Item 20 - Prioritization of Fiscal Year 2023-2024 Community Development Block Grant Projects/Programs

Agenda Item No. 20
a -A � 1I = =
Rx" 010 7.Am H 01 "1 N I
TO: Honorable Mayor. and City Council
FROM: ePhillip White, Director of Finance Ryan Blackerby, Accounting Manager FOR: City Council Meeting of February 13, 2023
SUBJECT: Prioritization of Fiscal Year 2023-2024 Community Development Block Grant Projects/Programs
That City Council conduct a public hearing and prioritize eligible project proposals for submission to the San Bernardino County Board of Supervisors for Community Development Block Grant funding consideration.

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The City of Yucaipa, through a cooperative agreement with the County of San Bernardino, participates in the federal Community Development Block Grant (CDBG) fanding program. On an amival basis, the City of Yucaipa receives an allocation of funds from CDBG, which are passed through San Bernardino County, and can be used on eligible construction projects and public service programs. The purpose of this grant program is to address needs identified within the community and to assist specific target areas that qualify as low-income areas. Eligible target areas are those portions of the community that meet the low to moderate income level criteria, as determined by the U.S. Department of Housing and Urban Development (HUD). These resources primarily fund capital improvements within eligible target areas. In addition, up to 15% of the total County -wide allocation received may be spent on public service programs that primarily benefit residents that qualify pursuant to the low-income criteria established by HUD.

Every three years the County is required to re -qualify as an Urban County under the CDBG program and it is through this process that the annual CDBG entitlement funds are established for participating cities, including the City of Yucaipa. Every three years since 2014, the City of Yucaipa has been identified as a "Metropolitan City" per HUD guidelines, which includes a population figure in an amount greater than 50,000, and therefore is able to participate directly with I -IUD as an Entitlement City, should the City choose to do so. In 2014, 2017, and again in 2020, the City Council elected to continue its participation with the County. Staff will be 655

City Council Agenda Report
Prioritization of Fiscal Year 2023-2024 CDBG Projects
For. Meeting of February 13, 2023
reevaluating this arrangement and will in the future make a recommendation to City Council as to whether the City should continue as a participant in this cooperative agreement with the County or choose to interact directly with HUD as an Entitlement City, which would bring the management of this program "in-house." The next opportunity to make this election is anticipated to be in 2023.

Historically, the City has chosen to fund construction projects for improvements to City facilities for the elimination of barriers pursuant to the Americans with Disabilities Act (ADA), and to fund infrastructure improvements enhancing roadways, including storm drains, curbs, gutters and sidewalks. In addition to the eligible City project proposals, not -for -profit community -based organizations, serving various segments of Yucaipa, have also historically submitted project or program proposals in anticipation of funding. Annually, the City Council conducts a public hearing to provide an opportunity for community members and organizations to communicate with the City Council and to present and discuss requests for funding consideration regarding the City's annual CDBG allocation. At the conclusion of the public hearing, Council will be asked to prioritize the proposals for funding. The funding approved by Council will be finalized as a function of the Fiscal Year 2023-2024 (FY24) budget process.

Based on the most recent estimate from the County, the projected CDBG allocation for the City of Yucaipa for FY24 is expected to be approximately $239,942. Regularly, the San Bernardino County Department of Community Development and Housing (CDH) updates its estimates used in determining the proportional share of qualifying eligibility factors among Cooperative Agencies in order to determine the level of funding to be allocable to each agency. While the actual allocation amount is not likely to change significantly from this preliminary figure, if additional funds become available, staff will return to Council with a recommendation for their disposition, as appropriate.

There are primarily two project classifications considered for CDBG funding. These include: 1) public service programs, and 2) construction projects. 14UD restricts funding for public service programs to 15% of the total annual allocation. As a result, it is expected that Yucaipa's public service programs will be subject to a limit of $35,991 or 15% of Yucaipa's anticipated allocation of $239,942. If Council allocates the entire 15% to public service programs, then the remaining amount of $203,951 will be available for construction projects. While 15% may be spent on public service programs, there is no requirement to spend any amount on public service programs. As a result, the entire annual allocation may be used to fund construction projects.

FY 24 Project Proposals
The Notice of Funding Availability (NOFA) for FY24 was advertised by CDH, and it was also posted on the City website. Funding applications have been received by CDH, and CDH has reviewed the proposals submitted in order to determine their funding eligibility. Attachment 2 lists six programs/projects deemed eligible by CDH, including one City initiated construction project proposal, one City initiated public service program proposal and four public service

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City Council Agenda Report
Prioritization of Fiscal Year 2023-2024 CDBG Projects
For Meeting of February 13, 2023
program proposals submitted by outside non-profit organizations, each of which are discussed later in this report.

Of the six eligible proposals, only the one City construction project proposal is considered a construction project. The remaining five proposals, including the City's scholarship program, are considered public service programs. The total amount requested for public service programs is $67,500, while the actual funding available to these programs is limited to the $35,991 previously mentioned.

In previous years, the minimum funding threshold was $10,000 for public service program allocations and $75,000 for construction projects. The County notified staff in Fiscal Year 2015- 2016 that there are no longer minimum project funding thresholds. However, the total allowable number of newly funded projects is based on the percentage of each City's share of the total CDBG allocation and the maximum number allowed is based on the City's CDBG Administrative Cap.

For FY24, the County has determined that the City of Yucaipa may fund a total of seven projects, of which no more than two may be new construction projects.

City's Construction Projects
For FY24, the City submitted one construction project proposal, as follows:

Scherer Senior Center Facility Renovations, in the amount of $203,000:
a. New flooring in the Scherer Community Center — the existing carpet is approximately 24 years old and the existing floor the has exceeded its useful like and is in need of replacement. The flooring renovations will include new carpet in the office area and Luxury Vinyl Tile (LVT) in the hallway and small banquet rooms. The LVT will mimic the LVT that was installed in the Nutrition Center. b. New roofing - the roof at the Scherer Community Center and Nutrition Center is over 35 years old and is in disrepair. A new roof is needed to extend the useful life of the overall structure.
c. Nutrition Center Facility Upgrades - the upgrades include the renovation of two (2) storage rooms requiring repairs due to previous water damage from a leak in the roof that was repaired several years ago.

If the project is prioritized by the City Council for FY24 funding, then staff will include the budget for this project as part of the CIP Budget for City Council approval in the FY24 Budget process.

City Public Service Proposal and Proposals Submitted by Not -for -Profit Organizations Staff is again recommending that a portion of the funds available for public service programs be used for the continuation of the Community Services Scholarship Program. The program offers scholarships for the City recreation activities to eligible participants. Eligibility is for low to moderate income level families, as determined pursuant to HUD criteria. It is estimated that the entire Fiscal Year 2022-2023 (FY23) allocation of $15,000 will be spent during FY23, with applications remaining unfunded by the City's allocation to the program. As a result, staff will be

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City Council Agenda Report
Prioritization of Fiscal Year 2023-2024 CDBG Projects
For Meeting of February 13, 2023
recommending funding in the amount of $10,000 for FY24. This amount is less than requested in prior years, as the City's STARS Program is now funded by a separate state grant, reducing the amount needed from CDBG.

In addition to the City project/program proposals mentioned above, four proposals were received from not -for -profit community -based organizations within the greater San Bernardino area that met the submittal criteria, pursuant to the requirements established by HUD and CDH and, therefore, have been determined eligible for funding consideration. Below is a list of all the eligible proposals submitted by both the City and San Bernardino County area not -for -profit organizations. In addition to the City's scholarship program, the four non -City related proposals are considered public service proposals and, therefore, are collectively subject to the 15% funding restriction.

The City's allocation may be spent entirely on construction projects. However, if the Council determines to allocate a portion on public service programs, it may do so up to the maximum amount of 15%, or $35,991. The total allowable number of newly funded projects is based on the percentage of each City's share of the total CDBG allocation, and the maximum number allowed for newly funded construction projects is based on the City's CDBG Administrative Cap.

The lists of public service and construction project proposals below have not been prioritized by staff. For Council information, the table below also includes a column which reflects the allocation amounts and organizations that were recipients of Yucaipa's CDBG funds in the previous year. 2023-2024 Public Service Proposals
Amount City
Council
Amount
Applicant
Project Description
Allocated in
Requested for
2022-2023
2023-2024
1 Family Service Association of
Continuation and expansion of Case
7,500
$7,500
1 Redlands (Case Management Program)
Management Services
2 Boys & Girls Club of the
Summer Camp program at Dunlap
5,909.75
20,000
San Gorgonio Pass
Elementary
3 Partners Against Violence
Supportive services for victims of
(formerly San Bernardino Sexual Assault
violence
5N9.75
20,000
Services)
4 Continuation and expansion of the
San Bernardino County Library
Yucaipa Branch Adult Literacy
5,909.75
10,000
I
Program
5 City of Yucaipa
Continuation of the Recreational
15,000
10,000
Scholarship Program
Total
$46,139
$67,500
Total Public Service Allocation Available (15%)
$35,991
*Part of this total is $5,909.75 received by Family Services Association (Senior Meals Program) in FY 23 bums not shown above, as they are not among the eligible project proposals for FY 24.

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658

City Council Agenda Report
Prioritization of Fiscal Year 2023-2024 CDBG Projects
For Meeting of February 13, 2023
2023-2024 Construction Project Proposals
Arnount
Applicant
Project
Requested for
2023-2024
Yucaipa Scherer Senior Centel• renovations to flooring, I
City of Yucaipa
roofing, storage rooms and the work room located in the $203,000
Nutrition Center wing of the facility.

Total
$203,000
Total Construction Projects Proposals (from above)
$203,000
Total Public Service Proposals (from above)
67,500
Total 2023-2024 CDBG Project/Program Proposals
$270,500
Public Service Programs
It is anticipated that the amount available for public service programs will be $35,991. This is equal to 15% of the total expected FY 24 allocation in the amount of $239,942. Four of the five outside non-profit organizations that received funding in the prior fiscal year have project proposals eligible for funding for FY 24. The five requests for public service funds, including the City's Scholarship Program, total $67,500.

Council may choose an allocation strategy similar to the prior year or Council may choose to fund at different levels, subject to the funding constraints. Council may also choose to fund programs at different levels than the amounts specifically requested by the organizations or may choose not to fund any public service programs.

Organizations who do not receive full or partial funding of their CDBG requests may choose to participate in the City's FY 24 Community Activity Grant (CAG) program application process.

Construction Projects
Pending the decision to allocate funds to public service programs, the anticipated total FY 24 allocation amount available for construction projects is equal to $203,000. The funding request for the proposed construction project is $203,000.

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659

City Council Agenda Report
Prioritization of Fiscal Year 2023-2024 CDBG Projects
For Meeting of February 13, 2023
There is no anticipated fiscal impact on the General Fund at this time. This action only prioritizes the projects for the FY 24 allocation. The actual authorization to complete the projects will be accomplished through the normal budgeting, bidding and purchasing process. The expenses related to this item, when incurred in FY 24, will be spent from the CDBG Fund and subsequently reimbursed from the CDBG grant.

The total amount of anticipated CDBG funding for FY 24 is as follows:

FY 2023-2024 CDBG Funding
Amount
Anticipated 2023-2024 CDBG Funding
$239,942
Less: Amount available to fund Public Service Proposals (35,991)
Total: Amount Available for Construction Projects
$203,211__]l
Attnchrnenfiq-

1. Letter of award from County
2, Eligible Project List

3. Actual Proposals for all Eligible Projects
Approved by:

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660

Ryan Blackerby
From: Graham, Kelly raham@c ks >
Sent: Friday,January 6, 202310:0AM
To: Ray Casey, Ryan 0ackerby;Todd Gudahr
Cc: Anderson, Bryan; Dearen Elizabeth; 8ecerna,Sandra
Subject: 2O23-24Annual Action Plan RequestfnrPr|oritbcotion-Yucaipa Each year, the County of San Bernardino (County) must prepare and submit to the U.S. Department of Housing and Urban Development (HUD) an Annual Action Plan that identifies the amount of funding it expects to receivr.- from HUD and outlines the specific activities it anticipates to fund in pursuit of its Countywide housing and community development goals and objectives.

For the 2023-24 Program Year (PY), the County anticipates receiving $6.9 million to support the activities to be listed in its 2023-24 Annual Action Plan.

To ensure the timely submittal of the County's Annual Action Plan, an estimate has been used. It is important to note that it is possible that this estimate may change (+/-) between now and when the U.S. Congress approves the 2023-24 federal budget. Once the final federal allocation is released, adjustments to the distribution T? County funds may be necessary, For PY 2023-24 your city's estimated annual allocation is $239,942.

This amount is based on U.S. Census poverty,, overcrowded housing counts and population estimates, which allocation above). Please note that the allocation amounts are estimates and are subject to change based on HUD's actual allocation to the CDBG Program.

The County has received a number of proposals in response to its PY 2023-24 Notice of Funding Availability (NOFA) and has evaluated each proposal for its conformance to the federal requirements, To involve your city in the decision -making process, please provide us with a prioritized list of those eligible proposals that best meet your city's goals and objectives.

