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2) Liquidity. The investment portfolio will remain sufficiently liquid to enable the City to meet its cash flow requirements.
3) Return on Investment. The investment portfolio shall be designed with the objective of attaining a market rate of return on its investments consistent with the constraints imposed by its safety objective and cash flow requirements.
V. Delegation of Authority
The City Council's management and oversight responsibility for the investment program is delegated to the Treasurer who shall monitor and review all investments for consistency with this Investment Policy. No person may engage in an investment transaction except as provided under the limits of this Investment Policy.
The Treasurer's authority for making investments has been granted by the City Council Resolution #95-07 dated January 9, 1995, as required by Section 53607 of the California Government Code and the City Council annually shall consider and make a determination as to renewal of such delegation to the Treasurer of investment authority. Further statutory authority for the investment functions and responsibilities of the City Council that have been delegated to the Treasurer may be found in Sections 53601 et seq. and 53630 et seq. of the Government Code.
The City may contract for the use of investment manager services subject to all other provisions of this Investment Policy, provided that the Treasurer (so long as the City Council's delegation of investment authority to the Treasurer is in full force and effect) exercises prudence in the selection of the investment manager, imposes suitable safeguards to prevent abuse in the exercise of discretion by the investment manager, and remains responsible for any investment decisions made by the investment manager. The Treasurer shall maintain investment instructions for internal and external management of investments consistent with Government Code requirements.
VI. Legal Restrictions Pertaining to Investments
The law establishes certain restrictions on the types of securities and deposit classifications that are to be used in making investments of public funds. In certain instances, the law defines the maximum maturity, credit rating, and other criteria intended to minimize risk. The statutes containing the types of securities and deposits permissible for investment purposes may be found primarily in Sections 16429.1, 53601 and 53635 of the Government Code.
While the law defines the parameters for making investments, it does not define the risk. The Treasurer reserves the right to further restrict the investments permissible by law and to use its own discretion, in light of prevailing market conditions, the economy, and other factors, to limit the degree of risk at any moment in time. Except for specific policy restrictions, which follow, those investments presently authorized by the City Council are described in Section IX and summarized in Schedule I.
VII. Ethics and Conflicts of Interest
Officers and employees involved in the investment process shall refrain from personal business activity that could conflict with proper execution of the investment program, or which could impair their ability to make impartial investment decisions. Employees and investment officials
06/09/2025 City Council Agenda
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shall disclose to the City Council any material financial interests in financial institutions that conduct business within their jurisdiction, and they shall further disclose any large personal financial/investment positions that could be related to the performance of the City.
VIII. Authorized Financial Dealers and Institutions
In accordance with Government Code Section 53601.5, purchases of investments, other than investments purchased directly from the issuer, shall be made from an institution licensed by the state as a broker -dealer (as defined in Section 25004 of the Corporations Code), a member of a federally regulated securities exchange, a national or state -chartered bank, a savings association or federal association (as defined by Section 5102 of the Financial Code), or a brokerage firm designated as a primary government dealer by the Federal Reserve bank.
If the City has engaged the services of a registered investment advisory firm, the firm is authorized to conduct investment transactions on the City's behalf with their own list of approved broker/dealers and financial institutions that comply with the requirements described in the foregoing paragraph. The investment advisor's approved list must be made available to the City.
For any investment transactions conducted by the Treasurer, the Treasurer will maintain a list of financial institutions authorized to provide investment services. In addition, a list will also be maintained for approved or security broker/dealers selected by credit worthiness that are authorized to provide investment services in the State of California.
Custody of investment securities shall be made in compliance with Section X of this Investment Policy. No public deposit shall be made except in a qualified public depository as established by state laws and in the manner prescribed therein, including but not limited to collateralization of the deposits as specified in Government Code Sections 53649 and 53656.
IX. Authorized and Suitable Investments
The City is empowered by Government Code Sections 53601 et seq. and 16429.1 to invest in the following instruments, and the City Council hereby authorizes the Treasurer to invest in the following securities. Unless stated differently, the maximum maturity is five years from date of purchase. Bond reserves and other cash for which there is a restriction on the expenditure of the principal may be invested in securities maturing in a period greater than five years. On such occasions, requests must be approved by City Council prior to purchase.
All investments shall be purchased with the intent of holding them until their final maturity.
The City's investment strategy will not prohibit the City from selling a security prior to its maturity and recording a gain or loss in order to improve the quality, liquidity, or return of the portfolio in response to market conditions or the City's needs.
All investment transactions shall be made after first having given consideration to risk and the credit worthiness of the issuer of the security, liquidity, and yields. All things being equal, investments shall be made with the issuer offering highest, competitive yield.
All investments shall be made on a competitive basis.
Page3of8
06/09/2025 City Council Agenda
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A copy of each investment transaction shall be given daily to the City's Finance Division and the monthly reports required by Section 53607 (so long as the City Council's delegation of investment authority to the Treasurer is in full force and effect) and quarterly reports as recommended by Section 53646 of the Government Code shall be filed with the City Council, as further specified in Section XII of this Investment Policy.
All investment transactions shall be immediately documented recorded and entered into the Treasurer's financial and accounting systems for purposes of accountability and control.
All concentration limits and minimum credit rating requirements shall apply at the time of purchase. In the event a security held by the City is subject to a rating change that brings it below the minimum credit ratings specified in this Policy, the City shall require investment advisors engaged in the investment of City funds to notify City staff of the downgrade and provide a plan of action to address the downgrade as to whether to sell or retain such securities in the portfolio based on its current maturity, the economic outlook for the issuer, and other relevant factors. If a decision is made to hold a downgraded security in the portfolio, its presence in the portfolio will be monitored and reported.
Where this Policy addresses specific portfolio percentage limitations by category, compliance will be measured as of the date of purchase as stated in the California Government Code §53601:
"Where this section specifies a percentage limitation for a particular category of investment, that percentage is applicable only at the date of purchase." Any investment held at the time prior to a revision of the Policy which does not meet the new policy guidelines may be held until maturity, and the Policy shall not apply to the prior investment currently held. At the time of the investment's maturity or liquidation, such funds shall be reinvested only as provided in the current adopted policy.
No more than 5% of the City's investment portfolio may be invested in the securities of any one issuer regardless of security type excluding U.S. Treasuries, federal agencies or U.S. Government - sponsored enterprises, and pooled investments such as LAIF, LGIPs, and money market funds.
A) United States Treasury notes, bonds, bills, or certificates of indebtedness, or those for which the faith and credit of the United States are pledged for the payment of principal and interest.
Maximum percentage of portfolio is 100%.
B) Federal agency or United States government -sponsored enterprise obligations, participations, or other instruments, including those issued by or fully guaranteed as to principal and interest by federal agencies or United States government -sponsored enterprises. Maximum percentage of portfolio is 100%.
C) Registered Treasury Notes or Bonds of the State of California, or other 49 states, including bonds payable solely out of the revenues from a revenue -producing property owned, controlled, or operated by the State or by a department, board, agency, or authority of the State, provided that these securities are rated in a rating category of "AA" or its equivalent or better by a Nationally Recognized Statistical Rating Organization ("NRSRO"). Maximum percentage of portfolio is 30%.
06/09/2025 City Council Agenda
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D) Bonds, notes, warrants, or other evidences of indebtedness of any local agency within the State of California, including bonds payable solely out of the revenues from a revenue - producing property owned, controlled, or operated by the local agency, or by a department, board, agency, or authority of the local agency, provided that these securities are rated in a rating category of "AA" or its equivalent or better by a by a NRSRO. The maximum maturity is five years or less from date of purchase. Maximum percentage of portfolio is 30%.
E) Bankers' acceptances shall not exceed 180 days' maturity or 40 percent of the agency's moneys that may be invested pursuant to this section. However, no more than 30 percent of the agency's moneys may be invested in the bankers' acceptances of any one commercial bank pursuant to this section.
F) Commercial Paper of prime quality rated in the highest letter and number rating category by a nationally recognized statistical rating organization (NRSRO). The corporation that issues the commercial paper shall meet all of the following conditions in either paragraph (1) or paragraph (2)
(1) The entity meets the following criteria: (a) is organized and operating within the United States, as a general corporation, (b) has total assets in excess of five hundred million dollars ($500,000,000), and (c) has debt, other than commercial paper that is rated in a rating category of "A" or its equivalent or better by a NRSRO. (2) The entity meets the following criteria: (a) is organized within the United States as a special purpose corporation, trust or limited liability company, (b) has program -wide credit enhancements including, but not limited to over collateralization, letters of credit, or surety bond, and (c) has commercial paper that is rated "A-1" or higher, or the equivalent by a NRSRO.
Eligible commercial paper shall have a maximum maturity of 270 days or less.
No more than 25% of City's portfolio may be invested in eligible commercial paper.
G) Negotiable Certificates of Deposit (NCDs) issued by a nationally or state -chartered bank or a state or federal savings and loan association or by a federally -licensed or state -licensed branch of a foreign bank; provided that the NCD investment is fully insured by the FDIC (currently $250,000 limit) .
No more than 30% of the portfolio may be invested in NCDs.
H) Medium -term notes, defined as all corporate and depository institution debt securities with a maximum remaining maturity of five years to be measured from the settlement date to final maturity, issued by corporations organized and operating within the United States or by depository institutions licensed by the United States or any state and operating within the United States.
The City may invest in medium term corporate notes rated in a rating category of "A" or its equivalent or better by an NRSRO.
A maximum of 30% of the City's portfolio may be invested in this category.
06/09/2025 City Council Agenda
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I) Repurchase Agreements solely as short-term investments not to exceed 7 days.
The City may enter into Repurchase Agreements only with primary dealers of the Federal Reserve Bank of New York. The City may invest in repurchase agreements with primary dealers with which the City has entered into a master contract that specifies terms and conditions of repurchase agreements.
The following collateral restrictions will be observed: Only U.S. Treasury securities or Federal Agency or U.S. Government -sponsored enterprise securities, as described in categories A and B, will be acceptable collateral. All securities underlying Repurchase Agreements must be delivered to the City's custodian bank by book entry, physical delivery, or by a third party custodial agreement. The market value of the underlying securities must be valued at 102% or greater of the funds borrowed against those securities. The transfer of underlying securities to the counterparty bank's customer book -entry account may be used for book -entry delivery.
The City or its trustee shall have a perfected first security interest under the Uniform Commercial Code in all securities subject to Repurchase Agreement.
No more than 30% of the portfolio may be invested in repurchase agreements.
Reverse repurchase agreements will not be allowed.
J) Local Agency Investment Fund (LAIF). The City may invest in LAIF established by the State Treasurer for the benefit of local agencies up to the maximum amount permitted.
K) Money Market Funds. Shares of beneficial interest issued by diversified management companies that are money market funds registered with the Securities and Exchange Commission under the Investment Company Act of 1940 (15 U.S.C. Sec. 80a-1, et seq.). To be eligible for investment pursuant to this subdivision these companies shall either: (1) have attained the highest ranking or the highest letter and numerical rating provided by not less than two NRSROs or (2) have an investment advisor registered or exempt from registration with the Securities and Exchange Commission with not less than five years' experience managing money market mutual funds and with assets under management in excess of $500,000,000.
No more than 20% of the portfolio may be invested in money market funds. The City shall not purchase money market funds with shares whose net asset value floats.
L) The City may invest in non-negotiable time deposits collateralized in accordance with the California Government Code (including but not limited to Government Code Sections 53649 and 53656), in those banks and savings and loans associations which are qualified public depositories under California Government Code Section 53630 et seq. and meet the requirement in category H for investment in negotiable certificates of deposit. The issuer financial institution should have been in existence for at least five years. The Treasurer may waive the first $250,000 of collateral security for such deposits if the deposit is insured pursuant to federal law.
M) Local Government Investment Pools ("LGIP"). Shares of beneficial interest issued by a joint powers authority organized pursuant to Section 6509.7 that invests in the securities and
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obligations authorized in Government Code. The City will limit investments to LGIPs that seek to maintain a stable net asset value. Whenever the City has any funds invested in a LGIP, the Treasurer shall maintain on file a copy of the LGIP's current information statement and periodically review the LGIP's investments. A maximum of 50% of the City's portfolio may be invested in this category. To be eligible for investment pursuant to this subdivision, the joint powers authority issuing the shares shall have retained an investment adviser that meets all of the following criteria: (1) the adviser is registered or exempt from registration with the Securities and Exchange Commission; (2) the adviser has not less than five years of experience investing in the securities and obligations authorized in Government Code Section 53601 subsections (a) to (q), inclusive; and (3) the adviser has assets under management in excess of five hundred million dollars ($500,000,000).
X. Safekeeping and Custody
All deliverable security transactions, including collateral for repurchase agreements, entered into by the City shall be conducted on a delivery -versus -payment (DVP) basis. Pursuant to Government Code Section 53608, the City Council delegates its authority to deposit investment securities for safekeeping to the Treasurer. Securities will be held by a third party custodian designated by the Treasurer and evidenced by safekeeping receipts. As specified in Government Code Section 53608, an authorized third party custodian may be a federal or state savings and loan association, a federal or state savings bank, a trust company or a state or national bank located within this state, the Federal Reserve Bank of San Francisco or any branch thereof within this state, any Federal Reserve bank, or any state or national bank located in any city designated as a reserve city by the Board of Governors of the Federal Reserve System.
XI. Internal Control
The Treasurer shall establish internal controls over the treasury process. Compliance with this policy will be reviewed by an external auditor annually.
XII. Reporting
The Treasurer shall submit to the City Council a quarterly investment report within 45 days after the end of the applicable quarter. The report shall include a complete description of the portfolio, the type of investments, the issuers, maturity dates, par values and the current market values of each investment, including funds managed for the City by third party contracted managers. The report must also include a certification that (1) all investment actions executed since the last report have been made in compliance with the Investment Policy and (2) the City will meet its expenditure obligations for the next six months, or an explanation if either of the certifications cannot be made. The Treasurer shall maintain a complete and timely record of all investment transactions.
XIII. Special Debt Financing
From time to time, the City Council may authorize the issuance of debt in accordance with State and Federal laws. Debt proceeds that are invested are done so under the restrictions of the bond indenture and not this Investment Policy.
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TREASURER CITY OF YUCAIPA
STATEMENT OF INVESTMENT POLICY
Schedule I
The following list is a summary of permitted investments as described in the City's Investment Policy statement. If any discrepancies exist, the Policy statement shall prevail.
No more than 5% of the City's investment portfolio may be invested in the securities of any one issuer regardless of security type excluding U.S. Treasuries, federal agencies or U.S. Government -sponsored enterprises, and pooled investments such as LAIF, LGIPs, and money market funds.
U.S. Treasury obligations
Federal Agency or U.S.
Government -sponsored
enterprise obligations
Bankers' Acceptances
Commercial Paper
Negotiable Certificates of
Deposit
Repurchase Agreements
Time Certificates of Deposit
State Municipal
ob 1 igations( 1)
CA Local Agency Debt(1)
Medium -Term
Notes
Money Market Funds
LAIF
LGIPs
100%
100%
Minimum' redit
Quality
n/a
n/a
5 years
5 years
40% total A-1 180 days
25% A-1 or equivalent 270 days
30% n/a FDIC limit 5 years
30% n/a see collateral 7 days
requirements y
100% n/a FDIC limit 5 years
30% AA 5 years
30% AA 5 years
30% A or equivalent 5 years
20% AAA n/a
Maximum
permitted by n/a n/a
State Treasurer
50% n/a n/a
kI) no more man a combined 30% of me poruon° may oe invested in State municipal obligations and CA Local Agency Debt.
06/09/2025 City Council Agenda
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ATTACHMENT 5
06/09/2025 City Council Agenda
321
RESOLUTION NO. 2025-27
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF YUCAIPA,
CALIFORNIA, ADOPTING THE MEASURE I FIVE-YEAR CAPITAL
IMPROVEMENT PLAN FOR FY2025/2026 THROUGH FY2029/2030
WHEREAS, San Bernardino County voters approved passage of Measure I in November 2004, authorizing the San Bernardino County Transportation Authority to impose a one-half of one percent retail transactions and use tax applicable in the incorporated and unincorporated territory of the County of San Bernardino; and WHEREAS, revenue from the tax can only be used for transportation improvement and traffic management programs authorized in the Expenditure Plans set forth in Ordinance No. 04- 01 of the Authority; and
WHEREAS, the Strategic Plan requires each local jurisdiction applying for revenue from the Local Street Program to annually adopt and update a Five -Year Capital Improvement Plan; and
WHEREAS, California Public Utilities Code 190300 and Ordinance No. 04-01 require each local jurisdiction to maintain General Fund expenditures for transportation -related construction and maintenance activities at the required Maintenance of Effort base year level in each fiscal year of the adopted Five -Year Capital Improvement Plan, which for the City of Yucaipa is $175,764.
NOW, THEREFORE, THE CITY COUNCIL OF THE CITY OF YUCAIPA HEREBY RESOLVES AS FOLLOWS:
Section 1. The Measure I Five -Year Capital Improvement Plan, attached to this resolution as Exhibit A, is hereby adopted
PASSED, APPROVED, and ADOPTED this 9th day of June, 2025.
Jon Thorp, Mayor
ATTEST:
Ana V. Sauseda, MMC
Director of General Services/City Clerk
06/09/2025 City Council Agenda
322
Exhibit A
06/09/2025 City Council Agenda
323
Resolution Number
2025-27
Resolution Approval Date:
692025
Contact Person/Title:
Kalnna Kunkel/ Associate Engiuncer
Phone:
909-797-2489 x 255
Email:
kkun eleyucalpa.g v
Projects:
20252026 Street/Pavement Rehabilitation Program
Measure I Local Pass -through Program
FIVE YEAR CAPITAL IMPROVEMENT PLAN
Fiscal Years 2026/2026 thru 2029/2030
Jurisdiction:
Yucaipa
6/3025 Carryover Balance
$0.00
Is Protea n
Gays
Nan-molomed
Tramowwn
Flan,
(vesMol
Does Malan
have an ASP
Component,
OSsonal
Is the Protect on Me C4ys
Nexus Study Leff
(P 1,15OF Share%)
Estimated Total
Project Cost
FY202526 Est. Revenue
FY202627 Est. Revenue
FY202728 Est. Revenue
FY202829 Est. Revenue
FY202920 Est. Revenue
Total Est Rev.
51,402,810
S1,441,808
$1,482,177
51,524,120
$1,567,860
$7,418.776
Current
Estimate
Current
Estimate
Current
Estimate
Current
Estimate
Current
Estimate
Total
0.0%
0.0%
52,355,387
$2.355,387
$0
$0
50 $2,355,387
2025/2026 Surface Treatment Program
0.0%
0.0%
$700,000
4700.000
S0
S0
50 50
$700.000
2025/2026 Crack Seal Program
0.0%
0.0%
$120.000
$120,000
$0
50 SO
SO
5120,000
20252026 AC Berm Program
0.0%
0,0%
$94,221
S94,221
S0
50 00
00 $94,221
2025/2026 Patching Program
0.0%
0.0%
$210,000
5210,000
S0
50 50
00 $210,000
20252026 Concrete Program
0.0%
0.0%
S160.000
$160.000
S0
50 50
50 $160,000
2025/2026 Understreel Drain System Program
0.0%
0.0%
535.000
S35,000
S0
30 50
50 $35,000
20252026 Striping Program
0.0%
0.0%
S55.000
S55.000
$0
S0
$0
S0
S55,000
2025/2026 Neighborhood Tall Calming Program
0.0%
0.0%
345,000
$45,000
SO
S0
50 50
$45,000
0.0%
0.0%
$0
50 00
50 50
SO
$0
20262027 Pavement Management Program
0.0%
0.0%
$3.239.221
$3.239,221
S0
S0
S0
SO
$3,239,221
0.0%
0.0%
00 $0
50 $0
S0
SD
$0
20272028 Pavement Management Program
0.0%
0.0%
52.987,111
$2.987.111
So
50 SO
$2,987,111
0.0%
0.0%
$0
S0
S0
50 S0
00 S0
2028/2029 Pavement Management Program
0.0%
0.0%
$2.735,000
S2.735.000
S0
50 50
S0
$2,736,000
0.0%
0.0%
50 50
S0
SO
50 $0
30 20292030 Pavement Management Program
0.0%
0.0%
52,720,000
S2,720,000
S0
50 50
52,720,000
0.0%
S0
50 50
S0
SD
S0
0.0%
0.0%
S0
SO
S0
SD
50 $0
$0
0.0%
0.0%
50 SO
S0
S0
S0
50 S0
0.0%
0.0%
SD
S0
S0
50 $0
SO
S0
0.0%
0.0%
S0
SD
30 $0
50 S0
So
Projects Total:
$15.455,940
S0
50 50
00 515,455,940
Total Programming Is currently 208%
(Must not exceed 150% of Carryover 008090e a
Total Estimated Revenue)
Total Estimated Programming
$15,455,940
06/09/2025 City Council Agenda
324
ATTACHMENT 6
06/09/2025 City Council Agenda
325
RESOLUTION NO. 2025-28
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF YUCAIPA,
CALIFORNIA, ADOPTING THE MEASURE I FIVE-YEAR CAPITAL
PROJECT NEEDS ANALYSIS FOR FISCAL YEARS 2026/2027
THROUGH 2030/2031
WHEREAS, San Bernardino County voters approved passage of Measure I in November 2004, authorizing the San Bernardino County Transportation Authority to impose a one-half of one percent retail transactions and use tax applicable in the incorporated and unincorporated territory of the County of San Bernardino; and
WHEREAS, revenue from the tax can only be used for transportation improvement and traffic management programs authorized in the Expenditure Plan set forth in Ordinance No. 04-1 of the Authority; and
WHEREAS, the Strategic Plan requires each local jurisdiction applying for revenue from certain Measure I Programs to annually adopt and update a Five -Year Capital Project Needs Analysis.
NOW, THEREFORE, THE CITY COUNCIL OF THE CITY OF YUCAIPA HEREBY RESOLVES AS FOLLOWS:
Section 1. The Measure I Five -Year Capital Project Needs Analysis for Fiscal Years 2026/2027 through 2030/2031, attached to this resolution as Exhibit A, is hereby adopted.
PASSED, APPROVED, and ADOPTED this 9th day of June, 2025.
Jon Thorp, Mayor
ATTEST:
Ana V. Sauseda, MMC
Director of General Services/City Clerk
06/09/2025 City Council Agenda
326
Exhibit A
06/09/2025 City Council Agenda
327
Capital Project Needs Analysis
Nexus Project Cost $ 77,118,000
Dev. Loan? -Select Yes/No-
5-Year Advance? Yes
City of Yucaipa
Valley Arterial Sub -Program
Public Share: 69.1%
Dev. Share: 30.90%
Project Information I
Phase
Funding
PRIOR'
FY 26/27
FY 27/28
FY 28/29
FY 29/30
FY 30/31
FUTURE
Widen Yucaipa Boulevard from 1-10 to
Bryant Street
Current Total Project Cost Estimate:
$20,545,000.00
Total Measure I Request:
$11,572,000.00
(Summation of Measure I)
Comments:
Limits of Project adjusted under
project description to
include/add/reintroduce the segment
between 15th St and Bryant Street to
include remaining improvements not
previously completed, including bike
lane, curb/gutter, drive approaches,
ADA accesibility, and sidewalk
improvements. Measure I Advance
Funding has been approved for the
segment of Yucaipa Blvd between I-
10FWY and 15th St Only.
PA&ED
Total Cost:
Fund Type:
$64,000.00
MSI Arterial
DEV FEE
- Select Fund -
Other:
$ 50,000.00
$ -
$ -
$ -
$
-
$
-
$
-
$ -
$ -
$ -
$
-
$
-
$
$ 14,000.00
$ -
$ -
$ -
$
-
$
_
$
$ -
$ -
$ -
$ -
$
-
$
-
$
-
$ -
$ -
$ -
$ -
$
-
$
-
$
-
PS&E
Total Cost:
Fund Type:
$225,000.00
MSI Arterial
DEV FEE
Other:
$ 150,000.00
$ -
$ -
$ -
$
-
$
-
$
-
$ -
$ -
$ -
$
-
$
-
$
-
$ -
$ -
$ -
$
-
$
-
$
-
$ 75,000.00
$ -
$ -
$ -
$
-
$
-
$
-
$ -
$ -
$ -
$ -
$
-
$
-
$
-
ROW
Total Cost:
Fund Type:
$3,579,000.00
MSI Arterial
- Select Fund -
DEV FEE
Other:
$ 2,579,000.00
$ -
$ -
$ -
$
-
$
-
$
-
$ -
$ -
$ -
$
-
$
-
$
-
$ -
$ -
$ -
$
-
$
-
$
-
$ 1,000,000.00
$ -
$ -
$ -
$
-
$
-
$
-
$ -
$ -
$ -
$ -
$
-
$
-
$
-
CONST
Total Cost:
Fund Type:
MSRC
SB1
$16,677,000.00
MSI Arterial
- Select Fund -
- Select Fund -
DEV FEE
OTHER
OTHER
Other: _SB1_
$ 8,872,000.00
$ 900,000.00
$ 900,000.00
$ 900,000.00
$
-
$
-
$ -
$
-
$
-
$ -
$ -
$
-
$
-
$
-
$ 3,485,000.00
$ 400,000.00
$ 400,000.00
$ 400,000.00
$
-
$
-
$ -
$ -
$ -
$
-
$
-
$
-
$ 26,000.00
$ -
$ -
$ -
$
-
$
-
$
-
$ 394,000.00
$ -
$ -
$ -
$
-
$
-
$
-
'Prior should identify a y expenses incurred in pno years that have not yet been reimbursed by SBCTA including anticipated FY 2023/2024 expenses.
Reference: Measure I Policies 40005 and 40006
2 06/09/2025 City Council Agenda
328
Capital Project Needs Analysis
Nexus Project Cost $ -
Dev. Loan? Select Yes/No-
5-Year Advance? Yes
City of Yucaipa
Valley Arterial Sub -Program
Public Share: 69.1
Dev. Share: 30.90%
Project Information
Phase
Funding
PRIOR'
FY 26/27
FY 27/28
FY 28/29
FY 29/30
FY 30/31
FUTURE
Widen Avenue E from 14th Street
to Bryant Street fro 2 to 4 lanes
Current Total Project Cost
Estimate:
$9,053,000.00
Total Measure I Request:
$6,208,000.00
(Summation of Measure I)
Comments:
PA&ED
Total Cost:
Fund Type:
$142,000.00
MSI Arterial
DEV FEE
Other
$ 61,000.00
$ -
$ -
$ -
$ -
$ -
$
$ -
$ -
$ -
$ -
$ -
$
$ -
$ -
$ _
$
$ -
$ —
$ 81,000.00
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
PS&E
Total Cost:
Fund Type:
$275,000.00
MSI Arterial
DEV FEE
Other.
$ 125,000.00
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ 150,000.00
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
ROW
Total Cost:
Fund Type:
$1,006,000.00
MSI Arterial
DEV FEE
Other.
$ 476,000.00
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ 530,000.00
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
CONST
Total Cost:
Fund Type:
SB1
$7,630,000.00
MSI Arterial
DEV FEE
- Select Fund -
PROP 1B
Other. SB1
$ 5,546,000.00
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ 797,000.00
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ 219,000.00
$ -
$ -
$ -
$ -
$ -
$ -
$ 1,068,000.00
$ -
$ -
$ -
$ -
$ -
$ -
nor should identify a y expenses incurred in pd0r years that have not yet been reimbursed by SBCTA including anticipat d FY 2023/2024 expenses.
Reference: Measure I Policies 40005 and 40006
2 06/09/2025 City Council Agenda
329
Capital Project Needs Analysis
Nexus Project Cost S -
Dev. Loan? -Select Yes/No-
5-Year Advance? Yes
City of Yucaipa
Valley Arterial Sub -Program
Public Share: 69.1
Dev. Share: 30.90
Project Information
Phase '
Funding
PRIOR'
FY 26/27
FY 27/28
FY 28/29
FY 29/30
FY 30/31
FUTURE
Widen 5th Street from Yucaipa
Boulevard to County Line Road
from 2 to 4 lanes
Current Total Project Cost
Estimate:
32,030,000.00
Total Measure I Request:
$1,402,000.00
(Summation of Measure I)
Comments:
PA&ED
Total Cost:
Fund Type:
$15,000.00
MSI Arterial
- Select Fund -
DEV FEE
- Select Fund -
Other.
$ -
$
-
$
-
$
-
$
-
$
-
$
$ -
$
-
$
-
S
-
$
-
$
-
$
-
$ 15,000.00
$
-
$
-
S
-
$
-
$
-
$
-
$ -
$
-
$
-
$
-
$
-
$
-
$
$ -
$
-
$
-
$
-
$
-
$
-
$
-
PS&E
Total Cost:
Fund Type:
S40,000.00
MSI Arterial
DEV FEE
- Select Fund -
Other.
$ 20,000.00
$
-
$
-
$
-
$
-
$
-
$
-
$
-
$
-
$
-
$
-
$
-
$
$ 20,000.00
$
-
$
-
$
-
$
-
$
-
$
-
$ -
$
-
$
-
$
-
$
-
$
-
$
$ -
$
-
$
-
$
-
_
$
-
$
-
$
-
ROW
Total Cost:
Fund Type:
$10,000.00
MSI Arterial
DEV FEE
- Select Fund -
Other.
-
-
$ -
$
-
$
-
$
-
$
-
$
-
$
$ -
$
-
$
-
$
-
$
-
$
-
$
$ 10,000.00
$
-
$
-
$
-
$
-
$
-
$
_
-
-
$ -
$
-
$
-
$
-
$
-
$
-
$
$ -
$
-
$
-
$
-
$
-
$
-
$
CONST
Total Cost:
Fund Type:
S1,965,000.00
MSI Arterial
- Select Fund -
- Select Fund -
DEV FEE
- Select Fund -
- Select Fund -
Other
$ 1,382,000.00
$
-
$
-
$
-
$
-
$
-
$
$
-
$
-
$
-
$
-
$
-
$
$
-
$
-
$
-
$
$
-
$ 583,000.00
$
-
$
-
$
-
$
-
$
$ -
$
-
$
-
$
-
$
-
$
-
$
$ -
$
-
$
-
$
-
$
-
$
-
$
-
$ -
$
-
$
-
$
-
$
-
$
-
$
-
Prior should identify a y expenses incurred in prior years that have not et been reimbursed by SBCTA Including anticipated FY 20232024 expenses.
Reference: Measure I Policies 40005 and 40006
2 06/09/2025 City Council Agenda
330
Capital Project Needs Analysis
Nexus Project Cost $ -
Dev. Loan? SelectYes/No-
5-Year Advance? -Select Yes/No-
City of Yucaipa
Valley Arterial Sub -Program
Public Share: 69.1
Dev. Share: 30.90%
Project Information
Phase
Funding
PRIOR'
FY 26/27
FY 27/28
FY 28/29
FY 29/30
FY 30/31
FUTURE
Widen County Line Road from 1-10
to Calimesa Boulevard from 2 to 4
lanes
Current Total Project Cost
Estimate:
$10,002,000.00
Total Measure I Request:
$6,869,000.00
(Summation of Measure I)
Comments:
PA&ED
Total Cost:
Fund Type:
$415,000.00
MSI Arterial
DEV FEE
-Select Fund-
Other:
$ 355,000.00
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$
$ 60,000.00
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
PS&E
Total Cost:
Fund Type:
$310,000.00
MSI Arterial
DEV FEE
- Select Fund -
Other:
$ 310,000.00
$ -
$ -
$ -
$ -
$
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
ROW
Total Cost:
Fund Type:
$405,000.00
MSI Arterial
MI LOCAL ST
DEVFEE
Other:
$ 405,000.00
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
,$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
CONST
Total Cost:
Fund Type:
SB1
$8,872,000.00
MSI Arterial
DEV FEE
- Select Fund -
- Select Fund -
Other: SB1
$ 5,799,000.00
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$
$ -
$ -
$ -
$ -
$ -
$ -
$ 402,000.00
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ 2,671,000.00
$ -
$ -
$ -
$ -
$ -
$ -
•Pdnr should identity env expenses Ineuned in odor veers that have not vet been reimbursed be SBCTA including anticipated FY 2023/2024 expenses.
Reference: Measure I Policies 40005 and 40006
2 06/09/2025 City Council Agenda
331
Capital Project Needs Analysis
Nexus Project Cost
Dev. Loan? select Yes/No-
5-Year Advance? Yes
City of Yucaipa
Valley Arterial Sub -Program
Public Share: 69.1%
Dev. Share: 30.90
Project Information
Phase
Funding
PRIOR'
FY 26/27
FY 27/28
FY 28/29
FY 29/30
FY 30/31
FUTURE
Widen Calimesa Blvd from Oak
Glen Road to County Line Road
from 2 to 4 lanes
Current Total Project Cost
Estimate:
$7,427,000.00
Total Measure I Request:
$1,740,000.00
(Summaaon of Measure I)
Comments:
PAGED
Total Cost:
Fund Type:
$3,527,000.00
MSI Arterial
DEV FEE
Other. SB1
$ 1,740,000.00
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
5 -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ 1,537,000.00
$ -
S -
$ -
$ -
$ -
$
$ 250,000.00
5 -
$ -
$ -
$ -
$ -
$ -
PS&E
Total Cost:
Fund Type:
$1,300,000.00
MSI Arterial
DEV FEE
Other: _SB1
$ 900,000.00
$ -
S -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ 400,000.00
$ -
$ -
S -
$ -
S -
$ -
$ -
$ -
$ -
ROW
Total Cost:
Fund Type:
$1,300,000.00
MSI Arterial
DEV FEE
Other:
S -
$ -
$ 900,000.00
$ -
S -
$ -
S -
$ -
$
S -
$ -
$ -
$ -
$ -
S -
$ 400,000.00
S
$ -
S -
$ -
$ -
$ -
$ -
$ -
CONST
Total Cost:
Fund Type:
$1,300,000.00
MSI Arterial
DEV FEE
- Select Fund -
- Select Fund -
Other:
$ -
$ -
$ -
$ 900,000.00
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
S -
S -
$ 400,000.00
$ -
$ -
$ -
$ .
$ -
$ -
$ -
$ -
$ -
$ -
S -
S -
S -
S -
5 -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
S -
Prior should identify a y expenses incurred in poor years Mat haven t yet been reimbursed y SBCTA including ana ipated FY 2023/2024 expenses.
Reference: Measure I Policies 40005 and 40006
2027-2031 CPNA Template - 06.02.2025 - 5024 - Calimesa Blvd (WWC-IC) 06/09/2025 City Council Agenda
332
ATTACHMENT 7
06/09/2025 City Council Agenda
333
RESOLUTION NO. 2025-29
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF YUCAIPA,
CALIFORNIA, APPROVING A LIST OF PROJECTS FOR FISCAL YEAR 2025-2026 FUNDED BY SB 1: THE ROAD REPAIR AND
ACCOUNTABILITY ACT OF 2017
WHEREAS, Senate Bill 1 (SB 1), the Road Repair and Accountability Act of 2017 (Chapter 5, Statutes of 2017) was passed by the Legislature and Signed into law by the Governor in April 2017 to address the significant multi -modal transportation funding shortfalls statewide; and
WHEREAS, SB 1 includes accountability and transparency provisions that will ensure the residents of the City of Yucaipa are aware of the projects proposed for funding in our community and which projects have been completed each fiscal year; and WHEREAS, the City of Yucaipa must adopt by resolution a list of projects proposed to receive fiscal year funding from the Road Maintenance and Rehabilitation Account (RMRA), created by SB 1, which must include a description and the location of each proposed project, a proposed schedule for the project's completion, and the estimated useful life of the improvement; and
WHEREAS, the City of Yucaipa will receive an estimated $1,435,283 in RMRA funding in Fiscal Year 2025-2026 from SB 1; and
WHEREAS, this is the ninth year in which the City of Yucaipa is receiving SB 1 funding and will enable the City of Yucaipa to continue essential road maintenance and rehabilitation projects, safety improvements, repairing and replacing aging bridges, and increasing access and mobility options for the traveling public that would not have otherwise been possible without SB 1; and
WHEREAS, the City of Yucaipa has undergone a robust public process to ensure public input into our community's transportation priorities/the project list; and WHEREAS, the City of Yucaipa is using a Pavement Management System to develop the SB 1 project list to ensure revenues are being used on the most high -priority and cost-effective projects that also meet the communities priorities for transportation investment; and WHEREAS, the funding from SB 1 will help the City of Yucaipa maintain and rehabilitate 30 streets/roads and add active transportation infrastructure throughout the City of Yucaipa this year and hundreds of similar projects into the future; and WHEREAS, the 2018 California Statewide Local Streets and Roads Needs Assessment found that the City of Yucaipa's streets and roads are in good condition, and this revenue will help us increase the overall quality of our road system and, over the next decade will bring our streets and roads into excellent condition; and
06/09/2025 City Council Agenda
334
WHEREAS, the SB 1 project list and overall investment in our local streets and roads infrastructure with a focus on basic maintenance and safety, investing in complete streets infrastructure, and using cutting -edge technology, materials, and practices, will have significant positive co -benefits statewide.
NOW, THEREFORE, THE CITY COUNCIL OF THE CITY OF YUCAIPA HEREBY RESOLVES AS FOLLOWS:
Section 1. The foregoing recitals are true and correct.
Section 2.
The City Council hereby adopts Resolution No. 2025-29, approving the following list of proposed projects will be funded in part or solely with Fiscal Year 2025-26 Road Maintenance and Rehabilitation Account revenues:
Pavement Management Program is the City's annual prioritized used to maintain the City's public streets. The Program includes the rehabilitation and surface treatment of public streets throughout the City and includes concrete replacement/repairs, crack sealing, street patching, pavement rehabilitation/reconstruction, surface treatment, street striping, and other general maintenance of the City of Yucaipa's street, bicycle, and pedestrian facilities.
Estimated useful life is 25 years. The anticipated construction period is from September to November 2025. SB1 Funding amount of $1,435,283.
See Exhibit A for the list of public streets.
PASSED, APPROVED, and ADOPTED this 9th day of June, 2025.
Jon Thorp, Mayor
ATTEST:
Ana V. Sauseda, MMC
Director of General Services/City Clerk
06/09/2025 City Council Agenda
335
Exhibit A
06/09/2025 City Council Agenda
336
PROPOSED FY2025/2026 PAVEMENT REHABILITATION PROGRAM
On SIGN, 4rw2..01,0L
manl
1p3..1 *1.1 W,C44 I'1}
Men
PM011
6696(II)
PavemmL
Area092(
0,.4(S1(
7 595,1 A
PC!EPE11
R,a4KAIKe1a
A146,19Cg40.. Sam. 106•111..K.n 1411
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9 43 1
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9.060w1 Cw+., Um 969
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63200
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pe
Resolution No. 2025-29
Exhibit A
06/09/2025 City Council Agenda
337
Resolution No. 2025-29
Exhibit A
PROPOSED STREET SEGMENTS FOR
2025/2026 PAVEMENT MANAGEMENT
PROGRAM
2025/2026 PAVEMENT REHABILITATION
Estimated Total Cost: $2,668,000
2025/2026 SURFACE TREATMENT
Estimated Total Cost: $30,000
06/09/2025 City Council Agenda
338
ATTACHMENT 8
06/09/2025 City Council Agenda
339
RESOLUTION NO. 2025-30
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF YUCAIPA,
CALIFORNIA, SETTING THE ANNUAL APPROPRIATIONS LIMIT FOR THE FISCAL YEAR ENDING JUNE 30, 2026
WHEREAS, Article XIIIB of the California Constitution requires the Legislative Body to establish its appropriations limit at a regularly scheduled meeting for the upcoming fiscal year ending June 30, 2026; and
WHEREAS, Section 7910 of the Government Code requires the governing body of each local jurisdiction to make such determinations and establish its appropriations limit by resolution; and
WHEREAS, the appropriations limit documentation has been available for public inspection for the required fifteen days, per Section 7910 of the Government Code, prior to the approval of the limit by Legislative Body; and
WHEREAS, for the fiscal year ending June 30, 2026, the appropriations limit has been computed using the change in population for the County of San Bernardino (rather than for the City of Yucaipa) and the change in California per capita personal income.
