Exhibit C CDBG-CV Subrecipient Matrix & Applications.pdf — Cdbg Ad-hoc Committee, January 23, 2025

CDBG-CV EXHIBIT “C” SUBRECIPIENT MATRIX & APPLICATIONS

Organization Program Request
Amount Proposed Program
IE Section NCNW Senior Support Serv ices $37,000 New Senior Support Program will staff a nutritionist who will teach seniors how to prepare healthy
meals and prov ide groceries. Additionally, it will
offer access to mental health serv ices, COVID
education, and testing.

Rialto Family Health Mobile Health Clinic $40,000 Distribution of COVID test kits and monthly mobile health clinics at Johnson's Community Center.

Sunrise Church of CA Mobile Food Distribution $100,000 The food distribution program seeks to improv e access to nutritious foods for low-income indiv iduals
at the Rialto Peach Center. It also prov ides mobile
serv ices deliv ered to seniors in low-income areas.

Legal Aid Rialto Legal Serv ices $50,000 New program will prov ide legal representation to Rialto residents. It includes preparing more legal
documents and providing support to help residents
prevent homelessness, maintain family unity, and
protect against abuse. This initiativ e aims to
enhance the well-being and prosperity of Rialto’s
community.

Inland Fair Housing
and Mediation Board
Landlord Tenant Serv ices
Coronav irus Project
$40,000 This landlord/tenant Coronav irus program will
prov ide information, education, and
mediation serv ices to residents of Rialto who hav e
concerns related to Coronav irus
and landlord/tenant matters
Red Lion Sports Activ ity Soccer Club $30,000 *The proposed activ ity does not meet eligibility criteria.

Public Serv ices Subtotal $297,000

City of Rialto
CDBG-CV Public Service Application:

IE Section NCNW
Senior Support Services

City of Rialto
CDBG-CV Public Service Application:

Rialto Family Health Services
Mobile Health Clinic

Amount of CDBG Funds
Requested ($)

Total Number of Unduplicated
Beneficiaries

Type of Beneficiary ☐ Persons ☐ Households
Groups that the
Program/Activity will Serve
(Check all that apply)
☐ Youth
☐ Adults
☐ Seniors
☐ Homeless Persons
☐ Disabled Persons
☐ Battered Spouses
☐ Abused/Neglected Children
☐ Households
☐ Community
☐ Housing Units
☐ Public Facilities
☐ Businesses
City of Rialto CDBG-CV Application Page 7 of 18
II. CDBG ELIGIBILITY
CDBG Eligible Activity
Categories Please choose
the CDBG Eligible Activity
Category for your proposed
project.
☐ Public Service. Improves community public services and facilities, including but not limited to those concerned with employment, fair housing and homeownership,
homelessness, crime prevention, child care, health, drug abuse, education or recreational needs.
☐ Public Facilities/Improvements
☐ Housing/Special Activities by Subrecipients
☐ Economic Development
☐ Acquisition and/or rehabilitation of real property
☐Other. Click to specify
CDBG National Objective
Compliance
Your proposed
project/activity must meet at
least one of HUD’s CDBG
National Objectives.

Please check only one
category under which the
project best qualifies.
☐Benefits Low and Moderate Income (LMI)
Individuals/Households.
☐ Addresses the prevention or elimination of slums or blight.

Meetings National
Objectives Check one
statements that describe
how your proposed
project/activity meets one
of the National Objectives
above:
 Low/Moderate Area Benefit – The project serves only a limited area which is proven by current Census data or
survey to be a low-income area. By choosing this
category you must be able to prove your project/activity primarily benefits low/moderate income households.
 Low/Moderate Limited Clientele – The project/activity benefits a specific group of people (rather than all areas in a particular area), at least 51% of whom are low/moderate income persons. Income verification for clients must be provided for this category. The following groups are
presumed to be low/moderate: abused children, elderly
persons (62 or older), battered spouses, homeless persons, adults meeting the Census definition of severely disabled, illiterate adults, persons living with AIDS and migrant farm workers.
 Slum or Blight on an Area Basis – Area basis activities must be within an officially designated area as defined under State or local law, and addresses one or more of the
conditions that contributed to the deterioration of the area.

