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CC 2021-03-23_11a CSGP Allocations 2021MEMORANDUM TO: CITY COUNCIL FROM: ROB FITZROY, COMMUNITY DEVELOPMENT DIRECTOR BY: ANDREW PEREZ, ASSOCIATE PLANNER SUBJECT: CONSIDERATION OF ARROYO GRANDE COMMUNITY SERVICE GRANT PROGRAM ALLOCATIONS FOR YEAR 2021 DATE: MARCH 23, 2021 SUMMARY OF ACTION: Approving the 2021 Arroyo Grande Community Service Grant Program allocations will assist local non-profit organizations implement various service programs that directly benefit Arroyo Grande residents. IMPACT ON FINANCIAL AND PERSONNEL RESOURCES: The City Council allocated a total of $50,000 in the FY 2020-21 Budget for the Arroyo Grande Community Service Grant program. There is no other fiscal impact other than staff time related to administering the program. RECOMMENDATION: It is recommended the City Council adopt a Resolution approving the Arroyo Grande Community Service Grant Program awards for Year 2021. BACKGROUND: In response to federal Community Development Block Grant (CDBG) funding limitations and restrictions, the City established the Community Service Grant Program (CSGP) in 2014 as a means of providing funding for community service projects separate and apart from the CDBG program. This local grant program historically has provided $20,000 to eligible non-profit organizations that offer specialized social service, educational, cultural, beautification, and recreational programs and projects benefitting Arroyo Grande citizens. At its regular meeting on August 25, 2020, Council directed that an additional $5,000 previously allocated to the Tourism Business Improvement District be redirected to the Community Service Grant Program. During the COVID-19 crisis, many non-profit service organizations have been unable to conduct their regular fundraising events, which they rely on to be able to continue providing important services to the community. Due to the impact of the COVID-19 Item 11.a. - Page 1 CITY COUNCIL ARROYO GRANDE COMMUNITY SERVICE GRANT PROGRAM ALLOCATIONS FOR YEAR 2021 MARCH 23, 2021 PAGE 2 pandemic and the limited fundraising opportunities for non-profit organizations during this time, Council authorized $25,000 of CARES Act revenue to be allocated to the Community Service Grant Program, bringing the total funding for this year’s Community Service Grant Program to $50,000. The City received a total of sixteen (16) applications requesting a total of $127,435. For comparison, sixteen (16) applications were also submitted in 2019, however the funding requested totaled $66,630. Applications for CSGP are reviewed by the Community Service Grant Committee (Committee). The Committee consists of one member from the Planning Commission, one member from the Architectural Review Committee, one member from the Downtown Parking Advisory Board, one member from the Arroyo Grande Tourism Business Improvement District Board, and one member from the South County Chamber of Commerce Board of Directors. This Committee convened on March 4, 2021, via Zoom videoconference, to review the applications and make funding recommendations to the City Council. ANALYSIS OF ISSUES: The Committee voted to present the following funding recommendations listed in Table 1 below (recommendations are in the far right column) for approval by Council: Table 1: 2021 CGSP Summary of Applications (Listed in Alphabetical Order) NAME OF NON- PROFIT PROJECT SUMMARY AREA SERVED GRANT AMOUNT RECEIVED IN 2020 GRANT AMOUNT REQUESTED IN 2021 GRANT COMMITTEE 1) 5Cities Homeless Coalition Rapid Re-Housing & Eviction Prevention; Winter Warming Center; Direct Financial Assistance. Five Cities $5,500 $20,000 $17,000 2) Achievement House Community Living Services for persons with disabilities. SLO County n/a $10,000 $3,500 3) Arroyo Grande In Bloom Cover excess costs over revenues for 2020 and replace 12 year old expired trimmer. AG n/a $3,500 $1,000 4) CASA Recruitment, screening, training and supervising community volunteers to advocate for abused and neglected children who are under the jurisdiction of the SLO County (emphasis on City of AG) $1,500 $3,500 $3,500 Item 11.a. - Page 2 CITY COUNCIL ARROYO GRANDE COMMUNITY SERVICE GRANT PROGRAM ALLOCATIONS FOR YEAR 2021 MARCH 23, 2021 PAGE 3 NAME OF NON- PROFIT PROJECT SUMMARY AREA SERVED GRANT AMOUNT RECEIVED IN 2020 GRANT AMOUNT REQUESTED IN 2021 GRANT COMMITTEE Juvenile Dependency Court. 5) CCSE (Creek Lands) Operation School Bell (clothing for impoverished K-12th grade students). SLO County n/a $4,985 $0 6) Diversity Coalition of SLO County Education and training program. SLO County $0 $5,000 $0 7) ECOSLO Neighborhood Cleanup Program. SLO County n/a $4,250 $0 8) Family Care Network Transitional Age Youth Housing and Support Services. SLO County n/a $5,000 $4,500 9) Five Cities Repair Cafe Host quarterly free events that support reuse, repair, and waste prevention by saving repairable items from the landfill. South County $0 $2,200 $0 10) Hospice of SLO County Expand and provide additional in-home support to AG residents by training 2 new volunteers. SLO County n/a $5,000 $5,000 11) Los Padres Council – Boy Scouts of America Provide 25 scholarships for current and new scout families in the 5 Cities Area. Five Cities n/a $1,500 $0 12) Meals That Connect (Senior Nutrition Program) Free noontime meals, plus frozen meals for weekends, to seniors in AG. AG $2,500 $10,000 $6,000 13) SLO Housing Trust Fund Replace old and inefficient computer equipment. SLO County n/a $3,500 $0 14) South County Historical Society Continue free community history programs, rehabilitation of the historic research library. South County n/a $5,500 $3,500 Item 11.a. - Page 3 CITY COUNCIL ARROYO GRANDE COMMUNITY SERVICE GRANT PROGRAM ALLOCATIONS FOR YEAR 2021 MARCH 23, 2021 PAGE 4 NAME OF NON- PROFIT PROJECT SUMMARY AREA SERVED GRANT AMOUNT RECEIVED IN 2020 GRANT AMOUNT REQUESTED IN 2021 GRANT COMMITTEE 15) South County Youth Coalition Provide needs-based scholarship for at risk youth and families. South County n/a $7,500 $6,000 16) United Methodist Children’s Center Childcare for children 18 months to 5 years of age. Five Cities n/a $36,000 $0 TOTAL $127,435 $50,000 In making the recommendations identified above, the Committee wished to focus primarily on funding projects and programs that directly assist individuals that have been affected by the current COVID-19 pandemic. The Committee specifically prioritized organizations that provide food, shelter, and clothing for those in need and that can effectively render their services during the COVID-19 pandemic. Other screening criteria included: whether the funds go directly to products and services for clients (versus administration costs); how many Arroyo Grande residents are served; an organization’s existing funding base (whether the requested funds are necessary for the project or program to succeed); and how the current pandemic impacted annual fundraising efforts. Staff recommends that Council approve the CSGP funding recommendations made by the Committee, as detailed in the table above and in the accompanying Resolution. ADVANTAGES: The City’s CSGP provides a funding opportunity, separate from CDBG, for local public service programs that address unmet needs in the community. DISADVANTAGES: Due to an increase in the number of non-profit agencies that submitted applications, the COVID-19 pandemic, and the total amount of funds requested ($127,435) compared to requests received in 2020 ($66,630), seven (7) of the sixteen (16) non- profit agencies are not recommended to receive funding. ALTERNATIVES: The following alternatives are provided for the Council’s consideration: 1. Approve CSGP funding for the projects as proposed for the Year 2021; 2. Modify and approve CSGP funding for projects for the Year 2021; or 3. Provide other direction to staff. Item 11.a. - Page 4 CITY COUNCIL ARROYO GRANDE COMMUNITY SERVICE GRANT PROGRAM ALLOCATIONS FOR YEAR 2021 MARCH 23, 2021 PAGE 5 ENVIRONMENTAL REVIEW: The allocation of CSGP funds is not considered a project under the California Environmental Quality Act (CEQA). PUBLIC NOTIFICATION AND COMMENTS: The Agenda was posted at City Hall and on the City website in accordance with Government Code Section 54954.2. Attachment: 1. Proposed Resolution 2. 2021 CSGP Applications Item 11.a. - Page 5 RESOLUTION NO. A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF ARROYO GRANDE APPROVING ARROYO GRANDE COMMUNITY SERVICE GRANT PROGRAM AWARDS FOR YEAR 2021 WHEREAS, on September 23, 2014, the City Council created the Community Service Grant Program (CSGP) and annually allocates $ 20,000 to implement the program; and WHEREAS, on March 14, 2017, the City Council renamed the Community Service Grant Program the Jim Guthrie Community Service Grant Program (JGCSGP); and WHEREAS, on June 9, 2020, the City Council changed the name of the Jim Guthrie Community Service Grant Program back to the Community Service Grant Program (CSGP); and WHEREAS, due to the COVID-19 pandemic, an additional $25,000 of CARES Act funding was allocated to the CSGP by the City Council, in addition to reallocating $5,000 from the Arroyo Grande Tourism Business Improvement District budget, for a total of $50,000 in grant funds for Year 2021; and WHEREAS, the City received a total of sixteen (16) applications requesting a total of $127,435 for the 2021 CSGP; and WHEREAS, the City Council established a CSGP Grant Committee (the "Committee") consisting of one member from each of the City’s current advisory boards and the South County Chamber of Commerce Board of Directors; and WHEREAS, the Committee convened via videoconference on March 4, 2021, in compliance with all applicable laws and orders, including the Ralph M. Brown Act as modified by the Governor’s Executive Order N-29-20, to review the applications and recommended funding allocations, as set forth in Exhibit "A," attached hereto and incorporated herein by this reference; and WHEREAS, on March 23, 2021, the City Council considered the recommendations of the Committee. NOW, THEREFORE, BE IT RESOLVED that the City Council of the City of Arroyo Grande hereby approves funding for the 2021 CSGP projects as set forth in Exhibit “A," subject to all of the rules, requirements, and regulations applicable to the CSGP and its grant recipients. On motion by Council Member_______, seconded by Council Member_______, and by the following roll call vote, to wit: AYES: NOES: ABSENT: the foregoing Resolution was adopted this 23rd day of March, 2021. ATTACHMENT 1 Item 11.a. - Page 6 RESOLUTION NO. PAGE 2 ______________________________________ CAREN RAY RUSSOM, MAYOR ATTEST: ______________________________________ JESSICA MATSON, CITY CLERK APPROVED AS TO CONTENT: ______________________________________ WHITNEY McDONALD, CITY MANAGER APPROVED AS TO FORM: ______________________________________ TIMOTHY J. CARMEL, CITY ATTORNEY Item 11.a. - Page 7 RESOLUTION NO. PAGE 3 EXHIBIT ‘A’ Arroyo Grande 2021 Arroyo Grande Community Service Grant Program NAME OF NON- PROFIT PROJECT SUMMARY AREA SERVED GRANT AMOUNT APPROVED 1) 5Cities Homeless Coalition Rapid Re-Housing & Eviction Prevention; Winter Warming Center; Direct Financial Assistance. Five Cities $17,000 2) Achievement House Community Living Services for persons with disabilities. SLO County $3,500 3) Arroyo Grande In Bloom Cover excess costs over revenues for 2020 and replace 12 year old expired trimmer. AG $1,000 4) CASA Recruitment, screening, training and supervising community volunteers to advocate for abused and neglected children who are under the jurisdiction of the Juvenile Dependency Court. SLO County (emphasis on City of AG) $3,500 5) Family Care Network Transitional Age Youth Housing and Support Services. SLO County $4,500 10) Hospice of SLO County Expand and provide additional in-home support to AG residents by training 2 new volunteers. SLO County $5,000 12) Meals That Connect (Senior Nutrition Program) Free noontime meals, plus frozen meals for weekends, to seniors in AG. AG $6,000 14) South County Historical Society Continue free community history programs, rehabilitation of the historic research library. South County $3,500 15) South County Youth Coalition Provide needs-based scholarship for at risk youth and families. South County $6,000 TOTAL $50,000 Item 11.a. - Page 8 Arroyo Grande Community Service Grant Program Ranking Sheet NAME OF GRANT APPLICANT: Scoring Category Possible Points (100 total) Points Awarded Comments Meets minimum criteria? Is a non-profit (proof of 501(c)(3) status with copy of letter from IRS). Serves AG community. Use funds directly to provide a social service, educational, cultural, beautification or recreation program/project in AG. Doesn’t restrict participants based upon race, religion, gender, etc. Doesn’t use funds for religious activities. n/a n/a If the application does not meet the minimum criteria, the application is ineligible for grant funding. Complete application? Description of community services provided. Relationship of non-profit to the community. Membership information – approx. # of AG residents served. Amount of funds requested. Complete project description and budget plan. Past 2 years financial statements (profit/loss statements, % revenue used for administration, salaries and program costs). Information on annual sources of revenue received. 