NOW, THEREFORE, THE CITY COUNCIL OF THE CITY OF YUCAIPA HEREBY RESOLVES AS FOLLOWS:
Section 1. The appropriations limit for the fiscal year ending June 30, 2026 is established at $61,803,781.
PASSED, APPROVED, and ADOPTED this 9th day of June, 2025.
Jon Thorp, Mayor
ATTEST:
Ana V. Sauseda, MMC
Director of General Services/City Clerk
06/09/2025 City Council Agenda
340
ATTACHMENT 9
06/09/2025 City Council Agenda
341
RESOLUTION NO. 2025-31
A RESOLUTION OF THE SUCCESSOR AGENCY TO THE YUCAIPA
REDEVELOPMENT AGENCY, ADOPTING A BUDGET FOR FISCAL
YEAR 2025-2026
WHEREAS, the former Yucaipa Redevelopment Agency was required to adopt an annual fiscal year budget; and
WHEREAS, the legislature of the State of California enacted AB X1 26 and AB 1484, effectively eliminating every redevelopment agency (RDA) in the State; and WHEREAS, in order to effectively wind down any active projects/programs at the time of dissolution, the Successor Agency to the Yucaipa Redevelopment Agency was formed, the purpose of which is to monitor those remaining activities to completion and exhaust or transfer any and all assets maintained by the former RDA; and
WHEREAS, the Successor Agency has approved a Recognized Obligation Payment Schedule, as prescribed in the legislation, for the purpose of identifying remaining enforceable obligations to be paid from future tax increment revenue, as a budget document.
NOW, THEREFORE, THE SUCCESSOR AGENCY TO THE YUCAIPA
REDEVELOPMENT AGENCY HEREBY RESOLVES AS FOLLOWS:
Section 1. The Budget for Fiscal Year 2025-2026 is hereby adopted with total estimated revenues of $702,854 and total estimated expenditures of $684,484.
PASSED, APPROVED, and ADOPTED this 9th day of June, 2025.
Jon Thorp, Mayor
ATTEST:
Ana V. Sauseda, MMC
Director of General Services/City Clerk
06/09/2025 City Council Agenda
342
ATTACHMENT 10
06/09/2025 City Council Agenda
343
RESOLUTION NO. 2025-32
A RESOLUTION OF THE YUCAIPA HOUSING AUTHORITY,
ADOPTING A BUDGET FOR FISCAL YEAR 2025-2026
WHEREAS, on February 28, 2011, the City Council adopted Resolution No. 2011-08, declaring the need for a Housing Authority and establishing the City Council as the Commissioners of the Authority; and
WHEREAS, on March 28, 2011 the Authority adopted Resolution No. 2011-09, designating officers, adopting Personnel Rules and a Conflict of Interest Code and adopted Resolution No. 2011-10, adopting bylaws of the Housing Authority and elected the Chairperson and Vice Chairperson of the Yucaipa Housing Authority; and WHEREAS, the Yucaipa Housing Authority is required to adopt an annual fiscal year budget.
NOW, THEREFORE, THE YUCAIPA HOUSING AUTHORITY HEREBY RESOLVES AS FOLLOWS:
Section 1. The Budget for Fiscal Year 2025-2026 is hereby adopted with no estimated revenues and no estimated expenditures.
PASSED, APPROVED, and ADOPTED this 9th day of June, 2025.
Jon Thorp, Mayor
ATTEST:
Ana V. Sauseda, MMC
Director of General Services/City Clerk
06/09/2025 City Council Agenda
344
Item No. 21
AGENDA REPORT
DATE: June 9, 2025
TO: Honorable Mayor and City Council
FROM: Ana V. Sauseda, Director of General Services/City Clerk ,4Q1/3-' SUBJECT: Review and Consider Fiscal Year 2025-2026 Community Activity Grant Applications RECOMMENDATION:
That the City Council:
1. Review and consider the Fiscal Year 2025-2026 Community Activity Grant awards recommended by the Community Activity Grant Application Review Ad -Hoc Committee as follows:
Applicant
Description of EveutProgram
FY 2025/26
Financial
Support
Requested
FY 2025/26
In-kind/Fee
Waiver
Support
CAG Ad -Hoc Committee
Recommended Awards
Recommended
Financial
Recommended
ln-kind/Fee
Waiver
Childhood Cancer Foundation of Southern California
Spring EGGStravaganza
S1,150.00
S1,150
Family Service Association of Redlands
Housing Assistance and Advocacy Program
S3,000
S3,000
Gardenworks For Kids
Toddler Sensory Garden
S1,500
S1,500
Gracepoint Fellowship/First Baptist Church Yucaipa
Love Yucaipa at the Community Center
S4,000
S200.00
S4,000
S200
Inland Leader's Charter School
Volleyball Games
S945.00
S945
Rotary Club of Yucaipa
70th Annual Christmas Parade
S15,700 00
S15,700
Rotary Club of Yucaipa
Rotary Weekly Meetings
S10,206.00
S10,206
Smiles for Seniors
Low Income Senior Assistance
S3,000
S3,000
The Well Outreach Center
Our Neighbor's Closet
S3,000
S3,000
Yucaipa Calimesa Family Assistance
Facility Repair Maintenance - Asphalt
S1,600
S1,600
Yucaipa Calimesa Veterans Committee
Veterans Day Ceremony
S852.00
S352
Yucaipa Pickleball Inc.
Pickleball in Schools
S1,100
S1,100
Yucaipa Valley Art Association
Wednesday Meetings
S4,739 00
S4,739
Yucaipa Valley Art Association
Tuesday:Thursday Meetings
S5,189.00
S5,189
Yucaipa Valley Lions Club
Youth Peace Poster Contest
S630.00
S630
Yucaipa \Vomans Club
Building Maintenance
S1,500
S1,500
TOTAL REQUESTED
BUDGETED AMOUNT
BALANCE REMAINLNG
S18,700
S39,611.00r
S13,700
S39,611
S20,000
S40,000
S20,000
S40,000
S339.00
S339.00
2. Determine that the Childhood Cancer Foundation of Southern California should be exempt from the Grant Guideline that requires the organization to be located in Yucaipa. 06/09/2025 City Council Agenda
345
BACKGROUND/DISCUSSION:
On March 24, 2025, City Council reviewed the Community Activity Grant (CAG) program guidelines and funding levels for Fiscal Year 2025-2026 (FY26) and approved the following:
• FY26 Budget funding levels:
o $20,000 for financial grant requests
o $40,000 for in-kind/fee waiver requests
• Amend the FY26 guidelines to designate the Scherer Community & Nutrition Center as the only City facility made available to accommodate in-kind/fee waiver requests On April 16, 2025, the City issued email notices to past applicants and new contacts, announcing the FY26 CAG program, the firm deadline of May 16, 2025, for applicants seeking financial support, and that all in -kind and fee waiver requests would be reviewed and considered as received. The announcement of the CAG was also posted on the City website, social media platforms and in the Yucaipa News Mirror.
A total of seventeen applications requesting in -kind and/or financial support were received by the deadline. The Community Activity Grant Application Review Ad -Hoc Committee (Committee), met on Monday, June 2, 2025, to review and recommend financial and/or in -kind support for City Council review and approval. The table on the following page includes the name of the requesting applicant, a brief description of their proposed project scope, the total amount of in -kind funding and/or financial support requested, and the Community Activity Grant Application Review Ad -Hoc Committee recommended awards.
Community Activity Grant
FY 26 Applications
Attachment 1
Childhood Cancer Foundation of Southern California
Scope
Spring EGGStravaganza
Requested In -Kind Amount
$1,150
Committee Recommended In -Kind Award
$1,150
Attachment 2
Family Service Association of Redlands
Scope
Housing Assistance and Advocacy Program
Requested Financial Amount
$3,000
Committee Recommended Financial Award
$3,000
Attachment 3
Gardenworks For Kids
Scope
Toddler Sensory Garden
Requested Financial Amount
$1,500
Committee Recommended Financial Award
$1,500
06/09/2025 City Council Agenda
346
Community Activity Grant
FY26 Applications
(Continued)
Attachment 4
Gracepoint Fellowship/First Baptist Church Yucaipa
Scope
Love Yucaipa
Requested Financial Amount
$4,000
Requested In -Kind Amount
$200
Committee Recommended Financial Award
$4,000
Committee Recommended In -Kind Award
**Event to be held at the Community Center
$200
Attachment 5
Inland Leader's Charter School
Scope
Volleyball Games
Requested In -Kind Amount
$945
Committee Recommended In -Kind Award
$945
Attachment 6
Rotary Club of Yucaipa
Scope
70th Annual Christmas Parade
Requested In -Kind Amount
$15,700
Committee Recommended In -Kind Award
$15,700
Attachment 7
Rotary Club of Yucaipa
Scope
Rotary Weekly Meetings
Requested In -Kind Amount
$10,206
Committee Recommended In -Kind Award
$10,206
Attachment 8
Smiles for Seniors
Scope
Low Income Senior Assistance
Requested Financial Amount
$3,000
Committee Recommended Financial Award
$3,000
Attachment 9
The Well Outreach Center
Scope
Our Neighbor's Closet
Requested Financial Amount
$3,000
Committee Recommended Financial Award
$3,000
Attachment 10
Yucaipa Calimesa Family Assistance
Scope
Facility Repair/Maintenance - Asphalt
Requested Financial Amount
$1,600
Committee Recommended Financial Award
$1,600
06/09/2025 City Council Agenda
347
Community Activity Grant
FY26 Applications
(Continued)
Attachment 11
Yucaipa Calimesa Veterans Committee
Scope
Veteran's Day Ceremony
Requested In -Kind Amount
$852
Committee Recommended In -Kind Award
$852
Attachment 12
Yucaipa Pickleball Inc.
Scope
Pickleball in Schools
Requested Financial Amount
$1,100
Committee Recommended Financial Award
$1,100
Attachment 13
Yucaipa Valley Art Association
Scope
Wednesday Meetings
Requested In -Kind Amount
$4,739
Committee Recommended In -Kind Award
$4,739
Attachment 14
Yucaipa Valley Art Association
Scope
Tuesday/Thursday Meetings
Requested In -Kind Amount
$5,189
Committee Recommended In -Kind Award
$5,189
Attachment 15
Yucaipa Valley Lion's Club
Scope
Youth Peace Poster Contest
Requested In -Kind Amount
$630
Committee Recommended In -Kind Award
$630
Attachment 16
Yucaipa Woman's Club
Scope
Building Maintenance
Requested Financial Amount
$1,500
Committee Recommended Financial Award
$1,500
06/09/2025 City Council Agenda
348
FISCAL IMPACT:
The draft FY26 Budget includes $60,000 for Community Activity Grant awards. The recommendations do not impact the budget, however any awards granted would utilize available budget.
Attachment(s):
1. Childhood Cancer Foundation of Southern California
2. Family Service Association of Redlands
3. Gardenworks For Kids
4. Gracepoint Fellowship/First Baptist Church Yucaipa
5. Inland Leader's Charter School
6. Rotary Club of Yucaipa
7. Rotary Club of Yucaipa
8. Smiles for Seniors
9. The Well Outreach Center
10. Yucaipa Calimesa Family Assistance
11. Yucaipa Calimesa Veterans Committee
12. Yucaipa Pickleball Inc.
13. Yucaipa Valley Art Association
14. Yucaipa Valley Art Association
15. Yucaipa Valley Lion's Club
16. Yucaipa Woman's Club
17. Prioritization Worksheet
18. Financial Award Grant Tracker fiscal years 2010/11 through 2024/25 Approved by: ,\ taZ ( €--= A
06/09/2025 City Council Agenda
349
ATTACHMENT 1
06/09/2025 City Council Agenda
350
CITY OF YUCAIPA
COMMUNITY ACTIVITY GRANT APPLICATION
FINANCIAL / IN -KIND / FEE WAIVER
COMMUNITY ACTIVITY GRANT APPLICATION INSTRUCTIONS
FISCAL YEAR:
2025-2026
DATE SUBMITTED: 5/6/2025
SUBMIT TO: CITY OF YUCAIPA
GENERAL SERVICES/CITY CLERK DEPARTMENT
34272 YUCAIPA BLVD.
YUCAIPA, CA 92399
All sections of the application must be returned complete, and all supporting documentation must be included as part of the submittal. Incomplete applications received will be returned to the applicant.
Note: Beginning with the FY 25/26 grant cycle, financial grant awarded funds will require 100% financial match by the applicant. For example, if your total program/project cost is 51,000, your financial grant request should be for no more than S500. Be prepared to show proof of program/project cost in your Wrap-up Report (Accountability Report), detailing the applicants match of 5500.
SECTION 1 - GENERAL INFORMATION
Name of Applicant/Organization: Childhood Cancer Foundation of Southern California Applicant/Organization: 11155 Mountain View Ave, Suite 105, Loma Linda, CA 92354 Mailing Address
Applicant/Organization Phone Number : (909) 558-3414
CONTACT (1)
CONTACT (2)
Angelica Tapia
NAME
[email protected]
E-Mail
Stephanie Avila
NAME
[email protected]
E-Mail
SECTION 2 - ELIGIBILITY REQUIREMENTS
Is your organization located in another community?
Will the program/event take place in another community? Are you aware of any other City program providing this service? (909) 558-3419
PHONE NUMBER
(909) 558-3419
YES
PHONE NUMBER
NO
RECEIVED
MAY 1 3 2025
Yucaipa City Clerk's Office
If so, which one?
*if you answered `Yes' to any of the questions listed above, your request is not eligible for the Community Activity Grant. 1 06/09/2025 City Council Agenda
351
SECTION 3 - ORGANIZATION INFORMATION/APPLICANT BACKGROUND Your organization must be an established 501 (c) to be considered for Community Activity Grant funding.
Please submit documentation verifying organization 501 (c) status along with this application.
YES
Is your organization a 501 (c)?
If so, please provide Tax ID# and attach all supporting 33-0536599 documents.
Does this application include submittal of
documentation verifying 501 (c) status?
How long has your 501 (c) organization been in existence? Number of employees working for organization?
Number of volunteers working for organization?
Is a current City Council Member on your board?
How many Yucaipa residents does your organization
currently serve?
Does the organization charge admission, membership
fees, due, etc.?
If yes, please describe:
♦ ,
NO
44 500-
n
115
Names and Titles of Officers and Board of Directors: (Please attach an organization chart, if available) Peter Bricrty, President
Wayne Williams, Board Member
Rebecca Hogarth, Board Member
Synthia Alanis, Board Member
Frank Schnetz, Vice President
Ryan Stelzner, Board Member
Sara Romero, Board Member
Kathleen Flynn, Board Member
lir ..
..J.-m..1F
06/09/2025 City Council Agenda
352
SECTION 4 - PROGRAM DESCRIPTION/SCOPE (PLEASE USE ADDITIONAL PAGES AS NECESSARY]
Name of the program/event: Spring EGGstravaganza
Date(s) of the program/event: March 21, 2026
Total estimated cost for program/event:
Describe the program/event that the organization is seeking support for:
(Attach any event/program promotional materials associated with the program/event) Receiving non-profit status in September of 1981, Childhood Cancer Foundation is now more than 900 families strong committed to serving children with cancer and their families throughout Southern California, emotionally, financially, educationally and with emergency assistance. The Spring EGGstravaganza is an opportunity for families to interact in a relaxed setting and enjoy an activity with other parents and families experiencing childhood cancer. The event has an average attendance of 200 patients, siblings and parents. Through this program we serve as an integral support service for families facing the challenges that a cancer diagnosis can manifest in their lives.
Describe how the program/event benefits the residents/or community of Yucaipa:
Childhood Cancer Foundation of Southern California serves 115 individuals from the city of Yucaipa. Our program is geared to offer emotional, social, educational, and emergency assistance for the entire family - not only the patient. When a child is diagnosed with cancer, the entire family is impacted by this life threatening disease. We can measure the impact and success of our individual programs through family and community participation. Widening participation from members of the community and patient families is a strong indicator of a successful program. It is difficult to measure "support" and the impact it might have, but families and members of the community would not continue to participate in our events if they did not realize a benefit in participating.
Program/event primary target population (check all that apply):
❑ Children or Youth ❑ Entire Community ❑ Homeless 111 Low Income Persons with Disabilities ❑ Seniors n Victims n Welfare Recipients ❑ Women
Please answer the following to determine if your program/event requires a Special Event Permit (SEP):
YES NO
Estimated attendance 300-999 persons n n
Amplified Sound 7 ❑
(excluding Special Event Facilities)
THIS BOX 15 FOR STAFF USE ONLY
This event requires City Management!
Administrative Approval:
YES
NO
Estimated attendance 1000+ persons
Alcohol Service
(excluding Community Centers & YPAC)
Street Closure - Traffic Management
YES NO
PI III
❑
THIS BOX IS FOR STAFF USE ONLY
This event requires City Council Approval:
El El
YES NO
3 06/09/2025 City Council Agenda
353
SECTION 5 - GRANT FUNDING REQUEST
Please identify what your organization is seeking:
YES NO
Financial Support:
$
$200 SEP Fee Waiver:
In -Kind Support: $ $ CIS x30
OT/Reassigned Staff CS/Rental Scherer
Community Center
If other, please explain:
YES NO
Other
Total Amount $ 950
of Request
In -Kind
Financial Support
$ 200
5200 SEP Fee
Waiver
Provide a detailed description of how the financial support will be used:
Financial Match
$ 1,150
Total Overall
Request
SECTION 6 - FINANCIAL CAPABILITIES/BUDGET
What other in-kind/financial contributions has your organization received to fund this event/program {separate from city funding)?
Jersey Mike's Subs (Projected)
Donations to event
In -Kind
Amount
$ 1.500 $
$ $
3,500
$ $
$ $
Total Funds Received to Date: $ $
Total Funds Requested via Grant Application: $ I -' 5O $ Remaining Balance that will be Funded by Organization: $ $ Financial
Support Amount
4 06/09/2025 City Council Agenda
354
SECTION 6 - FINANCIAL CAPABILITIES/BU❑CET:-c.,7-040ED;
Describe any City Funding received by organization in the past three years (required)? Program
Spring Egg Elunt 2025
Spring Egg Hunt 2024
Spring Egg Hunt 2023
I n•ttind
Support
vf
Financial
Support
S200 SEP
Fee Waiver Date Received
■
o u o
6/ l 1/2024
6/28/2023
7/6/2022
Total Received
$ 1,000
$ 1,000
$310,25
SECTION 7 - CERTIFICATION
1, the undersigned, do hereby attest that the above information is true and correct to the best of my knowledge, and understand that the awarded financial grant amount needs to be spent prior to submitting another grant request.
Signature
Program Director
Title
SUBMIT FORM
5;6'2025
Date
TO BE COMPLETED BY THE CITY
Date Received:
Amount Funded:
Type of Grant:
In -Bind Financial
Support Support
Date City Council received follow-up report:
Date Reviewed:
City council Meeting:
S200 SEP
Fee Waiver
06/09/2025 City Council Agenda
355
CHILDHOOD CANCER FOUNDATION
OF SOUTHERN CALIFORNIA, INC.
NON-PROFIT COPPORATIOI
May 6, 2025
Dear friends at The City of Yucaipa,
I'd like to first offer a generous THANK YOU for your continued support of our program and the many families we serve.
On behalf of Childhood Cancer Foundation of Southern California, I wish to respectfully request your support of the Annual Spring Egg Hunt to be held on March 21, 2026.
Receiving non-profit status in September of 1981, Childhood Cancer Foundation of Southern California, Inc. (CCFSC} is now more than 900 families strong committed to serving children with cancer and their families throughout Southern California emotionally, financially, educationally and with emergency assistance. The Spring Egg Hunt is an excellent opportunity for families to interact in a relaxed setting and enjoy an activity with other parents and families experiencing childhood cancer. The Egg Hunt has an average attendance of 200 patients, siblings and parents.
Every two minutes a parent hears the devastating news, "Your child has cancer." With these words, normal life stops, and a difficult new journey begins; a journey that will test families physically, emotionally, socially, and financially. Families dealing with cancer use every last resource to fight the disease in an effort to keep their child alive.
More children die of cancer than of any other disease, including asthma, diabetes, cystic fibrosis, congenital anomalies and AIDS, COMBINED.
Through this event, Childhood Cancer Foundation of Southern California will serve as an integral support service for children and their families facing the challenges that cancer can manifest in their lives on a daily basis and throughout the year. We greatly appreciate your continued support of our children and their families throughout the years. It is donors like you that help us spread smiles and hope.
We would like to respectfully request your consideration of an In -Kind donation of the use of Community Park Facilities in order to help make this event possible. We recognize that our organization is located outside of the community and also request an exception to that requirement as part of the application.
Thank you for your consideration of our request. Should you have any questions or require additional information, please feel free to contact me at (909) 558-3419.
Childhood Cancer Foundation is a 501c3 Registered Non -Profit Organization, 33-0536599.
Respectfully,
Angelica Tapia
Program Director
"Witele .le / ewe is oicte."
06/09/2025 City Council Agenda, D3 LOMA LINDA, CA 92354 (909) 558-3419 I wwtw,ccfsocal.org 356
CHILDHOOD CANCER FOUNDATION
OF SOUTHERN CALIFORNIA, INC. •
Board of Directors
2025
Peter Brierty, Board President
Retired San Bernardino County Fire Chief
Highland, CA
September 2006 to December 2027
Wayne Williams, Board Member
Southern California Edison
Redlands, CA
November 2014 to December 2025
Rebecca Hogarth, Board Member
CSU, San Bernardino
Phelan, CA
January 2023 - December 2026
Synthia Alanis, Board Member
Registered Nurse, Loma Linda University
Health
Highland, CA
December 2024 - December 2027
Frank Schnetz, Vice President
F E Schnetz Commercial Real Estate
San Bernardino, CA
January 2014 to December 2025
Ryan Stelzner, Board Member
Southern California Edison
Highland, CA
January 2023 - December 2026
Sara Romero, Board Member
Cerro Coso Community College
California City, CA
January 2023 - December 2026
Kathleen Flynn, Board Member
Retired Counselor for San Bernardino
Valley College & Santa Monica College
Redlands, CA
February 2025 - February 2028
Our volunteer board meets once a month and is very active in participation at our many family activities and fundraising events.
Stephanie Avila, Executive Director
06/09/2025 City Council Agenda
357
Permit
COMMUNITY
SERVICES
Pa r.k5
trite
getter!
City of Yucaipa Community PHONE:(909) 790-7460
Services FAX: (909) 790-2589
34272 Yucaipa Blvd EMAIL::.ummunItyservices4yucaipa.org Yucaipa, CA 92399
Organization Name
Customer Type
Organization Address
Childhood Cancer Foundation 0f Southern
Calif. - 371
Non -Profit (NR)
11155 Mountain View Ave. Ste.105
Loma Linda, CA 92354
Permit t R7496
Status Tentative
Date Apr 17, 2025 6:02 PM
E cplratlon Date Apr 17, 2026
Organization Phone 1 (909) 558-3419
Number
Agent Name Angelica Tapia Home Phone Number {909) 558-3419 Erna Address atapia4ccfsocal,org
System User Karen Ruiz
Childhood Cancer Foundation of Southern Califomla
Booking Summary
Rental Fee $950,00
Discounts $0.00
Subtotal $950.00
Deposits $100.00
Deposit Discounts $0.00
Total Permit Fee $1,050.00
Total Payment $0.00
Refunds $0.00
Balance $1,050.00
2 resource(s) 2 booking(s) Subs $1,050.00
Amphitheater (Shelter Fadlities)
Center. Yucaipa Community Center
START DATE/TIME
Sat, Mar 21, 2026 7:00 AM
Resource level fees
Deposit
Rental - Daily
$100.001 Each x 1
$600.00 1 Day x 1
END DATE/TIME
Sat, Mar 21, 2026 8:00 PM
$100.00
$600.00
ATTENDEE
AMT W/O TAX
$0.00
$700.00
Shelter x2 Large (Shelter Facilities)
Center Yucaipa Community Center
START DATE/TIME
Sat, Mar 21, 2026 7:00 AM
Resource level fees
Rental - Daily $350.001 Day x 1 $350.00
Custom Questions
QUESTION
END DATE/TIME
Sat, Mar 21, 2026 8:00 PM
ANSWER
ATTENDEE
AMT W/O TAX
$0.00
$350.00
'0A7d9025 Cuti&iitR�ida
A. Any Cancellation of a rental less than 30 days will result in loss of 100% of the rental Acknowledge fees and deposit (if applicable). 8. Any cancellations prior to 30 days will result in a loss of 50% of the rental fees and deposit (if applicable). Ali refund requests are subject to a $20.00 processing fee. C. Refunds will be approved if rain or inclement weather occurs on the day of shelter reservation. Refund request form must be submitted within 7 days after reservation to be honored.
I acknowledge and agree that bounce houses are only permitted at designated shelters. Acknowledge Community Park: Shelters 2, 3, 4, & 7 Ave I Park: Shelters 1, 2, 3, 4 7th Street Park:
Shelters 1, 2, 3 Wildwood Park: Shelter 1
I acknowledge and agree the following Bounce House rules: 1)Bounce houses are to be Acknowledge set up only by the bounce house company. 2)Bounce house companies will be responsible for providing a generator for the inflation of the bounce house. The City does not provide electricity. The generator must be quiet rated at 60d8 or less and not generate noise in excess of City standards. 3)Bounce houses are not allowed in City parks overnight.
I acknowledge and agree to the following policies regarding bounce houses: 1) Bounce Acknowledge houses must be free standing and weighted. Stakes are prohibited in City parks. 2) Permit Holder/Requester is responsible for all damage caused by their use of the park or bounce house. Damage to City property or turf may result in additional fees incurred. 3) The City is not responsible for any damage to the bounce house.
I acknowledge and agree to the following rules and policies regarding Bounce Houses:1) Acknowledge Bounce Houses/Jumpers must be booked through authorized companies only. Failure to do so will result in Company and/or event to be shut down. 2) The City reserves the right to limit the number and size of bounce houses being used. Only small bounce houses are permitted (18'x18'x18' max). Larger sized bounce houses are permitted only with a Special Event Permit and with Director approval.
I acknowledge and agree to: 1)Permit Holder/Requestor(s) and event attendees must adhere to the rules and regulations governed by the City. 2) Failure by the Permit Holder /Requestor or vendor to adhere to these policies will result in the immediate removal of bounce house from the park and may result in the denial of future use of City parks and facilities. Damages to the park resulting from use of a bounce house are the financial responsibility of the Permit Holder/Requestor.
Acknowledge
I acknowledge and understand that all park shelter reservations include an insurance Acknowledged fee. Applicant shall purchase or provide and maintain general liability insurance and the coverage shall be in the amount of Si million for bodily injury, personal injury, and property damage. General liability and liquor liability shall be endorsed naming the City of Yucaipa, its officers, agents, employees, and volunteers as additional insured.
I agree and acknowledge that the information provided to this application is correct and City organized activities shall have priority use over all requests. Sufficient prior notification of canceled requests will be given by the City when possible. agree and acknowledge to follow the following park shelter rules: t) No food trucks permitted in parks or parking lot. 1) No amplified sound permitted. 2) Smoking is prohibited in all City parks and facilities (reference City Park Ordinance No. 256). 3) Alcoholic beverages prohibited. 4)No wood burning campfires or propane grills permitted, Charcoal only. 5)NO VEHICLES ARE ALLOWED IN CITY PARKS, ON TURF, OR ON WALKWAYS.
Acknowledge
Acknowledge
What is your type of event? Other (May require approval) Will there be a bounce house? If yes, I acknowledge and agree that bounce houses are No required to be reserved through the City of Yucaipa's authorized bounce house companies only. Not outside companies or personal bouncers permitted. Approved Vendors: Jolly Jumps wwwjollyjumps.net or (877)694-1994 Jump N Jump www. jumpnjump.com or (909)873-8487
Deposit
# R7496 Rehm Tentative
06/09/2025 City Council Agenda
359
EVENT RESOURCE DEPOSIT FEE CHARGE TAX AMOUNT PAID REFUNDS BALANCE Childhood Amphitheater Deposit $100.00 $0.00 $0.00 $0.00 $100.00 Cancer
Foundation
of Southern
California
Payment Schedules Original Balance: $1,050.00 Current Balance: $1,050.00
DUE DATE AMOUNT DUE AMOUNT PAID WITHDRAWAL ADJUSTMENT BALANCE Mar 7, 2026 $1,050.00 $0.00 $0.00 $1,050.00
a7d o25 cR. unciln%getda
Pa960 f 3
HAV % 0 *
EGGSTRAVAGANZ
SATURDAY, MARCH 21, 2026
YUCAIPA COMMUNITY PARK
34900 OAK GLEN RD, YUCAIPA CA 92399
11AM - 2PM
LUNCH - GIVEAWAYS - EGG HUNT
AND MORE!!!
FREE EVENT FOR FAMILIES OF
CHILDHOOD CANCER FOUNDATION
FAMILIES MUST PRE -REGISTER BY MARCH 4
www.ccfsoca l.o rg/egg
CHILDHOOD CANCER FOUNDATION
OF SOUTHERN CALIFORNIA, INC.
MSDepartment of the Treasury
Internal Revenue Service
002488
OGDEN UT 84201-0038
CHILDHOOD CANCER FOUNDATION OF
SOUTHERN CALIFORNIA INC
PO BOX 1663
LOMA LINDA CA 92354-1663
In reply refer to: 0441861293
Mar. 12, 2009 LTR 4168C FO
33-0536599 000000 00 000
00029688
BODC: TE
Employer Identification Number: 33-0536599
Person. to Contact: Erin. Johnspn
Tela. Free Telephone Number: 1-877-829-5500
Dear Taxpayer:
This is in response to your request of Mar. 03, 2009, regarding your tax-exempt status.
Our records indicate that a determination letter was issued in September 1981, that recognized you as exempt from Federal income tax, and discloses that you are currently exempt under section 501(c)(3) of the Internal Revenue Code.
Our records also indicate you are not a private foundation within the meaning of section 509(a) of the Code because you are described in section(s) 509(a1(1) and 170(b)(1)(A)(v11.
Donors may deduct contributions to you as provided in section 170 of the Code. Bequests, legacies, devises, transfers, or gifts to you or for your use are deductible for Federal, estate and gift tax purposes if they meet the applicable provisions of sections 2055, 2106, and 2522 of the Code.
If you have any questions, please call us at the telephone number shown in the heading of this letter.
Sincerely yours,
�U y-�
,LAns. v-re
Debcrah Bingham
Accounts Management I
06/09/2025 City Council Agenda
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362
Internal Revenue Service
Date: March 31, 2001
Candlelighters Childhood Cancer Foundation Of The
Inland Empire
PO Box 1663
Loma Linda, CA 92354
Dear Sir or Madam:
Department of the Treasury
P. 0. Box 2508
Cincinnati, OH 45201
Person to Contact:
Steve Brown 31-07422
Customer Service Representative
Toll Free Telephone Number:
9:00 a,m. to 9:30 p.m. EST
877-829-5500
Fax Number:
513-263-3756
Federal identification Number:
33-0536599
This is in response to the amendment to your organization's Articles of Incorporation filed with the state on July 25, 2000. We have updated our records to reflect the name change as indicated above.
Our records indicate that a determination letter issued in September 1981 granted your organization exemption from federal income tax under section 501(c)(3) of the Internal Revenue Code. That letter is still in effect,
Based on information subsequently submitted, we classified your organization as one that is not a private foundation within the meaning of section 509(a) of the Code because it is an organization described in sections 509(a)(1) and 170(b)(1)(A)(vi)
This classification was based on the assumption that your organization's operations would continue as stated in the application. If your organization's sources of support, or its character, method of operations, or purposes have changed, please let us know so we can consider the effect of the change on the exempt status and foundation status of your organization.
Your organization is required to file Form 990, Return of Organization Exempt from Income Tax, only if its gross receipts each year are normally more than $25,000. If a return is required, it must be filed_ by the 15th day of the fifth month affer the end of the organization's annual accounting period. The law imposes a penalty of $20 a day, up to a maximum of $10,000, when a return is filed late, unless there is reasonable cause for the delay.
All exempt organizations (unless specifically excluded) are liable for taxes under the Federal Insurance Contributions Act (social security taxes) on remuneration of $100 or more paid to each employee during -a' calendar year. Your organization is not liable for the tax imposed under the Federal Unemployment Tax Act (FUTA).
Organizations that are not private foundations are not subject to the excise taxes under Chapter 42 of the Code, However, these organizations are not automatically exempt from other federal excise taxes.
Donors may deduct contributions to your organization as provided in section 170 of the Code. Bequests, legacies, devises, transfers, or gifts to your organization or for its use are deductible for federal estate and gift tax purposes if they meet the applicable provisions of sections 2055, 2106, and 2522 of the Code. 06/09/2025 City Council Agenda
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-2-
Candlelighters Childhood Cancer Foundation Of The Inland Empire 33-0536599
Your organization is not required to file federal income tax returns unless it is subject to the tax on unrelated business income under section 511 of the Code. If your organization is subject to this tax, it must file an income tax return on the Form 990-T, Exempt Organization Business Income Tax Return. In this letter, we are not determining whether any of your organization's present or proposed activities are unrelated trade or business as defined in section 513 of the Code.
The law requires you to make your organization's annual return available for public inspection without charge for three years after the due date of the return. if your organization had a copy of its application for recognition of exemption on July 15, 1987, it is also required to make available for public inspection a copy of the exemption application, any supporting documents and the exemption letter to any individual who requests such documents in person or in writing. You can charge only a reasonable fee for reproduction and actual postage costs for the copied materials. The law does not require you to provide copies of public inspection documents that are widely available, such as by posting them on the Internet (World Wide Web). You may be liable for a penalty of $20 a day for each day you do not make these documents available for public inspection (up to a maximum of $10,000 in the case of an annual return).
Because this letter could help resolve any questions about your organization's exempt status and foundation status, you should keep it with the organization's permanent records.
If you have any questions, please call us at the telephone number shown in the heading of this letter.
This letter affirms your organization's exempt status.
Sincerely,
6i
John E. Ricketts, Director, TE/GE
Customer Account Services
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ATTACHMENT 2
06/09/2025 City Council Agenda
365
CITY OF YUCAIPA
COMMUNITY ACTIVITY GRANT APPLICATION
FINANCIAL / IN -KIND / FEE WAIVER
COMMUNITY ACTIVITY GRANT APPLICATION INSTRUCTIONS
FISCAL YEAR:
DATE SUBMITTED:
2025-2026
SUBMIT TO: CITY OF YUCAIPA
GENERAL SERVICES/CITY CLERK DEPARTMENT
34272 YUCAIPA BLVD.
YUCAIPA, CA 92399
All sections of the application must be returned complete, and all supporting documentation must be included as part of the submittal. incomplete applications received will be returned to the applicant.
Note: Beginning with the FY 25/26 grant cycle, financial grant awarded funds will require 100%financial match by the applicant. For example, if your total program/project cost is $1,000, your financial grant request should be for no more than $500. Be prepared to show proof of program/project cost in your Wrap-up Report (Accountability Report), detailing the applicants match of $500.
SECTION 1 - GENERAL INFORMATION
Name of Applicant/Organization: Family Service Association of Redlands Applicant/Organization: 612 Lawton St., Redlands, CA 92374 Mailing Address
Applicant/Organization Phone Number : 909-793-2673
CONTACT (1)
CONTACT (2)
Kyra Stewart
NAME
[email protected]
E-Mail
Andrea Laughlin
NAME
[email protected]
E-Mail
909-793-2673 x130
PHONE NUMBER
909-793-2673 x113
PHONE NUMBER
SECTION 2 - ELIGIBILITY REQUIREMENTS
Is your organization located in another community?
Will the program/event take place in another community? Are you aware of any other City program providing this service? if so, which one? n/a
of you answered "Yes" to any of the questions listed above, your request is not etigible for the Community Activity Grant.
In in
El El
❑ ✓❑
RECEIVED
MAY 0 6 2025
Yucaipa City Clerk's Office
1 - - -
06/09/2025 City Council Agenda
' SECTION 3 - ORGANIZATION INFORMATION/APPLICANT BACKGROUND Your organization must be an established 501 (c) to be considered for Community Activity Grant funding.
Please submit documentation verifying organization 501 (c) status along with this application.
Is your organization a 501 (c)?
If so, please provide Tax ID# and attach all supporting documents.
Does this application include submittal of
documentation verifying 501 (c) status?
How long has your 501 (c) organization been in existence? Number of employees working for organization?
Number of volunteers working for organization?
Is a current City Council Member on your board?
How many Yucaipa residents does your organization
currently serve?
Does the organization charge admission, membership
fees, due, etc.?
If yes, please describe: n/a
YES NO
95-1655614
126 years
18 750
250
❑ Z
Names and Titles of Officers and Board of Directors: (Please attach an organization chart, if available) President - Joseph Shaw
Vice President- Strategic Planning, Gary Fagan
Vice President, Resouce - Renee Kern
Vice President Housing & Facilities, Carol Snodgress
Treasurer, Diane Remy
Secretary, Debbie Evans
See Attached for Complete list of Board Members
2 06/09/2025 City Council Agenda
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SECTION 4 - PROGRAM DESCRIPTION/SCOPE PLESEUSEAS DDIATIIOIAL PAGE
Name of the program/event: Housing Assistance and Advocacy Program Date(s) of the program/event: 7/01/2025-6/30/2025
Total estimated cost for program/event: $773.500
Describe the program/event that the organization is seeking support for:
(Attach any event/program promotional materials associated with the program/event) SEE ATTACHED: The Yucaipa Outreach Project, a Family Service Association of Redlands program, was established to provide critical support to low-income, homeless, and at -risk individuals and families in Yucaipa and the surrounding communities. Designed to overcome geographic and transportation barriers, the project brings essential services directly to those who may otherwise go without them. Through a localized, community -focused approach, it plays a vital role in stabilizing vulnerable households and preventing homelessness.
Farnily Service has been administering the Housing Assistance and Advocacy Program for decades and brings extensive experience implementing Housing First principles and managing HUD -funded programs such as Emergency Solutions, HHAP, and EFSP. These programs involve complex regulations and performance measures, which Family Service is well-equipped to meet. The heart of the program is its face-to-face case management, which allows staff to build trust, understand the full scope of a household's crisis, and provide wraparound support tailored to each client's unique situation.
Describe how the program/event benefits the residents/or community of Yucaipa:
The Housing Assistance/Advocacy Program benefits the residents of Yucaipa (and East and Central Valley of S13 County) - by providing a layer of support for low-income households with children and the elderly with disabilities. The emergency financial assistance and case management practices work together to stabilize crises and to fight against the imminent dangers of homelessness, i.e, sleeping in cars or unsafe conditions. Also, we have partnered with the City of Yucaipa's Homeless Outreach team to provide vouchers for unhoused citizens who need emergency shelter at point of intake. Further, every participant also receives wraparound support such as food, clothing, access to holiday programming, and medical services.
SEE ATTACHED
Program/event primary target population (check all that apply):
�✓ Children or Youth n Entire Community Homeless n Low Income Women ElPersons with Disabilities �✓ Seniors ✓ Victims �✓ Welfare Recipients Please answer the following to determine if your program/event requires a Special Event Permit (SEP):
YES NO
Estimated attendance 300-999 persons ❑ ✓�
Amplified Sound
(excluding Special Event Facilities)
n El
THIS BOX IS FOR STAFF USE ONLY
This event requires City Management!
Administrative Approval:
YES NO
El El
Estimated attendance 1000+ persons
Alcohol Service
(excluding Community Centers &YPAC)
Street Closure - Traffic Management
YES NO
El El
THIS BOX IS FOR STAFF USE ONLY
This event requires City Council Approval:
YES NO
E
3 06/09/2025 City Council Agenda
S'ECTION 5 - GRANT FUNDING REQUEST
Please identify what your organization is seeking:
Financial Support:
111
YES
NO
❑ $ 3.000
In -Kind Support: $ 0 $ 0
OT/Reassigned Staff C5/Rental
Total Amount 0
of Request
If other, please explain:
n/a
In -Kind
3.000
Financial Support
$200 SEP Fee Waiver:
El
YES NO
$o $o
Scherer Other
Community Center
$o
$200 SEP Fee
Waiver
$ 773,500
Financial Match
$ 3.000
Total Overall
Request
Provide a detailed description of how the financial support will be used:
If funded, the financial support shall be allocated towards direct client services related to the Housing Assistance and Advocacy Program, and more specifically the motel voucher program which bills at $85 per night as the ability to provide financial assistance to clients who are facing eviction or already homeless.
