HomeMy WebLinkAbout19D - CDBG APPLICATION PROCESSREQUEST FOR
COUNCIL ACTION
CITY COUNCIL MEETING DATE:
DECEMBER 19, 2017
TITLE:
RECEIVE AND FILE NONPROFIT COMMUNITY
DEVELOPMENT BLOCK GRANT APPLICATION
PROCESS FOR FISCAL YEAR 2018-2019
{STRATEGIC PLAN NO. 5,4)
1 o " ".v \ /
ITY MANAGER
RECOMMENDED ACTION
Receive and file.
CLERK OF COUNCIL USE ONLY:
APPROVED
❑ As Recommended
❑ As Amended
❑ Ordinance on 1 s Reading
❑ Ordinance on 2ntl Reading
❑ Implementing Resolution
❑ Set Public Hearing For
CONTINUED TO
FILE NUMBER
COMMUNITY REDEVELOPMENT AND HOUSING COMMISSION MEETING
On November 15, 2017 the Community Redevelopment and Housing Commission reviewed the
draft Nonprofit CDBG Application and concurred with staff recommendations to expand current
application requirements and guidelines.
DISCUSSION
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 including housing, street improvements,
park and public facilities improvements, small business start-up grants, code enforcement and
public services. The City's CDBG allocation for Fiscal Year (FY) 2018-19 is estimated at
$5,284,239, based on the current year allocation. The City may use a maximum of fifteen percent
of this total amount or $792,635 for public service programs.
On January 8, 2018 staff will release an application for nonprofits to apply for the estimated
$792,635 in CDBG funding for FY 2018-19. These amounts are subject to adjustment based on
the actual CDBG allocation from HUD following the approval of the Federal FY 2018 Budget.
Based on prior input and direction from the City Council, staff recommends expanding the current
application requirements and guidelines to:
1. Include an emphasis on economic development programs;
2. Allow joint applications from nonprofit organizations;
3. Implement a cap of $75,000 for single applicants and $100,000 for joint applicants.
19D-1
Nonprofit CDBG Application Process FY 2018-19
December 19, 2017
Page 2
Following City Council direction during the last funding round, funds will be made available to
experienced nonprofit organizations for public services that include an emphasis on crime
prevention, intervention, and/or suppression efforts for children, youth and/or families.
Additionally, Parks Recreation and Community Services Agency (PRCSA) staff have researched
and requested Summer Night Lights pilot programs in two impacted neighborhoods
(Townsend/Myrtle and Madison). Staff will encourage nonprofits to coordinate with PRCSA and
the Santa Ana Unified School district to apply for Summer Night Lights pilot programs as a
subcategory in the application. These programs would keep recreational facilities open later
during the summer months for crime prevention purposes that will build relationships, engage
community, and develop sustained positive change.
Over the past year, multiple inquiries have been received regarding economic development
programs such as financial literacy, economic empowerment, and worker cooperatives. This year
staff is proposing to include an additional emphasis on economic development to expand the
types of services available to residents. Nonprofits would be able to apply for programs with an
emphasis on 1) crime prevention, intervention, and/or suppression efforts for children, youth
and/or families, and/or 2) economic development.
Staff is also proposing to allow nonprofit organizations the option of submitting a joint application
with other nonprofit organizations. This change is intended to encourage collaboration in our
nonprofit community and build upon the nonprofit collaboration roundtable that staff held on
October 5, 2017. All programs funded must also provide a benefit to low- and moderate -income
people and align with the City's Strategic Plan.
As in prior years, a minimum grant award of $30,000 per program will be required. For this
application cycle, a single applicant maximum grant award of $75,000, or a joint collaborative
applicant maximum grant award of $100,000 is proposed. The maximum grant award is
estimated to be sufficient to fund at least one new full-time staff member for an organization to
provide a new or enhanced program.
Nonprofits will be required to submit an online application available through the City's website.
Staff will be available to assist nonprofits with technical support throughout the application
process. Nonprofits interested in applying will be required to attend a CDBG training that covers
federal regulatory requirements, local requirements, and information on the online application.
