HomeMy WebLinkAbout21A - CDBG APP PROCESSREQUEST FOR
COUNCIL ACTION
CITY COUNCIL MEETING DATE:
OCTOBER 15, 2019
TITLE:
APPROVE THE NON-PROFIT COMMUNITY
DEVELOPMENT BLOCK GRANT
APPLICATION PROCESS FOR FISCAL
YEARS 2020 - 2022
{STRATEGIC PLAN NO. 5, 11
/s/ Kristine
CITY MANAGER
RECOMMENDED ACTION
CLERK OF COUNCIL USE ONLY:
APPROVED
❑ As Recommended
❑ As Amended
❑ Ordinance on 111 Reading
❑ Ordinance on 2" ° Reading
❑ Implementing Resolution
❑ Set Public Hearing For
CONTINUED TO
FILE NUMBER
Approve the non-profit Community Development Block Grant application and scoring criteria for
Fiscal Years 2020 — 2022.1
COMMUNITY REDEVELOPMENT AND HOUSING COMMISSION MEETING
At its regular meeting on September 25, 2019, by a vote of 6:0 the Community Redevelopment and
Housing Commission recommended that the City Council approve the nonprofit Community
Development Block Grant application and scoring criteria for Fiscal Years 2020 - 2022.
DISCUSSION
As an entitlement jurisdiction the City receives an annual allocation of Community Development
Block Grant (CDBG) funds from the United States Department of Housing and Urban Development
(HUD) to improve low to moderate -income neighborhoods, eliminate blight and encourage
economic development. These funds have been used for a diverse range of programs as outlined
in the City's Strategic Plan, including affordable housing, street improvements, park and public
facilities improvements, small business start-up grants, code enforcement and public services. The
City may use a maximum of 15% of each annual allocation to fund public service programs provided
by non-profit organizations.
At the March 7, 2019 Community Redevelopment and Housing Commission (CRHC) meeting,
Commissioners made CDBG funding recommendations for Fiscal Year 2019 - 2020 and directed
staff to create an Ad Hoc Committee to review and revise the next non-profit CDBG application and
create a corresponding scoring criteria matrix for future CDBG fiscal years. At the August 20, 2019
CRHC meeting, Commissioners formed a voluntary Ad Hoc Committee comprised of three
Commissioners (Urzua, Perez, and Garcia) and two staff members. The Ad Hoc Committee met
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Non-profit CDBG Application Process for FY 2020 - 2022
October 15, 2019
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on August 26, 2019 and September 3, 2019 to review and revise the non-profit CDBG application
and to create a scoring criteria matrix.
Additionally, the Ad Hoc Committee recommended the following three actions:
1. Approval of a two-year non-profit CDBG application. Funding for the two-year non-profit
CDBG application will align with the recently passed Bipartisan Budget Act of 2019, which
established a budget for non -defense domestic spending levels for the next two years.
2. Approval to have the Ad Hoc Committee review and score the non-profit CDBG applications
on behalf of the Commission and make funding recommendations to the entire Commission
which will then be recommended by the Commission to City Council.
3. Directed staff to facilitate a study session of the City's funding priorities and strategic plan
goals after the Five -Year Consolidated Plan is completed.
The City's CDBG allocation for Fiscal Year (FY) 2020 - 2021 and 2021 - 2022 is estimated to be
$5,701,154 each year, assuming the City receives the same allocation as FY 2019 - 2020. The City
must use a maximum of fifteen percent of this allocation or $855,173 each year for public service
programs provided by non-profit organizations.
Following the approval by City Council, on November 4, 2019 staff will release the application for
non -profits to apply for the estimated $1,710,346 in non-profit CDBG funding for a two-year period
from FY 2020 — 2022. This amount includes $855,173 in CDBG funding for FY 2020 - 2021 and
$855,173 for FY 2021 - 2022. This amount is subject to adjustment based upon the actual CDBG
allocation from HUD following the approval of the federal budget.
Funding will be available for experienced non-profit organizations for the provision of public
services for the following priorities:
1) Crime prevention, intervention, and/or suppression efforts for children, youth and/or families;
2) Economic development;
3) Tenant Services; or
4) A Summer Night Lights Program.