20 Responsiveness in clearly stating the benefits to be derived by the residents of AG. 20 # of AG residents by age group served by the non-profit (including geographic area(s) and total # of clients served by the non-profit). 10 5Cities Homeless Coalition ATTACHMENT 2 Item 11.a. - Page 9 NAME OF GRANT APPLICANT: Scoring Category Possible Points (100 total) Points Awarded Comments Non-profit’s history of providing community services to the residents of AG. 20 Non-profit’s financial need for grant funds to service AG residents. 20 Ability to complete project in a timely manner (preferably within 1 year of grant award). 10 Total Points: 100 Amount of Funding Requested: Amount of Funding Recommended: (a total of $0,000 is available with this grant program) 5Cities Homeless Coalition Item 11.a. - Page 10 Item 11.a. - Page 11 Item 11.a. - Page 12 Item 11.a. - Page 13 Item 11.a. - Page 14 Item 11.a. - Page 15 Item 11.a. - Page 16 Item 11.a. - Page 17 Item 11.a. - Page 18 Item 11.a. - Page 19 Item 11.a. - Page 20 Item 11.a. - Page 21 Item 11.a. - Page 22 Item 11.a. - Page 23 5CHC Year-End Program Report, 2019 A Report of the Year’s Activities Information & Referral / Coordinated Entry: Assistance begins with a Coordinated Entry Intake. Coordinated Entry is utilized by Homeless Service Providers throughout the County and provides a standardized intake assessment and referrals to ensure a more consistent and streamlined experience for those seeking services. During this initial intake, clients complete a comprehensive needs assessment, identify barriers to employment or housing, and develop and immediate action plan. Those visiting 5CHC’s offices are provided access to computer, internet, phone charging, mailing address, food and hygiene supplies. 5CHC staff serves as a source of knowledge and referral. # of Coordinated Entry Surveys: 445 Households w/ children: 127 Households w/o children: 318 Total # of Adults: 566 Total # of Children: 242 Single Parent Household: 84 Seniors (62+): 48 Disabled: 104 Youth: 58 # Office Visits: 3,470 Info & Resources: 1,578 Immediate Needs (hygiene, bus pass, etc.): 1,735 Deposit Assistance: 220 Eviction Prevention: 172 Benefits Assistance: 387 Detox/Medical Respite: 145 Senior (62+): 132 Youth: 166 Veterans: 135 # Calls for Assistance: 4,217 Info & Resources: 1,785 Immediate Needs (food, hygiene, bus pass, etc.): 756 Deposit Assistance: 481 Eviction Prevention: 435 Benefits Assistance: 487 Detox/Medical Respite: 199 Senior (62+): 140 Youth: 183 Veterans: 198 Highlights from 2019: This year 5CHC was finally able to purchase a permanent home! In 2019 we helped house or prevent eviction for 162 families, totaling over 500 individuals. We can’t wait to move into our new office in 2020 and expand our services to help more families, individuals, and youth who are currently homeless or facing homelessness in our community. Rapid Re-Housing & Homeless Prevention Programs: Case management and financial assistance for deposit, rent and immediate needs for those who are homeless or facing homelessness. Average Deposit Cost: $2,800 Average spent on one month’s rent: $1,450 Rapid Re-Housing 2019: 89 Homeless Prevention 2019: 75 5Cities Homeless Coalition Programs 805-574-1638 www.5CHC.org Facebook: 5CitiesHomelessCoalition Item 11.a. - Page 24 Immediate Needs: Assists homeless and low-income families and individuals in the Five Cities area with limited funds to address their immediate needs, and move them to self–sufficiency. Often helping families to overcome a one-time barrier will enable them to move toward self-sufficiency, stability in the home, and economic improvement. Examples of assistance are utilities, gasoline, bus pass, auto repairs, clothing, employment readiness, detox/sober living, basic needs, emergency food, etc. Average amount spent per client: $132.46 Bus Pass: 115 Clothing: 269 Hygiene Supplies: 246 Utility Assistance: 24 Vehicle Repair/Registration: 48 Travel/Relocation: 22 Application Fees: 39 Identification: 19 Miscellaneous: 48 Benefits Advocacy/Medically Fragile Clients: 5CHC clients are offered additional guidance and advocacy for obtaining and retaining public benefits, including SSI, SSDI, Cal Fresh, etc. Housing clients are also encouraged to participate in financial literacy and budgeting training. Our work with medically fragile clients is aimed at improving discharge planning and case management with Arroyo Grande Community Hospital, the program serves homeless patients requiring temporary respite care. Average Benefits Case Load: 33 New Benefits Cases in 2019: 108 Medically Fragile Clients: 8 New Contacts Made at ER: 26 SSI Only: 21 Closed SSDI Only: 6 Closed Joint SSI/SSDI: 20 Closed General Assistance: 26 Closed Medical/CalFresh: 11 Closed Retirement/Survivors: 3 Closed SDI/Unemployment: 10 Closed Outreach: 5CHC staff works with local law enforcement to reach homeless individuals and families living in encampments; working with SLO County’s Jail 2 Community program to connect with homeless individuals in the jail to create an action plan for their release; connecting to housing resources, behavioral and mental health resources, employment resources. # Connected to Resources through Outreach: 78 Target Areas: Encampments in South SLO County Jail 2 Community Case Load: 5 YTD # Exiting to Supportive Housing: 4 Homeless Youth: Outreach and case management targeting homeless youth age 16-24, providing support for immediate needs, education and job development, and housing assistance. Program is offered in partnership with Dignity Health, Good Samaritan Shelter, and Lucia Mar Unified School District, Police Departments of Arroyo Grande and Grover Beach. Average Number of Case-Managed Clients: 13 New Contacts 2019: 87 Average # of Males: 7 Average # of Female: 6 Average # of Students: 3 Average # Employed: 7 Gained new housing, employment, benefits, or education in 2019: 51 Good Samaritan SSVF: The SSVF program serves veterans who are currently homeless or at risk of losing housing, providing temporary assistance to help homeless veterans gain housing stability. This is a joint program of Good Samaritan Shelter and 5CHC. Permanently Housed: 17 Homeless Prevention: 32 Total New Contacts: 104 Pending Eligibility as of 12/31/19: 9 Ineligible Veterans: 29 Warming Center: The 5Cities Homeless Coalition operates an overnight warming center to provide a safe, warm and dry place for homeless adults to find shelter for the night during the winter on nights with predictions of temperatures below 40°F, or especially stormy weather (with rain forecast at 50% or greater) November 1 through April 30. The 2019-20 Warming Center is located at LifePoint Church, 946 Rockaway Ave. in Grover Beach. To receive alerts of when the center is activating, text “Add Me” to 805-710-4330. Total Nights Open this Season: 16 Average Number of Guests 19-20: 19 Number of First-Time Visitors 19-20: 41 Males: 21% Females: 79% Under 25: 7% Age 25-50: 50% Age 51-64: 35% Age 65+: 8% Item 11.a. - Page 25 COVID-19 is an immediate concern, however the ůŽŶŐͲƚĞƌŵĞīĞĐƚƐĚƵĞƚŽŝƚƐĞĐŽŶŽŵŝĐŝŵƉĂĐƚĂƌĞ ĂůƐŽďĞĐŽŵŝŶŐĐůĞĂƌĞƐƉĞĐŝĂůůǇǁŚĞŶĐŽŵďŝŶĞĚ ǁŝƚŚƉƌĞǀŝŽƵƐƚƌŽƵďůŝŶŐƚƌĞŶĚƐ͘ The following factors are relevant: • On the Brink:&ĂƌƚŽŽŵĂŶǇ^ĂŶ>ƵŝƐKďŝƐƉŽ ŽƵŶƚǇƌĞƐŝĚĞŶƚƐĂƌĞƐĞǀĞƌĞůǇŚŽƵƐŝŶŐ ĐŽƐƚďƵƌĚĞŶĞĚͶϭϵ͕ϱϯϱŚŽƵƐĞŚŽůĚƐƐƉĞŶĚ ŵŽƌĞƚŚĂŶϱϬƉĞƌĐĞŶƚŽĨƚŚĞŝƌŝŶĐŽŵĞŽŶ ŚŽƵƐŝŶŐ͘/ŶĂŶĞĐŽŶŽŵŝĐĐƌŝƐŝƐ͕ƚŚĞůŽƐƐŽĨĂ ũŽďŽƌŚŽƵƌƐĂƚǁŽƌŬĐŽƵůĚƋƵŝĐŬůǇůĞĂĚƚŽ ŚŽŵĞůĞƐƐŶĞƐƐ͘ • Rising Unsheltered Homeless: Unsheltered ŚŽŵĞůĞƐƐŶĞƐƐŚĂƐĂůƌĞĂĚǇďĞĞŶƚƌĞŶĚŝŶŐ ƵƉǁĂƌĚƐƐŝŶĐĞϮϬϭϲ͕ŐƌŽǁŝŶŐďǇϮϮƉĞƌĐĞŶƚ ŽǀĞƌƚŚĞůĂƐƚĮǀĞǇĞĂƌƐ͘ • Rising Homelessness Among Older Adults: KůĚĞƌĂĚƵůƚŚŽŵĞůĞƐƐŶĞƐƐǁĂƐƉƌŽũĞĐƚĞĚƚŽ ĞǆƉĞƌŝĞŶĐĞƐƚĞĞƉŝŶĐƌĞĂƐĞƐĞǀĞŶďĞĨŽƌĞƚŚĞ ĐƵƌƌĞŶƚŚĞĂůƚŚĂŶĚĞĐŽŶŽŵŝĐĐƌŝƐĞƐ͘ • Rising Homelessness Among Youth: Prior ƚŽƚŚĞŽŶƐĞƚŽĨKs/͕ŝƚǁĂƐĞƐƟŵĂƚĞĚ that oŶĞŝŶƚĞŶǇŽƵŶŐĂĚƵůƚƐĂŐĞƐϭϴƚŽϮϱ ĞŶĚƵƌĞƐƐŽŵĞĨŽƌŵŽĨŚŽŵĞůĞƐƐŶĞƐƐŝŶĂ ǇĞĂƌ͘ƐƉĞĐŝĂůůǇǀƵůŶĞƌĂďůĞĂƌĞƉƌĞŐŶĂŶƚĂŶĚ ƉĂƌĞŶƟŶŐƚĞĞŶƐ͕ǇŽƵƚŚŽĨĐŽůŽƌ͕ĂŶĚ>'dY͘ On The Brink tŚĞŶŚŽƵƐŝŶŐƉƌŝĐĞƐĨŽƌĐĞƚǇƉŝĐĂůŚŽƵƐĞŚŽůĚƐ ƚŽƐƉĞŶĚŵŽƌĞƚŚĂŶϯϮƉĞƌĐĞŶƚŽĨƚŚĞŝƌŝŶĐŽŵĞ ŽŶƌĞŶƚ͕ƚŚŽƐĞĐŽŵŵƵŶŝƟĞƐďĞŐŝŶƚŽĞǆƉĞƌŝĞŶĐĞ ƌĂƉŝĚŝŶĐƌĞĂƐĞƐŝŶŚŽŵĞůĞƐƐŶĞƐƐ͘ • ΨϮϵ͘ϲϱtĂŐĞŶĞĞĚĞĚƚŽĂīŽƌĚϮďƌ;ϮϬϭϵͿ • ϯϮй/ŶĐƌĞĂƐĞŝŶŚŽŵĞůĞƐƐŶĞƐƐ;ϮϬϭϵͬϮϬϭϳͿ͘ • ϯϳй/ŶĐƌĞĂƐĞŝŶŚŽŵĞůĞƐƐĨĂŵŝůŝĞƐǁŝƚŚ ĐŚŝůĚƌĞŶ͘,ĂƌĚĞƐƚŚŝƚǁĞƌĞŚŝƐƉĂŶŝĐͬůĂƟŶŽ͘ • Ϯй/ŶĐƌĞĂƐĞŝŶƉŽƌƟŽŶŽĨŝŶĐŽŵĞƉĞŽƉůĞ ƐƉĞŶĚŽŶƌĞŶƚƌĞƐƵůƚƐŝŶϰŵŽƌĞƉĞŽƉůĞ ůŝŬĞůǇƚŽďĞĐŽŵĞŚŽŵĞůĞƐƐŶĞƐƐ͘ • ZĞŶƚŝŶĐƌĞĂƐĞŽĨϱϬйŝŶϱǇĞĂƌƐ;ϮϬϭϰͲϭϵͿ • DĞĚŝĂŶͲŝŶĐŽŵĞƌĞƐŝĚĞŶƚƐƐƉĞŶĚŵŽƌĞƚŚĂŶ ϯϴйŽĨƚŚĞŝƌŝŶĐŽŵĞŽŶƌĞŶƚ ŶĞǁŽůƵŵďŝĂhŶŝǀĞƌƐŝƚǇƐƚƵĚǇƉƌĞĚŝĐƚƐƚŚĂƚ ͞ĨŽƌĞǀĞƌǇϭйŝŶĐƌĞĂƐĞŝŶƚŚĞƵŶĞŵƉůŽǇŵĞŶƚ ƌĂƚĞ͕ŚŽŵĞůĞƐƐŶĞƐƐƉĞƌϭϬ͕ϬϬϬƉĞŽƉůĞŝŶĐƌĞĂƐĞƐ ďǇϬ͘ϲϱ͘͟ • Ks/KŶƐĞƚͲϭϬйƵŶĞŵƉůŽǇŵĞŶƚƐƉŝŬĞ • ƐŽĨ^ĞƉƚĞŵďĞƌ͕ƐƟůůŵŽƌĞƚŚĂŶϳй • DĂũŽƌŝƚǇŽĨũŽďůŽƐƐŝŶůĞŝƐƵƌĞͬŚŽƐƉŝƚĂůŝƚǇ • ŶƟĐŝƉĂƟŶŐĞǆƚƌĞŵĞƵƉƚƵƌŶŝŶĚĞŵĂŶĚĨŽƌ ŚŽŵĞůĞƐƐƉƌĞǀĞŶƟŽŶĂŶĚĚĞƉŽƐŝƚĂƐƐŝƐƚĂŶĐĞ ǁŝƚŚƚŚĞĞŶĚŽĨƚŚĞ͞ǀŝĐƟŽŶDŽƌĂƚŽƌŝƵŵĂƐ ŽĨ:ĂŶƵĂƌǇϯϭ͕ϮϬϮϭ͘Homelessness & The COVID-19 CrisisPotential For Increase In Homelessness 5cities homeless coalition www.5CHC.org 805-574-1638 June 2020 “This is unprecedented. No one living “This is unprecedented. No one living has seen an increase of 10% of has seen an increase of 10% of unemployment in a month.” unemployment in a month.” Unemployment Rate As A Predictor Of Homelessness Projects 40-45% Increase in Homelessness This Year Unsheltered ^ĂŶ>ƵŝƐKďŝƐƉŽŽƵŶƚǇƌĂŶŬƐϯƌĚŝŶƚŚĞŶĂƟŽŶĨŽƌ ƚŚĞŚŝŐŚĞƐƚƵŶƐŚĞůƚĞƌĞĚƉĞƌĐĞŶƚĂŐĞ;ϳϵйͿŽĨƚŚŽƐĞ ǁŚŽĂƌĞŚŽŵĞůĞƐƐĨŽƌĂůĂƌŐĞůǇƐƵďƵƌďĂŶĂƌĞĂ͕ƉĞƌ ƚŚĞϮϬϭϵŶŶƵĂů,ŽŵĞůĞƐƐƐƐĞƐƐŵĞŶƚZĞƉŽƌƚ ƉƌĞƐĞŶƚĞĚƚŽŽŶŐƌĞƐƐ͘ ŐŝŶŐWŽƉƵůĂƟŽŶ /ŶƌĞĐĞŶƚǇĞĂƌƐ͕ŵĞĚŝĐĂůƌĞƐĞĂƌĐŚĞƌƐŚĂǀĞďĞĞŶ ŝŶĐƌĞĂƐŝŶŐĨŽĐƵƐĞĚŽŶŽůĚĞƌĂĚƵůƚƐĞǆƉĞƌŝĞŶĐŝŶŐ ŚŽŵĞůĞƐƐŶĞƐƐ͘dŚĞǇĂƌĞĮŶĚŝŶŐƚŚĂƚƚŚŝƐŐƌŽƵƉĂŐĞƐ ĨĂƐƚĞƌƚŚĂŶĞǀĞƌǇŽŶĞĞůƐĞ͘dŚŽƐĞŝŶƚŚĞŝƌϱϬƐŚĂǀĞ ďĞĞŶĨŽƵŶĚƚŽĞǆƉĞƌŝĞŶĐĞŐĞƌŝĂƚƌŝĐĐŽŶĚŝƟŽŶƐ;Ğ͘Ő͕͘ ŵĞŵŽƌǇůŽƐƐ͕ĨĂůůƐ͕ĨƵŶĐƟŽŶĂůŝŵƉĂŝƌŵĞŶƚƐͿĂƚƌĂƚĞƐ ƐŝŵŝůĂƌƚŽŵĞŵďĞƌƐŽĨƚŚĞŐĞŶĞƌĂůƉŽƉƵůĂƟŽŶŝŶƚŚĞŝƌ ϳϬƐ͘dŚƵƐ͕ĚŝƐĐƵƐƐŝŽŶƐĂďŽƵƚŵĞĚŝĐĂůůǇǀƵůŶĞƌĂďůĞ ŽůĚĞƌĂĚƵůƚƐŶŽǁŝŶĐůƵĚĞƉĞŽƉůĞĂƐǇŽƵŶŐĂƐϰϱͲϱϬ͘ • ϲϵй/ŶĐƌĞĂƐĞŝŶϮǇĞĂƌƐĨŽƌŚŽŵĞůĞƐƐĂƐƐŝƐƚĂŶĐĞ • ϮϬϭϵͲϮϬ^ŽƵƚŚŽƵŶƚǇtĂƌŵŝŶŐĞŶƚĞƌŐƵĞƐƚƐͲ ŶĞĂƌůǇŚĂůĨǁĞƌĞĂŐĞϱϬĂŶĚŽůĚĞƌ͕ŽůĚĞƐƚϳϲǇƌƐ͘ dƌĂŶƐŝƟŽŶĂůŐĞzŽƵƚŚ Ks/ͲϭϵŚĂƐůŝŬĞůǇŝŶĐƌĞĂƐĞĚƚŚĞĂůƌĞĂĚǇĞůĞǀĂƚĞĚ ƌŝƐŬƐĨŽƌ>'dY͕ŵĂůƚƌĞĂƚĞĚ͕ĂŶĚŚŽŵĞůĞƐƐǇŽƵƚŚ ďĞĐĂƵƐĞŽĨĂĐŽŵƉůĞǆĐŽŵďŝŶĂƟŽŶŽĨƉŽƚĞŶƟĂůůǇ ŶĞŐĂƟǀĞĨĂŵŝůǇŝŶƚĞƌĂĐƟŽŶƐ͕ĞĐŽŶŽŵŝĐƵŶĐĞƌƚĂŝŶƚǇ͕ ƚŚĞƐƚƌĞƐƐĂŶĚĂŶǆŝĞƚǇŽĨůŝǀŝŶŐƚŚƌŽƵŐŚĂƉĂŶĚĞŵŝĐ͕ ĂŶĚŵŽƌĞůŝŵŝƚĞĚĂĐĐĞƐƐƚŽƌĞƐŽƵƌĐĞƐ͘Item 11.a. - Page 26 Arroyo Grande Community Service Grant Program Ranking Sheet NAME OF GRANT APPLICANT: Scoring Category Possible Points (100 total) Points Awarded Comments Meets minimum criteria? Is a non-profit (proof of 501(c)(3) status with copy of letter from IRS). Serves AG community. Use funds directly to provide a social service, educational, cultural, beautification or recreation program/project in AG. Doesn’t restrict participants based upon race, religion, gender, etc. Doesn’t use funds for religious activities. n/a n/a If the application does not meet the minimum criteria, the application is ineligible for grant funding. Complete application? Description of community services provided. Relationship of non-profit to the community. Membership information – approx. # of AG residents served. Amount of funds requested. Complete project description and budget plan. Past 2 years financial statements (profit/loss statements, % revenue used for administration, salaries and program costs). Information on annual sources of revenue received. 20 Responsiveness in clearly stating the benefits to be derived by the residents of AG. 20 # of AG residents by age group served by the non-profit (including geographic area(s) and total # of clients served by the non-profit). 10 Achievement House Item 11.a. - Page 27 NAME OF GRANT APPLICANT: Scoring Category Possible Points (100 total) Points Awarded Comments Non-profit’s history of providing community services to the residents of AG. 20 Non-profit’s financial need for grant funds to service AG residents. 