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HomeMy WebLinkAboutUNDERGROUND GRIT, INC.N-2024-054 INSURANCE NOT ON FILE WORK MAY NOT PROCEED CITY CLERK DATE: FEB 2 0 Z024 AGREEMENT WITH UNDERGROUND GRIT, INC. hh0 C bp7 -) FOR RE-ENTRY SERVICES GRANT l � TTHIS AGREEMENT is made and entered into on this 1' day of March. 2024 by and between Underground Grit, Inc., a California Nonprofit Corporation ("Contractor"), and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California ("City"). City and Contractor shall hereinafter collectively be referred to as the "Parties." RECITALS A. The City desires to retain a Contractor having special skill and knowledge in the field of: Santa Ana community -based Re -Entry Services such as mentorship and counseling services, training, job search, workshops, and financial literacy for the population who has been incarcerated, in gangs, and/or violent situations involving the justice system. B. Contractor represents that it is able and willing to provide such services to the City. C. In undertaking the performance of this Agreement, Contractor represents that it is knowledgeable in its field and that any services performed by Contractor under this Agreement will be performed in compliance with such standards as may reasonably be expected from a professional consulting firm in the field. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions hereinafter set forth, the Parties agree as follows: 1. SCOPE OF SERVICES Contractor shall perform during the term of this Agreement, the tasks and obligations including all labor, materials, tools, equipment, and incidental customary work required to fully and adequately complete the services described in the Scope of Services — Exhibit A, attached hereto and incorporated by reference. 2. COMPENSATION a. City agrees to pay, and Contractor agrees to accept as total payment for its services for City, the rates and charges identified in Compensation - Exhibit B. The total amount to be expended during the term of this Agreement shall not exceed $50,000. b. Payment by City shall be made within forty-five (45) days following receipt of proper invoice evidencing work performed, subject to City accounting procedures. Payment shall be made in two (2) installments: 1) the first payment in the amount of $25,000 (50% of the grant total) after full execution of the agreement; and 2) the second payment in the amount of $25,000 (the remaining 50% of the grant total) shall be issued Page 1 of 10 six (6) months after the full execution of the agreement or thereafter. City and Contractor agree that all payments due and owing under this Agreement shall be made through Automated Clearing House (ACH) transfers. Contractor agrees to execute the City's standard ACD Vendor Payment Authorization and provide required documentation. Upon verification of the data provided, the City will be authorized to deposit payments directly into Contractor's accounts) with financial institutions, Payment need not be made for work which fails to meet the standards of performance set forth in the Recitals which may reasonably be expected by City, k M OUTA This Agreement shall commence on March 1, 2024, and continue for a 1 year term with an option to extend for one (1) additional year upon the written agreement by the City Manager and City Attorney unless terminated earlier in accordance with Section 15, below. 4. INDEPENDENT CONTRACTOR Contractor shall, during the entire term of this Agreement, be construed to be an independent contractor and not an employee of the City. This Agreement is not intended nor shall it be construed to create an employer -employee relationship, a joint venture relationship, or to allow the City to exercise discretion or control over the professional manner in which Contractor performs the services which are the subject matter of this Agreement; however, the services to be provided by Contractor shall be provided in a manner consistent with all applicable standards and regulations governing such services. Contractor shall pay all salaries and wages, employer's social security taxes, unemployment insurance and similar taxes relating to employees and shall be responsible for all applicable withholding taxes. S. OWNERSHIP OF MATERIALS This Agreement creates a non-exclusive and perpetual license for City to copy, use, modify, reuse, or sublicense any and all copyrights, designs, and other intellectual property embodied in plans, specifications, studies, drawings, estimates, and other documents or works of authorship fixed in any tangible medium of expression, including but not limited to, physical drawings or data magnetically or otherwise recorded on computer diskettes, which are prepared or caused to be prepared by Contractor under this Agreement ("Documents & Data'). Contractor shall require all subcontractors to agree in writing that City is granted a non-exclusive and perpetual license for any Documents & Data the subcontractor prepares under this Agreement. Contractor represents and warrants that Contractor has the legal right to license any and all Documents & Data. Contractor makes no such representation and warranty in regard to Documents & Data which were provided to Contractor by the City. City shall not be limited in any way in its use of the Documents and Data at any time, provided that any such use not within the purposes intended by this Agreement shall be at City's sole risk. 6. INSURANCE Page 2 of 10 Contractor shall procure and maintain for the duration of the contract insurance against claims for injuries to persons or damages to property which may arise from or in connection with the performance of the work hereunder and the results of that work by the Contractor, his agents, representatives, employees or subcontractors. a. MINIMUM SCOPE AND LIMIT OF INSURANCE Coverage shall beat least as broad as: 1. Commercial General Liability (CGL): Insurance Services Office Form CG 00 01 covering CGL on an "occurrence" basis, including products and completed operations, property damage, bodily injury and personal & advertising injury with limits no less than $1,000,000 per occurrence. If a general aggregate limit applies, either the general aggregate limit shall apply separately to this projeot/location (ISO CG 25 03 or 25 04) or the general aggregate limit shall be twice the required occurrence limit. 2. Automobile Liability: Insurance Services Office Form Number CA 0001 covering, any auto (Code 1), or if Contractor has no owned autos, hired (Code 8) and non -owned (Code 9), with limit no less than $1,000,000 per accident for bodily injury and property damage. 3. Workers' Compensation: insurance as required by the State of California, with Statutory Limits, and Employer's Liability Insurance with limit of no less than $1,000,000 per accident for bodily injury or disease. 4. Professional Liability: insurance applicable to the work being performed, with a limit no less than $1,000,000 per claim or occurrence and $2,000,000 aggregate per policy period of one year. 5. If the Contractor maintains broader coverage and/or higher limits than the minimums shown above, the City requires and shall be entitled to the broader coverage and/or the higher limits maintained by the Contractor. Any available insurance proceeds in excess of the specified minimum limits of insurance and coverage shall be available to the City. b. Other Insurance Provisions — The insurance policies are to contain, or be endorsed to contain, the following provisions: 1. Additional Insured Status: The City, its officers, officials, employees, and volunteers are to be covered as additional insureds on the CGL policy with respect to liability arising out of work or operations performed by or on behalf of the Contractor including materials, parts, or equipment furnished in connection with such work or operations. General liability coverage can be provided in the Form of an endorsement to the Contractor's insurance (at least as broad as ISO Form CO 20 10 1185 or if not available, through the addition of both CG 2010, CG 20 26, CG 20 33, or CG 20 38; and CG 20 37 forms if a later edition is used). 2. Primary Coverage: For any claims related to this contract, the Contractor's insurance coverage shall be primary coverage at least as broad as ISO CG 20 01 0413 as respects the City, its officers, officials, employees, and volunteers. Page 3 of 10 Any insurance or self-insurance maintained by the City, its officers, officials, employees, or volunteers shall be excess of the Contractor's insurance and shall not contribute with it. 3. Notice of Cancellation: Each insurance policy required above shall state that coverage shall not be canceled, except with notice to the City. 4. Waiver of Subrogation: Contractor hereby grants to City a waiver of any right to subrogation which any insurer of said Contractor may acquire against the City by virtue of the payment of any loss under such insurance. Contractor agrees to obtain any endorsement that may be necessary to affect this waiver of subrogation, but this provision applies regardless of whether or not the City has received a waiver of subrogation endorsement from the insurer. 5. Self -Insured Retentions: Self -insured retentions must be declared to and approved by the City. The City may require the Contractorto purchase coverage with a lower retention or provide proof of ability to pay losses and related investigations, claim administration, and defense expenses within the retention. The policy language shall provide, or be endorsed to provide, that the self - insured retention may be satisfied by either the named insured or City. 6. Acceptability of Insurers: Insurance is to be placed with insurers authorized to conduct business in the state with a current A.M. Best's rating of no less than A:VII, unless otherwise acceptable to the City. 7. Verification of Coverage: Contractor shall f apish the City with original Certificates of Insurance including all required amendatory endorsements (or copies of the applicable policy language effecting coverage required by this clause) and a copy of the Declarations and Endorsement Page of the CGL policy listing all policy endorsements to City before work begins. However, failure to obtain the required documents prior to the work beginning shall not waive the Contractor's obligation to provide them. 8. City reserves the right to require complete, certified copies of all required insurance policies, including endorsements required by these specifications, at any time. 9. Special Risks or Circumstances: City reserves the right to modify these requirements, including limits, based on the nature of the risk, prior experience, insurer, coverage, or other special circumstances. 