City of Rialto CDBG-CV Application Page 8 of 18
III. PROJE

CT NARRATIVE

PROJECT/PROGRAM DESCRIPTION
Briefly describe the proposed service/activity/project to be carried out with the requested funds to prevent, prepare for, and respond to coronavirus (PPR). CDBG-CV PPR Tieback Flexibilities Quick Guide Link

COMMUNI

TY NEED
Does your proposed project/activity address an identified gap in service or current need in the community? Document the need for the project/program.

Rialto Family Health Services Will provide the following service: Distribution of Free weekly Covid test kits. Monthly Mobile Health Clinic program at Johnson's Community Center. Health care Coordination for insured and uninsured residents.

The Project addresses the gap in the availability of Covid tests for for low income and homeless residents of Rialto that have arisen since the end of Prior COVID-19 programs.

City of Rialto CDBG-CV Application Page 9 of 18
BE
NEFIT
Discuss how the project/program provides benefit to low-income persons.

COLLABORATION
Has your organization/agency developed this project in collaboration with other groups/organizations? If so, please list the groups/organizations and describe their roles in this project.

Access to theses services creates a healthier community, which benefits not only the individual residents but also families and thesustainability of community health resources
Rialto Family Health Services will be collaborating with San bernardino County Public Health Department which will provide COIVD testing kits. Dignity Health, whom will provide the Mobile Health Trailer at no cost. Lestonnac whom will provide the healthcare professionals.

City of Rialto CDBG-CV Application Page 10 of 18
SIM

ILAR RESOURCES
Is a similar service provided by another agency/organization? If so, how will your program/activity differ?
OUT
REACH.

Discuss outreach efforts for the proposed service/activity/project.

No other services at this time
We will be using Rialto Network, Rialto Community Service Department, Social Work Action Group (SWAG), Flyers and Banners
City of Rialto CDBG-CV Application Page 11 of 18
P

ERFORMANCE SCHEDULE
Prepare a Workout Plan for implementation/completion of the services and activities. Identify activities and completion dates below.

Milestone Start Date Completion Date

OTHER SOURCES OF FUNDS
List all other funding sources that will be used to undertake the proposed project/program and status of each source.

Source Name Committed or
Pending
Fund Amount ($) Current Status
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IV. PUBLIC SERVICE BUDGET
The use of CDBG-CV funds should be in direct relation to the scope of work. The funds requested through CDBG-CV should be utilized to provide a direct benefit or service to low or moderate - income residents of the City of Rialto. Adequate documentation must be provided by the organization to support the costs associated with the services provided. For Personnel Costs, salaries, and fringe benefits charged to the CDBG-CV program activity, a reimbursement request should include a copy of the timesheet, activity log, and proof of payment, such as a copy of the employee paycheck, canceled check, or payroll journal. The timesheet must reflect the hours charged to the CDBG -CV activity for each employee. Percentage allocation is allowed but must be approved by the City. It should be noted that vacation and sick time are not reimbursable for staff who do not work full-time on the CDBG-CV program activity.

O
perating costs such as office supplies, equipment, printing, rent/lease, utilities, insurance, and telephone are allowed, provided they are related to the CDBG-CV program activity. For rent/lease reimbursement, a copy of the rental/lease agreement should be submitted with the first invoice, and any updated agreements should be submitted thereafter. All reimbursement requests must include a copy of the invoice/state ment/bills, including summary pages with detailed expenses outlined and proof of payment, such as a copy of the canceled check, bank, or credit card statement.

T
he City has the right to request additional documentation needed to determine reimbursement eligibility to comply with CDBG -CV. Furthermore, any changes to the budget must be approved by the City through a budget amendment.

City of Rialto CDBG-CV Application Page 13 of 18

Please use the following format to present your proposed line-item budget:

Column A:

Column B:

Column C:

List all items for which you anticipate the need for CDBG funds during FY 2024/2025.

Provide description of how you arrive at a total for each line item.

Provide total CDBG Budget Amount.

Column A Column B Column C

BUDGET ITEM CALCULATION/DESCRIPTION CDBG BUDGET AMOUNT
PERSONNEL *
Salaried Positions-Name & Job Titles Please provide either the hourly/salary rate and number of hours spent on the
program.

Enter the budget amount
here.