To assist you in this effort, please use this Dropbox link to access the following documents:

1. List of Eligible Project Applications

2. Copies of Eligible Project Applications
1 List of Ineligible Project Proposals (if any)

4. Cooperating City Recommended Projects Form
Grant Process and Funding Thresholds
The 15% Public Service Cap applies for cities that receive $150,000 or more in CDBG funding allocation, The total allowable number of newly funded projects is based on the percentage of each city's formula share of the

Yucca Valley, which are receiving less than $150,000, may only fund four (4) projects. The remaining cities have the following funding opportunities:

Total Allowable
Projects
M a—x—i m u - - m _N —um be r —of
Construction
Projects
'i E —st i m a t —ed
16% Public
Service Cap
MAN M
Ron* I
IM
Twentynine Palms
Thank you for your past and continuing support in the CDBG program. We appreciate your assistance returning your funding recommendations no later than Friday, February 24, 2023. Should you have 8 questions or need additional assistance, please feel free to contact your Analyst, I Phone Number
Email Address
Kelly Graham
(909) 501-0626
Kelly. Grahamp_cdh.sbcounty.gov
Tom Ramirez
(909) 501-0635
Sandra Becerra
909) 501-0636
Sandra. BecerraCa
—)cdh.sbcountv.gov i
Your City Council -approved funding recommendations will be included in the County 2023-24 Annual Action Plan and is anticipated to be approved by the County Board of Supervisors in early April.

Sincerely,
Kelly Graham
CDH Analyst 11
Community Development and Housing Department
Phone: 909-501-0626
560 E. Hospitality Lane, Suite 200
San Bernardino, CA 92415-0043

BERNARDINO
UNTY
Ourjob is to create a county in which those who reside and invest can prosper and achieve well-being.

E73n=1M
County of San Bernardino Confidentiality Notice: This communication contains confidential information sent solely for the use of the intended recipient. Ifyou are not the intended recipient of this communication, you are not authorized to use it in any manner except to immediately destroy it and notify the sender. 2 662

San Bernardino County
Department of Community Development and Housing
2023-24 CDBG Project Proposals
Location
Applicant
Application#
ProjeetTitle
Amount
Comments
Eligible:

Requested
Yes NO
Fermin Preciado, Director of Development
Eligible Construction - Yucaipa Scherer Senior Center roof and floor replacement and Services/City Engineer
renovations and updating of storage rooms and workroomin the Nutrition Center City of Yucaipa
Yucaipa: Scherer Senior Center and
wing of the facility makes facility safe and available to serve 7,500 seniors who will Yucaipa
p
34272 Yucaipa Blvd
p
YUCA23CN-015
$203;000.00
benefit from these improvements. Seniors are presumed to be low -and moderate- Yea
Yucaipa, CA 92399
Flooring Replacement
income, however, documentation is still required. The City owns the facility. [email protected]
Compliance to the Davis -Bacon Federal Wage Rates and other related Acts including 909-797-2489
Section 3 may increase the cost of construction by as much as 20%.

Kyra Stewart; Executive Director
Expanded Eligible Public Service - Family Service Association of Redlands will provide 612 Lawton Street
case management services including food, personal supplies and rental assistance to Yucaipa
p a
Redlands, CA 92374
YUCA23PS-029
Yucaipa: Case Management - Family Service
$7;500.00
approximately 40 low- and moderate- income households through their outreach Yes
[email protected]
Association of Redlands
office in Yucaipa. Public Services are limited to low -and moderate -income 909-793-2673
households and require monthly documentation that at least 51% of the households served qualify as low -and moderate -income.

Expanded Eligible Public Services- The Boys and Girls Clubs of the San Gorgonio Pass, under contract with the City of Yucaipa, will provide a Summer Youth Camp at Amy Herr, Chief Executive Officer
Dunlap Elementary School to low- and moderate -income households in the City of Boys & Girls Clubs of the San Gorgonio Pass
Yucaipa and surrounding areas. Approximately 25 youth will participate in enriching, 240 W. Ramsey Street
Yucaipa: Boys & Girls Club - Youth Summer
age appropriate programs of of America's Summer Brain Gain curriculum, receive a Yucaipa
Banning,
YUCA23PS-037
Camp
$20,000.00
daily lunch and snack and will be mentored by taring, professional staff. The Yes
sg ass.c
[email protected]
program will offered Monday through Friday, 7:00 a.m. to 6:00 p.m. Dates for the 951-692-fi382
8-week program are June 12, 2023, through August 11, 2023. Funding will only cover the period of July1, 2023 through August 11, 2023. Public Services are limited to low and moderate -income, households and require monthly; documentation that at least 51% of the households served qualify as low- and moderate -income.

Expanded Public Services -Partners Against Violence (PAV), under contract with the City of Yucaipa, will provide crisis intervention and community prevention education Michelle Cates; Executive Director
services to 400 unduplicated persons who maybe victims of abuse or domestic Partners Against Violence
violence within the City of Yucaipa and the surrounding area. Public Services are 444 N. Arrowhead Ave,Ste.101
Yucaipa: Supportive Services for Victims of
limited to low- and moderate -income persons and require monthly documentation Yucaipa
San Bernardino, 92401
YUCA23PS-052
Violence -Partners Against Violence
$20,000.00
that at least 51% of the persons served qualify as low- and moderate -income.

Yes
Michell er v:org
Battered and abused spouses area presumed 51% low -to moderate -income 909-885-8884
09-885-8884
population. However, documentation is still required. Also, a quantifiable increase in the level of service or a new additional service is required in order to continue to be eligible for CDBG funding. This activity was funded in previous years (less than 12 months) and is a continuing activity.
663

San Bernardino County
Department of Community Development and Housing
2023-24 CDBG Project Proposals
Location
Applicant
Application #
Project Title
Amount
Requested
Comments
Eligible:

Yes NO
Fxpanding Eligible Public Service. Serv-ices are limited to ow -an moderate -income clients and requires documentation of at least 51% of the clients are low- to moderate -income. Client eligibility (for all clients including illiterate adults) must be evidenced by documentation and data concerning beneficiary family size and income. This activity was funded in previous fiscal years and is a continuing activity.

Therefore a quantifiable increase in the level of service is required. CDBG funds will be used to pay for personnel services. Services are provided by San Bernardino County Library Department staff and volunteers. Service Location: 12040 5th Street, Yucaipa, CA 92399.

Prior to COVID-19, the San Bernardino County Library Adult Literacy Program saw gradual increases in the number of learners served at each location. However, after Melanie Orosco, County Librarian
COVID-19, the number of patrons who visited the library has significantly decreased. 268 W. Hospitality Lane, 3rd Floor
This has directly impacted how many potential learners came into the branch as well Yucaipa
San Bernardino, CA 92415
YUCA23P5-055
Yucaipa: Adult Literacy Program
$10,000.00
as how many current learners felt comfortable returning to the program due to Yes
[email protected]
health and safety. Therefore, the number of learners served has not increased this 909-387-2220
year, but the expansion of the program has included the following: (1) expansion of support hours provided by the library staff to tutors who need training; (2) expansion of support hours provided by the library staff to learners who need additional resources and meetings to revisit roles and goals; (3) expansion or library of materials and curriculum used to teach adult learners how to improve reading and writing; (4) expansion of hours available for tutors and learners to meet together in the Library for tutoring sessions (formerly limited to 1-2 hours per week will now expand to 3+ hours per week, depending on the tutor -learner pair's availability, willingness to meet more, and need to meet a specific goal); and (5) expansion of outreach and planning to promote the program to the local community (higher number of community connections, more meetings with adult -literacy -assigned - library -staff to develop awareness events and strategize to bring in more learners and tut —I
Megan Wolfe, Director of Community
Expanded Public Service- City of Yucaipa Community Services Department will Services
provide scholarships to recreation and community service related programs to City of Yucaipa
approximately 100 persons from low- and moderate -income households within the Yucaipa
34272 Yucaipa Blvd,
YUCA23PS-063
Yucaipa: Recreational Scholarships Program
$10,000.00
City of Yucaipa. The program is expanded in that it will now offer funding for youth Yes
Yucaipa, CA 92399
in organized recreational sports offered by community partners as well as city run [email protected]
programs. Public Services are limited to low- and moderate -income persons and 909-797-2489 ext.241
require monthly documentation that at least 51% of the households served qualify as low- and moderate -income,
664

Public Services Program Application
iAN BERNARDINO
COUNTY
San Bernardino County
Fiscal Year 2023 -2024
Fiscal Year 2023— 2024
YUCA23PS-029
Log Number
(Office We Only)
The following documents must be submitted in the order listed, please be sure to submit all attachments with your application.

Exhibit 1: Organization Information
Exhibit 2: Project Information
F-/]
Exhibit 3: Community Needs and Target Population
r---.1
yJ
Exhibit 4: Project Budget & Sources
ZExhibit
5: Performance & Outcomes
Z
Exhibit 6: Agency Capacity Narrative
121
Exhibit 7: Civil Rights Laws Compliance and HUD Good Standing Exhibit 8: Signature and Assurances
Application Checklist
665

Public Services Program Application
IT 1111TUT0
Organization Name:

IFamily Service Association Of Redlands /Yucaipa Outreach Project Organization Address:
111985 4th Street Suite
City/State/Zip: A / 92399
Phone: 9EO97932673
Fax:
13 .. I No 00 11 Mr Tat ME it U PERIM
M��Zm
Authorized Person Name: JlKyra Stewart
Authorized Person's Title: lExecutive Director
Address: 1612 Lawton Street
City/State/Zip: Redlands / Ca / 92374'
Phone: 19518074277
Fax:

Email: ndsfamilyserviceorg
Application Contact Person's Name: lKyra Stewart
Application Contact Person's Title: lExecutive Director Fiscal Year 2023— 2024
Explain the Agency's 1) Mission, 2) Purpose, 3) Population Served, 4) Number of years serving population, 5) Supportive Services, their Funding Sources, and Start/End Dates.

The mission of Family Service has been the same since s original inception 124 years ago and is to "Alleviate Poverty, Encourage Self Sufficiency and Promote the Dignity of All." The organization is a multi service and safety net program which provides basic yet vital programming to households with children under 18 and elderly, disabled on fixed incomes in the East and Central Valley of San Bernardino County. The services we provide include but are not limited to: Emergency Rental assistance, move in deposits, monthly food boxes, daily meals, access to clothing, transportation support and motel vouchers for individuals who have no other shelter options. We oversee a Satellite office in Yucaipa and also have our main campus in Redlands. Our funding sources that support our work are as follows,EFSP - $30,00OSan Manuel - $100, 00OFu nd raising and Events - $250,000 666

Public Services Program Application Fiscal Year 2023 — 2024 IM lal- I'll 11 1
Project Title:

I
Project Address:

I
M Ing
❑ 1st District ❑ 2nd District R 3rd District [__14th District ❑ 5th District Is this a New Public Service Project, or request to expand services to an existing CDBG project? a
If you are requesting funds for an existing CDBG project, provide prior CDBG project number. �1
Will this project provide an ••i! to hire minority -owned and women owned businesses? 0 M I
If YES, describe what actions will be completed to implement such subcontracting plans to monitor this component of the proposed project, if No, discuss why and What actions are being taken to encourage minority -women businesses to apply for this project. =I
667

Public Services Program Application
Fiscal Year 2023 — 2024
EXHIBIT 2A: Countywide Vision
Indicate Yes/No in the table below if any of these countywide vision goals are pertinent to the proposed project.

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

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

Yes
Improve County Government Operations.

No
Operate in a Fiscally -Responsible and
Business -Like Manner.

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

Yes
Maintain Public Safety.

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

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

Provide a brief narrative of how your project meets the Countywide Vision:

The overall health and wellness of San Bernardino County's low income families is vital to the success of the County Wide vision. Programs at Family Service provide basic support such as food and emergency shelter to families living in poverty. The goals of Family Service are to prevent homelessness and hunger, which directly relates to maintaining public safety and wellness as well as providing social services. A well supported family is productive enough to seek and gain employment which ties into the goals of creating and maintaining jobs in the County. Providing support to nonprofits assist in strengthening the capacity of our County and in turn sustains the Jobs and services we provide locally. Both aforementioned goals tie into ensuring the development of a sustainable County.
668

Public Services Program Application
Fiscal Year 2023— 2024
Community Needs
Target Population
Public Service
Yes/No
Proposed Community:

Yes/No
Needs:

Senior Services
Low and Moderate Persons
Yes
Yes
Handicapped
Low and Moderate
Services
Yes
Households
Yes
Youth Services
Abused Children
Yes
Yes
Child Care
Handicapped Persons
Services
No
Yes
Transportation
Illiterate Persons
Services
Yes
Yes
Substance Abuse
Homeless Persons
Services
No
Yes
Employment
Migrant Farm Workers
Training
Yes
No
Health Services
Elderly People
Yes
Yes
Lead Hazard
Screening
Yes
Crime
Awareness
No
City/Target Area of Project Beneficiaries
MTO bin
-118mll go] Armwitarg - 51milogm,12LOOF, �J�rm ToW ToW 111,11TO 1011-11-11 W 'i -IL 669

Public Services Program Application Fiscal Year 2023— 2024 Exhibit 3: Community Needs and Target Population (continued) Describe the geographic boundaries of the neighborhood, community or area in which clients of UZI 6=0 or*=- are =##
Our organization focuses as a City Wide Service. Clients are identified as eligible based on 4 income and crisis situation and not necessarily any geographical boundary. • Does this project help prevent homelessness?
• Does this project help the homeless?
lYes
® Does this project help those with HIV or AIDS?
,Yes
® Does this project primarily help persons with disabilities? I
Summarize the description of your project to Include 1) priority, 2) sub -activity, 4) population(s) to be served, and 4) accomplishment level, and 5) services to be providel 9 0 w .
0 V
NO W-1 M01112211111 a W W. W
670

Public Services Program Application Fiscal Year 2023— 2024 Describe how this project meets the priority population and activities selected.

