civic pride, and economic opportunity through the beauti?cationof our sharedspaces, In addition to revitalizing an area through art, the program creates opportunities for emerging and establishedartiststo collaborate,mentor, and showcase their work, strengthening economic mobility and the city’s growing arts community. We will be partnering with the Riverside Arts Council to serve as a technical advisor for the Hemet Valley Art Associationfor the program. Riverside Arts Council has extensive experience overseeing the “Artist in Residency Program” connecting mural artists and communities to revitalize neighborhoods. They are currently running 6 public neighborhood murals across the county. The technical assistancewill equip Hemet Valley Art Associationin the future to oversee and facilitate neighborhood-led mural programs and expand their reach and connection in the Valley.

Healthy Valley Foundationserves as the Valley's backboneagency and supports the programs coordination,partnership roles, and outcomes. We will measure and track success on the following programmatic metrics:

1. Coordinate with the City and secure zoning permission and permitting for public art.

2. Coordinate with the City and secure location on public art spaces with low Healthy Places Index Scores.

3. Coordinate a steering committee with the City, Art Ad hoc, Hemet Valley Art Association, Riverside Arts Council to map out technical assistance,timeline,milestones and benchmarks.
a. Steering Committee determines selection criteria for artist; 1). Steering committee will open applications for Resident Artist c. Supplies procured and acquired for the public art mural.

4. Press Release and media announcements of Neighborhood Community Led Public rt and community engagement workshops.

5. Host 3 workshops engaging residents, youth and community facilitated by the artist and Riverside Arts Council;

6. Through the Technical Assistance of Riverside Arts Council develop a Standard Operating Procedure from Riverside Arts Council to provide to the Hemet Valley Art Associationfor future public art neighborhood-led mural programs.

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7. Measure Community Participation& Engagement: we will track the number of community members that participate in the workshops,join interest groups, painting sessionsand any other engagement outreach.

8. Pre/Post Surveys will be provided to assess residents’ sense of belonging, safety, wcllbeing and neighborhood pride.

9. Execution and completion of the mural itself

10. The final evaluation will be to conduct before and after assessment with photos and community feedback. The feedback will be used to support additionalcity infrastructure improvements to increase community investment(c.g., additionallighting, sidewalk repairs).
ll. Ribbon Cutting and Unveiling Ceremony - invitingthe City and community to a reception to unveil the mural.

10. HOW DOES THE PROPOSED EVENT/PROJECT/PROGRAM/SERVICE BENEFIT THE COMMUNITY?
Healthy Valley Foundation’s neighborhood-led mural program is a transformative effort rooted in community-driven revitalization,social cohesion, and public health. Research increasingly shows that public art is more than an aesthetic enhancementeit is a proven tool for improving the community’s health outcomes, connections,instilling civic engagement, and strengthening neighborhood vibrancy, thus our local economy.

Hemet has the lowest Healthy PlacesIndex (HPI) score in RiversideCounty (5.9), re?ecting systemic challenges such as limited access to healthcare, economic instability, and lack of neighborhood amenities. Studies demonstratethat public art activates underutilizedspaces, reduces crime, enhancesmental well-being, and encourages community engagement, all of which contribute to a higher quality of life.

By engaging our local residents and artists in the co-creation of a community mural, we address key social determinants of health by:
0 Reducing social isolationand strengthening belonging—theprogram increasessocial interactionand civic pride.
0 Empowering economicand workforce development—theprogram’s public an tied with the Art and Culture Master Plan of the city will stimulate local businesses, tourism, and career opportunities for current and future artists and creatives.

I Enhancing mental well—beingand reducing stress—studiesindicatethat exposure to vibrant art lowers stress levels and through neighborhood and community connection from the workshops,reduces what the US. Surgeon General’sreport called an “epidemic of loneliness."
o Encouraging physical activity and outdoor engagement—The mural activatesstreetscapes, making neighborhoods more inviting for walking, biking, and gathering, also part of the City’s Master Plan.

11.EVENT/PROJECT/PROGRAM/SERVICE PROMOTION: What type of advertising/public relations/promotion methods do you plan to use to advertise the event? As a community-led initiative, our public art program will utilize multi-phase, grassroots-focused promotionto ensure inclusiveparticipationand broadawareness. Phase one

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will focus on outreach to the local neighborhood through social media, newsletters,serviceclubs, and community partners to invite residents to three mural development workshops. Materials will be in Spanish and English creating accessibility for our community.. As the project progresses, we will document and share the journey through storytellingifeaturing quotes, photos, and behind-the-scenesfootage to highlight the community’s role in city beauti?cation, The ?nal phase will include a public unveiling event, accompanied by a press release, earned media outreach, and coordinateddigital promotion across all partner platforms, The reach includes:

Social Media and paid ads - 30,000
Community word of mouth — 1,000+
Newsletter- 2,000

12.ANITICIPATED NUMBER OF ATTENDEES:

We anticipate engaging 200 in the workshops and the reach of impact for everyone who will see, walk, drive by the ?nished mural exceeds over 10,000.

13.18 THIS EVENT FREE TO THE PUBLIC? YES
l4.TOTAL AMOUNT OF FINANCIAL ASSISTANCE REQUESTED:
$15,000.00
***The minimum request is $2,500, with a maximumlimit of $20,000***

15.ANTICIPATED NUMBER OF OUT-OF-TOWN OVERNIGHT ATTENDEES:

Researchshows that public arts has an effect on tourism. While we cannot provide concrete numbers of attendees, we can provide context of the impacts the arts can have from the most recent report by the America for the Arts, Arts and EconomicProsper-m 5th edition, noted that, “the US Bureau of Economic Analysis, for example, now publishes an annual Arts & Cultural Production Satellite Account, which extends beyond the nonpro?t sector to include the full breadth of commercial and for- pro?t arts, education,and individualartists, and lists the sector as a $730 billion industry (4.2 percent of the nation’s GDPia larger share of the economy than transportation, tourism, agriculture, and construction).” l6.ANTICIPATED NUMBER OF LOCAL ATTENDEES:

We anticipate engaging 200 in the workshops and the reach of impact for everyone who will see, walk, drive by the ?nished mural exceeds over 10,000

17.HOW MANY ESTIMATED HOTEL ROOM NIGHTS WILL BE GENERATED BY THIS EVENT?
We do not have data on this to provide an accurate or estimated projection,

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Department of the Treasury
Internal Revenue Service
We. Tax Exempt and Government Entities January 25, 2023 IRS PO Box 2503 E Cincinnati, OH 45201 PH
990
Person to Contact: HEMET SAN JACINTO COMMUNITY HEALTH Name: Jeffery i" FOUNDATION ID number: 1'
Dear Sir or Madam:

We're responding to your request dated November 15, 2022, about your tax-exempt sta.

We issuedyou a detemunationletterin October1980.recognizing you as tax-exempt ttndt (IRC) Section501(c)(3).

We alsoShowyou're not a privatc foundationas de?ned under IRC Section 509(a) because you Sections 509(3)“) and l70(b)(l)(A)(vi).

Donors can deduct contributions they make to you as provided in IRC Section 170. You're also quali?et tax-deductiblebequests. legacies. devises.transfers, or gifts under [RC Sections 2055.2106, and 2522.

In the heading, we indicated whether you must file an annual informationreturn. lfyou’rc required to ?le a rcturn, you must file one ofthc following by the 15th day oftlte 5th month after the end of your annual accountingperiod. - Fomt 990. Return of Organization Exempt From Income Tax - Fort-n 990—132,Short Form Return of Organization Exempt From Income Tax .Form 990-N. Electronic Notice (ta-Postcard)for TaxAExcmptOrganizations Not Required to File Form 990 or Form 990EZ - Form 990-PF, Return of Private Foundationor Section 4947(a)(l) Trust Treated as anate Foundation According to [RC Section 60330), ifyou don't ?le a required annual informationretum ornoticc for 3 comecutivc years. we’ll revoke your tax-exempt status on the due date of the 3rd required retum or notice.

You can get IRS forms or publications you need fromour website at www.irs.gov/fonns-pubs or by calling SOO-TAX- FORM (800-829~3676).

Ifyou have questions, call 877-829-5500between 8 run. and 5 p.m., local time. Monday through Friday (Alaska and Hawaii follow Paci?c time).

Thankyou for your cooperation.

Sincerely,
We“ a. » W
Stephen A. Martin
Director. Exempt Organizations
Rulings and Agreements

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PETERALDANA

COUNTY OF RIVERSIDE
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AssESSOR—COUNTY CLERK-RECORDER

ORIGINAL
v.0. Box 751.Rivenide‘CA92501>07SI — (9500367000
38-686ElCemloRold.PalmDesert,CA922]! — (760) 863-8732

COUNTYCLERK

FICTITIOUSBUSINESSNAMESTATEMENT

SEE REVERSESIDEFOR FEES ANDINSTRUCTIONS
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City of Hemet Community Funding Grant
Application
FY 2025/2026

1. NAME OF APPLICANT/ORGANIZATION
Hemacinto Music & Arts Alliance

2. IS THE ORGANIZATION TAX EXEMPT?
Yes

3. IS THE ORGANIZATION A NON-PROFIT WITH A 501(C)(3) IN GOOD STANDING WITH THE STATE OF CALIFORNIA?
Yes

4. DO YOU MEET THE MINIMUM INSURANCE REQUIREMENTS LISTED IN ATTACHMENT “A”?
Not currently – Organization will secure and maintain compliant coverage prior to program launch. Funding from this request includes a dedicated line item for insurance to ensure compliance.

5. CONTACT PERSON
Name: Jose Julio Iniguez
Title: President
Phone:

Email:

Address:

City/State/ZIP: Hemet, CA 92543

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6. NAME OF EVENT/PROJECT/PROGRAM/SERVICE
Hemacinto Instrument Library

7. DATE(S) OF EVENT/PROJECT/PROGRAM/SERVICE
Launch: January 2026 – Ongoing community program

8. LOCATION OF EVENT/PROJECT/PROGRAM/SERVICE
Music Mania (135 E. Florida Ave, Hemet)
Hemet Public Library

9. DESCRIPTION OF EVENT/PROJECT/PROGRAM/SERVICE
The Hemacinto Instrument Library will be the first instrument-lending program in the San Jacinto Valley, modeled after a public library system. Residents will be able to check out musical instruments—guitars, ukuleles, keyboards, and band/orchestral instruments—at no cost for up to 9 months.

Borrowers will sign agreements to ensure responsibility for the instruments, and small late-return or replacement fees will apply only if necessary. Instruments will be regularly sanitized, maintained, and rotated to ensure safe, high-quality access for all.

The program is designed to:
● Provide equitable access to instruments for students, families, seniors, and adults who cannot afford to purchase one.
● Support local schools by providing practice instruments for home use. ● Create pathways to music education, performance, and community engagement.

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● Inspire youth with healthy outlets that build discipline, confidence, and potential career pathways.
● Encourage lifelong learning and creativity for all residents, including seniors and those on fixed incomes.

10. HOW DOES THE PROPOSED EVENT/PROJECT/PROGRAM/SERVICE BENEFIT THE COMMUNITY?
The Hemacinto Instrument Library directly advances Hemet’s goals of cultural enrichment, youth development, and community wellness:
● Equity in Access – Removes financial barriers for students and families who cannot afford instruments.
● Support for Education – Strengthens school music programs by giving students tools to practice at home.
● Youth Empowerment – Offers positive, creative outlets that foster self-confidence, discipline, and potential career pathways. ● Community Wellness – Provides seniors and residents on fixed incomes access to music as a source of joy, healing, and social connection. ● Economic & Cultural Vitality – Establishes Hemet as a leader in innovative, community-driven cultural programming, enhancing the city’s reputation as a hub for arts and creativity.