7. INDEMNIFICATION Contractor agrees to defend, and shall indemnify and hold harmless the City, its officers, agents, employees, contractors, special counsel, and representatives from liability: (1) for personal injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims for personal injury, including death, and claims for property damage, which may arise from the negligent operations paof the Contractor, its subcontractors, agents, employees, or other persons acting on its behalf which relates to the services described in section I of this Agreement; and (2) from any claim that personal injury, damages, just compensation, restitution, judicial or equitable Page 4 of 10 relief is due by reason of the terms of or effects arising from this Agreement. This indemnity and hold harmless agreement applies to all claims for damages, just compensation, restitution, judicial or equitable relief suffered, or alleged to have been suffered, by reason of the events referred to in this Section or by reason of the terms of, or effects, arising from this Agreement. The Contractor further agrees to indemnify, hold harmless, and pay all costs for the defense of the City, including fees and costs for special counsel to be selected by the City, regarding any action by a third party challenging the validity of this Agreement, or asserting that personal injury, damages, just compensation, restitution, judicial or equitable relief due to personal or property rights arises by reason of the terms of, or effects arising from this Agreement. City may make all reasonable decisions with respect to its representation in any legal proceeding. Notwithstanding the foregoing, to the extent Contractor's services are subject to Civil Code Section 2782.8, the above indemnity shall be limited, to the extent required by Civil Code Section 2782.8, to claims that arise out of, pertain to, or relate to the negligence, recklessness, or willful misconduct of the Contractor. 8. INTELLECTUAL PROPERTY INDEMNIFICATION Contractor shall defend and indemnify the City, its officers, agents, representatives, and employees against any and all liability, including costs, for infringement of any United States' letters patent, trademark, or copyright infringement, including costs, contained in the work product or documents provided by Contractor to the City pursuant to this Agreement. 9. RECORDS Contractor shall keep records and invoices in connection with the work to be performed under this Agreement. Contractor shall maintain complete and accurate records with respect to the costs incurred under this Agreement and any services, expenditures, and disbursements charged to the City for a minimum period of three (3) years, or for any longer period required by law, from the date of final payment to Contractor under this Agreement. All such records and invoices shall be clearly identifiable. Contractor shall allow a representative of the City to examine, audit, and make transcripts or copies of such records and any other documents created pursuant to this Agreement during regular business hours. Contractor shall allow inspection of all work, data, documents, proceedings, and activities related to this Agreement for a period of three (3) years from the date of final payment to Contractor under this Agreement. r[I]MiLIT : ti�-1WLifgG"Fall If Contractor receives from the City information which due to the nature of such information is reasonably understood to be confidential and/or proprietary, Contractor agrees that it shall not use or disclose such information except in the performance of this Agreement, and further agrees to exercise the same degree of care it uses to protect its own information of like importance, but in no event less than reasonable care. "Confidential Information" shall include all nonpublic information. Confidential information includes not only written information, but also information transferred orally, visually, electronically, or by other means. Confidential information disclosed to either Party by any subsidiary and/or agent of the other Party is covered by this Agreement. The foregoing obligations of non-use and nondisclosure shall not apply to any information that (a) has been disclosed in publicly available sources; (b) is, through no fault of the Page 5 of 10 Contractor disclosed in a publicly available source; (c) is in rightful possession of the Contractor without an obligation of confidentiality; (d) is required to be disclosed by operation of law, or (e) is independently developed by the Contractor without reference to information disclosed by the City, 11. CONFLICT OF INTEREST CLAUSE Contractor covenants that it presently has no interests and shall not have interests, direct or indirect, which would conflict in any manner with performance of services specified under this Agreement. 