Families living in poverty struggle to meet daily needs such as food, clothing and shelter. With California having the highest housing cost in the nation, families experiencing the slightest crisis such as a car repair or illness may find themselves facing homelessness or in situations difficult to recover from. Family Service is the safety net agency which provides relief and financial assistance in these instances.

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

The National Low Income Housing Coalition (NLIHC.org) releases a study every year called "Out of Reach" In Which it's identified from state to state that workers who make minimum wage can never afford a decent two bedroom apartment. California has the second highest housing cost in the nation and homeless counts in our County continue to increase and availability of affordable housing is in a one million home shortage.

I I i Tice 51sler 1 Z5 U=T= I
in terms of housing especially, Family Service helps to fill gaps by having access to two offices for intakes and assessments. We work closely with 2-1-1 and the Coordinated Entry System and we are also an approved site for HMIS. We attend HPN Meetings, ICH meetings and we partner to fill gaps with agencies such as Catholic Charities, Inland Housing Solutions, and Steps 4 Life as well as the City of Redlands, We are a highly collaborative agency to work wit1l.

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

Critical factors for success in this project include strongly trained case managers as well as consistently pursuing unrestdcted support. Also, maintaining the necessary cash flow to manage contract reimbursement pr *ects. Our ac
01 - iency hosts semi monthly staff meetings to
encourage open communication for any cases that need extra attention as well as to communicate any chancles in funding we have received. The CDBG is not the only source of funding related to this program. The Exec, Director Works on cultivating donor relationships to keep the agency Viable.
671

Public Services Program Application
I 1111�1!1111111!1 .

Fiscal Year 2023— 2024
Project Budget
SB County Share:

Other Source:

Personnel
$18,000.00
$260,000.00
Equipment (Rental, Lease or Purchase)
$7,500.00
Consultant Services
(Auditing, ccounting or Payroll)
$20,000.00
Space Rent
Insurance
$23,000.00
Consumable Supplies
Other
Total Costs
$18,000.00
$310,500.00
Total Project Budget Cost: (CDBG Share + Other Source)
$
28,500.00
672

Public Services Program Application Fiscal Year 2023 — 2024 Exhibit 4A: CDBG Funds Requested and Leveraging Information Leveraging items may include any written commitments that will •- -• towards • cash match r• in the project, as well as any written commitments for building, ;tquipment, materials, services and • time.

Source of
Type of Funding: (Grant Name,
Amount
Date
Funding:

EFSP Money)
Available:
212016)
Federal
Funding
EFSP
$30,000.00
04/01/2022
State
Funding
County
Funding
Private
Funding
San Manuel Band of Mission Indians a
$338,000.00
10/01/2022
Other:

Total Leveraging Funds
$368,000.00
673

Public Services Program Application
Fiscal Year 2023 — 2024
Unduplicated Clients- The number clients/persons projected to be served during the program year (e.g. 25 clients, 50 seniors):

Duplicated Clients: The estimated yearly units of service (duplicated, e.g. 25 clients x 10 visits=250 units of service).-
Lel
• In column 1 identify activities that will be completed (e,g. interventio counseling, and case management).
• In column 2 indicate the number of Unduplicated Clients to be serve• • In column 3 identify the number of Duplicated Clients to be served.

Activities to be Completed (1)
Unduplicated
Clients to be
Served (2)
Duplicated Clients
projected to be
served (3)
Case Management - Housing Intake
10 30
Case Management - Emergency Foo,
30 90
Performance and Outcomes, answer the following narrative questions using minimum funds request.

Indicate a timeline of services provided to client(s) in order to meet project outcome(s).
#1 Provide housing assistance to 10 households over a period of one year.#2 Provide access to food to 30 households over a period of one year.

Describe how your agency determines client(s) success.

Success in the housing program is determined by the stabilization of the family, the prevention of homelessness, the curing of hunger and the lessening of toxic stress caused by crisis.

Describe your methodology to evaluate project outcomes.

We utilize Casebook to track client demographic and service provision, client feedback evaluation forms, excel worksheets and sign in sheets
[to]
674

Public Services Program Application Fiscal Year z02n-cuw Explain how the project will meet contract goals and milestones and be completed within 12 months (JulY 1, 2023 — June 30, 2024). For example, project expenditures and performancel -?ccomplishment goals of 40% by November 301h, 50% by December 31st, 80% by March 31st, The project goal shall be accomplished at a rate of about 10% over a period of one year ON 25% per quarter. By March 2024, we expect 75% of outcomes to be accomplished. I Fill-in the table below with dates for submission ofreimbursement claims and the estimated amount Date of Reimbursement:

Amount ($):

Total Reimbursement:
$7,500.00

Public Services Program Application
=1 A - 0 . 0MUUZ�_•.��
Fiscal Year 2023 — 2024
Describe the roles of key administrators, staff members, and volunteers within your agency that will implement the proposed project. In your description include experience, education, and licensing qualifications,
see attached
J
For decades, Family Service has administered highly complex government funding including but not limited to ARPA, EFSP, ESG, HEAP
Describe your method to sustain project viability over the multi -year process if funding decreases.

If funding decreases, our Fund Development Manager, grant writer and Executive Director shall continue to pursue funding to strengthen both the housing component and the general operating support dollars needed
TIP
Question:

YES/ NO
Example: Have you received federal funds in the past
five years?
Yes
In the past ten years, has your organization ever had its nonprofit status revoked or withheld by the IRS, the
No
Secretary of State, the State Attorney General, or the
Franchise Tax Board?
Has your organization been sued in the last five years? No
Are any of your managers or staff with fiscal
responsibilities involved in litigation presently that has any No
bearing on fiduciary trust or employee relations?
Have any unfavorable rulings been handed down by any
court against your organization or Executive Director the last No
five years?
Does your organization currently have any unresolved
fiscal, reporting, or program issues with any of its funding No
sources?
12 676

Public Services Program Application Fiscal Year 2023 — 2024 EXHIBIT 7: Civil Rights Laws Compliance and HUD Good Standing Has your organization been a past recipient of assistance under a HUD McKinney Act program or the HUD Single Family Property Disposition Homeless Program? iNo I
If you have been a recipient under either of these programs, has your agency experienced any project or construction delay, HUD finding or outstanding audit that HUD deems serious regarding the administration • HUD McKinney Act programs or the HUD Single Family •i' Disposition Homeless Program?
lNo
If you answered "Yes", please explain the circumstances and outcome below. 13 677

SAN 111,'RNARDINO
COUNTY
- # - -n-M.-WITA-MIUM. JUM
San Bernardino County
Community Development and Housing Departmenrit
Community Development Block Grant
Martha Zepeda
Deputy Executive Officer
In order to comply with all applicable federal grant regulations, a hard -copy of this E-Signature Authorization containing an original wet signature must be filed with the San Bernardino County Community Development and Housing (CDH) in order for the applicant to electronically sign the Community Development Block Grant (CDBG) application documents online. This authorization may only be completed by a registered owner, partner, executive officer, or authorized employee (with proof of authorization) of the applicant submitting this form and must contain an original signature to be submitted to the CDH.

Authorization Agreement
I am an owner, partner, executive officer, or duly authorized employee of the below -listed applicant and have authority to enter into agreements on behalf of the below -listed applicant. CDH may rely on the receipt of such agreements executed and delivered by facsimile or other electronic means as if the original had been received. The undersigned agrees that the electronic signatures appearing on documents submitted from the below -listed applicant are the same as handwritten signatures for the purposes of validity, enforceability and admissibility. By signing this Electronic Signature Authorization Agreement, I authorize the CDH to accept, via electronic submission, documents submitted from the below -listed applicant as required by the CDH's CDBG 2023 - 2024 Funding Application.

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

My signature on this form certifies that:

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

This request is effective immediately upon receipt by the CDH and will remain in effect until the end of the 2023 - 2024 CDBG funding cycle or I choose to cancel this request via written notification to the CDH. I understand that it is my responsibility to update and/or cancel this request under all circumstances, including my departure or terminated association with the below -listed applicant.

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

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

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

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

Applicant Information
Agency Name:

Federal Tax ID No.:

Family Service Association of Redlands/Yucaipa Outreach Project 951655614
Mailing Address:

Phone No.:
612 Lavvton Street
(909) 793-2673
Email Address:

Fax No:
[email protected]
Authorized Signature
Print Name:

Print Title:

Kyra Stewart
Executive Director
Signature:

Date:

Kyra Stewart/ Executive Director
12/05/2022
Please send the signed copy of this one page agreement to:

San Bernardino County Community Development and Housing Department 215 North D Street, Suite 302, San Bernardino, CA 94215-0043 Attn: CDBG Application
678
14 Public Services Program Application
rUr
Fiscal Year 2023 — 2024
Community -based organizations are required to include one copy of the items listed below. If you are not submitting these items at this time, please notify Community Development and Housing at (909) 387-4705 to make other arrangements. The following information is required before any contract or reimbursement can be completed.
• Summary of agency's current year General Operating Budget • List of agency's Board of Directors, including names and addresses • Proof of existing non-profit/tax-exempt status (Letters from the Federal Internal Revenue Service and State Franchise Tax Board) • Current certificate of insurance and amounts covered
• Organizational chart
• Minutes of last Board meeting
o Non- Profit agencies must be Registered in the System of Award Management (SAM) website.

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

If your application is funded you will be required to provide a copy of your last audit and your Articles of Incorporation and Bylaws must be on file. 15 679

Public Services Program Application
\NHERNARDINO
COUNTY
. .. . .... . ...

San Bernardino County
Fiscal Year 2023 - 2024
Fiscal Year 2023— 2024
YUCA23PS-037
Log Number
(Office Use Only)
The following documents must be submitted in the order listed, please be sure to submit all attachments with your application.
--.-1
L
r,��j
Exhibit 1: Organization Information
ZExhibit
2: Project Information
Z
Exhibit 3: Community Needs and Target Population
17-71
yj
Exhibit 4: Project Budget & Sources
Exhibit 5: Performance & Outcomes
Z
Exhibit 6: Agency Capacity Narrative
W]
Exhibit 7: Civil Rights Laws Compliance and HUD Good Standing ZExhibit
8: Signature and Assurances
r--7-1
Application Checklist
680

Public Services Program Application
11raTfUl Tmff-rl
Organization Name-
jBoys & Girls Clubs of.the San Gorgonio Pass
M
F9 951-922-3259
1-9'
_9
.�•1 =7-92 j2- 0 0 0 9
Authorized Person Name: Amy Herr
Authorized Person's Title: CEQ
Address: P.O. Box 655
City/State/Zip: IBeaumont / CA / 92223
Phone: 1951-922-3259
Fax:1951-922-0009
Email: 'nail.corn
Application Contact Person's Name: IRhonda, Guaderrama
Application Contact Person's Title: IDirector of Advancement Fiscal Year 2023— 2024
Explain the Agency's 1) Mission, 2) Purpose, 3) Population Served, 4) Number of years serving *opulation, 5) Supportive Services, their Funding Sources, and Start/End Dates.

Boy & Girls Clubs of the San Gorgonio Pass (BGCSGP) has provided youth development programming in Character and Leadership Development, Education and Career Development, Health and Life Skills, the Arts, and Sports, Fitness, and Recreation for over 17 years. Founded in 2005 by CEO, Amy Herr, the Club has grown from one Club to twelve, serving 1 200 youth 5-18, in the Pass area, including Cabazon, Banning, Beaumont and Yucaipa. The Club also opened a standalone Teen Center in 2016, offering free after -school and summer programming to youth 13-18.The Club works to uphold its mission to inspire and enable all young people, especially those who need us most, to reach their full potential as responsible and caring citizens. The Club's enriching after -school programs and out -of -school time camps are funded through grants, organizational fundraisers, and individual donors. 681

Public Services Program Application Fiscal Year 2023 — 2024 ♦ I;1l:lI!!I
Project Title:

Project Address:

County Supervisorial District where project will be located:

El 1st District E] 2nd District EJ 3rd District El 4th District 5th District I - - 8 1 - M1
If this is an Expansion of Service to previously funded CDBG project, please explain how this is an expansion of service?. (Le For 2015 we proposed 60 units of service, this year the agency is planning to serve 100 units of service)
If you are requesting funds for an existing CDBG project, provide prior CDBG project number.

Will this project provide an opportunity to hire minority -owned and women owned businesses? 1 0
If YES, describe what actions will be completed to implement such subcontracting plans to monitor this component of the proposed project. If NO, discuss why and what actions are being taken to encourage minority -women businesses to apply for this project.

We are not sub -contracting the project, but utilizing our own staff. We are an equal opportunity employer and have staff that are representative of the diverse community that we serve. 682

Countywide Vision
Yes/ No
Implement the Countywide Vision.

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

Yes
Improve County Government Operations.

No
Operate in a Fiscally -Responsible and
Business -Like Manner.

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

No
Maintain Public Safety.