11. EVENT/PROJECT/PROGRAM/SERVICE PROMOTION
● Flyers distributed through schools, libraries, and community centers ● Targeted social media campaigns via HMAAA and Music Mania platforms

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● Partnerships with Hemet/San Jacinto schools, local nonprofits, and civic organizations
● Listings in city calendars, local newspapers, and community bulletins ● On-site promotion at HMAAA programs and city-sponsored events

12. ANTICIPATED NUMBER OF ATTENDEES
100–500 direct borrowers in the first year, with 500–2,000 indirect participants (families, educators, and community partners).

13. IS THIS EVENT FREE TO THE PUBLIC?
Yes – participation is entirely free to residents.

14. TOTAL AMOUNT OF FINANCIAL ASSISTANCE REQUESTED
$20,000
Budget Breakdown
● Initial purchase of instruments (guitars, band/orchestral, keyboards, ukuleles):
$10,000
● Repair & maintenance fund: $2,500
● Cases & accessories (gig bags, instruction books, tuners, reeds, cleaning kits):
$2,000
● Lending system setup (storage, cataloging, check-out software, shelving): $2,500 ● Promotion & marketing: $1,500

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● Insurance coverage: $1,500
● Contingency: $500
Total: $20,000

15. ANTICIPATED NUMBER OF OUT-OF-TOWN OVERNIGHT ATTENDEES Minimal – program is primarily designed for Hemet and San Jacinto residents.

16. ANTICIPATED NUMBER OF LOCAL ATTENDEES
100–500 direct borrowers; 500–2,000 indirect participants.

17. HOW MANY ESTIMATED HOTEL ROOM NIGHTS WILL BE GENERATED BY THIS EVENT?
0 – The program is community-based and does not generate hotel stays.

18. PROGRAM SUSTAINABILITY
HMAAA is committed to ensuring the Hemacinto Instrument Library becomes a permanent community resource. Sustainability will be achieved through:
● Partnerships with local schools and nonprofits for ongoing participation and referrals.
● Community donation drives to expand and refresh the instrument collection. ● Future grant opportunities and sponsorships from local businesses and arts supporters.

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● Annual fundraising events to build a dedicated repair and replacement fund.

With City support, this program will launch in 2026 and grow into a long-term model for equitable arts access in Hemet.

OFFICIAL WITH CONTRACTING AUTHORITY FOR THE ORGANIZATION Signature: _________________________
Date: ___________
Printed Name & Title: Jose Julio Iniguez, President

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City of Hemet Community Funding Grant ApplicationHemet Jazz & Art Festival FY 2025/2026

1. NAME OF APPLICANT/ORGANIZATION
Hemacinto Music & Arts Alliance

2. IS THE ORGANIZATION TAX EXEMPT?
Yes

3. IS THE ORGANIZATION A NON-PROFIT WITH A 501(C)(3) IN GOOD STANDING WITH THE STATE OF CALIFORNIA?
Yes

4. DO YOU MEET THE MINIMUM INSURANCE REQUIREMENTS LISTED IN ATTACHMENT “A”?
No – Organization will arrange compliant coverage prior to the event.

5. CONTACT PERSON
Name: Jose Julio Iniguez
Title: President
Phone:

Email:

Address:

City: Hemet State: CA ZIP: 92543

6. NAME OF EVENT/PROJECT/PROGRAM/SERVICE
Hemet Jazz & Art Festival

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7. DATE(S) OF EVENT/PROJECT/PROGRAM/SERVICE
Spring 2026 (one-day event, with goal of becoming an annual tradition).

8. LOCATION OF EVENT/PROJECT/PROGRAM/SERVICE
Valley-Wide’s Diamond Valley Lake Community Park

9. DESCRIPTION OF EVENT/PROJECT/PROGRAM/SERVICE
Hemet Jazz & Art Festival will be a family-friendly cultural festival showcasing Hemet’s youth, community, and professional talent. The event will feature live performances by the Mt. San Jacinto College Jazz Ensemble, Hemet High, West Valley High, Tahquitz, and San Jacinto High School jazz bands, alongside professional jazz artists from Southern California.

Complementing the music will be an art walk, curated in partnership with Hemet Valley Art Association, Diamond Valley Arts Council, local high school art programs, and the MSJC Art Department. Attendees will enjoy food trucks, artisan vendors, and a wine and beer garden sponsored by local vineyards and breweries.

10. HOW DOES THE PROPOSED EVENT/PROJECT/PROGRAM/SERVICE BENEFIT THE COMMUNITY?
● Celebrates education – Showcases the work of local high school and college jazz and art programs.
● Supports local arts nonprofits – Provides visibility and collaboration opportunities for HVAA, DVAC, and HMAAA.
● Family-friendly cultural enrichment – A free event that brings music, art, food, and culture to all ages.
● Community pride and unity – Builds civic pride by highlighting Hemet’s creative youth and professional talent.
● Tourism and economic activity – Draws visitors from neighboring communities, supporting local businesses and hotels.

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● Long-term impact – Establishes an annual signature event that grows each year.

11. EVENT/PROJECT/PROGRAM/SERVICE PROMOTION
● Flyers distributed through schools, businesses, and community partners. ● Social media campaigns (#HemetJazzAndArtFestival #HemetIsHeaven). ● Partnerships with local schools and nonprofits.
● Local radio, newspapers, and city calendar listings.
● Downtown banners and signage.

12. ANTICIPATED NUMBER OF ATTENDEES
1,500–3,000 in year one.

13. IS THIS EVENT FREE TO THE PUBLIC?
Yes

14. TOTAL AMOUNT OF FINANCIAL ASSISTANCE REQUESTED
$20,000

15. ANTICIPATED NUMBER OF OUT-OF-TOWN OVERNIGHT ATTENDEES 100–400 (musicians, art enthusiasts, vendors, and regional visitors).

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16. ANTICIPATED NUMBER OF LOCAL ATTENDEES
1,000–2,000 residents.

17. HOW MANY ESTIMATED HOTEL ROOM NIGHTS WILL BE GENERATED BY THIS EVENT?
25–75 room nights (musicians, vendors, and visitors).

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City of Hemet Community Funding Grant
Application
Keys to Hemet: Community Piano Project
FY 2025/2026

1. NAME OF APPLICANT/ORGANIZATION
Hemacinto Music & Arts Alliance

2. IS THE ORGANIZATION TAX EXEMPT?
Yes

3. IS THE ORGANIZATION A NON-PROFIT WITH A 501(C)(3) IN GOOD STANDING WITH THE STATE OF CALIFORNIA?
Yes

4. DO YOU MEET THE MINIMUM INSURANCE REQUIREMENTS LISTED IN ATTACHMENT “A”?
No – Organization will obtain required coverage prior to project launch.

5. CONTACT PERSON
Name: Jose Julio Iniguez
Title: President
Phone:

Email:

Address:

City: Hemet State: CA ZIP: 92543

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6. NAME OF EVENT/PROJECT/PROGRAM/SERVICE
Keys to Hemet: Community Piano Project

7. DATE(S) OF EVENT/PROJECT/PROGRAM/SERVICE
Launch: Spring 2026 (target April–May).

Duration: Pianos will remain accessible for at least one year, with ongoing maintenance and seasonal community events.

8. LOCATION OF EVENT/PROJECT/PROGRAM/SERVICE
Multiple public locations across Hemet, including:
● Downtown storefronts
● Hemet Public Library
● City Hall plaza / Civic Center area
● Community event spaces (Third Thursday Jam Night, Hemet Art Walks) ● Partnering local businesses willing to host outdoor pianos Final placements will be coordinated with the City of Hemet to ensure compliance with ordinances and site suitability.

9. DESCRIPTION OF EVENT/PROJECT/PROGRAM/SERVICE
The Hemacinto Music & Arts Alliance will launch the Keys to Hemet: Community Piano Project, which places brightly painted, refurbished pianos in highly visible public spaces. Each piano will be transformed into a work of art by local visual artists and made available for anyone in the community to play — from seasoned musicians to curious first-timers. The project combines visual art, music, and community participation to create a vibrant, interactive cultural experience that celebrates Hemet’s creativity and diversity.

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10. HOW DOES THE PROPOSED EVENT/PROJECT/PROGRAM/SERVICE BENEFIT THE COMMUNITY?
● Free access to music – makes the joy of music available to all, regardless of income or background.
● Community beautification – colorful, artist-designed pianos will enliven public spaces. ● Youth engagement – invites children and teens to explore music in a fun, approachable way.
● Local artist support – provides stipends and exposure for Hemet’s painters, musicians, and arts educators.
● Economic and tourism impact – a unique, highly visible project will attract visitors and encourage exploration of downtown businesses.
● Community pride and identity – fosters Hemet’s reputation as a creative, inclusive, and vibrant city.

11. EVENT/PROJECT/PROGRAM/SERVICE PROMOTION
● Flyers distributed at local businesses, schools, and community centers. ● Social media campaign (#KeysToHemet, #HemetIsHeaven). ● Press releases to local media and community newspapers. ● Promotion via Music Mania, HMAAA, and City of Hemet channels. ● Partnerships with schools, arts groups, and downtown businesses to spread awareness.

12. ANTICIPATED NUMBER OF ATTENDEES
Estimated 5,000+ direct and indirect community interactions in the first year, with growth anticipated in subsequent years.

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13. IS THIS EVENT FREE TO THE PUBLIC?
Yes

14. TOTAL AMOUNT OF FINANCIAL ASSISTANCE REQUESTED
$15,000

15. ANTICIPATED NUMBER OF OUT-OF-TOWN OVERNIGHT ATTENDEES 50–150 out-of-town visitors annually, primarily during piano unveiling events and related festivals.

16. ANTICIPATED NUMBER OF LOCAL ATTENDEES
Approximately 4,500+ Hemet residents engaging with the project annually.

17. HOW MANY ESTIMATED HOTEL ROOM NIGHTS WILL BE GENERATED BY THIS EVENT?
5–10 room nights, with potential growth tied to future unveiling events and arts festivals.

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Signature: _________________________ Date: ___________
Printed Name & Title: Jose Julio Iniguez, President

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10. Community Funding Grant Application
F‘I2025/2026
NAME OF APPLICANT/ORGANIZATION: Heme! HOSDiCSVolunieerS. Inc.

Is THE ORGANIZATIONTAX EXEMPT? OR NO
IS THE ORGANIZATIONA NON-PROFITWlTiivA501(c)(3) IN GOOD STANDINGWITHTHE STATE OF CALIFORNIA? 1E5) OR NO
Do YOU MEETTHEMINIMUMVINSURANCE REQUIREMENTSLISTED m ATTACHMENT "A”? (65) OR No
CONTACTPERSON:

NAME: Paula Natale
TITLE; Executive Director
PHONE: —
EMAIL:—3|’9
ADDRESS: —- .-
CITY: Hemet STATE: CA ZIP: 92544
NAME or EVENT/PROJECT/PROGRAM/SERVICE: Charitable Care Program DATE(5) 0F EVENT/PROIECT/PROGRAM/SERVICE: Ongoing
LOCATIONor EVENT/PROJECT]PROGRAM/SERVICE: HemehCalifornia DESCRIPTION OF EVENT/PROJECT/PROGRAM/SERVICE: The Charitable Care Program provides assistance to low Income hospice patients and their iamiiies in Hemet area free Oicharge to enhance the quaiity orlife when Iney need it must. beyond what is covered by traditionai health care.