Fringe Benefits- List Individual Cost

Total Personnel Cost:

OPERATING COST Provide description of how you arrive at a total for each line item

Rent/Lease (Program Only)
Supplies
Utilities
Equipment
Services
Printing
Other:

Other:

Total Operating Cost:

TOTAL PROJECT BUDGET:

*Personnel – If utilizing percentage of allocation, complete the following table.

City of Rialto CDBG-CV Application Page 14 of 18
*CDBG-FUNDED PERSONNEL- PERCENTAGE OF ALLOCATION
☐ Check this box if not using percentage of allocation.

Any changes to the percentage of allocation must be approved by the city through a budget amendment.

Name & Job Titles Salay/ Hourly Time Position is
Dedicated to
CDBG Activity
(%)
CDBG Budget
Amount
KE

Y PERSONNEL DUTIES
Provide a list of the duties of key personnel listed above.

Job Title Duties
City of Rialto CDBG-CV Application Page 15 of 18

COST RATIONALE
If you consider it necessary, explain why your program/activity costs is reasonable.

PROGRAM CHANGES
If you have previously received CDBG-CV funding, will you be providing increased services during the new fiscal year? Please explain if there is a new demand or unmet need in the community for this service.

Due to the professional expertise of our staff and years of experience with both the Community Development Block Grant and other state and federal grants. We believe this to be fair market value for compensation.

N/A
City of Rialto CDBG-CV Application Page 16 of 18

IMPACT OF NO CDBG FUNDING
Describe the effect of partial or no CDBG-CV funding on your project/activity.

Without CDBG-CV funding, it is likely that low income individuals will have some difficulty in obtaining access to COVID testing, and thus may not take the proper precautions or seek the necessary medical care. Leading to an increase in cases and an increase of burden on the community healthcare resources as a whole.

City of Rialto CDBG-CV Application Page 17 of 18

V. CONFLICT OF INTEREST QUESTIONNAIRE

Federal, State, and City law prohibits employees and public officials of the City of Rialto from participating on behalf of the City in any transaction in which they have a financial interest.

The purpose of this questionnaire is to assess potential conflicts of interest involving the applicant, applicant's staff, or applicant's Board of Directors. Additionally, please complete and sign the conflict form, Attachment A.

1. Is there any member(s) of the applicant’s staff or governing body who is or has been, within one year of the date of this questionnaire, (a) a City Employee or (b) a City Councilmember?

☐ Yes ☐ No

If Yes, please list the name(s) and information requested below:

Name of Person Job Title Relationship City Department

2. Will the CDBG funds requested by the applicant be used to award a subcontract to any individual(s) or business affiliate(s) who is currently or has been, within one year of the date of this questionnaire, (a) a City Employee or Consultant or (b) a City Councilmember?

☐ Yes ☐ No

If Yes, please list the name(s) and information requested below:

Name of Person Job Title Relationship City Department

3. Is there any member(s) of the applicant’s staff or member(s) of the applicant’s Board of Directors or other governing body who are business partners or family members of (a) a City Employee or (b) a City Councilmember?

☐ Yes ☐ No

If Yes, please list the name(s) and information requested below:

Name of Person Relationship Tie If Family, Indicate
Relationship

City of Rialto CDBG-CV Application Page 18 of 18

VI. SIGNATURES

Authorized Signature
To the best of my knowledge, the information provided on this application is true, and I am authorized to submit this application on behalf of the applicant agency.

Print Name Title
Signature Date

City of Rialto
CDBG-CV Public Service Application:

Sunrise Church of California
Mobile Food Distribution

City of Rialto
CDBG-CV Public Service Application:

Legal Aid
Rialto Legal Services

City of Rialto CDBG-CV Application Page 5 of 18

I. APPLICANT AND PROJECT/ACTIVITY INFORMATION

Legal Name of
Organization/Agency

Program/Activity Title
Program Physical Address
City, State, ZIP
Name of Applicant Contact
Title
Mailing Address
City, State, ZIP
Email
Phone
Will the proposed project
provide services on-site in
Rialto?
☐ Yes ☐ No