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

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

WITUFT051=1 Me,
BGCSGP provides an after -school program at Dunlap Elementary School in Yucaipa and will provide continuity by providing summer camp. This gives at -promise youth a place to learn and thrive while their parents are able to work, giving them the peace of mind that their children are in a safe environment. Our project supports the Countywide Vision by allowing parents to gain and maintain employment. The program increases public safety by providing youth with a safe place to go during out -of -school time. A study by Everytown for Gun Safety 1 0 of Z
683

Public Services Program Application
Fiscal Year 2023— 2024
Community Needs
Target Population
Public Service
Yes/No
Proposed Community:

Yes/No
Needs:

Senior Services
Low and Moderate Persons
No
Yes
Handicapped
Low and Moderate
Services
No
Households
No
Youth Services
Abused Children
Yes
No
Child Care
Handicapped Persons
Services
Yes
No
Transportation
Illiterate Persons
Services
No
No
Substance Abuse
Homeless Persons
Services
No
No
Employment
Migrant Farm Workers
Training
No
No
Health Services
Elderly People
No
No
Lead Hazard
Screening
No
Crime
Awareness
No
�-,
5 684

Public Services Program Application Fiscal Year zo23—zm4 Exhibit 3: Community Needs and Target Population (continued) Describe the geographic boundaries of the neighborhood, community or area in which clients of tts ° Does this project help prevent homelessness?
No
m Does thishelp the homeless?
lNo
= Does this project help those with HIV orAIDS?
No
= Does this project primarily help persons with disabilities? Summarize the description of your project to include 1) priority, 2) sub -activity, 3) population(s) to be served, and 4) accomplishment level, and 5) services to be providel 685

Public Services Program Application Fiscal Year 2023— 2024 This project • meets the needs for youth services and childcare services for Low and Moderate persons. "Summer slide" is the tendency for students, especially those from • families, to • some • the achievement gains they made during the previous school year. By providing enriching summer camp programming, BGCSGP` will prevent summer • •
Explain why this project is needed and what evidence can you • the need.

This project directly meets the needs for youth services and childcare services for Low and Moderate persons. "Summer •. is the •. for students, especially those from low- income families, to • some • the achievement •r they made during the previous school year� By providing enriching summer camp programming, BGCSGIP will prevent summer learning loss. Additionally, it meets the dire need for childcare services.

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

Lack of adequate childcare and youth services has been identified as a top community need in San Bernardino County. BGCSGP will help to fill that • by providing summer camp to • in Yucaipa.

The critical factors for the success of our project are: -Facility access — the Yucaipa School District is providing campus access for our summer program, Trained professional staff,Financial support, Adequate supplies, and equipment. BGCSGP has a long history of delivering successful summer programs, We are confident we have the infrastructure, funding, and staffing ••• to continue providing a quality summer program at Dunlap Elementary ••
686

Public Services Program Application
• I - : A M . . 0 0
Fiscal Year 2023— 2024
Project Budget
SIB County Share:

Other Source:

Personnel
$20,000.00
$2,000.00
Equipment (Rental, Lease or Purchase)
$0.00
$500.00
Consultant Services
LAuditing, Accounting or Payroll)
$0.00
Space Rent
$0.00
$16,000.00
Insurance
KOO
$1,700.00
Consumable Supplies
$0.00
$4,000.00
Other IField trips
$0.00
$2,000.00
Total Costs
$20,000.00
$26,200.00
Total Project Budget Cost: (CDBG Share + Other Source)
$46,200.00
687

Public Services Program Application Fiscal Year 2023— 2024 Exhibit 4A: CDBG Funds Requested and Leveraging Information 0 $20,000.00
Leveraging items may include any written commitments that will • used • your cash match requirements in the •:• as well as any written commitments for building, tquipment, materials, services and volunteer time.

Source of
Type of Funding: (Grant Name,
Amount
Date
Funding:

EFSP Money)
Available:
(1112212016)
Federal
Funding
State
Funding
County
Funding
Private
Funding
Individual donors and fundraising even
$10,200.00
06/12/2022
Other:

In -kind
$16,000.00
06/12/2022
Total Leveraging Funds
$26,200.00
688

Public Services Program Application
I
Fiscal Year 2023 — 2024
Undul2licated Clients: The number clients/persons projected to be served during the program year (e.g. 25 clients, 50 seniors):

Dul2licated Clients: The estimated yearly units of service (duplicated, e.g. 25 clients x 10 visits=250 units of service):
=pFre . I Me — ...,
Clients to be served.
• In column 1 identify activities that will be completed (e.g. interventio counseling, and case management).
• In column 2 indicate the number of Unduplicated Clients to be serve • In column 3 identify the number of Duplicated Clients to be served. �] Activities to be Completed (1)
Unduplicated
Clients to be
Served (2)
Duplicated Clients
projected to be
served (3)
Provide enriching daily summer camp
25 975
Provide healthy, nutritious snack daily
25 975
Performance and Outcomes, answer the following narrative questions using --nihimum funds request.

Indicate a timeline of services provided to client(s) in order to meet project outcome(s).
5/31/23 — Begin enrollment for Dunlap summer camp 6/12/23 — 8/11/23 — Provide summer camp program, providing full -day care for 25 youth6/12/23 — 8/11/23 — Provide healthy snacks to 25 youth each day
Describe how your agency determines client(s) success.

Success is: 25 youth enrolled in camp, 100% of youth participate in daily Summer Brain Gain program, 100% of youth do not experience the "summer slide," 100% of youth receive lunch and a daily snack.

Describe your methodology to evaluate project outcomes.

Outcomes will be measured through: daily attendance records, summer learning pre and posttests, meal tracking records, and staff observation 10 689

Public Services Program Application Fiscal Year 2023 — 2024 513"Cr,171 •MrTEMME"TwaTre
(July 1, 2023 — June 30, 2o24). For example, project expenditures and Performancel accomplishment goals of 40% by November301h, 50% by December 31st, 80% by March 31st, and 10061 by June 301h.

Project expenditures and performance accomplishment of goals of 80% by July 31st, cn
11 th, 2M3
Fill-in the table below with dates for submission of reimbursement claims and the estimated amount of each.

Date of Reimbursement: Amount ($):
07/17/2023 $10,000.00
08/07/2023 $10,000.00
Total Reimbursement: $20,000.00
11 690

Public Services Program Application
• A
0 a 01
Fiscal Year 2023 — 2024
Describe the roles of key administrators, staff members, and volunteers within your agency that will implement the proposed project. In your description include experience, education, and licensing qualifications.

Megan Grisham, Director of Operations, has 11 years of experience in implementing successful summer camp programming.

BGCSGP has extensive experience in administering government/public funds including CDBG, OJJDP and Asset Forfeiture.

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

BGCSGP will continue to seek grant funds to provide this much needed program to at -promise youth in Yucaipa. We will utilize funds raised through fundraising events and from Individual donors.

Question:

Public Services Program Application Fiscal Year 2023 — 2024 EXHIBIT 7: Civil Rights Laws Compliance and HUD Good Standing Has your organization been a past recipient of assistance under a HUD McKinney Act program or the HUD Single Family Property Disposition Homeless Program? JNo
If • have •-- a recipient under either of these programs, has your agency experienced any project or construction delay, HUD finding or outstanding audit that HUD deems serious regarding the administration of HUD McKinney Act programs or the HUD Single Family Property Disposition Homeless Program?
lNo I
If you answered "Yes", please explain the circumstances and outcome below. 13 692

E-Signature Authorization Martha Zepiecla
IAN 11FRNARDINO San Bernardino County Deputy Executive Officer COUNTY Community Development and Housing Departmemt
Community Development Block Grant
In order to comply with all applicable federal grant regulations, a hard -copy of this E-Signature Authorization containing an original wet signature must be filed with the San Bernardino County Community Development and Housing (CDH) in order for the applicant to electronically sign the Community Development Block Grant (CDBG) application documents online. This authorization may only be completed by a registered owner, partner, executive officer, or authorized employee (with proof of authorization) of the applicant submitting this form and must contain an original signature to be submitted to the CDH.

My signature on this form certifies that:

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

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

Applicant Information
Agency Name:

Federal Tax ID No.:

Boys & Girls Clubs of the San Gorgonio Pass
20-3812932
Mailing Address:

Phone No.:

P.O. 655, Beaumont, CA 92223
(951) 922-3259
Email Address:

Fax No:

[email protected]
(951) 922-0009
Authorized Signature
Print Name:

Print Title:

Amy Herr
CEO
Signature:

Date:

Amy Herr, CEO
11/2112022
Please send the signed copy of this one page agreement to:

San Bernardino County Community Development and Housing Department 215 North D Street, Suite 302, San Bernardino, CA 94215-0043 Attn: CDBG Application
693
14 Public Services Program Application
W0114-m- I
Fiscal Year 2023 — 2024
Community -based organizations are required to include one copy of the items listed below. If you are not submitting these items at this time, please notify Community Development and Housing at (909) 387-4705 to make other arrangements. The following information is required before any contract or reimbursement can be completed.
• Summary of agency's current year General Operating Budget • List of agency's Board of Directors, including names and addresses • Proof of existing non-profit/tax-exempt status (Letters from the Federal Internal Revenue Service and State Franchise Tax Board) • Current certificate of insurance and amounts covered
• Organizational chart
• Minutes of last Board meeting
• Non- Profit agencies must be Registered in the System of Award Management (SAM) website.

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

If your application is fund ed you will be required to provide a copy of your last audit and your Articles of Incorporation and Bylaws Must be on file. 15 694

Public Services Program Application
SAN 1WRNARDINO
COUNTY
MIM11mill-
oil
1M
[an MMIN I I IN 14 F Lei i is 11731 a I IMLY MOWA1111RIOnj I Lorg I I I *Is Fiscal Year 2023— 2024
YUCA23PS-052
Log Number
(Office Use Only)
Exhibit 1: Organization Information
Exhibit 2: Project Information
Exhibit 3: Community Needs and Target Population
Exhibit 4: Project Budget & Sources
Exhibit 5: Performance & Outcomes
Exhibit 6: Agency Capacity Narrative
Exhibit 7: Civil Rights Laws Compliance and HUD Good Standing ElExhibit
8: Signature and Assurances
0 Application Checklist
695

Public Services Program Application
Organization Name:

IPartners Against Violence, Inc
Fiscal Year 2023— 2024
1444 N Arrowhead Ave. Suite 101 1
•A A
19093838478

IIIIINIMI IMMI
IIRVI�wq
Authorized Person Name: Michelle Cates
Authorized Person's Title: lExecutive Director
Address: 1444 N Arrowhead Ave. Suite 101
City/State/Zip: ISan Bernardino / California / 92220
Phone: 1909-885-8884
Fax: 78
Email: [email protected]
Application Contact Person's Name: IMichelle Cates
Application Contact Person's Title: Executive Director
Explain the Agency's 1) Mission, 2) Purpose, 3) Population Served, 4) Number of years serving population, 5) Supportive Services, their Funding Sources, and Start/End Dates.

Our mission, Partnering to build healthy relationships, families, communities, and generations that are free from violence. We believe all persons should be able to live free of violence of any kind, We envision a cultural paradigm shift in Which no-one perpetrates violence. We wo6, in partnership with our communities and Survivors to create a culture of respect and dignity for all persons. We serve victims of sexual violence and violent crimes through immediate crisis intervention , 1-1 counseling, accompaniment, and advocacy services. Services are available to to victims and their families irrespective of socio economic status, gender, ethnic origin or sexual orientation. Our agency has operated din San Bernardino County since 1975.

Our target population includes victims of sexual violence, violence, under -served populations, low income and marginalized communities. See Attachment 1 696

Public Services Program Application Fiscal Year 2023 — 2024 Project Title:

ISupportive Services of Victims of Violence in Yucaipa
Project Address:
34144 :aipa LBVD, Yucaipa CA 92399
R 1st District R 2nd District [@ 3rd District El 4th District R 5th District Is this a New Public Service Project, or request to expand services to an existing CDBG project? �Expansions of Service to an Existing Project
If this is an Expansion of Service to previously funded CDBG project, please explain how this is an expansion of service?. (i.e For 2015 we proposed 60 units of service, this year the agency is planning to serve 100 units of service)
For 2022/23 We proposed crisis response services to 100 clients and Reaching 150 community members. For 2023/24 we would like to expand community Awareness services to reach 300 community members.

If you are requesting funds for an existing CDBG project, provide prior CDBG project number. [YUCA-21-1-05G/1681
Will this project provide an opportunity to hire minority -owned and women owned businesses? 0 If YES, describe what actions will be completed to implement such subcontracting plans to monitor this component of the proposed project. If NO, discuss why and what actions are being taken to encourage minority -women businesses to apply for this project.

M
697

Public Services Program Application
Fiscal Year 2023— 2024
EXHIBIT 2A: Countywide Vision
Indicate Yes/No in the table below if any of these countywide vision goals are pertinent to the proposed project,
zMMMME=
Countywide Vision
Yes/ No
Implement the Countywide Vision.

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

No
Improve County Government Operations.

No
Operate in a Fiscally -Responsible and
Business -Like Manner.

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

No
Maintain Public Safety.

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

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

I - 0 a
This project will address the health and social service needs of the community through immediate c6sis response, intervention, and support services. While also focusing on maintain pubic safety by providing community prevention education services. APV services Will help implement the County Wide vision of a safe community by providing supportive wrap around services to community resident for a safer healthier community. 698

Public Services Program Application
Fiscal Year 2023— 2024
Community Needs
Target Population
Public Service
Yes/No
Proposed Community:

Yes/No
Needs:

Senior Services
Low and Moderate Persons
No
Yes
Handicapped
Low and Moderate
Services
No
Households
Yes
Youth Services
Abused Children
Yes
Yes
Child Care
Handicapped Persons
Services
No
Yes
Transportation
Illiterate Persons
Services
Yes
Substance Abuse
Homeless Persons
Services
No
Yes
Employment
Migrant Farm Workers
Training
No
Yes
Health Services
Elderly People
Yes
Yes
Lead Hazard
Screening
No
Crime
Awareness
Yes
699

Public Services Program Application Fiscal Year 2023— 2024 Exhibit 3: Community Needs and Target Population (continued) - core ow-gom OT T
3M��
■ Does this project help prevent homelessness?
iNo
■ Does this project help the homeless?
lNo
■ Does this project help those with HIV or AIDS?
lNo I
■ Does this project primarily help persons with disabilities? 0 Summarize the description • • project to include 1) priority, 2) sub -activity, 3) population(s) to be served, and 4) accomplishment level, and 5) services to be providell The Yucaipa Outreach Office is located in the Yucaipa Sheriffs Office and provides services to victims of crime. Services primarily benefit low and moderate income persons who have been victimized by a violent crime. Our clients come from law enforcement, medical, and community agency referrals. We have •' operating this program for47 years. It is imperative for survivors to receive trauma informed support services in the after math of victimization to promote healing. PAV provides 24/7 immediate crisis intervention services.