HOW DOESTHE PROPOSED EVENT/PRO!ECT/PROGRAM/SERVICE BENEFITIHE COMMUNITY? A social worker Or nurse (rem VNAcare, our Sister agency that nrovldesIhe medicai care. identi?es the charitable care needs and submits a request iOr assistance, such as those who need temporary care in a iacrlity. private duty caregivers to assist exhausted family caregivers, groceries or hospice care for the uninsured. Through our Cnantabie Care Program, we also gram Iasl wrsnes to those who are Iacrng the end of their lives,

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11. EVENT/PROJECT/PROGRAM/SERVICEPROMOTION2 What type of advertising/public relations/promotion methods do you plan to use to advertise the event? Website

12. ANITICIPATED NUMBEROF ATTENDEES:L‘ .

13. IS THIS EVENTFREETo THEPUBLIC? YES OR NO (Mir/mumEMF irate 55%“ “4’ “

14. TOTAL AMOUNT OF FINANCIALASSISTANCEREQUESTED:310.000 “*The minimum request is $2,500, with a maximum limit of $20,000***

15. ANTICIPATEDNUMBER OF OUT-OF-TOWN OVERNIGHTATTENDEES: 0

15. ANTICIPATED NUMBER OF LOCALATTENDEEs: 0

17. HOW MANY ESTIMATED HOTEL ROOM NIGHTS WILLBE GERENTATEDBY THIS EVENT? 0 OFFICIALWITH CONTRACTINGAUTHORITYFORTHEORGANIZATION
I HEREBYCERTIFYthat the facts stated herein this Event Funding Request are true and correct to the best of my knowledge. The Event described herein will be conducted in accordance with all applicable city/county and other regulations and the Event provides equal access to employment and event participation without regard to race, color, religion, sex, national origin, age, disability, " ry status in accordance with applicable federal laws. 3:32:95
Officials Signature Date
[gu/A [WW4/L 6 0’7?
Official’s Name and Title (Print)

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Community Funding Grant Application
FY2025/2026

1. NAMEOFAPPLICANT/ORGANIZATION: Hemgg Magnet]Ad QQQQOI'OxIIOD, IneOR NO

2. ISTHEORGANIZATIONTAx EXEMPT? @

3. Is THEORGANIZATIONA NON-PROFITWITHA 501(C)(3)IN GOOD STANDINGWITHTHE STATEOFCALIFORNIA? YES OR NO

4. DO YOUMEETTHEMINIMUMINSURANCEREQUIREMENTS LISTEDINATTA

5. CONTACTPERSON:

CHMENT"A"?
NAME: 50
TITLE: V10, prQ‘bI a '_I
PHONE:

EMAIL:

ADDRES'
CITY: 5&4in STATELAZIP: 92.547
. NAME OFEVENT/PROJECT/PROGRAM/SERVICE: D I\ vi” ovI’ (WW8S . DATE(S)0F EVENT/PRO]ECT/PROGRAM/SERVICE: FI'rOi ?giurdaq 09.1620.“WIOVH I'I
6 7

8. LOCATIONOF EVENT/PRO]ECT/PROGRAM/SERVICE: ?gmgI—?IQ‘O0131'; Leda2,

9. DESCRIPTION OF EVENT/PRO]ECT/PROGRAM/SERVICE: WWW Mg?I WI'I'h106.“. 4! Ir: .1 LLIOIIbdm n no -IIB
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10. HOW DOESTHEPROPOSEDEVENT/PROJECT/PROGRAM/SERVICE BENEFITTHE COMMUNITY?IA"' 4' I I. v 0 rod me. u s ‘5 QIIQS
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11. EVENT/PROJECT/PROGRAM/SERVICEPROMOTlON:

What type Of advertising/public
relations/promotion methods do you plan to use to advertise the event? W9,5!{AUQJ HAL] OWL vo/r’r‘ oncL 0 h
. m .

12. ?I?T‘I’CIIng‘TED N MBE%OF ATTENDEES:/
(70

13. Is THISEVENTFREETO THEPUBLIC?@ OR NO

14. TOTALAMOUNTOF FINANCIALASSISTANCEREQUESTED:
j‘l-LJ’ZQQ/f
0***
***The minimum request is $2,500, with a maximum limit of $20,00 - Q

15. ANTICIPATEDNUMBEROFOUT-OF-TOWNOVERNIGHTATTENDEEs: W3“ hav
more. GVQ'lIQIOI 0. +0 cal-traci-au’: 99 +0er Qmo- artI?-s

16. ANTICIPATEDNUMBEROF LOCALATTENDEES: 41,——

17. How MANY ESTIMATEDHOTELROOM NIGHTSWILLBE GERENTATEDBY THIS EVENT? M unless We we own, to aH-racl-wring.“
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OFFICIALWITHCONTRACTINGAUTHORITYFORTHEORGANIZATION
I HEREBYCERTIFYthat the facts stated herein this Event Funding Request are true and correct to the best Of my knowledge. The Event described herein will be conducted in accordance with all applicable city/county and other regulations and the Event provides equal access to employment and event participation without regard to race, color, religion, sex, national origin, age, disability, or military status in accordance with applicable federal laws.

WM 95—13-23/
Of?cials Signature Date
Alison WI‘QWIOYUI'C 6iQI?l/H’ I allcAri-AWOfflcial’sName and Title (Print) Tm

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Community Funding Grant Application
FY2025/2026
Name of Applicant/Organization: Hemet Woman‘s Club
Is the Organization Tax Exempt? VES
Isthe Organization a Non-pro?t with a 501(C) (3) in good standing with the State of California? YES
Do you meet the minimum Insurance requirements listed in Attachment A? Attached is a copy of the Hemet Woman’s Club‘scurrent Certi?cate of Liability Insurance. Our limits are below your listed requirements, but since we are not hosting an event, hiring vendors, or drivinganywhere, it is questionable ifthose are pertinent to our application. It would be best if we were advised exactly what coverages we would need if this grant were approved.

Contact Person:

Kay MasonbrinkWritin—g Contest Chairperson
Hemet Woman’ 5 Club,—
Name ofProject: Heme! Woman' 5 ClubYouth Writing Contest Dates of Project: We are requesting monetary funding for two years ofthe contest. Students would write in the fall of 2025, with awards presented in February 2026; the contest would repeat with students writing in the fall of 2026, with awards given in February 2027.

Location of Project: Students will do writing and research in their Hemet Public School classroom under the guidance of their teachers, Writing entries will be turned in to the Hemet Woman’s Club, which willutilize non-membersto do the judging in a club member’s home, Description of Project: This is a project we have been doing fortwelve years, but we are requesting assistance with award money for the top entries. We are requesting $1,375 for awards each for two years, totaling $2,750. Contest directions will be sent to interested teachers in September, which include a writing prompt ioreach age level, along with directions and deadlines. Prompts vary by grade level and typically include topics of women’s history, environmental or community issues, or classroom curriculum—related. It will be offered to fifth through twelfth grades, and students may write either a poem or a short story, except the 5th grade only does the short story, In early January, entries willbe collected, and we will begin the judging process using an independent panel of community members (retired educators or authors). Entries willbejudged within the levels of grade 5, grades 6-8, and grades 9-12.

By mid-February, winners will be selected and announced Ifwe receive this grant, cash prizes will be awarded of$150 for first place, $75 for second place, and $50 for third place for each grade level for each genre of poetry and short stories, along with a certi?cate of recognition. The schools announce and recognize the students in their respective schools' award assemblies, and the Winners’ names are announced at our Hemet Woman’s Club meeting. The first—placewinners’ names and essays/poems will be forwarded on to the next levels of competition In the General Federation of Women‘s Clubs. They first go to the District, then State, and then a very select group goes on to the national competition. In May of 2025, our?ve First-Placeentries from Hemet all won first place at the California Federation of Women’s Clubs competition in San Jose! Then, in June, we learned that our High School Poetry winner (from West Valley HS)won First at the National Competition in Atlanta, From the other competitions, the students do not receive any monetary reward—it's only what our club awards them, which is why we want to up the ante for these awards. But it is expensive, and we have so many needs in our budget.

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We bring the First-Place winners with their teachers and parents to our Scholarship Tea in April.

We introduce each student and describe their written entries This year, we presented each with a copy ofa beautiful writingjournal by Michele Obama that they can use for inspiration with future writing. There were a lot of smiles in that room from our members, teachers, parents, students, and administrators who were allso proud of their achievements. it's likely not a lifechanging experience for these young writers, but at the very least, it's memorable for them.

10. How does the proposed project bene?t the community? The Hemet Woma n’sClub members consider their annual Youth Writing Contest a priority for our community because the power of writing is critical in a child’s education. When students participate in creative writing, it spurs critical thinking skills and develops unique ideas. Students become more organized, persuasive, and con?dent in their ability. it has also been shown that writing improves students’ ability to recall information, make connections between different concepts, and synthesize information in new ways. Writing is an essential job skilland how one's work isjudged in school and the workplace, We believe that providing this opportunity for students is highly beneficial.

11. Project Promotion: What type of advertising/public relations/promotion methods do you plan to use to advertise the project? We make contact with selected teachers in grades 5-12 in the Hemet PublicSchools and ask if he/shewould like his/herclass/classesto participate. That has worked wellfor us as we are con?dent that our selected teachers monitor to prevent plagiarism, ensure that formatting requirements are followed, and that due dates are met. We typically receive close to 200 entries, which is manageable for our small club for quality control ofjudging.

12. Anticipated Number of Attendees: We don't have attendees-we have entries which usually total around 180+ each year.

13. Isthis project free to the public? Yes

14. Total Amount of Financial Assistance Requested: $2,750. That is broken down as $1,375 for awards each for two years, a total of $2,750. Awards as follows: Five @ 5150, ?ve @575, five at $50 each year is $1,375, and then for two years is $2,750,

15. Anticipated Number of Out-of-Town Overnight attendees: N/A

16. Anticipated number of LocalAttendees: 180+ entries anticipated

17. How many estimated Hotel Room nights will be generated by this event? N/A Of?cial With Contracting Authority For the Organization I Hereby Certify that the facts stated herein this Project Funding Request, are true and correct to the best of my knowledge. The Project described herein will be conducted in accordance with all applicable city/county and other regulations, and the Project provides equal access to employment and Project participation without regard to race, color, religion, sex, national origin, age, disability, or military status in accordance with applicable federal laws./:

August 26, 2025
Date
Kay Masonbrink, Writing Contest Chairperson
Official's Name and Title (Print)

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Community Funding Grant Application
FY 2025/2026

1. NAME OF APPLICANT/ORGANIZATION: __________________________________________

2. IS THE ORGANIZATION TAX EXEMPT? YES OR NO

3. IS THE ORGANIZATION A NON-PROFIT WITH A 501(C)(3) IN GOOD STANDING WITH THE STATE OF CALIFORNIA? YES OR NO

4. DO YOU MEET THE MINIMUM INSURANCE REQUIREMENTS LISTED IN ATTACHMENT “A”?

YES OR NO

5. CONTACT PERSON:

NAME: ______________________________________________
TITLE: _______________________________________________
PHON
EMAI
ADDR
CITY:

6. NAME OF EVENT: __________________________________________________________

7. DATE OF EVENT: ________________

8. LOCATION OF EVENT: _______________________________________________________

9. DESCRIPTION OF EVENT: _____________________________________________________ __________________________________________________________________________ __________________________________________________________________________

10. HOW DOES THE PROPOSED EVENT BENEFIT THE COMMUNITY? ______________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ High Expectation Development Corps
Nakesha High
President
Home in a Heartbeat
Every Thursday
City of Hemet Streets /Parks
Every Thursday, we will host an initiative aimed at assisting By addressing these critical issues, we aim to reduce crime rates and the demand for emergency city. Our commitment to this service will help Hemet thrive, transforming our town into a vibrant and attractive destination for visitors. individuals experiencing homelessness in our community. This program will provide them with Rapid housing opportunities for employment and contribute to efforts in maintaining clea throughout Hemet.