Type of Organization ☐ Non-Profit ☐ Government ☐ For-Profit Tax ID
Are you a Women owned, or a
majority Women operated
organization?
☐ Yes ☐ No ☐ Decline to state
Are you a Minority owned, or a
majority Minority operated
organization?
☐ Yes ☐ No ☐ Decline to state
If yes, please select which
category or categories is most
applicable.
☐ White ☐ Black/ African American ☐ Asian
☐ American Indian/ Alaskan Native ☐ Asian & White
☐ Black African American & White ☐ Other

Agency UEI Number
Name of Workers’
Compensation
Insurance (Government
exempt)

Coverage Amount ($)
Expiration Date
Name of General Liability and
Property Damage Insurance
(Government exempt)

Coverage Amount ($)
Expiration Date
Legal Aid Society of San Bernardino
Rialto Legal Services
588 W. Sixth Street
San Bernardino, CA 92410
Pablo Ramirez
Executive Director
Same as above
Same as above
[email protected]
909-406-5302
95-1997024
61871805
Sequoia Insurance Company
1000000/event
010126
Valley Forge Insurance Company
2,000,000 / per incident
040825
City of Rialto CDBG-CV Application Page 6 of 18

Amount of CDBG Funds
Requested ($)

Total Number of Unduplicated
Beneficiaries

City of Rialto CDBG-CV Application Page 7 of 18

II. CDBG ELIGIBILITY

CDBG Eligible Activity
Categories Please choose
the CDBG Eligible Activity
Category for your proposed
project.
☐ Public Service. Improves community public services and facilities, including but not limited to those concerned with employment, fair housing and homeownership,
homelessness, crime prevention, child care, health, drug abuse, education or recreational needs.
☐ Public Facilities/Improvements
☐ Housing/Special Activities by Subrecipients
☐ Economic Development
☐ Acquisition and/or rehabilitation of real property
☐ Other. Click to specify
CDBG National Objective
Compliance
Your proposed
project/activity must meet at
least one of HUD’s CDBG
National Objectives.

Please check only one
category under which the
project best qualifies.
☐ Benefits Low and Moderate Income (LMI)
Individuals/Households.

☐ Addresses the prevention or elimination of slums or blight.

City of Rialto CDBG-CV Application Page 8 of 18

III. PROJECT NARRATIVE

COMMUNITY NEED
Does your proposed project/activity address an identified gap in service or current need in the community? Document the need for the project/program.

City of Rialto CDBG-CV Application Page 9 of 18

BENEFIT
Discuss how the project/program provides benefit to low-income persons.

City of Rialto CDBG-CV Application Page 10 of 18

SIMILAR RESOURCES
Is a similar service provided by another agency/organization? If so, how will your program/activity differ?

OUTREACH.

Discuss outreach efforts for the proposed service/activity/project.

City of Rialto CDBG-CV Application Page 11 of 18

PERFORMANCE SCHEDULE
Prepare a Workout Plan for implementation/completion of the services and activities. Identify activities and completion dates below.

Milestone Start Date Completion Date

OTHER SOURCES OF FUNDS
List all other funding sources that will be used to undertake the proposed project/program and status of each source.

Source Name Committed or
Pending
Fund Amount ($) Current Status

Monthly Rialto Clinic
072025
062026
Rialto Case Doc Prep
072025
Stakeholder meetings
072025
062026
062026
Client Surveys, Reports
072025
062026
State Bar of CA

COMMITTED
100,000
ACTIVE

STATE BAR EAF

COMMITTED
100,000
ACTIVE
City of Rialto CDBG-CV Application Page 12 of 18

IV. PUBLIC SERVICE BUDGET

The use of CDBG-CV funds should be in direct relation to the scope of work. The funds requested through CDBG-CV should be utilized to provide a direct benefit or service to low or moderate - income residents of the City of Rialto. Adequate documentation must be provided by the organization to support the costs associated with the services provided. For Personnel Costs, salaries, and fringe benefits charged to the CDBG-CV program activity, a reimbursement request should include a copy of the timesheet, activity log, and proof of payment, such as a copy of the employee paycheck, canceled check, or payroll journal. The timesheet must reflect the hours charged to the CDBG -CV activity for each employee. Percentage allocation is allowed but must be approved by the City. It should be noted that vacation and sick time are not reimbursable for staff who do not work full-time on the CDBG-CV program activity.