SECTION 6 - FINANCIAL CAPABILITIES/BUDGET
What other in-kind/financial contributions has your organization received to fund this event/program (separate from city funding)?
HHAP 4 Funding SB County
Emergency Food/Shelter Prog.
ERF Grant - City of Redlands
San Manuel Band of Mission Indians
Total Funds Received to Date:
Total Funds Requested via Grant Application:
Remaining Balance that will be Funded by Organization:
$o
$ 0
$ 0
In -Kind
Amount
Financial
Support Amount
$ 245,000
30.000
$
$350,000
$ 12,000
$ 637,000
$ 3,000
$ 150,000
4 06/09/2025 City Council Agenda
.SECTION 6 - FINANCIAL CAPABILITIES/BUDGETrccN-riNueD)
Describe any City Funding received by organization in the past three years (required)? Program
See Attached
See Attached
See attached
In•Klnd
Support
Financial
Support
n
il%
S200 SEP
Fee Walser
Date Received Total Received
2022
2023
2024
$ 56, i 26
$ 15,5]6
SECTION 7 - CERTIFICATION
1, the undersigned, do hereby attest that the above information is true and correct to the best of my knowledge, and understand that the awarded financial grant amount needs to be spent prior to submitting Executive Director
Title
SUBMIT FORM
A\lq,\?„5
Date
TO BE COMPLETED BY THE CITY
Date Received:
Amount Funded:
Type of Grant:
Date Reviewed:
City Council Meeting:
In -Kind Financial 5200 SEP
Support Support Fee Waiver
Date City Council received follow-up report:
5 06/09/2025 City Council Agenda
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Statement of Need
According to the National Low Income Housing Coalition's most recent report, California has a shortage of 977,040 affordable housing options available for extremely low-income households throughout the state. The average income for a low-income household of four is $35,500 annually, and studies show that 78% of extremely low-income renter households have A severe cost burden. (nlihc.org)
San Bernardino County's most recent Point in Time Count (PITC) shows an increase in homelessness throughout the region of 26%. Further, the cost of inflation, rent, gas, and food has deeply affected low-income households throughout the nation, as marginalized and vulnerable families are barely making it from month to month. (Office of Homeless Services/ SB County) Family Service Association of Redlands and the Yucaipa Outreach Project provide safety net services for households with children under 18, the elderly, and those disabled on fixed incomes in the East
and Central Valley of San Bernardino County. Services include case management, food, and clothing. Emergency
rental assistance, transportation assistance, and motel vouchers for households with no other shelter options at the point of intake. We request support from the Community Activity Grant Program to strengthen our work.
Project Description
The Yucaipa Outreach Project, a Family Service Association of Redlands program, was established to provide critical support to low-income, homeless, and at -risk individuals and families in Yucaipa and the surrounding communities. Designed to overcome geographic and transportation barriers, the project brings essential services directly to those who may otherwise go without them. Through a localized, community -focused approach, it plays a vital role in stabilizing vulnerable households and preventing homelessness.
Family Service has been administering the Housing Assistance and Advocacy Program for decades and brings extensive experience implementing Housing First principles and managing HUD -funded programs such as Emergency Solutions, HHAP, and EFSP. These programs involve complex regulations and performance measures, which Family Service is well-equipped to meet. The heart of the program is its face-to-face case management, which allows staff to build trust, understand the full scope of a household's crisis, and provide wraparound support tailored to each client's unique situation.
The Yucaipa Outreach Project's housing assistance services include emergency rental assistance, move -in support, motel vouchers, and intensive case management to help clients access and retain safe, stable housing. Clients complete an intake process that includes verification of income, expenses, and crisis documentation using government -approved forms.
Once eligibility is established, clients meet with a case manager to develop a plan that may include housing navigation, job search assistance, and referrals to supportive services that promote long-term stability and wellness.
06/09/2025 City Council Agenda
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In addition to housing -related services, the project provides a broad range of complementary supports, including transportation assistance (gas cards and bus passes), clothing donations, hygiene kits, access to showers, and monthly food distributions. Each client receives individualized attention and access to holistic services that address their immediate housing needs and the underlying issues contributing to their crisis. This wraparound model ensures that support is not one -size -fits -all but responsive to each household's needs.
The Yucaipa Outreach Project offers a proven and compassionate approach to preventing and ending homelessness by combining decades of housing program expertise with community - rooted service delivery. It exemplifies how strong local partnerships, personalized care, and integrated support systems can make a lasting impact. Family Service continues to serve as a trusted partner in the region, dedicated to stabilizing households in crisis and empowering them to build a path toward self-sufficiency.
Describe how the program/event benefits the residents or community of Yucaipa.
The Housing Assistance and Advocacy Program greatly supports residents of Yucaipa and the East and Central Valley regions of San Bernardino County by offering a dependable safety net for low-income households, particularly families with children and elderly individuals with disabilities. By providing targeted emergency financial assistance and personalized case management, the program helps residents navigate and recover from housing crises. It ensures they avoid unsafe living conditions such as sleeping in vehicles, overcrowded spaces, or on the streets. This support stabilizes households in the short term and promotes long-term housing security and self-sufficiency.
One of the program's most impactful aspects is its focus on stabilizing crisis households.
Emergency rental assistance, utility payments, and move -in support work with individualized case management to help families avoid devastating situations like eviction or displacement.
This combination addresses the immediate threat of homelessness and builds a foundation for long-term stability. In many cases, the program prevents people from resorting to unsafe living arrangements such as sleeping in cars, couch surfing, or staying in substandard or overcrowded conditions.
In collaboration with the City of Yucaipa's Homeless Outreach Team, the program also supports individuals already unhoused by providing motel vouchers and emergency shelter placements at the point of intake. This partnership ensures a timely and compassionate response to those experiencing street -level homelessness, reducing exposure to physical danger and trauma while creating a bridge to more permanent housing solutions. Each participant receives wraparound case management, including housing navigation, employment resources, and referrals to services supporting physical and mental health.
Through this holistic, client -centered approach, the program helps individuals and families in crisis and contributes to the overall well-being and resilience of the Yucaipa community.
Reducing homelessness and housing instability strengthens neighborhoods, eases the burden on emergency services, and promotes public health and safety. The program exemplifies how 06/09/2025 City Council Agenda
372
coordinated, community -based efforts can transform lives while fostering a more stable, inclusive, and compassionate community.
06/09/2025 City Council Agenda
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City of Yucaipa Funding Received from 2022
Name of Funding
Source
Amount
Date Received
Comment
CDBG Yucaipa
$47,682
01/2022-/12/2022
Allocated towards
Mortgage Program
staffing and mortgage
payments/COVID at
YOP
City Line Item
$5,000
06/2022
Allocated towards
direct client services
for Yucaipa
Community Activity
Grant
$3,500
07/2022
Allocated for motel
Grant vouchers and
housing
City of Yucaipa Funding Received from 2023
Name of Funding
Source
Amount
Date Received
Comment
CDBG Yucaipa
$8,506
08/31/2023
Allocated towards
Staffing YOP
City Line Item
$5,000
07/2023
Allocated towards
direct client services
for Yucaipa
Community Activity
Grant
$2,000
09/2023
Allocated for motel
Grant vouchers and
housing
City of Yucaipa Funding Received from 2024
Name of Funding
Source
Amount
Date Received
Comment
CDBG Yucaipa
$5,348
07/01/2024 to
06/30/2025
Allocated towards
Staffing YOP
City Line Item
$5,000
07/01/2024 to
06/30/2025
Allocated towards
direct client services
for Yucaipa
Community Activity
Grant
$2,500
07/2024
Allocated for motel
Grant vouchers and
housing
06/09/2025 City Council Agenda
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125 Years of
Serving the Community
Family Service Association of Redlands
2025 Board of Directors
612 La u,toil .Street, Rcdl unts•, C aItlin- iia 92 371 Office: 909 7.93 2(73 Ecv: 909 7.93-7321 1 t 'clislle: redlauidsl unily;scl1Iec. org- ,1lleriate porci(i; clll'Olrl7,gc sdl-sullicicll().alld pfoillote the di4gliit►' of all ciicuts
EXECUTIVE COMMITTEE
President
Vice President, Strategic Planning
Vice President. Resource
Vice President, Housing & Facilities
Treasurer
Secretary
Joseph Shaw
Gary Fagan
Renee Kern
Carol Snodgress
Diane Remy
Debbie Evans
Cell
Cell
Cell
Cell
Cell
Cell
909 725-0241
909 771-8423
909 663-7696
909 732-9989
909 556-7760
909 815-2324
BOARD MEMBERS:
Stephanie Banks(Term Is` - 2027)
Provider Liaison Pacific Dermatology
Cell 909 800-0321
Email [email protected]
1338 La Loma Dr
Redlands, CA 92373-6944
Marilyn Bean (Term god - 2027)
Retired Teacher
Home 909 793-4454
Email [email protected]
1320 Drake Ridge Crest
Redlands CA 92373-6519
Ann Bryan (Term 2"d - 2027)
Business Owner/Realtor
Cell 909-938-7725
Email [email protected]
1900 Country Club Dr
Redlands CA 92373-7408
Deborah Crowley (Term Is' — 2028)
Retired Partner of Eadie & Payne
Cell 909 953-1596
Email [email protected]
1419 E Highland Ave
Redlands, CA 92374-5421
George DeLange (Term 2nd - 2027)
Retired Healthcare Management
Cell 909 553-1605
Email grgdelange @gmail.com
1210 Fulbright Ave
Redlands, CA 92373-1605
Debbie Evans (Term 211d - 2026)
Director of Social Services RCH
Cell 909 815-2324
Email [email protected]
7912 Santa Paula St
Highland, CA 92346-6308
Gary Fagan (Term 2nd - 2027)
Retired Prosecutor
Home 909 389-9166
Ce11 909 771-8423
Email [email protected]
1573 Pala Bells Ct
Redlands, CA 92374-2707
enn Giacona (Term l't — 2028)
RCH Marketing Manager
Cell 909 768-0795
Email [email protected]
1380 Groveland St
Beaumont, CA 92223-3256
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AOARD MEMBERS CONTINUED:
Renee Kern (Term 151- 2026)
Business Owner
Cell 909 663-7696
Home 909 862-7939
Email [email protected]
6580 Applewood St
Highland, CA 92346-5210
Rafael Larios (Term 1" - 2027)
Business Owner
Cell 909 908-1246
Email [email protected]
1245 Columbia St
Redlands, CA 92374-3117
Janine Ledoux (Term 2" - 2027)
Professor
Cell 909 838-7813
Email [email protected]
219 Grant St
Redlands, CA 92373-5116
Yp_yani Lockert (Term 15' - 2028)
Southern California Faith Organizer
Cell 909 936-0789
Email [email protected]
6988 Caswell Ln
Fontana, CA 92336-1441
Diane Remy (Term 2" - 2026)
Retired CPA
Cell 909 556-7760
Email [email protected]
515 E Mariposa Dr
Redlands, CA 92373-7351
Joseph Shaw (Term 2nd - 2028)
Business Owner/Realtor
Cell 909-725-0241
Email [email protected]
1107 N Orange St
Redlands, CA 92374-3218
Lori Shelffo (Term 2nd - 2028)
Administrative Assistant
Cell 909-239-8199
Email [email protected]
338 Sherwood St
Redlands, CA 92373-4964
David Shippee (Term I - 2027)
CPA
Ce11 909 747-5538
Email [email protected]
6843 N Huntington Dr
San Bernardino, CA 92407-5174
Carol Snodgress (Term 2nd - 2027)
Retired Bank Officer
Ce11 909 732-9989
Email [email protected]
464 W Mariposa Dr
Redlands, CA 92373-7436
Shelli Stockton (Term 15` 2026)
U of R Director of Alumni &
Community Relations
Horne 909 792-6410
Email [email protected]
510 S Buena Vista St
Redlands, CA 92373-5804
Terry Vines (Term 2nd - 2028)
Business Owner/Dentist
Cell 951 415-5516
Email [email protected]
PO Box 1125
Redlands, CA 92373-0366
Joyce Volsch (Term 1" - 2027)
Vice President of Patient Care Services RCH
Home 909 379-5355
Email [email protected]
PO Box 11609
San Bernardino, CA 92423
06/09/2025 City Council Agenda
2 04/28/756
BOARD MEMBERS CONTINUED:
Christopher Walker (Term end - 2026)
Professor Emeritus U or R
Home 909 792-7715
Email [email protected]
616 Valley View Dr
Redlands, CA 92373-7358
Tyler Waner (Term 2"d - 2028)
Financial Advisor
Work 909 798-8888
Cell 909 362-3300
Email [email protected]
300 E State St Ste 530
Redlands, CA 92373-5253
STAFF
Kyra Stewart
Jennifer Watson
Samantha Morgan
Donna Olson Jones
Adela Brown
Andrea Laughlin
Sabrina Song
Corey Romo
Hannah Rodgriguez
Abi Pote
Paula Petty
Jennyfer Metgoza
Rolesha Anderson
Loretta Villarreal
Trevor Hamilton
Stephanie Castellanos
Aundrea De La Cruz
lan McMahon
Ray Watts (Term I51 — 2028)
Associate Vice President Philanthropic Giving
Cal State San Bernardino
Cell 909-289-6811
email [email protected]
912 Knightsbridge 1,n
Redlands, CA 92371-3970
Executive Director
Resource Development Manager
Office Manager
Development Associate
Accounting Clerk
Grant Writer
Marketing Fr Volunteer Coordinator
Program Director
Housing Manager
Lead Case Manager
Case Manager
Case Manager/Employment Specialist
Case Manager - Part Time
Program Assistant/Receptionist
Program Assistant/Data Entry
Program Resource Coordinator
Donation Center Lead
Nutrition Program/Donation Center Assist.
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
stephanie@redlandsfami€yservice.org
aundrea@redlandsfami lyservice. org
[email protected]
06/09/2025 City Council Agenda
3 377
04/28/25
Internal Revenue Service
P.O. Box 2508
Cincinnati, OH 45201
Department of the Treasury
Date: August 22, 2014 Person to Contact
Ms. Wiles
FAMILY SERVICE ASSOCIATION OF REDLANDS Toll Free Telephone Number:
612 LAWTON ST 877-829-5500
REDLANDS, CA 92374 Employer Identification Number:
95-1655614
Dear Sir or Madam:
This is in response to your March 13, 2014 request for information regarding your tax-exempt status.
Our records indicate you were recognized as exempt under section 501(c)(3) of the Internal Revenue Code in a determination letter issued in September 1953.
Our records also indicate you are not a private foundation within the meaning of section 509(a) of the Code because you are described in section509(a)(2).
Donors may deduct contributions to you as provided in section 170 of the Code. Bequests, legacies, devises, transfers, or gifts to you or for your use are deductible for federal estate and gift tax purposes if they meet the applicable provisions of sections 2055, 2106, and 2522 of the Code.
Please refer to our website www.irs.cov/charities for information regarding filing requirements. Specifically. note that section 6033(j) of the Code automatically revokes the tax -exemption of any organization that fails to satisfy its filing requirement for three consecutive years. The automatic revocation of exemption is effective as of the due date of the third required annual filing or notice. The IRS maintains a list of organizations whose tax- exempt status was automatically revoked at IRS.gov.
If you have any questions, please call the phone number in the heading of this letter.
Sincerely,
A► te 4tJ
Tamera Riperda
Director, Exempt Organizations
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FAMILY SERVICE ASSOCIATION OF REDLANDS
TO ALLEVIATE POVERTY, ENCOURAGE SELF-SUFFICIENCY, AND PROMOTE THE DIGNITY OF ALL. '111.1.
Board of Directors
President
Joseph Shaw
Executive Director
Kyra Stewart
J
administrative
Administrative
Office Manager
Samantha Morgan
Development
Associate
Donna Jones
Accounting Clerk
Adela Brown
Part Time Grant
Writer
Andrea Laughlin
Resource
Development
Manager
J
Marketing/
Volunteer
Coordinator
Sabrina Song
1 Committees
Executive Conunittee
Finance Committee
Strategic Planning Committee
Resource Committee
Housing/Facilities Conunittee
Nominating Committee
Friends of the Family
Program
Program Director
Corey Romo
J
l
Housing
Manager
Hannah
Rodriguez
J
Case Managers:
Abi Pote - Lead
Paula Petty
RoIesha Anderson
Jennyfer Melgoza
Employment Specialist
Shawntries Thompson
Program Resource
Coordinator
Stephanie
Castellanos
Program Assistant
Lori Villarreal
Trevor Hamilton
Data Entry
Donation Center Lead
Aundrea De La Cruz
Nutrition Program
& Donation Center
Assistant
Ian McMahon
Volunteers and Interns
\ 9r12U M BuTAgenda
379
caTHE 1 UCAIPA OUTREACH PROJECT
A PROGRAM OF FAMILY SERv10E A55OCIATION OF REMANDS
yo
1 18
Please bring the following:
• Official photo ID
• Proof of income
• Current month's expenses
Must be a low-income household
with children or elderly and
disabled on a fixed income and
living in the City of Yucaipa.
Are you behind on rent due to a
temporary financial crisis or
other issue?
Do you need wrap around
support such as holiday
assistance, bus passes, or
employment resources?
Do you live in the city of Yucaipa?
The Yucaipa Outreach Project is here to
help! In partnership with the City of
Yucaipa, County entities and private
sources, we offer the following services:
• Emergency Rental Assistance
• Move -in Deposits
• Motel Vouchers
• Food Assistance
• Gas Cards & Bus Passes
Please visit our website at
redlandsfamilyservice.org or call
909-570-9132 for more information.
11985 4th St, Suite 116, Yucaipa, CA 92399 yucaipaoutreachproject.org 06/09/2025 City Council Agenda
380
INFORMATION:
11985 4th St. Ste 116
Yucaipa, CA 92399
Hours: Mon - Fri
9am-2pm
www.yucaipaoutreachproject.org
06/09/2025 City Council Agenda
(a THE YUCAIPA OUTREACH PROJECT
A PROGRAM OF FAMILY SERVICE ASSOCIATION OF REDLANDS
DONATIONS
NEEDED
Yucaipa Outreach Project is an
extension of Family Service
Association of Redlands, serving
low income, homeless or at -risk
homeless families.
Our Food Needs:
Canned meat (chicken breast, tuna)
Peanut Butter & Jelly CI
Dry and canned soups ®
Cereals, pancake mix, syrup 0
Bag/Boxed Pasta ®
Pasta Sauce & Tomato sauce Q
Bag/Boxed Rice a
*Pull tab cans are best
Scan here to view
the many ways to
donate to our food
pantry
381
n
C.4
Family Service Association
of Redlands
Our service areas are located in East and Central Valley of San Bernardino County as funding allows. Cities include Redlands, Mentone, Loma Linda, Highland, Bryn Mawr, Yucaipa, City of San Bernardino, Grand Terrace and local mountain communities
About Us
Active in the Redlands community
for over 125 years, Family Service
offers comprehensive services for
low-income households with
children under 18 and the elderly
disabled (55 and up) who are in high
need or facing a housing crisis.
Online Housing Program applications are
accepted on a rolling basis. Applicants will
receive a follow-up phone call a week after
their application is submitted.
To learn more about how to apply for services - please
call the main office or visit our website.
MAIN OFFICE:
612 Lawton St. Redlands, CA 92374
Phone: (909) 793-2673
redlandsfamilyservice.org
YUCAIPA OUTREACH PROJECT:
11985 4th St. Suite 116
Yucaipa, CA 92399
Phone: (909) 570-9132
yucaipaoutreachproject.org
www.redlandsfamilyservice.org
OUR SERVICES
HOUSING ADVOCACY/ASSISTANCE PROGRAM
Rental Assistance:: Provides emergency assistance for families facing eviction or who are already homeless with the goal of preventing the dangers of homelessness. As funding permits.
Emergency Motel Vouchers: Provides an emergency place to stay in a crisis situation when shelters are inaccessible.
FAMILY SUPPORT PROGRAM
Emergency Food Assistance: 7 days worth of groceries, covering 3 meals a day.
Surplus Food Program: Provided on a daily walk-in basis.
Clothing: Provided to low-income individuals for basic wear and employment.
Hygiene Kits: Includes shampoo/conditioner, soap, lotion, and toothpaste.
Resource and Referrals: Health, dental, and vision referrals.
Holiday Support: Food boxes for Easter, Thanksgiving, and Christmas. Adopt -A -Family Program for Thanksgiving and Christmas.
Holiday Activities: Spring Festival, Mother's Day, Halloween Costume Giveaway, Harvest Festival, Christmas Party, & more!
ADDITIONAL PROGRAMS
Nutritional Support Program: Fresh meals
provided Monday - Friday from 10:00am to
11:00am; open to the entire community.
Virtual Classes & Workshops: For a
complete list of services, scan the QR code.
06/09/2025 City Council Agenda
382
cia
THE YUCAIPA OUTREACH PROJECT
A PROGRAM OF FAMILY SERVICE ASSOCIATION OF REDIANDS A PROGRAM OF FAMILY SERVICE ASSOCIATION OF REDLANDS The Yucaipa Outreach Project office opened in 2016 to remove the barrier of transportation and distance. The pilot program with an office in Yucaipa was opened to serve low income, homeless or at -risk homeless families.
Partnership with the city of Yucaipa and Redlands Community Hospital was key to making this a reality.
Our Services
y/N Housing Advocacy
u Assistance with motel
vouchers and
rental/mortgage is available
to clients who qualify.
Food Assistance
Our food pantry is available
to clients as a resource to
provide food for their families.
Other Resources
Other services include our
clothing closet, transportation
assistance, hygiene kids,
referrals and employment
resources.
The Yucaipa Outreach Project
11985 4th St., Suite 116
Yucaipa, CA 92399
Phone: 909-570-9132
WebsiWyuj ,a,out,reaa,kiproject.org
Fr ly Service
Association of Redlands
383
ATTACHMENT 3
06/09/2025 City Council Agenda
384
FISCAL YEAR:
2025-2026
DATE SUBMITTED: 5/1612025
SUE3MIT To: CITY OF YUCAIPA
GENERAL SERVICES/CITY CLERK DEPARTMENT
34272YUCAWPA BLVD.
YUCAIPA, CA 92399
All sections of the appIicatian must bat returned complete, and all supporting documentation must be included as part of th_ submittal. Incomplete applications received will be returned to the applicant.
Nate: Beginning with the FY 25/26 grant cycle, financial grant awarded funds will require !DO% financial snatch by the appl:cant. For example. if your iota.' program/oroitct cost is SI.DD°, your financial grant request should be for no more than: 5500. Be prepared to show prooa of programrprojecr cost in your Wrap.up Report !Artountahiiiry Report) detailing the applicants match of SS[36.
SECTION 1 - CENEPAL iNEORMATION
Name of Applicant/Organization: Carden+•orksforkids
Applicant/Organization 1',o, Box 207 Yucaipa, CA 92399
Mailing Address
Applicant/Organization Phone Number:
CONTACT (1)
CONTACT (2)
Donna Solomon
NAME
E-Mail
Lisa Adline
NAME
E•Mail
PRONE NUMBER
RF(ONE NUMBER
RECEIVED
MAY 1 6 2025
Yucaipa City CIIerKs Office
SECTION 2 - ELIGIBILITY REQUIREMENTS
1s your organization located in another community?
Will the program/event take place in another community? Are you aware of any other City program providing this service? If so, which one?
'If you answered "Yes' to any of the questions listed abort, your request is n piigible for the Community Activity Grant NO
YE5
n
n
7 1
06/09/2025 City Council Agenda
385
Your organization must be an established 501 (c) to be considered for Community Activity Grant funding.
Please submit documentation verifying organization 501 (c) status along with this application.
Is your organization a 501 (c)?
If so, please provide Tax ID# and attach all supporting documents.
Does this application include submittal of
documentation verifying 501 (c) status?
How long has your 501 (c) organization been in existence? Number of employees working for organization?
Number of volunteers working for organization?
Is a current City Council Member on your board?
How many Yucaipa residents does your organization
currently serve?
Does the organization charge admission, membership
fees, due, etc.?
If yes, please describe:
YES
u
46-2428869
12/1212013
6 6
2.200
J
NO
El El
Names and Titles of Officers and Board of Directors: (Please attach an organization chart, if available) Donna Solomon CEO/Owner
Lisa Adling Assistant Director
Donovan Hinkle II Treasurer
Peggy Gonzalez Secretary
06/09/2025 City Council Agenda
386
Name of the program/event: Toddler Sensor y Garden
Date{s) of the programlevent: September 1. 2025
Total estimated cost for program/event: $4.000
Describe the program/event that the organization is seeking support for:
(Attach any event/program promotional materials associated with the program/event) We will be putting up fencing and a toddler playground area for our "Busy Bee" students. This will include sensory toys. play area and an interactive learning outdoor area.
Describe how the program/event benefits the residents/or community of Yucaipa:
This program will give children 18 months to 5 years a smaller more intimate play area sized for smaller children.
Program/event primary target population (check all that apply):
c
Children or Youth Entire Community I Homeless I I Low Income Women Persons with Disabilities
Y
Seniors
Victims
1 Welfare Recipients
Please answer the following to determine if your program/event requires a Special Event Permit (SEP):
YES
Estimated attendance 300-999 persons kJ
Amplified Sound
(excluding Special Event Facilities)
NO
El
This event requires City Management/
Administrative Approval:
YES
No
1 Estimated attendance 1000+ persons
Alcohol Service
(excluding Community Centers & YPAC)
Street Closure - Traffic Management
iv❑
LJ
nEl
YES
This event requires City Council Approval:
YES NO
o
J
06/09/2025 City Council Agenda
387
SECTION 5 - GRANT FUNDING REQUEST
Please identify what your organization is seeking:
NO
Financial Support: �%] I 1 51.500
YES
in -Kind Support: 5 0 $ 0
OT/Reassigned Staff CS/Rental
If other, please explain:
$200 SEP Fee Waiver:
LIES
50 SO
Scherer Other
Community Center
Total Amount 0
of Request $
In -Kind
$1.500 s 0
Financial Support
S200 SEP Fee
Waiver
Provide a detailed description of how the financial support will be used:
S 0 s 1.500
Financial Match
Total Overall
Request
The grant money will' be used Car fcncine materials. labor and securing a sate and nurturing environment for smaller children (toddlers) and give them a sensory garden to explore and play in.
SECTION 6 - FINANCIAL CAPABILITIES/BUDGET
What other in-kind/financial contributions has your organization received to fund this event/program (separate from city funding)?
In -!find Financial
Amount support Amount
$ 1.500
Donations/fundraiser
50 $
5 5
5 Total Funds Received to Date: $
0 Total Funds Requested via Grant Application: $ 0
Remaining Balance that will be Funded by Organization: $ 2,500 S
5 5
5 s0
5 1.500
g0
4 06/09/2025 City Council Agenda
388
SECTION 6 - FINANCIAL CAP'AB1LIT1ES BLIDGETrfrrrrrrjerrai Describe any City Funding received by organization in the past three years (required)? Program
Yucaipa City Grant
Y`usaipa City Grant
Yucaipa City Grant
In•i{ind Finamial 5200SEP
Support Support Fee Wainer Date Received Total Received 1 r
;I I 7/2024
! I I►' I I■ E
u 7/202?
7 7.12023
$ 1.500
5 1.500
s 1.500
I, the undersigned, do hereby attest that the above information 1s true and correct to the best of my knowledge. and understand that the awarded financial grant amount needs to be spent prior to submitting another grant request.
Signature
CEO, Owner -Program Director
Title
SUBMIT FORM
5: 16/2025
Date
Date Received:
Amount Funded:
Type of Grant:
Date Reviewed:
City Council Meeting:
Irt•Xind Ftnenrlal SZ00 SEP
Support Support Foo WhiVer
Cate City Council received follow-up report:
06/09/2025 City Council Agenda
389
INTERNAL REVENUE SERVICE
P. D. BOX 250S
CTNCTNNATI , OH 45201
Date:
GARDENWORKSF0RKIDS
CIO DONNA SOLOMON
Dear Applicant:
DEPARTMnE 7 OF THE TREASURY
Employer Identification Number:
46-2428869
DLN :
17053240328033
Contact Person:
SHERRY Q WAN IDar 31052
Contact Telephone Number:
:
[877) 829-5500
Accounting Period Ending:
December 31
Public Charity Status:
173 (b1 (1) (A)ivi)
Form 990 Required:
Yes
Effective Date of Exemption:
February 13, 2013
Contribution Deductibility:
Yes
Addendum Applies:
No
We are pleased to inform you that upon review of your appliCatiozi for tax exempt status we have determined that you are exempt from Federal income tax under section 501(c)(3) of the Inter.aal Revenue Code. Contributions to you are deductible under section 170 of the Code. You are also aualifi.ed to receive tax deductible becruests, devises, transfers or gifts under section 2055, 2106 or 2522 of the Code. Because this letter could help resolve any questions regarding your exempt status, you should keep it in your permanent records.
Organizations exempt under section_ 501(c) (3) of the Code are further classified as either public charities or private foundations. We determined that you are a public charity under the Code section(e) listed in the heading of this letter.
Please see enclosed Publication 4221-PC, Compliance Guide for .01(c)(3) Public Charities, for some helpful information about your responsibilities as an. exempt organization.
RECEIVED
MAY 2 9 2025
Yucaipa City Clerk's Office
Letter 947 (DOICG)
06/09/2025 City Council Agenda
390
ATTACHMENT 4
06/09/2025 City Council Agenda
391
CITY OF YUCAIPA
COMMUNITY ACTIVITY GRANT APPLICATION
FINANCIAL / IN -KIND / FEE WAIVER
COMMUNITY ACTIVITY GRANT APPLICATION INSTRUCTIONS
FISCAL YEAR:
January -December
DATE SUBMITTED: 5-15-2025
SUBMIT TO: CITY OF YUCAIPA
GENERAL SERVICES/CITY CLERK DEPARTMENT
34272 YUCAIPA BLVD.
YUCAIPA, CA 92399
All sections of the application must be returned complete, and all supporting documentation must be included as part of th. submittal. incomplete applications received will be returned to the applicant.
Note: Beginning with the FY 25/26 grant cycle, financial grant awarded funds will require 100% financial match by the applicant. For example, if your total program/project cost is $1,000, your financial grant request should be for no more than 5500. Be prepared to show proof of program/project cost in your Wrap-up Report (Accountability Report), detailing the applicants match of 5500.
SECTION 1 - GENERAL INFORMATION
Name of Applicant/Organization: Grace Point Fellowship/First Baptist Church Yucaipa Applicant/Organization 34784 Yucaipa Blvd.
Mailing Address
Applicant/Organization Phone Number: (909)790-1971
CONTACT (1)
CONTACT (2)
Randy P Balling
NAME
pastorrandyc gpfyucaipa.org
E-Mail
Tammy Meier
NAME
(909)735-6091
PHONE NUMBER
(909) 533-0822
PHONE NUMBER
tmeicrC gpfyucaipa.og
E-Mail
SECTION 2 - ELIGIBILITY REQUIREMENTS
Is your organization located in another community?
Will the program/event take place in another community? Are you aware of any other City program providing this service? (fi
El
Li
El El
RECEIVED
MAY 1 4 2025
Yucaipa City Clerk's Office
If so, which one?
-If you answered' Yes" to of the questions listed above, your request is not eligible for the Community Activity Grant. 06/09/2025 City Council Agenda
1 392
SECTION 3 - ORGANIZATION INFORMATION/APPLICANT BACKGROUND Your organization must be an established 501 (c) to be considered for Community Activity Grant funding.
Please submit documentation verifying organization 501 (c) status along with this application.
Is your organization a 501 (c)?
If so, please provide Tax ID# and attach all supporting documents.
Does this application include submittal of
documentation verifying 501 (c) status?
How long has your 501 (c) organization been in existence? Number of employees working for organization?
Number of volunteers working for organization?
Is a current City Council Member on your board?
How many Yucaipa residents does your organization
currently serve?
Does the organization charge admission, membership
fees, due, etc.?
If yes, please describe:
YES NO
95-1875979
112 years
100+
EI
500+
Names and Titles of Officers and Board of Directors: (Please attach an organization chart, if available) Tony Chastain (Presidet)
Jason English (Treasurer)
Dan McHargue (secretary)
John Gonzales (Board member)
Gill Cervatez (Board Member)
Randy Balling (Board member/Sr. Pastor)
ha
h
393
SECTION 4- PROGRAM DESCRIPTION/SCOPE (PLEASE USE ADDITIONAL
PACES AS NECESSARY)
Name of the program/event:
Love Yucaipa
Date(s) of the program/event:
April 26
Total estimated cost for program/event:
$7,000
Describe the program/event that the organization is seeking support for:
{Attach any event/program promotional materials associated with the program/event) Love Yucaipa is a city-wide day of community service that begins with a high energy kick-off rally. On May 3, 2025, we mobilized 300 volunteers for 14 projects located in Yucaipa and Calimesa. The projects included three Yucaipa city projects:
painting the perimeter wall of the 7th street pickle ball court, the baseball bleachers and the 13th st. skate park trash dean up.
We also had 60 volunteers organizing, assembling product and beautifying YAPS. Other projects included YHS beautification and ILCS gaga ball pit clean up and beautification. In total, we donated the equivalent of $30,000 in volunteer labor.
We also had a high-energy rally that celebrated our city leaders (Mayor, council members, fire chiefs, school board president and school board members). YHS cheerleaders came out to help us cheer for and thank our city leaders.
It was a vibrant collaborative effort between city leaders, churches, non -profits and local businesses. It was a beautiful Describe how the program/event benefits the residents/or community of Yucaipa:
From the love Yucaipa signs and banners around town, to the kick-off rally, to the army of volunteers, Love Yucaipa raises the morale of our citizens while physically improving our city. Further, it affirms our city's leaders by giving us a platform to acknowledge them for their sacrifice and hard work. At the same time, it contributes to credibility for our city leaders as citizens can see them in action, serving their city. Love Yucaipa also gives visibility to non -profits and businesses who sponsor and volunteer and it builds bridges between leaders, organization and citizens. Some of those bridges can help spawn more initiatives in the future. In addition, Love Yucaipa brings pastors together in our community, laying any differences aside to live out our faith as we "love our neighbors." Finally, it fights back against an entitlement mindset by challenging our citizens to, "Ask not, what your city can do for you. Rather, ask what you can do for your city!" For more information, go to loveyucaipaa org We were pleased to hear from our city council, at a council meeting, that they had visited our website and saw that the event and day of service was well organized.
Program/event primary target population (check all that apply):
ElChildren or Youth f l Entire Community Homeless n Low income Il Persons with Disabilities n Seniors n Victims n Welfare Recipients n Women
Please answer the following to determine if your program/event requires a Special Event Permit (SEP):
YES NO
Estimated attendance 300-999 persons I 1 I l
Amplified Sound
(excluding Special Event Facilities)
El
THIS BOX I5 FC. AFF USE ONLY
This event requires City Management/
Administrative Approval:
El El
YES NO
Estimated attendance 1000+ persons
Alcohol Service
(excluding Community Centers & YPAC)
Street Closure - Traffic Management
El El
YES111
NO
THIS BOX 15 FOR STAFF USE ONLY
This event requires City Council Approval:
YES NO
El
06/09/2025 City Council Agenda
394 3
SECTION 5 - GRANT FUNDING REQUEST
Please identify what your organization is seeking:
Financial Support:
YES NO
El ❑ $
$4000
In -Kind Support: $ $
OT/Reassigned Staff CS/Rental
Total Amount
of Request $
In -Kind
if other, please explain:
Our last event was held successfully at the YPAC on the morning of the Music and Arts Festival.
If this location is not available next year, we would like to hold Love Yucaipa at the Yucaipa Community Park with the kick off event being held at the outdoor amphitheater. $200 SEP Fee Waiver:
Scherer
Community Center
YES NO
El
El
$ YPAC (if approved)
Other
Financial Support
SfP"Fee
Waiver
Provide a detailed description of how the financial support will be used:
$ 4,000
Financial Match
$tir2-0675LA 0ci
Total Overall
Request
Signs, banners, advertising: $4,000
Website membership with Love our Cities: $1,400
Supplies (paint, brushes, rollers, gloves, etc.) : $1,000 Project leaders training, food, supplies and support: $500 Love Yucaipa T-shirts for project leaders: $500
Sound equipment rental, tech needs, $600
Note: These are approximate. Actual costs will be clearly determined as we gather project needs and facility rental costs.
SECTION 6 - FINANCIAL CAPABILITIES/BUDGET
What other in-kind/financial contributions has your organization received to fund this event/program (separate from city funding)?
Churches
Businesses
City of Yucaipa May 3, 2025
City of Yucaipa May 3,2025
$0
$
$
In -Kind
Amount
Use of YPAC
$ $200 sign fee waived
$
Total Funds Received to Date: $ $
Total Funds Requested via Grant Application: $
Remaining Balance that will be Funded by Organization: $ Financial
Support Amount
$0
$ 0
$
$
none since last event
$ 4,000
$ 4,000
395
SECTION 6 - FINANCIAL CAPABILITIES/BUDGET fcONrfNuEol
Describe any City Funding received by organization in the past three years (required)? Program
Fire use of the V FM C on day of muue and arts fcsavmak In -Kind Financial f20OSEP
Support Support Fee Waive► Date Received Total Received El
El
Ma} 3, 2025
$ N A
5 SECTION 7 - CERTIFICATION
I, the undersigned, do hereby attest that the above Information Is true and correct to the best of my knowledge .nd understand that the awarded financial grant amount needs to be spent prior to submitting Signa
bead Pastor of Grace Point Church, Yucaipa 05/14/2(25
Title
SUBMIT FORM
Date
TO BE COMPLETED BY THE CITY
Date Received:
Amount funded:
Type of Grant:
in Nod
Support
Date Reviewed:
City Council Meeting:
Financial 5 00 SEP
Support Fee Waiver
Date City Council received follow-up report:
5 06/09/2025 City Council Agenda
396
5�
Oa
IRS
Department of the Treasury
Internal Revenue Service
CINCINNATI OH 45999-0038
FIRST BAPTIST CHURCH OF YUCAIPA
34784 YUCAIPA BLVD
YUCAIPA CA 92399-4253
In reply refer to: 0242905122
Jan. 25, 2023 LTR 4384C 0
95-1875979 202203 01 0
00012192
BODC: TE
Taxpayer Identification Number: 95-1875979
Tax Period(s): Mar. 31, 2022
Form(s): 941
Dear Taxpayer:
We received your amended/corrected Form 941 for the tax period ending Mar. 31, 2022. To correct the information you previously reported, you should file the enclosed Form 941-X. If you are correcting more than one tax period, please file a separate form for each tax period.
If you have any questions, please call us toll free at
1-800-829-0115.
If you prefer, you may write to us at the address shown at the top of the first page of this letter.
A copy of this letter and any referenced enclosures have been forwarded to your authorized representative(s).
Enclosure(s):
Copy of this letter
Form 941X
Sincerely yours,
Warren R. Burton, Operations Mgr
Accounts Management Operations 1
06/09/2025 City Council Agenda
397
•
,IF sib aims
'l Ae a
'411III]gyp 412.-1e 1
06/09/2025 City Council Agenda
398
06/09/2025 City Council Agenda
400
06/09/2025 City Council Agenda
401
2:13 .i1 A -
06/09/2025 Cit
Grace Point Fellowship Church's post
Grace Point Fellowship Church
Posted by Matt Dunn
5d•Q
Thank You to Our Love Yucaipa & Calimesa
Volunteers
To everyone who showed up, rolled up their
sleeves, and gave their time and energy for Love
Yucaipa & Calimesa--thank you.
This day of community service was more than
just a collection of projects. It was a powerful
expression of love for our cities and the people
who call them home. From YAPS and Yucaipa
High School to 7th Street Park and many other
sites, your hard work made a visible impact and
an even greater difference in hearts.