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12. ANITICIPATED NUMBER OF ATTENDEES: _______

13. IS THIS EVENT FREE TO THE PUBLIC? YES OR NO

14. TOTAL AMOUNT OF FINANCIAL ASSISTANCE REQUESTED: ___________________________ ***The minimum request is $2,500, with a maximum limit of $20,000***

15. ANTICIPATED NUMBER OF OUT-OF-TOWN OVERNIGHT ATTENDEES: __________________

16. ANTICIPATED NUMBER OF LOCAL ATTENDEES: __________________

17. HOW MANY ESTIMATED HOTEL ROOM NIGHTS WILL BE GERENTATED BY THIS EVENT? __________

Collaborations and Partnerships, Flyers, Event Listings, On-Site Promotion,and Community Enga 430
20,000
115
340
33 Nakesha High (President)
09/15/2025

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Community Funding Grant Application
FY 2025/2026

1. NAME OF APPLICANT/ORGANIZATION: His Plan Ministry, a program of Fountain of Life Church of God

2. IS THE ORGANIZATION TAX-EXEMPT? Yes

3. IS THE ORGANIZATION A NON-PROFIT WITH A 501(C)(3) IN GOOD STANDING WITH THE STATE OF CALIFORNIA? Yes

4. DO YOU MEET THE MINIMUM INSURANCE REQUIREMENTS LISTED IN ATTACHMENT “A”? Yes

5. CONTACT PERSON
NAME: Amberlie Parada
TITLE: Pastor & Founder
PHO
EMA
ADD
CITY:

6. NAME OF EVENT: His Plan Ministry Program Expansion

7. DATE OF EVENT: Completion: January 1, 2026

8. LOCATION OF EVENT: 26448 Olive Dr. Hemet, CA 92544

9. DESCRIPTION OF EVENT: His Plan Ministry is a faith-based transitional community housing program here in Hemet, CA. We provide safe, supportive housing for adults who are in recovery from substance abuse or navigating difficult life transitions such as job loss, custody challenges, or sudden housing instability. Our program offers more than shelter – it provides structure, life skills training, employment support, mentorship, and spiritual encouragement to help residents rebuild their lives.

By helping individuals stabilize, gain employment, and secure permanent housing, His Plan Ministry directly strengthens Hemet’s community. We reduce the strain on local shelters, law enforcement, and emergency services by breaking cycles of homelessness and relapse. Our graduates become contributing members of society – holding jobs, maintaining stable housing, and raising healthy families – which increases community safety, reduces poverty, and fosters a stronger local economy.

10. HOW DOES THIS PROPOSED EVENT BENEFIT THE COMMUNITY? At the heart of our mission is the belief that every person has a future and a hope – something we hold close from Jeremiah 29:11. We believe recovery and support is more than just getting clean and finding a place to sleep – it is about helping people grow into the purpose God has for them.

1.A Safe Place to Rebuild
In a city like Hemet – where nearly 16% of residents live below the poverty line, and

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where addiction and homelessness are real challenges – safe housing makes all the difference. His Plan Ministry offers residents a structured, clean-living environment where they’re surrounded by encouragement, accountability, and tools for lasting change.

2.Lifting the Burden from Public Systems
Without transitional support, many individuals fall back into homelessness, incarceration, or repeated hospital visits. By offering housing, mentoring, and structure, we help reduce the pressure on emergency services, law enforcement, and healthcare systems – creating healthier outcomes for individuals and savings for the city.

3.Supporting Economic and Personal Growth
We encourage every resident to pursue work, education, or job training during their time with us. In a city where the median income is around $53,600 and only about 15% of residents hold a bachelor's degree, programs like ours provide the stepping stones to stability and self-sufficiency.

4.Strengthening Families and Communities
When one person heals, it affects generations. Our residents often reconnect with their families, become more engages in the community, and contribute positively to their neighborhoods. In a city with a large number of families and seniors, these restored connections ripple outward – bringing peace and strength to others.

5.Embracing Hemet’s Diversity
Hemet is home to a beautiful mix of people – nearly 50% Hispanic or Latino, around 9% African American, and about 20% born outside of the U.S. His Plan Ministry is committed to serving all individuals – regardless of race, religion, economic status, or any other demographic – with compassion, understanding, and dignity.

In Summary
His Plan Ministry exists to give people a second chance – to walk alongside them as they pursue healing, stability, and hope. By meeting practical needs and addressing the root causes of addiction, we not only help individuals recover, we help Hemet thrive.

We’re here because we believe that God truly does have a plan and future for every life – and we’re honored to be a part of that journey. We have been on that journey with over 20 individuals over the past 7 years and are now ready to go to the next level.

This grant money would allow us to do one of two things; Permanently set up utilities for two units – which would allow two single moms and their children to have their own unit and private space. This would not only give them a more secure setting to live, as they are currently in a space that does not have permanent utilities attached, but it would also allow them to become more comfortable as they continue in their progress toward a better future. And, when they are ready to move on, the unit would be ready for the next guests. This would also allow us to begin working on setting up two additional units, which would help sustain the program through the added income.

Another option we propose for this grant would be to renovate a stand-alone garage on our property into a 2 bedroom rental. This would be separate from the community

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housing program, however the income would be used to help financially sustain the community housing program. This would ensure that residents of the program would have basic items they need upon arrival – food, clothes, housewares, hygiene supplies, etc – and it would help cover the cost of their residential fees until they secure employment.

11. EVENT PROMOTION: What type of advertising/public relations/promotion methods do you plan to use the event?
We currently use word-of-mouth, which has kept us full for the past 5 years. However, if we are able to secure this grant and add more units we can expand our marketing to public resource hubs like our police and sheriff stations, City Hall, and other community centers.

12. ANTICIPATED NUMBER OF ATTENDEES: 10-20 per year

13. IS THIS EVENT FREE TO THE PUBLIC? Yes

14. TOTAL AMOUNT OF FINANCIAL ASSISTANCE REQUESTED? $20,000 ***The minimum request is $2,500, with a maximum limit of $20,000

15. ANTICIPATED NUMBER OF OUT-OF-TOWN OVERNIGHT ATTENDEES: 0

16. ANTICIPATED NUMBER OF LOCAL ATTENDEES: 10-20 per year

17. HOW MANY ESTIMATED HOTEL ROOM NIGHTS WILL BE GENERATED BY THIS EVENT? 0

Officials Signature Date
Official’s Name and Title (Print)
--fill it out how I see fit
Number of tenants

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Expenses

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M L
Sal“qrgwy‘
K
Community Funding Grant Application
FY2025/2026
Independent Living Partnership - TRIPProgram

1. NAMEOF APPLIMNT/ORGANIZATION:

2. ISTHEORGANIZATIONTAXEXEMPT?

3. IS THE ORGANIZATIONA NON-PROFITWITH A 501(c)(3) IN GOOD STANDINGWITHTHE STATEor CALIFORNIA? YES V 0R ?

4. DO YOU MEETTHEMINIMUMINSURANCEREQUIREMENTS LISTEDINATTACHMENT”A"?

5. CONTACTPERSON:

Cat Ferguson NAME:

TITLE:

PHONE:

EMAIL:

ADDRESS:

CITY:

6. NAMEor EVENT/PROJECT/PROGRAM/SERVICE:

7. DATEIS)or EVENT/PROJECT/PROGRAM/SERVICE:

3. LOCATIONor EVENT/PROJECT/PROGRAM/SERVICE: .

9. DESCRIPTIONor EVENT/PawECT/PROGRAM/
SERVICEFOmm“"“Y
OUt'eaCh
Present multiplecommunity outreach events on weekday and weekends to enrollSeniors, persons .._ .__. ___ ~. '!---.e: ""5 -»---,- mgramforAS
cents per mileRein-Iemtbursen for any trasportatIonneeds, grocery shopping, medical appts, Fe SO a rave: 3 iv "5}: etc.

10. HOW DOESTHEPROPOSEDEVENT]PROJECTIPROGRAM/SERVICE BENEFITTHE COMMUNITY?The TRIPProgram willhelp solve our community member's ?nancial challenge with transportation.TheTRIPProgram offers a .45 cent mile reimbursement program.

Heme! TRIP Program Mileage Reimbursement
Nov 2025 - June 2026
Sierra Downs/Valley Community Pantry, Hemet
‘
'
‘
, et Wellness
Eligibleriders receive monthly mileage reimbursement checks, making it easier to ask a friend, a neighbor or caregiver to drive them where they need to go.

I
. E
.
‘I SECEEIZI E: E ‘I
continue years after the Outreach/Engagement Event The TRIPprogram has been sewing RiversideCounty for 30yrs+. The Program is an investment inthe dignity. independence and well-being 0 our Residents. ILPis rated PlatinumTransparency with Candid 8LGuide Star.

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11. EVENT/PRO]ECT/PROGRAM/SERVICEPROMOTION: What type of advertising/public relations/promotion methods do you plan to use to advertise the event? Social Media, Supervisor - 5th DistrictYxstianGutierrez newsletter, LocalNews /

13. ISTHISEVENTFREETo THEPUBLIC? W

14. TOTALAMOUNTOF FINANCIALASSISTANCEREQUESTED: $10'000-00 ***The minimum request is $2,500, with a maximumlimit of $20,000***

15. ANTICIPATEDNUMBER‘OFOUT-OF-TOWNOVERNIGHTATI'ENDEES: nZa

16. ANTICIPATEDNUMBEROF LOCALA1TENDEES: 5000+

17. HOW MANYESTIMATEDHOTELROOM NIGHTSWILLBE GERENTATEDBY THIS EVENT? none

OFFICIALWITHCONTRACTINGAUTHORITYFORTHEORGANIZATION
I HEREBYCERTIFYthat the facts stated herein this Event Funding Request are true and correct to the best Ofmy knowledge. The Event described herein will be conducted in accordance with all applicable City/county and other regulations and the Event provides equal access to employment and event participation without regard to race, color, religion, sex, national origin, age, disability, or m'litarys sin accordance with applicable federal laws. September 4 2025 ?g he saw '
_ OfficialsSigp‘ature Date
Cat Ferguson, Director Community Engagement 8LBoard Member Official’s Name and Title (Print)
”I(3”

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Independent Living Partnership aka ILP - TRIP Program
Mission: Independent LivingPartnership, aka lLP,works to ensure the independence and dignity of seniors, people livingwith disabilities, VETS.and others through access to self—directedtransportation. HP offers an innovative, self— directed mileage reimbursement transportation program for people that public transportation is not a viable option. TRIPoriginated/'13Coachei/a Valley/'1779.93 and serves all residents in Riverside Coum‘y and has pro yen to be cost ef?cient and highly e?‘ecrive by pro Vidinga meaningful transportation solution for pre views/yarisen/ed or undersea/ed residents.

Program: To qualifyfor the TRIPProgram, you must be a resident of Riverside County and do not drive. lLPdoes not ask for any lD or SocialSecurity information.