Operating costs such as office supplies, equipment, printing, rent/lease, utilities, insurance, and telephone are allowed, provided they are related to the CDBG-CV program activity. For rent/lease reimbursement, a copy of the rental/lease agreement should be submitted with the first invoice, and any updated agreements should be submitted thereafter. All reimbursement requests must include a copy of the invoice/state ment/bills, including summary pages with detailed expenses outlined and proof of payment, such as a copy of the canceled check, bank, or credit card statement.

The City has the right to request additional documentation needed to determine reimbursement eligibility to comply with CDBG -CV. Furthermore, any changes to the budget must be approved by the City through a budget amendment.

City of Rialto CDBG-CV Application Page 13 of 18

Please use the following format to present your proposed line-item budget:

Column A:

Column B:

Column C:

List all items for which you anticipate the need for CDBG funds during FY 2024/2025.

Provide description of how you arrive at a total for each line item.

Provide total CDBG Budget Amount.

Column A Column B Column C

BUDGET ITEM CALCULATION/DESCRIPTION CDBG BUDGET AMOUNT
PERSONNEL *
Salaried Positions-Name & Job Titles Please provide either the hourly/salary rate and number of hours spent on the
program.

Enter the budget amount
here.

Fringe Benefits- List Individual Cost

Total Personnel Cost:

OPERATING COST Provide description of how you arrive at a total for each line item

Rent/Lease (Program Only)
Supplies
Utilities
Equipment
Services
Printing
Other:

Other:

Total Operating Cost:

TOTAL PROJECT BUDGET:

*Personnel – If utilizing percentage of allocation, complete the following table. 70 7000
Executive Director | Attorney
Staff Attorney
43 7000
Paralegal/Legal Asst.
25 15000
Intake Worker/Recep.
23 3000
Admin
23 3000
Deputy Director
58 400
Compliance
25 1400
25%
9200
Telecommunications
Travel
3500
Based on required contact
Project travel
200
Flyers
Project Flyers
300
4000.00
50000.00
46000.00
City of Rialto CDBG-CV Application Page 14 of 18

*CDBG-FUNDED PERSONNEL- PERCENTAGE OF ALLOCATION

☐ Check this box if not using percentage of allocation.

Any changes to the percentage of allo cation must be approved by the city through a budget amendment.

Name & Job Titles Salay/ Hourly Time Position is
Dedicated to
CDBG Activity
(%)
CDBG Budget
Amount

KEY PERSONNEL DUTIES
Provide a list of the duties of key personnel listed above.

Job Title Duties

Executive Director
101
7000
Staff Attorney
43 .08
7000
Paralegal/Legal Asst
25 .29
15000
Intake/Recept
23 .06
3000
.03
Admin
34 .04
3000
Deputy Director
58 .003
1700
Ex. Director
Oversee Program, Assist with complex litigation, Compliance, Reporting Staff Attorney
Client interviews, Client Surveys, oversee paralegal/legal assistant Paralegal/Legal Ast
Prepare documents, conduct client interviews
Intake/Recep
Conduct prescreen; collect eligibility docs and information Admin
oversee project; audit cases; verify documentation
Deputy Direc
oversee project; assist with complex cases
Compliance
Audit cases
Compliance
25 .03
1700
City of Rialto CDBG-CV Application Page 15 of 18

COST RATIONALE
If you consider it necessary, explain why your program/activity costs is reasonable.

City of Rialto CDBG-CV Application Page 16 of 18

IMPACT OF NO CDBG FUNDING
Describe the effect of partial or no CDBG-CV funding on your project/activity.

City of Rialto CDBG-CV Application Page 17 of 18

V. CONFLICT OF INTEREST QUESTIONNAIRE

Federal, State, and City law prohibits employees and public officials of the City of Rialto from participating on behalf of the City in any transaction in which they have a financial interest.

1. Is there any member(s) of the applicant’s staff or governing body who is or has been, within one year of the date of this questionnaire, (a) a City Employee or (b) a City Councilmember?

☐ Yes ☐ No

If Yes, please list the name(s) and information requested below:

Name of Person Job Title Relationship City Department

☐ Yes ☐ No

If Yes, please list the name(s) and information requested below:

Name of Person Job Title Relationship City Department

☐ Yes ☐ No

If Yes, please list the name(s) and information requested below:

Name of Person Relationship Tie If Family, Indicate
Relationship

City of Rialto CDBG-CV Application Page 18 of 18

VI. SIGNATURES

Authorized Signature
To the best of my knowledge, the information provided on this application is true, and I am authorized to submit this application on behalf of the applicant agency.