We are incredibly blessed by the spirit of service
you brought to each location. Thank you for being
the hands and feet of love in our community.
Let's keep this momentum going. Together, we
are stronger —and together, we are building
something beautiful.
00i 7
Like
1 sharp.:
4.;Fi; Share
"Each of you should use whatever
gift you have received to serve
others, ac oath f•,1 ctd+vgards of
402
LrVE
Yucaipa 8e Calimesa
MAY 3, 2025
Love Yucaipa & Calimesa is a movement to
create greater collaboration in our cities.
During our community -wide service day on May 3,
residents, businesses, city government, faith groups,
service groups, schools, and sports organizations
will unite to make Yucaipa & Calimesa a better place.
The day will start with a kick-off event at the YPAC at 8 AM. There are many ways to participate! Volunteer
for a project, or lead your very own. Encourage
others to participate with you by registering to
volunteer, lead, donate, or become a sponsor. Find
out more and sign up at Ioveyucaipa.com.
LrVE
Yucaipa & Calimesa
MAY 3, 2025
Love Yucaipa & Calimesa is a movement to
create greater collaboration in our cities.
During our community -wide service day on May 3,
residents, businesses, city government, faith groups,
service groups, schools, and sports organizations
will unite to make Yucaipa & Calimesa a better place.
The day will start with a kick-off event at the YPAC at 8 AM. There are many ways to participate! Volunteer
for a project, or lead your very own. Encourage
others to participate with you by registering to
volunteer, lead, donate, or become a sponsor. Find
out more and sign up at Ioveyucaipa.com.
06/09/2025 City Council Agenda
403
Order Of Love Yucaipa & Calimesa Pep-Rally/Kick-off Event 7:00 Table set up
• Information table with project addresses, waivers, volunteers for Q&A
• One table for every two projects
o Tape project sign to table
o Signs on sticks to held high by project leader or assistant o A stack of Waivers with pens at each table
o QR code at each table for web registration
• Vendor tables set up
o American Road Trip
o White Rabbit
o Jose's
o Other...?
0 7:30 am Pre -Kick-off
• Food services begins (Pancakes, Coffee, other)
• Music begins playing
• Project leaders check in between 7:30-8:00 am
8:00 am Rally Begins
• Welcome from Randy. Invite to join us at the stage
• High energy music from 8:05-8:10 high energy music played 8:10-8:15 Grace Point Twirlers perform
8:15:-8:20 First Cheer from VHS Cheer Team followed by
"human tunnel"
8:20-8:25 Randy and Olin introduce and thank
• Sponsoring pastors
• Non -profits
• Sponsoring businesses
8:25-8:30 Olin introduces and thanks all Calimesa city leaders 8:30-8:35 Randy Introduces and thanks all Yucaipa City Leaders 8:35-8:40 Closing
06/09 25 City Counc ge da
• irow any eebies into the crowd
404
• Pray
• Final Cheer from Yucaipa Cheer Team
8:45 Charge to everyone to go to their table with team leader and then to project
8:45-9am Clean up, tear down
06/09/2025 City Council Agenda
405
CITY OF YUCAIPA
SPECIAL EVENT PERMIT
WELCOME TO THE CITY OF YUCAIPA
Thank you for your interest in hosting a Special Event in the City of Yucaipa. The Community Services Department
created this application to help you host a successful and exciting event here in Yucaipa. Please review and complete the following application in accordance with the provided information. A special event in the City of Yucaipa is
defined as a "Carnival", "Community Celebration", or
"Outdoor Festival" which includes the use of amplified
sound and/or estimated attendance equal to or exceeding 300 people on City or private property. Except as otherwise provided by state law, no person or entity shall operate, maintain, conduct, advertise, or provide admission for any temporary special event within the City of Yucaipa without possessing a permit for each such temporary special event (Ord. No. 384).
PROCEDURES
A complete permit application may be filed as early as one (1) year before the event, but it must be received no later than three (3) months before the actual event date. Any organized activity involving the use of, or having impact upon, public property, facilities, public parks, sidewalks or street areas requires a permit. Applicants requesting a waiver of fees or services must submit their application a minimum ofsix(6) months in advance.
The permit application process begins when you submit a complete Special Event Permit application. Keep in mind that acceptance of your application should in no way be construed as final approval or confirmation of your request. Upon receipt of your application, the Special Events Supervisor will help guide you through the permit process. Copies of the application are forwarded and reviewed by all affected departments and/or agencies. During the review process, you will be notified if your event requires any additional information, permits, licenses or certificates. During our initial application screening process, you will be allowed time to provide us with all pending documents. We must receive these items before issuing a Special Event Permit (Le., certificates of insurance, secondary permits, etc.). Delays in providing these items often delay our ability to finish our review and approve your application in a timely manner. Special Event Permits can be approved administratively by City management under specific limited criteria. Events that exceed those criteria will require the approval of City Council:
City Management/Administrative Approval
• Estimated attendance 300-999 persons
• Amplified Sound (excluding Special Event Facilities)
City Council Approval
• Estimated attendance 1000+ persons
• Alcohol Service (excluding Community Centers and YPAC) • Street Closure - traffic management
• Fee Waiver/Co-Sponsorship/ln-Kind (Community Activity Grant Application required)
APPLICATION
liPage
06/09/2025 City Council Agenda
406
CITY OF YUCAIP
SPECIAL EVENT PERMI
Organization and Applicant Information -1875979
❑ Commercial (For -profit) ❑■ Noncommercial (Non-profit) Tax I.D. #:
Address
784 Yucaipa blvd. Yucaipa,CA 92399
Phone Number
Event Information
Type of Event ❑ Athletic/Recreation ❑ Festival/Celebration ❑ Outdoor Market ❑ Circus/Carnival
❑Concert/Performance ❑ Parade/Procession/March DOther (specify):
Event Location
NC or Yucaipa Community Park (second option)
Description
city in various projects throughout the city - -
Please complete a daily breakdown of event -related activities. Use multiple lines to distinguish between different daily activities. Please attach additional sheets if necess:
April 2E
Ill Set-up ❑ Event Day ❑ Clean-up
8:30 am
9:30 am
Has this event taken place before? ❑ Yes ❑ No
Total anticipated attendance:
g e
How moray years? May 3, 2025
Participants: Spectators:
06/09/2025 City Council Agenda
407
CITY OF YUCAIP
G,,��,� a SPECIAL EVENT PERMI
Site Plan
Attach a diagram showing the overall layout and setup locations using the letters below.
Indicate the site for these on your diagram.
A. Alcoholic and nonalcoholic concession and/or beer garden areas B. First -aid facilities and ambulance locations
C. Tables and chairs
D. Fencing, barriers and/or barricades
E. Generator locations and/or source of electricity
F. Canopies or tent locations
G. Booths, exhibits, displays or
enclosures
H. Scaffolding, bleachers,
platforms, stages,
grandstands and related
structures
1. Vehicles and/or trailers
J. Other related event
components not covered
above (describe
separately)
K. Trash containers and
dumpsters
L. Non-food vendor locations
M. Food concession and/or
food preparation areas
N. Potable toilet location(s)
When planning a moving route, the Yucaipa Police Department is available to assist you in planning your route. Consider the following in your planning:
• Impedance of emergency fire, police or paramedic vehicles. • Conflict with public transportation, such as buses.
• Interference with people trying to reach their own residences, businesses, places of worship and public facilities.
If your event involves street closures, you may be required to obtain traffic safety equipment, and a certified traffic control plan. Depending on the type of event, barricades, traffic cones, signs, etc., may be required. Depending on the type of event and after evaluating roadway conditions, you may be required to properly place this equipment prior to commencing the event. If the closure creates a potential hazard, your organization will be required to contract traffic service from the Yucaipa Police Department and/or Street Division. 06/09/2025 City Council Agenda
408
faea9'a-
CITY OF YUCAIP
SPECIAL. EVENT PERMI
List street(s) requiring closure as a result of this event. Include street name(s), day, d and time of closing and time of reopening:
Same as the Music and Arts Festival assuming we are allowed to use it again Our plan B is Yucaipa Community Park
Indicate how this closing/reopening of streets will be handled:
❑ City of Yucaipa to handle (cost to be specified) ❑ Event to handle per CalTrans standards
needed and an explanation of necessity of "No Parking" zone:
Same as the music and arts festival
Note: No Parking" signs will be posted forty-eight (48) hours in advance of required days, dates and times. Cost for the posting of No Parking' signs will be specified upon reviewoftheapplicntiun byCitystajf Food and Beverage
Please describe how food will be served at the event:
Food would be donated by local restaurants (American Road Trip, White Rabbit, Joses, others TBD) No County license required since the food will be donated.
Will food be cooked in the event area? ❑ Yes QNo
Method: at this time, warmers/chaffing dishes
❑ Gas ElElectric ❑ Charcoal ❑ Other (specify):
Does the event involve the sale or use of alcoholic beverages? ❑ Yes ❑ No N/A
Restrooms
Portable restrooms are required when estimated attendance exceeds what the host facility's restrooms can accommodate. One portable restroom is required for every 50 patrons attending over the minimal site accommodations.
Will Event Organizer provide portable restroom facilities? n Yes ❑ No 4lPage
06/09/2025 City Council Agenda
409
„Air
CITY OFYUCAIP
SPECIAL EVENT PERMI
Company
Name
Ice Point Fellowship Church
Lighting
If this is an evening event, please state how the event and surrounding areas will be illuminated to ensure the safety of the participants and spectators. (If required, show a separate site map which details streetlights,portable lights, and other illuminating devices.) As before - no lighting needed
Waste Removal
Event Organizer is responsible for arranging for the removal of all waste related to the event_ This includes but is not limited to emptying of trash bins and the removal of waste from the event site and other affected areas. If hiring a professional sanitation company, please provide the following information.
Phone Number
If not hiring a professional sanitation company, please provide the following information for the person(s) responsible for waste removal.
Contact Name
lobinson
Cal Fire/Medical
In case of an emergency, the on -site contact will call 9-1-1. If event requires an ambulance company to he on -site, pleaseprovide the following information:
Contact Name
:Thief Grant Malinowski
06/09/2025 City Council Agenda
410
faa19'a".
CITY OF YUCAIP
SPECIAL EVENT PERMI
Please describe your medical plan including your communications plan, the numl certification levels (MD, RN, Paramedic, EMT) and types of resources that will he at y event and the manner in which they will be managed and deployed. Your plan she include hours of setup and dismantle of medical aid areas. You may attach the plan to application if necessary:
Chief Malinowski would oversee all emergency needs as well as several volunteers including doctors and nurses
Police Services/Security
In the event that a carnival/street fair and/or alcohol service will be included in the event, an
alcohol garden and security plan will need to be submitted as well as a security contract and/or public safety staffing plan for review by the Police Department.
Is there a professional security organization hired for this event? ❑ Yes ❑ No Contact Name
Please describe your security plan including crowd control, internal security or ve safety, Di attach the plan to this application:
As a collaborative effort with city leadership, we would look to city support for crowc control, as at our last event. Please advise if we need a different plan.
Entertainment
Will sound amplification be used? ❑ Yes ❑ No Start time: End time:
Are there any musical entertainment features for this event? ❑ Yes ❑ No Phone
Numbe
(Dan)
Dre
How many stages? Number of bands? Genre of music:
Will fireworks, rockets, or other pyrotechnics be used? ❑ Yes ❑ No 06/09/2025 City Council Agenda
411
fa -fa".
CITY OF YUCAIP
SPECIAL EVENT PERMI
Phone Number
Has a permit been issued: ❑ Yes ❑ No
(Note: Additional permits may be required as indicated by staJff. These include, but are not limited to, Conditional Use 24 Permit, Land Use Permit, and Fire Department permits) Insurance
Before a Special Event Permit is issued, a certificate of insurance must be submitted.
Insurance certificate must be issued by insurance underwriters "admitted" by the California Insurance Commission and rated 'A' or better by AM Best. Requirements are:
• Minimum $1,000,000 General Liability Limit
• Minimum $1,000,000 General Automobile Liability
• Minimum $1,000,000 Worker's Compensation
• On an additional insured endorsement, the City, its elected officials, officers, and agents are to be named as additional insured
• Minimum limits of coverage may change depending on event ❑ Insurance certificate attached ❑ insurance certificate on file ❑ Insurance certificate not available
Filing Fees
Special Event Permit Application Fee : $200.00
* Other Fees may apply (e.g. street closures, Fire Permit/Inspections, utilities, facility rental, etc.)
MEW ge
06/09/2025 City Council Agenda
412
T6°9°a
Application Checklist
CITY OF YUCAIP
SPECIAL EVENT PERM!
❑ Completed Application
❑ Certificate of liability insurance
❑ Site Plan (location of structures, lighting, restrooms, parking, etc.) 0 Copy of Security Contract (if applicable)
❑ Copy of Potable Restroom purchase order (if applicable) ❑ Facility or Shelter Reservation Application (if applicable) ❑ Copy of ABC License (if applicable)
❑ Copy of County Health Permit (if applicable)
By signing below, 1 agree to indemnify, hold harmless, and defend the City and its officials, employees, and agents, against all claims, liabilities, and losses arising from activities connected with or undertaken pursuant to the Permit. The City is not liable for any business loss, property loss, or other damage that may result from the use of the Permit, or suspension or revocation of the Permit.
Name: ndy P. Bad Signature: Date:
05-14202E
06/09/2025 City Council Agenda
413
Re: SEP for Community Grant Application
From: Kelsey Vega (kvegagyucaipa.gov)
To:
Cc: mwoifeeyueaipa.gov
D&Se: Wednesday, May 14. 2025 at 04:00 PM PDT
HI Randy,
i have snipped an image of the YPAC building for you to mark up and indicate your plan for next year. I don t think a site plan map was submitted on your previous SEP application.
Hope this helps.
de-1
•
Yucaipa Blvd Yucaipa B1 d
iiiiii;747111ta
'Kersey Vega
Administrative Assistant
City of Yucaipa
YPAC • 12062 California Si ■ Yucaipa, CA 97399
DFEca: 909-797-2489 Ext. 558
VI ww.P lobo. IH
ae
Yucaipa Performing
Arts Center
Recrorrly ncwed
401
•
•
06/09/2025 City Council Agenda
414
From: Kelsey Vega
Sent; Wednesda Ma 14 2025 3:01 PM
To: randy balling
Cc: Megan Wolfe ; Tara Davis <[email protected].
Subject: SEP far Community Grant Application
MI Randy,
It was a pleasure speaking with you in the office, per our conversation, please fill out the attached SEP application (typed out applications only accepted). Please send me a copy of the SEP and print out a copy to submit in with your CAO application tomorrow for Tara to review.
Please feel free to let me know if you have any other questions.
Thank you
06/09/2025 City Council Agenda
415
NextDayFlyers
Fast Printing, Done Right
Invoice for Order it /3947535
Order Date: 04/25/2025
P.O.#:
Product Details
ITEM 822041130
Product: Banners
Sire {inches}; 72 x 48
Front Side : Fu3I color
Back Side : No Printing
Material : 13 oz. Scrim Vinyl
Treatments : Rem with Grummets
Ready to Ship In : 3 Business Days
Grommets :Add 10 Grommets per banner (24'
gapsl
Payment Information
Credit Card: MASTERCARD Ending in
Payment Date 04/25/2025
RECEIVED
JUN 0 2 7075
Yucaipa City Clerk's Qf ic,�ll to: Grace Point Fellowship Church Jamie Endres
34784 YUCAIPA BLVD, YUCAIPA, CA, ll7 4089492
Email: [email protected] ( Phone: (909) 790-1971 Delivery & Destination
Delivery
1 Day Transit
Shipping Address
Grace Point Fellowship Church
34784 YUCAIPA BLVD
YUCAIPA, CA 92399
Phone: (909j 790-1971
shipping $ Handling; $21.6
8000 Haskell Ave., Van Buys, CA 91406
Toll Free: 855-898-9870
Mon-Fri(24 Hours a Day), Sat-Sun(6am-5pm PT)
quantity Price
2 $ 104.95
Subtotal
Shipping & Handling
Sales Tax
Order Total
Paid
Balance Due
$104.95
$21.6
$11.07
$137.62
$137.62
All orders are subject to the Terms & Conditions on NextDayFlyers.com. For details, please visit hops:6wovw.nextdayflyers.comisecurelterms-conditions $0
06/09/2025 City Council Agenda
416
NextDayFlyers
Fast Printing, Done Right
Invoice for Order # 1363/328
Order Date: 02/11/2025
P.O,4 :
Product Details
ITEM #2151945S
Product: Custom Banners
Reorder : From Job 13357484 / Item 21073033
Front Side : Full color
Size : 95" x 47"
Back Side : No Printing
Material : 13 oz. Scrirn Vinyl
Ready to Ship In : 3 Business Days
Treatments : Hem with Grommets
Grommets : Add 8 Grommets per banner (24"
gaps)
ITEM #21519456
Product: Banners
Size (inches) : 60 x 36
Front Side : Full color
Back Side : No Printing
Material : 13 oz. Scrim Vinyl
Treatments : Hem with Grommets
Ready to Ship In : 3 Business Days
Grommets : Add 6 Grommets per banner (24"
gaps)
Payment Information
Credit Card: MASTERCARD Ending in 6833
Payment Date: 02/11/2025
Delivery & Destination
Delivery
1 Day Transit
Shipping Address
Grace Point Fellowship Church
34784 YUCAIPA BLVD
YUCAIPA, CA 92399
Phone: (909) 790-1971
Shipping & Handling: $21.26
Delivery
1 Day Transit
Shipping Address
Grace Point Fellowship Church
34784 YUCAIPA BLVD
YUCAIPA, CA 92399
Phone: (909) 790-1971
Shipping & Handling: $65.55
8000 Haskell Ave., Van Nuys, CA 91406
Toll Free: 855-898-9870
Mon-Fri(24 Hours a Day), Sat-Sun(6am-5pm PT)
Bill to: Grace Point Fellowship Church
Jamie Endres
34784 YUCAIPA BLVD, YUCAIPA, CA, ID 4089492
Email: [email protected] 1 Phone: (909) 790-1971 Quantity Price
1 $ 98.86
7 $ 261.95
Subtotal
Shipping & Handling
Sales Tax
Order Total
Paid
Balance Due
$ 3 60.81
$86.81
$34.69
$482.31
$482.31
All orders are subject to the Terms & Conditions on NextDayFlyers.com. For details, please visit httpsJ www.nextdayflyers.com/secure/terms-conditions $o
06/09/2025 City Council Agenda
417
NextDayFlyers
Fast Printing, Done Right
Invoice for Order # 13773595
Order Date: 03/17/2025
P,O,#:
Product Details
ITEM #21753898
Product: Banners
Size (inches) : 120 x 60
Front Side : Full color
Back Side : No Printing
Material : 13 oz. Scrim Vinyl
Treatments : Hem with Grommets
Ready to Ship In : 3 Business Days
Grommets : Add 14 Grommets per banner (24"
gaps)
ITEM #21753899
Product: Banners
Size (inches) : 120 x 60
Front Side : Full color
Back Side : No Printing
Material : 13 oz. Scrim Vinyl
Treatments : Hem with Grommets
Ready to Ship In : 3 Business Days
Grommets : Add 14 Grommets per banner (24"
gaps)
Payment Information
Credit Card: MASTERCARD Ending in 6833
Payment Date: 03/17/2025
Delivery & Destination
Delivery
1 Day Transit
Shipping Address
Jamie Endres
9826 ONYX ST
YUCAIPA, CA 92399
Phone: (909) 790-1971
Shipping & Handling: $20.49
Delivery
1 Day Transit
Shipping Address
Jamie Endres
9826 ONYX ST
YUCAIPA, CA 92399
Phone: (909) 790-1971
Shipping & Handling: $20.49
8000 Haskell Ave., Van Nuys, CA 91406
Toll Free: 855-898-9870
Mon-Fri(24 Hours a Day), Sat-Sun(6am-5pm PT)
Bill to: Grace Point Fellowship Church
Jamie Endres
34784 YUCAIPA BLVD, YUCAIPA, CA, ID 4089492
Email: reception@gpfyucaipa,org I Phone: (909) 790-1971 Quantity Price
1 $ 143.95
1 $ 143.95
Subtotal
Shipping & Handling
Sales Tax
Order Total
Paid
Balance Due
5287.9
$40.98
$25.49
$354.37
$354.37
$o
All orders are subject to the Terms & Conditions on NextDayFlyers.com. For details, please visit https:H www.nextdayflyers.corn/secure/terms-conditions • 06/09/2025 City Council Agenda
418
Order# 600600449
https://www.buildAsign.com
Date: Tuesday, January 28, 2025
Billing Information Shipping Information
Name: Jamie D Endres
Phone: 9097901971
Address: United States, California, YUCAIPA, 34784
YUCAIPA BLVD, 923994253
Payment method: Credit Card
Name: GRACE POINT FELLOWSHIP
Phone: 9097901971
Address: United States, California, YUCAIPA, 34784
YUCAIPA BLVD, 923994253
Shipping method: Rush
Get it by: 2/5/2025
Name Price Qty Total
18"x 24"
Corrugated Plastic
1 do not need a protective coating
Single Sided
cstrong>24 h x 10 "w Wire Stakec/strong
$5.02
150 $753.00
Sub -total: $753.00
Shipping: $6.99
Tax: $58.90
Order total $818.89
-1-
06/09/2025 City Council Agenda
419
Order# 600620664
https://www.buildasign.com
Date: Monday, March 10, 2025
Billing Information Shipping Information
Name: Jamie D Endres
Phone: 9097901971
Address: United States, California, YUCAIPA, 34784
YUCAIPA BLVD, 92399
Payment method: Credit Card
Name: GRACE POINT FELLOWSHIP
Phone: 9097901971
Address: United States, California, YUCAIPA, 34784
YUCAIPA BLVD, 923994253
Shipping method: Standard
Get it by: 3/19/2025
Name Price Qty Total
18"x 24"
Corrugated Plastic
1 do not need a protective coating
Single Sided
$14.54
10 $145.40
Sub -total: $145.40
Shipping: $0.00
Tax: $1 I.27
Order total $156.67
- 1 -
06/09/2025 City Council Agenda
420
ATTACHMENT 5
06/09/2025 City Council Agenda
421
CITY OF YUCAI RA
COMMUNITY ACTIVITY GRANT APPLICATION
FINANCIAL / IN -KIND J FEE WAIVER
' COMMUNITY ACTIVITY GPANT APPLICATION INSTRUCTIONS
FISCAL YEAR:
2025/2026
DATE SUBMITTED: 5-14-2O25
SUBMIT TO: CITY OF YIJCAIPA
GENERAL SERVICES/CITY CLERK DEPARTMENT
34272 YUCAIPA BLVD.
YUCAIPA, CA 92399
All sections of the application must be returned complete, and all supporting documentation must be Included as part of the submittal. Incomplete applications received will be returned to the applicant.
Nate: Beginning with the FY25/26 grant cycle, financial grant awarded funds wilt require 1b13% financial match by the applicant. For example, if your total program/project cost Is $1,tltiM, your financial grant request should be for no more than MO. Be prepared to show proof of program/project cost In your Wrap-u p Report (Accountability Report), detailing the applicants match of MO.
SEC -NON 1 - GENERAL INFORMATION
Name of Applicant/Organization. pland Leaders Charter School - Applicant/Organization: 112375 California St.'Yuczitpa, CA 92399 `.
Mailing Address
Applicant/Organization Phone Number:
CONTACT (1)
CONTACT (2)
,leremy Hoch
NAME
j hoc h @ i nlancil eaders .com
EMall
Mike Gordon
NAME
rn gordonffii nlandleaders.com
E.Mail
PI44NE NUMBER
PHONE NUMBER
SECTION 2 - ELIGIBILITY REQUIREMENTS
Is your organization located In another community?
Will the program/event take place in another community? Are you aware of any other City program providing this service? i RECEIVED
MAY 1 4 2025
Yucaipa City Clack's Office
If so, which one?
*If you answered ''Yes'' to any of the questions listed above, your request is not eligible for the Community Activity Grant. 1 yy SECTION 3 - ORGANIZATION INFORMATION/APPLICANT BACKGROUND Your organization must be an established 501 (c) to be considered for Community Activity Grant funding, Please submit documentation verifying organization 501 (c) status along with this application.
YES
Is your organization a 501 (c)?
If so, please provide Tax ID# and attach all supporting 20-8343378 documents.
Does this application include submittal of
documentation verifying 501 (c) status?
How long has your 501 (c) organization been in existence? Number of employees working for organization?
Number of volunteers working for organization?
Is a current City Council Member on your board?
How many Yucaipa residents does your organization
currently serve?
Does the organization charge admission, membership
fees, due, etc.?
If yes, please describe:
17 years
120
100
NO
0111
Names and Titles of Officers and Board of Directors: (Please attach an organization chart. if available) Dr. Jay Jimenez President
Michael. Casavan
Jacob Rosario
Bonnie Mitchell
.Eli Gillcspi
;Mike Gordon
•
Treasurer
Member
•Secretary,
Member
Director
2 SECTION 4 - PROGRAM DESCRIPTION/SCOPE (PLEASE USE ADDITIONAL
PAGES AS NECESSARY)
Name of the program/event: Volleyball Games
Date(s) of the program/event: Aug. 29. Sept. 7, 14, 18, 26, Oct 6, 10 Total estimated cost for program/event:
Describe the program/event that the organization is seeking support for; (Attach any event/program promotional materials associated with the programfevent) Our sports program is in need of a gym to host our volleyball home games. We have 6 or 7 home volleyball games. I do not have our league schedule to provide exact dates.
Describe how the program/event benefits the residents/or community of Yucaipa:
We believe that athletic are an important part of the educational experience at ILCS. Our students benefit from learning how to handle sucees and disappointment. Athletics help build good leadership qualities, in students that will help them be leaders in our community.
•
Program/event primary target population (check all that apply):
l l Children or Youth n Entire Community Homeless ri Low Income ❑ Women Persons with Disabilities ❑ Seniors u Victims l l Welfare Recipients Please answer the following to determine if your program/event requires a Special Event Permit (SEP):
YES NO
Estimated attendance 300-999 persons ❑ ✓n
Amplified Sound El
Special Event Facilities)
This sox IS FOR STAFF USE ONLY
This event requires City Management/
Administrative Approval:
❑ N❑
Estimated attendance 1000+ persons
Alcohol Service
(excluding Community Centers & YPAG)
Street Closure -Traffic Management
in YES NO
in
❑ El
❑ El
THIS BOX IS FOR STAFF USE ONLY
This event requires City Council Approval:
YES NO
El
3 SECTION 5 - GRANT FUNDING REQUEST
Please identify what your organization is seeking:
YES NO YES NO
Financial Support: $ .- $200 SEP Fee Waiver: n [ i
In -Kind Support: $ $+1200-1100— $ $
OT/Reassigned Staff CS/Rental Scherer Other
Community Center
Total Amount
of Request
If other, please explain:
In -Kind Financial Support $200 SEP Fee
Waiver
Financial Match
Total Overall
Request
Provide a detailed description of how the financial support will be used:
.Our sports program is in need of a gym to host our volleyball home games. We have 6 or 7 home volleyball games. 1 do not have our league schedule to provide exact dates. .
SECTION 6 - FINANCIAL CAPABILITIES/BUDGET
What other in-kind/financial contributions has your organization received to fund this event/program (separate from city funding)?
'NA
$
Total Funds Received to Date: $
Total Funds Requested via Grant Application: $
Remaining Balance that will be Funded by Organization: $ In -Kind
Amount
Financial
Support Amount
4 SECTION 6 - FINANCIAL CAPABILITIES/BUDGETfconrsNurnt
Describe any City Funding received by organization in the past three years (required)? Program
CC Gym
CC Gym
CC Gym
In -kind
Support
L J
El
❑If
Financial
Support
S20a SEP
Fes Waiver
111
El
111
Date Received Total Received
Spring 2022 $ 1500
Spring 2023 ; $,1500
S pring 2024 $ 1800
SECTION 7 - CERTIFICATION
I, the undersigned, do hereby attest that the above information 1s true and correct to the best of my knowledge, and understand that the awarded financial grant amount needs to be spent prior to submitting Athletic Director
Title
5-14-2025
Date
TO BE COMPLETED BY THE CITY
Date Received: Date Reviewed:
Amount Funded: City Council Meeting:
Type of Cant Irj4Und Flnlndil 1200 SEP
Support Support For Waiver
Date City Council received follow-up report:
5 Permit
COMMUNITY
?ode- SERVICES
M kt
Betfir'
City of Yucaipa Community
Services
34272 Yucaipa Blvd
Yucaipa. CA 92399
Organization Name
Customer Type
Organization Address
PHONE:(909) 790-7460
FAX:(909) 790-2589
EMAIL::[email protected]
Inland Leaders Charter School - 170
Non -Profit (R )
12375 California St
Yucaipa, CA 92399
Agent Name Jeremy Hoch
System User Nick Johnson
ILCS Volleyball
Booking Summary
Permit #
Status
Date
Expiration Date
R7565
Tentative
May 21. 2025 1:16 PM
May 21, 2026
Home Phone Number
Email Address :noc.14.nianoeadt-. ;
Rental Fee
Discounts
Subtotal
Deposits
Deposit Discounts
Total Permit Fee
Total Payment
Refunds
Balance
$1,050.00
-$105.00
$945.00
$100.00
$0.00
51,045.00
$0.00
$0.00
$1,045.00
2 resource(s) 7 booking(s) Subtotal: $1,045.00
Gymnasium, North (Indoor Reservations)
Center: Yucaipa Community Center
START DATE/TIME
Thu, Aug 28.2025 2:30 PM
1{2:1id� - H�Jfiy
Resident Discount - 10%
Tue, Sep 9, 2025 2:30 PM
Rental - Hauriy
Resident Discount - 10%
Tue, Sep 16, 2025 2:30 PM
Rental - Hauriy
Resident Discount - 10%
Thu, Sep 25.2025 2:30 PM
Rental - Hourly
Resident Discount- 10'1
Resource level fees
Deposit
END DATE/TIME
Thu, Aug 28, 2025 5:00 PM
$60.00 / Hour x 2.5 , ] 5:!-01}
-10°%e x 1-$15.00
Tue. Sep 9.2025 5:00 PM
$60.00 / Hour x 2.5 5150,00
-10%x1-$15.00
Tue. Sep 16, 2025 5:00 PM
$60.00/ Hour x 2.5 $150.00
10% x 1-515.00
Thu, Sep 25, 2025 5:00 PM
$60.00 / Hour x 2.5 $150.00
10% x 1 -$15.00
$100.00./ Each x 1
$100-00
ATTENDEE
40 40
40 40
AMT W/O TAX
$135.00
$135.00
$135.00
$135.00
$100.00
Gymnasium, South (Indoor Reservations)
Center: Yucaipa Community Center
#( 7/0/Z025 LityuounceiPKgenda
Pat11f
START DATE/TIME END DATE/TIME ATTENDEE AMT WIO TAX
Thu, Sep 18, 2025 2:30 PM Thu, Sep 18, 2025 5:00 PM 40 $135.00 Rental - Hourly $60.00 1 Hour x 2.5 5 I 0 05
Resident Discount - 10% -10°4 x 1-$15.00
Thu, Oct 2, 2025 2:30 PM Thu, Oct 2, 2025 5:00 PM 40 $135.00 Rental - Hourly $60.00 / Hour x 2.5 S150.00
Resident Discount - 10% -10% x 1-$15.00
Thu, Oct 9, 2025 2:30 PM Thu, Oct 9, 2025 5:00 PM 40 $135.00 Rental - Hourly $60.001 Hour x 2.5 $15D.00
Resident Discount - 10% -10% x 1-$15.00
Resource level tees $0.00
,,.i. , . $0.00 / Each x 1 $0.00
Deposit
EVENT RESOURCE DEPOSIT FEE CHARGE TAX AMOUNT PAID REFUNDS BALANCE ILCS Gymnasium, Deposit $100.00 $0.00 $0.00 $0.00 $100.00 Volleyball North
ILCS Gymnasium, Deposit $0.00 $0.00 $0.00 $0.00 $0.00
Volleyba€I South
Payment Schedules Original Balance: $1,045.00 Current Balance: $1,045.00
DUE DATE AMOUNT DUE AMOUNT PAID WITHDRAWAL ADJUSTMENT BALANCE Aug 14, 2025
$1,045.00 $0.00 $0.00 $1,045.00
# R7565 Status Tentative
06/09/2025 City Council Agenda
428
Permit
City of Yucaipa Community PHONE:(909) 790-7460
Services FAX:(909) 790-2589
34272 Yucaipa Blvd EMAIL:[email protected]
Yucaipa, CA 92399
Organization Name
Customer Type
Organization Address
Inland Leaders Charter School -170
Non -Profit (R)
12375 California St
Yucaipa, CA 92399
Agent Name Jeremy Hoch
System User Nick Johnson
ILCS Volleyball
Booking Summary
COMMUNITY
?`ems SERVICES
RECEIVED
MAY 3 0 2025
Yucaipa City Clerk's Office
Pa rb
Mr!
Permit # R7565
Status Tentative
Date May 21, 2025115 PM
Expiration Date May 21, 2026
Home Phone Number
Email Address [email protected]
Rental Fee $900.00
Discounts $0.00
Subtotal $900.00
Deposits $100.00
Deposit Discounts $0.00
Total Permit Fee $1,000.00
Total Payment $0.00
Refunds $0.00
Balance $1,000.00
2 resource(s) B booking(s) Subtotal: $1,000,00
Gymnasium, North (Indoor Reservations)
Center. Yucaipa Community Center
START DATE/TIME
Thu, Aug 28, 2025 2:45 PM
Rental - Hourly
Thu, Sep 25, 2025 245 PM
Rental - Hourly
Resource level fees
END DATE/TIME
Thu, Aug 28, 2025 515 PM
$60.00 / Hour x 2.5 $150.00
Thu, Sep 25, 2025 5:15 PM
$6000 / Hour x 2.5 5150.00
$100.00 / Each x 1
S100.00
ATTENDEE
40 AMT W/O TAX
$150.00
40 $i5000
$100.00
Gymnasium, South (Indoor Reservations)
Center: Yucaipa Community Center
START DATE/TIME
Mon, Sep 15, 2025 2:45 PM Thu, Sep 18, 2025 515 PM
Occurs on selected dates effective 09/15/2025 until 0911812025 Mon, Sep 15, 2025 2:45 PM
Rental - Hourly $60.00 / Hour x 2.5 $150.00
END DATE/TIME
Man, Sep t5, 2025 5:15 PM
ATTENDEE
AMT W/0 TAX
5300,00
40 $150.00
06/09/2025 City Council Agenda
429
Thu, Sep 18, 2025 2:45 PM Thu, Sep 18, 2025 5:15 PM 40 $150.00 Rental - Hourly $60.00 / Hour x 2.5 $150.00
Mon, Oct 6, 2025 2:45 PM Mon, Oct 6, 2025 5:15 PM 40 $150.00 Rental - Hourly $60.00 / Hour x 2.5 $150.00
Thu, Oct 9, 2025 2:45 PM Thu, Oct 9, 2025 515 PM 40 $150.00 Rental - Hourly $60.00 / Hour x 2.5 $150.00
Deposit
EVENT RESOURCE DEPOSIT FEE CHARGE TAX AMOUNT PAID REFUNDS BALANCE ILCS Volleyball Gymnasium, Deposft $100.00 $0.00 $0.00 $0.00 $100.00 North
Payment Schedules
DUE DATE
Aug 14, 2025
AMOUNT DUE
$1,000.00
Original Balance: $1,000.00 Current Balance: $1,000.00
AMOUNT PAID WITHDRAWAL ADJUSTMENT BALANCE
$0.00 $0.00 $1,000.00
06/09/2025 City Council Agenda
430
ATTACHMENT 6
06/09/2025 City Council Agenda
431
-maw
CITY OF YUCAIPA
COMMUNITY ACTIVITY GRANT APPLICATION
FINANCIAL / IN -KIND I FEE WAIVER
COMMUNITY ACTIVITY GRANT APPLICATION INSTRUCTIONS
FISCAL YEAR:
DATE SUBMITTED:
FY 25/26
SUBMIT TO: CITY OF YUCAIPA
GENERAL SERVICES/CITY CLERK DEPARTMENT
34272 YUCAIPA BLVD.
YUCAIPA, CA 92399
All sections of the application must be returned complete, and all supporting documentation must be included as part of the submittal. Incomplete applications received will be returned to the applicant, Note: Beginning with the FY 25/26 grant cycle, financial grant awarded funds will require 100% financial match by the applicant. For example, if your total program/project cost is S1,40C, your financial grant request should be for no more than $500. Be prepared to show proof of program/project cost in your Wrap-up Report (Accountability Report), detailing the applicants match of $500.
Received
SECTION 1 - GENERAL INFORMATION
Name of ApplicantuOrganizatiorr Rotary Club of Yucaipa
Applicant/Organization: pO Box 661
Mailing Address
Applicant/Organization Phone Number
CONTACT (1)
CONTACT (2)
DonnaKaye Ostrander
NAME
MAY 15 2025
General Services/
City Clerk's Department
PHONE NUMBER
E•Mall
Jennifer Crawford
NAME
PHONE NUMBER
E-Mail
SECTION 2 - ELIGIBILITY REQUIREMENTS
YES
Is your organization located in another community?
Will the program/event take place in another community? Are you aware of any other City program providing this service? If so, which one?
*If you answered "Yes" to any of the questions listed above, your request is not eligible for the Community Activity Grant.
NO
7 1I
432
SECTION 3 - ORGANIZATION INFORMATION/APPLICANT BACKGROUND Your organization must be an established 501 (c) to be considered for Community Activity Grant funding.
Please submit documentation verifying organization 501 (c) status along with this application.
Is your organization a 501 (c)?
If so, please provide Tax ID# and attach all supporting documents.
Does this application include submittal of
documentation verifying 501 (c) status?
How long has your 501 (c) organization been in existence? Number of employees working for organization?
Number of volunteers working for organization?
Is a current City Council Member on your board?
How many Yucaipa residents does your organization
currently serve?
Does the organization charge admission, membership
fees, due, etc.?
If yes, please describe:
YES NO
EI
45-5149308
1956
0 40
uo
55,000
El
Dues $180
Names and Titles of Officers and Board of Directors: (Please attach an organization chart, if available) Dan Hudec (President)
Karen Swedlove (Secretary)
Jack Knight (Treasurer)
Terry Knight ((Club Administrator)
David Avila (Community Services)
Henry Markowicz (Foundation Coordinator)
Chris Markarian (Membership)
Kent & Karen Colby (Youth Servic/Protection)
Leslie Wessels (Public Relations)
2 06/09/2025 City Council Agenda
433
SECTION 4 - PROGRAM DESCRIPTION/SCOPE (PLEASE USE ADDITIONAL PAGES A5 NECESSARYi
Name of the program/event: 70th Annual Christmas Parade Date(s) of the program/event: Saturday December 13, 2025 Total estimated cost for program/event: $15,700 CAG In -Kind Grant Request additional costs covered by Rotary Describe the program/event that the organization is seeking support for:
(Attach any event/program promotional materials associated with the program/event) The 70th Annual Christmas Parade will be held on Saturday, December 13, 2025. This year will mark the 6th year that the parade will be organized by the Rotary Club of Yucaipa.
The Parade will start at the corner of Avenue D and California Street. The route will proceed north on California Street until Yucaipa Boulevard, travel west on Yucaipa Boulevard until 6th Street, travel south on 6th Street and end at the Oak Valley Education Center campus.
Describe how the program/event benefits the residents/or community of Yucaipa:
The 70th Annual Christmas Parade rings in the holiday season for Yucaipa residents. The parade provides an opportunity for local & regional groups, clubs, organizations and businesses to their services/activities. The annual parade draws approximately 10,000 spectators that gather in the Uptown and along Yucaipa Boulevard. Businesses along the parade route also benefit from the event.