20 Ability to complete project in a timely manner (preferably within 1 year of grant award). 10 Total Points: 100 Amount of Funding Requested: Amount of Funding Recommended: (a total of $0,000 is available with this grant program) Achievement House Item 11.a. - Page 28 Item 11.a. - Page 29 Item 11.a. - Page 30 Item 11.a. - Page 31 Item 11.a. - Page 32 Item 11.a. - Page 33 Item 11.a. - Page 34 Item 11.a. - Page 35 Item 11.a. - Page 36 Item 11.a. - Page 37 Item 11.a. - Page 38 Item 11.a. - Page 39 Item 11.a. - Page 40 Item 11.a. - Page 41 Item 11.a. - Page 42 Item 11.a. - Page 43 Item 11.a. - Page 44 Item 11.a. - Page 45 Item 11.a. - Page 46 Item 11.a. - Page 47 Item 11.a. - Page 48 Item 11.a. - Page 49 Item 11.a. - Page 50 Item 11.a. - Page 51 Item 11.a. - Page 52 Arroyo Grande Community Service Grant Program Ranking Sheet NAME OF GRANT APPLICANT: Scoring Category Possible Points (100 total) Points Awarded Comments Meets minimum criteria? Is a non-profit (proof of 501(c)(3) status with copy of letter from IRS). Serves AG community. Use funds directly to provide a social service, educational, cultural, beautification or recreation program/project in AG. Doesn’t restrict participants based upon race, religion, gender, etc. Doesn’t use funds for religious activities. n/a n/a If the application does not meet the minimum criteria, the application is ineligible for grant funding. Complete application? Description of community services provided. Relationship of non-profit to the community. Membership information – approx. # of AG residents served. Amount of funds requested. Complete project description and budget plan. Past 2 years financial statements (profit/loss statements, % revenue used for administration, salaries and program costs). Information on annual sources of revenue received. 20 Responsiveness in clearly stating the benefits to be derived by the residents of AG. 20 # of AG residents by age group served by the non-profit (including geographic area(s) and total # of clients served by the non-profit). 10 CASA Item 11.a. - Page 53 NAME OF GRANT APPLICANT: Scoring Category Possible Points (100 total) Points Awarded Comments Non-profit’s history of providing community services to the residents of AG. 20 Non-profit’s financial need for grant funds to service AG residents. 20 Ability to complete project in a timely manner (preferably within 1 year of grant award). 10 Total Points: 100 Amount of Funding Requested: Amount of Funding Recommended: (a total of $0,000 is available with this grant program) CASA Item 11.a. - Page 54 Item 11.a. - Page 55 Item 11.a. - Page 56 Item 11.a. - Page 57 Item 11.a. - Page 58 Item 11.a. - Page 59 Item 11.a. - Page 60 Item 11.a. - Page 61 Item 11.a. - Page 62 Item 11.a. - Page 63 Item 11.a. - Page 64 Item 11.a. - Page 65 Item 11.a. - Page 66 Arroyo Grande Community Service Grant Program Ranking Sheet NAME OF GRANT APPLICANT: Scoring Category Possible Points (100 total) Points Awarded Comments Meets minimum criteria? Is a non-profit (proof of 501(c)(3) status with copy of letter from IRS). Serves AG community. Use funds directly to provide a social service, educational, cultural, beautification or recreation program/project in AG. Doesn’t restrict participants based upon race, religion, gender, etc. Doesn’t use funds for religious activities. n/a n/a If the application does not meet the minimum criteria, the application is ineligible for grant funding. Complete application? Description of community services provided. Relationship of non-profit to the community. Membership information – approx. # of AG residents served. Amount of funds requested. Complete project description and budget plan. Past 2 years financial statements (profit/loss statements, % revenue used for administration, salaries and program costs). Information on annual sources of revenue received. 20 Responsiveness in clearly stating the benefits to be derived by the residents of AG. 20 # of AG residents by age group served by the non-profit (including geographic area(s) and total # of clients served by the non-profit). 10 Central Coast Salmon Enhancement (Creeklands) Item 11.a. - Page 67 NAME OF GRANT APPLICANT: Scoring Category Possible Points (100 total) Points Awarded Comments Non-profit’s history of providing community services to the residents of AG. 20 Non-profit’s financial need for grant funds to service AG residents. 20 Ability to complete project in a timely manner (preferably within 1 year of grant award). 10 Total Points: 100 Amount of Funding Requested: Amount of Funding Recommended: (a total of $0,000 is available with this grant program) Central Coast Salmon Enhancement (Creeklands) Item 11.a. - Page 68 The 2020-21 Arroyo Grande Community Service Grant Program is intended to provide monetary grants to eligible community non-profit organizations. The City recognizes the value of such groups ZKLFK provide specialized social service, educational, cultural, beautification and recreation programs andSURMHFWV WKDWEHQHILW$UUR\R*UDQGHcitizens. Grants awarded will be in minimum amounts of not less than $250. Funding is limited to $50,000 for Grant Year 2020-21. To be eligible to apply for grant monies under the City's 2020-21 Community Service *UDQW3URJUDP a community organization must satisfy the following standards: x Operate as a non-profit 501c3; x Serve the Arroyo Grande community; x Use funds to directly provide* a social service, educational, cultural, beautification or recreation program or project to Arroyo Grande residents and/or businesses; x Not restrict participants based upon race, religion, gender, sexual orientation, marital status, national origin, ancestry, disability, medical condition, or age; and x Not use grant monies specifically for religious activities. * "Directly provide" means that the community non-profit organization conducts the social service(s) or cultural program(s) itself rather than through a separate entity to which it sub-awards grant monies. Please provide all required information and attachments. Incomplete applications will be disqualified. All interested non-profit organizations must complete an application form, including the following: 1. Attachment A: Cover Sheet a. Organization/Agency Name (applicant is required to list the local branch if it represents a national or statewide organization) b. Program or Service Title c. Executive Director and Program Contact Person (if different) d. Physical Address and Mailing Address (if different) e. Phone Number f. Email Address(es) g. Amount of funds being requested h. If applicable, funds received in prior year (or most recent year when funds were received) i. A brief (50 words or less) description of the proposed program or service j. Indicate if your organization has been affected by COVID-19 Item 11.a. - Page 69 Attachment B: Program/Service Information DBriefly describe your organization and its mission. EHow is the program or service beneficial to Arroyo Grande residents? LHow is local need for this program/service determined? LLApproximate number of City of Arroyo Grande residents served by the non-profit organization. FDescribe your organizational capacity to successfully carry out the proposed activities (i.e. past performance and history of the organization will be considered to assess the agency’s prospects for achieving its goals and objectives). Attachment C: Scope of Work or Work Plan and Budget Worksheet Attachment D: Signed Agreement with the City of Arroyo Grande (to be fully executed upon grant award). Proof of 501(c)(3) status with a copy of the letter from the IRSDQGVLJQHGFHUWLILFDWLRQ VWDWHPHQW Wednesday, November 25, 2020 addressed to: City of Arroyo Grande Community Development Department Camilla Karamanlis, Program Analyst 300 E. Branch Street Arroyo Grande CA 93420 OR SUBMITTED ELECTRONICALLY TO ckaramanlis@arroyogrande.org Applications are encouraged to be submitted electronically. Electronic signatures are accepted. For questions please contact: Camilla Karamanlis Program Analyst (805) 473-5448 ckaramanlis@arroyogrande.org Completed applications forms, along with supplemental documents must be submitted by 5:00 p.m., 3OHDVHGRZQORDGDQGVDYHWKLVDSSOLFDWLRQSDFNHWWR\RXUFRPSXWHU7KLVLVDILOODEOH3')DQGDSSOLFDQWVDUH HQFRXUDJHGWRFRPSOHWHWKLVSDFNHWHOHFWURQLFDOO\$OWHUQDWLYHO\DSSOLFDQWVPD\SULQWDQGFRPSOHWHWKLV SDFNHWE\KDQGDQGHLWKHUVFDQDQGVXEPLWHOHFWURQLFDOO\WRWKHHPDLODGGUHVVDERYHRUPDLOWKHKDUGFRS\WR WKHDERYHOLVWHGDGGUHVV'XHWR&29,'ZHDUHQRWDFFHSWLQJDSSOLFDWLRQVLQSHUVRQ Item 11.a. - Page 70 Organization/Agency Name: (local branch) Mailing Address: City: State: Zip: Physical Address: (if different from Mailing Address) City: State: Zip: Fund Amount Requested: $ Previous Funds Received? □ Yes □ No If Yes, Most Recent Year Received: Most Recent Amount Received: Tax ID Number: Please describe how your organization has been affected by COVID-19 (e.g. How has funding been impacted? Has your mission changed/expanded to address needs brought on by the virus?) Executive Director: Email Address: Phone Number: Grant Program Contact: (if different from Executive Director) Email Address: Phone Number: Program or Service Title: Brief description of the proposed program or service (50 words or less): Central Coast Salmon Enhancement, dba Creek Lands Conservation 229 Stanley Ave Arroyo Grande CA 93420 2014 $3,998 770079896 Don Chartrand don@creeklands.org 805-294-2575 Volunteer Program Revitalization and Native Plant Beautiﬁcation Workshop 4985 CLC has not been receiving general donations we would anticipate receiving throughout the year due to more immediate necessity of funding to basic essential needs (such as healthcare) throughout the course of the pandemic. Projects are moving slower than anticipated due to COVID restrictions, and thus budgets are being spread thin as well. CLC has been able to pivot somewhat in our education programs working with partners and funders to provide remote services to local students. The bulk of the impact has been in our capacity to raise discretionary funds without in-person direct fundraising events, including a gala that was planned for last March which was part of a rebranding pinnacle that had been underway for almost two years. Revitalize the volunteer program at Creek Lands Conservation to provide more opportunities for local residents to give back to their community in a safe, socially distant way. This revamped volunteer program will launch with a native plant beautiﬁcation workshop, connecting people to nature during a time of need. Item 11.a. - Page 71 City of Arroyo Grande Community Service Grant Program 2020-2021 Attachment B: Program/Service Information 1.Briefly describe your organization and its mission. a. Organization Description: i.Creek Lands Conservation (CLC), formerly Central Coast Salmon Enhancement, is a tax exempt nonprofit 501(c)3 organization that works alongside a wide range of stakeholders to sustainably manage land and water resources, with expertise in managing aquatic ecosystems such as rivers, creeks, wetlands, and estuaries. We aim to enhance our coastal communities through Restoration Science, Education, & Stewardship. Our work encompasses consideration of entire watersheds from ridgetops to the near coast environment and includes finding solutions to water security for communities and agriculture, species conservation, riparian management, stormwater management, and sustainable municipal and ag land-water practices. We serve the community through a combination of watershed restoration outreach and classroom education. Our restoration projects provide hands-on opportunities for the community to reconnect with their local watershed, whether through citizen science or service. Our school program aims to inspire the future generations of environmental stewards through place-based learning and experiential learning. The following is a sample of various CLC planning, management, and scientific investigation projects achieved in our local watersheds during the last decade: ● Arroyo Grande Creek Fisheries Assessment (2008) for the California Department of Fish & Game (CDFG) ●Arroyo Grande Creek Stream Gage Modification 100% Engr. Design (2009) for CDFG ● Pismo Creek Fish Passage Improvement 100% Engr. Design (2012) for CDFG ● Santa Rosa Creek Watershed Mgmt Plan (2012) for CDFG ● Pismo Creek Estuary Restoration Plan (2013) for the Coastal Impact Assistance