As well as 1-1 counseling, advocacy, accompaniment, and wrap around support services. See Attachment 2
700

Public Services Program Application Fiscal Year 2023- 2024 Describe how this project meets the priority population and activities selected.

This Project services victims of violent crimes through 24/7 emergency response, crisis hotline, intervention counseling advocacy, accompaniment and wrap around services. These activities are vital in the recovery and Well being of victims, Through project activities clients will feel supported and empowered to address their victimization, Explain why this project is needed and what evidence can you substantiate the need.

Victimization severely impairs a survivors life for months to years and at times may never recover. The trauma of victimization can be revisited over the years and remain lifelong.

Through our research we have found that lack of counseling and supportive services is detrimental to ors well being. This program is an invaluable community resources and essential in addressing the after math of victimization.

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

There are limited resources and services for victims of violence. There are not other known services to victims of violence. The lack of Immediate crisis intervention services and support a victim receives can impede the healing process for a survivor.

We have adequate staff to carryout this program. We currently have a counselor onsite at the Yucaipa Sheriffs station providing supportive services several days a week. Funding for this I 11 wamal" K--r. M I I wma R 1001 IMMU 01-U91 'YAM SM R9 L,7,&'A I U'l M U-1 I is mas wvu Ig"A Lor-I.-M I M M I I gKom I I I I I I I 701

Public Services Program Application
Fiscal Year 2023— 2024
Project Budget
SIB County Share:

Other Source:

Personnel
$20,000.00
$93,500.00
Equipment (Rental, Lease or Purchase)
Consultant Services
(Auditing, Accounting or Payroll)
$2,200.00
Space Rent
Insurance
$2,000.00
Consumable Supplies
$4,500.00
Other 1
$2,400.00
Total Costs
$20,000.00
$104,600.00
Total Project Budget Cost: (CDBG Share + Other Source)
$124,600.00
702

Public Services Program Application Fiscal Year 2023— 2024 Exhibit 4A: CDBG Funds Requested and Leveraging Information $20,000.00
Leveraging items may include any written commitments that will be used towards your cash match requirements in the project, as well as any written commitments for building, equipment, materials, services and • time.

Source of
Type of Funding: (Grant Name,
Amount
Date
Funding:

EFSP Money)
Available:
(1112212016)
Federal
Funding
CALOES Rape Crisis and VOC Grants
$84,100.00
10/01/2023
State
Funding
County
Funding
Department of Behavioral Health
$5,000.00
07/01/2023
Private
Funding
Other:

Donations/fundraising
$15,500.00
07/01/2023
Total Leveraging Funds
$104,600.00
703

Public Services Program Application
Fiscal Year 2023 — 2024
Undul2licated Clients: The number clients/persons projected to be served during the program year (e.g. 25 clients, 50 seniors)-
Dul2licated Clients: The estimated yearly units of service (duplicated, eg. 25 clients x 10 visits=250 units of servicO
Complete the chart below with the number of Duplicated and Unduplicated Clients to be served.
• In column 1 identify activities that will be completed (e.g. intervention, counseling, and case management).
• In column 2 indicate the number of Unduplicated Clients to be served. • in column 3 identify the number of Duplicated Clients to be served.

Activities to be Completed (1)
Unduplicated
Clients to be
Served (2)
Duplicated Clients
projected to be
served (3)
Crisis Repsonse and Intervention
100
400
Community Awareness
300
300
Performance and Outcomes, answer the following narrative questions using minimum funds request.

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

July 1 2023 through June 30, 2023 100 residents will receive crisis intervention services and 300 community members will receive prevention/awareness education.

LM=UUM TT a V . a ................. M - - RM-MALZRIM
MIT s1ccess is T71 i 1 1 1`117011gri= sUT-eys, T MaKe Tollos, colmselor noies, case revie and Apricot Data systems. i
Describe your methodology to evaluate project outcomes.

Counseling staff meets with the Program Director and Executive Director on a monthly basis to evaluate surveys and program management.
10 704

Public Services Program Application Fiscal Year 2023 — 2024 reTOMPYINNIff M-y-T, M_
F-IF111 f-eF$TrO31!�Ut lee wrelcurITTIM
(JUlY 1, 2023 — June 30, 2024). For example, project expenditures and performancel accomplishment goals of 40 % by November 30th, 50% by December 3 Ist, 80% by March 3 fs� th
and 100% n
by June 30
Fill-in the table below with dates for submission of reimbursement claims and the estimated amount of each.

Date of Reimbursement:

Amount ($):
09/03/2023
$5,000M
12/31/2023
$5,000.00
03/31/2024
$5,000.00
06/30/2024
$5,000.00
Total Reimbursement:
$20,000.00
11 705

Public Services Program Application
AMM• �• - == =7
0 Mk mmm ". row. ".. M. C rOTT M Lle�nl
Fiscal Year 2023 — 2024
Describe the roles of key administrators, staff members, and volunteers within your agency that will implement the proposed project. In your description include experience, education, and licensing qualifications,
All staff are State Certified Sexual Assault Crisis Counselors successfully completing the CALOES mandated training course. See Attachment 3
For the pat 48 years, we have managed various federal, state, and city grants in order to continue to provide vital services and programs.

Describe your method to sustain project viability over the multi -year process if UMILMIN MILROL-74:i 2.7
We continually seek new grants and funding sources, We also hold annual fundraisers and occasionally receive private donations throughout the year.

Question:

YES/ Na
Example. - Have you received federal funds in the past
five years?
Yes
In the past ten years, has your organization ever had its nonprofit status revoked or withheld by the IRS, the
No
Secretary of State, the State Attorney General, or the
Franchise Tax Board?
Has your organization been sued in the last five years? No
Are any of your managers or staff with fiscal
responsibilities involved in litigation presently that has any No
bearing on fiduciary trust or employee relations?
Have any unfavorable rulings been handed down by any
court against your organization or Executive Director the last No
five years?
Does your organization currently have any unresolved
fiscal, reporting, or program issues with any of its funding No
sources?
12 706

Public Services Program Application Fiscal Year 2023 — 2024 EXHIBIT 7: Civil Rights Laws Compliance and HUD Good Standing HUD Single Family Property Disposition Homeless Program? lNo :1
If you have been a recipient under either of these programs, has your agency experienced any project • construction • HUD finding or outstanding • that HUD •__ serious regarding the administration of HUD McKinney Act programs or the HUD Single Family Property Disposition Homeless Program?
:1
13 707

Martha Zepeda
E-Signature Authorization
Deputy Executive Officer
SAN IU'RNARDIN0 San Bernardino County
COUNTY Community Development and Housing Department
Community Development Block Grant
In order to comply with all applicable federal grant regulations, a hard -copy of this E-Signature Authorization containing an original wet signature must be filed with the San Bernardino County Community Development and Housing (CDH) in order for the applicant to electronically sign the Community Development Block Grant (CDBG) application documents online. This authorization may only be completed by a registered owner, partner, executive officer, or authorized employee (with proof of authorization) of the applicant submitting this form and must contain an original signature to be submitted to the CDH.

My signature on this form certifies that:

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

This request is effective immediately upon receipt by the CDH and Will remain in effect until the end of the 2023 - 2024 CDBG funding cycle or I choose to cancel this request via written notification to the CDH. I understand that it is my responsibility to update and/or cancel this request under all circumstances, including my departure or terminated association with the below -listed applicant.

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

We affirm that all information in this application is true and correct to the best of our knowledge and that the applicant under our authority Will execute its responsibility under the proposed contract and adhere to all other applicable rules and regulations to the fullest extent possible, Non -collusion
This proposal is genuine, and not sham or collusive, nor made in the interest or in behalf of any person not herein named; the proposer has not directly induced or solicited any other proposer to put in a sham proposal, or any other person, firm or corporation to refrain from submitting a proposal; the proposer has not in any manner sought by collusion to secure for him/herself an advantage over anv other proposer.

Applicant Information
Agency Name:

Federal Tax ID No.:

Partners Against Violence
95-3543081
Mailing Address:

Phone No.:
444 N Arrowhead Ave. , suite 101, San Bernardino, CA 92401 (909) 885-8884
Email Address:

Fax No:
[email protected]
(909) 383.8478
Authorized Signature
Print Name:

Print Title:

Michelle Cats
Executive Director
Signature:

Date:

Michelle Cates, Executive Director
12/07/2022
Please send the signed copy of this one page agreement to:

San Bernardino County Community Development and Housing Department 215 North D Street, Suite 302, San Bernardino, CA 94215-0043 Attn: CDBG Application
714

Public Services Program Application
CDBG Application Checklist
Fiscal Year 2023 — 2024
Community -based organizations are required to include one copy of the items listed below. If you are not submitting these items at this time, please ® Community Development and Housing at (909) 387-4705 to make other arrangements. The following information is required before any contract or reimbursement can be completed.
• Summary of agency's current year General Operating Budget • List of agency's Board of Directors, including names and addresses • Proof of existing non-profit/tax-exempt status (Letters from the Federal Internal Revenue Service and State Franchise Tax Board) • Current certificate of insurance and amounts covered
• Organizational chart
• Minutes of last Board meeting
• Non- Profit agencies must be Registered in the System of Award Management (SAM) website.

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

If your application is funded you will be required to provide a copy of your last audit and your Articles of Incorporation and Bylaws must ®" on file. 15 709

Public Services Program Application

MMMINO SAN BEI
COUNTY
San Bernardino County
Fiscal Year 2023 - 2024
T
Fiscal Year 2023— 2024
YUCA23PS-055
Log Number
(Office Use Only)
The following documents must be submitted in the order listed, please be sure to submit all attachments with your application.

Exhibit 1: Organization Information
Exhibit 2: Project Information
Exhibit 3: Community Needs and Target Population
Exhibit 4: Project Budget & Sources
Exhibit 5: Performance & Outcomes
Exhibit 6: Agency Capacity Narrative
Exhibit 7: Civil Rights Laws Compliance and HUD Good Standing Exhibit 8: Signature and Assurances
Application Checklist
710

Public Services Program Application
ME=
Organization Name:

ISan Bernardino County Library
Organization Addre
W.-I MT met M., ff 0
'San Bernardino CA 92415
— 9 9-3-0
0•87-222
1909-387-2288
M

1. mrelanie.Orosco(o)lib.sbcountv.aov
Applicant Type: JCDB 3 Funding
Authorized Person Name: Melanie Orosco
Authorized Person's Title: lCounty Librarian
Address:Hospitality Lane 3rd Floor
City/State/Zip: ISan Bernardino / CA 92415
Phone: 1909-387-2220
Fax: 88
Email: [email protected]
Application Contact Person's Name: Ina Feeney
Fiscal Year 2023— 2024
Boom melml, MI
Explain the Agency's 1) Mission, 2) Purpose, 3) Population Served, 4) Number of years serving population, 5) Supportive Services, their Funding Sources, and Start/End Dates.

The San Bernardino County Library System is a network of branch libraries that serve a diverse population over a vast geographic area. We strive to provide equal access to information, technology, programs, and services for all the people who call San Bernardino County home. Our Adult Literacy Program has been in place over 30 years, allowing us to help those struggling with Hliteracy in our communities. We are supported with funds from the State and the County through this Current Fiscal Year from July 2022-june 2023 711

Public Services Program Application Fiscal Year 2023 — 2024 Project Title:

San Bernardino County Yucaipa Branch Library
Project Address:
112040 5th Street, Yucaipa, CA 92399
County Supervisorial District where project will be located:

El 'I't District El 2nd District IN 3rd District EJ 4th District E15th Distr* Is this a New Public Service Project, or request to expand services to an existing CDBG project? •.MKS 1B.I'd Ur NOW. I M I
If this is an Expansion of Service to previously funded CDBG project, please explain how this is an expansion of service?. (Le For 2015 we proposed 60 units of service, this year the agency is planning to serve 100 units • service)
!e are expanding our services for the individuals who are in our `• Literacy Program. loving forward we hope to continually increase the quality of materials and services that th,,.-. ucalpa Branch is able to provide. See attached document for more detailed explanation.

If you are requesting funds for an existing CDBG project, provide prior CDBG project number.

YUCA-15-2-05Z/11646
Will this project provide an opportunity to hire minority -owned and • owned • JNo 77-71
If YES, describe what actions will be completed to implement such subcontracting • to monitor this component of the proposed project. If NO, discuss why and what actions are being taken to encourage minority -women businesses to apply for this project. 712

Public Services Program Application
Fiscal Year 2023— 2024
Indicate Yes/No in the table below if any of these countywide vision goals are pertinent to the proposed project.

Countywide Vision
Yes/ No
Implement the Countywide Vision.

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

Yes
Improve County Government Operations.

No
Operate in a Fiscally -Responsible and
Business -Like Manner.

No
Ensure Development of a Well -Planned,
Balanced, and Sustainable County.

No
Maintain Public Safety.

No
Provide for the Health and Social Services
Needs of County Residents.