Program/event primary target population (check all that apply):
Children or Youth
nPersons with Disabilities
Entire Community
Seniors
Homeless
Low Income
Victims n Welfare Recipients
Women
Please answer the following to determine if your program/event requires a Special Event Permit (SEP):
Estimated attendance 300-999 persons
Amplified Sound
(excluding Special Event Facilities)
YES NO
•
THIS BOX IS FOR STAFF USE ONLY
This event requires City Management/
Administrative Approval:
YES NO
Estimated attendance 1000+ persons
Alcohol Service
(excluding Community Centers & YPAC)
Street Closure - Traffic Management
YES NO
n
THIS BOX IS FOR STAFF USE ONLY
YES
This event requires City Council Approval:
NO
3 06/09/2025 City Council Agenda
SECTION 5 - GRANT FUNDING REQUEST
Please identify what your organization is seeking:
YES NO
❑ $
Financial Support:
In -Kind Support: $ 15,500 $
OT/Reassigned Staff CS/Rental
IF other, please explain:
$200 SEP Fee Waiver:
$
Scherer
Community Center
$
YES NO
nn
Other
Total Amount $ 15,500
of Request
In -Kind
$ 200
Financial Support S200 SEP Fee Financial Match
Waiver
Provide a detailed description of how the financial support will be used:
15,700
Total Overall
Request
The In -Kind Support received from the CAG will cover the costs of police ($9,500) and Public Works support (6,000) for street closures (personnel and equipment).
Rotary is granted $1,000 in financial support through the Non -Department Not -for -Profit Budget, which is separate from the CAG.
SECTION 6 - FINANCIAL CAPABILITIES/BUDGET
What other in-kind/financial contributions has your organization received to fund this event/program (separate from city funding)?
In -Kind Financial
Amount Support Amount
$ $6000
$ $
Priceless
Rotary Club contributes
Rotary Volunteers (approx 25)
$
$
$
Total Funds Received to Date: $
Total Funds Requested via Grant Application: $
Remaining Balance that will be Funded by Organization: $ $
$
$
$
$ S6,000
4 06/09/2025 City Council Agenda
SECTION 6 - FINANCIAL CAPABILITIES/BUDGET tcoNmvuEo)
Describe any City Funding received by organization in the past three years (required)? Program
2024 Event
2023 Event
2022 Event
In -Kind
Support
■
1 Financial
Support
5200 SEP
Fee Waiver
■
1 1
Date Received
6.26.23 Total Received
$ 16,200
$ 12,334
10.10.22 $8,713
SECTION 7 - CERTIFICATION
I, the undersigned, do hereby attest that the above information is true and correct to the best of my knowledge, and understand that the awarded financial grant amount needs to be spent prior to submitting another grant reouest.
5)1..da
Title Date
SUBMIT FORM
TO BE COMPLETED BY THE CITY
Date Received:
Arno unt Funded:
Type of Grant:
In -Kind
Support
Financial
Support
Date City Council received follow-up report:
Date Reviewed:
City Council Meeting:
5200 SEP
Fee Waiver
06/09/2025 City Council Agenda
436
Docusign Envelope ID: 05ACE1CC-778E-497D-9149-4E174B5D7FE3
SPECIAL EVENT PERMIT
WELCOME TO THE CITY OF YUCAIPA
Thank you for your interest in hosting a Special Event in the City of Yucaipa. The Community Services Department
created this application to help you host a successful and exciting event here in Yucaipa. Please review and complete the following application in accordance with the provided information. A special event in the City of Yucaipa is
defined as a "Carnival", "Community Celebration", or
"Outdoor Festival" which includes the use of amplified
sound and/or estimated attendance equal to or exceeding 300 people on City or private property. Except as otherwise provided by state law, no person or entity shall operate, maintain, conduct, advertise, or provide admission for any temporary special event within the City of Yucaipa without possessing a permit for each such temporary special event (Ord. No. 384).
PROCEDURES
A complete permit application may be filed as early as one (1) year before the event, but it must be received no later than three (3) months before the actual event date. Any organized activity involving the use of, or having impact upon, public property, facilities, public parks, sidewalks or street areas requires a permit. Applicants requesting a waiver of fees or services must submit their application a minimum of six (6) months in advance.
The permit application process begins when you submit a complete Special Event Permit application. Keep in mind that acceptance of your application should in no way be construed as final approval or confirmation of your request. Upon receipt of your application, the Special Events Supervisor will help guide you through the permit process. Copies of the application are forwarded and reviewed by all affected departments and/or agencies. During the review process, you will be notified if your event requires any additional information, permits, licenses or certificates. During our initial application screening process, you will be allowed time to provide us with all pending documents. We must receive these items before issuing a Special Event Permit (i.e., certificates of insurance, secondary permits, etc.). Delays in providing these items often delay our ability to finish our review and approve your application in a timely manner. Special Event Permits can be approved administratively by City management under specific limited criteria. Events that exceed those criteria will require the approval of City Council:
City Management/Administrative Approval
• Estimated attendance 300-999 persons
• Amplified Sound (excluding Special Event Facilities)
City Council Approval
• Estimated attendance 1000+ persons
• Alcohol Service (excluding Community Centers and YPAC) • Street Closure - traffic management
• Fee Waiver/Co-Sponsorship/In-Kind (Community Activity Grant Application required)
APPLICATION
11Pa e
06/09/2025 City Council Agenda
Doc usign Envelope ID: 05ACE1 CC-778E-497D-9149-4E 174S507F E3
CITY OF YUCAIPA
SPECIAL EVENT PERMIT
APPLICATION
Organization and Applicant Information 45-5149308
❑ Commercial (For -profit) [■I Noncommercial (Non-profit) Tax I.D. #:
Organization
Name
Rotary Club of Yucaipa
Applicant Name
DonnaKaye Ostrander
Address
PO Box 661
Email
Phone Number
On -Site Contact
Donnakaye Ostrander f Jennifer Crawford
Phone Number
/
Event Information
Type of Event: ❑ Athletic/Recreation ❑ Festival/Celebration ❑ Outdoor Market Circus/Carnival
nConcert/Performance ❑J Parade/Procession/March ❑Other (specify):
Event Title
70th Annual Christmas Parade
Event Location
Yucaipa Blvd (California St 1 Yucaipa Blvd. / 6th St.)
Event
Description
The 70th Annual Christmas Parade will be held an Saturday, December 13, 2025.
The Parade will start at the corner of Avenue D and California Street. The route will proceed north on California Street until Yucaipa Boulevard, travel west on Yucaipa Boulevard until 6th Street, travel south on 6th Street and end at the Oak Valley Education Center campus.
Please complete a daily breakdown of event -related activities. Use multiple lines to distinguish between different daily activities. Please attach additional sheets if necessary.
Date(s)
Daily Activity
Start Time
End Time
12/13/25
■❑ Set-up ❑ E..vent Day ❑ Clean-up
8:00 am
12:D0 pm
12/13/25
❑ Set-up • Event Day ❑ Clean-up
12:00 pm
3:00 pm
12/13/25
❑ Set-up I 1 Event Day ■ Clean-up
3:00 pm
4:00 pm
0 Set-up Event Day ❑ Clean-up
❑ Set-up ❑ Event Day ❑ Clean-up
❑ Set-up ❑ Event Day ❑ Clean-up
Has this event taken place before? ❑! Yes El No
+1-'14,00D
Total anticipated attendance: Participants: Spectators:
How many years? 69 yrs
1,000 9,000
2lPage
06/09/2025 City Council Agenda
Docusign Envelope ID: 05ACE1 CC-778E-497D-9149-4E 174B5D7FE3 foe,.
CITY OF YUCAIPA
SPECIAL EVENT PERMIT
APPLICATION
Site Plan
Attach a diagram showing the overall layout and setup locations using the letters below.
Indicate the site for these on your diagram.
A. Alcoholic and nonalcoholic concession and/or beer garden areas B. First -aid facilities and ambulance locations
C. Tables and chairs
D. Fencing, barriers and/or barricades
E. Generator locations and/or source of electricity
F. Canopies or tent locations
G. Booths, exhibits, displays or
enclosures
H. Scaffolding, bleachers,
platforms, stages,
grandstands and related
structures
I. Vehicles and/or trailers
J. Other related event
components not covered
above (describe
separately)
K. Trash containers and
dumpsters
L. Non-food vendor locations
M. Food concession and/or
food preparation areas
N. Potable toilet location(s)
Sample Site Plan:
When planning a moving route, the Yucaipa Police Department is available to assist you in planning your route. Consider the following in your planning:
• Impedance of emergency fire, police or paramedic vehicles. • Conflict with public transportation, such as buses.
• Interference with people trying to reach their own residences, businesses, places of worship and public facilities.
If your event involves street closures, you may be required to obtain traffic safety equipment, and a certified traffic control plan. Depending on the type of event, barricades, traffic cones, signs, etc., may be required. Depending on the type of event and after evaluating roadway conditions, you may be required to properly place this equipment prior to commencing the event. If the closure creates a potential hazard, your organization will be required to contract traffic service from the Yucaipa Police Department and/or Street Division. 3lPage
06/09/2025 City Council Agenda
DocusIgn Envelope ID: 05ACE1CC-778E-497D-9149-4E174B5D7FE3 Ilpeette7-
lllf
CITY OF YUCAIPA
SPECIAL EVENT PERMIT
APPLICATION
List street(s) requiring closure as a result of this event. Include street name(s), day, date, and time of closing and time of reopening:
All streets listed below require closures on Saturday, 12/13/25 from 8:00 a.m.-4:00 p.m. California Street:
Acacia Ave. to USPS; Acacia Ave: Entrance of YPAC Parking Lot to California; Avenue A: 2nd St to Bryant St - Maybe scaled back to 1st St to Adams St; Avenue B: 2nd St to Bryant St - Maybe scaled back to 1st St to Adams St; Avenue C: 2nd St to Bryant St - Maybe scaled back to 1st St to Adams St; Avenue D:
2ns St to Bryant St - Maybe scaled back to 1st St to Adams St; Yucaipa Blvd: California St to 6th St6th St:
Yucaipa Blvd to OVEC Campus
Soft closure at 6th and Avenue E
Indicate how this closing/reopening of streets will be handled:
n City of Yucaipa to handle (cost to be specified) n Event to handle per CalTrans standards
List street(s) requiring the posting of "No Parking" signs. Indicate days, dates, and times needed and an explanation of necessity of "No Parking" zone:
California Street: Yucaipa Blvd to just north of post office. Avenue A: 1st St to Adams St, Avenue B: lst St to Adams St, Avenue C: 1st St to Adams St, Avenue D: lst St to Adams St, Yucaipa Blvd: California St to 6th St, 6th St: Yucaipa Blvd to OVEC Note: "No Parking"signs will be posted forty-eight (48) hours in advance of required days, dates and times. Cost for the posting of "No Parking" signs will be specified upon review of the application by City staff:
Food and Beverage
Please describe how food will be served at the event:
None
Will food be cooked in the event area? ❑ Yes UI No
Method: ❑ Gas n Electric ❑ Charcoal ❑ Other (specify):
Does the event involve the sale or use of alcoholic beverages? ❑ Yes ❑1 No If alcohol is to be sold, how will the alcohol sales be regulated? NA
Who will be handling the alcohol sales?
NA
Restrooms
Portable restrooms are required when estimated attendance exceeds what the host facility's restrooms can accommodate. One portable restroom is required for every 50 patrons attending over the minimal site accommodations.
Will Event Organizer provide portable restroom facilities? 0 Yes n No 41Page
06/09/2025 City Council Agenda
Docusign Envelope ID: 05ACE1CC-778E-497D-9149-4E17495D7FE3 _Aso_
P(Aa'°'
CITY OF YUCAIPA
SPECIAL EVENT PERMIT
APPLICATION
Company
Name
Diamond Environmental
Contact Name
Phone Number
Victor Jackson
Lighting
If this is an evening event, please state how the event and surrounding areas will be illuminated to ensure the safety of the participants and spectators. (If required, show a separate site map which details streetlights, portable lights, and other illuminating devices.) None
Waste Removal
Event Organizer is responsible for arranging for the removal of all waste related to the event.
This includes but is not limited to emptying of trash bins and the removal of waste from the event site and other affected areas. If hiring a professional sanitation company, please rovide the fallowing information.
p
Company
Name
Rotary representative will coordinate with Burrtec thru Ana Sauseda Contact Name
Phone Number
If not hiring a professional sanitation company, please provide the following information for the person(s) responsible for waste removal.
Contact Name
Phone Number
Yucaipa Rotary Club - Donna Kaye / Jennifer Crawford
Cal Fire/Medical
In case of an emergency, the on -site contact will call 9-1-1. If event requires an ambulance company to be on -site, please provide the following information:
Company
Name
Cal Fire
Contact Name
Phone Number
5IPage
06/09/2025 City Council Agenda
Docusign Envelope ID: 05ACE1CC-778E-497D-9149-4E174B5D7FE3 n iI
CITY OF YUCAIPA
Please describe your medical plan including your communications plan, the number, certification levels (MD, RN, Paramedic, EMT) and types of resources that will be at your event and the manner in which they will be managed and deployed. Your plan should include hours of setup and dismantle of medical aid areas. You may attach the plan to this application if necessary:
Police Services/Security
In the event that a carnival/street fair and/or alcohol service will be included in the event, an
alcohol garden and security plan will need to be submitted as well as a security contract and/or public safety staffing plan for review by the Police Department.
Is there a professional security organization hired for this event? ❑ Yes ❑■ No Company
Name
SBCSD
Contact Name
Phone Number
Please describe your security plan including crowd control, internal security or venue safety, or attach the plan to this application:
Entertainment
Will sound amplification be used? ❑■Yes ❑ No Start time: End time:
Are there any musical entertainment features for this event? ■❑ Yes ❑ No Name of Act
Various bands in the parade & sound from various floats Contact Name
Phone
Number
How many stages? 1 Number of bands? 3-4 Genre of music: various Will fireworks, rockets, or other pyrotechnics be used? n Yes n No Company
Name
6 Pa e
06/09/2025 City Council Agenda
Docusfgn Envelope ID: 05ACEICC-778E-497D-9149-4E174B5D7FE3 faatip6V
CITY OF YUCAIPA
SPECIAL EVENT PERMIT
APPLICATION
Contact Name
Phone Number
Describe (indicate dates, times and locations for launching and fallout areas):
Has a permit been issued: ❑ Yes ❑ No
(Note: Additional permits may be required as indicated by staff These include, but are not lirnited to, Conditional Use 24 Permit, Land Use Permit, and Fire Department permits.) Insurance
Before a Special Event Permit is issued, a certificate of insurance must be submitted.
Insurance certificate must be issued by insurance underwriters "admitted" by the California Insurance Commission and rated 'A' or better by AM Best. Requirements are:
• Minimum $1,000,000 General Liability Limit
• Minimum $1,000,000 General Automobile Liability
• Minimum $1,000,000 Worker's Compensation
• On an additional insured endorsement, the City, its elected officials, officers, and agents are to be named as additional insured
• Minimum limits of coverage may change depending on event ❑ Insurance certificate attached ❑■ Insurance certificate on file ❑ Insurance certificate not available
Filing Fees
Special Event Permit Application Fee : $200.00
* Other Fees may apply (e.g. street closures, Fire Permit/Inspections, utilities, facility rental, etc.)
0670VI 2.F City Council Agenda
Docuslgn Envelope ID: OSACEICC-778E-497D-9149-4E174B5D7FE3
CITY OF YUCAIPA
SPECIAL EVENT PERMIT
APPLICATION
Application Checklist
■❑ Completed Application
❑ Certificate of liability insurance
'Site Plan (location of structures, lighting, restrooms, parking, etc.) ❑ Copy of Security Contract (if applicable)
❑ Copy of Potable Restroom purchase order (if applicable) Facility or Shelter Reservation Application (if applicable) ❑ Copy of ABC License (if applicable)
❑ Copy of County Health Permit (if applicable)
By signing below, 1 agree to indemnify, hold harmless, and defend the City and its officials, employees, and agents, against all claims, liabilities, and losses arising from activities connected with or undertaken pursuant to the Permit. The City is not liable for any business loss, property loss, or Other damage that may result from the use of the Permit, or suspension or revocation of the Permit.
Name: J . Crawford Signature:
Date:
Wage
_ • 06/09/2025 City Council Agenda
Docusign Envelope ID. 05ACE1CC-778E-497D-9149-4E174B5D7FE3 •• •I
A A
SPECIAL EVENT PERMIT
DEPARTMENT APPROVAL PAGE
YUCAIPA FIRE DEPARTMENT APPROVAL
❑ APPROVED ❑ DENIED
4774
FIRE DEPT
COMMENTS:
Maintain Emergency Access at all times.
FEES:
None
NAME: Grant Mal i nowski
SIGNATURE:
,-DocuSiyned by:
2---4A6?1A-
4AITOuCAT101,5_
06/09/2025 City Council Agenda
DATE: 5/15/2025
42111=
Docusign Envelope ID: O5ACE1CC-778E-497D-9149-4E174B5D7FE3 _v • - V A
1 PA
SPECIAL EVENT PERMIT
DEPARTMENT APPROVAL PAGE
COMMUNITY SERVICES DEPARTMENT APPROVAL
APPROVED
DENIED
city o{
COMMENTS:
There will be 3 planning meetings prior to the event.
FEES:
None
NAME:
Megan Wolfe
DacuSigned by:
SIGNATURE: W-
0894720EEC984CA...
5/15/2025
DATE:
06/09/2025 City Council Agenda
Docusign Envelope ID: 05ACE1 CC-778E-497D-9149-4E174B5D7FE3 • y ' 1 ' 1
SPECIAL EVENT PERMIT
DEPARTMENT APPROVAL PAGE
DEVELOPMENT SERVICES APPROVAL
(Planning, Public Works, Building and Safety, Engineering)
APPROVED
DENIED
,A1101111W
city ° ; y
1 COMMENTS:
Items to include staff time (set-up/take-down of road
closures
FEES:
$6,000
Planning
NAME:
SIGNATURE:
Public Works
Scott washburn
NAME:
DATE:
DocuSIgned by:
SIGNATURE: i_5teft htidettnt, DATE:
'C6986398EFCE444
Building/Safety and Engineering
NAME:
5/15/2025
SIGNATURE: DATE:
06/09/2025 City Council Agenda
Docusign Envelope ID: 05ACE1CC-778E-497D-9149-4E174B5D7FE3 IT • A'�
iio
SPECIAL EVENT PERMIT
DEPARTMENT APPROVAL PAGE
SHERIFF'S DEPARTMENT APPROVAL
APPROVED
DENIED
POLICE
COMMENTS:
staffing remains same as previous year
FEES:
Cost for event is anticipated at $9 , 500
NAME:
Ryan Ford
SIGNATURE:
DocuSlgned by:
ril
06/09/2025 City Council Agenda
DATE: 5/15/2025
ATTACHMENT 7
06/09/2025 City Council Agenda
449
CITY OF YUCAIPA
COMMUNITY ACTIVITY GRANT APPLICATION
FINANCIAL / IN -KIND / FEE WAIVER
COMMUNITY ACTIVITY GRANT APPLICATION INSTRUCTIONS
FISCAL YEAR:
FY 25/26
DATE SUBMITTED: 518/25
SUBMIT TO: CITY OF YUCAIPA
GENERAL SERVICES/CITY CLERK DEPARTMENT
34272 YUCAIPA BLVD.
YUCAIPA, CA 92399
All sections of the application must be returned complete, and all supporting documentation must be included as part of the submittal. incomplete applications received will be returned to the applicant.
Note: Beginning with the FY 25/26 grant cycle, financial grant awarded Funds will require 100% financial match by the applicant- For example, if your total program/project cost is S1,000, your financial grant request should be For no more than SS00. Be prepared to show proof of program/project cost in your Wrap-up Report (Accountability Report), detailing the applicants match of S500 SECTION 1 - GENERAL INFORMATION
Name of ApplicantlOrganizatiorc Rotary Club of Yucaipa
Applicant/Organization: FQ Box 661
Mailing Address
Applicant/Organization Phone Number :
CONTACT (1
CONTACT (2)
Dan !ludo:
NAME
E-Mail
Jennifer Crawford
NAME
E-Mail
PHONE NUMBER
PHONE NUMBER
SECTION 2 - ELIGIBILITY REQUIREMENTS
Is your organization located in another community?
Will the program/event take place in another community? Are you aware of any other City program providing this service? If so, which one?
-if you answered ''Yes" to any of the questions listed above, your request is not eligible for the Community Activity Grant.
YES NO
r
❑n
LI
Y
RECEIVED
MAY 08 2025
Yucaipa City Clerk's Office
1 06/09/2025 City Council Agenda
450
SECTION 3 - ORGANIZATION INFORMATION/APPLICANT BACKGROUND Your organization must be an established 501 (c) to be considered for Community Activity Grant funding.
Please submit documentation verifying organization 501 (c) status along with this application.
Is your organization a 501 (c)?
EI ❑
YES NO
If so, please provide Tax ID# and attach all supporting 45-5I49308 documents.
Does this application include submittal of
documentation verifying 501 (c) status?
How long has your 501 (c) organization been in existence? Number of employees working for organization?
Number of volunteers working for organization?
Is a current City Council Member on your board?
How many Yucaipa residents does your organization
currently serve?
Does the organization charge admission, membership
fees, due, etc.?
If yes, please describe:
1956
0 40
nEl
55,000
❑ ❑
Dues S 180/per member
Names and Titles of Officers and Board of Directors: (Please attach an organization chart, if available) Dan Hudec (President)
Karen Swedlove (Secretary)
Jack Knight (Treasurer)
Terry Knight ((Club Administrator)
David Avila (Community Services)
Henry Markowicz (Foundation Coordinator)
Chris Markarian (Membership)
Kent & Karen Colby (Youth Servic/Protection)
Leslie Wessels (Public Relations)
2 06/09/2025 City Council Agenda
SECTION 4 - PROGRAM DESCRIPTION/SCOPE (PLEASE USE ADDITIONAL PAGES As NECESSARY)
Name of the program/event: Rotary Weekly Meetings
Date(s) of the program/event: Every Tuesday (July 1, 2025 - June 30, 2025) Total estimated cost for program/event:
S10,456
Describe the program/event that the organization is seeking support for:
(Attach any event/program promotional materials associated with the program/event) Weekly Rotary Club Meetings at the Scherer Center Nutrition Facility. Meetings are open to the public.
Describe how the program/event benefits the residents/or community of Yucaipa:
The weekly club meetings allow Rotarians to discuss, plan, and implement community events, programs and services that benefit all ages in the community such as: Providing YHS & CHC Scholarships, Military Banner Program, Veterans support, meals to elders during Thanksgiving, Christmas & Easter, Annual Christmas Parade, Senior Center Park adoption, and post flags along Yucaipa Blvd. for the 4th of July, Memorial & Labor Day.
In addition, Rotary Club has adopted and maintains the landscaping in front of the Senior Center.
Program/event primary target population (check all that apply):
ZChildren or Youth III I Entire Community u Homeless I r l Low Income I v l Women ElPersons with Disabilities 1 Seniors 1 Victims 1 Welfare Recipients Please answer the following to determine if your program/event requires a Special Event Permit (SEP):
YES NO
Estimated attendance 300-999 persons I I ❑
Amplified Sound ❑
(excluding Special Event Facilities)
THIS BOX 15 FOR 5TAFF USE ONLY
This event requires City Management/
Administrative Approval:
❑ tOYES
Estimated attendance 1000+ persons
Alcohol Service
(excluding Community Centers & YPAC)
Street Closure - Traffic Management
YES
❑
❑
❑
NO
111
THIS BOX IS FOR STAFF USE ONLY
This event requires City Council Approval:
YES NO
❑
3 IMF
06/09/2025 City Council Agenda
452
SECTION 5 - GRANT FUNDING REQUEST
Please identify what your organization is seeking:
Financial Support:
YES
u
NO
$
In -Kind Support: $ $
OT/Reassigned Staff CS/Rental
If other, please explain:
Total Amount $ 10,456 \ zo
of Request i
in -Kind Financial Support
YES
$200 SEP Fee Waiver:
$ 10.456` 4 :2D 0 $
Scherer Other
Community Center
$ $
5200 SEP Fee
Waiver
Provide a detailed description of how the financial support will be used:
NA
Financial Match
SECTION 6 - FINANCIAL CAPABILITIES/BUDGET
NO
$ I 0;46-- SO ZO
Total Overall
Request
What other in-kind/financial contributions has your organization received to fund this event/program (separate from city funding)?
None - funds generated by Rotary are used to support the services listed in Section 4
in -Kind
Amount
Total Funds Received to Date: $ $
Total Funds Requested via Grant Application: $ )O, 20tP$ Remaining Balance that will be Funded by Organization: $ $ Financial
Support Amount
4 06/09/2025 City Council Agenda
453
SECTION E - FINANCIAL CAPABILITIES/BU❑GETrcoNrlNUEo)
Describe any City Funding received by organization in the past three years (required)? Program
2024/25
2023/24
2022/23
In -Kind
Support
z
u
Financial
Support
$240 SEP
Fee Waiver
u
L J
Date Received Total Received
6.1024
6.26.23 6.27.22
9,956
$ 10,155
$9,126
SECTION 7 - CERTIFICATION
I, the undersigned, do hereby attest that the above information is true and correct to the best of my knowledge, and understand that the awarded financial grant amount needs to be spent prior to submitting another grant request.
Da e
SUBMIT FORM
TO BE COMPLETED BY THE CITY
Date Received:
Amount Funded:
Type of Grant:
In -Kind
Support
Date Reviewed:
City Council Meeting:
Financial $204 SEP
Support Fee waiver
Date City Council received follow-up report:
5 06/09/2025 City Council Agenda
454
Permit
COMMUNITY
pig SERVICES
Beat
City of Yucaipa Community PHONE:(909y 790-7460
Services FAX: (909) 790-2589
34272 Yucaipa Blvd EMAIL:, urnmunityservicestuyucaipa.org Yucaipa. CA 92399
Organization Name
Customer Type
Organization Address
Rotary Club Of Yucaipa - 336
Non-Profit(R)
PO Box 661
Yucaipa, CA 92399
Agent Name Daniel Hudec Home Phone Humber
Email Address
System User Karen Ruiz
Yucaipa Rotary Club Weekly Meetings
Booking Summary
Permit # R7541
Status Tentative
Date May 7, 2025 5:51 PM
Expiration Date May 7, 2026
Rental Fee $11,340.00
Discounts-$1,134.00
Subtotal $10,206.00
Deposits $250.00
Deposit Discounts $0.00
Total Permit Fee S10,456,00
Total Payment $0.00
Refunds $0.00
Balance $10,456.00
1 resource(s) 36 booking(s) Subtotal: $10,456.00
SrC Nutrition Center (Indoor Reservations) Center Yucaipa Senior Center
START DATEITIME
Tue, Jul 8, 2025 6:00 AM
END DATE/TIME
Tue, Jun 16, 2026 0:15 AM
Qccurs every Tuesday efecl ve 02108,2025 until06/162026 from 6.00AM 10 8-15AM Tue, Jul 8, 2025 6:00 AM Tue. Jul 8, 2025 8:15 AM
Rental - Hourly 5140.001 Hour x 2.25 $315.00
Resident Discount • 10 -10% x 1-$31.50
ATTENDEE
AMT W/O TAX
$10,206.00
40 $283.50
Tue, Jul 15, 2025 6:00 AM Tue, Jul 15, 2025 8:15 AM 40 $283.50 Rental - Hourly $140.00 / Hour x 2.2- $315.00
Resident 0!s _ unt - 10°.4 -10% x 1-$31.50
Tue, Jul 22, 2025 6:00 AM Tue, Jul 22, 2025 8:15 AM 40 $283,50 Rental - Hourly $140.001 Hour x 2.25 $315.00
Resident Discount - 10 4 -10% x 1 -$31.50
Tue, Aug 5, 2025 6:00 AM Tue, Aug 5.2025 8:15 AM 40 $283.50 Rental - Hourly 5140.001 Hour x 2.2
Resident Discount - 10% -10% x 1
Tue, Aug 12, 2025 6:00 AM Tue, Aug 12, 2025 8:15 AM 40 $283.56 # R7541 Status Tentative
06/09/2025 City Council Agenda
455
Rental - Hourly $140.001 Hour x 2-25 $315.00
Resident Discount - t n , -10% x 1 -$31 50
Tue, Aug 19, 2025 6:00 AM Tue, Aug 19, 2025 8:15 AM 40 $283.50 Rental - Hourly $140,00 ! Hour x 2.25 $315.00
Resident Discount- 10% -10% x 1 -$31 50
Tue, Sep 2, 2025 6:00 AM Tue, Sep 2, 2025 8:15 AM 40 $283.50 Rental - Hourly $140.00 ! Hour x 2.25 3315.00.:
Resident as:.ount - 10", -10% x 1 -$31 50
Tue, Sep 9, 2025 6:00 AM Tue, Sep 9, 2025 8:15 AM 40 $283.50 Rental - Hourly $140.00 ! Hour x 2.25 5315 00
Resident Discount - 106/n -10% x 1-$31.50
Tue, Sep 16, 2025 6:00 AM Tue, Sep 16, 2025 8:15 AM 40 $283.50 Rental - Hourly $140.001 Hourx 2.25 $315.00
Resident Discount- 10% -10% x 1 -$31.50
Tue, Oct 7, 2025 6:00 AM Tue, Oct 7, 2025 8:15 AM 40 $283.50 Rental - Hourly $140,001 Hour x 2.2F $315.00
Resident Discount - 10% -10% x 1-$31.50
Tue, Oct 14, 2025 6:00 AM Tue, Oct 14, 2025 8:15 AM 40 $283.50 Rental - Hourly $140.00 ! Hour x 2.25 $315.00
Resident Discount - 10% -13% x 1-$31.50
Tue, Oct 21, 2025 6:00 AM Tue, Oct 21, 2025 8:15 AM 40 $283.50 Rental - Hourly $140.00 ! Hour x 2.25 $315.00
Resident Discount - 10% -10% x 1-$31.50
Tue, Nov 4, 2025 6:00 AM Tue, Nov 4, 2025 8:15 AM 40 $283.50 Rental - Hourly $140.00 / Hour x 2.25 $315.00
Resident Discount - 10% -10% x 1-$31.50
Tue, Nov 11, 2025 6:00 AM Tue, Nov 11, 2025 8:15 AM 40 $283.50 Rental - Hourly $140.00 / Hour x 2 2' $315.00
Resident Discount - 10°, -10% x 1 -$31 50
Tue, Nov 18, 2025 6:00 AM Tue, Nov 18, 2025 8:15 AM 40 $283.50 Rental - Houry $140.00 / Hour x 2.25 $315.01.,
Resident fisccunt - 10% -10% x 1 -3? 1 50
Tue, Dec 2, 2025 6:00 AM Tue, Dec 2, 2025 8:15 AM 40 $283.50 Rental • Hourly $140.00 ! Hour x 2.25 5315.00
Resident Discount - 10% -10% x 1-$31.50
Tue, Dec 9, 2025 6:00 AM Tue, Dec 9, 2025 8:15 AM 40 $283.50 Rental - Hourly $140.00 ! Hour x 2.25 $315.00
Resident Discount - 10% -10% x 1 -$31.50
Tue, Dec 16, 2025 6:00 AM Tue, Dec 16, 2025 8:15 AM 40 $283.50 Rental - Haurly. $140.00 / Hour x 225 $315.00
Resident Discount - 10% -10% xi -$31.50
Tue, Jan 6, 2026 6:00 AM Tue, Jan 6, 2026 8:15 AM 40 $283.50 Rental - Hourly $140.00 / Hour x 2.2:7
# R7541 Status Tentative
06/09/2025 City Council Agenda
456
Resident Discount - 10'%• - ID% x 1-$31.50
Tue, Jan 13, 2026 6:00 AM Tue, Jan 13, 2026 8:15 AM 40 $283.50 Rental - Hourly $140.00 r Hour x 2.25 $315.00
Re>rden` Dico'.lnt- 10':• -10% x 1 -$31 50
Tue, Jan 20, 2026 6:00 AM Tue, Jan 20, 2026 8:15 AM 40 $283.50 Rental - Hourly $140.001 Hour x 2.25 $315.0u
Resident Di .:otint- 10% -10% x 1 -331 5ri
Tue, Feb 3, 2026 6:00 AM Tue, Feb 3, 2026 8:15 AM 40 5283.50 Rental - hourly $140.001 Hour x 2.25 3315.u0
Resident Discount - 10% -10% x 1 -$31.50
Tue, Feb 10, 2026 6:00 AM Tue, Feb 10, 2026 8:15 AM 40 $283.50 Rental - Hourly $140.001 Hour x 2.25 S315.00
Resident Discount - I0' -10% x 1-$31.50
Tue, Feb 17, 2026 6:00 AM Tue, Feb 17, 2026 8:15 AM 40 $283.50 Rental - Hourly $140.00 / Hour x 2.25 $315.00
Resident Discount - 10% -10% x 1-$31.50
Tue, Mar 3, 2026 6:00 AM Tue, Mar 3, 2026 8:15 AM 40 S283.50 Rental - Hourly $140-00 / Hour x 2.25 $315.00
Resident Discount - 10% -10% x 1 -$31.50
Tue, Mar 10, 2026 6:00 AM Tue, Mar 10, 2026 8:15 AM 40 $283.50 Rental - Hourly $140.001 Hour x 2.25 $315.00
Resident Discount - 10% -10% x 1 -$31.50
Tue, Mar 17, 2026 6:00 AM Tue, Mar 17, 2026 8:15 AM 40 $283.50 Rental - Hourly $140.00 / Hour x 2.25 $315.00
Resident Discount - 10% -10% x 1-$31.50
Tue, Apr 7, 2026 6:00 AM Tue, Apr 7, 2026 8:15 AM 40 $283.50 Rental - Hourly $140.00 / Hour x 2 25 $315.00
Resident Discount - 10°6 -10% x 1-$31.50
Tue, Apr 14, 2026 6:00 AM Tue, Apr 14, 2026 8:15 AM 40 $283.50 Rental - Hourly $140.00 / Hour x 2.25 $315.0
Resident Discount - '10% -10% x 1 -$31 50
Tue, Apr 21, 2026 6:00 AM Tue, Apr 21, 2026 8:15 AM 40 $283.50 Rental - Hourly $140.00 / Hour x 2.25 S315,33
Resident Discount - 10% -10% x 1-$31.50
Tue, May 5, 2026 6:00 AM Tue, May 5, 2026 8:15 AM 40 $283.50 Rental - Hourly $140.00 / Hour x 2.25 $315-00
Resident Discount - 10% -10% x 1-$31.50
Tue, May 12, 2026 6:00 AM Tue, May 12, 2026 8:15 AM 40 $283.50 Rental - Hourly $140.00 I Hour x 2.25 $315.00
Resident Discount - 10% -10% x 1-$31.50
Tue, May 19, 2026 6:00 AM Tue, May 19, 2026 8:15 AM 40 $283,50 Rental • Hourly $140.00 ? Hour x 2.25 $315.00
Resident Discount- 10% -10% x 1 -$31.50
# R7541 Status Tentative
06/09/2025 City Council Agenda
457
Tue, Jun 2, 2026 6:00 AM Tue, Jun 2, 2026 8:15 AM 40 $283.50 Rental - Hourly $140.00 f Hour x 2.25 $315.00
Resident Discount - 1 )-', -10% x 1 -$31. ,n
Tue, Jun 9, 2026 6:00 AM Tue, Jun 9, 2026 8:15 AM 40 $283.50 F:erita: - H_u iy $140.00 r Hour x 2.25 $315.00
Resident Di,..,..rnr . 1n"' -10% x 1 -$31.50
Tue, Jun 16, 2026 6:00 AM Tue, Jun 16, 2026 8:15 AM 40 $283.50 Rental . Hourly $140.00 / Hour x 2.25 $315.00
Resident Discount - 10% -10% x 1-$31.50
Resource level fees $250,00
$250.00 / Each x 1 $250.00
Waivers and Information
INFORMATION DESCRIPTION
Proof of Liability Insurance
Proof of Non Profit Status
WAIVER NAME
Facility Usage Waiver
DUE DATE
Jul 8, 2025
FOR
SIGNING STATUS
Checked
Checked
SIGNING STATUS
Waiver Signed
Facility user hereby agrees to indemnify, defend and hold harmless City of Yucaipa, its officers, officials, employees and volunteers from and against all claims, damages, losses and expenses that may arise during or be caused in any way by such occupancy or use of facilities, but the facility user shall not be liable for any claims, damages, losses and expenses caused by the sole negligence or willful misconduct of the City of Yucaipa. Permittee shall have received any and all permission or license(s) as may be required to perform or use any protected materials in its use of the Premises. Permittee agrees to protect and save harmless the City, its elected officials, employees and agents from and against any and all claims, penalties, and/or damages which may accrue as a result of Permittee's failure to comply with this requirement. have read the rules and regulations relating to use of facilities and accept responsibility for meeting the requirements stated herein.
Signature
Deposit
EVENT RESOURCE DEPOSIT FEE CHARGE TAX AMOUNT PAID REFUNDS BALANCE Yucaipa SrC Deposit $250.00 $0.00 $0.00 $0.00 $250.00
Rotary Club Nutrition
Weekly Center
Meetings
Paymenl Schedules Original Balance: $10,456.00 Current Balance: $10,456.00
DUE DATE AMOUNT DUE AMOUNT PAID WITHDRAWAL ADJUSTMENT BALANCE Jun 24, 2025 $10,456.00 $0.00 $D.00 $10,456.00
# R7541 Status Tentative
06/09/2025 City Council Agenda
458
ATTACHMENT 8
06/09/2025 City Council Agenda
459
CITY OF YUCAIPA
$QMMUNITY ACTIVITY GRANT APPLICATION
COMMUNITY ACTIVI.T. T C aANT'APPLICATIONINSTPUCTIONS:
FISCAL YEAR:
202512ZG
DATE SUBMITTED: 05/12/2025
SUBMIT TO: CITY OF YUCAIPA
GENERAL SERVICES/CITY CLERK DEPARTMENT
34272 YUCAIPA BLVD.
YUCAIPA, CA 92399
All sections of the application must be returned tontplete. and all supporting documentation must be included as part of the submittal Incornplr r . u}.le stia+ts recervedvrIll be returned to Mr, applicant.
Note Beginning 1,4rth the F' 2Sf2b grant cyr.le, frnancotf grant awarded funds will requhe 11100/0 financraf match by theapplicant. For example ! your total program/project ruse i5 S1.C1U0 you+ I+nancai grant request should be for no more than $50(.7 Be prepared to chow proof of program/project cost 1n your Wrap-up Report (Accountability Report), de; ailing the applicants match of S500. : SECTION 1 - GENERAL INEORMAT
Name of Applicant/Organization, Smiles Nu' 4ernoc.5 I (runklation Applicant/Organization: P o. )3U\ 13 1'u,l1ldd C'<1 v2399 Mailing Address
Applicant/Organization Phone Number: 909-790-6671
CONTACT (1)
CONTACT (2)
Catherine Serianni
NAME
E-Mail
NAME
E-rowel
Is your organization located in another community?
Will the program/event take place in another community? Are you aware of any other City program providing this service?
PRONE NUMBER
gy m; les4Sen; ()IS CL`y ,gym
PHONE NUMBER
YES NO
✓ I
I J
RECEIVED
MAY 1 3 1025
T
Yucaipa City Clerks Office
If so, which one?
•I1 ar. t: answer tad "Yes" to any of the questions listed above. your request is not eligible for the Community Activity Grant
SECTION 3 ORGANIZATION INEOPMATiON/APPLICANT BACKGROUND Your organization must be an established 501 (c) to be considered for Community Activity Grant funding.
Please submit documentation verifying organization 501 (c) status along with this application.
Is your organization a 501 (c)?
If so, please provide Tax ID# and attach all supporting 2(-037.6t)2 documents.
Does this application include submittal of
documentation verifying 501 (c) status?
How long has your 501 (c) organization been in existence? Number of employees working for organization?
Number of volunteers working for organization?
Is a current City Council Member an your board?
How many Yucaipa residents does your organization
currently serve?
Does the organization charge admission, membership
fees, due, etc.?