Program through the County of San Luis Obispo ●Pismo Creek Instream Flow Study (2013) for the California Department of Fish & Wildlife ● Developed RFP for Villa Creek Estuary Restoration Project for CAState Parks (2018) ● Santa Rosa Creek Streamflow Enhancement Project for private ag landowners and WCB Streamflow Enhancement Project (in progress) Item 11.a. - Page 72 ● Integrated Water Strategies Planning Project in Santa Barbara & Ventura Counties for private landowners & the WCB Streamflow Enhancement Program (in progress) ●Crowd Hydrology, citizen science program, collects flow data funded by various organizations currently on Dairy Creek & San Luis Obispo Creek (on-going) In addition, CLC has served City residents by: ●Initiating the Arroyo Grande Creek Memorandum of Understanding (MOU) group to coordinate/cooperate on projects that benefit the City such as the Tally Ho Restoration project and the Clark property sediment basin project. ●Providing language and interpretive sign models for use in developing signage for the bioswale behind the previous location of City Hall. ●Developing, funding and implementing plans for two creek aligned trails to complement the City’s larger creek trail system. ●Assisting the developer of Cherry Creek and the City with a planting palette for the Newsome Springs swale. b. Mission Statement: i.The mission of Creek Lands Conservation is to conserve and restore freshwater and near shore marine ecosystems throughout California’s Central Coast. c. Area(s) served by organization: i.CLC serves California counties from Monterey to Ventura focusing on coastal watersheds. Our office is located within the City of Arroyo Grande. We have enjoyed a productive working relationship with the City and its residents in the following ways: • The City participated in the development of the Arroyo Grande Creek Watershed Management Plan which led to the development of a City Working Group which helped to inform the City’s Creek Resource Protection Study. Many city residents participated as stakeholders in the development of the plan. The South County Historical Society used its research for history of the Creek by ultimately publishing Bob Brown’s Story of the Arroyo Grande Creek. • The City provided Measure O funding to CLC for the development and distribution of the Arroyo Grande Creek Care Guide which was distributed to City residents and posted on the City’s website. • Residents of the City have been involved in annual Creek Clean-up events and occasional volunteer Ivy Removal efforts hosted by CLC and co-sponsored by the City. Item 11.a. - Page 73 2.How is the program or service beneficial to Arroyo Grande residents? a.Now more than ever, people are looking for ways to stay safely connected to their community and to each other. By revitalizing our volunteer program and keeping Covid regulations in mind, CLC will be able to provide more opportunities for Arroyo Grande residents to make connections with others and to give back to their community in an impactful way. Following a restructure of volunteer management protocols, a beautification workshop will get local residents involved in hands-on conservation. During this beautification workshop, participants will learn the benefits of using native plants in one’s garden for both their own water budget and to improve habitat and health of our watershed. An expert on native plants describes to participants why he/she should be using native plants and mulch in one’s garden. The focus is how much less water can be used when landscaping with plants adapted to our state’s Mediterranean climate. Furthermore, attendees learn when it is best to plant, which plants are suitable to your garden’s level of sunlight and type of soil, and what plants can help attract beneficial insects. Participants also gain awareness for the economic benefits of planting natives, including using less water, fertilizers, and zero pesticides. In addition to personal growth, the participants will also get to improve their local watershed by planting native plants at Creek Lands Conservation along the banks of Arroyo Grande Creek on property owned by Lucia Mar Unified School District. We have identified three planting areas and prior to the workshop we will develop a planting plan with local experts. Attendees receive a tutorial on how to remove non-native weeds from the plot to be restored, how to properly remove native plants from their container, how to prepare the soil and the receiving hole, and optimal watering schedules for California native plants. Each participant is given the opportunity to plant his/her own plant. We will also partner with local organizations, such as One Cool Earth, Arroyo Grande in Bloom, UC Extension Master Gardeners, California Native Plant Society, etc., and these groups will help with planning, planting and other tasks such as mulching and weeding. Since our office is on the banks of Arroyo Grande Creek, this planting is a significant opportunity to educate the community on everyday choices one can make to increase the health of the creek for fish and future generations of Arroyo Grande residents. On site, we can tangibly explain the flow of water through the watershed and how our choices on land affect our local waterways and beyond. Our day’s planting can help decrease the levels of polluted runoff entering the creek, increase insect diversity, and increase soil permeability. A short excursion during the planting takes participants down to the creek to view a current project by CLC: Arroyo Grande Creek Stream Gauge Modification Project, funded by the National Fisheries & Wildlife Foundation. When Item 11.a. - Page 74 completed, this project will allow native Steelhead trout to migrate further up the creek to take advantage of upstream spawning habitat. This project showcases what a small group of concerned citizens can accomplish by choosing to make their watershed better for fish and its citizens. The lasting infrastructure of this workshop is a transformation of the office into a model of sustainable native plant landscaping that will be seen by all who visit. We will use the space as a teaching opportunity for everyone who visits through interpretive signage and could continue to provide the Arroyo Grande community with additional workshops, planting workdays, and garden volunteer groups. b.Approximate number of City of Arroyo Grande residents served by our organization: i.We assisted with the city's stormwater permit reporting by providing numbers of students served within the city limits receiving watershed education for many years. We have also been involved with Tally Ho residents to resolve on-going flooding issues in that subwatershed since 2001 and are a co-sponsor for the recently funded Tally Ho Restoration Project funded by the Department of Water Resources. On average, we serve 50 residents and students per year over the past decade. 3.How is local need for this program/service determined? a.As the city's watershed group, we were instrumental in winning $1million for theǧ Lucia Mar Unified School District's Drought Response Outreach Program for Schoolsǧ (DROPS) grant. The DROPS program allowed the District to design and implementǧ water conservation within school infrastructure and provided hands-on education forǧ students. We continue to provide technical expertise in water conservation andǧ education as climate change becomes part of everyday life on the Central Coast. Using our offices to train and educate residents to plan and implement water savingsǧ while beautifying our home is critical to the City’s ability to provide residents with theǧ necessary tools to sustain our community into the future. However, as aǧ science-focused organization we need assistance in building our capacity to recruit,ǧ train and deploy qualified volunteers. This program will help us meet that need whileǧ also providing an immediate opportunity for those volunteers to learn valuable habitat restoration skills that will benefit the community.ǧ 4.Describe your organizational capacity to successfully carry out the proposed activities (i.e. past performance and history of the organization will be considered to assess the agency’s prospects for achieving its goals and objectives). Item 11.a. - Page 75 a.Number of Full Time Staff: 4; Number of Part Time Staff: 2; Number of Volunteers: ~10. b.Our staff includes two hydrologists, one experienced watershed projects manager and staff expertise in program development and delivery, including previous volunteer and internship program development. We have received and implemented dozens of watershed restoration grants. Most of the grant projects include on-the-ground data collection which is used to evaluate water quality/quantity and habitat, and voluntary enhancement/improvement methods. The projects work with private and public landowners, other nonprofits and academic partners. We also work extensively with state and federal agencies to affect quality outcomes. We have experience in the community going back thirty (30) years. The watershed projects manager was involved in the preparation of the Santa Maria River Estuary Restoration Plan and the Santa Maria River Instream Flow Study. The hydrologists were involved in developing and implementing the State Parks Estuaries Monitoring Program in San Luis Obispo County. One hydrologist was involved in a first generation watershed report card. We are confident in our ability to implement and execute an immersive, impactful volunteer program and native plant beautification workshop. Item 11.a. - Page 76 Organization Description (include summary of community services provided): Mission Statement: x Area(s) Served by Organization: How is the program or service beneficial to Arroyo Grande residents? Number of Arroyo Grande Residents Served: How is local need for this program or service determined? Describe your organizational capacity to successfully carry out the proposed activities. Number of Full Time Staff: Number of Part Time Staff: Number of Volunteers: Item 11.a. - Page 77 Scope of Work or Work Plan When completing this worksheet, refer to the following questions: A.What are the objectives? What is the program or service aiming to accomplish? B.How will those goals be achieved, and in what timeframe? C.What is the evaluation methodology for measuring results? How can results be quantified and observed? D.Results should be meaningful, measurable, and demonstrate the difference the proposed project makes, or is intended to make, in the lives of the people within the program or receiving the service. E.Output results show the amount of work performed or services received. F.Outcomes show the quality of the performance and answer the questions: who is better off by providing this program or service? What percentage of residents are assisted or are benefitting from this program or service? Program/Service Objectives: Major Tasks to Complete (to achieve associated goal) Timeline Evaluation Methodology Program/Service OUTPUTS: Program/Service OUTCOMES: Volunteer Program Development Create Volunteer Handbook Jan-February 2021 Completion of product. Refine Volunteer Onboarding Protocols March 2021 Completion of product. Refine volunteer management systems March 2021 Software implemented. Native Plant Beautiﬁcation Workshop Recruit program partners April 2021 Number of partner recruits Workshop Outline May 2021 Completion of task. Recruit volunteers / participants May-June 2021 Number of recruits Obtain plants and planting supplies June 2021 Completion of task. Implement Workshop June-July 2021 Completion of task; pre-post survey; number of participants. Ongoing volunteer opportunities Develop volunteer event calendar July 2021 Completion of task; number of volunteer opportunities. - 1 revitalized volunteer program, having the ability to engage hundreds of Arroyo Grande residents with meaningful volunteer opportunities. - 1 native plant beautiﬁcation workshop, involving up to 15 residents in local ecological restoration (number limited for covid guidelines). - A robust, immersive volunteer program that keeps residents regularly engaged in local environmental conservation. - A beautiﬁed local nonproﬁt that enhances the City of Arroyo Grande. - Due to the nature of our work, this program has the ability to ultimately beneﬁt 100% of Arroyo Grande residents. Item 11.a. - Page 78 Budget Worksheet Complete this Worksheet for the specified program or service. PROGRAM/SERVICE PROPOSED EXPENSES Line Item Proposed Cost Grant Amount Requested Personnel Costs Other Salaries & Fees 1. 