DocuSign Envelope ID: 78CD7B9D-C29E-484A-ACBC-3F429A19CA7D Richmond Public Library
PROJECT INFORMATION:
Invoice #: ESL21-3-36
Project Title: English as a Second Language Services
Grantee: Richmond Public Library
Funding Start Date: Upon execution
Term Completion: June 30, 2024
DocuSign Envelope ID: 78CD7B9D-C29E-484A-ACBC-3F429A19CA7D Richmond Public Library
THE BASICS - YOUR GRANT AWARD
The following provides basic information about your grant and managing your grant.
Award #: ESL21-3-36
Library: Richmond Public Library
Total Award Amount: $69,602
ESL GRANT REQUEST
Salary and Benefits $50,000
Contract Staff $0
Operations $16,500
Library Literacy Materials
Small Equipment $15,000
Equipment ($5,000 or more per
unit)
Subtotal $81,500
Indirect $8,100
Award Difference to be Adjusted
(included in grant total below) -$19,998
Grant Total $69,602
Start Date: Upon execution
End Date: June 30, 2024
Please understand that it can take between eight to ten weeks following the receipt of an error free claim form before grant funds are delivered. If you have not received your payment after eight weeks, please contact your grant monitor.
CONTACT
We want your project to be successful. Please work with the program staff listed below to implement your project:
Literacy Analyst: Allyson Jeffredo
Phone Number: (916) 603-6709
Email Address: [email protected]
Library Programs Consultant: Beverly Schwartzberg
Phone Number: (916) 701-6880
Email Address: [email protected]
DocuSign Envelope ID: 78CD7B9D-C29E-484A-ACBC-3F429A19CA7D
CALIFORNIA
STATE LIBRARY
California Library Literacy and English Acquisition Services
FINANCIAL CLAIM
PAYMENT IN FULL
Grant Award #: ESL21-3-36 Date:
Invoice #: ESL21-3-36-01 PO#:
Payee Name: City of Richmond
(Legal name of authorized agency to receive, disburse and account for funds*) Complete Address:
Street Address, City, State, Zip Code (Warrant will be mailed to this address) Amount Claimed: $69,602 Type of Payment:
(Payable Upon Execution of Agreement) PROGRESS
Grantee Name: Richmond Public Library • FINAL
(Name on Award Letter and Agreement) • IN FULL
Project Title: English as a Second Language AUGMENT
For Period From: upon execution to end of grant period
CERTIFICATION
I hereby certify under penalty of perjury: that I am the duly authorized representative of the claimant herein; that this claim is in all respects true, correct and in accordance with law and the terms of the agreement; and that payment has not previously been received for the amount claimed herein.
By
(Signature of the Authorized Representative)
(Print Name) (Title)
*Legal payee name must match the payee's federal tax return. Warrant will be made payable to payee name. Payee discrepancies in name and/or address may cause delay in payment. If you need to change payee name and/or address, please contact Fiscal Services at [email protected].
State of California, State Library Fiscal Office
ENY: 2021 ITEM NO: 6120-2131-0001, Chapter 240, Statutes of 2021 PURCHASING AUTHORITY NUMBER: CSL-6120 REPORTING STRUCTURE: 61202000 COA: 5432000 PROGRAM #: 5312
By Date
(State Library Representative)
DocuSign Envelope ID: 78CD7B9D-C29E-484A-ACBC-3F429A19CA7D Richmond Public Library
CERTIFICATION
I hereby certify under penalty of perjury: that I am the duly authorized representative of the claimant herein; that the claim is in all respects true, correct and in accordance with law and the terms of the agreement; and that payment has not previously been received for the amount claimed herein.
The claims the indicated allowance for the purposes of carrying out the functions stated in its CLLS application and in Sections 18880-18883 of the California Education Code.
440 Civic Center Plaza, Richmond, CA 94804
SIGNED DATE
Signature - Authorized representative
Typed/Printed Name and Title of Authorized Representative Email address of authorized representative
DocuSign Envelope ID: 78CD7B9D-C29E-484A-ACBC-3F429A19CA7D Richmond Public Library
Total Award: $69,602
PAYMENT SCHEDULE:
Libraries receive 100% of their 2023-2024 English as a Second Language Services award upon receipt of the award letter.
Note: Libraries have 18 months to spend their 2023-2024 English as a Second Language Services award funds, from July 1, 2023, in which the funds are awarded until December 31, 2024.
English as a Second
Language Service Award
Final Payment $69,602
Total $69,602
REPORTING:
For the 2023-2024 program period, libraries will be required to submit a mid-year report and final report. Reminder emails will be sent out beginning six weeks before the required reports are due.
All required reporting materials will be located on the California State Library's website. The reporting schedule is detailed below.
Mid-Year Report Due January 31, 2024
Final Report Due September 30, 2024
Note: A budget modification form will be required for all budget changes regardless of amount. Modification forms may be submitted throughout the year but no later than May 31st.