Proposed programs are required to meet the national objective of an activity that provides a benefit
to low and moderate -income persons and align with the City's Strategic Plan. Non-profit
organizations will have the option of submitting a joint application with other non-profit organizations
to encourage collaboration and non -duplication of public services in our community.
Organizations will be able to apply for a minimum of $60,000 and a maximum of $150,000 per
program for the two-year period. Organizations that submit a joint application may request a
maximum of $300,000. Applications will be made available online through a grant management
application accessible through the City's website. The grant management application allows for
online application submission, rating, and reporting. Staff will be available to assist non -profits with
technical support throughout the application process.
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Non-profit CDBG Application Process for FY 2020 - 2022
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The review of applications and recommendations for funding will be performed by the three CRHC
Ad Hoc Committee members and one staff representative from the Community Development
Agency (CDA). The recommendations from the Ad Hoc Committee will first go to the CRHC for
review and approval. The CRHC will then recommend the nonprofit funding to City Council for final
review and approval. The following is the timeline for this year's nonprofit CDBG application
process:
Dates
Actions
November 4, 2019
Applications released to non-profit organizations for FY 2020 - 2022
December 16, 2019
Applications due by 5:00 PM
December 16, 2019
through
Community Redevelopment & Housing Commission Ad Hoc Committee and
January 17, 2020
one CDA staff rep review and score applications
January 7, 2020
CRHC Public Hearings to hear presentations from non-profit CDBG applicants
and January 9, 2020
held from 3:OOPM - 7:OOPM
January 10, 2020
CRHC Ad Hoc Committee meeting to deliberate and finalize scores
January 28, 2020
CRHC Meeting: Ad Hoc Committee funding recommendations reviewed and
recommended for approval to City Council
February 18, 2020
City Council Public Hearing for CDBG Program funding approval
Non-profit outreach efforts will include a Nixle press release, a post on the City's Facebook and
Instagram pages, a -mails to an internal non-profit e-mail distribution list, an e-mail to non -profits on
the City's business license list, and a dedicated CDBG webpage at www.santa-ana.org/cdbq with
information on the non-profit CDBG application process.
The revised non-profit Community Development Block Grant application and scoring criteria for FY
2020 — 2022 is attached to this staff report as Exhibit 1 for review by the Council.
STRATEGIC PLAN ALIGNMENT
Approval of this item supports the City's efforts to meet Goal # 5 Community Health, Livability,
Engagement & Sustainability, Objective # 4 (Support neighborhood vitality and livability).
FISCAL IMPACT
There is no fiscal impact associated with this action.
Steven A. Mendoza
Executive Director
Community Development Agency
Exhibit: 1. Draft Non-profit Community Development Block Grant Application FY 2020-2022
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Application City of Santa Ana- CDBG
City of Santa Ana
Nonprofit Application Fiscal Year 2020-2022
Community Development Block Grant
City of Santa Ana- CDBG
DESCRIPTION OF COMMUNITY DEVELOPMENT BLOCK GRANT
• Minimum Amount of Funding Available Per Program: $60,000
• Maximum Amount of Funding Available -Per Program: $150,000
• Organizations that submit a joint application may request a maximum of $300,000 Per
Program
The U.S. Department of Housing and Urban Development (HUD) Community Development
Block Grant (CDBG) program is a flexible program that provides communities with resources to
address a wide range of unique community development needs. The program provides annual
grants on a formula basis to entitlement cities and counties to develop viable urban
communities by providing decent housing and a suitable living environment, and by expanding
economic opportunities, principally for low- and moderate -income persons.
Available Funding and Priorities
Funding will be available for 2 years to experienced nonprofit organizations for the provision of
public services for the following priorities:
1. Crime prevention, intervention, and/or suppression efforts for children, youth and/or
families;
2. Economic development;
3. Tenant services; or
4. A Summer Night Lights Program.
Programs will be funded from July 1, 2020 through June 30, 2022.