12. NON-DISCRIMINATION Contractor shall not discriminate because of race, color, creed, religion, sex, marital status, sexual orientation, gender identity, gender expression, gender, medical conditions, genetic information, or military and veteran status, age, national origin, ancestry, or disability, as defined and prohibited by applicable law, in the recruitment, selection, teaching, training, utilization, promotion, termination or other employment related activities or any services provided under this Agreement. Contractor affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations. 13. EXCLUSIVITY AND AMENDMENT This Agreement represents the complete and exclusive statement between the City and Contractor, and supersedes any and all other agreements, oral or written, between the Parties. In the event of a conflict between the terms of this Agreement and any attachments hereto, the terms of this Agreement shall prevail. This Agreement may not be modified except by written instrument signed by the City and by an authorized representative of Contractor. The Parties agree that any terms or conditions of any purchase order or other instrument that are inconsistent with, or in addition to, the terms and conditions hereof, shall not bind or obligate Contractor or the City. Each Party to this Agreement acknowledges that no representations, inducements, promises or agreements, orally or otherwise, have been made by any Party, or anyone acting on behalf of any Party, which is not embodied herein. 14. ASSIGNMENT Inasmuch as this Agreement is intended to secure the specialized services of Contractor, Contractor may not assign, transfer, delegate, or subcontract any interest herein without the prior written consent of the City and any such assignment, transfer, delegation or subcontract without the City's prior written consent shall be considered null and void. Nothing in this Agreement shall be construed to limit the City's ability to have any of the services which are the subject to this Agreement performed by City personnel or by other Contractors retained by City. 15. TERMINATION This Agreement may be terminated by the City upon thirty (30) days written notice of Page 6 of 10 termination. In such event, Contractor shall be entitled to receive and the City shall pay Contractor compensation for all services performed by Contractor prior to receipt of such notice of termination, subject to the following conditions: a. As a condition of such payment, the Executive Director may require Contractor to deliver to the City all work product(s) completed as of such date, and in such case such work product shall be the property of the City unless prohibited by law, and Contractor consents to the City's use thereof for such purposes as the City deems appropriate. b. Payment need not be made for work which fails to meet the standard of performance specified in the Recitals of this Agreement. 16. WAIVER No waiver of breach, failure of any condition, or any right or remedy contained in or granted by the provisions of this Agreement shall be effective unless it is in writing and signed by the Party waiving the breach, failure, right or remedy. No waiver of any breach, failure or right, or remedy shall be deemed a waiver of any other breach, failure, right or remedy, whether or not similar, nor shall any waiver constitute a continuing waiver unless the writing so specifies. 17. JURISDICTION - VENUE This Agreement has been executed and delivered in the State of California and the validity, interpretation, performance, and enforcement of any of the clauses of this Agreement shall be determined and governed by the laws of. the State of California. Both Parties further agree that Orange County, California, shall be the venue for any action or proceeding that may be brought or arise out of, in connection with or by reason of this Agreement. 18. PROFESSIONAL LICENSES Contractor shall, throughout the term of this Agreement, maintain all necessary licenses, permits, approvals, waivers, and exemptions necessary for the provision of the services hereunder and required by the laws and regulations of the United States, the State of California, the City of Santa Ana and all other governmental agencies. Contractor shall notify the City immediately and in writing of its inability to obtain or maintain such permits, licenses, approvals, waivers, and exemptions. Said inability shall be cause for termination of this Agreement. 