The client secures his/herown driver, such as a neighbor or friend, then can be assured of safe and timely rides to their appointments and other activities.The client trackstheir monthly mileage and submits this information to HP each month, lLPsends the client a reimbursement checks at .45 cents per mile for their use to reimburse the driver.
iLPcurrently provides over 216,545 rides/1.776,331 miies annualiyto clients residing in RiversideCounty.

Hemet Current Population = 94,026+
Currently enrolled = 150
We estimate that this program currently oniy meets the needs of 6.3% of Hemet residents.

Estimated Hemet Residents Eligible81in Need of this Program = 2350

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The current Rider engagement for the FifthDistrict, which includesHemet is as indicated;
Moreno Valley (51), Cabazon(2), Hemet (150), Calimesa (1), San Jacinto (35), Beaumont(13), Banning (21), Cherry Valley(O),Nuevo (2), Lakeview(O),Reche Canyon(O),Potts Flats(0), San Timoteo(0) and the (2) Sovereign Nations (unknown).

Total Ridersin the FifthDistrict = 275
lLPoutreach plan focuses on Senior Centers and Community Focal Points to engage those that need the TRIPself-directedmileage reimbursement program.

The on—boardingfor clients isseamlessly handled by lLPteam who are bilingual and have years of experience working with TRIP.Our performance metrics include a survey and a rating response. We have consistently earned a 9/9 outstanding performance. across all categories. Our Tivlsoftware system, TRlP, isscalable to serve 81track categorizes by Cityand County regions, mileage. and travel type. We have operational and technical systems to support multi—partneractivitiesfor participants in RiversideCounty, delivering real-time information and impact reports by city and regions. lLPfunding and reimbursement mileage grants with RCTC.Measure A, 5310, Office on Aging: Older American Act and other available specializedtransportation funding resources.
lLPhas 30 years of experience serving the diverse population with the TRlP program.

We are rated Platinum Transparency by Candid.

The TRiPProgram is an investment in the dignity, independence and well-being of our RiversideCounty Residents. it breaks down barriers, promotes inclusion and ensures that everyone can fully live their life and participate in society.

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QINDEPENDEl’
Wsmg
K Living Partners rp
6235 River Crest Drive, Suite Q
Riverside CA 92507-0758
empowering people to live independently
2025 TRIP Rider Survey
Executive Summary
In January 2025, 459 active TRIP service users were sent the AnnualTRIP Rider Survey to ?ll—outand return with their February request for mileage reimbursementform. 276 sunreys were completed and returned by TRIP riders. Consistentwith normalreturn rates for our annual survey of riders, whichwe interpret as a demonstrationof the impedance of the service in the lives of our clients, 60% of the surveys sent were returned This report summarizes key ?ndings from both closed and open—endedquestions, highlightingdemographics, service satisfaction, financialand health impacts, and the program'ssigni?cance to TRIP rider well-being
Demographics
Respondents were predominantlyaged 61—80years old, with more than 74% identifying as female. The majority (70%) reported living alone and having modest householdincomes Age Distribution of Respondents
150
140
mi.
\.1 ,
Parent and creator of the award-winning and nationally acclaimed’?mlpprogram.

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HouseholdIncome Distribution
Financial Stress and Healthcare Use
Over 60% af respondem‘s experience ?nancialstress onen.Many use TRIPfor frequent hea?hcare visits, with nearly halftaking ?ve or more trips per month. sermon
100%
90%
80%
70%
60%
50%
40%
30%
20%
10% i _
Wu
often Once in a While Never
Financial Stress Frequency
.2.

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Impact on Health and Quality of Life
Respondentswidely reported improvementsin physicaland mentalhealth due to TRIP. Almost all participantsratedtransportationas criticalto their quality of life Health impact of TRIP
Satisfaction with TRIP
90% of riders gave TRIP the highest satisfaction score. The program is highly valued, with respondents frequently citing positive personal outcomes. 49*
average rating
Benefits of TRIP
Riders report numerousbene?ts from TRIP services, such as reduced stress, improvedhealth, greater happiness, and a stronger connectionto their communities.

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Reported Benefits of TRIP
Rider Testimonials
Riders shared how losing TRIPwould impact their lives. Here are a few selected responses:
"Itwouldbe very hard and dif?cultto get around. ” .
~ "Myhealth would decline completely I wouldn’tbe able to seek medicalattention as needed. "
- "Iwould be a shut in and never be able to see my grandchildren, " . "Itwould be harder for my life because I wouldn’tbe able to get to all the places easily. " . "Mylife wouldbe so dif?cultin the absence of the peace of mind TRIP brings for me.

Being a dependable person. whichrequires help, such stress wouldsigni?cantly affect my life, my emotional and mental health by having tern‘bleworry of feeling an uncertainty for any transportation necessity or any sudden emergency. If TRIP was no longer available for me, I wouldn'tfeel safe.”
a "Iwouldnot be able to make appointments without TRIP. I would not be able to visit family or friends. Be able to go to the store and pick up meds. Thanks for increasing my life.
. "Iwould be homeboundand have no social life."
. "I would not be able to get to my chemotherapy.”
. “Iwould feel disconnectedfrom the world.”
- “Iwould be stuck at home or having to pay for transportation which would be extremely hard on me ?nancially, I am on a ?xed income.

Conclusion
TRIP is more than just a transportation service. It is a lifeline for many, especially seniors and those with limitedincome. It enables access to healthcare, reduces isolation, and signi?cantly improves quality of lifefor its riders.

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P.0. Be: an
Cincinnati, OH 45201

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Community Funding Grant Application
FY 2025/2026

1. NAME OF APPLICANT/ORGANIZATION: __________________________________________

2. IS THE ORGANIZATION TAX EXEMPT? YES OR NO

3. IS THE ORGANIZATION A NON-PROFIT WITH A 501(C)(3) IN GOOD STANDING WITH THE STATE OF CALIFORNIA? YES OR NO

4. DO YOU MEET THE MINIMUM INSURANCE REQUIREMENTS LISTED IN ATTACHMENT “A”?

YES OR NO

5. CONTACT PERSON:

NAME: ______________________________________________
TITLE: _______________________________________________
PHONE: _____________________________________________
EMAIL: ______________________________________________
ADDRESS: ____________________________________________
CITY: _______________________ STATE: _____ ZIP: __________

6. NAME OF EVENT/PROJECT/PROGRAM/SERVICE: __________________________________

7. DATE(S) OF EVENT/PROJECT/PROGRAM/SERVICE: ________________

8. LOCATION OF EVENT/PROJECT/PROGRAM/SERVICE: _______________________________

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12. ANITICIPATED NUMBER OF ATTENDEES: _______

13. IS THIS EVENT FREE TO THE PUBLIC? YES OR NO

14. TOTAL AMOUNT OF FINANCIAL ASSISTANCE REQUESTED: ___________________________ ***The minimum request is $2,500, with a maximum limit of $20,000***

15. ANTICIPATED NUMBER OF OUT-OF-TOWN OVERNIGHT ATTENDEES: __________________

16. ANTICIPATED NUMBER OF LOCAL ATTENDEES: __________________

17. HOW MANY ESTIMATED HOTEL ROOM NIGHTS WILL BE GERENTATED BY THIS EVENT? __________

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INSURANCE REQUIREMENTS FOR CITY OF HEMET COMMUNITY GRANT

FUNDING
Before JUDQW DZDUGV DUH authorizeG the City of Hemet requires a certificate of insurance including an underwriter’s endorsement prior to commencement of any work.

The general liability policies are to include additional insured endorsements that contain the following provisions:

1. That the City of Hemet and its respective officers and employees are additional insureds under the policy;

2. The policies are primary and non-contributory to any insurance that may be carried by CITY;

Commercial General Liability (CGL): Insurance written on an occurrence basis to protect Vendor and CITY against liability or claims of liability which may arise out of this order in the amount of Two million ($2,000,000) per occurrence and subject to an annual aggregate of Four million ($4,000,000). There shall be no endorsement or modification of the CGL limiting the scope of coverage for either insured vs. insured claims or contractual liability. All defense costs shall be outside the limits of the policy. 9HQGor VKDOO SroYLGH DQ HQGorVHPHQW WKDW WKH LQVurHr wDLYHV WKH rLJKW oI VuEroJDWLoQ DJDLQVW WKH &,T< DQG LWV rHVSHFWLYH HOHFWHG oIILFLDOVoIILFHrVHPSOo\HHVDJHQWVDQGrHSrHVHQWDWLYHV Vehicle Liability Insurance: Vendor shall also procure and shall maintain during the term of this order vehicle liability insurance in an amount not less than $1,000,000 for injuries, including accidental death, to any one person, and subject to the same minimum for each person, in an amount not less than $1,000,000 for each accident, and property damage insurance in an amount of not less than $1,000,000. 9HQGor VKDOO SroYLGH DQ HQGorVHPHQW WKDW WKH LQVurHr wDLYHV WKH rLJKW oI VuEroJDWLoQ DJDLQVW WKH &,T< DQG LWV rHVSHFWLYHHOHFWHGoIILFLDOVoIILFHrVHPSOo\HHVDJHQWVDQGrHSrHVHQWDWLYHV Workers’ Compensation Insurance: For all of Vendor’s employees who are subject to this order and to the extent required by applicable state or federal law, Vendor shall keep in full force and effect a Workers' Compensation policy. That policy shall provide a minimum of One million ($1,000,000) of employers' liability coverage, and Vendor shall provide an endorsement that the insurer waives the right of subrogation against the CITY and its respective elected officials, officers, employees, agents and representatives. In the event a claim under the provisions of the California Workers' Compensation Act is filed against CITY by a bona fide employee of Vendor participating under this Agreement, Vendor to defend and indemnify the CITY from such claim.

C\EHU 6HFXULW\ DQG 3ULYDF\ /LDELOLW\

LQWKHHYHQWWKHVHLVFoOOHFWLoQoI3HrVoQDO,GHQWLILDEOH ,QIorPDWLoQ
3,,
LQ WKH SroMHFW DQGor VHrYLFHV SroYLGHG
9HQGor VKDOO SroFurH DQG PDLQWDLQ
LQVurDQFHwLWKOLPLWVoI2SHroFFurrHQFHOoVV4JHQHrDODJJrHJDWHwKLFK VKDOOLQFOuGHWKHIoOOowLQJFoYHrDJH

ATTAC+M(NT A
3DJHoI2 Page 116 of 198

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D /LDELOLW\ DrLVLQJ IroP WKH WKHIW GLVVHPLQDWLoQ DQGor uVH oI FoQILGHQWLDO or SHrVoQDOO\ LGHQWLILDEOH LQIorPDWLoQ
LQFOuGLQJ EuW QoW OLPLWHG Wo SHrVoQDOO\ LGHQWLILDEOH LQIorPDWLoQ 3,,