Print Name Title
Signature Date

Executive Director
Pablo Ramirez
101124

City of Rialto
CDBG-CV Public Service Application:

Inland Fair Housing and Mediation Board
Landlord Tenant Services Coronavirus Project

City of Rialto CDBG-CV Application Page 5 of 18
I. APPLICANT AND PROJECT/ACTIVITY INFORMATION
Legal Name of
Organization/Agency
Program/Activity Title
Program Physical Address
City, State, ZIP
Name of Applicant Contact
Title
Mailing Address
City, State, ZIP
Email
Phone
Will the proposed project
provide services on-site in
Rialto?
☐ Yes ☐ No
Type of Organization ☐ Non-Profit ☐ Government ☐ For-Profit Tax ID
Are you a Women owned, or a
majority Women operated
organization?
☐ Yes ☐ No ☐ Decline to state
Are you a Minority owned, or a
majority Minority operated
organization?
☐ Yes ☐ No ☐ Decline to state
If yes, please select which
category or categories is most
applicable.
☐ White ☐ Black/ African American ☐ Asian
☐ American Indian/ Alaskan Native ☐ Asian & White
☐ Black African American & White ☐ Other
Agency UEI Number
Name of Workers’
Compensation
Insurance (Government
exempt)
Coverage Amount ($)
Expiration Date
Name of General Liability and
Property Damage Insurance
(Government exempt)
Coverage Amount ($)
Expiration Date
Inland Fair Housing and Mediation Board
landlord/tenant services Coronovirus project
3175 D Sedona C, Suite 2
Ontario, CA, 91764
Carmen I. Garcia
C.E.O..
3175 D Sedona Ct, Suite 2
Ontario, CA, 91764
[email protected]
(909) 984-2254
X
X
X
X
PCTMDFBZA5B6
Preferred Employers Insurance
$1,000,000
Nonprofits Ins. Alliance of California
1,000,000
.,.
5/12/2024
City of Rialto CDBG-CV Application Page 6 of 18
Amount of CDBG Funds
Requested ($)
Total Number of Unduplicated
Beneficiaries
Type of Beneficiary ☐Persons ☐Households
Groups that the
Program/Activity will Serve
(Check all that apply)
☐Youth
☐ Adults
☐ Seniors
☐ Homeless Persons
☐ Disabled Persons
☐Battered Spouses
☐Abused/Neglected Children
☐ Households
☐ Community
☐ Housing Units
☐ Public Facilities
☐Businesses
$40,000
40 X
XX
X
X
X
X
X
X
XX
X
City of Rialto CDBG-CV Application Page 7 of 18
II. CDBG ELIGIBILITY
CDBG Eligible Activity
Categories Please choose
the CDBG Eligible Activity
Category for your proposed
project.
☐ Public Service. Improves community public services and facilities, including but not limited to those concerned with employment, fair housing and homeownership,
homelessness, crime prevention, child care, health, drug abuse, education or recreational needs.
☐ Public Facilities/Improvements
☐ Housing/Special Activities by Subrecipients
☐ Economic Development
☐ Acquisition and/or rehabilitation of real property
☐Other. Click to specify
CDBG National Objective
Compliance
Your proposed
project/activity must meet at
least one of HUD’s CDBG
National Objectives.

X
X
City of Rialto CDBG-CV Application Page 8 of 18
III. PROJECT NARRATIVE

COMMUNITY NEED
Does your p
roposed project/activity address an identified gap in service or current need in the community? Document the need for the project/program.

Yes, the proposed project addresses a current need in the community..Additionally, 91% of Rialto residents who received landlord-tenant services were persons with LMI incomes (26% extremely low, 45% low, 19% low-mod). The adverse effects of COVID-19 continue to impact Rialto. residents. Rialto is home to many essential workers. Community members need access to information, education, and mediation services to help prevent and resolve landlord/tenant disputes related to COVID-19.