19. NOTICE Any notice, tender, demand, delivery, or other communication pursuant to this Agreement shall be in writing and shall be deemed to be properly given if delivered in person or mailed by first class or certified mail, postage prepaid, or sent by fax or other telegraphic communication in the manner provided in this Section, to the following persons: To City: Page 7 of 10 Clerk of the City Council City of Santa Ana 20 Civic Center Plaza (M-30) P.O. Box 1988 Santa Ana, CA 92702-1988 Fax: 714- 647-6956 With courtesy copies to: Michael Garcia, Executive Director, Community Development Agency City of Santa Ana 20 Civic Center Plaza (M-25) P.O. Box 1988 Santa Ana, California 92702 To Contractor: Suzanne Campbell 1505 E.17s' Street Santa Ana, CA 92705 (714)345-2299 A Party may change its address by giving notice in writing to the other Party. Thereafter, any communication shall be addressed and transmitted to the new address. If sent by mail, communication shall be effective or deemed to have been given three (3) days after it has been deposited in the United States mail, duly registered or certified, with postage prepaid, and addressed as set forth above. If sent by fax, communication shall be effective or deemed to have been given twenty-four (24) hours after the time set forth on the transmission report issued by the transmitting facsimile machine, addressed as set forth above. For purposes of calculating these time frames, weekends, federal, state, County or City holidays shall be excluded. 20. RESERVED 21. MISCELLANEOUS PROVISIONS a. Each undersigned represents and warrants that its signature herein below has the power, authority and right to bind their respective Parties to each of the terms of this Agreement, and shall indemnify City fully, including reasonable costs and attorney's fees, for any injuries or damages to City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. b. All Exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. Page 8 of 10 IN WITNESS WHEREOF, the Parties hereto have executed this Agreement the date and year first above written. ATTEST: CITY OF SANTA ANA erH In 1 Interim City Manager APPROVED AS TO FORM: SONIA R. CARVALHO City Attorney By: 4 u _ Andrea Garcia -Miller Assistant City Attorney RECOMMENDED FOR APPROVAL: Michael Garcia Executive Director Community Development Agency 1 ► t_;Ltiw ONq By: Su& Campbell, LCSW Title: Co -Executive Director Underground Grit, Inc. Page 9 of 10 EXHIBIT A SCOPE OF SERVICES Exhibit A - Scope of Services Name of Organization: Underground GRIT Bench"marks Ob'ect yes Accomplishment Date Establish new community partners within the 05/31/2024* City of Santa Ana and provide in -the -field workshops and presentations about program services to increase awareness. Enroll 30 new client members to engage in 08/31/2024* Underground GRIT's Therapeutic Pre -Release and Holistic Mental Health Program. Enroll 25 new client members to engage in 11/30/2024* Underground GRIT's Therapeutic Pre -Release and Holistic Mental Health Program. Enroll 20 new client members to engage in 2/28/2025* Underground GRIT's Therapeutic Pre -Release and Holistic Mental Health Program. *Dates have been revised from the proposal to coincide with the anticipated grant term start of 31112024. Submitted Proposal Organization Name: Underground GRIT Name of Primary Contact First Name: Suzanne Last Name: Campbell Mailing Address Country: United States Address: 1914 W. Orangewood Avenue Address Line 2 (optional): Suite 101 City: Orange State, Province, or Region: CA Zip or Postal Code: 92868 Telephone: (714) 345-2299 Email: suzanne@undergroundgrit.org Website: https:Hundergroundgrit.org/ Start-up Non -Profit Organization Determination* Are you a start-up non-profit organization based in Santa Ana? Only Santa Ana based, start-up, non-profit organizations are eligible for this grant. Yes Employer Identification Number Question: 84-2132857 Unique Entity Identifier: TB7KGRDA8JM3 Start-up Non -Profit Organization Description. Describe when you started the nonprofit organization and why this grant would assist your start-up non-profit organization. Underground GRIT was formally incorporated as a nonprofit organization in 2019. As a grassroots organization still very much in its early years of programming, newly established funding partnerships are vital for expansion efforts. Since inception, we have continuously run at capacity with limited funding and resources. This grant will support our efforts to strategically expand services within the City of Santa Ana, where demand for re-entry services is high and a majority of our current clients come from. This funding will allow our organization to implement a very targeted program that meets the unique needs of the Santa Ana community, which is heavily impacted by gang violence and generations of trauma. With this funding support, we will expand on our current programs and tailor a model that directly supports the needs of Santa Ana residents in need of re-entry services. Brief Project Description: Underground GRIT provides a holistic approach to re-entry mental health and supportive services. Statement of Interest/Need. A brief statement outlining interest and qualifications for this project. This should include your concept for the programming, including any particular services to be offered. Additionally, applicants should state how their program will provide re- entry services. Underground GRIT's re-entry services aim to improve the lives of marginalized