2. Equipment Supplies / Materials Travel / Transportation Promotion / Publicity Other Expenses: 1. 2. TOTALS: PROGRAM/SERVICE PROPOSED INCOME Other Funding Available Grant Amount Requested Arroyo Grande Community Service Grant Amount Requested Other Funding Sources: Other Public Grants Private Foundations Corporation Contributions Concessions / Ticket Sales Promotion Sales / Advertisements (Other Cash) TOTALS: 3ODQQLQJVRIWZDUH $2585 $2585 $$ $$ $$ $500 $ $1400 $1400 $$ $1000 $1000 $$ $1000 $ $$ $6485 $4985 $4985 $ $500 $1000 $ $ $1500 $ Item 11.a. - Page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tem 11.a. - Page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tem 11.a. - Page 81 7&39**&,7**894&((*597*85438.'.1.9>+47148847)&2&,*94&3>5*784347*39.9> &3) 8-&11 )*+*3) .3)*23.+> &3) -41) -&721*88 7&3947 .98 4++.(*78 *2514>**8 &3) &,*398 +742 &3> &3) &11 (1&.28 &3) )*2&3)8 1.&'.1.9> )&2&,*8 (4898 *=5*38*8 /:),2*398.3(1:).3,':93491.2.9*)94&99473*>+**8&3)*=5*79<.93*88(48989-&92&> '*&88*79*)'>&3>5*784347*39.9>.3(1:).3,7&39**&7.8.3,4:94+47.3(433*(9.43<.9- 9-*5*7+472&3(*'>7&39**-*7*:3)*7&3)479-*:8*4+9-*.9>4+774>47&3)* 422:3.9>!*7;.(*7&39+:3)243.*8 7&39**&,7**894(4251><.9-&11.9>4+774>47&3)**)*7&1&3)!9&9*1&<8 &3)7*,:1&9.438&551.(&'1*947&39**35&79.(:1&77&39**&,7**894(4251><.9-9-* 9*728 &3) (43).9.438 (439&.3*) .3 9-* .9> 4+ 774>4 7&3)* 774>4 7&3)* 422:3.9> !*7;.(* 7&39 74,7&2 <-.(- .8 &99&(-*) -*7*94 &8 =-.'.9 @A &3) .3(47547&9*)-*7*.3'>9-.87*+*7*3(* 7&39**8-&11349&88.,39-*5*7+472&3(*4+9-.8,7**2*39347&3>5&799-*7*4+ <.9-4:99-*57.47<7.99*3(438*394+7&3947 7&3947&3)7&39**:3)*789&3)&3)&,7**9-&99-*1&<84+9-*!9&9*4+&1.+473.& 8-&11,4;*739-*7.,-984'1.,&9.438):9.*8&3)1.&'.1.9.*84+9-*5&79.*8949-.8,7**2*39 &3) &184 ,4;*73 9-* .39*757*9&9.43 4+ 9-.8 ,7**2*39 3> 1.9.,&9.43 (43(*73.3, 9-.8 ,7**2*398-&119&0*51&(*.39-*8:5*7.4747+*)*7&1).897.(9(4:79<.9-/:7.8).(9.434;*7 9-*.9>4+774>47&3)* "-.8,7**2*39(439&.389-**39.7*:3)*789&3).3,'*9<**39-*5&79.*87*1&9.3,94 9-*4'1.,&9.4384+9-*5&79.*8)*8(7.'*).39-.8,7**2*391157.4747(439*2547&3*4:8 &,7**2*398:3)*789&3).3,87*57*8*39&9.438&3)89&9*2*398*.9-*747&147<7.99*3&7* 2*7,*).3949-.8,7**2*39&3)8-&11'*4+34+:79-*7+47(*47*++*(9&(-5&79>.8 *39*7.3,.3949-.8,7**2*39'&8*)841*1>:5439-*7*57*8*39&9.4388*9+479--*7*.3&3) :543*&(-5&79>B84<3.3)*5*3)*39.3;*89.,&9.434+&3>&3)&11+&(988:(-5&79>)**28 2&9*7.&1 2*3)2*398949-.8,7**2*398-&11'*.3<7.9.3,&3)8-&11'*2&)*431><.9-9-* 2:9:&1<7.99*3(438*394+&114+9-*5&79.*8949-.8,7**2*39 Item 11.a. - Page 82 "-*5*7843475*78438*=*(:9.3,9-.8,7**2*3943'*-&1+4+7&39**<&77&39&3) 7*57*8*39 9-&9 -*8-* -&8 9-* &:9-47.9> 94 *=*(:9* 9-.8 ,7**2*39 43 '*-&1+ 4+ 9-* 7&39**&3)-&89-*&:9-47.9>94'.3)7&39** 949-*5*7+472&3(*4+.984'1.,&9.438 -*7*:3)*7 9-*5&79.*8-*7*94-&;*(&:8*)9-.8,7**2*3994'**=*(:9*) 9-*)&>&3)>*&7+.789&'4;*<7.99*3 >%%%%%%%%%%%%%%%%%%%%%%%%%%%% >%%%%%%%%%%%%%%%%%%%%%%%%%%% $-.93*>(43&1).9>&3&,*7 99&(-2*398 =-.'.9774>4 7&3)*422:3.9>!*7;.(*7&39 74,7&2551.(&9.43 Item 11.a. - Page 83 I. SUPPLEMENTAL DOCUMENTATION: Proof of 501(c)(3) status with a copy of the letter from the IRS. II.CERTIFICATION: I certify on behalf of _________________________________ non-profit organization, that I have read, understand and agree that the aforesaid information is accurate, factual and current. I understand that an award of funds, if granted, will be for the sole use as reflected in this application form. I further certify that as a condition of receiving funds, an agreement with the City of Arroyo Grande, in a form and content provided by the City of Arroyo Grande, will be signed and executed by a duly authorized representative of said non-profit organization. I am aware of and certify that our non-profit organization will adhere to all City regulations regarding the 2020 Community Service Grant Program including, but not limited to, maintaining non-discriminatory policies, practices and intent. I also, on behalf of our non-profit organization, DJUHH WRindemnify, defend, and hold harmless the City of Arroyo Grande relative to any and all liability that may arise as a result of the use of the City of Arroyo Grande Community Service Grant Fund monies. Date: _______________ Signature: ______________________________ Executive Director or Designee ______________________________ Board of Director or Officer CCSE, d.b.a. Creek Lands Conservation 11/25/20 Lew Leichter Digitally signed by Lew Leichter Date: 2020.11.25 15:21:24 -08'00' Item 11.a. - Page 84 Item 11.a. - Page 85 Item 11.a. - Page 86 Arroyo Grande Community Service Grant Program Ranking Sheet NAME OF GRANT APPLICANT: Scoring Category Possible Points (100 total) Points Awarded Comments Meets minimum criteria? Is a non-profit (proof of 501(c)(3) status with copy of letter from IRS). Serves AG community. Use funds directly to provide a social service, educational, cultural, beautification or recreation program/project in AG. Doesn’t restrict participants based upon race, religion, gender, etc. Doesn’t use funds for religious activities. n/a n/a If the application does not meet the minimum criteria, the application is ineligible for grant funding. Complete application? Description of community services provided. Relationship of non-profit to the community. Membership information – approx. # of AG residents served. Amount of funds requested. Complete project description and budget plan. Past 2 years financial statements (profit/loss statements, % revenue used for administration, salaries and program costs). Information on annual sources of revenue received. 20 Responsiveness in clearly stating the benefits to be derived by the residents of AG. 20 # of AG residents by age group served by the non-profit (including geographic area(s) and total # of clients served by the non-profit). 10 Arroyo Grande In Bloom Item 11.a. - Page 87 NAME OF GRANT APPLICANT: Scoring Category Possible Points (100 total) Points Awarded Comments Non-profit’s history of providing community services to the residents of AG. 20 Non-profit’s financial need for grant funds to service AG residents. 20 Ability to complete project in a timely manner (preferably within 1 year of grant award). 10 Total Points: 100 Amount of Funding Requested: Amount of Funding Recommended: (a total of $0,000 is available with this grant program) Arroyo Grande In Bloom Item 11.a. - Page 88 Item 11.a. - Page 89 Item 11.a. - Page 90 Item 11.a. - Page 91 Item 11.a. - Page 92 Item 11.a. - Page 93 Item 11.a. - Page 94 Item 11.a. - Page 95 Item 11.a. - Page 96 Item 11.a. - Page 97 Item 11.a. - Page 98 Item 11.a. - Page 99 Item 11.a. - Page 100 Arroyo Grande Community Service Grant Program Ranking Sheet NAME OF GRANT APPLICANT: Scoring Category Possible Points (100 total) Points Awarded Comments Meets minimum criteria? Is a non-profit (proof of 501(c)(3) status with copy of letter from IRS). Serves AG community. Use funds directly to provide a social service, educational, cultural, beautification or recreation program/project in AG. Doesn’t restrict participants based upon race, religion, gender, etc. Doesn’t use funds for religious activities. n/a n/a If the application does not meet the minimum criteria, the application is ineligible for grant funding. Complete application? Description of community services provided. Relationship of non-profit to the community. Membership information – approx. # of AG residents served. Amount of funds requested. Complete project description and budget plan. Past 2 years financial statements (profit/loss statements, % revenue used for administration, salaries and program costs). Information on annual sources of revenue received. 20 Responsiveness in clearly stating the benefits to be derived by the residents of AG. 20 # of AG residents by age group served by the non-profit (including geographic area(s) and total # of clients served by the non-profit). 10 Diversity Coalition Item 11.a. - Page 101 NAME OF GRANT APPLICANT: Scoring Category Possible Points (100 total) Points Awarded Comments Non-profit’s history of providing community services to the residents of AG. 20 Non-profit’s financial need for grant funds to service AG residents. 20 Ability to complete project in a timely manner (preferably within 1 year of grant award). 10 Total Points: 100 Amount of Funding Requested: Amount of Funding Recommended: (a total of $0,000 is available with this grant program) Diversity Coalition Item 11.a. - Page 102 ARROYO GRANDE COMMUNITY SERVICE GRANT PROGRAM GRANT APPLICATION FISCAL YEAR 2020-21 PROGRAM DESCRIPTION The 2020-21 Arroyo Grande Community Service Grant Program is intended to provide monetary grants to eligible community non-profit organizations. The City recognizes the value of such groups ZKLFK provide specialized social service, educational, cultural, beautification and recreation programs andSURMHFWV WKDWEHQHILW$UUR\R*UDQGHcitizens. Grants awarded will be in minimum amounts of not less than $250. Funding is limited to $50,000 for Grant Year 2020-21. ELIGIBILITY STANDARDS To be eligible to apply for grant monies under the City's 2020-21 Community Service *UDQW3URJUDP a community organization must satisfy the following standards: x Operate as a non-profit 501c3; x Serve the Arroyo Grande community; x Use funds to directly provide* a social service, educational, cultural, beautification or recreation program or project to Arroyo Grande residents and/or businesses; x Not restrict participants based upon race, religion, gender, sexual orientation, marital status, national origin, ancestry, disability, medical condition, or age; and x Not use grant monies specifically for religious activities. * "Directly provide" means that the community non-profit organization conducts the social service(s) or cultural program(s) itself rather than through a separate entity to which it sub-awards grant monies. Please provide all required information and attachments. Incomplete applications will be disqualified. APPLICATION PROCESS AND DEADLINE: All interested non-profit organizations must complete an application form, including the following: 1. Attachment A: Cover Sheet a. Organization/Agency Name (applicant is required to list the local branch if it represents a national or statewide organization) b. Program or Service Title c. Executive Director and Program Contact Person (if different) d. Physical Address and Mailing Address (if different) e. Phone Number f. Email Address(es) g. Amount of funds being requested h. If applicable, funds received in prior year (or most recent year when funds were received) i. A brief (50 words or less) description of the proposed program or service j. Indicate if your organization has been affected by COVID-19 Item 11.a. - Page 103 COMMUNITY SERVICE GRANT APPLICATION 2020-21 Attachment B: Program/Service Information DBriefly describe your organization and its mission. EHow is the program or service beneficial to Arroyo Grande residents? LHow is local need for this program/service determined? LLApproximate number of City of Arroyo Grande residents served by the non-profit organization. FDescribe your organizational capacity to successfully carry out the proposed activities (i.e. past performance and history of the organization will be considered to assess the agency’s prospects for achieving its goals and objectives). Attachment C: Scope of Work or Work Plan and Budget Worksheet Attachment D: Signed Agreement with the City of Arroyo Grande (to be fully executed upon grant award). Proof of 501(c)(3) status with a copy of the letter from the IRSDQGVLJQHGFHUWLILFDWLRQ VWDWHPHQW Wednesday, November 25, 2020 addressed to: City of Arroyo Grande Community Development Department Camilla Karamanlis, Program Analyst 300 E. Branch Street Arroyo Grande CA 93420 OR SUBMITTED ELECTRONICALLY TO ckaramanlis@arroyogrande.org Applications are encouraged to be submitted electronically. Electronic signatures are accepted. For questions please contact: Camilla Karamanlis Program Analyst (805) 473-5448 ckaramanlis@arroyogrande.org Completed applications forms, along with supplemental documents must be submitted by 5:00 p.m., 3OHDVHGRZQORDGDQGVDYHWKLVDSSOLFDWLRQSDFNHWWR\RXUFRPSXWHU7KLVLVDILOODEOH3')DQGDSSOLFDQWVDUH HQFRXUDJHGWRFRPSOHWHWKLVSDFNHWHOHFWURQLFDOO\$OWHUQDWLYHO\DSSOLFDQWVPD\SULQWDQGFRPSOHWHWKLV SDFNHWE\KDQGDQGHLWKHUVFDQDQGVXEPLWHOHFWURQLFDOO\WRWKHHPDLODGGUHVVDERYHRUPDLOWKHKDUGFRS\WR WKHDERYHOLVWHGDGGUHVV'XHWR&29,'ZHDUHQRWDFFHSWLQJDSSOLFDWLRQVLQSHUVRQ Item 11.a. - Page 104 COMMUNITY SERVICE GRANT APPLICATION 2020-21 ATTACHMENT A: COVER SHEET Organization/Agency Name: (local branch) Mailing Address: City:State:Zip: Physical Address: (if different from Mailing Address) City:State:Zip: Fund Amount Requested:$ Previous Funds Received?