Organization Requirement
Nonprofit organizations must be in good standing and have no outstanding monitoring findings
prior to a 2020-2022 CDBG award. All nonprofit applicants must be able to document 501(c)(3)
status. Applicants whose status is pending at the time of application will not be considered for
funding.
City of Santa Ana - Nonprofit
Application Fiscal Year 2020-2022
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Application
City of Santa Ana- CDBG
Nonprofit Organization Collaboration
Nonprofit organizations may submit a joint application with other nonprofit organizations.
Collaborating nonprofit organizations must meet all of the application requirements.
Organizations that submit a joint application may request a maximum of $300,000.
Cost Reimbursement Agreement
Grants are provided through a Cost Reimbursement Subrecipient Agreement. Reimbursement
requests must be submitted to the City on a quarterly basis. Organizations must have enough
working capital to continue services until a reimbursement request can be processed by the
City. Only eligible CDBG expenses will be reimbursed. The term of the agreement will be July 1,
2020 through June 30, 2022.
Insurance Requirement
Organizations approved for CDBG funding will be required to obtain and maintain a minimum
of $1,000,000 general liability insurance, automobile insurance, and workers' compensation
insurance for the term of the contract. In addition, the City must be listed as additionally
insured via an endorsement with the endorsement stating that the insurance is primary and
noncontributory.
Eligible Activities Requirement
This application is intended to request funds to support eligible public service programs. Under
24 CFR 570.201(e) - Provision of public services (including labor, supplies, and materials)
including but not limited to those concerned with employment, crime prevention, child care,
health, drug abuse, education, fair housing counseling, energy conservation, welfare (but
excluding the provision of income payments identified under §570.207(b)(4)), home -buyer
down -payment assistance, or recreational needs. To be eligible for CDBG assistance, a public
service must be either a new service or a quantifiable increase in the level of an existing service
above that which has been provided by or on behalf of the City.
National Objective Requirement
The proposed program must meet the National Objective requirement for activities that
provide a benefit to low- and moderate -income persons. At a minimum the program must
serve 51% low- and moderate- income persons. In general, to document compliance with this
National Objective, funded programs will require the collection, calculation, and documentation
of the participant's family size and income.
City of Santa Ana Consolidated Plan Priority Need Requirement
Applications for Fiscal Year 2020-2022 must meet a priority need in the City's 5-Year
Consolidated Plan. The Consolidated Plan can be found by clicking here.
City of Santa Ana - Nonprofit
Application Fiscal Year 2020-2022
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City of Santa Ana Strategic Plan Goal Requirement
The City requires that the proposed program align with a goal in the City's Strategic Plan. The
following goals apply to public service program and are listed with additional detail in Question
# 10 of the application:
1. Community Safety;
2. Youth, Education, Recreation;
3. Economic Development;
4. Community Health, Livability, Engagement & Sustainability.
To access the full text of the Strategic Plan, please Click Here.
Federal Requirements Resource Links
If funded, organizations will also need to comply with several federal requirements. For more
information on these requirements organizations should view the following websites:
• Playing by the Rules - A Handbook for CDBG Subrecipients on Administrative Systems
• Guide to National Objectives and Eligible Activities for CDBG Entitlement Communities
• Uniform Administrative Requirements, Cost Principles, and Audit Requirements for
Federal Awards
• CDBG Federal Regulations at 24 CFR Part 570
Workforce Collaboration Requirement
All applicants approved for CDBG funding will be required to enter into a Memorandum of
Understanding (MOU) with the Santa Ana WORK Center. The purpose is to establish a
cooperative working relationship between the parties in order to provide program beneficiaries
with information about WORK Center opportunities to find betterjobs and careers.
Additional Requirements
This application will be available for public display. Therefore, do not include any information
that is subject to state or federal confidentiality regulations (i.e. an address to a domestic
violence shelter).
The attached application contains several questions regarding city residents. Residency of
participants is determined by the last permanent address.
The City will hold organizations accountable for the information included, such as expected
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Application Fiscal Year 2020-2022
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Application City of Santa Ana- CDBG
service level.