SroWHFWHGKHDOWKLQIorPDWLoQ
3+,
VHFurLW\FoGHVDFFHVVFoGHVSDVVworGVHWF
E 1HWworNVHFurLW\OLDELOLW\DrLVLQJIroPWKHuQDuWKorL]HGuVHoIDFFHVVWoorWDPSHrLQJwLWK FoPSuWHrV\VWHPVLQFOuGLQJKDFNHrorGHQLDOoIVHrYLFHDWWDFNV F /LDELOLW\ DrLVLQJ IroP LQWroGuFLQJ D FoPSuWHr YLruV LQWo or oWKHrwLVH FDuVLQJ GDPDJH Wo YHQGor
ILrVWSDrW\
or FuVWoPHr¶V
WKLrG SDrW\
FoPSuWHr FoPSuWHr V\VWHP QHWworN or
VLPLODrO\rHODWHGSroSHrW\DQGWKHGDWDVoIWwDrHDQGSroJrDPV G /LDELOLW\ DrLVLQJ IroP SroIHVVLoQDO PLVFoQGuFW or ODFN oI WKH rHTuLVLWH VNLOO rHTuLrHG Ior SHrIorPLQJVHrYLFHVGHILQHGLQWKHFoQWrDFWorDJrHHPHQW H &oVWVDVVoFLDWHGwLWKrHVWorLQJuSGDWLQJorrHSODFLQJGDWD I &oVWV DVVoFLDWHG wLWK D SrLYDF\ ErHDFK LQFOuGLQJ QoWLILFDWLoQ FoVWV FuVWoPHr VuSSorW IorHQVLFVFrLVHVPDQDJHPHQWSuEOLFrHODWLoQVFoQVuOWLQJOHJDOVHrYLFHVoIDSrLYDF\DWWorQH\ FrHGLWPoQLWorLQJDQGLGHQWLW\IrDuGrHVoOuWLoQVHrYLFHVIorDIIHFWHGLQGLYLGuDOV 3DJH2oI2 Page 117 of 198

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Community Funding Grant Application
FY 2025/2026

1. NAME OF APPLICANT/ORGANIZATION: __________________________________________

2. IS THE ORGANIZATION TAX EXEMPT? YES OR NO

3. IS THE ORGANIZATION A NON-PROFIT WITH A 501(C)(3) IN GOOD STANDING WITH THE STATE OF CALIFORNIA? YES OR NO

4. DO YOU MEET THE MINIMUM INSURANCE REQUIREMENTS LISTED IN ATTACHMENT “A”?

YES OR NO

5. CONTACT PERSON:

NAME: ______________________________________________
TITLE: _______________________________________________
PHONE
EMAIL:

ADDRE
CITY: _

6. NAME OF EVENT/PROJECT/PROGRAM/SERVICE: __________________________________

7. DATE(S) OF EVENT/PROJECT/PROGRAM/SERVICE: ________________

8. LOCATION OF EVENT/PROJECT/PROGRAM/SERVICE: _______________________________

10. HOW DOES THE PROPOSED EVENT/PROJECT/PROGRAM/SERVICE BENEFIT THE COMMUNITY? ______________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Michelles Place Cancer Resource Center
Kim Gerrish
Executive Director
Cancer Support Services for Hemet Residents
ongoing
services are provided on site, phone, and virtual
Hemet residents in cancer treatment
navigation services at no cost that provide services such as finacial assistance, transportation to treatment, behavioral health, and wellness classes and education.

The residents of Hemet must travel out of their community to receive life saving cancer treatment. This is financially draining on patients, and puts their ability to procure basic necessities, such as food and housing, at risk. Michelle's Place works with the patients and their families to ensure they are supported, and through patient navigation, placed on a path of self sufficiency.

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12. ANITICIPATED NUMBER OF ATTENDEES: _______

13. IS THIS EVENT FREE TO THE PUBLIC? YES OR NO

14. TOTAL AMOUNT OF FINANCIAL ASSISTANCE REQUESTED: ___________________________ ***The minimum request is $2,500, with a maximum limit of $20,000***

15. ANTICIPATED NUMBER OF OUT-OF-TOWN OVERNIGHT ATTENDEES: __________________

16. ANTICIPATED NUMBER OF LOCAL ATTENDEES: __________________

17. HOW MANY ESTIMATED HOTEL ROOM NIGHTS WILL BE GERENTATED BY THIS EVENT? __________

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INSURANCE REQUIREMENTS FOR CITY OF HEMET COMMUNITY GRANT

FUNDING
Before grant awards are authorized, the City of Hemet requires a certificate of insurance including an underwriter’s endorsement prior to commencement of any work.

The general liability policies are to include additional insured endorsements that contain the following provisions:

1. That the City of Hemet and its respective officers and employees are additional insureds under the policy;

2. The policies are primary and non-contributory to any insurance that may be carried by CITY;

Vehicle Liability Insurance: Vendor shall also procure and shall maintain during the term of this order vehicle liability insurance in an amount not less than $1,000,000 for injuries, including accidental death, to any one person, and subject to the same minimum for each person, in an amount not less than $1,000,000 for each accident, and property damage insurance in an amount of not less than $1,000,000. Vendor shall provide an endorsement that the insurer waives the right of subrogation against the CITY and its respective elected officials, officers, employees, agents and representatives.

Workers’ Compensation Insurance: For all of Vendor’s employees who are subject to this order and to the extent required by applicable state or federal law, Vendor shall keep in full force and effect a Workers' Compensation policy. That policy shall provide a minimum of One million ($1,000,000) of employers' liability coverage, and Vendor shall provide an endorsement that the insurer waives the right of subrogation against the CITY and its respective elected officials, officers, employees, agents and representatives. In the event a claim under the provisions of the California Workers' Compensation Act is filed against CITY by a bona fide employee of Vendor participating under this Agreement, Vendor to defend and indemnify the CITY from such claim.

Cyber Security and Privacy Liability: (in the event these is collection of Personal Identifiable Information (PII) in the project and/or services provided). Vendor shall procure and maintain insurance with limits of $2,000,000 per occurrence/loss, $4,000,000 general aggregate, which shall include the following coverage:

ATTACHMENT "A"

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a. Liability arising from the theft, dissemination and/or use of confidential or personally identifiable information; including but not limited to personally identifiable information (PII), protected health information (PHI), security codes, access codes, passwords, etc. b. Network security liability arising from the unauthorized use of, access to, or tampering with computer systems, including hacker or denial of service attacks. c. Liability arising from introducing a computer virus into or otherwise causing damage to vendor (first-party) or customer’s (third party) computer, computer system, network, or similarly related property and the data, software, and programs. d. Liability arising from professional misconduct or lack of the requisite skill required for performing services defined in the contract or agreement. e. Costs associated with restoring, updating, or replacing data. f. Costs associated with a privacy breach, including notification costs, customer support, forensics, crises management, public relations consulting, legal services of a privacy attorney, credit monitoring, and identity fraud resolution services for affected individuals.

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Community Funding Grant Application
FY 2025/2026

1. NAME OF APPLICANT/ORGANIZATION: __________________________________________

2. IS THE ORGANIZATION TAX EXEMPT? YES OR NO

3. IS THE ORGANIZATION A NON-PROFIT WITH A 501(C)(3) IN GOOD STANDING WITH THE STATE OF CALIFORNIA? YES OR NO

4. DO YOU MEET THE MINIMUM INSURANCE REQUIREMENTS LISTED IN ATTACHMENT “A”?

YES OR NO

5. CONTACT PERSON:

NAME: ______________________________________________
TITLE: _______________________________________________
PHON
EMAI
ADDR
CITY:

6. NAME OF EVENT: __________________________________________________________

7. DATE OF EVENT: ________________

8. LOCATION OF EVENT: _______________________________________________________

Please see attached

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12. ANITICIPATED NUMBER OF ATTENDEES: _______

13. IS THIS EVENT FREE TO THE PUBLIC? YES OR NO

14. TOTAL AMOUNT OF FINANCIAL ASSISTANCE REQUESTED: ___________________________ ***The minimum request is $2,500, with a maximum limit of $20,000***

15. ANTICIPATED NUMBER OF OUT-OF-TOWN OVERNIGHT ATTENDEES: __________________

16. ANTICIPATED NUMBER OF LOCAL ATTENDEES: __________________

17. HOW MANY ESTIMATED HOTEL ROOM NIGHTS WILL BE GERENTATED BY THIS EVENT? __________

OFFICIAL WITH CONTRACTING AUTHORITY FOR THE ORGANIZATION I HEREBY CERTIFY that the facts stated herein this Event Funding Request are true and correct to the best of my knowledge. The Event described herein will be conducted in accordance with all applicable city/county and other regulations and the Event provides equal access to employment and event participation without regard to race, color, religion, sex, national origin, age, disability, or military status in accordance with applicable federal laws. _______ _____________________________ _____________________________ Officials Signature Date
_____________________________________________________________________________ Official’s Name and Title (Print)
Boost on social media. Add on our website.

Work with local businesses.
500
$17,000
200 out of town, no
300 overnight
0 09/15/2025
Carrol Givens Executive Director

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Community Funding Grant Application
FY 2025/2026

1. NAME OF APPLICANT/ORGANIZATION: __________________________________________

2. IS THE ORGANIZATION TAX EXEMPT? YES OR NO

3. IS THE ORGANIZATION A NON-PROFIT WITH A 501(C)(3) IN GOOD STANDING WITH THE STATE OF CALIFORNIA? YES OR NO

4. DO YOU MEET THE MINIMUM INSURANCE REQUIREMENTS LISTED IN ATTACHMENT “A”?

YES OR NO

5. CONTACT PERSON:

6. NAME OF EVENT/PROJECT/PROGRAM/SERVICE: __________________________________

7. DATE(S) OF EVENT/PROJECT/PROGRAM/SERVICE: ________________

8. LOCATION OF EVENT/PROJECT/PROGRAM/SERVICE: _______________________________

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12. ANITICIPATED NUMBER OF ATTENDEES: _______

13. IS THIS EVENT FREE TO THE PUBLIC? YES OR NO

14. TOTAL AMOUNT OF FINANCIAL ASSISTANCE REQUESTED: ___________________________ ***The minimum request is $2,500, with a maximum limit of $20,000***

15. ANTICIPATED NUMBER OF OUT-OF-TOWN OVERNIGHT ATTENDEES: __________________

16. ANTICIPATED NUMBER OF LOCAL ATTENDEES: __________________

17. HOW MANY ESTIMATED HOTEL ROOM NIGHTS WILL BE GERENTATED BY THIS EVENT? __________

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INSURANCE REQUIREMENTS FOR CITY OF HEMET COMMUNITY GRANT

FUNDING
Before JUDQW DZDUGV DUH authorizeG the City of Hemet requires a certificate of insurance including an underwriter’s endorsement prior to commencement of any work.

The general liability policies are to include additional insured endorsements that contain the following provisions:

1. That the City of Hemet and its respective officers and employees are additional insureds under the policy;

2. The policies are primary and non-contributory to any insurance that may be carried by CITY;

Commercial General Liability (CGL): Insurance written on an occurrence basis to protect Vendor and CITY against liability or claims of liability which may arise out of this order in the amount of Two million ($2,000,000) per occurrence and subject to an annual aggregate of Four million ($4,000,000). There shall be no endorsement or modification of the CGL limiting the scope of coverage for either insured vs. insured claims or contractual liability. All defense costs shall be outside the limits of the policy. 9HQGor VKDOO SroYLGH DQ HQGorVHPHQW WKDW WKH LQVurHr wDLYHV WKH rLJKW oI VuEroJDWLoQ DJDLQVW WKH &,T< DQG LWV rHVSHFWLYH HOHFWHG oIILFLDOVoIILFHrVHPSOo\HHVDJHQWVDQGrHSrHVHQWDWLYHV Vehicle Liability Insurance: Vendor shall also procure and shall maintain during the term of this order vehicle liability insurance in an amount not less than $1,000,000 for injuries, including accidental death, to any one person, and subject to the same minimum for each person, in an amount not less than $1,000,000 for each accident, and property damage insurance in an amount of not less than $1,000,000. 9HQGor VKDOO SroYLGH DQ HQGorVHPHQW WKDW WKH LQVurHr wDLYHV WKH rLJKW oI VuEroJDWLoQ DJDLQVW WKH &,T< DQG LWV rHVSHFWLYHHOHFWHGoIILFLDOVoIILFHrVHPSOo\HHVDJHQWVDQGrHSrHVHQWDWLYHV Workers’ Compensation Insurance: For all of Vendor’s employees who are subject to this order and to the extent required by applicable state or federal law, Vendor shall keep in full force and effect a Workers' Compensation policy. That policy shall provide a minimum of One million ($1,000,000) of employers' liability coverage, and Vendor shall provide an endorsement that the insurer waives the right of subrogation against the CITY and its respective elected officials, officers, employees, agents and representatives. In the event a claim under the provisions of the California Workers' Compensation Act is filed against CITY by a bona fide employee of Vendor participating under this Agreement, Vendor to defend and indemnify the CITY from such claim.