□Yes □No If Yes, Most Recent Year Received: Most Recent Amount Received: Tax ID Number: Please describe how your organization has been affected by COVID-19 (e.g. How has funding been impacted? Has your mission changed/expanded to address needs brought on by the virus?) Executive Director: Email Address: Phone Number: Grant Program Contact: (if different from Executive Director) Email Address: Phone Number: Program or Service Title: Brief description of the proposed program or service (50 words or less): Diversity Coalition San Luis Obispo County P.O. Box 376 Arroyo Grande CA 93421 n/a 2019 1,000 82-2075135 Cornel N. Morton, PhD (Board President) slodiversity@gmail.com (805) 270-3511 Community Diversity Education and Training Program 5,000 The Diversity Education and Training Program has been able to continue, with some modifications, during the pandemic. Through this program, we present speakers to students and the broader community. Holding these programs online during the pandemic has lowered our expenses, expanded our reach to the broader community, and has brought diversity education into the homes of thousands. As long as students are distance-learning these speakers will be presented on Zoom. The Coalition has seen an increase in funding during 2020, likely due to increased cultural and social awareness following the tragic death of George Floyd and many others. We are a grassroots organization and rely on the generosity and support of our local community. The Diversity Education and Training Program brings renowned speakers to share their stories with Arroyo Grande-based students in the schools and with the broader public at Community Forums. We work in partnership with teachers to pair speakers and curriculum, support their professional development, and promote tolerance at all levels. Item 11.a. - Page 105 COMMUNITY SERVICE GRANT APPLICATION 2020-21 ATTACHMENT B: PROGRAM/SERVICE INFORMATION Organization Description (include summary of community services provided): Mission Statement: x Area(s) Served by Organization: How is the program or service beneficial to Arroyo Grande residents? Number of Arroyo Grande Residents Served: How is local need for this program or service determined? Describe your organizational capacity to successfully carry out the proposed activities. Number of Full Time Staff:Number of Part Time Staff: Number of Volunteers: 5,100 00 220 As a coalition of individual members and organizations, we act as a strategic partner to local nonprofit and community-based organizations that align with our vision and mission. Our primary activities include offering educational programs to local school districts and the broader public to foster understanding and celebrate diversity in our community. We currently provide programs to Lucia Mar and San Luis Coastal Unified School District middle and high school students. We also provide sponsorships annually for local teachers to attend the Museum of Tolerance in Los Angeles. Several hundreds of community members have attended each of our most recent Community Outreach meetings with world-renowned speakers, held via Zoom due to COVID-19. The Diversity Coalition provides programs and resources dedicated to the promotion of and advocacy for the inclusion and affirmation of diversity in our community and countering negative acts of prejudice or bias against its citizens. Ultimately, the Diversity Coalition aims to serve the entire County. This funding request is specifically in furtherance of our partnerships with teachers at Paulding and Mesa Middle Schools and Arroyo Grande High School to deliver guest speakers to these schools and the broader community during the 2021/2022 school year. The Diversity Coalition’s focus is clear: the more we educate, the more compassion and empathy we create and foster, which leads to a more informed, accepting, safer, and healthier community. We seek to serve the most vulnerable in our community. In many cases, this means the minorities in our community. We address these equity gaps by ensuring social and racial justice is embedded in each of our programs. Two studies conducted by the Community Foundation of SLO County demonstrate the critical need to teach tolerance. Fifty-percent of 11th graders who identified as lesbian, gay, or bisexual reported seriously considering suicide in the past 12 months (2015). Amongst 11th grade girls, 48% felt so sad/hopeless almost every day for at least two weeks that they stopped some of their usual activities, 49% reported feeling unsafe at school (2020). The Diversity Education and Training Program is entering its fifth year, having enriched the lives of over 4,000 local middle and high school students with guest speakers ranging from Holocaust survivors, African refugees, refugee relocation experts, and others who have had their lives affected by bias, prejudice, or hate. The program began with the Lucia Mar School District in 2017, expanded to include the San Luis Coastal School District in 2019, and aims to expand into the North County in the 2021/2022 school year. We operate with an eight-person volunteer Board comprised of community members with diverse backgrounds and skills whom each have specific roles and responsibilities as Board members. This educational program is core to our work as an organization and has the full support of our Board. Item 11.a. - Page 106 COMMUNITY SERVICE GRANT APPLICATION 2020-21 ATTACHMENT C: SCOPE/WORK PLAN AND BUDGET WORKSHEET Scope of Work or Work Plan When completing this worksheet, refer to the following questions: A.What are the objectives? What is the program or service aiming to accomplish? B.How will those goals be achieved, and in what timeframe? C.What is the evaluation methodology for measuring results? How can results be quantified and observed? D.Results should be meaningful, measurable, and demonstrate the difference the proposed project makes, or is intended to make, in the lives of the people within the program or receiving the service. E.Output results show the amount of work performed or services received. F.Outcomes show the quality of the performance and answer the questions: who is better off by providing this program or service? What percentage of residents are assisted or are benefitting from this program or service? Program/Service Objectives: Major Tasks to Complete (to achieve associated goal)Timeline Evaluation Methodology Program/Service OUTPUTS: Program/Service OUTCOMES: Diversity Education at AG Highschool Secure speakers, coordinate w/teachers 8/21 - 6/22 Survey teachers, principals Diversity Education at Mesa Middle Secure speakers, coordinate w/teachers 8/21 - 6/22 Survey teachers, principals Diversity Education at Paulding Middle Secure speakers, coordinate w/teachers 8/21 - 6/22 Survey teachers, principals Diversity Forums - all AG Residents Secure speakers, market events 8/21 - 6/22 Survey attendees 2-4speakers presented to full grades at Mesa and Paulding Middle Schools, Arroyo Grande High School. 1,137 - 2,311 students reached. 2-4community forums delivered in-person or via zoom to broader public, all residents of Arroyo Grande welcome. 300 - 2,800 participants in community forums. Speakers present to multiple schools, addressing a full grade in each school. Teachers use these experiences as cornerstones for month-long diversity studies, incorporating the speakers’ literary works in advance, facilitating the students’ query of the speakers during their visit, and by sustaining class discussions post-presentation. Students demonstrate improved understanding of diversity, equity, and inclusion concepts. Speakers engage with the broader community through Community Forums designed for adult audiences. Audiences grow in size. Post-event surveys provide positive and constructive feedback to inform further programming, and demonstrate changed perspectives. Item 11.a. - Page 107 COMMUNITY SERVICE GRANT APPLICATION 2020-21 Budget Worksheet Complete this Worksheet for the specified program or service. PROGRAM/SERVICE PROPOSED EXPENSES Line Item Proposed Cost Grant Amount Requested Personnel Costs Other Salaries & Fees 1. 2. Equipment Supplies / Materials Travel / Transportation Promotion / Publicity Other Expenses: 1. 2. TOTALS: PROGRAM/SERVICE PROPOSED INCOME Other Funding Available Grant Amount Requested Arroyo Grande Community Service Grant Amount Requested Other Funding Sources: Other Public Grants Private Foundations Corporation Contributions Concessions / Ticket Sales Promotion Sales / Advertisements (Other Cash) TOTALS: $0.00 $0.00 $0.00 $0.00 $10,000 $4,000 $600 $0.00 $0.00 $0.00 $500 $0.00 $9,000 $0.00 $0.00 $0.00 $0.00 $0.00 $2000 $0.00 $1,000 $1,000 $23,100.00 $5,000 $5,00.00 $12,000.00 $5,700.00 $0.00 $0.00 $0.00 $17,700 $23,700.00 Speaker fees American Sign Language Interpreters Room Rentals: Community Forums Zoom Subscription Item 11.a. - Page 108 ATTACHMENT D ARROYO GRANDE COMMUNITY SERVICE GRANT FUNDS AGREEMENT THIS ARROYO GRANDE COMMUNITY SERVICE GRANT FUNDS AGREEMENT (“Agreement”), is made and effective as of ____________, 2021 (the “Effective Date”), by and between the City of Arroyo Grande, a municipal corporation (“Grantor”), and the ___________________, a non-profit 501(c)(3) corporation (“Grantee”). RECITALS WHEREAS, Grantor has established the Arroyo Grande Community Service Grant Program to provide grant funding to local, non-profit 501c3 corporations that provide public service programs; and WHEREAS, on _______________, 2021, the Arroyo Grande City Council held a public hearing to consider the applications for the Arroyo Grande Community Service Grant Program; WHEREAS, Grantee is a local, non-profit 501c3 corporation that provides a public service program and was approved by the City Council for participation in the 2021 Arroyo Grande Community Service Grant Program. NOW, THEREFORE, in consideration of the mutual covenants and conditions set forth herein, the parties agree as follows: 1. TERM This Agreement shall commence on the Effective Date and shall remain and continue in effect until all requests for reimbursement described in Section 3 are processed, or unless sooner terminated pursuant to the provisions of this Agreement. 2. SERVICES (a) The Arroyo Grande Community Service Grant Program Application, attached hereto as “Exhibit A” and incorporated herein by this reference, identifies the description of community services to be performed by Grantee during the implementation of this Agreement. Grantee agrees that any funds received from Grantor may only be used to provide the community services set forth in Exhibit A. (b) Grantee agrees to the following requirements in administering the community services set forth in Exhibit A: (1) Grantee will at all times during the duration of this Agreement operate as a non-profit 501c3 corporation in good standing; (2) Provide services benefiting the City of Arroyo Grande; (3) Use funds provided by Grantor to directly provide a social service, educational, cultural, beautification or recreation program or project to Arroyo Grande residents and/or businesses; (4) Grantee will conduct or provide the community services itself rather than through a separate entity; Item 11.a. - Page 109 2 (5) Grantee will not restrict participants based upon race, religion, gender, sexual orientation, marital status, national origin, ancestry, disability medical condition, or age; and (6) Grantee will not use funds provided under this Agreement specifically for religious activities. 3. PAYMENT OF GRANT FUNDS (a) Grantee must maintain receipts for expenditures made in furtherance of the community services provided for in Exhibit A. Grantee must also prepare and submit to the City a report describing the relationship between the expenditure and the tasks and activities identified in Exhibit A. This report and the receipts described herein shall be submitted to the City with each request for reimbursement. (b) Grantee is eligible for reimbursement for approved expenditures in an amount not to exceed a total of $________. (c) All requests for reimbursement must be received by Grantor prior to June 30, 2021. 