Santa Ana residents by providing a voice to men, women, and youth who been system -impacted, with a focus on individuals aged 16-28 who are impacted by gang violence. Marginalized youth and adolescents are often vulnerable to the influence of gangs, which can have a significant impact on the trajectory of their lives. For clients served by Underground GRIT, we aim to break the cycle of violence for individuals who have been impacted by generations of gang involvement. This population is highly exposed to violence and trauma from a very young age, often resulting in limited access to education and healthcare and long-term effects on their physical and mental health. These experiences often reduce their ability to build positive relationships and succeed in mainstream society. A major gap in services for system -impacted individuals, specifically within the City of Santa Ana, arises from the many restrictions to accessing supportive service programs and limited availability of services across the Orange County region. Many services aimed at system - impacted youth lack trauma -informed care and do not implement a holistic approach to mental health services that also incorporates self-sufficiency and resiliency. While other local agencies provide case management only, we have stepped in to lead with a "walk through life" approach that works with both clients and their families to navigate the many systems in their lives. Underground GRIT works in Juvenile and Adult courts to advocate with and for our client members in need of support to navigate the justice system and transition from life in jail or prison to life in the community. Re-entry services are accomplished by providing holistic support that incorporates mentorship and counseling services, career exploration and training, job search, workshops, and financial literacy. Program Description. Describe the services that will be provided, identify the target population to receive services, the number of participants to be served and other relevant information. Services that will be provided under this proposed funding will target City of Santa Ana residents of all ages and backgrounds who are system -impacted; however, individuals impacted by gang violence and youth/adolescents aged 16-28 will be prioritized. With this funding, we aim to serve 75 new clients who reside within the City of Santa Ana with re-entry supportive services during the one-year grant term. Our innovative approach to mental health and supportive services is tailored to system - impacted individuals who are victims of gang violence. Trauma -specific therapy and treatment services include Eye Movement Desensitization and Reprocessing Therapy (EMDR), Traumatic Incident Reduction, Reiki Energy Healing, Acupuncture, Trauma -Informed Yoga, Meditation and Mindfulness, and Emotional Freedom Technique (EFT). Group therapeutic services are provided through a 12-week curriculum that is uniquely tailored to individuals who have been impacted by gang violence and/or involvement. Underground GRIT helps individuals heal from past trauma by providing a Planned Parenthood's Healthy Relationships group that offers activities and peer -to -peer dialogue that helps adolescent survivors learn how to identify healthy, unhealthy, and abusive behaviors. Schedule of Activities/Timeline. Estimated timeline and description of activities proposed for the pilot program. (Note: Dates included in original proposal assumed a 1011123 start date) City of Santa Ana Expansion Pilot Program: Therapeutic Pre -Release and Holistic Mental Health Program Q1 (10/1/23—12/31/23): Engage with Juvenile and Adult courts to connect with incarcerated individuals with upcoming release dates who are residents of Santa Ana. Establish relationships with these groups and provide presentations within the jail system on Underground GRIT supportive services. This quarter will be focused on establishing more community partners within the City of Santa Ana and providing in -the -field workshops and presentations about program services to increase awareness. Q2 (01/1/24 — 03/31/24): Enroll 30 new client members to engage in Underground GRIT's Therapeutic Pre -Release and Holistic Mental Health Program. All members will be required to participate in Underground GRIT's 12-week group therapy component of services and case management, which will include the creation of an individualized comprehensive plan for re- entry and ongoing support through successful completion of probation/parole. In addition, all members will have access to a mentor and will be introduced to career exploitation and self- sufficiency planning. For individuals in need of more in-depth mental health services, they will be offered trauma -informed clinical therapy and treatment. Q3 (04/30/24 — 06/30/24): Enroll 25 new client members to engage in Underground GRIT's Therapeutic Pre -Release and Holistic Mental Health Program. All members will be required to participate in Underground GRIT's 12-week group therapy component of services and case management, which will include the creation of an individualized