If yes, please describe:
YES
✓
NO
Since June 2007 18 y
35 50-100
Names and Titles of Officers and Board of Directors: (Please attach an organization chart, if available) Doti Bagwell
Kathy Dexter
Stephanie Robertson
Glory Garcia
Sabrina Ferras
Betty Cocchini
Gayle Ficthncr
Letty Flores
Peggy Murphy
President
Vice President
Treasurer
Secretary
Internet Technology Specialist
Board Member
Board Member
Board Member
Board Member
2 r 04. 461
SECTION 4 - PROGRAM DESCRIPTION/SCOPE
Name of the program/event: Low Inccsmc Senior Assistance Date(s) of the program/event; Assisumee for fiasi' Needs I'or struggling seniors Total estimated cost for program/event: I K5000
(PLEASE. USE ADOITiONAL
PACES AS NECESSARY)
Describe the program/event that the organization is seeking support for: , (Attach any event/program promotional materials associated with the program/event) Purpose of Program
Smiles 4 Seniors is a non-profit organization et rnrnitted to enhancing the lives of low -Income seniors by offering assistance for essential needs crucial to their survival. Our organization aims to alleviate the burdens Laced by v ulnerahIe seniors, ensuring they can maintain a decent quality c)f life (.:\i'cn on limited fixed incomes, For the past IS year.~ Smiles for Seniors proudly operates a comprehensive program that addresses the pressing needs of low-income seniors, including financial assistance for basic necessities needed to survive such as food, housing, utility assistance, minor home and auto repairs, lifesaving medications and medical equipment along with providing valuable resource and referrals for our vulnerable low income seniors to need, Each year, our program extends emergency assistance and safety net services to hundreds of struggling seniors who have nowhere else to turn when basic necessities and everyday emergency situations arise and do not align within their fixed income budget. We also work closely with various government and non -government agencies. law enforcement, social workers, senior centers and others in collaboration for the good of our seniors.
Describe how the program/event benefits the residents/or community of Yucaipa:
Program for which funds are being requested
Smiles for Seniors is a Non Profit 501 c (3) organization proudly serving our low income seniors- in the Inland Empire and surrounding areas since 2007. We have quickly become one of the leading senior assistance agencies known for providing emergency assistance for food, housing, utility payments such as water, gas, electricity, minor home and auto repair and help pay for life saving prescriptions and medical eciuipment just to name a few. In fact Riverside and San }3ernardirtu Counties 21 I program, refer over400 low income seniors per month to ouragene). fo be eligible for the prug,rarn senior clients must be age 65 and be very low income. Please lone that most of our clients (inky rcccis e .in average .Social Sceuritr of 950 00 per month Our Programs and Services
t1EALTI-1. We provide emergency funding. for Co --pays, not covered by Medi-Cal/Medi-Care or private insurance. Our program has assisted low income seniors with lifesaving medications and medical supplies, Cochlear implants, hearing aids. glasses and eve exams. dental procedures. prosthetic limbs. cancer treatments. nutritional supplements. diabetes supplies.
Program/event primary target population (check all that apply):
Children or Youth
Persons with Disabilities
L
Entire Community 17 Homeless IV] Low Income
Seniors
Victims
Welfare Recipients
Women
Please answer the following to determine if your program/event requires a Special Event Permit (SEP):
YES
Estimated attendance 300-999 persons
Amplified Sound
(excluding Special Event Facilities)
Estimated attendance 1000+ persons
Alcohol Service
(excluding Community Centers & YPACi
Street Closure - Traffic Management
NC7/
This event requires City Management!
Administrative Approval:
YES
NO
•
This event requires City Council Approval:
YES
NO
J
3 06/09/2025
ON 5 - GRANT FUNDING REQUEST
Please identify what your organization is seeking:
Financial Support:
YES
11�
NO
1 $ ;.000
In -Kind Support: $ $
OT/Reassigned Staff CS/Rental
If other, please explain:
Total Amount
of Request $
In Klrld
$200 SEP Fee Waiver:
YES
[l
$ $
Scherer Other
Community Center
3,000 $ s $ 3,000
Financial Support $200 SEP Fee Financial Match Total Overall Waiver
Request
Provide a detailed description of how the financial support will be used:
Probidlllu emergency asslstklllcc for iu 1, lhlllkr, LLllllt4 payinems such as walcr. gas. eleciri.'lll, nllllor htline and auto repair and help pay for life saving presciiptiuns and medical ecluspmentjust to name a few In fact Riverside and San 13entardino Counties 211 program, refer over 400 low income senlurs per month io our agency. To be eligible for the program senior clients mist be age 65 and (e very low income. Please note that most of our clients only receive an average Social Security of 950.00 per month
FINANCIAL: CAPABILITIES/BUDGET
What other in-kind/financial contributions has your organization received to fund this event/program (separate from city funding)?
In -Kind
Amount
Various vranls and sponsorships
$
Total Funds Received to Date: $
Total Funds Requested via Grant Application: $
Remaining Balance that will be Funded by Organization: $ Financial
Support Amount
$ 37045.10
$
$
$ 37045.10
$ 300(1
$ 144954.90
SECTION 6 - FINANClAL .CAPABILITIES/BUDGET IrarsrlauEol.
Describe any City Funding received by organization in the past three years (required)? Program
Luxe-Incume S.mior Assisianee
Low-lncirnac Senior Assi..iance
Low-income S iii0r Assisiancc
I n•Ktnd Futa nerd!
Suppor! Sv p1 orr
L6d
L"1
S2Oa] SEP
F e Waiver
Rate Received Total Received
{J l 2024 $ 3U00
ON' 111• 2022 $280J
1, the undersigned, do hereby attest that the above information is true and correct to the best of my knowledge, and understand that the awarded financial grant amount needs to be spent prior to subrnitting another grant request.
Signature
Executive Director
Title
SUBMIT FORM'
05: 12:2025
Date
Date Received:
Amount Funded:
Type of Grant:
Irr•KrRd F3R a.,+
Support Su poor[
Date City Council received follow-up report.
Date Reviewed:
City Council Meeting
SL90 SEP
Waiver
5 06J04/2O25.;... ouncil Agenda
Smiles for Seniors Foundation A Non Profit 501 C3 Organization Tax ID # 26-0373602 P.U. Box 1113 Yucaipa Ca. 92399'" Ph. 909-790-6671 ^` www.smiles4seniors.org [email protected] -N RENAL REVENUE SERVICE
P. O. BOX 2508
ZINCINNATI, OR 45201
Date: OCT 2 3 2001
SMILES FOP SENIORS FOUNDATION
Dear Applicant:
DEPARTMENT OF THE TREASURY
Employer Identification Number:
— 26-0373642
DLN :
17D53261361937
Contact Person:
TRIMBLE Iptl 31309
Contact Telephone Number:
F29.5500
riCCOU tino Period Ending:
December 31
Public Charity Status:
170,01 (1) {A} {vi}
Form 990 Required!
Yes
8ffective Make of Exemption "
June a, 2007
Contribution Deductibility:
Yea
Advance Ruling Ending Date:
December 31, 2011
Addendum Applies:
No
We are pleased to inform you that upon review of your application for tax exempt status we have determined that you are exempt from Federal income tax under section 501{c}{3} of the internal Revenue Code. Contributions to you are deductible under section 170 of Che Code. Yau are also qualified to receive tax deductible bequests, devises. transfers or gifts under section 2055, 2106 or 2522 of the Code. Because this letter could help resolve any questions regarding your exempt status, you should keep it in your permanent records.
Organizations exempt under section S01{043) of the Code are further classified as either public charities or private foundations_ During your advance ruling period, you will be treated as a public charity. Your advance ruling period begins with the effective date of your exempsion and ends with advance ruling ending date shown in the heading of the letter.
Shortly before th•- end of your advance ruling period, we will send you Form 0734, Support Schedule for Advance Ruling Period. You will have 90 days after the end of your advance ruling period to return the completed form. we will then notify you. in writing, about your public charity status.
Pieaac scc enclosed Publication 4221-PC. Compliance Otide for 501(c)(3) Public charities, for some helpful information about your responsibilities an an exempt organization.
If you distribute funds to other organisations, your records must show whethez they are exempt under section 5411CY{31. In cases where the recipient Letter 1045 {DO/CG1
06/09/2025 CityCouncil Agenda 465
ATTACHMENT 9
06/09/2025 City Council Agenda
466
CITY OF YUCAIPA
COMMUNITY ACTIVITY GRANT APPLICATION
FINANCIAL / IN -KIND / FEE WAIVER
COMMUNITY ACTIVITY GRANT APPLICATION INSTRUCTIONS
FISCAL YEAR:
2025-2026
DATE SUBMITTED: May 15, 2°25
SUBMIT TO: CITY OF YUCAIPA
GENERAL SERVICES/CITY CLERK DEPARTMENT
34272 YUCAIPA BLVD.
YUCAIPA, CA 92399
All sections of the application must be returned complete. and all supporting documentation must be included as part of the submittal. Incomplete applications received will be returned to the applicant.
Note: Beginning with the FY 25126 grant cycle, financial grant awarded funds will require 100% financial match by the applicant. For example, if your total program/project cost is $1,000, your financial grant request should be for no more than $500. Be prepared to show proof of program/project cost in your Wrap-up Report (Accountability Report), detailing the applicants match of SS00.
SECTION 1 - GENERAL INFORMATION
Name of Applicant/Organization: The Well Outreach Center Applicant/Organization 12717 14th Street Yucaipa, CA 92399 Mailing Address
Applicant/Organization Phone Number:
CONTACT (1)
CONTACT (2)
Vicki Wood
NAME
[email protected]
E-Mail
Ken Jones
MAME
[email protected]
E-Mail
PHONE NUMBER
PHONE NUMBER
SECTION 2 - ELIGIBILITY REQUIREMENTS
Is your organization located in another community?
Will the program/event take place in another community? Are you aware of any other City program providing this service? if so, which one?
'If you answered "Yes' to any of the questions listed above, your request is not eligible for the Community Activity Grant.
YES
n
1�
RECEIVED
MAY 1 5 2025
Yucaipa City Clerk's Office
1 SECTION 3 - ORGANIZATION INFORMATION/APPLICANT BACKGROUND Your organization must be an established 501 (c) to be considered for Community Activity Grant funding.
Please submit documentation verifying organization 501 (c) status along with this application.
Is your organization a 501 (c)?
If so, please provide Tax ID# and attach all supporting documents.
Does this application include submittal of
documentation verifying 501 (c) status?
How long has your 501 (c) organization been in existence? Number of employees working for organization?
Number of volunteers working for organization?
Is a current City Council Member on your board?
How many Yucaipa residents does your organization
currently serve?
Does the organization charge admission, membership
fees, due, etc.?
If yes, please describe:
LIESNO
83-1042899
2019
3 14
u
364
El
Our professional counselors charge for services at discount rate Names and Titles of Officers and Board of Directors: (Please attach an organization chart, if available) Ken Jones
Terry Knight
Geg Franklin
Natalie Brasher
Jose Banda
Sue Moreland
Melissa Williamson
Board President and Board Member
Board Secretary and Board Member
Board Treasurer and Board Member
Board Member
Board Member
Board Member
Board Member
2 06/09/2025 City Council Agenda
SECTION 4 - PROGRAM DESCRIPTION/SCOPE (PLEASE USE ADDITIONAL
PAGES AS NECESSARY)
Name of the program/event: Our Neighbrs Clothing Closet Date(s) of the program/event: on -going
Total estimated cost for program/event:
Describe the program/event that the organization is seeking support for:
(Attach any event/program promotional materials associated with the program/event} Our Neighbors Clothing Closet in Yucaipa is a community outreach program dedicated to supporting at -risk middle and high school students in the Yucaipa-Calimesa area. By providing students with clothing, we remove barriers to education, allowing them to attend school with confidence and dignity. Our mission is to ensure every student has access to essential clothing, empowering them to focus on their education and future. The program also offers vocational training opportunities for special education high school students enrolled in the Yucaipa-Calimesa Joint Unified School District. naerriha hnw rho nrnorarn/avant honafite tha roeirtante/nr rommunity of Yuraina• Our Neighbors Clothing Closet is more than just a clothing resource —it's a citywide outreach that fosters support, dignity, and wellness for the entire Yucaipa community. By providing essential clothing to at -risk middle and high school students, the program removes barriers to education, ensuring that students can attend school with confidence. This initiative strengthens the community by uplifting its youth, promoting educational success, and fostering a culture of care and inclusion.
Beyond clothing assistance, the program is part of a broader outreach effort that supports the physical, emotional, and psychological well-being of Yucaipa residents. It operates under The Well Outreach Center, which provides additional services aimed at holistic wellness. Through vocational training opportunities for special education students, Our Neighbors Clothing Closet also empowers young individuals with skills that prepare them for the future, contributing to the overall economic and social health of the city.
By addressing fundamental needs and creating opportunities for growth, this program embodies the spirit of community support, ensuring that every resident —regardless of their circumstances —has access to resources that enhance their well-being Program/event primary target population (check all that apply):
nChildren or Youth
nPersons with Disabilities
Entire Community
Seniors
Homeless Low Income ❑� Women
Victims .71 Welfare Recipients
Please answer the following to determine if your program/event requires a Special Event Permit (SEP):
Estimated attendance 300-999 persons
Amplified Sound
(excluding Special Event Facilities)
YES NO
❑ ❑
THIS BOX IS FOR STAFF USE ONLY
This event requires City Management/
Administrative Approval:
YES
NO
Estimated attendance 1000+ persons
Alcohol Service
(excluding Community Centers & YPAC)
Street Closure - Traffic Management
YES NO
LI n
n❑
n
THIS BOX IS FOR STAFF 115E ONLY
This event requires City Council Approval:
YES NO
El
3 06/09/2025 City Council Agenda
469
SECTION 5 - GRANT FUNDING REQUEST
Please identify what your organization is seeking:
YES NO
El ❑ $
Financial Support:
In -Kind Support: $
Total Amount
3000
OT/Reassigned Staff CS/Rental
Rothe'', please explain:
YES NO
$200 SEP Fee Waiver:
$ $
Scherer Other
Community Center
of Request $
In -Kind
3000 $ $ $
Financial Support $200 SEP Fee Financial Match
Waiver
Provide a detailed description of how the financial support will be used:
3000
Total Overall
Request
Financial support for Our Neighbors Clothing Closet is used to directly impact at -risk middle and high school students in the Yucaipa-Calimesa community. Donations and funding go toward purchasing essential clothing items, including shoes, jackets, and everyday wear, ensuring that students have access to appropriate attire for school and daily life. By removing barriers related to clothing insecurity, the program helps students attend school with confidence and dignity.
Additionally, financial contributions support vocational training opportunities for special education high school students enrolled in the Yucaipa-Calirnesa Joint Unified School District. These funds help provide hands-on learning experiences, equipping students with valuable skills that prepare them for future employment.
Beyond clothing, the program operates as part of The Well Outreach Center, which offers broader services aimed at supporting the physical, emotional, and psychological well-being of Yucaipa residents. Donations help sustain outreach efforts that strengthen the community and provide resources to those in need. a
SECTION 6 - FINANCIAL CAPABILITIES/BUDGET
What other in-kind/financial contributions has your organization received to fund this event/program (separate from city funding)?
Donated Clothing
YCJUSD Classroom
Walmart Grant
Professional Bookkeeping
Private Donations
$
$
$
In -Kind
Amount
7100
6000
1680
$
$
$
$
Total Funds Received to Date: $ 14780 $
Total Funds Requested via Grant Application: $ $
Remaining Balance that will be Funded by Organization: $ $ Financial
Support Amount
1,500
9000
10500
3000
4 lk
06/09/2025 City Council Agenda
470
SECTION 6 - FINANCIAL CAPABILITIES/BUDGETicoNrrNUEoi
Describe any City Funding received by organization in the past three years (required)? Program
In -Kind
Support
Financial
Support
[1
5200 SEP
Fee Waiver
Date Received Total Received
2022 $1000
2024 $ 2000
s
SECTION 7 - CERTIFICATION
I, the undersigned, do hereby attest that the above information is true and correct to the best of my knowledge, and understand that the awarded financial grant amount needs to be spent prior to submitting another grant request.
Peggy St. Martin
Signature
Grant Writer
Title
SUBMIT FORK[
May 15, 2025
Date
TO BE COMPLETED BY THE CITY
Date Received:
Amount Funded:
Type of Grant:
Date Reviewed:
City Council Meeting:
En -Kind Financial 5200 SEP
Support Support Fee Waiver
Date City Council received follow-up report:
5 06/09/2025 City Council Agenda
471
THE WELL OUTREACH CENTER
BOARD MEMBERS
Ken Jones President
Terry Knight Secretary
Jose Banda Board Member
Natalie Brasher Board Member
Coleen Hinkle Board Member
Sue Moreland Board Member
Melissa Williamson Board Member
Executive Director
Vicki Wood
Contact us at
[email protected]
Visit our Website
twocyucaipa.com
the Well
OUTREACH CENTER
12717 14th Street
Yucaipa, CA 92399
he Well
OUTREACH CENTER
Prove s mg services that suppo
spiritual, physical, emotional, and
psychological wholeness
472
a '
,.ilrg_t
�f• `ltICJ!
44P
Narrative Focused
Trauma Care Groups
Providing a safe place for healing through
writing & sharing our stories from
brokenness to masterpiece, leading to
freedom in relationships with
God, self, and others.
SUPPORT OFFERED BY TRAINED
FACILITATORS WHO HAVE
SIMILAR EXPERIENCES.
We Also Offer Low Cost
Truama Informed Conferences
For we are God's masterpiece. He has created us
anew in Christ Jesus so we can do the good things He
planned for us long ago. EPH. 2:10
909-274-9117
[email protected]
www.mosaictwoc.com
06/09/2025 City Council Agenda
ThP •4 �L~t� '
r (CILG;a
Center ' fte
Narrative Focused
Trauma Care Groups
Providing a safe place for healing through
writing & sharing our stories from
brokenness to masterpiece, leading to
freedom in relationships with
God, self, and others.
SUPPORT OFFERED BY TRAINED
FACILITATORS WHO HAVE
SIMILAR EXPERIENCES.
We Also Offer Low Cost
Truama informed Conferences
For we are God's masterpiece. He has created us
anew in Christ Jesus so we can do the good things He
planned for us long ago. EPH. 2:10
909-274-9117
[email protected]
www.mosaictwoc.com
The •"~ •,: or !_
Ceri.Fer - 1(:
v•.k
Narrative Focused
Trauma Care Groups
Providing a safe place for healing through
writing & sharing our stories from
brokenness to masterpiece, leading to
freedom in relationships with
God, self, and others.
SUPPORT OFFERED BY TRAINED
FACILITATORS WHO HAVE
SIMILAR EXPERIENCES.
We Also Offer Low Cost
Truama Informed Conferences
For we are God's masterpiece. He has created us
anew in Christ Jesus so we can do the good things He
planned for us long ago. EPH. 2:10
909-274-9117
[email protected]
www.mosaictwoc.com
473
The Well Counseling Center
Supporting our community and surrounding
areas by providing hope during trying times.
We offer low-cost professional therapy for
children, teens, single adults, couples, and
families.
Individual and Group
sessions are Available
au cnot have to fight
yofirtattles alone.
(909) 353-3920
[email protected]
www.counselin twcc.com
06/09/2025 City Council Agenda
The Well Counseling Center
Supporting our community and surrounding
areas by providing hope during trying times.
We offer low-cost professional therapy for
children, teens, single adults, couples, and
families.
Individual and Group
Sessions are Available
Yd
of have to fight
ttles alone.
veall or em •o l u E today!
(909) 353-3920
[email protected]
www.counselingtwcc.com
The Well Counseling Center
Supporting our community and surrounding
areas by providing hope during trying times.
We offer low-cost professional therapy for
children, teens, single adults, couples, and
families.
Individual and Group
Sessions are Available
not have to fight
oattles alone.
llorem it
today!
(909) 353-3920
[email protected]
www.counselingtwcc.com
474
11,
OUR NEIGHBORS
cl
Providing for the basic needs of at -risk
students living within the Yucaipa-Calimesa
community. We target middle school and
high school students in need of clothing in
order to support them through a successful
learning journey.
Our clothing outreach also provides
vocational training opportunities to special
education high school students who are
enrolled in the Yucaipa High School
Transition Program.
909-353-3264
[email protected]
Suppose you see a brother or
sister who has no food or clothing,
and you say, "Good-bye and have
a good day; stay warm and eat
well,"but then you don't give that
person any food or clothing. What
good does that do? LAMES 2:1516 (NLT)
Visit our website:
WWw.901 Y2t39 f EOc Age
OUR NEIGHBORS
Riae:R'M?
Providing for the basic needs of at -risk
students living within the Yucaipa-Calimesa
community. We target middle school and
high school students in need of clothing in
order to support them through a successful
learning journey.
Our clothing outreach also provides
vocational training opportunities to special
education high school students who are
enrolled in the Yucaipa High School
Transition Program.
909-353-3264
[email protected]
Suppose you see a brother or
sister who has no food or clothing,
and you say, "Good-bye and have
a good day stay warm and eat
well," but then you don't give that
person any food or clothing. What
good does that do?
TAMES 2:15-16 (NLT)
Visit our website:
www.neighborscc.com
OUR NEIGHBORS
Providing for the basic needs of at -risk
students living within the Yucaipa-Calimesa
community. We target middle school and
high school students in need of clothing in
order to support them through a successful
learning journey.
Our clothing outreach also provides
vocational training opportunities to special
education high school students who are
enrolled in the Yucaipa High School
Transition Program.
909-353-3264
[email protected]
Suppose you see a brother or
sister who has no food or clothing,
and you say, "Good-bye and have
a good day; stay warm and eat
well," but then you don't give that
person any food or clothing. What
good does that do?
JAh1ES 2:15-16 (JILT)
Visit our website:
www.neighborscc.com
475
•
r •C
Colter sit
Narrative Focused
Trauma Care Groups
Providing a safe place for healing through
writing & sharing our stories from
brokenness to masterpiece, leading to
freedom in relationships with
God, self, and others.
SUPPORT OFFERED BY TRAINED
FACILITATORS WHO HAVE
SIMILAR EXPERIENCES.
We Also Offer Low Cost
Truama Informed Conferences
For we are God's masterpiece. He has created us
anew in Christ -Jesus so we can do the good things He
planned for us long ago. EPH. 2:10
909-274-9117
[email protected]
06/09 ( 5 'i Peo ci P'd�•com
The Well Counseling Center
Supporting our community and surrounding
areas by providing hope during trying times.
We offer professional therapy for children,
teens, single adults, couples, and families.
Individual and Group
Sessions are Available
othave to fight
attles alone.
(909) 353-3920
[email protected]
www.counseliingtwcc.com
rOUR NEIGHBORS
7A1 I
Providing for the basic needs of at -risk
students living within the Yucaipa-Calimesa
community. We target middle school and
high school students in need of clothing in
order to support them through a successful
learning journey.
Our clothing outreach also provides
vocational training opportunities to special
education high school students who are
enrolled in the Yucaipa High School
Transition Program.
909-353-3264
[email protected]
Suppose you see a brother or
sister who has no food or clothing,
and you say, "Good-bye and have
a good day; stay warm and eat
well," but then you don't give that
person any food or clothing. What
good does that do?
INES 2:15•16 (NIT)
Visit our website:
www.neighborscc.com
476
INTERNAL REVENUE SERVICE
P. O. BOX 2508
CINCINNATI, OH 45201
Date: ,INN 21 20Z0
THE WELL OUTREACH CENTER INC
12717 14TH ST
YUCAIPA, CA 92399
Dear Applicant:
DEPARTMENT OF THE TREASURY
Employer Identification Number:
83-1042899
DLN:
29053262315009
Contact Person:
ERIC KAYE XD# 31612
Contact Telephone Number:
(877) 829-5500
Accounting Period Ending:
December 31
Public Charity Status:
509(a)(2)
Form 990/990-EZ/990-N Required:
Yes
Effective Date of Exemption:
December 3, 2018
Contribution Deductibility:
Yes
Addendum Applies:
No
We're pleased to tell you we determined you're exempt from federal income tax under Internal Revenue Code (IRC) Section 501(c)(3). Donors can deduct contributions they make to you under IRC Section 170. You're also qualified to receive tax deductible bequests, devises, transfers or gifts under Section 2055, 2106, or 2522. This letter could help resolve questions on your exempt status. Please keep it for your records.
Organizations exempt under IRC Section 501(c)(3) are further classified as either public charities or private foundations. We determined you're a public charity under the IRC Section listed at the top of this letter.
If we indicated at the top of this letter that you're required to file Form 990/990-EZ/990-N, our records show you're required to file an annual information return (Form 990 or Form 990-EZ) or electronic notice (Form 990-N, the e-Postcard). If you don't file a required return or notice for three consecutive years, your exempt status will be automatically revoked.
If we indicated at the top of this letter that an addendum applies, the enclosed addendum is an integral part of this letter.
For important information about your responsibilities as a tax-exempt organization, go to www.irs.gov/charities . Enter "4221-PC" in the search bar to view Publication 4221-PC, Compliance Guide for 501(c)(3) Public Charities, which describes your recordkeeping, reporting, and disclosure requirements.
Letter 947
06/09/2025 City Council Agenda
477
-2-
THE WELL OUTREACH CENTER INC
Sincerely,
Director, Exempt Organizations
Rulings and Agreements
Letter 947
06/09/2025 City Council Agenda
478
The Well Outreach Center
2025 Annual Budget
RECEIVED
MAY 3 0 2025
Yucaipa City Clerk's Office
Description
The Well Our Neighbors Mosaic The Welt
Counseling Center Clothing Closet Center Outreach Center Total
REVENUES
Grants $ 22,158 $ 3,693 $ 3,693 $ 44,316 $ 73,860
Monthly Donations 5,500 3,734
1 X Donations 1,417 2,000 1,500 4,800 9,717
Donations (Program related) 1,700 1,700
Fundraising (T-shirts) 400 400
Fundraising (In -Person) 1,000 1,000 28,342 30,342
Fundraising (Digital) 2,000 4,200 6,200
SW Conference Donations 250 250
Other Full Day Conference Donations 750 750
In -Kind Volunteer Contriutions 100,000 100,000
Fees for Services (Direct and Insurance) 54,975 54,975
TOTAL REVENUES $ 87,050 $ 10,427 $ 8,293 $ 181,658 $ 278,194
EXPENSES
Payroll 30% 5 "�% 60% 100%
Executive Director $ 8,673 $ 1,445 $ 1,445 $ 17,345 $ 28,909 Administrative Assistant 10,296 1,716 1,716 20,592 34,320 Counselors 30,000 - 30,000
Payroll Taxes 4,236 273 273 3,282 8,064
Workers' Compensation Insurance 350 25 25 100 500
Payroll Fees 938 67 67 267 1,339
Total Payroll Expenses $ 54,492,49 $ 3,526.92 $ 3,526.92 $ 41,585.99 $ 103,132.31 Operational Expenses
Liability Insurance $ 2,000 $ 500 $ 500 $ 2,000 $ 5,000 Story Groups (2 rounds w/ 10 part's) - 700 700
Professional Development - 500 500
Professional Services (Grant Writer) 5 400 900 900 10,800 18,000 Hiring Platform 1,000 - 1,000
Conferences 400 - 400
Scholarships - -
Training 6,000 - 946 6,946
Supplies 6,000 250 250 6,500
Inventory - 4,210 - 4,210
Total Operational Expenses $ 20,400 $ 5,860 $ 3,696 $ 13,300 $ 43,256 Administrative Expenses
Website/Domain $ 100 $ 100 $ 100 $ 100 400
Internet/Wi-Fi 60 120 120 300
Simple Practice 1,500 - 1,500
Googi.e Voice 120 120 120 60 420
Billing 3,000 - - 3,000
Miscellaneous Software 372 372
Hospitality 300 300 500 1,100
Marketing 1,000 150 150 632 1,932
Office Supplies 1,340 100 250 1,000 2,690
AB 506 (D01) 1,200 1,000 2,200
Miscellaneous Administrative 150 150 150 150 600
Contingency 3,688 - 22,838 17,292
Total Administrative Expenses $ 12,158 5 1,040 $ 1,070 $ 26,772 $ 31,806
TOTAL EXPENSES
$ 87,050 $ 10,427 $ 8,293 $
81,658 $ 178,194
TOTAL REVENUES OVER EXPENSES $ (0) $ 0 $ 0 $ 100,000 $ 100,000 06/09/2025 City Council Agenda
4795/2/2025
Tara Davis
From: [email protected]
Sent: Friday, May 30, 2025 8:02 AM
To: Tara Davis
Subject: RE: Yucaipa Community Activity Grant
Attachments: Budget 2025 Revised.xlsx
Good morning Tara,
Thank you for reaching out. The only document I have is the 2025 budget, now updated with volunteer contributions included.
Volunteer hours play a crucial role in demonstrating community engagement, financial efficiency, and organizational sustainability. By leveraging volunteer support, we maximize resources and enhance the impact of our programs, ensuring that grant funding is used effectively to serve our mission.
Please let me know if this aligns with your review process or if any additional information is needed. I appreciate your time and consideration.
Best regards, Peggy
On 29/05/2025 12:27 EDT Tara Davis wrote:
Good morning Peggy,
We are preparing the applications for ad -hoc review. If you have any invoices/quotes/estimates to justify the cost of the FY25/26 grant cycle please send those to me asap as these will go for review Monday morning.
Thank you,
06/09/2025 City Council Agenda
480
ATTACHMENT 10
06/09/2025 City Council Agenda
481
1 CITY OF YUCAIPA
COMMUNITY ACTIVITY GRANT APPLICATION
FINANCIAL I IN -KIND / FEE WAIVER
COMMUNITY ACTIVITY GRANT APPLICATION INSTRUCTIONS
FISCAL YEAR:
DATE SUBMITTED:
2025/202G
5/1/25
SUBMIT TO: CITY OF YUCAIPA
GENERAL SERVICES/CITY CLERK DEPARTMENT
34272 YUCAIPA BLVD.
YUCAIPA, CA 92399
All sections of the application must be returned complete. and all supporting documentation must be included as part of the submittal_ Incomplete applications received will be returned to the applicant.
Note: Beginning with the FY 25126 grant cycle, financial grant awarded funds will require 100% financial match by the applicant. For example, if your total program/project cost is S1,000, your financial grant request should be for no more than $500. Be prepared to show proof of program/project cost in your Wrap-up Report (Accountability Reports, detailing the applicants match of $500.
SECTION 1 _ GENERAL INFORMATION
Name of Applicant/Organization:
Applicant/Organization
Mailing Address
Yucaipa Calimesa Family Assistance
PO Box 130, Yucaipa CA 92399
Applicant/Organization Phone Number :
CONTACT (1)
CONTACT (2)
Paul Kielhold
NAME
E-Mail
Holly Warner
NAME
PHONE NUMBER
PHONE NUMBER
opcoortiinatorta ycfamilyassist.org
E-Mail
SECTION 2 - ELIGIBILITY REQUIREMENTS
YES
Is your organization located in another community?
Will the program/event take place in another community? Are you aware of any other City program providing this service? If so, which one?
.If you answered "Yes" to any of the questions listed above, your request is not eligible for the Community Activity Grant.
NO
r
n
1'
RECEIVED
MAY 0 5 2025
Yucaipa City Clerk's Office
1 Uo/U9/LUZ> Lity Louncii .vgenaa
SECTION 3 - ORGANIZATION INFORMATION/APPLICANT BACKGROUND Your organization must be an established 501 (c) to be considered for Community Activity Grant funding.
Please submit documentation verifying organization 501 (c) status along with this application.
Is your organization a 501 (c)?
If so, please provide Tax ID# and attach all supporting documents.
Does this application include submittal of
documentation verifying 501 (c) status?
How long has your 501 (c) organization been in existence? Number of employees working for organization?
Number of volunteers working for organization?
Is a current City Council Member on your board?
How many Yucaipa residents does your organization
currently serve?
Does the organization charge admission, membership
fees, due, etc.?
If yes, please describe:
YES NQ
EI ❑
95-6102982
EI❑
76 years
1/2 fte
+1- 30
2,200
N/A
Names and Titles of Officers and Board of Directors: (Please attach an organization chart, if available) Richard Rios, President
Paul Kielhold, Vice President
Debbie Wilson, Secretary
Jackie Kiof, Treasurer
Yvonne Wood, Board Member
Holly Warner, Operations Coordinator
2 SECTION 4 - PROGRAM DESCRIPTION/SCOPE (PLEASE USEADOITiONAL
PACES AS NECESSARYI
Name of the program/event:
Facility Repair / Maintenance - Asphalt
Date(s) of the program/event:
Perpetual
Total estimated cost for program/event:
$3,200
Describe the program/event that the organization is seeking support for:
(Attach any event/program promotional materials associated with the program/event) YCFA needs to repair and resurface the asphalt in order to maintain safe access to the facility by food distributors, volunteers, and the general public.
Describe how the program/event benefits the residents/or community of Yucaipa:
The grant would enable repair and resurfacing of the asphalt in order to maintain safe access to the facility by food suppliers and the general public, many of whom have ambulatory limitations.
Program/event primary target population (check all that apply):
nChildren or Youth n Entire Community n Homeless �l✓ Low Income Women 111 Persons with Disabilities Seniors n Victims n Welfare Recipients Please answer the following to determine if your program/event requires a Special Event Permit (SEP):
YES NO
Estimated attendance 300-999 persons n
Amplified Sound
(excluding Special Event Facilities)
THIS BOX IS FOR STAFF USE ONLY
This event requires City Management/
Administrative Approval:
YES NO
Estimated attendance 1000+ persons
Alcohol Service
(excluding Community Centers & YPAC)
Street Closure - Traffic Management
YES NO
El El
111
THIS BOX IS FOR STAFF USE ONLY
This event requires City Council Approval:
El
YES NO
3 06/09/2025 City Council Agenda
.A nA
SECTION 5 - GRANT FUNDING REQUEST
Please identify what your organization is seeking:
YES NO YES NO
Financial Support: n i l$ 'I DO $200 SEP Fee Waiver: ❑ El In -Kind Support: $
Total Amount
of Request $
$
OT/Reassigned Staff CS/Rental
If other, please explain:
In -Kind
$ $
Scherer Other
Community Center
1,600 $
FinancialLSupport $200 SEP Fee
Waiver
Provide a detailed description of how the financial support will be used:
$1,600
Financial Match
Total Overall
Request
The support will be used to match an equal amount that will be used to hire an asphalt contractor per the attached bid.
SECTION 6 - FINANCIAL CAPABILITIES/BUDGET
What other in-kind/financial contributions has your organization received to fund this event/program (separate from city funding)?
YCFA is funded by thrift store donations and sales. These sources will be used to match the grant.
$
$
$
Total Funds Received to Date: $
Total Funds Requested via Grant Application: $
Remaining Balance that will be Funded by Organization: $ In -Kind
Amount
Financial
Support Amount
4 06/09/2025 Cit Council A enda
SECTION 6 - FINANCIAL CAPABILITIES/BUDGET 'rouriNuLD)
Describe any City Funding received by organization in the past three years (required)? Program
Computer hardware and support
Security cameras
Repair counter and sink
In -Kind Financial $260 SEP
support Support Fee Waiver Date Received Total Received ❑ n ❑
0 0 ❑
El
1,699.37
2,000
$2,500
SECTION 7 - CERTIFICATION
I, the undersigned, do hereby attest that the above information is true and correct to the best of my knowledge, and understand that the awarded financial grant amount needs to be spent prior to submitting gnature
ice President of the Board of Directors
Title
SUBMIT FORM
-C/5—
Date Ijjjjj
TO BE COMPLETED BY THE CITY
Date Received:
Amount Funded:
Type of Grant:
In•Kind
Support
Date Reviewed:
City Council Meeting;
Financial 5299 SEP
Support Fee Waiver
Date City Council received follow-up report:
06/09/2025 City Council A;?enda
486
Internal Revenue Service
District Director
omit: VP' f 6 1
Yucaipa Valley Welfare, Inc.
Dear Applicant:
Dep tment of- the Treasut
Employer Idenfficalion Number:
Ace,unting. Perini Endings
r.r...:g_^ Requ red: Q Yes
prrcnn to Contact:
I. Hill
Contact Telephone Humber,
(213) 68S-4889
N
Based on information supplied, and assuming your operations will be as state in your application for recognition of exemption, we have determined you are exem from Federal income tax under section 501(c)(3) of the Internal Revenue Code.
We have further determined that you are not a private foundation within the meaning of section 509(a) of the Code, because you are an organization described in section 170(b)(1)(A)(vi.) and 509(a)(I). -
If your sources of support. ar your purposes, character, or method of operat change, please let us know so we can consider the effect of the change an your exempt status and foundation status_ Also, you should inform us of all changes in your name or address.
Generally. you are not liable for social security (FICA) taxes unless you fi a waiver of exemption certificate as provided in the Federal Insurance Centributi Act_ If you have paid FICA taxes without filing the waiver, you should contact us You are not liable for the tax imposed under the Federal Unemployment Tax Act (FU".
Since you are not a private foundation, you are not subject to '.:e excise under ti:iapter 42 of the Lode. However, you are not automatically exempt from Federal excise tares. If you have any questions about excise, erployment, ar Federal taxes, please let us know.
Donors may deduct contributions to you as provided in sectic;+_ 17+0 of the Col .13equest:;, legacies, devises, transfers, nr gifts to you or for your use are deductible for Federal estate and gift tax purposes if they meet the applicable provisions of sections 2055, 2106. and 2522 of the Code. , r- you must file.
The box checked4n the heading of this letter shows whether.y _:_ Form 990, Return of Organization Exempt from Income tax_ If Yes is checkwd.y you are required to file Form 990 only if your gross receipts each year are normally more than S1O.000 * If a return is required, it must be filed by the 15th day of of the fifth month after the end of your annual accounting period. The law impos a penalty of S10 a day. up to a maximum of $5,000. when a return is filed late, unless there is reasonable cause for the delay.
P.Q. Box 2350, Los Angeles, Calif. 90053
(over)
tr
o 6a(
Letter 947(DO)
06/09/2025 City Council Agenda
487
Invoice
BILL TO
Yucaipa / Calimesa Family Assistance
United States
FirrafivRaiblrmary
"mRSFHFIL
anrsrrr�v
invoice No.: 007
Issue date: Apr 29, 2025
Due date: Apr 29, 2025
Payment method: Transfer
Issue date
Apr 29, 2025
Due date.
Apr 29, 2025
Description
Qua ntlty
Unit price ($) Amount ($)
work on parking lot
# 1 clean Asphalt with power blower
# 2 apply hot Asphalt to four areas
# 3 compact Asphalt with vibratory compacter plate
# 4 Apply slurry seal to Asphalt
1 3,200-00 3,200.00
Subtotal
Total (USD):
$3,200.00
$3,200.00
Adam !"stevancv c 025 City Council Agenda
I.. (951) 544.9461
41 ffasphal pc -cam
ATTACHMENT 11
06/09/2025 City Council Agenda
489
RE
CITY OF YUCAIPA
OIVIMUNITY ACTIVITY GRANT APPLICATION
20 ;
Yucaipa City Clerk's Office
FINANCIAL / IN -KIND / FEE WAIVER
COMMUNITY ACTIVITY GRANT APPLICATION INSTRUCTIONS
FISCAL YEAR:
2025/26
DATE SUBMITTED: 5-5-25
SUBMIT TO: CITY OF YUCAIPA
GENERAL SERVICES/CITY CLERK DEPARTMENT
34272 YUCAIPA BLVD.
YUCAIPA. CA 92399
All sections of the application must be returned complete. and all supporting documentation must be included as part Oche submittal. Incomplete applications received will be returned to the applicant.
Note: Beginning with the FY 25126 grant cycle, Financial grant awarded funds will require 100%financial match by the applicant. For example, if your total program/project cost is 51,000. your financial grant request should be for no more than $500. Be prepared to show proof of prograrn1pro;ect cost in your Wrap-up Report (Accountability Report), detailing the applicants match of 5500. :ECTION 1 - GENERAL INFORMATION
Name of Applicant/Organization: YUCAIPA CALIMESA VETERANS COMMITTEE Applicant/Organization PO, BOX 124, YUCAIPA 92399
Mailing Address
Applicant/Organization Phone Number:
CONTACT (1)
CONTACT (2)
GEORGE SARDESON
NAME
E-Mail
RACHAEL G USTI ] SON
NAME
E-Marl
PHONE NUMBER
SECTION 2 - ELIGIBILITY REQUIREMENTS
Is your organization Located in another community?