Review of Applications
Applications will be reviewed in the following order:
1. City staff will conduct a Minimum Threshold Review of the application to verify that it is
complete and in compliance with the eligibility of the CDBG program.
2. An Ad Hoc Committee form on behalf of the Community Redevelopment and Housing
Commission (CRHC) will review and score all of the applications.
3. The CRHC will hear presentations from all of the applicants.
4. The Ad Hoc Committee will consolidate their scores and recommendations to award
funds to specific programs to the CRHC for review and consideration.
5. The CRHC will make recommendations to award funds to specific programs to City
Council.
6. City Council will review the recommendations provided by the CRHC for funding to
determine which programs and activities will be funded to most effectively serve the
needs of the community.
Anticipated Timeline
• November 4, 2019
o Applications distributed to nonprofit organizations for the Fiscal Year 2020-2022
• December 16, 2019
o Applications due by 5:00 p.m.
• December 16, 2019 through January 17, 2020
o CRHC Ad Hoc Committee review and scoring of applications
• January 7, 2020 and January 9, 2020
o CRHC Public Hearings to hear presentations from nonprofit CDBG applicants held
from 3:0013M - 7:OOPM
• Janury 10, 2020
o Special CRHC Ad Hoc Committee meeting to deliberate and review scores
• January 28, 2020
o CRHC Meeting: Ad Hoc Committee funding recommendations reviewed and
recommended for approval to City Council
• February 18, 2020
o City Council Public Hearing for CDBG Program funding approval
City of Santa Ana - Nonprofit
Application Fiscal Year 2020-2022
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Application
Workshops
PRE -AWARD
• October 17, 2019 10:OOAM
POST -AWARD (Mandatory)
• March 26, 2020 10:OOAM
City of Santa Ana- CDBG
If there is a question about any part of the application please contact David Flores at
dflores@santa-ana.org or (714) 647-6561.
APPLICATION FOR SUBRECIPIENT PROPOSALS
DUE DATE: Monday, December 16, 2019 at 5:OOPM
APPLICATIONS MUST BE SUBMITTED NO LATER THAN 5:OOPM ON MONDAY, DECEMBER 16,
2019. ABSOLUTELY NO LATE APPLICATIONS WILL BE ACCEPTED.
An email receipt notification will be sent upon completion of the application. If you do not
receive an email please contact David Flores at dflores@santa-ana.org or (714) 647-6561.
Do not add extra pages or attachments unless instructed to do so for your application. Any
supplemental material such as letters of support, press clippings, etc., will not be accepted as
part of your application. Limit responses to the space provided; any additional narrative beyond
the provided space will not be considered.
Submit one complete application for each proposed program.
Financial Statements & Single Audits
(Single Audit required if organization expended more than $750,000 of federal funds within a
program year)
Choices
Application Form
Board of Directors, By-laws and Articles of Incorporation (Attachment 7)
Certifications (Attachment 2)
Conflict of Interest Questionnaire (Attachment 8)
Financial Statements & Single Audit (Attachment 9)
Form 990 (Attachment 6)
IRS Nonprofit Designation Letter (Attachment 5)
Logic Model (Attachment 12)
Memorandum of Understanding with the Santa Ana WORK Center (Attachment 11)
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Application Fiscal Year 2020-2022
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Application
Organization Chart (Attachment 10)
Staff Listing (Attachment 1)
City of Santa Ana- CDBG
NOTES:
Failure to provide all required information will cause this application to be considered
incomplete and the application will not be considered for funding. The City reserves the right to
withdraw consideration of this application if evidence of compliance is not provided or if
compliance status changes during the application process. The City reserves the right to waive a
requirement if it is determined to be in the best interest of the City.
PUBLIC SERVICE APPLICATION
DUE DATE: Monday. December 16, 2019.@ 5:00 p.m
Legal Organization Name*
Character Limit: 100
DUNS Number and TIN*
A DUNS number is a unique nine -character number used to identify your organization. The City
uses the DUNS number to report how federal grant money is allocations. DUNS number lookup
or registration.