The review of applications and recommendations for funding will be performed by the Community
Redevelopment and Housing Commission (CRHC). The recommendations from the CRHC will
then go to City Council for final consideration and approval. The following is a tentative timeline of
the application process:
19D-2
Nonprofit CDBG Application Process FY 2018-19
December 19, 2017
Page 3
Dates
Actions
January 8, 2018
- Online application released (4 -week application period)
- Outreach efforts
January 8 - 31, 2018
- Mandatory CDBG training dates: TBD
February 5, 2018
- Applications due at 5:00 PM
February 6 -
March 9, 2018
- Staff review of applications for CDBG eligibility
- Community Redevelopment & Housing Commission CRHC review
February 28, 2018
- CDBG Public Hearing at CRHC Meeting with Nonprofit Presentations
March 28, 2018
-CRHC funding recommendations to City Council
April 17, 2018
- CDBG Public Hearing at City Council
- Approval of FY 2018-19 CDBG programs at City Council
Nonprofit outreach efforts will include a Nixle press release, a post on to the City's Facebook
page, e-mails to an internal nonprofit e-mail distribution list, a mailing to nonprofits on the City's
business license list, and a dedicated CDBG webpage at www.santa-ana.orq/cdbq with
information on CDBG resources.
The Draft Nonprofit Community Development Block Grant Application for FY 2018-19 is attached
for reference (Exhibit 1).
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.
e
Interim Executive XZLrejtor
Community Development Agency
Exhibit: 1. Draft Nonprofit Community Development Block Grant Application FY 2018-19
19D-3
19D-4
Application
Exhibit 1
City of Santa Ana- CDBG
City of Santa Ana Community Development Block
Grant FY 2018-2019 (Nonprofit Application)
City of Santa Ana- CDBG
DESCRIPTION OF COMMUNITY DEVELOPMENT BLOCK GRANT
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 entitled cities and counties to develo eviable urban communities
by providing decent housing and a suitable living environment,,
ad by expanding economic
opportunities, principally for low- and moderate -income persops.,
Funding
Funding will available to experienced nonprofit organizatiorfs>for the provision of public service
that include an emphasis on crime prevention, interventior(and/or suppression efforts for
children, youth and/or families or an emphattttfsis oonn-econa� c development. A new subcategory
of funding will be available for a Summer Night\ ights_P�otNPvogram. Programs will be funded
from July 1, 2018 through June 30, 2019. \\ // \7
The City will continue its $30,000 mini ' m fun). i�tg amount per applicant to ensure that
CDBG programs make the greatest imp cct!n ouf community.
The maximum funding oars is`$7 .000 per program; however, organizations that submit a
joint application may ceAt est�a, axirgtum of $100,000.
Nonprofit organizations mbst be in good standing and have no outstanding monitoring findings
prior to a 2018-19 CDBG awa\Zll 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.
Nonprofit Organization Collaboration
Nonprofit organizations may submit a joint application with other nonprofit organizations.
Collaborating nonprofit organizations must meet all the application requirements.
Cost Reimbursement Agreement
Grants are provided through a Cost Reimbursement Subrecipient Agreement. Reimbursement
requests are allowed on a quarterly basis; therefore organizations must have enough working
capital to continue services until a reimbursement request can be processed by the City. Only
City of Santa Ana Community
Development Block Grant FY 2018-
2019 (Nonprofit Application)
EXHIBIT 1
19D-5
Application
City of Santa Ana- CDBG
allowable and allocable CDBG expenses will be reimbursed. The term of the agreement will be
July 1, 2018 through June 30, 2019.
Insurance Requirement
Organizations approved for CDBG funding will be required to obtain a minimum of $1,000,000
general liability 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 public service programs. Title 24 CFR
570.201(e) - Provision of public services (including labor, supplies, and materials) including but
not limited to those concerned with employment, crime preventiiDp, child care, health, drug
abuse, education, fair housing counseling, energy conservatioplor recreational needs.
For fiscal year 2018-19, programs with an emphasis on erurie preveeion, intervention, and/or
suppression efforts for children, youth and/or families Economic Devopment or a Summer
Night Lights pilot program.