Yes
Pursue County Goals and Objectives by
No
Working with Other Governmental
Agencies.

By tutoring illiterate adults and providing them the tools to learn to read and write, we help them build self-confidence to accomplish many goals such as applying for jobs, being able to vote and much more. This results in them becoming more socially prepared to participate in all the County has to offer. Additionally, the Adult Literacy program supports the county's Cradle to Career Road Map to achieve the Countywide vision. When we teach illiterate adults to read, we are not only helping them but are also helping their children, as parents who read are able to support the literacy support a child needs to succeed, 713

Public Services Program Application

3.=
Fiscal Year 2023— 2024
Community Needs
Target Population
Public Service
Yes/No
Proposed Community:

Yes/No
Needs:

Senior Services
Low and Moderate Persons
Yes
Yes
Handicapped
Low and Moderate
Services
No
Households
No
Youth Services
Abused Children
No
No
Child Care
Handicapped Persons
Services
No
No
Transportation
Illiterate Persons
Services
No
Yes
Substance Abuse
Homeless Persons
Services
No
No
Employment
Migrant Farm Workers
Training
No
No
Health Services
Elderly People
No
Yes
Lead Hazard
Screening
No
Crime
Awareness
No
City/Target Area of Project Beneficiaries
714

Public Services Program Application Fiscal Year 2023— 2024 Exhibit 3: Community Needs and Target Population (continued) •
• Does this project help prevent homelessness?
iNo
• Does this project help the homeless?
iYes
• Does this project help those with HIV or AIDS?
,No
• Does this project primarily help persons with disabilities? Summarize the description of your project to include 1) priority, 2) sub -activity, 3) population(s) to be served, and 4) accomplishment level, and 5) services to be provide The San Bernardino County Library (SBCL), Yucaipa Branch Adult Literacy Services Program Will provide programming and instruction for low -to -moderate income illiterate adults and senior residents of Yucaipa. Individualized tutoring and one-on-one Literacy instruction (reading, spelling, and basic computer skills) will be provided to qualifying adult participants during Fiscal Year 23-24. Library Adult Literacy Services are provided free of charge to all learners participating in the program. Direct services and assistance are provided by Library staff as well as a ream of trained Literacy Tutors. Dedicated tutoring space and special Adult Literacy Program materials (leveled student readers, workbooks, dictionaries, GED Test Prep packets) are provided to participating learners at no charge. Learners are strongly encouraged to attend free Basic Computer Skills Classes taught in the library. Those with young children are encouraged to attend Early Learning and Preschool Storytime Activities to foster a love of readinq and ensure school -age readiness. The Yucaipa Branch is dedicated in improvina the literacv rates in the Yucaipa community.
715

Public Services Program Application Fiscal Year 2023— 2024 Describe how this project meets the priority population and activities selected.

The Adult Literacy Services Program assesses illiterate and presumed low-income adults and senior residents of Yucaipa, and provides those that qualify with programming, tutoring, and instruction • aid them in meeting their literacy •#
Explain why this project is needed and what evidence can you substantiate the need.

Per recent US, National Assessment of Adult Literacy, one in seven adults have difficulty reading anything more challenging than a child's picture book. It is estimated that at 3.4 million Californians fall at the "Below Basic" Literacy Level. In the County of San Bernardino alone, it is estimated that at least 500,000 adults cannot read at all. This service provides assistance to .• who fall into this category.

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

This program focuses on .• individuals who are illiterate • who have low literacy skills. Th County Library Adult Literacy Program provides a no cost alternative for adults to gain these skills.

This program is funded primarily through the Library Department budget. Additional State ant' County funding helps the Library Department to expand the program and reach a larger audience than would be possible through internal funding alone. The Literacy Program is a multi -branch program, with branch staff interacting with learners and tutors while reporting is • by .• staff, We have taken steps to ensure that any staff turnover will not impede the Literacy Program and that services would continue to be offered through the • of staff.
716

Public Services Program Application
—411111111111 11111111111 111 911111111
011 JM� in, 111" 211111 IT--Tgv--.Tr "0411
NOW=
Fiscal Year 2023— 2024
Project Budget
SIB County Share:

Other Source:

Personnel
$10,000.00
$27,500.00
Equipment (Rental, Lease or Purchase)
Consultant Services
(Auditing, ccounting or Payroll)
Space Rent
Insurance
Consumable Supplies
Otherl
Total Costs
$10,000.00
$27,500.00
Total Project Budget Cost: (CDBG Share + Other Source)
$37,500.00
717

Public Services Program Application Fiscal Year 2023— 2024 Exhibit 4A: CDBG Funds Requested and Leveraging Information $10,000.00
Leveraging items may include any written commitments that will •- used towards • cash match requirements in the project, as well as any written commitments for building, equipment, materials, services and • time.

Source of
Type of Funding: (Grant Name,
Amount
Date
Funding:

EFSP Money)
Available:
(1112212016)
Federal
Funding
State
Funding
California State Library Literacy Servic
$5,000.00
08/01/2023
County
Funding
County
$22,500.00
07/01/2023
Private
Funding
Other:

Total Leveraging Funds
$27,500.00
718

Public Services Program Application
Fiscal Year 2023 — 2024
Undul2licated Clients: The number clients/persons projected to be served during the program year (e.g. 25 clients, 50 seniors):

Duplicated Clients:i The estimated yearly units of service (duplicated, eg. 25 clients x 10 visits=250 units of service):
* IA -- L, I - -1 1 — I L ;- —1 — M Y �TMe--CLJJ r f I
Clients to be served.
• In column 1 identify activities that will be completed (e.g. intervention, counseling, and case management).
• In column 2 indicate the number of Unduplicated Clients to ®. served, • In column 3 identify the number of Duplicated Clients to be served.

Activities to be Completed (1)
Unduplicated
Clients to be
Served (2)
Duplicated Clients
projected to be
served (3)
Literacy Tutoring
30 300
Performance and Outcomes, answer the following narrative questions using m I inimum funds request.

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

Learners are assessed by branch staff and matched with a tutor. They are scheduled for weekly tutoring sessions in order to meet individual goals set by the learner and plan new goals as the learner progresses.

Describe how your agency determines client(s) success.

Learners set individual goals that they want to meet and tutors help learners meet those goals.

Regular assessments of the learner's progress are used to track improvement, Describe your methodology to evaluate project outcomes.

We track the number of goals met in correlation to the number of goals set by the individual learners.
10 719

Public Services Program Application Fiscal Year 2023 — 2024 Explain how the project will meet contract goals and milestones and be completed within 12 months (July 1, 2023 — June 30, 2024). For example, project expenditures and performancel 2ccomplishment goals of 40% by November 30th, 50% by December 31st, 60% by March 31st, ,Pnd 100% by June 30th,
As mandated by the California State Library Literacy Services (CLLS), individual adult learners are required to list one or more personal Literacy goals via the Roles & Goals Intake Form. 75% of total Yucaipa Adult Literacy Program learners are anticipated to achieve one or more of their person goals set during program year 22-23. We plan to meet 25% of our tutor/learner pairing goal each quarter, 25% by October50% by January 1st, 75% by April 1 st, and 100% by June 30th. i
Fill-in the table below with dates for submission of reimbursement claims and the estimated amount of each.

Date of Reimbursement:

Amount ($):
10/01/2023
$2,500.00
01/01/2024
$2,500.00
04/01/2024
$2,500,00
06/30/2024
$2,500.00
Total Reimbursement:
$10,000.00
11 720

Public Services Program Application
Fiscal Year 2023 — 2024
Describe the roles of key administrators, staff members, and volunteers within your agency that will implement the proposed project. In your description include experience, education, and licensing qualifications.

Library Events Coordinator, Admin Librarian 1, Branch Managers, Library Assistants, Volunteer Tutors. See Attachment for detailed answer,
2 to
We have been funded for the Adult Literacy Program and administrating CDBG grants and funds since 1984.

Elk
is is a multi -branch program with a network of branch and administrative staff and a porfi the overall library budget set aside to improve and continue this program. I Instructions- Complete the table below by marking "YES" or "NO" to the questions listed below.

Question:

Public Services Program Application Fiscal Year 2023 — 2024 EXHIBIT 7: Civil Rights Laws Compliance and HUD Good Standing •
Has your organization been a past recipient of assistance under a HUD McKinney Act program or the HUD Single Family Property Disposition Homeless Program? lNo -1
If you have been a recipient under either of these programs, has your agency experienced any project or construction delay, HUD finding or outstanding audit that HUD deems serious regarding the administration of HUD McKinney Act programs or the HUD Single Family Property Disposition Homeless Program?
lNo -1
If you answered "Yes", please explain the circumstances and outcome below. . .•. . . . . . . . . .
13 722

S21N BERN'ARDINO

C 'UNTY
San Bernardino •
- - - - - - - ----
Community Development Block Grant
Martha Zepecla
Deputy Executive Officer
In order to comply with all applicable federal grant regulations, a hard -copy of this E-Signature Authorization containing an original wet signature must be filed with the San Bernardino County Community Development and Housing (CDH) in order for the applicant to electronically sign the Community Development Block Grant (CDBG) application documents online. This authorization may only be completed by a registered owner, partner, executive officer, or authorized employee (with proof of authorization) of the applicant submitting this form and must contain an original signature to be submitted to the CDH.

My signature on this form certifies that:

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

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

Applicant Information
Agency Name:

Federal Tax ID No.:

San Bernardino County Library
95-6002748
Mailing Address:

Phone No.:
268 W. Hospitality Lane 3rd Floor, San Bernardino CA, 92415 (909) 387-2220
Email Address:

Fax No:

Ina. Feeney@] ib.s bco unty,g ov
(909) 387-2288
Authorized Signature
Print Name:

Print Title:

Melanie Orosco
County Librarian
Signature:

Date:

Melanie Orosco County Librarian
Please send the signed copy of this one page agreement to:

San Bernardino County Community Development and Housing Department 215 North D Street, Suite 302, San Bernardino, CA 94215-0043 Attn: CDBG Application
7j�

Public Services Program Application
Fiscal Year 2023 — 2024
Community -based organizations are required to include one copy of the items listed below. If you are not submitting these items at this time, please notify Community Development and Housing at (909) 387-4705 to make • arrangements. The following information is required before any contract or reimbursement can be completed.
o Summary of agency's current year General Operating Budget o List of agency's Board of Directors, including names and addresses o Proof of existing non-profit/tax-exempt status (Letters from the Federal Internal Revenue Service and State Franchise Tax Board) o Current certificate of insurance and amounts covered
o Organizational chart
a Minutes of last Board meeting
o Non- Profit agencies must be Registered in the System of Award Management (SAM) website.

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

If your application is funded you will be required to provide a copy of your last audit and your Articles • Incorporation and Bylaws must • on file. 15 724

Public Services Program Application
, . .. . . ..... .

COUNTY
San Bernardino County
Fiscal Year 2023 - 2024
Fiscal Year 2023— 2024
YUCA23PS-063
Log Number
(office Use Only)
The following documents must be submitted in the order listed, please be sure to submit all attachments with your application.

Exhibit 1: Organization Information
Exhibit 2: Project Information
F-1
Exhibit 3: Community Needs and Target Population
Exhibit 4: Project Budget & Sources
Exhibit 5: Performance & Outcomes
Exhibit 6: Agency Capacity Narrative
Exhibit 7: Civil Rights Laws Compliance and HUD Good Standing Exhibit 8: Signature and Assurances
Application Checklist
725

Public Services Program Application
Organization Name:

ICity of Yucaipa
RWITSR�11
City/State/Zip: (Yucaipa / CA _/ 92399
Phone: 2
Fax;I
Email: lmwnlfp n5vi irninn nrn
Authorized Person Name: IMegan Wolfe
Authorized Person's Title: IDirector of Community Services Address: 134272 Yucaipa Blvd
City/State/Zip: IYucaipa / CA / 92399
Phone: 19097972489 ext. 241
Fax: I
Email: [email protected]
Application Contact Person's Name: Megan Wolfe
Application Contact Person's Title: IDirector of Community Services Fiscal Year 2023— 2024
Explain the Agency's 1) Mission, 2) Purpose, 3) Population Served, 4) Number of years serving population, 5) Supportive Services, their Funding Sources, and Start/End Dates.

Our mission is to enrich the lives of the residents of Yucaipa by providing safe, welcoming parks and recreation facilities and affordable, diverse recreation activities for people of all ages to play, learn, build community and be good stewards of our environment.The City of Yucaipa incorporated 30 years ago in 1989 and has a population of 55,000. Yucaipa resident live here for its distinctive amenities and quality of life. These amenities distinguish Yucaipa a a premier community. Framed by the San Bernardino Mountains, Yucaipa's natural environment, with its clean air and unique topography, distinguishes its exceptional quality of life. Quality public facilities, schools, community services, and other amenities draw residents and visitors of all ages to live, work, and play in Yucaipa. The Yucaipa Scholarship Program allows low income residents an opportunity to participate in recreational programs ran by the City of Yucaipa.
726

Public Services Program Application Fiscal Year 2023 — 2024 Project Title:

JYucaipa Scholarship Program
Project Address:
�2Yucaipa Blvd.

El 1st District [--] 2nd District F-1 3rd District El 4th District El 5th District Is this a New Public Service Project, or request to expand services to an existing CDBG project? lExpansions of Service to an Existing Project
If this is an Expansion of Service to previously funded CDBG project, please explain how this is an expansion of service?. (Le For 2015 we proposed 60 units of service, this year the agency is planning to serve 100 units of service)
is a expansion becuase we are going to offer funding for youth in organized recreationi -s offered by community partners.