Character Limit: 50
Legal Name of Second Organization (if submitting a joint application)
Character Limit: 100
DUNS Number of Second Organization (if submitting a joint application)
A DUNS number is a unique nine -character number used to identify your organization. The City
uses the DUNS number to report how federal grant money is allocations. DUNS number lookup
or registration.
Character Limit: 100
Is this for a Summer Night Lights Program*
A Summer Night Lights program will require a letter of commitment to use a facility from the
City of Santa Ana Parks, Recreation, and Services Agency for a City facility (e.g. a Recreation
Center) or a letter of commitment from Santa Ana Unified School District for a school district
facility (e.g. a school gymnasium or football field). Target areas for the Summer Night Lights
Pilot Program are the Townsend/Myrtle Neighborhoods at Jerome Center and Cedar -Evergreen
Neighborhood at Madison Elementary School.
Choices
Yes
No
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Application fiscal Year 2020-2022
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Application
Date Organization Founded*
Character Limit: 10
Date of Nonprofit Incorporation*
Character Limit:10
SERVICE AND FUNDING
City of Santa Ana- CDBG
Q1. Total number of unduplicated individuals to be served by the program
during FY 2020-2022*
Provide estimated number of unduplicated individuals to be served per FY 2020-2021 and
2021-2022
Character Limit: 250
a.Total number of unduplicated Santa Ana individuals to be serve by the
program during FY 2020-2022.
Provide estimated number of unduplicated individuals to be served per FY 2020-2021 and
2021-2022
Character Limit: 250
b. Total number of unduplicated non -Santa Ana individuals to be served by
program during 2020-2022.*
Provide estimated number of unduplicated individuals to be served per FY 2020-2021 and
2021-2022
Character Limit: 250
Q2. Estimated yearly total client contacts expected by the program during FY
2020-2022.*
(Number of unduplicated individuals multiplied by service visits— i.e. 200 youth x 25 tutoring
sessions = 5,000 units of service)
Provide estimated number of client contacts per FY 2020-2021 and 2021-2022
Character Limit: 250
Q3. Total CDBG funds requested for FY 2020-2021 and FY 2021-2022 (must
match Exhibit A, B and B1)*
($60,000 Minimum) Applicant must submit budgets for each FY.
Character Limit: 20
Q4. Cost per participant per Fiscal Year*
(Total CDBG funds requested divided by total number of participants to be served)
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Character Limit: 20
City of Santa Ana- CDBG
Q5. What is the ratio of Administration & Fundraising expenditures vs. program
expeditures
Character Limit: 250
Q6. Name of Program*
Character Limit: 250
Q7. Provide a concise description of the proposed program*
(300 character maximum)
Character Limit: 300
Q8. Provide a detailed description of the proposed program including the
following information:*
1. Detailed description of nature and need for proposed program and services to be
provided
2. Frequency of service delivery (i.e. daily, weekly, monthly);
3. How the service is provided (i.e. one-on-one, classroom settings, home visits, phone
referrals); and
4. Target population groups (i.e. youth in specific neighborhoods, homeless, seniors).
(5,000 character maximum)
Character Limit: 5000
Q9. Describe your organization's experience in providing the proposed program
or similar programs*
(Include total years of program existence and highlight accomplishments including measurable
outputs and outcomes)
Character Limit: 5000
Q10. CDBG applications must meet a specific City of Santa Ana Strategic Plan
Goal and Strategy*
The goals below have been determined to align with CDBG eligible public service
activities. (Please select only one goal and its strategy (ex. Goal #5, strategy 6D) and explain
how it aligns with your proposed program.
Character Limit: 5000
City of Santa Ana Strategic Plan Goals and Strategies:
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Goal #1- Community Safety - Enhance Public Safety integration, communications and
community outreach:
• Strategy 6F -The Santa Ana Police Department will collaborate with the Orange County
Probation Department, Orange County Healthcare Agency caseworkers, business
community, and associated non-profit organizations to assist in re-entry of recently
released offenders into the community.
Goal #2 - Youth, Education, Recreation - Expand youth programming:
• Strategy 2A - Focus resources on quality youth engagement, enrichment and education
programs through community centers, libraries and after -school programs during out -
of -school hours.