This landlord/tenant Coronavirus program will provide information, education, and mediation services to residents of Rialto who have concerns related to Coronavirus and landlord/tenant matters. Intakes will be conducted to determine the nature of the problem that needs to be addressed. We will also review cases to provide information and assistance with fair housing concerns related to Coronavirus.

Appropriate referrals to other community agencies will also be provided. These services will help prevent homelessness and promote housing stability City of Rialto CDBG-CV Application Page 9 of 18

BENEFIT
Discuss how the
project/program provides benefit to low-income persons.

IFHMB contracts with several CDBG program participant jurisdictions in three Southern California counties (San Bernardino, Riverside, and Imperial) to provide fair housing services, and landlord-tenant mediation services. IFHMB also receives funding to provide HUD-approved default/foreclosure counseling services. Please see the attached Secured Funders List for additional information.

IFHMB's landlord/tenant Coronavirus services program will provide benefits to persons who have low incomes. There is a continued need for landlord/tenant information, education,
outreach, and mediation services. The proposed programs will also help identify and process fair housing complaints related to COVID-19. Housing discrimination limits housing opportunitie
s. Fair housing education helps to prevent discrimination that is the result of lack of knowledge
of fair housing laws. City residents including low-income persons will benefit from having increased knowledge of fair housing laws. The proposed program will help increase housing choice, and decrease homelessness. In the 2021-22 fiscal year, 100% of the City of Rialto residents who received services in our fair housing program fell into the LMI income categories (26% extremely low, 45% low, 19% low-mod).

City of Rialto CDBG-CV Application Page 10 of 18

SIMILAR RESOURCES
Is a s
imilar service provided by another agency/organization? If so, how will your program/activity differ?
OUTREACH.

Discuss
outreach efforts for the proposed service/activity/project.

IFHMB has experience providing fair housing services. IFHMB is the current provider of fair housing services and landlord/tenant mediation services for residents of the City of Rialto. We are not aware of similar services being provided by another agency or organization.

IFHMB conducts various outreach efforts. The services that are provided by our office are advertised through public service channels, through our social media platforms, and by email. Online outreach campaigns provide information on fair housing laws and the
services that are provided by our office. Brochures are also distributed as part of our outreach and education efforts.

City of Rialto CDBG-CV Application Page 11 of 18

PERFORMANCE SCHEDULE
P
repare a Workout Plan for implementation/completion of the services and activities. Identify activities and completion dates below.

Milestone Start Date Completion Date

OTHER SOURCES OF FUNDS
List all other funding sources that will be used to undertake the proposed project/program and status of each source.

Source Name Committed or
Pending
Fund Amount ($) Current Status
1st quarter 8
2nd Quarter- 8 L/Tt
3rd Quarter 8 L/T
4th Quarter 8 L/T
L/T
Please see the attached secured funders list.

City of Rialto CDBG-CV Application Page 12 of 18
IV. PUBLIC SERVICE BUDGET
The use of CDBG-CV funds should be in direct relation to the scope of work. The funds requested through CDBG-CV should be utilized to provide a direct benefit or service to low or moderate - income residents of the City of Rialto. Adequate documentation must be provided by the organization to support the costs associated with the services provided. For Personnel Costs, salaries, and fringe benefits charged to the CDBG-CV program activity, a reimbursement request should include a copy of the timesheet, activity log, and proof of payment, such as a copy of the employee paycheck, canceled check, or payroll journal. The timesheet must reflect the hours charged to the CDBG -CV activity for each employee. Percentage allocation is allowed but must be approved by the City. It should be noted that vacation and sick time are not reimbursable for staff who do not work full-time on the CDBG-CV program activity.

Operating cos
ts such as office supplies, equipment, printing, rent/lease, utilities, insurance, and telephone are allowed, provided they are related to the CDBG-CV program activity. For rent/lease reimbursement, a copy of the rental/lease agreement should be submitted with the first invoice, and any updated agreements should be submitted thereafter. All reimbursement requests must include a copy of the invoice/state ment/bills, including summary pages with detailed expenses outlined and proof of payment, such as a copy of the canceled check, bank, or credit card statement.

The City has the
right to request additional documentation needed to determine reimbursement eligibility to comply with CDBG -CV. Furthermore, any changes to the budget must be approved by the City through a budget amendment.