Will the program/event take place in another community? Are you aware of any other City program providing this service?
PHONE NUMBER
IYYESI
El
L
NO
If so, which one?
*}f you answered "Yes" to any of the questions listed above. your request is not eligible for the Community Activity Grant. 1 06/09./2025 City Council Agenda
490
SECTION 3 - ORGANIZATION INFORMATION/APPLICANT BACKGROUND Your organization must be an established 501 (c) to be considered for Community Activity Grant funding.
Please submit documentation verifying organization 501 (c) status along with this application.
Is your organization a 501 (c)?
If so, please provide Tax ID# and attach all supporting documents.
Does this application include submittal of
documentation verifying 501 (c) status?
How long has your 501 (c) organization been in existence? Number of employees working for organization?
Number of volunteers working for organization?
Is a current City Council Member on your board?
How many Yucaipa residents does your organization
currently serve?
Does the organization charge admission, membership
fees, due, etc.?
'f yes, please describe:
99-1(174306
✓
3-1-24
0 7
Approx. 300
no
Names and Titles of Officers and Board of Directors: (Please attach an organization chart, if available)
RACHAEL GUSTUSON - PRESIDENT
GEORGE SARDESON - TREASURER
JUDGE ROBERI' FAWKE - BOARD MEMBER
CATHERINE SERIANNI - BOARD MEMI3ER
CAECELIA JOHNS - BOARD MEMBER
DEE ANDERSON - VICE PRESIDENT
STEPHANIE ROBERTSON - SECRETARY
—_ e :4 KbYbf$du
491
SEC71ON 4 - PROGRAM DESCP
P'T I O N /SCOPE PAEAUSE AS NECESSARY)
LCES .laL
Name of the program/event:
VETERANS DAY CEREMONY
Date(s) of the programlevent: 11-11-25
Total estimated cost for program/event: $1.000 (NOT 1NCL1TDING IN -KIND FOR AMPHITHEATER & SHELTER #2 Describe the program/event that the organization is seeking support for:
(Attach any event/program promotional materials associated with the program/event) 2025 VETERANS DAY CEREMONY, PROGRAM NOT AVAILABLE UNTIL ONE MONTH PRIOR TO EVENT Describe how the program/event benefits the residents/or community of Yucaipa:
THIS PROGRAM CELEBRATES ,AND RECOGNIZES THE SACRIFICE OF SERVICE OF VETERANS, OF ALL BRANCHES OF THE UNITED STATES MILITARY.
Program/event primary target population (check all that apply):
nchildren or Youth
Persons with Disabilities n
Entire Community Homeless ❑ Low Income
Victims f n Welfare Recipients
Seniors
n Women
Please answer the following to determine if your program/event requires a Special Event Permit (SEP):
YES NO
Estimated attendance 300-999 persons rt.]
Amplified Sound
(excluding Special Event Facilities)
u❑
THIS BOX IS FOR STAFF USE ONLY
This event requires City Management/
Administrative Approval:
YES
NO
Estimated attendance 1000+ persons
Alcohol Service
(excluding Community Centers & YPAC)
Street Closure - Traffic Management
YES
NO
THIS Box IS FOR STAFF USE ONLY
YES
This event requires City Council Approval:
NO
SECTION 5 - GRANT FUNDING REQUEST
Please identify what your organization is seeking:
Financial Support:
In -Kind Support: $
Total Amount
of Request
YES NO
u$
$
OT/Reassigned Staff CS/Rental
If other, please explain:
$200 SEP Fee Waiver:
$
YES
NO
I.000
Scherer Other
Cornmunity Center
USE OF THE COMMUNITY PARK AMPHITHEATER AND SHELTER #l2
$ .32
In -Kind [� Financial Support 520D SEP Fee
1`�J1 Waiver
Provide a detailed description of how the financial support will be used:
$f
Financial Match
Y6-
Total Overall
Request
COSTS FOR CHAIR RENTAL.. SOUND SYSTEM, COLOR GUARD PRESENTATION, BAGPIPER, ADV ERrISING
MATERIALS
SECTION 6 - FINANCIAL. CAPABILITIES/BUDGET
What other in-kind/financial contributions has your organization received to fund this event/program (separate from city funding)?
DONATIONS. FUNDRAISING
$
5 $
Total Funds Received to Date: 5
Total Funds Requested via Grant Application: $
Remaining Balance that will be Funded by Organization: $ in -Kind
Amount
Financial
Support Amount
$ 4269
$
$
$ 4269
$
2000
2269
SECTION 6 - FINANCIAL CAPABILITIES/BUDGET rcoriTINuEoa
Describe any City Funding received by organization in the past three years (required)? Program
I1-11-?-�
II-II-23
H-1 i-22
In -Kind Financial S200 SEP
Support Support Fee Waiver Date Received Total Received O ❑ ❑
Z ❑ ❑
o n ❑
SECTION 7 - CERTIFICATION
I, the undersigned, do hereby attest that the above information is true and correct to the best of my knowledge, and understand that the awarded financial grant amount needs to be spent prior to submitting another grant request.
Signe
e-45£ tP
Title
SUBMIT FORM
TO BE COMPLETED BY THE CITY
Date
Date Received:
Amount Funded:
Type of Grant:
Date Reviewed:
City Council Meeting:
in -Kind Financial S2ao SEP
Support Support Fee Waiver
Date City Council received follow•up report:
5 Permit
COMMUNITY
SERVICES
Pa
a
if
Behr(
City of Yucaipa Community
Services
34272 Yucaipa Blvd
Yucaipa, CA 92399
PHONE:(909) 790-7460
FAX:(909). 790-2589
EMAIL: cam m uni tysery i ces[a` yu cai n a org
Customer Name George 5ardeson - 46909
Customer Type General Public
Mailing Address
System User Gilbert Guardado
2025 Veterans Day Ceremony
Booking Summary
Home Phone Number
Email Address
Permit #
Status
Date
Expiration Date
R7542
Tentative
May 8. 2025 10:30 AM
May B. 2025
Rental Fee
Discounts
Subtotal
Deposits
Deposit Discounts
Total Permit Fee
Total Payment
Refunds
Balance
$937.00
-$B5.00
$852.00
$100.00
80.00 5952.00
$0.00
$0.00
$952.00
2 resource(s) 2 booking(s) Subtotal: $952.00
Amphitheater (Shelter Facilities)
Center: Yucaipa Community Center
START DATE/TIME
Tue. Nov 11, 2025 7:00 AM
Resource level fees
Deposit
Rental - Daily
Rental - 7aily
$100.06 / Each x 1
$500.001 Day x 1
-10% x 1
END DATEITIME
Tue, Nov 11, 2025 8:00 PM
$100.00
$500.00
-S50 On
ATTENDEE
1 AMT W/O TAX
50.00 S550.00
Shelter #2 Large (Shelter Facilities)
Center: Yucaipa Community Center
START DATEITIME
Tue, Nov 11, 2025 7:00 AM
Resource level fees
Liabffily insurance
Rental - Daily
Rental - Daily
Custom Questions
QUESTION
S87.001 Each x t
$350.00 1 Day x 1
-10% x 1
END DATE/TIME
Tue, Nov 11, 2025 8:00 PM
S87.00
5350.00
-S35.00
ANSWER
ATTENDEE
1 AMT W/O TAX
$0.00
$402.00
# R7542 Status Tentative
06/09/2025 City Council Agenda
495
A. Any Cancellation of a rental less than 30 days will result in loss of 100% of the rental Acknowledge fees and deposit (if applicable). B. Any cancellations prior to 30 days will result in a loss of 50% of the rental fees and deposit (if applicable). All refund requests are subject to a $20.00 processing fee. C. Refunds will be approved if rain or inclement weather occurs on the day of shelter reservation. Refund request form must be submitted within 7 days after reservation to be honored.
I acknowledge and agree that bounce houses are only permitted at designated shelters. Acknowledge Community Park: Shelters 2, 3, 4, & 7 Ave I Park: Shelters 1, 2, 3, 4 7th Street Park:
Shelters 1, 2, 3 Wildwood Park: Shelter 1
I acknowledge and agree the following Bounce House rules: 1)Bounce houses are to be Acknowledge set up only by the bounce house company. 2)Bounce house companies will be responsible for providing a generator for the inflation of the bounce house. The City does not provide electricity. The generator must be quiet rated at 60dB or less and not generate noise in excess of City standards. 3)Bounce houses are not allowed in City parks overnight.
I acknowledge and agree to the following policies regarding bounce houses: 1) Bounce Acknowledge houses must be free standing and weighted. Stakes are prohibited in City parks. 2) Permit Holder/Requestor Is responsible for ail damage caused by their use of the park or bounce house. Damage to City property or turf may result in additional fees incurred. 3) The City is not responsible for any damage to the bounce house.
I acknowledge and agree to the following rules and policies regarding Bounce Houses: Acknowledge 1) Bounce Houses/Jumpers must be booked through authorized companies only.
Failure to do so will result in Company and/or event to be shut down. 2) The City reserves the right to limit the number and size of bounce houses being used. Only small bounce houses are permitted (18'x18'x18' max). Larger sized bounce houses are permitted only with a Special Event Permit and with Director approval.
I acknowledge and agree to: 1)Permit Holder/Requestor(s) and event attendees must Acknowledge adhere to the rules and regulations governed by the City. 2) Failure by the Permit Holder IRequestor or vendor to adhere to these policies will result in the immediate removal of bounce house from the park and may result in the denial of future use of City parks and facilities. Damages to the park resulting from use of a bounce house are the financial responsibility of the Permit Holder/Requester.
I acknowledge and understand that all park shelter reservations include an insurance Acknowledged fee. Applicant shall purchase or provide and maintain general liability insurance and the coverage shall be in the amount of $1 million for bodily injury, personal injury, and property damage. General liability and liquor liability shall be endorsed naming the City of Yucaipa, its officers, agents, employees, and volunteers as additional insured. ! agree and acknowledge that the information provided to this application is correct and City organized activities shall have priority use over all requests. Sufficient prior notification of canceled requests will be given by the City when possible.
I agree and acknowledge to follow the following park shelter rules: 1) No food trucks permitted in parks or parking lot. 1) No amplified sound permitted. 2) Smoking Is prohibited in all City parks and facilities (reference City Park Ordinance No. 256). 3) Alcoholic beverages prohibited. 4)No wood burning campfires or propane grills permitted, Charcoal only. 5)NO VEHICLES ARE ALLOWED IN CITY PARKS, ON TURF, OR ON WALKWAYS.
Acknowledge
Acknowledge
What is your type of event? Gathering
Will there be a bounce house? If yes, I acknowledge and agree that bounce houses are No required to be reserved through the City of Yucaipa's authorized bounce house companies only. Not outside companies or personal bouncers permitted. Approved Vendors: Jolly Jumps www.jollyjumps.net or (877)694-1994 Jump N Jump www. jumpnjump.com or (909)873-8487
Deposit
# R7542 Status Tentative
06/09/2025 City Council Agenda
496
EVENT RESOURCE DEPOSIT FEE CHARGE TAX AMOUNT PAID REFUNDS BALANCE 2025 Amphitheater Deposit $100.00 $0.00 $0.00 $0.00 $100.00 Veterans
Day
Ceremony
Payment Schedules
DUE DATE
Oct 28, 2025
AMOUNT DUE
Original Balance: $952.00 Current Balance: $952.00
AMOUNT PAID WITHDRAWAL ADJUSTMENT BALANCE
$952.00 $0,00
$0.00 $952.00
# R7542 Status Tentative
06/09/2025 City Council Agenda
497
Step,Qne- Information
Name of Rental A
SHELTER RESERVATION APPLICATION
Ciy of Yucaipa Community Services Department
hone Number
Address: Street City Zip
of LA A, Pik ('AL/'-rEc1J Lif T6---re_ A A.-:S (`'( MY! t rreE Organization Dame (if applicable) a Number
Primary email of Rental Applicant:
Designated Event Representative (if Applicant will not be present):
Name Phone Number
Step Two- Event
Type of Event: ❑Meeting ❑Birthday ❑Family Gathering ❑ Reception/Banquet ❑ Shower- Baby ❑ Bridal/Wedding /-ri0ti f
v
('�2c
Names of Event: ;6:,6 U� T� 1�s b 7 ❑Other:
# of Attendees: ?0 Date(s) of Use: /
Day: DM LiTu ❑W ETh OF ❑Sa ❑Su
*Hours requested include the time it takes to setup and clean-up the event. Total Number of Hours:
Step Three- Details
Will there be food? DYes Ewa Is the event a fundraiser? DYes El -No * if yes, no food trucks/carts/tents permitted unless approved by Special Event Permit.
Will there be a bounce house? DYes INo Will you have any of the following: ❑ DI ❑ Band *If yes, must book Bounce House through Authorized Jumper companies only.
Step Four - Facility
Yucaipa CommutliLy Park:�rk
E rrlphitheater E rge Shelter 2 ❑Medium Shelter 3 & 4 ❑Medium Shelter 5 & 6 ❑Small Shelter 1 ❑Smal1 Shelter 3 ❑Small Shelter 4 ❑Small Shelter 5 ❑Small Shelter 6 ❑Small Shelter 7 ❑Small Shelter 8
Wildwood Park:
❑Small Shelter 1
Ave 1 Park:
❑Small Shelter 1 ❑Small Shelter 2 ❑Medium Shelter 3 ❑Small Shelter 4 ❑Small Shelter 5 7'h Street Park
❑Small Shelter 1 ❑Medium, Shelter 2 ❑Medium Shelter 3 ❑Large Shelter 4 Crafton Hills Park.
❑Small Shelter 1
Step Five — Review City Policies
Insurance
A. The Applicant shall purchase special event general liability insurance through the City of Yucaipa and cannot be provided. Insurance fees are included in shelter pricing, and Insurance premiums are subject to change annually.
General liability coverage is in the amount of $1 million for bodily injury, personal injury, and property damage. Use of the facility will be denied if required insurance is not purchased prior to the event.
Cancellations/Refunds
A. Any Cancellation of a rental less than thirty-(30) days will result in lass of i00°/u of the rental tees and deposit (if applicable).
B. Any cancellations prior to thirty days (3O) will result in a loss of 50% of the rental fees and deposit (if applicable). Al! refund requests are subject to a $20.00 processing fee.
U6/09%202J City Council Agenda 498
C. Refunds will be approved if rain or inclement weather occurs on the day of shelter reservation. A refund request form must be completed and submitted within seven (7) days after reservation for refunds to be honored.
Park Shelters Rules
A. City organized activities shall have priority use over all requests. When passible, neither user shall interfere with the other's use.
Sufficient prior aunification of canceled requests will be given by the City when possible.
B. No Food trucks. carts. or food carts are permitted unless approved by Special Event Permit C. Permit Holder f Requestor(s) and event attendees must adhere to the rules and regulations governed by the City [reference City Park Ordinance No.127). Failure of adherence to such rules and regulations may result in suspension of use or dismissal from the facility.
D. No amplified sound permitted.
E. Due to the unavoidable seasonal and recreational circumstances/activities, there is no guarantee concerning the condition of the shelter and the surrounding area. The City will maintain the shelter to the best of their ability prior to the event.
F. Smoking is prohibited in ail City parks and facilities (reference City Park Ordinance No, 256).
G, Alcoholic beverages prohibited unless prior approval as a condition of a Special Event Permit.
H. No wood burning campfires or propane grills permitted, Charcoal only.
I. No motor vehicles are permitted in the parks, on turf, walkways, and on surfaces unless approved by a special event permit. (reference City Park Ordinance hi°. 127). NOTE: If motor vehicles are found on prohibited surfaces, additional fees can be incutTed.
Bounce Houses/Jumpers
A. Permit Ho€der/Requestor must first obtain a Facility Use Agreement for the use of the park and indicate on the Agreement that a bounce house will be used as part of the event (Yucaipa Municipal Code 12.04.281).
B. Permit Holder/Requestor and bounce house company must execute a written agreement (between the two parties) and agree to indemnify and defend the City from any liability related to the use ofa bounce house. ACertificate of insurance and Endorsement is required for all bouncers in City parks. The Certificate of Insurance and Endorsement must list the City as additionally insured (per Section VIII (fthis document]. The Bounce House Rules and Regulations Form and Insurance documents must be received by the Community .Services Department fourteen (l4) days prior to the event date.
D. The City reserves the right to limit the number and size of bounce houses being used. Only small bounce houses are permitted (In'xl$'x18' max). No obstacles or water jumpers permitted. Larger sized bounce houses are permitted only with a Special Event Permit and with Director approval.
E. Bounce houses are to be set up only by the bounce house company in compliance with manufacturer specifications.
F. Baunce house companies will be responsible for providing a generator for the inflation of the bounce house. The City does not provide electricity. The generator must be quiet rated at 60dB or less and not generate noise in excess of City standards. The generator shall be placed a safe distance from the bounce house and electrical cords covered to prevent tripping hazards.
Additional gasoline cans MUST NOT be stored next to the generator.
G. The bounce house company must provide a fire extinguisher that is equipped to extinguish any fire that may occur. i{. Bounce houses and generators will be placed at locations designated on the Facility use Agreement application: Community Park:
(Shelters 2, 3, 4, & 7); Ave 1 Park: [Shelters 1, 2, 3, 4); 7t1 Street Park: (Shelters 1, 2, 3); and Wildwood Park: (Shelter 1).
I. Bounce houses must be under supervision by an: adult at all times. Permit Eiolder/Requestor must provide adequate supervision so that the use is in compliance with manufacturer recommendations and reflects safe levels of operation.
J. Bounce houses are not permitted overnight unless approved by Special Event Permit.
K. Bounce houses must be free standing and weighted. Stakes are prohibited in City parks unless approved as a special condition or a Special Use Permit. Bounce houses must not he tied or tethered to trees, tables, or other park amenities.
L. Permit Holder/Requestor is responsible for all damage caused by their use of the park or bounce house. Damage to City property or turf may result in additional fees incurred.
M. The City is not responsible for any damage to the bounce house.
N. Failure by the Permit Ilolderf Requestor or vendor to adhere to these policies will result in the immediate removal of bounce house from the park and may result in the denial of future use of City parks and facilities. Damages to the park resulting from use of a bounce house are the financial responsibility of the Permit Elottler/Requestor.
O. Authorized Jumper Companies:
Jum. N Jum Rentals: 909-873-8487 toll Jum•s: 877-694-1994 Step Five- Signature, Please Read Carefully Before Signing Facility user hereby agrees to indemnify, defend and hold harmless City of Yucaipa, its officers, officials, employees and volunteers from and against all claims, damages, losses and expenses that may arise du ring or be caused in any way by such occupancy or use of facilities, but the facility user shall not be liable for any claims, damages, losses and expenses caused by the sole negligence or willful misconduct of the City of Yucaipa. Permittee shall have received any and ail permission or licenses) as may be required to perform or use any protected materials in its use of the Premises. Perrnittee agrees to protect and save harmless the City, its elected officials, employees and agents from and against any and all claims, penalties, and/or damages which may accrue asa result of Permittec•'s failure to comply with this requirement. I have read and agree to abide by ail of the City of Yucaipa Community Center policies stated above and in the Corn munity Center Rental Policies.
Applicant Signature:
Date: 5 _ e
06/09/2025 City Council Agenda
499
grem,4
City of Yucaipa
City of Calimesa
Yucaipa Citizen on Patrol
Yucaipa/Calimesa News Mirror
US Naval Sea Cadets Corps/March Air Reserve Base
VFW Post 7347 & American Legion Post 426
Mike Gross — Sound System
Dunlap Elementary School
Girl Scout Troops 1549,795,1795
Dick Riddell
Judge Robert & Mary Fawke
Exclusive Car & Truck, Yucaipa
Hickory Ranch, Yucaipa
Bob & Lenore Will, Donors, Hand Flags (Made in the USA) Sullivan Party Rentals
Smiles for Seniors
Flowers, Etc., Beaumont (wreath donation)
YHS Madrigals Director Kirk Young
YHS Symphonic Band Director Robert Presler
KQLH Radio 92.5 FM
Yucaipa Calimesa Veterans Committee
Sen. Rosilice Ochoa Bogh
Program Designed & Printed By
Desert Lawn Funeral Home & Memorial Park FD1819
November 11, 2024 - 11:00 AM
Yucaipa Community Park
34900 Oak Glen Road
Yucaipa, CA 92399
06/09/2025 City Council AgP„d
,uu
Tim O'Connell enlisted in the United States Marine Corps in 1984, serving in the lst Marine Division and 3rd Marine Aircraft Wing. Near the end of his enlistment in 1989, after deploying to the Persian Gulf, Tim sought a career as a firefighter with the California Department of
Forestry/Riverside County Fire Department.
Tim was a San Bernardino County Deputy Sheriff for 24
years and served in numerous assignments with the balance of his career being assigned to the now Specialized
Enforcement Division. Tim rose to the Rank of Lieutenant and took an early retirement service.
In July of 2018, Tim accepted a permanent position with the Calimesa Fire Department as a Fire Captain and was
promoted to Battalion Chief in 2019.
ORDER OP SERVICli
Prelude Music YHS Symphonic Band
Master of Ceremony George Sardeson, Navy Veteran
Invocation Deacon Peter Bond
Posting of Colors .... ITS Naval Sea Cadets Corps, March Air Reserve Base Pledge of Allegiance judge Robert Fawke, Zoey Smith
Dunlap Elementary
Fly over presented by WWII Vintage aircraft
National Anthem Rebecca Gossart
Recognition Special honor WWII Veteran
Dick Riddell
Rachael M. Gustuson, YCVC
Sen. Rosilicie Ochoa Bogh
Sup. Dawn Rowe, Scott Ward
Placing of Wreath Brandi Gomez and Lynn Tanner
"In Flanders Fields" Performed by YHS Madrigals
"Amazing Grace" Bagpiper Tim Riley
Keynote Speaker Tim O'Connell
"The Battle Hymn of the Republic" YHS Symphonic Band
Military Medley Bill Daley
"God Bless the U.S.A." Mr. Dave Ambrose
Benediction Deacon Peter Bond
Closing George Sardeson
Recognition
Recognition
Recognition
Parade of Flags with students from
Dunlap Elementary School and Local Girl Sellouts
06/09/2025 City Council Agenda
501
RECEIVED
Department of the Treasury
internal Revenue Service
Tax Exempt and Government Entities
IRS P.D. Box 2508 Yucaipa City Clerk's Offlcc
Cincinnati. OH 45201
MAY 0 5 2025
YUCAIPA CALIMESA VETERANS COMMITTEE
C/O RAC USON
Date:
03120/2024
Employer ID number:
99-1674306
Person to contact:
Name: Customer Service
1D number: 31954
Telephone: 877-82 9-5500
Accounting period ending:
December 31
Public charity status:
170(b)(1)(A)(vi)
Form 9901990-EZ 1990-N required:
Yes
Effective date of exemption:
March 1, 2024
Contribution deductibility:
Yes
Addendum applies:
No
DIN:
26053473005324
Dear Applicant:
We're leased to tell you we determined you're exempt from federal income tunder uder Internal Revenue
170.nueLCl You're p
so
(IRC) Section 5g1(c][�). Donors can deduct contributions they make to you�_�� qualified to receive tax deductible bequests, devises, transfers or gifts under ectioco 55 210G of 5_2. This letter could help resolve questions on your exempt status. Please keep it s.
organizations exempt under IRC Section 501(c)(3) are further classified sleiithd er public c ofaritides s or
privatefoundations. We determined you're a public charity under the IRC Section I f wForm 990199U-EZ/�3y0-h our records showe indicated at the top of this fetter that you're required to file Fo you're required to file an annual information return (Form 990 orre r mtforh 90 EZ)conorr ele e ctr} eac notice (exempt pt Form
990-N. the e-Postcard). if you don't rile a required return or notice status will be automatically revoked.
If
we indicated at the top of this letter that an addendum applies, the enclosed addendum is an 113te;,ral part of this letter.
For important information about your responsibilities as a tax-exempt or ani ati.► d+, ;tot to[71 c}l it Public ltaritie
P
Enter „4"�2 l -pC" in the search bar to view Publication 4221-PC. Compliance Charities, which describes your recordkeeping, repotting. and disclosure requirements.
Sincerely.
f ,r v. Fti
Stephen A. Martin
Director. Exempt Organizations
Rulings and Agreements
Letter 947 (Rev. 2-2020)
Catalog Number 35152P
06/09/2025 City Council Agenda
502
1Il11I il 1 IIl11 lIl
II IIIII IIIII IIII III{I 11111 IIIII I IIII IIIII IIIII IIHI IIIII IINI Ilnl Ilil IIII
STATE OF CALIFORNIA
Office of the Secretary of State
STATEMENT OF INFORMATION
CA NONPROFIT CORPORATION
California Secretary of State
1500 llth Street
Sacramento. California 95814
(918) 657-5448
Entity Details
Corporation Name
Entity No.
Formed In
Street Address of Ca1UGrnia Principe! Office of Corp❑rakian Street Address of California Office
Masking Address al Corporation
Mailing Address
Attention
Officers
Add= rral offkcer5
Officer R1amA
Agent for Service Of Pf LiCeSS
Agent Name
Agent Address
Email Noul.catiOns
Opt -in Email Notificali0nS
For Office Use Only
-FILED-
File No.: BA20240727458
Date Fled: 418f2024
Yucaipa Calime5a Veterans Committee
6138412
CALWORNIA
Electronic Signature
Ely signing, l affirm that the information herein is true and correct and that 1 am authorized by California law to sign.
Rachael GUSUISO l
Signature
04/08/2024
Date
P.O. BOX 1113
YUCAIPA, CA92399
Committee
Rachael Gustuson
No, I do NOT want to receive entity notifications via email. 1 prefer notifications by USPS mail.
}
11 06/09/2025 City Council Agenda
503
Paci
ATTACHMENT 12
06/09/2025 City Council Agenda
504
CITY OF YUCAIPA
COMMUNITY ACTIVITY GRANT APPLICATION
FINANCIAL / IN-i<IND / FEE WAIVER
COMMUNITY ACTIVITY GRANT APPLICATION INSTRUCTIONS
FISCAL YEAR:
2025-2026
DATE SUBMITTED: 566.25
SUBMIT TO: CITY OF YUCAIPA
GENERAL SERVICES/CITY CLERK DEPARTMENT
34272 YUCAIPA BLVD.
YUCAIPA. CA 92399
All sections or the application must be returned complete, and iN supporting documentation must beInduded as partot the submittal. incomplete applications received will be returned to the applicant.
Note: Beginning with the FY 25126 grant cycle, financial grant awarded funds will require 10094 fitiartriel match by the apphira nt. For example, if your total programfproject cost IS f 1,OCIG, your financial grant request should be far no more than i500. go prepared to show proof of program/ project cost in your Wrap-up Report ,Accountability Report). detailing the applicants match of SSW.
SECTION 1 - GENERAL INFORMATION
Name of Applicant/Organization: Yucaipa Pickleball,
ApplicantiOrganiratiors
Mailing Address
Applicant/Organization Phone Number
CONTACT (1)
CONTACT (2)
PBtrkkla Ilirl :Inl
NAME
ytscdipap ii: til i:hai l(a2glttai l.com
E-Mall
Melindn Daniel
NAME
E-Mail
PHONE NUM aEA
PHONE NUMBER
SECTION 2 - ELICIE►ILITY REQUIREMENTS
YES
Is your organization located in another community?
Will the program/event take place in another community? Are you aware of any other City program providing this service? If so, which one?
•I f ynu answered "Yes" to any of the questions listed above, your request is not eligible Tor the Community Activity Grant.
NQ
1,
El
no
RECEIVED
MAY 0 6 2025
Yucaipa City Clerk's Office
1 111111111111111
06/09/2025 City Council Agenda
505
SECTION 3 - ORGANIZATION INFORMATION/APPLICANT BACKGROUND Your organization must be an established 501 (c) to be considered for Community Activity Grant funding.
Please submit documentation verifying organization 501 (c) status along with this application.
Is your organization a 501 (c)?
YES NO
n❑
If so, please provide Tax ID# and attach all supporting 87-1919072 documents.
Does this application include submittal of
documentation verifying 501 (c) status?
How long has your 501 (c) organization been in existence? Number of employees working for organization?
Number of volunteers working for organization?
Is a current City Council Member on your board?
How many Yucaipa residents does your organization
currently serve?
Does the organization charge admission, membership
fees, due. etc.?
If yes, please describe:
07 I7r202I
0 25
400
El
CI El
El 1-1
We charge S4Wyear membership. but anyone can come play for free at our open play days.
Names and Titles of Officers and Board of Directors: (Please attach an organization chart, if available) Patricia Ingram President
Richard Rios Vic: President / treasurer
Debra bitter Secretary
Melinda Daniel Director - Youth Activity Coordinator
Diane Kuehl Director - Webntasteri Membership;communication Rito Chisholm Director - Facility and Volunteer Coordinator 06/09/2025 City Council Agenda
506
SECTION 4 - PROGRAM DESCRIPTION/SCOPE 'PLEASE LISE ADDITIONAL
PAGES AS NECESSARY'
Name of the program/event: Pickleball in the Schools
r atels) of the program/event; 25-26 School Year
Total estimated cost for program/event: S2,200
Describe the program/event that the organization is seeking support for:
(Attach any eventprogram promotional materials associated with the program/events WC want to continue our YCJUSD school program. In the first year we served over 3000 students and gave over 750 volunteer hours. We went to 6 elemntary schools, 3 middle schools and the high school to introduce Pickieball.
Atier that firs) year introduction, our second year we were able to concentrate on 3 schools with additional equipment and instruction in more detail. This year we would like to do the same.
We purchase paddles. nets and balls torthc Yucaipa Caliinesa Joint Unified School District Schools. Our volunteers go to the schools to do teacher and student training.
Describe how the program/event benefits the residents/or community of Yucaipa:
Our Youth Program has generated interest from not only the kids, but extends to the family. This past weekend we hosted a Youth "tournament with 25 students participating.
Picklet+all is one of the few activities where the entire family can participate. There are no age restrictions. It is a low impact, low cost sport. It can improve cardiovascular health. heart disease and over all mental well being. 1'he Superintendent of YCJUSD, Cali Rinks. told me last week that she witnessed pickleball being played at Mesa View Middle School after our instruction there and there was not one student sitting on the sidelines! They all want at be involved.
Program/event primary target population (check all that apply):
ElChildren or Youth Entire Community E Homeless Low Income nPersons with Disabilities n Seniors n Victims n Welfare Recipients Women
Please answer the following to determine if your program/event requires a Special Event Permit {SEP):
Estimated attendance 300-999 persons
Amplified Sound
(excluding Special Event Facilities)
YES NO
n
,His sox is Fdq STAFF USE ONi Y
This event requires City Management/
Administrative Approval:
YES NO
Estimated attendance 1000+ persons
Alcohol Service
(excluding Communky Centers & YPACi
Street Closure - Traffic Management
YES NO
✓
TN'S BOX IS FOR STAFF USE ONLY
YES NO
This event requires City Council Approval:
MOM
06/09/2025 City Council Agenda
507
Please identify what your organization is seeking:
YES NO
n 5,0o.
Financial Support:
In -Kind Support: $ $
OT/Reassigned Staff CS/Rental
If other. please explain:
Total Amount
of Request s
In -Kind
YES NO
i l
$200 SEP Fee Waiver:
s $
Scherer Other
Community Center
1,100.00 $ 0
Financial Support 5200 SEP Fee
Waiver
50 $ 1,100.00
Financial Match Total Overall
Request
Provide a detailed description of how the financial support will be used:
We intend to purchase 150 pickleball paddles, 6 nets and 100 balls for the schools. i,stimated cosi of these items is 52,200.00.
SECTION 6 - FINANCIAL CAPABILITIES/BUDGET
What other in-kind/financial contributions has your organization received to fund this event/program (separate from city funding)?
Membership Dues - portion
I insting Tournaments - Portion
Hosting Clinics - Portion
$
$
S
In -Kind
Amount
Financial
Support Amount
$ 7500.00
$
5000.00
$
1000.00
$ 5
$ $
Total Funds Received to Date: $ $ 13,000.00
Total Funds Requested via Grant Application: $ $ 1100.00 Remaining Balance that will be Funded by Organization: $ S 1100.00 mum
06/09/2025 City Council Agenda
508
:-,SECTION 6 - FINANCIAL CAPABILITIES/BUDGETrcohrmusal
Describe any City Funding received by organization in the past three years (required)? PfObraln
CMI 23-24
C kG 24-25
Iirc,na financial 1.20a SEP
Support Support Sre. We,.P1
❑ n
❑ i !
Date Received Total Received
6/28/23 52,450.00
6' 12/24 s 2,820.00
SECTION 7 - CERTIFICATION
I. the undersigned. do hereby attest that the above information is true arra correct to the best of my knowledge, and understand that the awarded financial grant amount needs to he spent prior to submitting I'rc.ident
Tale
SUBMIT FORM
bate
'TO BE COMPLETED BY THE CiTY
Rate Received;
Amount Funded:
Type of Grant:
In.Rind
Suppo•i
Support
Date City Council received follow-up report:
Date Reviewed:
City Council Meeting:
S20a SEP
Fee 1.1i.,Iv r
06/09/2025 City Council Agenda
509
Department cf the Treasury
Internal Revenue Service
I�Tax Exempt and Government Entities
,J P.O. Box 2508
Cincinnati, OH 45201
YUCAIPA PICKLEBALL INC
C/O DIANE SMITII
Dear Applicant:
We're pleased to tell you we determined you're exempt from federal income tax under Internal Revenue Code (IRC) Section 501(c)(3). Donors can deduct contributions they make to you under IRC Section 170. You're also qualified to receive tax deductible bequests, devises, transfers or gifts under Section 2055, 2106, or 2522. This letter could help resolve questions on your exempt status. PIease keep it for your records.
Organizations exempt under IRC Section 501(c)(3) are further classified as either public charities or private foundations. We determined you're a public charity under the IRC Section listed at the top of this letter.
If we indicated at the top of this letter that you're required to file Form 990l990-EZJ990-N, our records show you're required to file an annual information return (Form 990 or Form 990-EZ) or electronic notice (Form 990-N, the e-Postcard). If you don't file a required return or notice for three consecutive years, your exempt status will be automatically revoked.
if we indicated at the top of this letter that an addendum applies, the enclosed addendum is an integral part of this letter.
oate:
11I01/2021
Employer ID number:
87-1919072
Person to contact:
Name: Customer Service
IU number: 31954
Telephone: (877) 829-5500
Accounting period ending:
June 30
Public charity status:
509(aj{2)
Form 990 f 990-EZ 1 990-N required:
Yes
Effective date of exemption:
July 17, 2021
Contriourlon de[Juctluiiity:
Yes
Addendum applies:
No
DLN:
26053630002901
For important information about your responsibilities as a tax-exempt organization, go to www.irs.gavieharit es.
Enter "4221-PC" in the search bar to view Publication 4221-PC, Compliance Guide for 501(c)(3) Public Charities, which describes your recordkeeping, reporting, and disclosure requirements.
Sincerely,
f
Stephen A. Martin
Director, Exempt Organizations
Rulings and Agreements
Secretary of State
Articles of Incorporation of a
Nonprofit Public Benefit Corporation
ARTS-PB-
I 501(c)(3)... --,
illiPORTANT — Read In%trucflons before completing this form, Filing Foe - $30.100
Copy zee - Furl li.'upa Si en, each tslia+.hmrnl pi-rpe 50,511, Certsfsesstrost Fee - 35.00
flute A reparate Calrloraia Franchise Tax Board appcation is required to atealri lax exerept status. For More infolmtltlon, 90 i3 fib-c_a .
1. Corporate Name {Gu ra +er r. -r grrilnr.smessiba•owne-iz ei �::.•.:,�•. for gweirai corporate name rs rsenV, a+ld r reatons,r FILED
Secretary of State
State of California
4766963
1 i1 r Number
07/L7/21321
nIiitg flare
This For O!hce Use Only
The name of file Oorperalilin is
Yucaipa P�cicleball, Inc.
2. Business Addresses (Enter the complete business addresses. Item Za carat+ be a P O,Bnx ar'm rare nt an rrr3intuit w eeetr•i in,•• — c-L - Do not enter a P.R. Bo a
! ,ty faro rbt ray elkoloi
Yucaipa
l'attrn
CA
74 CaiS -
923399
imui Ma3x1y Add-ess of G.r,xr�:ral- it different than dent 2a C dy On iiter.v «tezj
Stale
Lp Cade
3. Service of ProCuss West provide etlhes Indsvittsat OR ..Grporzfref.
IP4DJVIG1iA1- Complete items 3a and 3b only. Must include agerI si df car a and C43. foirwa street address - I
a. carrion= Agent's Fast Marne {.f .irnI n not a r.c p Iran] Diane
IA , sse ri acne
Alane
Srtool Actress a.. ,d rs not a - I]o RC! eta P.O. Bolt c'ry {rr's eit rail! Ent} Yucaipa
CORPORATioN - Car:pieta tom 3c Only Include the name of Me raw er d Kent Carpo-a'ror. t. Col-ry mlia Regsrared Gorpprate Agent's Mare fd wpm is a rerpor j - Do ne arnote:e hen la Lew tkriet
Smite
nCee* tro CuteA ,92399
4, Purpose Statement
Item 4a: One or both boxes must be ct•eci:eci-
ltem 4b: If -ptrobe- purposes rs Ctrecsoo ir, [ 81t ea or If yob :mend to appl for tax-exempt snafus In Catforrta must enter ere specsfrc purpose el teem 4b. r
You
a. This curporation is a noapraflt pubbc benefit corporaton and cs not organized for the viva* gain of any person. 11 ES irganized under', The Nonprofit Public Benefit Corporation Law for ❑✓ public purposes ❑charitable purposes. h Th1t sSpec c purpose of this corporanon rs Ira promote exercise, good sportsmanship, and teach plUdeball skills
5. Additional SLatertients (See Instructions and Fltine Tips.( a. This corporation is organized and operated exclusively for the purposes set f: nth :n Article 4 hereof within themeaning of Internal Revenue Code section 50 t 1c1 31
b_ No sUbsttniai pan of the activities of this corporation strait consist of Carryiny on propaganda_ or tit21eFv ise atterpt,N to u:tlueni.x legislation. and this corporation shall not participate or intervene el any political carnpatg..t (including fine pubkshrng or dis button o4 staterrerftsj on behal€ of any candidate for public owe c The property of this corporation is irrevocably dedicated to the purposes in Article 4 hoof and no pars of the art Inc —cope rr as%TAF of tuts corpvrau n shaft ever 61iwre to the benefit of any dire. cirrceror member thereof or to the beneft of arty pneafe pers.:n. d upon tie dissblut;r2n of winding up of this rc r ration. its assets rernatn)ng after payment. or pJrmiston Ica payment of au deb a,-r1 1;ablttes of thss corporat-'on shall he. distributed to a nonprofit fund. feendal;on rtttmrporat'en which is organized and arp&rats-d exdtr&wely in charitable, educational andlnr religious purlxres and which has established tt tar- exempt status under Inc : rrat Reienue Code section 5011 )t31
6. Read and 51gn Below iTtss faun must be signed by rnoorporaior Se Instructions_ Go nor rnatale r3 Ink:
a e
❑LANE ALAF4E $Mt 7 H
Signature Type or Print Name.
fSSQiicd3,l.a4114 221-
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06/09/2025 City Council Agenda
511
5/7/2025
PICKLEBALL IN THE SCHOOLS
JYA.‘
YUCAIPA
J" PICKLEBALL
ter•_.
Supported by Yucaipa Pickleball, Inc. through a
Grant by the City of Yucaipa
i
WHAT'S 1I4PFN1NG??
• City Awarded Yucaipa Pickleball a $2450 grant to promote picklebali • $350 Grant from USAP Youth Program Grant for each school • Selkirk sports partnership
• YPI will be donating one net, eight paddles and eight balls to each school.