• Strategy 26 - Expand the youth sports program so that youth recreational opportunities
are established year- round.
• Strategy 4A - Partner with The California Endowment, Santa Ana College, Chapman
University, UCI, CSUF, and other institutions of higher education to design career
pathway programs that support priority workforce industries (Retail, healthcare,
manufacturing, renewable energies) that results in faster reemployment of Santa Ana's
residents.
• Strategy 46 - Partner with the Santa Ana Unified School District to support and assist in
developing pilot youth employment programs aimed at reducing high school dropout
rates.
• Strategy 4C - Continue to expand services and programs at the senior centers
specifically in the areas of continuing education, mentoring and recreation.
Goal #3 - Economic Development
Strategy SC - Develop a knowledge base to foster economic development by actively
partnering with non-profit organizations.
Goal #5 - Community Health, Livability, Engagement & Sustainability - Support neighborhood
vitality and livability:
• Strategy 4D -Implement new Neighborhood Improvement Initiatives focusing on
residential areas that have been adversely affected by disinvestment and decline.
Program and services from a variety of resources will be utilized to achieve positive and
sustainable improvements.
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• Strategy 513 - Generate public and private support and resources to strengthen, expand
and stabilize funding for the arts.
• Strategy 6C - Integrate a variety of health and wellness programs into existing
programming at each of the city's community/recreation centers (e.g. Develop equitable
health access points).
• Strategy 6D - Partner with the California Endowment, Schools, charitable foundations
and other non-profit organizations to implement health and wellness programming
(including a healthy Santa Ana website) based on quantifiable and measurable data.
• Strategy 6E - Expand Senior Center programming to provide greater enrichment and
explore activities in art, culture and health.
Q11. Will this program result in a new service or increase the level of an existing
service*
Only applicable to new applicants.
Choices
Yes
No
N/A
If yes, describe how the new service is proposed:
1. Is not a duplication of existing services available; or
2. Demonstrates a quantifiable increase in access and/or the level of an existing service
provided to the target population.
Character Limit: 5000
Q12. Similar Services*
List similar services that are currently provided in the community and describe how the
proposed program complements or fills an existing gap in services
Character Limit: 2000
Q13. Neighborhood Initiative Area*
An area that has been adversely affected by disinvestment and decline is considered a
Neighborhood Initiative area. Does the program serve residents of a Neighborhood Initiative
area?
Target areas for the Summer Night Lights Pilot Program are the Townsend/Myrtle
Neighborhoods at Jerome Center and Cedar -Evergreen Neighborhood at Madison Elementary
School.
Choices
Yes
No
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If yes, please describe the area boundaries and reasons the area fits the Neighborhood
Initiative criteria.
Character Limit: 5000
Q14. Describe the unmet need the proposed program will address the proposed
service area?*
Character Limit: 5000
Q15. Will the program be conducted within the City of Santa Ana boundaries?*
Choices
Yes
No
If no, explain how Santa Ana residents will be served
Character Limit: 5000
Q16. Organization Partners hips/Co llaborations*
List Santa Ana neighborhood associations, local community organizations and/or civic groups,
school districts, city departments that the organization participates in and to what extent.
Character Limit: 5000
Q17. List the measurable outcomes and outputs you will use to report success of
the program*
*Must match Exhibit A.
Character Limit: 5000
Q18. Track and Measure Performance*
Describe how the organization will track and measure performance outcomes and outputs
qualitatively and quantitatively.
Character Limit: 5000
Q19. List the federal grants that the organization has received within the last 5
years*
Include grant amounts, services provided, outcomes and include HUD or City audit/monitoring
results and pending corrections.
Character Limit: 5000
Q20. Summarize the qualifications and experience of administrative and
program staff*
Please provide the qualifications of the key Program and Administrative staff that will be
responsible to provide the services stated and comply with regulatory requirements. This
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should summarize the information on the Staff Listing attachment to support the organization's
capacity to administer the proposed program.
Character Limit: 5000
FILE UPLOADS
Please download all forms to your desktop and then fill them out. If you try to fill out the
form from the download screen, the information will not be saved when you try to upload it.