City of Rialto CDBG-CV Application Page 13 of 18
Please use the followin
g format to present your proposed line-item budget:

Column A:

Column B:

Column C:

List all items for which you anticipate the need for CDBG funds during FY 2024/2025.

Provide description of how you arrive at a total for each line item.

Provide total CDBG Budget Amount.

Column A Column B Column C

BUDGET ITEM CALCULATION/DESCRIPTION CDBG BUDGET AMOUNT
PERSONNEL *
Salaried Positions-Name & Job Titles Please provide either the hourly/salary rate and number of hours spent on the
program.

Enter the budget amount
here.

Fringe Benefits- List Individual Cost
Total Personnel Cost:

OPERATING COST Provide description of how you arrive at a total for each line item
Rent/Lease (Program Only)
Supplies
Utilities
Equipment
Services
Printing
Other:

Other:

Total Operating Cost:

TOTAL PROJECT BUDGET:
*Personnel – If utilizing percentage of allocation, complete the following table.

Sales Force Estimated Allocated Cost 4970.37
Taxes
Medical
$2415.84
$2415.83
$35,029.63
$4970.37
$40,000.00
City of Rialto CDBG-CV Application Page 14 of 18
*CDBG-FUNDED PERSONNEL- PERCENTAGE OF ALLOCATION
☐ Check this box if not using percentage of allocation.

Any changes to the percentage of allocation must be approved by the city through a budget amendment.

Name & Job Titles Salay/ Hourly Time Position is
Dedicated to
CDBG Activity
(%)
CDBG Budget
Amount

KEY PERSONNEL DUTIES
Pr
ovide a list of the duties of key personnel listed above.

Job Title Duties
See the attached job descriptions.

Kenny Trojan- Mediator
Lourdes Pena- Attorney
Carmen Garcia- CEO
Elvira Bravo- Receptionist
To Be Hired - Operations
Naisha Davis- CFO
Total
$22.00
$42.39
$52.48
$22.00
$35.00
$49.30
5%
8%
5%
8%
10%
5%
$2288.00
$6612.84
$5457.92
$3432.00
$7280.00
$5127.20
$30,197.96
City of Rialto CDBG-CV Application Page 15 of 18

COST RATIONALE
If you consider it necessary, explain why your program/activity costs is reasonable.

All program costs are reasonable for the services provided.

Our agency has previously received CDBG funds from the City of Rialto. The new CDBG Coronavirus funds from this program will allow us to increase the services that our agency provides to Rialto residents who have Coronavirus related landlord/ tenant and fair housing issues.

City of Rialto CDBG-CV Application Page 16 of 18

IMPACT OF NO CDBG FUNDING
Describe the effect of partial or no CDBG-CV funding on your project/activity.

NO CDBG funding for this program would result in no services being provided. Partial funding would result in a commensurate decrease in the services provided.

City of Rialto CDBG-CV Application Page 17 of 18
V. CONFLICT OF INTEREST QUESTIONNAIRE
Federal, State, and City law prohibits employees and public officials of the City of Rialto from participating on behalf of the City in any transaction in which they have a financial interest.

The purpose
of this questionnaire is to assess potential conflicts of interest involving the applicant, applicant's staff, or applicant's Board of Directors. Additionally, please complete and sign the conflict form, Attachment A.

1. Is there any member(s) of the applicant’s staff or governing body who is or has been, within one
year of the date of this questionnaire, (a) a City Employee or (b) a City Councilmember? ☐Yes x No
If Yes, please lis
t the name(s) and information requested below:

Name of Person Job Title Relationship City Department

Name of Person Relationship Tie If Family, Indicate
Relationship
X
x
☐☐
City of Rialto CDBG-CV Application Page 18 of 18
VI. SIGNATURES
Authorized Signature
To the best of my knowledge, the information provided on this application is true, and I am authorized to submit this application on behalf of the applicant agency.

Print Name Title
Signature Date
Carmen I. Garcia C.E.O.
10/25/2024

City of Rialto
CDBG-CV Public Service Application:

Red Lion
Sports Acitivity Soccer Club
*The proposed activity does not meet eligibility criteria.

Cdbg Ad-hoc CommitteeJanuary 23, 2025

Cdbg Ad-hoc Committee
January 23, 2025