If you are requesting funds for an existing CDBG project, provide prior CDBG project number.

Will this project provide an opportunity to hire minority -owned and women owned businesses? If YES, describe what actions wjl[ be completed to implement such subcontracting plans to monitor this component of the proposed proJeft if NO, discuss why and what actions are being taken to encourage minority -women businesses to apply for this project, 727

Countywide Vision
Yes/ No
Implement the Countywide Vision.

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

Yes
Improve County Government Operations.

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

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

Yes
Maintain Public Safety.

No
Provide for the Health and Social Services
Needs of County Residents.

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

Provide a brief narrative of how your project meets the Countywide Vision:

The Yucaipa Scholarship Program provides low to moderately low income residents an opportunity to participate in programs, activities and classes held by the City. All classes provide jobs and economic value to the county. This meets the countywide vision of working with other governmental agencies and providing a sustainable system. Half of the activities offered through the City of Yucaipa's Community Services Department are health and wellness, this meets the vision of providing a health and social services needs of County Residents. This Scholarship Program will be ran and oversaw by full-time City staff meeting the fiscally responsible vision.
728

Public Services Program Application
Fiscal Year 2023— 2024
Community Needs
Target Population
Public Service
Yes/No
Proposed Community:

Yes/No
Needs:

Senior Services
Low and Moderate Persons
Yes
Yes
Handicapped
Low and Moderate
Services
Yes
Households
Yes
Youth Services
Abused Children
Yes
No
Child Care
Handicapped Persons
Services
Yes
Yes
Transportation
Illiterate Persons
Services
No
No
Substance Abuse
Homeless Persons
Services
No
No
Employment
Migrant Farm Workers
Training
No
No
Health Services
Elderly People
No
Yes
Lead Hazard
Screening
No
Crime
Awareness
No
City/Target Area of Project Beneficiaries
101 �# �* JU101110,
729

Public Services Program Application Fiscal Year 2023— 2024 Exhibit 3: Community Needs and Target Population (continued) Describe the geographic boundaries of the neighborhood, community or area in which clients of the • Does this project help prevent homelessness?
lNo
• Does this project help the homeless?
• Does this project help those with HIV or AIDS?
LO___1
• Does this project primarily help persons with disabilities? 0 Summarize the description of your project to include 1) priority, 2) sub -activity, 3) population(s) to be served, and 4) accomplishment level, and 5) services to be providel The Yucaipa Scholarship Program will provide low to moderate residents the opportunity to iparticipate in recreational activities, These activities include: Summer, fall, winter and spring icamp, swim lessons, aqua aerobics, recreational swim, karate, Spanish classes, cheer, trips and tours, Pee Wee Sports, and all other classes or activities ran by the City of Yucaipa Community Services Department, This program will serve low to moderately low income residents of Yucaipa, ages 0-100+. Every interested individual will need to complete an application. In order to qualify the applicant must be within the counties definition of low to moderately low income, Monies will then be allocated to the participant to fund 50% - 90% of the activity.
730

Public Services Program Application Fiscal Year 2023— 2024 Describe how this project meets the priority population and activities selected.

This Yucaipa Scholarship Program uses all funding provided each year.The need for assistance has increased among low -to -moderate income parents and seniors. If it weren't for this program we would not be able to help this population participate in classes and activities.

Explain why this project is needed and what evidence can you substantiate the need. ie Yucaipa Scholarship Program is needed to provide all residents an opportunity to be well �unded and healthy. The evidence is the fact that every year the scholarship money located by the county is used.

Describe what gaps of service in the county this project fills. 'N'r Mllfff 'T13 ILIF - ------
1111JORIMIN M MOM G K
What are the critical factors for the success of your project (include both financial and human resources)? For instance, is this the only funding for this project? What happens if funding decreases? Does this project rely on only one source of leveraging? Is there adequate staff involved with the project if there is project turnover? Please address any factor that is critical to project success.

Currently this is the only funding for this project. If funding decreased we would be able to help less families.
731

Public Services Program Application
L
Fiscal Year 2023— 2024
Project Budget
S13 County Share:

Other Source:

Personnel
Equipment (Rental, Lease or Purchase)
Consultant Services
(Auditing, Accounting or Payroll)
Space Rent
Insurance
Consumable Supplies
Other IScholarships
$10,000.00
Total Costs
$10,000.00
WOO
Total Project Budget Cost: (CDBG Share + Other Source)
$10,000.00
732

Public Services Program Application Fiscal Year 2023— 2024 Exhibit 4A: CDBG Funds Requested and Leveraging Information $10,000.00
Leveraging items may include any written commitments that will be used towards your cash match requirements in the project, as well as any written commitments for building, equipment, materials, services and volunteer time.

Source of
Type of Funding: (Grant Name,
Amount
Date
Funding:

EFSP Money)
Available:
(1112212016)
Federal
Funding
State
Funding
County
Funding
Private
Funding
Other:

Total Leveraging Funds
$0.00
733

Public Services Program Application
Fiscal Year 2023 — 2024
Undul2licated Clients: The number clients/persons projected to be served during the program year (e.g. 25 clients, 50 seniors):

Duplicated Clients-i The estimated yearly units of service (duplicated, e.g. 25 clients x 10 • units of service):

Uomplete e eff-a-rMe--fow with the number ot-Suplicated and fnduplicated Clients • • served.
• In column 1 identify activities that will •- completed • interventio counseling, and case management).
• In column 2 indicate the number of Unduplicated Clients to be serve • In column 3 identify the number of Duplicated Clients to be served.

Activities to be Completed (1)
Unduplicated
Clients to be
Served (2)
Duplicated Clients
projected to be
served (3)
100
2000
Performance and Outcomes, answer the following narrative questions using minimum • •
Indicate a timeline of services provided to client(s) in order to meet project outcome(s).

Participants are allowed to enroll in multiple classes, program and activities from August 1, 2023 to June 30, 2023. A percentage of the cost of each class will be covered by the scholarship
If a Yucaipa Scholarship participant completes a class, program or activity we deem it successful.

Describe your methodology to evaluate project outcomes.

The project is measured by the number of scholarships processed yearly. 10 734

Public Services Program Application Fiscal Year 2023 — 2024 MEN M I-EkTUMM _JW# %-75
(JUlY 1, 2023 - June 30, 2024). For example, project expenditures and performance/ 2ccomplishment goals of 40% by November 30th, 50% byDecember 31st, 80% byMarch 31st, :r,;MMWI

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

Date of Reimbursement:

Amount ($):
08/31/2023
$1,000.00
09/30/2023
$1,000.00
10/31/2023
$1,000.00
11/30/2023
$1,000.00
12/31/2023
$1,000.00
01/31/2023
$1,000,00
02/28/2023
$1,000.00
03/31/2023
$1,000.00
04/30/2023
$1,000.00
05/31/2023
$500.00
06/30/2023
$500.00
Total Reimbursement:
$10,000.00
11 735

Public Services Program Application
Fiscal Year 2023— 2024
Describe the roles of key administrators, staff members, and volunteers within your agency that will implement the proposed project. In your description include experience, education, and licensing qualifications.

Describe your .• • in administering government and/or public funds.

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

Question:

YES/ NO
Example: Have you received federal funds in the past
five years?
Yes
In the past ten years, has your organization ever had its nonprofit status revoked or withheld by the IRS, the
Yes
Secretary of State, the State Attorney General, or the
Franchise Tax Board?
Has your organization been sued in the last five years? No
Are any of your managers or staff with fiscal
responsibilities involved in litigation presently that has any No
bearing on fiduciary trust or employee relations?
Have any unfavorable rulings been handed down by any
court against your organization or Executive Director the last No
five years?
Does your organization currently have any unresolved
fiscal, reporting, or program issues with any of its funding No
sources?
12 736

Public Services Program Application Fiscal Year 2023 - 2024 EXHIBIT 7: Civil Rights Laws Compliance and HUD Good Standing a - 11- 4 9 0 41 -•
Has your organization been a past recipient of assistance under a HUD McKinney Act program or the HUD Single Family Property Disposition Homeless Program? iYes :1
If you have been a recipient under either of these programs, has your agency experienced any project or construction delay, HUD finding or outstanding audit that HUD deems serious regarding the administration of HUD McKinney Act programs or the HUD Single Family Property Disposition Homeless Program?
I No I
If you answered "Yes", please explain the circumstances and outcome below. g
Rttr-M I W•MU 11-74 111 0110
13 737

E-Signature Authorization Martha Zepeda
. . . .. . . .. .

S , AN , 'B " I , R , N , A , RD I I I NO San Bernardino County Deputy Executive Officer C 01"VIN'T"Y Community Development and Housing Departmernt Community Development Block Grant
320�
In order to comply with all applicable federal grant regulations, a hard -copy of this E-Signature Authorization containing an original wet signature must be filed with the San Bernardino County Community Development and Housing (CDH) in order for the applicant to electronically sign the Community Development Block Grant (CDBG) application documents online. This authorization may only be completed by a registered owner, partner, executive officer, or authorized employee (with proof of authorization) of the applicant submitting this form and must contain an original signature to be submitted to the CDH.

My signature on this form certifies that:

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

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

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

Applicant Information
Agency Name:

Federal Tax ID No.:

City of Yucaipa
33-0383731
Mailing Address:

Phone No.:
34272 Yucaipa Blvd
(909) 797-2489
Email Address:

Fax No:
[email protected]
Authorized Signature
Print Name:

Print Title:

Megan Wolfe
Director of Community Services
Signature:

Date:

Megan Wolfe, Director of Community Services
12/07/2022
Please send the signed copy of this one page agreement to:

San Bernardino County Community Development and Housing Department 215 North D Street, Suite 302, San Bernardino, CA 94215-0043 Attn: CDBG Application
738
14 Public Services Program Application
Fiscal Year 2023 — 2024
Community -based organizations are required to include one copy of the items listed below, If you are not submitting these items at this time, please notify Community Development and Housing at (909) 387-4705 to make other arrangements. The following information is required before any contract or reimbursement can be completed.
o Summary of agency's current year General Operating Budget o List of agency's Board of Directors, including names and addresses o Proof of existing non-profit/tax-exempt status (Letters from the Federal Internal Revenue Service and State Franchise Tax Board) o Current certificate of insurance and amounts covered
o Organizational chart
o Minutes of last Board meeting
Non- Profit agencies must be Registered in the System of .•- (SAM) _• Agency cannot •' •-• if they have •' debarred in the •. o Provide board minutes/letter that authorizes the executive director or program manager to run the project.

If your application is funded you will be required to provide a copy of your last audit and your Articles of Incorporation and Bylaws must be on file. 15 739

Construction Program Application
0 S, ARDINo
C11"OUNI-Y
,
San Bernardino County
Fiscal Year 2023 - 2024
Fiscal Year 2023 - 2024
YUCA23CN-015
Log Number
(Office Use Only)
The following documents must be submitted in the order listed, please be sure to submit all attachments to your application.

Exhibit 1: Organization Information
L
Exhibit 2: Project Information
Fv/1
Exhibit 3: Project Characteristics
r--1-1
Exhibit 4: Priority Needs:

Exhibit 5: Project Budget & Sources
yj
Exhibit 6: Proposed Goals and Milestones
W]
Exhibit 7: Agency Capacity Narrative
r--71
Exhibit 8: Civil Rights Laws Compliance And HUD Good Standing Exhibit 9: Signatures And Assurances
Maintenance And Operations Agreement
Application Checklist
740

Construction Program Application Fiscal Year 2023 — 2024 Exhibit 1: Organization Information
Organization Address:
34272 caipa Blvd
- Nmo - M'•�•
Fax:19097909203
Email: lfpreciado@yucai:)a.org
Applicant Type:Cit
Authorized Person Name: FFermin Preciado
Authorized Person's Title: Director of Development Servics/City Engineer Address: 34272 Yucaipa Blvd
City/State/Zip: Yucaipa / CA / 92399
Phone: 19097972489
Fax:19097909203
Email: f reciado ucaipa.org
Application Contact Person's Name: [Fermin Preciado
Application Contact Person's Title: IDirector of Development Servics/City Engineer 'Explain the Agency's 1) Mission, 2) Purpose, 3) Population Served, 4) Number of years serving ,topulation, 5) Supportive Services, their Funding Sources, and Start/End Dates. 741

Construction Program Application
Oil! 1[ 1111;
Project Title:

Scherer Senior Center Facility and Building Improvements Address:
112202 First Street
County Supervisorial District where project will be located:

Fiscal Year 2023 — 2024
❑ I st District E] 2 nd District [K 3 rd District: E] 4 th District E] 5th District Is this a new construction project, or a request for additional funding to an existing CDBG Project.? If requesting additional funds for an existing CDBG project, provide prior CDBG project number? I - I
Project Type (Description):

This project includes the removal and replacement • the building t•' removing and replacing the existing deteriorating flooring in the facility, and other improvements (renovations and updating • storage •• and • •• in the Nutrition Center wing the facility. •`
Eligible Block Group
Indicate eligible Block Group to be benefited by CDBG Funds requested.

Provide a map identifying the eligible census block as indicated in the Eligible Census Blocks. eligible Block Grant to be benefited as part of this application is 008800, Block Group 2. '• Census Block Map.
742

Construction Program Application
Fiscal Year 2023 — 2024
Indicate Yes/No in the table below which countywide vision goals are pertinent to the proposed project.

Countywide Vision
Yes/ No
Implement the Countywide Vision,
Yes
Create, Maintain and Grow Jobs and Economic
Value in the County.

Yes
Improve County Government Operations.