National Objective Requirement
The proposed program must meet the national e� ctt of ctivities that provide a benefit to
low- and moderate -income persons„ At minim rn the program must serve 51% low- and
moderate- income persons. In ge ala 1o°docuNN`�nt compliance with the national objective
requirement, funded programsll req�e_ttie cbllection, calculation, and documentation of
the participant's family size and jnconjer�
Applications for fiscal year �M1,81�9'must meet a FY 2017/18-2019/20 Consolidated Plan priority
need. The Consolidated planNs�available for review HERE.
City of Santa Ana Strategic Plan Goal Requirement
The City requires that the proposed program align with a Strategic Plan Goal. The following
goals apply to public service programs, and are listed with additional detail in question 9 of the
application:
1) Community Safety, 2) Youth, Education, Recreation 3) Community Health, Livability,
Engagement & Sustainability. To access the full text of the Strategic Plan visit HERE.
Federal Requirements Resource Links
If funded, organizations will also need to comply with several federal requirements. For more
information on these requirements organizations may view the following websites.
City of Santa Ana Community
Development Block Grant FY 2018-
2019 (Nonprofit Application)
EXHIBIT 1
19D-6
Application
City of Santa Ana- CDBG
• Playing by the Rules - A Handbook for CDBG Subrecipients on Administrative Systems:
HERE
• Guide to National Objectives and Eligible Activities for CDBG Entitlement Communities:
HERE
• To view Uniform Administrative Requirement, Cost Principles, and Audit Requirements
forFederal Awards, 2 CFR 200, visit: HERE
• To view the CDBG Federal Regulations, 24 CFR Part 570, visit: HERE
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. Thefpuurp se is to establish a
cooperative working relationship between the parties %I �c
with information about Work Center opportunities t6,finc
Additional Requirements
This application will be available for public
that is subject to state or federal confiden'
violence shelter).
The attached application coni
participants is determined by
The City will hold
service level.
to 'provide program beneficiaries
careers.
do not include any information
,e. an address to a domestic
regarding city residents. Residency of
for the information included, such as expected
Review of Applications
City Staff will review applications for completeness and to determine the eligibility of the
program. The Community Redevelopment and Housing Commission (CRHC) will review and
recommend public service funding levels to City Council. City Council will review the
recommendations provided by the CRHC for funding to determine which activities will be in the
best interest of the community.
Anticipated Timeline
01/08/18
Applications distributed to Nonprofit Organizations for the 2018-19 Fiscal Year.
City of Santa Ana Community
Development Block Grant FY 2018-
2019 (Nonprofit Application)
107
Application
Mandatory Workshop (Only need to attend ONE date)
01/08/18 - 1/31/18: Dates to be determined
02/05/18
Applications due by 5 p.m.
02/06/18 - 03/09/18
Staff and Community Redevelopment & Housing Commission review
City of Santa Ana- CDBG
02/28/18
Community Redevelopment and Housing Commission (CRHC) Public Hearing for CDBG funding
recommendations
03/28/18
CRHC funding recommendations
04/17/18
City Council Public Hearing for CDBG funding
If there is a question about any part of thea
ESG¢rants@santa-ana.or¢ or 714-647-6561.
APPLICATION
DUE DATE: February
Applications must be
contact City Staff at CDBG-
PROPOSALS
Foundant NO LATER THAN 5 P.M., February 5, 2018.
An email notifying receipt will be sent upon completion of application. If you do not receive an
email please contact City Staff at (714) 647-6561.
Do not add extra pages or attachments unless instructed to do so. Any supplemental material
such as letters of support, press clippings, etc., will not be accepted as part of this application
submittal. Limit responses to the space provided; any additional narrative beyond the provided
space will not be considered.
City of Santa Ana Community
Development Block Grant FY 2018-
2019 (Nonprofit Application)
EXHIBIT 1
19D-8
Application
City of Santa Ana- CDBG
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
Staff Listing (Attachment 1)
Certifications (Attachment 2)
2018-2019 Proposed Program Budget (Attachment 3)
2017-2018 Current Program Budget (Attachment 4)
IRS Nonprofit Designation Letter (Attachment 5)
Form 990 (Attachment 6)
Current/Proposed Client Eligibility Intake Form (Attachment 7)
Board of Directors, By-laws and Articles of Incorporation (Attachment 8)
Conflict of Interest Questionnaire (Attachment 9)
Financial Statements & Single Audit (Attachment 10)
Organization Chart (Attachment 11)
Memorandum of Understanding with the Santa Ana WORK C��('Attachment 12)
n
NOTES:
Failure to provide all required information
not be considered for funding. The City rest
application if evidence of compliance is not
application process. The City rt
in the best interest of the City.