4. REIMBURSEMENT FOR IMPROPER EXPENDITURES If at any time it is determined by Grantor that funds provided for under this Agreement have been used by or on behalf of Grantee in a manner or for a purpose not authorized by this Agreement, Grantee hereby obligates itself, at the Grantor’s request, to pay to the Grantor an amount equal to one hundred percent of the amount improperly expended. This obligation shall survive termination of this Agreement. 5. STATUS Nothing in this Agreement is intended nor shall be construed to create an employer-employee relationship or a joint venture relationship between Grantor and Grantee. Neither Grantee nor any of Grantee’s agents, employees or contractors are or shall be considered to be agents or employees of Grantor in connection with the performance of Grantee’s obligations under this Agreement. 6. TERMINATION FOR CAUSE If Grantor determines that the Grantee has requested reimbursement for purposes that are not permitted or are prohibited under the terms and provisions of this Agreement, or if the Grantor determines that the Grantee has failed to fulfill its obligations under this Agreement in a timely and professional manner, or if the Grantee is in violation of the terms of this Agreement, then Grantor shall have the right to terminate this Agreement effective immediately upon giving written notice to Grantee. Item 11.a. - Page 110 3 7. INDEMNIFICATION Grantee agrees to accept responsibility for loss or damage to any person or entity, and shall defend, indemnify and hold harmless Grantor, its officers, employees and agents from any and all claims and demands, liability, damages, costs, expenses, judgments (including, but not limited to attorney fees and expert witness costs) that may be asserted by any person or entity, including Grantee, arising out of or in connection with the performance by Grantee hereunder and/or the use of the City of Arroyo Grande Community Service Grant fund monies. 8. COMPLIANCE WITH LAW Grantee agrees to comply with all City of Arroyo Grande, Federal and State laws and regulations applicable to Grantee. In particular, Grantee agrees to comply with the terms and conditions contained in the City of Arroyo Grande 2017 Arroyo Grande Community Service Grant Program, which is attached hereto as Exhibit “B” and incorporated herein by this reference. 9. ASSIGNMENT Grantee shall not assign the performance of this Agreement, nor any part thereof, without the prior written consent of Grantor. 10. GOVERNING LAW Grantor and Grantee understand and agree that the laws of the State of California shall govern the rights, obligations, duties, and liabilities of the parties to this Agreement and also govern the interpretation of this Agreement. Any litigation concerning this Agreement shall take place in the superior or federal district court with jurisdiction over the City of Arroyo Grande. 11. ENTIRE AGREEMENT This Agreement contains the entire understanding between the parties relating to the obligations of the parties described in this Agreement. All prior or contemporaneous agreements, understandings, representations, and statements, either oral or written, are merged into this Agreement and shall be of no further force or effect. Each party is entering into this Agreement based solely upon the representations set forth herein and upon each party’s own independent investigation of any and all facts such party deems material. 12. AMENDMENTS Amendments to this Agreement shall be in writing and shall be made only with the mutual written consent of all of the parties to this Agreement. Item 11.a. - Page 111 Item 11.a. - Page 112 Item 11.a. - Page 113 Item 11.a. - Page 114 Item 11.a. - Page 115 Arroyo Grande Community Service Grant Program Ranking Sheet NAME OF GRANT APPLICANT: Scoring Category Possible Points (100 total) Points Awarded Comments Meets minimum criteria? Is a non-profit (proof of 501(c)(3) status with copy of letter from IRS). Serves AG community. Use funds directly to provide a social service, educational, cultural, beautification or recreation program/project in AG. Doesn’t restrict participants based upon race, religion, gender, etc. Doesn’t use funds for religious activities. n/a n/a If the application does not meet the minimum criteria, the application is ineligible for grant funding. Complete application? Description of community services provided. Relationship of non-profit to the community. Membership information – approx. # of AG residents served. Amount of funds requested. Complete project description and budget plan. Past 2 years financial statements (profit/loss statements, % revenue used for administration, salaries and program costs). Information on annual sources of revenue received. 20 Responsiveness in clearly stating the benefits to be derived by the residents of AG. 20 # of AG residents by age group served by the non-profit (including geographic area(s) and total # of clients served by the non-profit). 10 ECOSLO Item 11.a. - Page 116 NAME OF GRANT APPLICANT: Scoring Category Possible Points (100 total) Points Awarded Comments Non-profit’s history of providing community services to the residents of AG. 20 Non-profit’s financial need for grant funds to service AG residents. 20 Ability to complete project in a timely manner (preferably within 1 year of grant award). 10 Total Points: 100 Amount of Funding Requested: Amount of Funding Recommended: (a total of $0,000 is available with this grant program) ECOSLO Item 11.a. - Page 117 ARROYO GRANDE COMMUNITY SERVICE GRANT PROGRAM GRANT APPLICATION FISCAL YEAR 2020-21 PROGRAM DESCRIPTION The 2020-21 Arroyo Grande Community Service Grant Program is intended to provide monetary grants to eligible community non-profit organizations. The City recognizes the value of such groups ZKLFK provide specialized social service, educational, cultural, beautification and recreation programs andSURMHFWV WKDWEHQHILW$UUR\R*UDQGHcitizens. Grants awarded will be in minimum amounts of not less than $250. Funding is limited to $50,000 for Grant Year 2020-21. ELIGIBILITY STANDARDS To be eligible to apply for grant monies under the City's 2020-21 Community Service *UDQW3URJUDP a community organization must satisfy the following standards: x Operate as a non-profit 501c3; x Serve the Arroyo Grande community; x Use funds to directly provide* a social service, educational, cultural, beautification or recreation program or project to Arroyo Grande residents and/or businesses; x Not restrict participants based upon race, religion, gender, sexual orientation, marital status, national origin, ancestry, disability, medical condition, or age; and x Not use grant monies specifically for religious activities. * "Directly provide" means that the community non-profit organization conducts the social service(s) or cultural program(s) itself rather than through a separate entity to which it sub-awards grant monies. Please provide all required information and attachments. Incomplete applications will be disqualified. APPLICATION PROCESS AND DEADLINE: All interested non-profit organizations must complete an application form, including the following: 1. Attachment A: Cover Sheet a. Organization/Agency Name (applicant is required to list the local branch if it represents a national or statewide organization) b. Program or Service Title c. Executive Director and Program Contact Person (if different) d. Physical Address and Mailing Address (if different) e. Phone Number f. Email Address(es) g. Amount of funds being requested h. If applicable, funds received in prior year (or most recent year when funds were received) i. A brief (50 words or less) description of the proposed program or service j. Indicate if your organization has been affected by COVID-19 Item 11.a. - Page 118 COMMUNITY SERVICE GRANT APPLICATION 2020-21 Attachment B: Program/Service Information DBriefly describe your organization and its mission. EHow is the program or service beneficial to Arroyo Grande residents? LHow is local need for this program/service determined? LLApproximate number of City of Arroyo Grande residents served by the non-profit organization. FDescribe your organizational capacity to successfully carry out the proposed activities (i.e. past performance and history of the organization will be considered to assess the agency’s prospects for achieving its goals and objectives). Attachment C: Scope of Work or Work Plan and Budget Worksheet Attachment D: Signed Agreement with the City of Arroyo Grande (to be fully executed upon grant award). Proof of 501(c)(3) status with a copy of the letter from the IRSDQGVLJQHGFHUWLILFDWLRQ VWDWHPHQW Wednesday, November 25, 2020 addressed to: City of Arroyo Grande Community Development Department Camilla Karamanlis, Program Analyst 300 E. Branch Street Arroyo Grande CA 93420 OR SUBMITTED ELECTRONICALLY TO ckaramanlis@arroyogrande.org Applications are encouraged to be submitted electronically. Electronic signatures are accepted. For questions please contact: Camilla Karamanlis Program Analyst (805) 473-5448 ckaramanlis@arroyogrande.org Completed applications forms, along with supplemental documents must be submitted by 5:00 p.m., 3OHDVHGRZQORDGDQGVDYHWKLVDSSOLFDWLRQSDFNHWWR\RXUFRPSXWHU7KLVLVDILOODEOH3')DQGDSSOLFDQWVDUH HQFRXUDJHGWRFRPSOHWHWKLVSDFNHWHOHFWURQLFDOO\$OWHUQDWLYHO\DSSOLFDQWVPD\SULQWDQGFRPSOHWHWKLV SDFNHWE\KDQGDQGHLWKHUVFDQDQGVXEPLWHOHFWURQLFDOO\WRWKHHPDLODGGUHVVDERYHRUPDLOWKHKDUGFRS\WR WKHDERYHOLVWHGDGGUHVV'XHWR&29,'ZHDUHQRWDFFHSWLQJDSSOLFDWLRQVLQSHUVRQ Item 11.a. - Page 119 COMMUNITY SERVICE GRANT APPLICATION 2020-21 ATTACHMENT A: COVER SHEET Organization/Agency Name: (local branch) Mailing Address: City:State:Zip: Physical Address: (if different from Mailing Address) City:State:Zip: Fund Amount Requested:$ Previous Funds Received?□Yes □No If Yes, Most Recent Year Received: Most Recent Amount Received: Tax ID Number: Please describe how your organization has been affected by COVID-19 (e.g. How has funding been impacted? Has your mission changed/expanded to address needs brought on by the virus?) Executive Director: Email Address: Phone Number: Grant Program Contact: (if different from Executive Director) Email Address: Phone Number: Program or Service Title: Brief description of the proposed program or service (50 words or less): ECOSLO (Environmental Center of San Luis Obispo) P.O. Box 1014 San Luis Obispo CA 93406 1012 Pacific St., Ste-B1 San Luis Obispo CA 93401 n/a n/a 23-7213237 Mary A. Ciesinski executive-director@ecoslo.org 805-544-1777 Emma Rillero, AmeriCorps Volunteer Services - Community Engagement programs@ecoslo.org 805-544-1777 Neighborhood Cleanup 4,250 Our funding and volunteer engagement has been affected by COVID-19 as we have not been able to hold large, public events. Our volunteer programs (data-driven cleanups, park beautification, and tree plantings) were paused for 6 months and fundraising events for 2020 were cancelled. We have been able to relaunch our volunteer programs in very limited capacities that allow the community to be involved in COVID-safe ways (smaller cleanups and tree plantings, as well as ongoing neighborhood tree care). Additionally, some of our community education programming (non-volunteer events such as waste and recycling programs) have been able to shift to online presentations. We have been able to adapt most of our programs during this time, though some are still on-hold. Generally speaking, COVID-19 has negatively impacted the natural environment from an influx in trash, and thus our mission of protecting the environment has expanded to address the needs brought on by COVID-19. We've witnessed an increase in takeout food containers, more people in outdoor areas, and new trash items such as PPE gear (gloves and masks) ending up in our streets and parks. These are many of the reasons why we’d like to launch an ongoing neighborhood cleanup program. ECOSLO’s Neighborhood Cleanup is an ongoing volunteer effort for data-driven cleanups throughout SLO County, including Arroyo Grande. With COVID-19, there’s an increase in trash that ends up in our neighborhoods, downtown areas, parks, trails, and creeks. This program empowers volunteers to take care of their local community safely during COVID-19. Item 11.a. - Page 120 COMMUNITY SERVICE GRANT APPLICATION 2020-21 ATTACHMENT B: PROGRAM/SERVICE INFORMATION Organization Description (include summary of community services provided): Mission Statement: x Area(s) Served by Organization: How is the program or service beneficial to Arroyo Grande residents? Number of Arroyo Grande Residents Served: How is local need for this program or service