• Schools put in a request for courts to be painted at their sites • YPI did a training with all of the elementary PE teachers • Grades 5-8 are part of our training program
2 2
06/09/2025 City Council Agenda
512
1 5/7/2025
PAR1I(IPATING SfN00LS
• Valley Elementary
1 Dunlap Elementary
• Chapman Heights Elementary
Wildwood Elementary
Ridgeview Elementary
• Calimesa Elementary
• Parkview Middle School
• Mesa View Middle School
• Competitive Edge Charter Academy
• Adult School ESL
Wildwood Calvary Christian School
• STARS Program Schools
3 3
4 06/09/2025 City Council Agenda
513
2 5/7/2025
5 6
06/09/2025 City Council Agenda
514
3 5/7/2025
7 8
•nranAr rIP',sriirIrazr i mac_
06/09/2025 City Council Agenda
515
4 5/7/2025
9 10
ELEMENTARY
TEA(ER
[OIi8fflAT1N
DAY
06/09/2025 City Council Agenda
516
5 5/7/2025
11 OUTLOOK:
• After School Programs - over 50 students currently enrolled Anticipating 200 after school students
• Elementary PE classes - over 500 students
• Middle School PE classes - over 1900
12 12
06/09/2025 City Council Agenda
517
6 5/7/2025
COT POSSIBILITIES:
• City is building 4 new permanent courts at 7th St. park • 2500 students will be taught before the end of the school year • YPI offering youth leagues and tournaments
• Families will be playing
• Doubling our club size
I Need for the completion of Phase 1 and Phase 2
13 13
THANK YOU
Q
40emiLL
(lc% F--
14 14
06/09/2025 City Council Agenda
518
7 YUCAIPA PICKLEBALL invites YOUTH to
our
JUNIOR DIVISION TOURNAMENT
Rotating Partner Round Robin
(No partner needed)
GRADES 5-12 welcome
(Younger with prior approval)
Divisions will be created by skill & age
If entries allow.
WHEN: SATURDAY: May 3, 2025
Check in at noon
Games start at 12:30 pm
WHERE: 7TH STREET PARK SHADE STRUCTURE
33994 Ave. E, corner of 7tn St., Yucaipa, CA
Location may be moved due to possible court resurfacing.
COST: $10
Registration open until full,
No refunds after April 25, 2025
Receipt of registration/entry fee holds slot
Registration opens March 1, 2025
Click on TOURNAMENTS tab at www.yucaipapickleball.com
Pay with ZELLE to [email protected]
Or VENMO @yucaipa-pickleball-1
Or Pay on the registration website with credit card ($1 fee applies) Text Patty Ingram at 909-709-1770 for additional info.
SPONSORED BY:
YUCAIPA
PIcKLEBALL
„n. ru�µaA:tkGv!e:c.i
SELk1TRI<
06/09/2025 City Council Agenda
519
An - PICKLEBALLS
Rufus - - -
Sports & Outdoors Outdoor Recreation Hunting Fishing & Boating Cycling Exercise & Fitness Sports Golf Game Room & outdoor Games Fanshop Sales 4 Deals Shop new
Sports & Outdoors , Sports ' Leisure Sports & Game Roam , Outdoor Games & Activities ' Plcklehall i
Last purchased Dec 13, 2022
Sire. 105 Coent I Cairo Yeuow
Click to see full view
le Ask Rufus
What material are they made of? Do they come with a carrying case? Are these balls weather -resistant?
RECEIVED
MAY 2 9 2025
5p
Yucaipa City Clerk's Office
Franklin Sports X-40 Outdoor Pickleballs - Official Ball of USA Pickleball, APP Tour + Pickleball US Open - 3 Packs, 12 Packs, 36 Pickleball Buckets, 50, 100 + 400 Bulk Packs of Regulation Pickleballs
Visit the Franklin Sports Store
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• Best Entry Level Pickleball Paddies TYD03: This is the best entry- level pickleball paddles set of 4 for beginners! The textured surface allows you to perform amazing spin shots like professional athletes. The 16mm fibreglass pickleball paddies provide you with more power, while the 7.8-8.0 oz weight helps reduce stress on your elbow and shoulder. With a 5.5" elongated foam moulding grip, this pickle ball rackets 4 pack offers a blend of reach and control.
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Spa•oacd
Tara Davis
From: Yucaipa Pickleball
Sent: Thursday, May 29, 2025 7:47 PM
To: Tara Davis
Subject: Re: Accepting Applications - Community Activity Grant - Fiscal Year 2024/25 - PLEASE
READ IN ENTIRETY
Attachments: AMAZON-3.PDF; Amazon.com - Franklin Sports Pickleball Net - Official Size with Wheels -Superior Portability, White_Black _ Sports & Outdoors.pdf; AMAZON-1.PDF Tara, I missed your call and am on vacation. But I happen to have my computer with me, so I'm attaching the Amazon pages we used to calculate our costs.
Our numbers were rounded for the application
Paddles - 40 packages of 4 paddles each at $30 per Package = $1200 Nets - 6 nets @ $130 ea = $780
Balls - 100 in a package = $200
Total $2180 - used $2,200 in application
We may need additional equipment depending on the final school numbers.
Let me know if you have any questions or need additional information.
Thank you
Patty Ingram
Yucaipa Pickleball, Inc.
www.YucaipaPicklebalL.corn
On Thu, May 29, 2025 at 9:20 AM Tara Davis wrote:
Good morning, We are preparing the applications for ad -hoc review. We need the following from you as scon as possible.
Supporting documentation of estimated cost -quotes/invoices/etc.
Thank you,
From: Yucaipa Pickleball [email protected]>
Sent: Tuesday, May 6, 2025 11:55 AM
To: Tara Davis rtdavis@yucaipa. ova
Cc: Richard Rios Melinda Daniel
Rite Chisholm Diane Kuehl
Subject: Re: Accepting Applications - Community Activity Grant - Fiscal Year 2024/25 - PLEASE READ IN ENTIRETY Debi Hitter
1 06/09/2025 City Council Agenda
523
Tara,
Thank you for the opportunity to apply for a CAG this year. I have attached our application and supporting documents. Included are our IRS non-profit approval letter, Articles of Incorporation, a flier regarding our recent youth tournament and our Pickleball in the Schools PowerPoint presented to the city council and YCJUSD.
We took forward to your confirmation of receipt of these documents. Please, do not hesitate to contact us if you have any questions or need additional information.
Patty Ingram
Yucaipa Pickleball, Inc.
www.YucaipaPickleball.com
On Wed, Apr 16, 2025 at 5:12 PM Tara Davis wrote:
Good Afternoon,
On March 24, 2025, City Council approved the Community Activity Grant (CAG) Program and approved funding levels in the amounts of $20,000 for financial requests and $40,000 for in -kind requests. In order to be eligible for the FY 2025/26 Community Activity Grant Program, all Wrap-up Reports (from prior grant cycles) must be completed and turned in for Council review prior to applying. Wrap-up Reports are due within 30 days of your scheduled event/program — if you are unable to meet the deadline, please reach out to us to make alternative arrangements, as needed.
ACCEPTING APPLICATIONS BEGINNING APRIL 16, 2025!
COMMUNITY ACTIVITY GRANT - FISCAL YEAR 2025/26
The Community Activity Grant (CAG) Program supports the efforts of local non-profit 501(c) agencies/organizations that provide valuable services, programs, and/or events to Yucaipa residents. Local non -profits who are proposing 2 06/09/2025 City Council Agenda
524
to continue on -going programs/services, new programs andlor services for small/large scale special events that meet the grant guidelines are eligible for the CAG Program. The City of Yucaipa will begin accepting CAG applications for the Fiscal Year (FY) 2025126 on April 16, 2025. The application and guidelines may be accessed on the "Residents" tab of the City's website (click on Community Activity Grants under Non -Profits) at www.yucaipa.gov .
Organizations seeking financial assistance will be required to submit a completed FY 2025/26 CAG application with all required documentation and attachments by the established deadline of May 16, 2025, at 5:00 PM. Financial applications received after the deadline will not be considered. Applications for In-kind/fee waiver assistance will not have an established deadline; however, requests will be reviewed and considered as received until funds are depleted.
Please follow the application process below to the ensure timely processing of your request.
REQUEST FOR FINANCIAL SUPPORT
Financial support may be requested to assist with the funding of a local program/event that meets the established guidelines for the program.
STEP 1
Complete the Community Activity Grant Application — Sections 1 through 7 with supporting documentation, as required.
STEP 2
Attach event/program promotional materials.
STEP 3
Submit your signed, original application with attachments to:
City of Yucaipa
General Services/City Clerk Department
3 06/09/2025 City Council Agenda
525
Attn: Tara Davis
34272 Yucaipa Blvd.
Yucaipa, CA 92399
REQUEST FOR IN-KIND/FEE WAIVER SUPPORT
In-kind/fee waiver support may be requested to offset facility rental fees (excluding the YPAC), permit fees, and/or special events
STEP 1
Prior to submitting a CAG application, contact Kelsey Vega, Administrative Assistant, at 909-500-7714 ext. 558.
STEP 2
Submit your signed, original CAG application with attachments (facility permit, Special Event Application and event/program promotional materials, etc.) to:
City of Yucaipa — General Services/City Clerk Department Attn: Tara Davis
34272 Yucaipa Blvd.
Yucaipa, CA 92399
All applications received and deemed complete will be reviewed for consideration by the Yucaipa City Council. Questions regarding the CAG Program may be directed to Tara Davis at 909-797-2489, ext. 282 or via email at tdavisyucaipa.qov. Once a City Council Meeting date has been established for the consideration of applications, applicants will be notified and invited to the meeting in order to provide the opportunity to speak on behalf of their grant request.
Note: The FY 2025/26 City approved CAG Guidelines include a provision that requires a 100% financial match for ALL applicants receiving CAG financial awards. For example, if your total program/project cost is $1,000, your financial grant request should be for no more than $500. Be prepared to show proof of 4 06/09/2025 City Council Agenda
526
program/project cost in your Wrap-up Report (Accountability Report). This notification is meant to give applicants adequate notice to plan accordingly.
Tara Davis
Administrative Assistant
City of Yucaipa
City Hall • 34272 Yucaipa Blvd • Yucaipa, CA 92399
Office; 909-797-2489 Ext. 282
www.yucaipa.gov
5 06/09/2025 City Council Agenda
527
ATTACHMENT 13
06/09/2025 City Council Agenda
528
AIONgt
/e a =- CITY OF YUCAIPA
COMMUNITY ACTIVITY GRANT APPLICATION
FINANCIAL / IN -KIND / FEE WAIVER
COMMUNITY ACTIVITY GRANT APPLICATION INSTRUCTIONS
FISCAL YEAR:
2025-2026
DATE SUBMITTED: 5/16/25, Amended 5/21/25
SUBMIT TO: CID"' OF YUCAIPA
GENERAL SERVICES/CITY CLERK DEPARTMENT
34272 YUCAIPA BLVD.
YUCAIPA, CA 92399
All sections of the application must be returned complete, and all supporting documentation must be included as part of the submittal. Incomplete applications received will be returned to the applicant_ Note: Beginning with the FY 25/26grant cycle, financial grant awarded funds will require 100%financial match by the applicant. For example, if your total prograrnlproject cost is 51,000, your financial grant request should be for no more than $500_ Be prepared to show proof of program/project cost in your Wrap-up Report (Accountability Report), detailing the applicants match of 5500.
SECTION 1 - GENERAL INFORMATION
Name of Applicant/organization: Yucaipa Valley Art Association Applicant/Organization: P.O. Box 404, Yucaipa, CA 92399 Mailing Address
Applicant/Organization Phone Number:
CONTACT (1)
CONTACT (2)
Lu1I' Martine
NAME
[email protected]
E-Mail
Enrique Lima
NAME
E-Mail
PHONE NUMBER
PHONE NUMBER
(2.,' Lit +t
RECEIVED
MAY 2 1 2025
Yucaipa City Clerk's Office
LATCALLT — - 410
SECTION 2 - ELIGIBILITY REQUIREMENTS
Is your organization located in another community?
Will the program/event take place in another community? Are you aware of any other City program providing this service? YES f NO
LJ U
n
1 If so, which one?
"If you answered "Yes" to any of the questions listed above, your request is pot eligible for the Community Activity Grant. 1 06/09/2025 City Council Agenda
SECTION 3 - ORGANIZATION INFORMATION/APPLICANT BACKGROUND Your organization must be an established 501 (c) to be considered for Community Activity Grant funding.
Please submit documentation verifying organization 501 (c) status along with this application.
YES NO
Is your organization a 501 (c)? ❑
If so, please provide Tax ID# and attach all supporting 95-3701090 documents.
Does this application include submittal of
documentation verifying 501 (c) status?
How long has your 501 (c) organization been in existence? Number of employees working for organization?
Number of volunteers working for organization?
Is a current City Council Member on your board?
How many Yucaipa residents does your organization
currently serve?
Does the organization charge admission, membership
fees, due, etc.?
If yes, please describe:
El
44 years
0 I0
❑u
75 El ❑
There is an annual membership of $30.00.
Names and Titles of Officers and Board of Directors: (Please attach an organization chart, if available) Zully Martinez, President, Board member
Alan Remele, Vice President, Board Member
Carol Maidlow, Treasurer, Board Member
Bea Gardner, Secretary & Shows, Board Member
Enrique Lima, Exhibitions, Board Member
Kathryn Ravenwood, Membership, Board Mernb
Judy Remele, Scholarships, Board Member
Bob Norris, Publicity, Board Member
Robin Staton, Hospitality, Board Member
Karen Hoak, Ways & Means, Board Member
2 06/09/2025 City Council Agenda
SECTION 4 - PPOG RAM DESCRIPTION/SCOPE (PLEASE USE AOOITIONAL
GAGES AS NECESSARY)
Name of the program/event: YVAA Art Meetings, weekly on Wednesdays at the Scherer Center, Permit #R7557 Date(s) of the program/event: 7/2/25 to 6/24/26
Total estimated cost for program/event: 5,833.00
Describe the program/event that the organization is seeking support for:
(Attach any event/program promotional materials associated with the program/event) The Yucaipa Valley Art Association's holds weekly art meetings at the Scherer Center to encourage any adult artists to participate in a group collaborative painting session with fellow artists. Participants bring their own supplies. This event is free and open to the public and the City does include this activity as part of the City of Yucaipa's community services booklet. It is listed on pg. 10 of the 2025 Yucaipa Community Services Guide as "Paint and Art Club". YVAA will hold weekly painting sessions from 1:00 pin to 3:00 pm on Wednesdays at the Scherer Community Center located at 12202 1st Street, Yucaipa.
Meeting schedule is outlined in Permit #R7557.
The in -kind CAGrant support will be used to cover the cost to reserve a room for two (2) hours on a weekly basis on Wednesdays for meetings at the Scherer Center in room B from Sept. to May. This CAGrant covers rental costs for the weekly meetings for 12 months. Activities will include art painting in any medium chosen by participant. This event is open to any adult, including our members and the general public who may wish to participate in a group painting session. The amended CAG application adds back 3 months (June, July, August) of our program which were previously cut due to CAG r •,.. r r r. rr r rr I r. rr r r .-. ..
Describe how the program/event benefits the residents/or community of Yucaipa:
The Yucaipa Valley Art Association's small group painting sessions give artists in the community the opportunity to meet up in person to paint in a collaborative and peer group environment. The meetings help to promote art in our community and supports the creativity and talent of our local community members. Our community contributions and activities significantly increase awareness and appreciation for the artistic talent of our members and local community members. This activity is free to all attendees at the Scherer Community Center and is listed as an activity in the City of Yucaipa's community services programs booklet.
Program/event primary target population (check all that apply):
❑ Children or Youth Entire Community ❑ Homeless ❑ Low Income n Women Persons with Disabilities
Seniors
Victims
Welfare Recipients
Please answer the following to determine if your program/event requires a Special Event Permit (SEP):
YES NO
Estimated attendance 300-999 persons ri I I
Amplified Sound ❑
(excluding Special Event Facilities) El
THIS BOX IS FOR STAFF USE ONLY
This event requires City Management/
Administrative Approval:
YES NO
n ❑
Estimated attendance 1000+ persons
Alcohol Service
(excluding Community Centers & YPAC)
Street Closure - Traffic Management
YES NO
❑ R
❑ El
THIS BOX IS FOR STAFF USE ONLY
This event requires City Council Approval:
YES NO
❑ ❑
3 06/09/2025 City Council Agenda
SECTION 5 - GRANT FUNDING REQUEST
Please identify what your organization is seeking:
YES NO
u$
Financial Support:
In -Kind Support: $ $
OT/Reassigned Staff CS/Rental
Total Amount
of Request
If other, please explain:
YES NO
$200 SEP Fee Waiver:
-tip
$ S*7:33760 $
Scherer Other
Community Center
�17�v' , U�' -
$37etJ
In -Kind Financial Support S200 SEP Fee
Waiver
Provide a detailed description of how the financial support will be used:
Financial Match
Total Overall
Request
SECTION 6 - FINANCIAL CAPABILITIES/BUDGET
What other in-kind/financial contributions has your organization received to fund this event/program (separate from city funding)?
In -Kind
Amount
$0
Total Funds Received to Date: $ 0
Total Funds Requested via Grant Application: $ 0
Remaining Balance that will be Funded by Organization: $ $ 0
$
$ 0
$0
Financial
Support Amount
4 06/09/2025 City Council Agenda
512
a SECTION 6 - FINANCIAL CAPABILITIES/BUDGETtcokrrNueoi
Describe any City Funding received by organization in the past three years (required)? Program
YVAA Tues & Thur Mtgs.
Wednesday Art Mtgs.
2023 Spring Art Show
In -Kind
Support
Financial
Support
5200 SEP
Fee Waiver
Date Received Total Received
6/2024
6/2024
6/2022
$ 2,892.78
$ 4,212.00
$1,999-5
SECTION 7 - CERTIFICATION
I, the undersigned, do hereby attest that the above information is true and correct to the best of my knowledge, and understand that the awarded financial grant amount needs to be spent prior to submitting another grant request.
Signature
President
Title
SUBMIT FORM
5.2I-25
Date
TO BE COMPLETED BY THE CITY
Date Received:
Amount Funded:
Type of Grant:
In-KInd Financial
Support Support
Date City Council received follow-up report.
Date Reviewed:
City Council Meeting:
S200 SEP
Fee Waiver
3 06/09/2025 City Council Agenda
533
FACILITY RESERVATION APPLICATION
City of Yucaipa Community Services Department
Step One - Information
Zully Martinez
Applicant Name (please print clearly)
P.O. Box 404
Yucaipa
Phone Number
92399
Street Address City
Yucaipa Valley Art Association P.Q. Box 404, Yucaipa
Organization Name (if applicable) Address
Is applicant a City of Yucaipa resident? (Proof of residency required) Applicant email: [email protected]
Alternate contact person: Enrique Lima, Treasurer
❑■ Yes
2i
Phone Number
❑ No
Name Phone Number
Step Two - Event
Revised art painting session meetings on Wednesdays from July 2025 to .June 2026, see attached.
Event Name:
Type of Event: 0Meeting ❑Birthday ❑Family Gathering ❑ Reception/Banquet ❑ Shower -baby or Bridal ❑Wedding - ❑ Other:
# of Attendees: 5-10 Date(s) of Use: 7/2/26 to 6/24/2EDay: ❑M ❑Tu £W ❑Th ❑F ❑Sa ❑Su Set-up Time: 1:00 prto 3:00 pr Guest Arrival: 1:00 Clean-up Time: 2:45 pm to 3:00 pm *Hours requested include the time it takes to set up and clean up the day of event. Total Number of Hours: 2 h rs. (No set-up day(s) prior to event).
Step Three - Details
Is applicant a non-profit?
[ryes, non-profit # 95-3701096
l]Yes ❑ No
Is the event a fundraiser? ❑Yes ❑ No
Is the event open to the public? IZ1Yes ❑ No
Is there an admission fee for the event? ❑Yes ONo
Will any items be sold? ❑Yes ONo
Wi 11 alcoholic beverages be sold? 0Yes l] No
If ves. ABC license will be required. License must be
received by staff no later than 1 week prior to event date.
Will alcoholic beverages be served? ❑Yes l]No
1fyg additional fees will be charged.
Will food be served? EYes DNu
Will you have anv of the following?
❑ IA ['Band ❑Caterer:
Insurance (Required - please check one):
Insurance fee is dependent on the size and nature of the event.
No Alcohol: D
With Alcohol: ❑
*Events with alcohol are required to purchase designated insurance and mandatory liquor liability.
06/09/2025 City Council Agenda
534
Step Four - Facility
Community Center -34900 Oak Glen Rd:
I_: Banquet Room ❑Meeting Room ❑Kitchen ❑Dance Room ❑Activity Room ❑Gymnasium Scherer Center - 12202 161 St:
❑ Banquet Room: ❑Room A (Room B ❑Room C ❑ Kitchen EArts & Crafts Room ❑Nutrition Cen rev Yucaipa Performing Arts Center — 12062 California St:
❑ Mountain View Room: ❑Room A El Room B
:Theater Rental: :Banquet Setup :Theater Setup
❑ Kitchen ❑ Front Lobby ❑ Btackbox
❑ Dressing Rooms: ❑I 17111 71II ❑IV ❑Green Room
❑ Outdoor Stage ❑Outdoor Stage with Park
Will you require the use of City -owned equipment? Lilies ❑No *If yes, an additional cost and is sold as a bundle. Please check items:
❑Microphone ❑ Projector ❑Sound System ❑Stage (YPAC only) Step Five - Signature, please Read Carefully Before Signing Applicant(s) hereby agrees to indemnify, defend and hoid harmless City of Yucaipa, its officers, officials, employees and volunteers From and against a I l claims, damages, losses and expenses that may arise during or be caused in any way by such occupancy or use of facilities, but the facility user shall not be liable for any claims, damages, lasses and expenses caused by the sole negligence or willful misconduct of the City of Yucaipa. Applicant(s) shall have received any and all permission or license(s) as may be required to perform or use any protected materials in its use of the Premises. Applicants) agrees to protect and hold harmless the City, its elected officials, employees and agents from and against any and all claims, penalties, and/or damages which may accrue as a result of Applicant's Failure to comply with this requirement I have read and agree to abide by al] of the City of Yucaipa policies stated above and in the Facility Rental Policies.
Applicant Signature :
Print Applicant Name: Z u I l y Martinez
Date: 5/20/25
06/09/2025 City Council Agenda
535
Yucaipa Community Center & Scherer Community Center
Facility Rental Use Policies & Agreements
The rules and regulations herein have been developed to ensure that facilities are used in a responsible manner and that the public investment in these facilities is adequately safeguarded.
Initial
Application Process
A reservation is not confirmed until a Facility Reservation Application has been completed, signed, and all deposits have been paid. Quotes and telephone/email inquiries are not binding and do not constitute a reservation. Applications and availability based on a first come, first serve basis.
Initial
Fees, Cancellations & Refunds
Full payment is due thirty (30) days prior to the event date. Cancellation of a rental more than thirty (30) days prior to the event date will result in a loss of the deposit(s). requests between twenty-nine (29) and sixteen (16) days prior to the event will result in a loss nCancellation
of 50% of rental fees paid and loss of the deposit(s).
Cancellation of a rental fifteen (15) days prior to the event will result in loss of 100% of rental fees and deposit(s),
(0.,
Initial
Deposit Refund Process
A security deposit will be required for all reservations. The security deposit is in addition to the reservation fees. The deposit is refundable provided the facility is returned in the same condition in which it was found.
If the facility is found in satisfactory condition (clean, no damage, or loss of equipment), the refund deposit will be returned via credit card if the reservation was paid with a credit card. If the refund deposit was paid by cash or check, it will be returned via check and mailed to the address on the Facility Reservation Application approximately four (4) to six (6) weeks after the event date. If damage or loss does occur, the deposit will be held until estimates can be obtained. All replacement and/or repair fees will be deducted from the deposit.
Initial
Alcohol
For alcohol to be permitted, applicant must pay an alcohol permit fee and purchase liquor liability prior to their event. Types of alcohol are restricted to beer, wine, and champagne only, unless permitted by the Director of Community Services. If the Applicant is approved by the City to have alcoholic beverages at the event, it must be served over a bar by a person at least 21 years of age designated by the Applicant. AlI alcohol must be served in individual, non -breakable containers, and not set out to be self -served. Bottles of any kind may not be placed on the tables or be used as centerpieces. Alcohol must remain in the designated rented facility. Alcohol is not allowed in the facility lobby or outside of the facility.
Injuries caused to any person as a result of alcoholic beverages being served and/or consumed by a minor on City premises shall be the sole responsibility of the Applicant, user, group, organization, its sponsors, or the adult representative.
Selling Alcohol: If alcohol is sold at an event (i.e. cash bar, tickets, and drinks for a fee), the Applicant will be required to provide a license from the State Alcoholic Beverage Control Department. The Applicant must provide a copy of the permit from the Alcoholic Beverage Control office to the City seven (7) days prior to the event. Injuries caused to any person as a result of alcoholic beverages being served and/or consumed by a minor on City premises shall be the sole responsibility of the Applicant, user, group, organization, its sponsors, or the adult representative.
** Events found serving or containing any alcohol beverage without approval, will result in the event being immediately canceled and 100% of fees will be forfeited** 06/09/2025 City Council Agenda
536
vie"-
Initial
Decorations
Signs or decorations all must be freestanding and cannot be nailed or permanently affixed to the facility's walls, ceilings, windows, or drapes, All decorations and signs are permitted in the privately rented facility only. Decorations must be fireproof. Glitter, rice, birdseed, open flame candles, smoke, fog, bubble machines or other similar items are not permitted in or around the facility. All decorations must be completely removed and disposed of at the end of the event. No alteration of existing facilities is permitted.
Any events found with decorations that do not comply with the policies may result in Toss of deposit and any additional incurred fees for damages and/or additional cleaning required. � ,,
cr,
Initial
Hours and Permitted Time
The applicant, guests, vendors, etc., will not be permitted into the facility prior to the rented space at the time indicated on the permit. The applicant must account for their set-up time, decorating, and clean-up time when submitting the original request. Set-up day(s) prior to the event is not permitted, all set-up times must be on the event date. Storage or pre -staging of event items prior to the contracted start time is not allowed. This includes both personal as well as professionally delivered items. The rental ending time means the facility must be empty of all guests and event staff. The clean-up time means all decorations, food, etc. must be removed and the facility cleaned according to the checklist provided to the renter. The event time for facilities may not go past 11:00 p.m., with clean up time not exceeding 12:00 a.m.
If an applicant or event stays after permitted time, overtime charges will incur fees at the rate of time and half (1.5) for the room and staff. No refunds for any unused rental time. Rentals that do not comply with the contracted time may result in a minimum loss of deposit and additional fees incurred.
Initial
Insurance
The Applicant shall purchase special event general liability insurance through the City of Yucaipa and cannot be provided. Insurance premiums are dependent on the size and nature of the event and are subject to change annually. General liability coverage is in the amount of $1 million for bodily injury, personal injury, and property damage. If alcoholic beverages are served, then liquor liability in the amount of $1 million, for bodily injury and property damage, will be required to be purchased.
Use of the facility will be denied if required insurance is not purchased prior to the event. ■
initial
Cleaning Fee
A cleaning fee is required for any event and rental exceeding seventy-five (75) guests. Events with less than 75 guests, a cleaning fee is optional. If opted out, general cleanup is the Applicant's responsibility.
If a cleaning fee is paid for:
1. Clean-up time is still required in the reservation request. Clean-up time means event time has concluded and means time requested for all personal belongings to be removed.
2. The Applicant shall make sure all decorations, food, gifts, personal belongings, and any equipment is removed and cleaned from the facility at the end of the event.
3. The rented facility, parking lot, grounds, and/or equipment shall be left in the same condition as prior to the event.
4. After your event, staff will conduct a post -event inspection walk-through with the Applicant. This inspection will determine if any damage or vandalism to City property has occurred.
Deposit will be forfeited if cleaning policies and requirements are not met. ❑
06/09/2025 City Council Agenda
537
Initual
ra
Cleaning - Renter Responsibility
UFcleaning fee is opted out, general clean-up is renters' responsibility and includes:
1. Applicant shall make sure all decorations, food, gifts, and rental equipment is removed from the facility at the end of the event.
2. All trash must be bagged and removed and placed into the dumpster located in the Community Center Parking Lot.
3. The Applicant must sweep floors of the facility.
4. The rented facility, parking lot, grounds, andfor equipment shall be left in the same condition as they were prior to the event.
5, Staff are there to help you with your event and will advise what needs to be done for your deposit to be refunded.
6. After your event, staff will conduct a post -event inspection walk-through with the Applicant. This inspection will determine if any damage or vandalism to City property has occurred, or if any additional cleaning needs to be done. The amount of the refunded deposit will be based on the outcome of the inspection.
Deposit will be Forfeited if cleaning policies and requirements are not met.
I iillal
Equipment
I: E
Access to AV equipment, including a sound system, microphones, and projector, is available for an additional fee and must be requested and paid prior to the event. Equipment is rented as a complete package and bundle. Events opting out of equipment or requesting use the day of the event will be denied access. Any damage or loss of equipment will be deducted from the deposit(s). initial
Other
• Any and all changes to the contract be made no later than fourteen (14) days prior to the scheduled event. • It is the Applicant's responsibility to check their equipment's compatibility with the facility's equipment prior to their rental date (i.e. laptop, slideshow, audio/visuals). Equipment testing may occur by an appointment.
• Smoking and vaping are prohibited in all City parks and facilities (reference City Park Ordinance #256). • Tables and chairs are provided and will be set up and taken down by staff. Set up diagrams must he submitted at least two (2) weeks prior to the event. If a diagram is not submitted, sample set-up will be utilized, or tables and chairs will not be set up until the start of the reservation. • The maximum number of participants for the facility cannot be exceeded. • Staff are responsible for, and have authority over, the facility, equipment, and activities. Staff shall have the authority to request changes in activities or termination of activities for public safety and well-being. 0,
I, the undersigned applicant, agree to abide by and enforce the rules, regulations, and policies governing this facility as set forth by the City of Yucaipa. I understand that by signing this document I accept responsibility for any damages to premises, furniture, equipment, or grounds resulting from the use of the facility. I further agree that any violation of the Facility Use Policies and Agreements can result in immediate cancellation of the reservation and forfeiture of all fees and deposits.
EllilApplicant Signature: __ Date:
Print Applicant Name:
06/09/2025 City Council Agenda
538
P.O. Box 404, Yucaipa, CA, 92399. Email: [email protected] YVAA Monthly Meeting Schedule 2025-2026
at the Scherer Center
Revised to include summer months, July 2025, August 2025, June 2026.
Wednesday Paint Sessions 2025-2026
Wednesday Paint Session
Times
July: 7/2/25, 7/9/25, 7/16/25, 7/23/25, 7/30/25
1:00 pm to 3:00 pm
August: 8/6/25, 8/13/25, 8/20/25, 8/27/25
1:00 pm to 3:00 pm
September: 9/3/25, 9/10/25, 9/17/25, 9/24/25
1:00 pm to 3:00 pm
October: 10/1/25, 10/8/25, 10/15/25, 10/22/25,
10/29/25
1:00 pm to 3:00 pm
November: 11/5/25, 11/12/25, 11/19/25
1:00 pm to 3:00 pm
December: 12/3/25, 12/10/25, 12/17/25
1:00 pm to 3:00 pm
January: 1/7/26, 1/14/26, 1/21/26, 1/28/26
1:00 pm to 3:00 pm
February: 2/4/26, 2/11/26, 2/18/26, 2/25/26
1:00 pm to 3:00 pm
March: 3/4/26, 3/11/26, 3/18/26, 3/25/26
1:00 pm to 3:00 pm
April: 4/1/26, 4/8/26, 4/15/26, 4/22/26, 4/29/26
1:00 pm to 3:00 pm
May: 5/6/26, 5/13/26, 5/20/26, 5/27/26
1:00 pm to 3:00 pm
June: 6/3/26, 6/10/26, 6/17/26, 6/24/26
1:00 pm to 3:00 pm
For the Wednesday art painting sessions, meetings will be held at the Scherer Center in room B to have a free group paint session for two (2) hours, open to the public. This schedule may be subject to change by the Scherer Center staff with prior notice.
Reference 2024-2025 Permit No. R6523 for new permit.
5/20/25. v2
''
06/09/2025 City Council Agenda
539
P.O. Box 404, Yucaipa, CA, 92399. Email: [email protected] 5/20/25, v2
IPaue
06/09/2025 City Council Agenda
540
INTERNAL REVENUE SERVICE
P. O. BOX 2508
CINCINNATI, OH 45201
Date:
JUN23 2$12
YUCAIPA VALLEY ART ASSOCIATION
PO BOX 404
YUCAIPA, CA 92399
Dear Applicant:
DEPARTMENT OF THE TREASURY
Employer Identification Number:
95-3701090
DLN:
17053096355012
Contact Person:
PAUL F CAPPEL II ID# 31665
Contact Telephone Number:
(877) 829-5500
Accounting Period Ending:
December 31
Public Charity Status:
170(b) (1) (A) (vi)
Form 990 Required:
Yes
Effective Date of Exemption:
May 15, 2010
Contribution Deductibility:
Yes
Addendum Applies:
Yes
We are pleased to inform you that upon review of your application for tax exempt status we have determined that you are exempt from Federal income tax under section 501(c)(3) of the Internal Revenue Code. Contributions to you are deductible under section 170 of the Code. You are also qualified to receive tax deductible bequests, devises, transfers or gifts under section 2055, 2106 or 2522 of the Code. Because this letter could help resolve any questions regarding your exempt status, you should keep it in your permanent records.
Organizations exempt under section 501(c)(3) of the Code are further classified as either public charities or private foundations. We determined that you are a public charity under the Code section(s) listed in the heading of this letter.
Please see enclosed Publication 4221-PC, Compliance Guide for 501(c)(3) Public Charities, for some helpful information about your responsibilities as an exempt organization.
Enclosure: Publication 4221-PC
06/09/2025 City Council Agenda
Sincerely,
Lois G. Lerner
Director, Exempt Organizations
Letter 947 (DO/CG)
541
Permit
COMMUNITY
SERVICES
Pa
B tteri
City of Yucaipa Community PHONE:(909) 794-7460
Services FAX:(909) 790-2589
34272 Yucaipa Blvd EMAIL:commumtyserwces[ yucaipa.org
Yucaipa, CA 92399
Organization Name
Customer Type
Organization Address
Yucaipa Valley Art Association - 49
Non -Profit (R)
PO Box 404
Yucaipa, CA 92399
Agent Name Zully Martinez Home Phone Number
System User Karen Ruiz
YVAA Wednesday Monthly Meetings
Booking Summary
Permit # R7557
Status Tentative
Date May 15. 2025 8:35 AM
Expiration Date May 15, 2026
Rental Fee $5,265.00
Discounts -$526.32
Subtotal $4,735.68
Deposits $100.00
Deposit Discounts $0.00
Total Permit Fee $4,838.68
Total Payment S0.00
Refunds 50.00
Balance $4.838.66
1 resource(s) 36 booking(s) Subtotal: $4.838.68
SrC Banquet Room B (Indoor Reservations) Center: Yucaipa Senior Center
START DATE/TIME
Wed, Sep 3, 2025 1:00 PM Wed, May 27, 2026 3 15 PM
Occurs on seIecred dabs e17echire 09/3/2025 unld' d51712d2e Wed. Sep 3. 2025 1:00 PM
Rentai - Hourly S65.001 Hour x 2.25 5146.25
Resident Discount - 10% -10% x 1 -514.62
END DATE/TIME
Wed, Sep 3, 2025 3:15 PM
ATTENDEE
5 AMT W/O TAX
$4,738.68
$131.63
Wed, Sep 10.2025 1:00 PM Wed, Sep 10. 2025 3:15 PM 5 $131,63 Rental - Hourly S65.00 + Hour x 2 25 5146.25
Resident Discount - 10% -10 %a x 1 -$14 62
Wed, Sep 17, 2025 1:00 PM Wed, Sep 17. 2025 3:15 PM 5 $131.63 Rental • Hourly S-65.00' Hour x 2.25 $14625
Resident Discount - 10°% -10% x 1 $14.62
Wed. Sep 24. 2025 1:00 PM Wed, Sep 24.2025 3:15 PM 5 S131.63 Rents[ • Hourly $65.001 Hour x 2 25 $146.25
Resident Discount - 10°4, •10% x 1 -$14.62
Wed, Oct 1. 2025 1:00 PM Wed. Oct 1, 2025 3:15 PM 5 $131.63 # R7557 Status Tentative Page 1 of 4
06/09/2025 City Council Agenda
542
Rental - Hourly S65.00 ! Hour x 2.25 $146.25
Resident Discount - 10% -10% x 1 -St a 62
Wed, Oct 8, 2025 1:00 PM Wed, Oct 8, 2025 3:15 PM 5 $131.63 Rental - Hourly $65.001 Hour x 2.25
Resident Discount - 10'%. -10% x 1
Wed, Oct 15, 2025 1:00 PM Wed, Oct 15, 2025 3:15 PM 5 $131.63 Rental - Hourly $65.00 !Hour x 2.25 S146.25
Resident Discount - 10% -10% x 1-514.62
Wed, Oct 22, 2025 1:00 PM Wed, Oct 22, 2025 3:15 PM 5 $131.63 Rental - Hourly 565.00 ' Hour x 2.25 S146.25
Resident Discount - I0°! -10% x 1 -514 62
Wed, Oct 29, 2025 1:00 PM Wed, Oct 29, 2025 3:15 PM 5 $131,63 Rental - Hourly 565.00 I Hour x 2.25 S146.25
Resident Discount - 10% -10% x 1 -$14.62
Wed, Nov 5, 2025 1:00 PM Wed, Nov 5, 2025 3:15 PM 5 $131.63 Rental - Hourly S65.00 ! Hour x 2-25 $146.25
Resident Discount - 10°J -10% x 1 -$14.62
Wed, Nov 12, 2025 1:00 PM Wed, Nov 12, 2025 3:15 PM 5 $131.63 Rental - Hourly $65.00 ! Hour x 2.25 $146.25
Resident Discount - 10% -10% x 1 -$14.62
Wed, Nov 19, 2025 1:00 PM Wed, Nov 19, 2025 3:15 PM 5 $131.63 Rental - Hourly $65.00 ! Hour x 2.25 5146.25
Resident Discount - 16% -10% x 1-$14.62
Wed, Dec 3, 2025 1:00 PM Wed, Dec 3, 2025 3:15 PM 5 S131.63 Rental - Hourly $65.00 1 Hour x 2.25 5146 25
Resident Discount - 105E -10% x 1-S14.62
Wed, Dec 10, 2025 1:00 PM Wed, Dec 10, 2025 3:15 PM 5 5131.63 Rental - Hourly $65.00 / Hour x 2.25 $146.25
Resident Discount - 10%, -10% x 1 -S 14 62
Wed, Dec 17, 2025 1:00 PM Wed, Dec 17, 2025 3:15 PM 5 $131.63 Rental - Hourly $65.001 Hour x 2.25 S 146 2a
Resident Discount - 10% -10% x 1 -$14 62
Wed, Jan 7, 2026 1:00 PM Wed, Jan 7, 2026 3:15 PM 5 $131.63 Rental - Hourly 565.001 Hour x 2.25 a146 25
Resident Discount - 10% -10% x 1 -$14.62
Wed, Jan 14, 2026 1:00 PM Wed, Jan 14, 2026 3:15 PM 5 $131.63 Rental - Hourly S65.001 Hour x 2.25 S146.25
Resident Discount - 10% -10% x 1-$14.62
Wed, Jan 21, 2026 1:00 PM Wed, Jan 21, 2026 3:15 PM 5 $131.63 Rental - Hourly $65.00 ! Hour x 2.25 $146.25
Resident Discount - 10% -10% x 1 -$14.62
Wed, Jan 28, 2026 1:00 PM Wed, Jan 28, 2026 3:15 PM 5 5131.63 Rental - Hourly $65.00 / Hour x 2.25 H4,.
# R7557 Status Tentative
06/09/2025 City Council Agenda