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

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

Yes
Maintain Public Safety.

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

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

Yes
The project meets the Countywide Vision by providing programs for community residents an"i. seniors that ensure the development of a well -planned, balanced, sustainable County and by supporting a program that provides meals and • services to • citizens living in the City of •.
743

Construction Program Application
Fiscal Year 2023 - 2024
Street address and nearest cross streets of the site where the program will be carried out:

Legal property owner:
lCity of Yucaipa
What is the current zonina?
• residential and some • zoned properties
Is this use permitted in this zoning?
Yes
Is a conditional use permit required? Yes/No
[No::_
Complete applicable items for all construction projects:
• Assessor's parcel number:
[N/A
• Square footage of construction site parcel:
[N/A
• Length of improvements if street, water or sewer project:

IN/A
• Service capacity of existing facility:
• Improved service capacity of the facility:

I N/A
• Age of structure:
135 years +
• Is the structure registered as a historic landmark under state, federal or local Law? 0 0 4
The Scherer Senior Center is located within the CDBG target area. The Center is surrounded by residential and high density housing and a neighbor hood park. 5 744

Construction Program Application
Fiscal Year 2023 - 2024
Public Facility's Needs.

Yes/ No:

Senior Center Improvements
Yes
Community Center Improvements
No
Child Care Center Improvements
No
Youth Center Improvements
No
Park & Recreation Improvements
Yes
Social Care Facility Improvements
Yes
Code Enforcement Needs
No
Code Enforcement
No
Demolition and Clearance
No
Blight Abatement
No
Infrastructure Needs
Yes
Water and Sewer Improvements
No
Drainage Improvements
No
Street Improvements
No
Sidewalk Improvements
No
Commercial/ Industrial Infrastructure Development
No
Accessibility Needs
Yes
Removal of Architectural Barriers
No
Historic Preservation Needs:

No
Historic Preservation Improvements
No
Other:

No
745

Construction Program Application
:MFINTRE31 11111111
M
• Does this project help prevent homelessness?
No
• Does this project help the homeless?
No
• Does this project help those with HIV or AIDS?
No
• Does this project primarily help persons with disabilities? Yes
I ff M-03 IT. -I TOEOT=
Fiscal Year 2023 - 2024
City of Yucaipa has prioritized infrastructure improvements in the CDBG target area of City. This project will improve an existing public building providing community service frams to citizens within and around the CDBG Target area.

M•orgaiMMUMIUMUMMMEMEWIRMEM Ma METMOralre Me
5 current flooring is mismatched and uneven-, cracking and pulling up in areas of the nter. The facility's roof is in dire need of replacement and is leaking into one of the store �ms that needs to be renovated and updated to meet current codes, Why must this proposed project be funded now versus receiving funding in future years?
The City of Yucaipa has historically been proactive in maintaining new and aging infrastructure. The floor and other improvements to the center will extend the usable life of thefacility and make it more ADA friendly.

What are the ramifications if this project is not recommended for funding in this fiscal If the proposed project is not recommended for funding this fiscal year, the pedestrian access I to the facility will not be adequate and parts of the flooring is a tripping hazard, 7 746

Construction Program Application Fiscal Year 2023 - 2024 What is the projects accomplishment level?
Accomplishment level is high due to the impact on senior citizens.

Summarize the Scope of Work; include in your summary the number of units or -.-
The proposed project will replace the entire deteriorating tile floor and will replace the floor with a new flooring surface. The new surface will be adjusted to provide a smooth transition throughout thefacility. The smooth transition will enhance and prolong the services being provided to senjorcitizens at the center. The proposed project will also enhance existing storage areas that are used to store center supplies and materials for Center programs. 111-Im'! 11! 11�!J 11�111!11111111111 I'll,- , - 9
provides other community benefits.

Low and moderate income neighborhoods in the target area will be preserved by the project as a result of the proposed improvements by improving and continuing the community service and food service programs atthe public facility.
747

Construction Program Application
Fiscal Year 2023 - 2024
Provide the estimated financial data for the project as requested below for the appropriate project group. Costs should be based on the best information available. When preparing this data, consider the following factors: (a) project should be completed in one phase if possible, if phased, operational capability of the phases should be independent of each other (b) a phased project should be prioritized and broken into distinct parts, with estimated cost and riority for each part, (c) apply federapr l evailing wage rates to construction projects over $2,000. 1
p
Project Budget
SB Counity Share Other Source
Architectural and $0.00 $0.00
engineering services
Site acquisition $0.00 $0.00
Local Review application $0.00 $0.00
Construction $180,000.00 $0.00
Other: $23,000.00
Total $203,000.00 $0.00
Overall Total Project Cost: (CDBG Share + Other Source) $203,000.00 748

Construction Program Application
Fiscal Year 2023 - 2024
I
I =0111 IST91.399-19-UTCRUV MI • 1!!!!§ 1! 1171 241•1
I -• - -0 0 -
$203,000,00
Leveraging items may include any written commitments that will be used towards your cash match requirements in the project, as well as any written commitments for building, itquipment, materials, services and volunteer time.

Source of
Ty0e of Funding: (Grant Name,
Amount
bate
Fundihg:

EFSP Money)
Available:
112212016)
Federal
Funding
$0.00
State
Funding
$0.00
County
Funding
$0.00
Private
Funding
$0.00
Other:
$0.00
Total Leveraging Funds
KOO
10 749

Construction Program Application Fiscal Year 2023 - 2024 Explain how the project will meet contract goals and milestones. For example, project expenditures and performancelaccomplishment goals of 40% by September 301h, 50% by December 31st, 80% by March 31st, and 100% by June 30th.

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

Date of Amount
Reimbursement:
01/31/2024 $203,000.00
Total Reimbursement: $203,000.00
750

Construction Program Application
OW
M
Fiscal Year 2023 - 2024
Describe the roles of key administrators, staff members, and volunteers within your agency th�t WM implement the proposed project. In your description include ex erience, education, and licensing qualifications. I
• Describe your method to sustain project viability over the multi -year process if funding decreases.

N/A
iiiiiii I I iiiiiiiMS070101p, IMM 'XiM, wg�'�
I. 1111101MOLOJIM Mys =.- am��
Question:

Yes/ No
Example: Have you received federal funds in the past five years? Yes
In the past ten years, has your organization ever had its nonprofit status revoked or withheld by the IRS, the Secretary of State, the State Attorney No
General, or the Franchise Tax Board?
Has your organization been sued in the last five years? No
Are any of your managers or staff with fiscal responsibilities involved in litigation presently that has any bearing on fiduciary trust or employee No
relations?
Have any unfavorable rulings been handed down by any court against your organization or Executive Director the last five years? No
Does your organization currently have any unresolved fiscal, reporting, or program issues with any of its funding sources?
No
12 751

Construction Program Application Fiscal Year 2023 - 2024 Exhibit 8: Civil Rights Laws Compliance And HUD Good Standing Answer the following questions:

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

MM
Applicants must be in compliance with applicable civil rights laws and Executive Orders. Applications will be rejected if your agency has any of the following: (1) Any pending civil rights lawsuit instituted by the U.S. Department of Justice; (2) Any noncompliance with civil rights statutes, Executive Orders or regulations as a result of formal administrative proceedings, unless the applicant is operating under a HUD -approved compliance agreement designed to correct the area of noncompliance or is currently negotiating such an agreement; (3) Any unresolved Secretarial charge of discrimination issues under Section 810(g) of the Fair Housing Act, as implemented by 24 CFR 103:400; (4) Any adjudication of a civil Aghts violation in a civil action brought against the Organization by a private individual, unless the the applicant has discharged any responsibility arising from such litigation; (5) Any deferral of the processing of applications from the sponsor imposed by HUD under Title A of the Civil 'Rights Act of 1964, the Attorney General's Guidelines (28 CFR 50,3) or the HUD Title A regulations (24 CFR 1,8) and procedures, or under Section 504 of the Rehabilitation Act of 1973 and HUD Section 504 regulations (24 CFR 8.57). If one or more of these situations exists with your Organization, please attach a brief description,
13 752

E-Signature Authorization Martha Zepeda
SAN U.',RNARDINO San Bernardino County Deputy Executive Officer COUNTY Community Development and Housing Departmemt
Community Development Block Grant
In order to comply with all applicable federal grant regulations, a hard -copy of this E-Signature Authorization containing an original wet signature must be filed with the San Bernardino County Community Development and Housing (CDH) in order for the applicant to electronically sign the Community Development Block Grant (CDBG) application documents online. This authorization may only be completed by a registered owner, partner, executive officer, or authorized employee (with proof of authorization) of the applicant submitting this form and must contain an original signature to be submitted to the CDH.

Authorization Agreement
I am an owner, partner, executive officer, or duly authorized employee of the below -listed applicant and have authority to enter into agreements on behalf of the below -listed applicant. CDH may rely on the receipt of such agreements executed and delivered by facsimile or other electronic means as if the original had been received. The undersigned agrees that the electronic signatures appearing on documents submitted from the below -listed applicant are the same as handwritten signatures for the purposes of validity, enforceability and admissibility. By signing;this Electronic Signature,Authorization Agreement, I authorize the CDH to accept, via electronic submission, documents submitted from the below -listed applicant as required by the CDH's CDBG 2023 - 2024 Funding Application,
I understand that CDH may change the CDBG application system from time to time. I agree that the below -listed applicant will electronically sign all documents requiring a signature related to the CDBG funding application.

My signature on this form certifies that:

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

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

We affirm that all information in this application is true and correct to the best of our knowledge and that the applicant under our authority will execute its responsibility under the proposed contract and adhere to all other applicable rules and regulations to the fullest extent possible, Non -collusion
This proposal is genuine, and not sham or collusive, nor made in the interest or in behalf of any person not herein named; the proposer has not directly induced or solicited any other proposer to put in a sham proposal, or any other person, firm or corporation to refrain from submitting a proposal; the proposer has not in any manner sought by collusion to secure for him/herself an advantage over any other proposer.

Applicant Information
Agency Name:

Federal Tax ID No.:

Fermin Preclado
33-08383731
Mailing Address:

Phone No.:
34272 Yucaipa Blvd
(190) 979-7248
Email Address:

Fax No:
[email protected]
Authorized Signature
Print Name:

Print Title:

Fermin Preciado
Director of Development Services/City Engineer
Signature:

Date:
12/06/2022
Please send the signed copy of this one page agreement to:

San Bernardino County Community Development and Housing Department 215 North D Street, Suite 302, San Bernardino, CA 94215-0043 Aftn. CDBG Application
753
14 Construction Program Application
Fiscal Year 2023 - 2024
All capital improvements or facilities will require a Maintenance and Operation (M & 0) contract. The MAINTENANCE AND OPERATION COMMITMENT must be signed by a representative of the M & 0 entity with authority to obligate the organization.

It is understood that without a commitment for maintenance and operation, the indicated project may not be considered for funding under the Community Development Block Grant program. Should this project be funded, a formal M & 0 contract shall be written and signed before any funds can be released.

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

M-m- =1 11 Me
Address:
134272 Yucaipa Blvd Yucaipa, CA 92399
Federal I.D. Number of M&O Entity:
[33- -0-8383731
Signature:

Title: Director of Development Servic
Print Name. Fermin Preciado
Date: 12/06/2022
15 754

Construction Program Application
Fiscal Year 2023 - 2024
Utilities
Amount
Electric
$0.00
Water
WOO
Gas
$0.00
Telephone
$0.00
Disposal Service
$0.00
Other:
$0.00
Sub -Total
$0.00
Materials
Janitorial Supplies
$900.00
Office Supplies
$0.00
Recreational Supplies
$0.00
Ground Supplies
$0.00
Other:
$0.00
Sub -Total
$900.00
Maintenance —Capital Improvements
Building Repair
$0.00
Maintenance of Equipment
$0.00
Improvements to Property
$0.00
Other:
$0.00
Sub -Total
$0.00
Insurance
Liability
$0.00
Fire
WOO
Other:
$0.00
Sub -Total
$0.00
16 755

Construction Program Application Fiscal Year 2023 - 2024 Personnel
Maintenance $900.00
Secretary $0.00
Administrator $0.00
Program Staff $0.00
Other: $0.00
Sub -Total $900.00
M& 0 Annual Expense Total $1,800.00
List out all sources and liabilities such as budget sources, membership, user fees, etc.

Revenue Sources: Amount
Budgeted Revenue Total $0.00
Assets/ Liabilities Amount (t):

Budgeted Revenue minus M&O Expense ($1,800.00)
17 756

Construction Program Application
I : N 0 0 0 0
mlk,=;17-11uffl!^ e
Fiscal Year 2023 - 2024
Community -based organizations are required to include one copy of the items listed below. If you are not submitting these items at this time, please notify Community Development and Housing at (909) 387-4705 to make other arrangements. The following information is required before any contract or reimbursement can be completed.
• Summary of agency's current year General Operating Budget • List of agency's Board of Directors, including names and addresses • Proof of existing non-profit/tax-exempt status (Letters from the Federal Internal Revenue Service and State Franchise Tax Board)
• Current certificate of insurance and amounts covered
• Organizational chart
• Minutes of last Board meeting
• Non- Profit agency's must be Registered in the System of Award Management (SAM) website. Agency cannot be funded if they have been debarred in the past. o Provide board minutes/letter that authorizes the executive director or program manager to run the project,
If your application is funded you will be required to provide a copy of your last audit and your Articles of Incorporation and Bylaws must be on file.
18 757

Yucaipa City CouncilFebruary 13, 2023

Yucaipa City Council
February 13, 2023