comprehensive plan for re- entry and ongoing support through successful completion of probation/parole. In addition, all members will have access to a mentor and will be introduced to career exploitation and self- sufficiency planning. For individuals in need of more in-depth mental health services, they will be offered trauma -informed clinical therapy and treatment. Q4 (07/01/24 — 09/30/24): Enroll 20 new client members to engage in Underground GRIT's Therapeutic Pre -Release and Holistic Mental Health Program. All members will be required to participate in Underground GRIT's 12-week group therapy component of services and case management, which will include the creation of an individualized comprehensive plan for re- entry and ongoing support through successful completion of probation/parole. In addition, all members will have access to a mentor and will be introduced to career exploitation and self- sufficiency planning. For individuals in need of more in-depth mental health services, they will be offered trauma -informed clinical therapy and treatment. Budget (upload). Provide a budget of up to $50,000 (Excel or other Worksheet format are acceptable). Attached to email. Letters of Support (upload) Optional: a maximum of 3 letters will be accepted. If letter is in language other than English, please provide English translation. Two Submitted —attached to email. 1) Latino Coalition 2) OC Probation Additional Information (optional). Additional information may be included, bot no more than 5 additional pages such as program flyers, outreach material, work samples, etc. Did not submit. Reference Contact Information. References: provide at least one (1) reference from a organization that you have worked with or partnered with in the past. Provide reference organization's name, contact name, phone number, and email. Organization: Latino Coalition for Community Leadership Contact Name: Mindy Velasco Email: mindv@latinocoalition.org Phone Number: (714) 343-3493 Verification of 501(c)3 Non-profit. Upload verification letter for your organization or your fiscal sponsor. Acceptable forms: IRS Tax Exempt Letter or latest IRS Form 990. Attached to email. EXMBIT B BUDGET Exhibit B Re -Entry Program Grant for Santa Ana Start-up Non -Profit Organizations Requesting Agency: Underground GRIT Personnel Costs - Line -item description and calculation Total Amount Allocated Co -Executive Director(#1) $3,000 $6250/mo @ 0.04 FTE for 12 mos Co -Executive Director (#2) $4,000 $8333.33/mo @ 0.04 FTE for 12 mos Program Coordinator $2,288 $3813.33/mo @ 0.05 FTE for 12 mos Total Direct Service Personnel 9 288 Program/Direct Service Costs - Line -item description and calculation Total Amount Allocated Housing - Financial Assistance for 3 Months $10,800 Housing is covered for 3 months after release - housing options include sober living, transitional housing, or private rent. $600/mo. x 3 mos. for 30 clients / requesting 20% of costs Hygiene Needs $4,500 Financial assistance to cover hygiene needs for clients post -release. $200/client for 30 clients / requesting 75% of costs Groceries (before EBT) $4,500 Financial assistance to cover initial grocery needs post -release, prior to access to EBT support. $200/client for 30 clients / requesting 75% of costs Cell Phone $3,375 Financial assistance to help purchase a cell phone for clients post -release. $150/client for 30 clients / requesting 75% of costs Clothing $9,000 Financial assistance to purchase clothing for clients post -release, including appropriate clothing forjob interviews. $300/client for 30 clients / requesting 100% of costs Legal Documents $2,537 Financial assistance for legal documents and filings such as securing an identification card and/or license. $84.5/client for 30 clients / requesting 100% of costs Car Insurance $6,000 Financial assistance to secure car insurance. 200/client for 30 clients / requesting 100% of costs Total Direct Service Program Costsl $40,712 TOTAL FUNDING REQUESTED 50,000 Castro, Julie From: Sent: To: Subject: Contractor Name: Project Number: Project Name: City of Santa Ana <certificate-request@ctrax.jdidata.com> Tuesday, February 13, 2024 8:10 AM suzanne@undergroundgrit.org; Castro, Julie Internal Notice of Compliance IJ NOTICE OF COMPLIANCE CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL Underground GRIT TBD (145) v1_� FOR RE-ENTRY SERVICES GRANT The Certificate of Insurance (COI) submitted indicates that the coverages comply with the insurance requirements. The compliant coverage(s) are: POLICY EXPIRATION TYPE OF INSURANCE COI DATE FILE NAME NUMBER DATE City-of-Santa-Ana_2023- AUTOMOBILE LIABILITY 202376751 12/21/2024 02/06/2024 2024- MASTER_199888230.pdf City -of -Santa -A na_2023- GENERAL LIABILITY 202376751 12/21/2024 02/06/2024 2024- M ASTE R_199888230. pdf City -of -Santa -A n a_2023- PROFESSIONAL LIABILITY 202376751 12/21/2024 02/06/2024 2024- MASTER_199888230.pdf WORKERS COMPENSATION AND EMPLOYERS' City-of-Santa-Ana_2023- LIABILITY 92966772023 04/21/2024 02/06/2024 2024- MASTER_199888230.pdf No further action is required at this time. Thank you, 1