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Community Funding Grant Application
FY 2025/2026

1. NAME OF APPLICANT/ORGANIZATION: __________________________________________

2. IS THE ORGANIZATION TAX EXEMPT? YES OR NO

3. IS THE ORGANIZATION A NON-PROFIT WITH A 501(C)(3) IN GOOD STANDING WITH THE STATE OF CALIFORNIA? YES OR NO

4. DO YOU MEET THE MINIMUM INSURANCE REQUIREMENTS LISTED IN ATTACHMENT “A”?

YES OR NO

5. CONTACT PERSON:

6. NAME OF EVENT: __________________________________________________________

7. DATE OF EVENT: ________________

8. LOCATION OF EVENT: _______________________________________________________

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12. ANITICIPATED NUMBER OF ATTENDEES: _______

13. IS THIS EVENT FREE TO THE PUBLIC? YES OR NO

14. TOTAL AMOUNT OF FINANCIAL ASSISTANCE REQUESTED: ___________________________ ***The minimum request is $2,500, with a maximum limit of $20,000***

15. ANTICIPATED NUMBER OF OUT-OF-TOWN OVERNIGHT ATTENDEES: __________________

16. ANTICIPATED NUMBER OF LOCAL ATTENDEES: __________________

17. HOW MANY ESTIMATED HOTEL ROOM NIGHTS WILL BE GERENTATED BY THIS EVENT? __________

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Hemet- Community Funding Grant Application
2025/2026

1. NAME OF APPLICANT/ ORGANIZATION:
- Ramona Bowl Amphitheatre

2. IS THE ORGANIZATION TAX EXEMPT?
I YES

3. IS THE ORGANIZATIONA NON-PROFIT WITH A 501(c)(3) IN GOOD STANDING WITH THE STATE OF CALIFORNIA?
I YES

4. DO YOU MEET THE MINIMUM INSURANCEREQUIREMENTSLISTED IN ATTACHMENT "A"?
0 YES

5. CONTACT PERSON:

NAME: Joseph Grindstaff
TITLE: President, Board of Directors, Ramona BowlAmphitheatre PHONE:-
EMAIL:_
ADDRESS:-)-a--
cmn Hemet STATE: CAle’: -

6. NAME OF EVENT/PROIECT/ PROGRAM/ SERVICE:
- Ramona Outdoor Play Revitalization Project

7. DATES 0F EVENT/PROJECT / PROGRAM/ SERVICE:

I The Ramona Play is held on April 18th, 19th.25!“, 26th, and on May 2nd, and 3"]- o Ramona premarketing will commence on September 1. 2025.

8. LOCATION OF EVENT/PRO]ECT/PROGRAM/SERVICE:
- Ramona BowlAmphitheatre. Hemet, CA92544

9. DESCRIPTION OF EVENT/PROIECT/ PROGRAM/ SERVICE:

The Ramona BowlAmphitheatre respectfully requests funding in the amount of $20,000 from the City of Hemet to support an expansive marketing campaign for the annual Ramona play.

Recognized as California’s Of?cial Outdoor Play and our Nation's longest-running outdoor

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theatrical production, Ramona is a cornerstone of regional cultural heritage and has been performed since 1923 continuing to attract audiences from across Southern California in addition to attracting audiences from the Southwestern United States.

This early marketing initiative will ensure the continued success and visibility of this iconic cultural program by enhancing outreach, expanding community engagement, and increasing participation. Funding will be used to execute a comprehensive strategy that draws larger and more diverse audiences, strengthens partnerships with community organizations, and encourages greater local involvement through casting calls and volunteer recruitment.

The Ramona play is not only an iconic theatrical event but also a living representation Of Southern California's multicultural history, celebrating Indigenous, Hispanic, and settler roots through storytelling, music, and performance. By funding this marketing initiative, the City of Hemet will help preserve a tradition that fosters community pride, supports local artists and students, and brings thousands of visitors to Hemet and San Jacintoeach season.

10. HOW DOES THE PROPOSED EVENT/PROJECT/PROGRAM/SERVICE BENEFIT THE COMMUNITY?
This project represents a direct investment in the cultural and historical fabric of Hemet and the San IacintoValley. Performed annually since 1923, the Ramona play fosters community identity and pride while serving as an intergenerational bridge that educates new audiences about the region's Indigenous, Hispanic, and settler heritage through storytelling, live music, and performance.

The marketing initiative supported by this funding will expand access and awareness, ensuring that Ramona continues to reach diverse audiences across Hemet, San Iacinto, and surrounding communities. By increasing visibility, the project will draw larger audiences, strengthen local participation through casting and volunteer opportunities, and provide meaningful engagement for dozens of local artists, students, and cultural organizations each season.

In addition to targeting local and regional community audiences, our marketing goal is to expand our audience reach across the Southwestern United States, that when integrated with our local outreach initiatives, will boost local businesses and economy.

In doing so, the Ramona play will continue its role as a keystone cultural program—- preserving history, celebrating diversity, and reinforcing community pride for generations to come.

11. EVENT/PROIECT/PROGRAM/SERVICE PROMOTION:

The requested funding will be dedicated to implementing a comprehensive and integrated marketing campaign designed to maximize visibility, increase attendance, and deepen community participation.

The Marketing Strategy
The $20,000 funding will support:

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- Elementary school outreach: Professionally designed ?yers distributed to local schools, ensuring families receive direct engagement.
0 Targeted social media campaigns: Paid promotion through X, Instagram, and Facebook, ampli?ed by trusted outlets such as the City of Hemet, City of San Iacinto, and community calendars.
- Government and cultural partnerships: Collaboration with Public Information Of?cers (PIOS) from both cities, as well as tribal and cultural institutions, to extend of?cial promotional reach.
- Digital outreach: Placement on community—focusedwebsites, online bulletin boards, and cultural organization platforms.
- Traditional media: TV, radio, and local print advertising to reach residents who may not engage online. . Recruitment-driven promotion: Targeted messaging to attract both attendees and new cast/volunteers.
0 Group Sales: Create special marketing packages targeting groups that seek to attend our genre of entertainment with the goal of sending ?rst round of information to them by the end of October followed up by monthly contact. . Special Marketing Promotions: Create special promotional packages and digital marketing campaigns to distribute to tourism offices in key markets across the Southwestern U.S.

The Expected Outcomes
This promotion plan is designed to:

Expand geographic audience reach and ticket sales to include the Southwestern U.S.

Diversify audience reach and ticket sales.

Attract more cast members and volunteers.

Strengthen relationships with schools, civic groups, and cultural organizations.

Increase long-term community engagement with the Ramona play.

Through this multi-channel approach, the campaign will not only ensure the success of the upcoming season but also reinforce Ramona's standing as a cherished annual tradition and a cornerstone of the region's cultural identity.

12. ANTICIPATED NUMBEROF ATTENDEES:
o 18,000+

13. IS THIS EVENTFREE TO THE PUBLIC?
- The Ramona Play is a ticketed event with community discounts available.

14. TOTAL AMOUNT OF FINANCIALASSISTANCEREQUESTED:
' $20,000

15. ANTICIPATED NUMBEROF OUT-OF-TOWN OVERNIGHTATTENDEES:
- Out—of—townattendees estimated at 13,000, 72% of total attendees. 0 Overnight attendees are estimated at 130 of total out-of-town attendees, 1% of out— of—townattendees.

16. ANTICIPATED NUMBEROF LOCALATTENDEES:

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I Local attendees are estimated at 5,000, 28% of total attendees.

17. HOW MANY ESTIMATEDHOTEL ROOM NIGHTS WILL BE GENERATEDBY THIS EVENT?
- Approximately80 hotel room nights will be generated by Ramona.

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Christopher Ourth, M.Ed.

Ramona Hillside Players
September 12, 2025
To the Grant Committee,
On behalf of Ramona Hillside Players, I am pleased to submit our application for the FY 2025/2026 Community Funding Grant. For over 80 years, our theater has been a cornerstone of Hemet’s cultural life, providing high-quality productions and hands-on arts education that inspire and unite our community.

Our season reaches more than 2,400 audience members, in addition to volunteers, actors, directors, and production staff, creating meaningful opportunities for local residents of all ages to participate in the arts. Our annual awards show, fundraisers, and outreach programs further expand this impact, bringing families and students together to engage with theater in a collaborative, educational environment.

As an instructor at both Mt. San Jacinto College and Crafton Hills College, with a recently completed M.Ed. in Theater Education and ongoing MFA studies, I am committed to fostering the next generation of artists. With grant support, we will upgrade essential tools, safety equipment, and technical systems, allowing us to more closely align with professional standards and expand free or low-cost workshops, summer programs, and educational outreach. These resources will directly benefit students, volunteers, and community members, ensuring theater remains accessible and transformative.

Our partnerships with local schools, including ongoing collaborations with educators like Bret Cherland and Monica Reichl, and organizations like the Ramona Bowl and Old Hemet Theater, position Ramona Hillside Players to become a regional hub for aspiring artists.

Funding from this grant will help us restore and expand programs that have been limited by budget constraints, while strengthening the quality and safety of our productions.

Thank you for considering our application. Your support will allow us to continue providing enriching theatrical experiences, foster learning and leadership, and ensure the arts remain a vibrant and accessible part of life in Hemet.

Sincerely,
Christopher Ourth, M. Ed.

Artistic Director & President
Ramona Hillside Player

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experiences for students, volunteers, and emerging artists in the community, giving them the skills to flourish wherever they go.

As the current Board President, I bring not only leadership but a deep academic and professional commitment to the theater arts. I am a theater instructor at both Mt. San Jacinto College and Crafton Hills College, have recently completed my master’s in education with a focus on theater education, and am currently pursuing my MFA. My life’s work is dedicated to both theater and education, and I believe strongly that the two must go hand-in-hand to truly serve a community. This proposal reflects that philosophy: that by strengthening our resources, we can also strengthen our outreach, offering workshops, summer intensives, and mentorship opportunities where community members and students can learn the craft of theater.

10. HOW DOES THE PROPOSED EVENT/PROJECT/PROGRAM/SERVICE BENEFIT THE COMMUNITY?
Theater is one of the most collaborative art forms we have, and its impact on individuals and communities is far-reaching. Actors, directors, designers, and stage managers not only develop artistic skills but also gain leadership, communication, and problem-solving abilities. Volunteers and students alike learn teamwork, responsibility, and creativity. By equipping our theater with proper tools, safety measures, and professional-standard technology, we are opening the door for Hemet residents of all ages to grow in these ways.

It also very much allows younger members the opportunity to busy themselves and cultivate their skills.

Two of our valued friends and supporters, Bret Cherland and Monica Reichl, both lead local high school theater programs—Bret at Hemet High School and Monica at Tahquitz High School. They have each contributed to our theater in numerous ways and are enthusiastic about the possibility of our organization providing their students with additional opportunities to learn, grow, and develop practical theater skills beyond the classroom. As an instructor at Mt. San Jacinto College and Crafton Hills College myself, I am eager to provide theater students with additional opportunities to further develop their skills through hands-on experiences at our theater.