PUBLIC SERVIeE'A
Legal Organization
Character Limit: 100
DUNS Number*
to become invalid and will
v consideration of this
: status changes during the
a requirement if it is determined to be
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 reeistration.
Character Limit: 15
Name of second organization if doing a collaboration
Character Limit: 100
City of Santa Ana Community
Development Block Grant FY 2018-
2019 (Nonprofit Application)
101
Application
City of Santa Ana- CDBG
DUNS number of second organization if doing a collaboration
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 a Summer Night Lights Pilot Program*
Pilot program will require a letter of commitment for facility use from Parks & Recreation for
City Facilities and Santa Ana Unified School District for District Facilities.
Choices
Yes
No
Date Organization Founded*
Character Limit: 10
Date of Nonprofit Incorporation*
Character Limit: 10
SERVICE AND FUNDING
Q1. Total number of unduplicated individu
program.
a. Total number of undup
Ana residents)*
Character limit: 10
b. Total number
Character Limit: 250
FY 2018-2019 by this
(Include Santa Ana and Non -Santa
residents*
c. Percentage of City of Sahta Ana residents served by the program:*
Character Limit: 250
d. Total number estimated to be low-income*
Character Limit: 250
e. Percentage that are estimated to be low-income*
Character Limit: 250
Q2. Estimated yearly units of service*
(number of unduplicated individuals multiplied by service visits — i.e. 200 youth X 25 tutoring
sessions = 5,000 units of service)
Character Limit: 250
City of Santa Ana Community
Development Block Grant FY 2018-
2019 (Nonprofit Application)
EXHIBIT 1
1901-10
Application
Q3. Total CDBG funds requested for FY 2018-2019*
($30,000 minimum)
Character Limit: 20
Q3A. Minimum Willing to Accept to Run Your Program
($30,000 minimum)
Character Limit. 20
Q4. Cost per participant*
(Total CDBG funds requested divided by Total to be served)
Character Limit: 20
Q5. Program History
- A. Total people served by the program in 2015-201
Character Limit: 10
A. Total people served by the program in 2016-20f7
Character Limit: 10 �
A. Total people served by the
Character Limit. 10
B. Number of Santa Ana
Character Limit: 10
B. Number of Sa
Character Limit: 10
B. Number of Santa
Character Limit: 10
City of Santa Ana- CDBG
the program in 2015-2016
served by the program in 2016-2017
served by the program in 2017-2018
C. Total Program Expense in 2015-2016
Character Limit: 15
C. Total Program Expense in 2016-2017
Character Limit: 15
C. Total Program Expense in 2017-2018
Character Limit: 15
D. Total years the program has been in existence:
Character Limit: 250
City of Santa Ana Community
Development Block Grant FY 2018-
2019 (Nonprofit Application)
FXHIaIT
19U-1 1
7
Application City of Santa Ana- CDBG
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. Include the
following:*
a. detailed description of services provided
b. frequency of service delivery (i.e. daily, weekly, monthly);
c. how the service is provided (i.e. one-on-one, classroom settings, home visits, phone
referrals); and n
d. target population groups (i.e. youth in specific neighborhoods!)/
(5,000 character maximum)
Character Limit: 5000 /'l
Q9. Describe the organizations experiencetih;pro Tiding the proposed program or
similar programs.*
Highlight accomplishments
Character Limit: 5000
Q30. City of Santa Ana Strategic
Community Safety - Enhance
outreach: 1-
• 6F -The Si
Probation
community, and'a;
released offenders
communications and community
�
pa'trnent will collaborate with the Orange County
Ige County Healthcare Agency caseworkers, business
non-profit organizations to assist in re-entry of recently
community.