Attachment 1- Staff Listing*
Form is available here for download. (Include Key Program and Administrative staff who will
work on the proposed program)
File Size Limit: 1 MB
Attachment 2 - Certifications*
Form is available here for download. (Exhibit C-D-E)
Form is available here for download. (Drug Free Workplace Certification)
File Size Limit: 1 MB
PLEASE COMPLETE THE FOLLOWING FORMS REGARDING BUDGETS
Fiscal Year 2020-2021 and 2021-2022 PROPOSED PROGRAM BUDGET (ATTACHMENT 3)
2019-2020 CURRENT PROGRAM BUDGET (ATTACHMENT 4)
IMPORTANT NOTICE:
The City asks that you list other secured funding sources on the budget forms, but the City
realizes that all other funding sources may not be secured at the time of this application.
Organizations may include unsecured resources with the understanding that the City will hold
the organization to the same service level indicated in the application whether all the resources
listed are actually received or not. The only item that will affect the service level expected by
the City will be the responses provided under numbers 3 and 3a of this application and the
amount of funding provided by the City for Fiscal Year 2020-2021 and 2021-2022.
Attachment 3 - 2020-2021 and 2021-2022 Proposed Program Budget*
Form is available here for download. Please note that there are two sheets in the workbook
and both need to be filled out.
File Size Limit. 1 MB
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Attachment 4 - 2019-2020 Current Program Budget*
Form is available here for download. Please note that there are two sheets in the workbook
and both need to be filled out.
File Size Limit: 1 MB
Attachment 5 - IRS Nonprofit Designation Letter*
Please upload a copy of your organization's IRS nonprofit designation letter.
File Size Limit: 1 MB
Attachment 6 - Form 990*
Please upload a copy of your organization's Form 990.
File Size Limit: 10 MB
Attachment 7 - Board of Directors, By -Laws and Articles of Incorporation*
Please upload a copy of the organization's current list of Board of Directors, by-laws and articles
of incorporation.
File Size Limit: 5 MB
Attachment 8 - Conflict of Interest Questionnaire*
Form is available here for download.
File Size Limit: 1 MB
Attachment 9 - Recent Financial Statements and Single Audit*
Please upload a copy of the organizations most recent financial statement and single audit. If
you are not required to have a single audit because you have not expended over $750,000 in
Federal Funding, please upload a letter stating this.
File Size Limit: 10 MB
Attachment 10 - Organization Chart*
Please upload a copy of your organization chart.
File Size Limit. 1 MB
Attachment 11- Memorandum of Understanding with the Santa Ana WORK
Center*
Form is available here to download.
File Size Limit: 1 MB
Attachment 12 - Logic Model*
Using the template provided below by the University of Wisconsin, please complete a logic
model that will summarize your proposed program on one page including the situation
(community need) that you are going to address, the inputs you will use to address that need,
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your outputs of activities that you will undertake in your program, and the outcomes (short - 3
months, medium - 6 months and long - 12 months), that you will achieve. Please ensure you
are as detailed as possible to provide your logic of how you will achieve your stated outcomes.
Logic Model from University of Wisconsin:
https://fyi.uwex.edu/programdevelopment/logic-models/bibliography/
File Size Limit: 1 MB
Summer Night Lights Letter of Commitment from Santa Ana Parks, Recreation
and Services Agency
File Size Limit: 1 MB
Summer Night Lights Letter of Commitment from Santa Ana Unified School
District
File Size Limit: 1 MB
City of Santa Ana - Nonprofit
Application Fiscal Year 2020-2022
Printed On: 19 September 2019 Community Development Block Grant
14
21A-17
EHIBIT 1
GRANT APPLICATION RATING CRITERIA
1. Community Needs
2. Capacity to Provide Public Services
3. Experience
4. Effective and Efficient use of Funds
Maximum Points
20
20
30
30
Total Possible Points 100 Points
Rating points will be allocated based on the attached matrix. Recommendations will also take into
consideration whether or not the organization has received Community Service Grant funding.
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