Bret, together with his wife Laura, has previously led workshops at Ramona Hillside Theater. Unfortunately, these programs had to be suspended after COVID due to budget constraints, but we are eager to restore them as our funding allows.

When discussing the possibility of future outreach programs, Laura spoke with excitement about the potential impact on youth. She shared:
"In the past, Ramona Hillside Players has done summer youth programs that served all ages, with lots of family involvement. Also, Ramona Hillside Players has had benefit nights that amazingly contributed to our valley community service partners."

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Key Community Benefits:
• Educational Growth & Access: Expanded workshops and programming for youth and adults provide hands-on experience in acting, design, and technical theater, building creativity, confidence, and professional skills, while remaining affordable and accessible to all.
• Cultural Enrichment & Community Pride: Elevating the quality of local theater to near-professional standards strengthens Hemet’s cultural landscape and reflects positively on the city as a place that values and invests in the arts. • Community Engagement & Economic Impact: Volunteer opportunities foster involvement in safe, well-equipped environments, while productions draw audiences from Hemet and surrounding areas, supporting local businesses and promoting community vitality.

By investing in this project, the City of Hemet is not only funding a theater—it is investing in leadership, education, and a stronger, more connected community.

11. EVENT/PROJECT/PROGRAM/SERVICEPROMOTION: What type of advertising/public relations/promotion methods do you plan to use to advertise the event? We currently do as well, but we plan to use a combination of print and digital outreach, including flyers, posters, and postcards distributed locally; social media campaigns on Facebook, Instagram, and TikTok; targeted digital ads; and collaborations with schools, community centers, and local businesses to promote workshops and productions. We already have Facebook and Instagram and have dedicated volunteers to help create our advertising.

12. ANITICIPATED NUMBER OF ATTENDEES:

For our regular season productions, we can seat approximately 485 guests per performance run, totaling around 2,425 possible community members annually. In addition, our annual awards show—open to the public—typically draws 100–150 attendees. Although our capacity varies from show to show, we are never below about 85% capacity. As with many businesses, we have slowly regained our members from falling numbers as the result of COVID.

Each production also involves an average of 8–12 participants in acting, directing, and technical roles, along with 6 volunteers serving as ushers or in other support capacities.

Over the course of a season, this represents an additional 200–250 community members directly engaged in theater-making.

We also anticipate reaching approximately 200 attendees through fundraisers during the year, and we plan to bring in at least 25 participants next summer for our educational workshops.

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Taken together, our programming has the ability to touch well over 3,000 plus Hemet residents annually, both as audience members and as active participants in the art of theater.

13. IS THIS EVENT FREE TO THE PUBLIC? YES OR NO
YES and NO, as many of our programs and events are free or low-cost to ensure accessibility for the community. All revenue generated from ticket sales is reinvested directly into the theater, covering essential operating expenses and allowing us to continue producing quality community programming. Despite careful budgeting, our organization operates on a very tight margin, making additional funding critical for growth and sustainability.

Our mainstage productions are ticketed at affordable rates: $15 for opening night and $20 for all other performances. We also have one production from each run that is dedicated and utilized as a fundraiser for other local non-profit organizations. We also provide complimentary tickets for actors and production team members (typically 2 per person) and occasionally offer a “Pay What You Can” night to further reduce barriers.

Workshops and educational outreach events are currently limited by available funding, and participants may be asked to contribute to cover materials and operational costs.

With support from this grant, we would be able to offer these workshops completely free to the public, maximizing access and participation.

All fundraising events and the annual awards show are open to the public and operate on a donation basis.

14. TOTAL AMOUNT OF FINANCIAL ASSISTANCE REQUESTED:
$7814.59 (proposed budget attached)
***The minimum request is $2,500, with a maximum limit of $20,000*** *NOTE: We are requesting $7,800 to support important growth at the Ramona Hillside Playhouse. This funding will cover essential expenses such as updated set pieces, educational outreach, materials, equipment, etc., ensuring that these projects can be executed safely, professionally, and with maximum impact for our community. This amount represents a carefully calculated budget (attached)—enough to achieve meaningful results without exceeding the program’s typical funding range ($2,500–$20,000). Every dollar will directly support the creation, presentation, and accessibility of quality theatre experiences for our audience. But we also understand that many non-profits may bee seeking funding, so we would be very happy to receive anything.

15. ANTICIPATED NUMBER OF OUT-OF-TOWN OVERNIGHT ATTENDEES:

Since many of our volunteers (actors, directors, production staff) come from surrounding areas, as well as attendees, there is the possibility of 50-100 out of town visiting participants per show. But I don’t believe we need funding for this in particular.

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16. ANTICIPATED NUMBER OF LOCAL ATTENDEES:

Currently, we average around 2300-2500, but expanding our outreach could increase this to well over 3000 or more.

17. HOW MANY ESTIMATED HOTEL ROOM NIGHTS WILL BE GERENTATED BY THIS EVENT?
Currently, our events and productions do not anticipate significant overnight accommodations, as most participants and audience members are local. However, with expanded educational outreach and potential collaborations with visiting directors, playwrights, or guest artists (as we have successfully done in the past at local colleges) there is the potential to generate hotel room nights for a small number of visiting artists.

This would support opportunities such as intensive workshops, talkbacks, and specialized mentorship programs, helping position Hemet as a hub for aspiring theater artists in the region.

With strong partnerships such as the Ramona Bowl, and the Old Hemet Theater, combined with my experience as both a leader and educator, I believe our community has the potential to become a true beacon for the arts—a place where aspiring artists can learn, grow, and thrive.

Thank you for your time and consideration. We are proud to be part of this wonderful community.

OFFICIAL WITH CONTRACTING AUTHORITY FOR THE ORGANIZATION I HEREBY CERTIFY that the facts stated herein this Event Funding Request are true and correct to the best of my knowledge. The Event described herein will be conducted in accordance with all applicable city/county and other regulations and the Event provides equal access to employment and event participation without regard to race, color, religion, sex, national origin, age, disability, or military status in accordance with applicable federal laws.
9/12/2025
_____________________________________ _____________________________ Officials Signature Date
Christopher J. Ourth
_____________________________________________________________________________ Official’s Name and Title (Print)

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INSURANCE REQUIREMENTS FOR CITY OF HEMET COMMUNITY GRANT FUNDING Before grant awards are authorized, the City of Hemet requires a certificate of insurance including an underwriter’s endorsement prior to commencement of any work.

The general liability policies are to include additional insured endorsements that contain the following provisions:

1. That the City of Hemet and its respective officers and employees are additional insureds under the policy;

2. The policies are primary and non-contributory to any insurance that may be carried by CITY;

4. The insurance shall be carried only by responsible insurance companies that have rated “A-” and “V” or better by the A.M. Best Key Rating Guide, that are licensed to do business in the State of California. CITY will accept insurance provided by non-admitted “surplus lines” carriers only if the carrier is authorized to do business in the State of California.

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Information (PII) in the project and/or services provided). Vendor shall procure and maintain insurance with limits of $2,000,000 per occurrence/loss, $4,000,000 general aggregate, which shall include the following coverage:

ATTACHMENT "A"

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Community Funding Grant Application
FY 2025/2026

1. NAME OF APPLICANT/ORGANIZATION: __________________________________________

2. IS THE ORGANIZATION TAX EXEMPT? YES OR NO

3. IS THE ORGANIZATION A NON-PROFIT WITH A 501(C)(3) IN GOOD STANDING WITH THE STATE OF CALIFORNIA? YES OR NO

4. DO YOU MEET THE MINIMUM INSURANCE REQUIREMENTS LISTED IN ATTACHMENT “A”?

YES OR NO

5. CONTACT PERSON:

NAME: ______________________________________________
TITLE: _______________________________________________
PHO
EMAI
ADDR
CITY:

6. NAME OF EVENT/PROJECT/PROGRAM/SERVICE: __________________________________

7. DATE(S) OF EVENT/PROJECT/PROGRAM/SERVICE: ________________

8. LOCATION OF EVENT/PROJECT/PROGRAM/SERVICE: _______________________________

10. HOW DOES THE PROPOSED EVENT/PROJECT/PROGRAM/SERVICE BENEFIT THE COMMUNITY? ____________________________________ ______ _ ________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Renewing Hope Strategies Sharina Sanchez CHW Supervisor Mobile Hope Tour Multiple days in December 2025 Multiple locations in Hemet, CA

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12. ANITICIPATED NUMBER OF ATTENDEES: _______

13. IS THIS EVENT FREE TO THE PUBLIC? YES OR NO

14. TOTAL AMOUNT OF FINANCIAL ASSISTANCE REQUESTED: ___________________________ ***The minimum request is $2,500, with a maximum limit of $20,000***

15. ANTICIPATED NUMBER OF OUT-OF-TOWN OVERNIGHT ATTENDEES: __________________

16. ANTICIPATED NUMBER OF LOCAL ATTENDEES: __________________

17. HOW MANY ESTIMATED HOTEL ROOM NIGHTS WILL BE GERENTATED BY THIS EVENT? __________

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INSURANCE REQUIREMENTS FOR CITY OF HEMET COMMUNITY GRANT

FUNDING
Before JUDQW DZDUGV DUH authorizeG the City of Hemet requires a certificate of insurance including an underwriter’s endorsement prior to commencement of any work.

The general liability policies are to include additional insured endorsements that contain the following provisions:

1. That the City of Hemet and its respective officers and employees are additional insureds under the policy;

2. The policies are primary and non-contributory to any insurance that may be carried by CITY;

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Community Funding Grant Application
FY 2025/2026

1. NAME OF APPLICANT/ORGANIZATION: __________________________________________

2. IS THE ORGANIZATION TAX EXEMPT? YES OR NO

3. IS THE ORGANIZATION A NON-PROFIT WITH A 501(C)(3) IN GOOD STANDING WITH THE STATE OF CALIFORNIA? YES OR NO

4. DO YOU MEET THE MINIMUM INSURANCE REQUIREMENTS LISTED IN ATTACHMENT “A”?

YES OR NO

5. CONTACT PERSON:

NAME: ______________________________________________
TITLE: _______________________________________________
PHONE: __
EMAIL:

ADDRESS: _
CITY: _____

6. NAME OF EVENT: __________________________________________________________

7. DATE OF EVENT: ________________

8. LOCATION OF EVENT: _______________________________________________________

10. HOW DOES THE PROPOSED EVENT BENEFIT THE COMMUNITY? ______________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Shannon Martin/GuudSeed Initiative
Shannon Martin
Founder & Executive Director
Youth Entrepreneur In Training Program
3/26/26 & ongoing monthly
Schools, Local parks and community centers
Our program will equip youth, seniors and transitional aged youth with life saving CPR/BLS Certification, entrepreneurship training, financial literacy, and mental wellness education. With a 15,000 investment , we will prepare At leadt 100 youth annually to thrive in the workforce, gain confidence as leaders, and contribute tosafet, stronger communies.

This program ensures that every participant
has access to practical skills, career pathways, and mentorship that foster long term resilience and self suffiency. This program will strengthen the Hemet community by preparing local youth eith life saving CPR/BLS certification, workforc reafiness and entrepneurial skilss that translate into immediate and long term opportunities. As these young leaders enter jobs in childcare, healthcare, public service they bring both rconomic value and greater safety to the city. By empower 100+ youth each year with tools for success, the program creates a ripple effect-building a stronger workforce, safer households and more resilient Hemet.

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Hemet City CouncilOctober 14, 2025

Hemet City Council
October 14, 2025