Youth, Education, Recreation - Expand youth programming #1:
2A- Focus resources on quality youth engagement, enrichment and education programs
through community centers, libraries and after-school programs during out-of-school
hours.
Youth, Education, Recreation - Expand youth programming #2:
2B - Expand the youth sports program so that youth recreational opportunities are
established year- round.
City of Santa Ana Community
Development Block Grant Fy 2018-
2019 (Nonprofit Application)
EXHIBIT 1
19D-12
Application City of Santa Ana- CDBG
Youth, Education, Recreation - Partner with groups and organizations to promote education,
senior services, job training and development for all Santa Ana residents #1:
• 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.
Youth, Education, Recreation - Partner with groups and organizations to promote education,
senior services, job training and development for all Santa Ana residents #2:
• 4B - 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.
Youth, Education, Recreation - Partner with groups an 19irganiza ions to promote education,
senior services, job training and development for ap /nta Ana residents #3:
• 4C - Continue to expand services and progeatn�tfjdsenior centers specifically in the
areas of continuing education, mentoring and\r2c eation.
Community Health, Livability, Engagemr;` usts 'ility - Support neighborhood vitality
and livability #1: \`
• 4D - Implement new Neighbo" rhobd Improvement Initiatives focusing on residential
areas that have been adversely e bed -by disinvestment and decline. Program and
services from avar ety of r ources will be utilized to achieve positive and sustainable
improvements7�\��
Community Health, Li
culture infrastructure
& Sustainability - Promote a strong arts and
• 5B - Generate public avid private support and resources to strengthen, expand and
stabilize funding for the arts.
Community Health, Livability, Engagement & Sustainability - Focus projects and programs on
improving the health and wellness of all residents #3:
• 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).
City of Santa Ana Community
Development Block Grant FY 2018-
2019 (Nonprofit Application)
EXHIBIT 1
19D-13
Application City of Santa Ana- CDBG
Community Health, Livability, Engagement & Sustainability - Focus projects and programs on
improving the health and wellness of all residents #4:
• 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.
Community Health, Livability, Engagement & Sustainability - Focus projects and programs on
improving the health and wellness of all residents #5:
• 6E - Expand Senior Center programming to provide greater enrichment and explore
activities in art, culture and health.
Economic Development
•
5C- Develop a knowledge base to foster economic �evelo ment by actively partneting
with non-profit organizations. t
a. CDBG applications must meet a City of �ri Strategic Plan Goal*
The goals above have been determined to align with GDBG eligible public service
activities. (Please select only one goal explaiii1 edabove ww ich the proposed program meets).
Choices \��'\>
Community Safety -Enhance Public Safety
Youth, Education, Recreation - Expand you
Youth, Education, Recreation - Expandly\
Youth, Education, Recreation - Partneerr•wlt
Youth, Education, Recreation - Partner wit
Youth, Education, Recreate n Par�tne rwq
Community Health, Livability, Engagement
Community Health, Livability, kngagemegt
Community Health, Livability,
Community Health, Livability,
Community Health, Livability,
Economic Development
and community outreach.
1.
and-or-anizations: # 1
and organizations: # 2
and organizations: # 3
nability: # 1
Sustainability: # 2
& Sustainability: # 3
& Sustainability: # 4
& Sustainability: # 5
Q11. Strategic plan alignment AND emphasis on crime prevention, intervention
or Economic Development*
Describe how the program meets the City of Santa Ana Strategic Plan (Refer to goal selected on
#9) AND has an emphasis on crime prevention, intervention, and/or suppression efforts for
children, youth and/or families or Economic Development.
Character Limit: 5000
City of Santa Ana Community
Development Block Grant FY 2018-
2019 (Nonprofit Application)
EXHIBIT 1
19D-14
10
Application
City of Santa Ana- CDBG
Q12. Will this program result in new service or increase the level on an existing
service?*
Choices
Yes
No
If yes, describe how the direct service proposed:
a. is not a duplication of existing services available; or
b. demonstrates a quantifiable increase in access and/or the level of an existing service
provided to the target population.
Character Limit: 5000
Q13. Similar Services*
List similar services that are currently provided in the communit,�and describe how the
proposed program complements or fills an existing gap in sipr/v t s
Character Limit: 2000
Q14. Neighborhood Initiative Area* z
An area that that has been adversely affected by disinvestment and decline is considered a
Neighborhood Initiative area. Does the progr3mservees dents of a Neighborhood Initiative
area?
Target areas for the Summer Night
Neighborhoods at Jerome Center a
School
Choices
Yes
No
If yes, please
If yes, please de.
criteria.
Character Limit: 5000
mare the Townsend/Myrtle
Neighborhood at Madison Elementary
daries and reasons the area fits Neighborhood Initiative
Q15. Describe the unmet need that the proposed program will address*
Character Limit: 5000
Q16. 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
City of Santa Ana Community
Development Block Grant FY 2018-
2019 (Nonprofit Application)
EXHIBIT 1
19D-15
11
Application
City of Santa Ana- CDBG
Q17. Organization Participation*
List Santa Ana neighborhood associations, local community organizations and/or civic groups
the organization participates in and to what extent.
Character Limit: 5000
Q18. List the benchmarks the organization will use to determine success of the
program*
Provide intended outcomes.
Character Limit: 5000
Q19. Track and Measure Performance*
Describe how the organization will track and measure
quantitatively.
Character Limit: 5000
Q20. List federal grants that the organi
years*
Include grant amounts, services provided, a/nndd�
Character Limit: 5000 `\C
Q21. Summarize the qualifications of
(Program &Administrative) that woiildd Ilov
and comply with regulatory re uquuii/ej mefte
Character Limit: 5000 ��
FILE UPLOADS
Please download all forms
from the download screen,
outcomes qualitatively and
n the last 5
iriiiation's staff*
nization to provide the services stated
Air desktop and then fill out. If you try to fill out the form
information will not be saved when you try to upload it.
Attachment 1- Staff Listing*
Form is available here for download. (Include Admin and Program Staff working on the
proposed program)
File Size Limit: 1 MB
Attachment 2 - Certifications*
Form is available here for download.
File Size Limit: I MB
City of Santa Ana Community
Development Block Grant FY 2018-
2019 (Nonprofit Application)
EXHIBIT 1
19D-16
12
Application City of Santa Ana- CDBG
PLEASE COMPLETE THE FOLLOWING FORMS REGARDING BUDGETS
2018-2019 PROPOSED PROGRAM BUDGET (ATTACHMENT 3)
2017-2018 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 ofthis application and the
amount of funding provided by the City for the CDBG
Attachment 3 - 2018-2019 Proposed Program
Form is available here for download. Please note that
and both need to be filled out. le
File Size Limit: 1 MB
Attachment 4 - 2017-2018 Current
Form is available here for download. Ple
and both need to be filled out.
File Size Limit: l MB
Attachment 5 - IRS
Please upload a copy t
File Size Limit:1 MB \
Attachment 6 - 990 For't
Please upload a copy of your
File Size Limit: 10 MB
Letter*
year.
are two'stieets in the workbook
are two sheets in the workbook
IRS nonprofit designation letter.
990 form.
Attachment 7 - Current/Proposed Client Eligibility Intake Form*
Please upload a copy of your organization's current/proposed client eligibility intake form.
File Size Limit: 5 MB
Attachment 8 - Board of Directors, By -Laws and Articles of Incorporation*
Please upload a copy of the organization's current list of the Board of Directors, by-laws and
articles of incorporation.
File Size Limit: 3 MB
City of Santa Ana Community
Development Block Grant FY 2018-
2019 (Nonprofit Application)
EXHIBIT t
19D-17
13
Application City of Santa Ana- CDBG
Attachment 9 - Conflict of Interest Questionnaire*
Form is available here for download.
File Size Limit: 1 MB
Attachment 10 - 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 11- Organization Chart*
Please upload a copy of your organization chart.
File Size Limit: l MB
Attachment 12 - Memorandum of
Center*
Form is available here to download.
File Size Limit: 1 MB
With t eSanta Ana WORK
A
City of Santa Ana Community
Development Block Grant FY 2018-
2019 (Nonprofit Application)
EXHIBIT 1
19D-18
14