determined? Describe your organizational capacity to successfully carry out the proposed activities. Number of Full Time Staff:Number of Part Time Staff: Number of Volunteers: see OUTCOMES section 1 15 Since 1971, ECOSLO has served San Luis Obispo County in protecting and enhancing the natural beauty of our communities. We work to empower the community to care for the environment and serve as a central resource for environmental protections in SLO County. Our current programs include: data-driven cleanups including our annual Creeks to Coast Cleanup each September, County Park beautification projects, Urban Tree plantings and ongoing tree care, environmental advocacy, educational hikes, sustainability and recycling education, and as part of the California Green Business Network, the SLO County Green Business certification program. The Environmental Center of San Luis Obispo (ECOSLO) is a local, non-profit organization that educates, advocates, and acts to protect and enhance the natural environment and human well-being of San Luis Obispo County. All of San Luis Obispo County The Neighborhood Cleanup program will empower volunteers from Arroyo Grande to clean up, take care of, beautify, and protect the areas in the city that are negatively impacted by trash, including an increase of single-use packaging and PPE gear. Many residents will benefit by having a COVID-safe opportunity to volunteer nearby within their community. All residents (including wildlife!) and visitors will benefit by having a community that is cleaned up and cared for regularly so they can enjoy the natural environment without the burden of trash. By identifying the specific trash items picked up, we’ll be able to focus awareness around those items to the residents and visitors. Local need has been determined by our experience with cleanup efforts for SLO County Creeks to Coast Cleanup the past 6 years, including more recent coordinated efforts with the City of Arroyo Grande staff. There are several areas within Arroyo Grande that are greatly impacted by trash and where we would initially target volunteer ongoing cleanup efforts: Oak Park Plaza, including the James Way Oak Habitat and drainage area; Kiwanis Park; Branch St. including downtown and along the Arroyo Grande Creek. ECOSLO has been the leader for data-driven cleanups in SLO County for over 15 years. Under the leadership of our Executive Director, ECOSLO’s AmeriCorps Member will spearhead a volunteer committee that has several active members (including two Arroyo Grande residents) that will help with volunteer recruitment, fundraising, and ongoing cleanup logistics. During ECOSLO cleanups in SLO County, the efforts are very visible and we frequently hear from residents, visitors, and business owners how appreciative they are of cleanup efforts within the community. ECOSLO successfully completed SLO County Creeks to Coast Cleanup in September of this year that included distributing over 200 neighborhood cleanup kits throughout SLO County. Over the course of 18 neighborhood cleanups in Arroyo Grande, nearly 150 lbs of trash was tracked as being picked up in Arroyo Grande, including: 348 cigarette butts and 255 food wrappers. From SLO County Creeks to Coast Cleanup, we have 22 current volunteers in Arroyo Grande we can reach out to for this new program. Item 11.a. - Page 121 COMMUNITY SERVICE GRANT APPLICATION 2020-21 ATTACHMENT C: SCOPE/WORK PLAN AND BUDGET WORKSHEET Scope of Work or Work Plan When completing this worksheet, refer to the following questions: A.What are the objectives? What is the program or service aiming to accomplish? B.How will those goals be achieved, and in what timeframe? C.What is the evaluation methodology for measuring results? How can results be quantified and observed? D.Results should be meaningful, measurable, and demonstrate the difference the proposed project makes, or is intended to make, in the lives of the people within the program or receiving the service. E.Output results show the amount of work performed or services received. F.Outcomes show the quality of the performance and answer the questions: who is better off by providing this program or service? What percentage of residents are assisted or are benefitting from this program or service? Program/Service Objectives: Major Tasks to Complete (to achieve associated goal)Timeline Evaluation Methodology Program/Service OUTPUTS: Program/Service OUTCOMES: Volunteer Outreach Outreach to current and new volunteers Jan/Feb Number of volunteer sign ups Email & website templates/infrastructure Outreach to current and new volunteers Jan/Feb AG-specific info on email/website Purchase Volunteer Equipment Have cleanup supplies for all volunteers Feb/Mar Number of supplies purchased Training/Volunteer Infrastructure Train volunteers, establish Cleanup captains Mar/Apr Number of participants in trainings Launch Program Implement ongoing neighborhood cleanups Apr-Oct Track volunteer hours Data Reporting Report trash data and volunteer hours Nov-Dec Track trash pounds and items Output results will be shared through the following numbers: --Number of volunteers participating and the number of service hours performed --Pounds of trash picked up, including itemized data of the trash submitted We also anticipate being able to share feedback from volunteer participants, and how the program is making a difference to residents, wildlife and the natural spaces they inhabit, as well as local businesses. The Arroyo Grande community overall will be better off with ECOSLO coordinating an ongoing neighborhood cleanup program. The city will have less trash and be more beautiful. The natural areas of the city will also benefit, as cleanups protect natural spaces, including reducing harmful trash in waterways such as creeks and storm drains. It is difficult to determine the percentage of residents benefiting from this program, other than stating this would be a benefit to all residents in Arroyo Grande. Item 11.a. - Page 122 COMMUNITY SERVICE GRANT APPLICATION 2020-21 Budget Worksheet Complete this Worksheet for the specified program or service. PROGRAM/SERVICE PROPOSED EXPENSES Line Item Proposed Cost Grant Amount Requested Personnel Costs Other Salaries & Fees 1. 2. Equipment Supplies / Materials Travel / Transportation Promotion / Publicity Other Expenses: 1. 2. TOTALS: PROGRAM/SERVICE PROPOSED INCOME Other Funding Available Grant Amount Requested Arroyo Grande Community Service Grant Amount Requested Other Funding Sources: Other Public Grants Private Foundations Corporation Contributions Concessions / Ticket Sales Promotion Sales / Advertisements (Other Cash) TOTALS: $$ $$ $4,000 $800 $10,000 $2,000 $4,000 $800 $250 $50 $500 $100 $1,500 $300 $$ $700 $150 $250 $50 $21,200 $4,250 $4,250 $8,450 $1,000 $7,500 $ $ $16,950 $4,250 Staff # 1 AmeriCorps Member / Staff # 2 Volunteer Appreciation Indirect Item 11.a. - Page 123 ATTACHMENT D ARROYO GRANDE COMMUNITY SERVICE GRANT FUNDS AGREEMENT THIS ARROYO GRANDE COMMUNITY SERVICE GRANT FUNDS AGREEMENT (“Agreement”), is made and effective as of ____________, 2021 (the “Effective Date”), by and between the City of Arroyo Grande, a municipal corporation (“Grantor”), and the ___________________, a non-profit 501(c)(3) corporation (“Grantee”). RECITALS WHEREAS, Grantor has established the Arroyo Grande Community Service Grant Program to provide grant funding to local, non-profit 501c3 corporations that provide public service programs; and WHEREAS, on _______________, 2021, the Arroyo Grande City Council held a public hearing to consider the applications for the Arroyo Grande Community Service Grant Program; WHEREAS, Grantee is a local, non-profit 501c3 corporation that provides a public service program and was approved by the City Council for participation in the 2021 Arroyo Grande Community Service Grant Program. NOW, THEREFORE, in consideration of the mutual covenants and conditions set forth herein, the parties agree as follows: 1. TERM This Agreement shall commence on the Effective Date and shall remain and continue in effect until all requests for reimbursement described in Section 3 are processed, or unless sooner terminated pursuant to the provisions of this Agreement. 2. SERVICES (a) The Arroyo Grande Community Service Grant Program Application, attached hereto as “Exhibit A” and incorporated herein by this reference, identifies the description of community services to be performed by Grantee during the implementation of this Agreement. Grantee agrees that any funds received from Grantor may only be used to provide the community services set forth in Exhibit A. (b) Grantee agrees to the following requirements in administering the community services set forth in Exhibit A: (1) Grantee will at all times during the duration of this Agreement operate as a non-profit 501c3 corporation in good standing; (2) Provide services benefiting the City of Arroyo Grande; (3) Use funds provided by Grantor to directly provide a social service, educational, cultural, beautification or recreation program or project to Arroyo Grande residents and/or businesses; (4) Grantee will conduct or provide the community services itself rather than through a separate entity; Item 11.a. - Page 124 2 (5) Grantee will not restrict participants based upon race, religion, gender, sexual orientation, marital status, national origin, ancestry, disability medical condition, or age; and (6) Grantee will not use funds provided under this Agreement specifically for religious activities. 3. PAYMENT OF GRANT FUNDS (a) Grantee must maintain receipts for expenditures made in furtherance of the community services provided for in Exhibit A. Grantee must also prepare and submit to the City a report describing the relationship between the expenditure and the tasks and activities identified in Exhibit A. This report and the receipts described herein shall be submitted to the City with each request for reimbursement. (b) Grantee is eligible for reimbursement for approved expenditures in an amount not to exceed a total of $________. (c) All requests for reimbursement must be received by Grantor prior to June 30, 2021. 4. REIMBURSEMENT FOR IMPROPER EXPENDITURES If at any time it is determined by Grantor that funds provided for under this Agreement have been used by or on behalf of Grantee in a manner or for a purpose not authorized by this Agreement, Grantee hereby obligates itself, at the Grantor’s request, to pay to the Grantor an amount equal to one hundred percent of the amount improperly expended. This obligation shall survive termination of this Agreement. 5. STATUS Nothing in this Agreement is intended nor shall be construed to create an employer-employee relationship or a joint venture relationship between Grantor and Grantee. Neither Grantee nor any of Grantee’s agents, employees or contractors are or shall be considered to be agents or employees of Grantor in connection with the performance of Grantee’s obligations under this Agreement. 6. TERMINATION FOR CAUSE If Grantor determines that the Grantee has requested reimbursement for purposes that are not permitted or are prohibited under the terms and provisions of this Agreement, or if the Grantor determines that the Grantee has failed to fulfill its obligations under this Agreement in a timely and professional manner, or if the Grantee is in violation of the terms of this Agreement, then Grantor shall have the right to terminate this Agreement effective immediately upon giving written notice to Grantee. Item 11.a. - Page 125 3 7. INDEMNIFICATION Grantee agrees to accept responsibility for loss or damage to any person or entity, and shall defend, indemnify and hold harmless Grantor, its officers, employees and agents from any and all claims and demands, liability, damages, costs, expenses, judgments (including, but not limited to attorney fees and expert witness costs) that may be asserted by any person or entity, including Grantee, arising out of or in connection with the performance by Grantee hereunder and/or the use of the City of Arroyo Grande Community Service Grant fund monies. 8. COMPLIANCE WITH LAW Grantee agrees to comply with all City of Arroyo Grande, Federal and State laws and regulations applicable to Grantee. In particular, Grantee agrees to comply with the terms and conditions contained in the City of Arroyo Grande 2017 Arroyo Grande Community Service Grant Program, which is attached hereto as Exhibit “B” and incorporated herein by this reference. 9. ASSIGNMENT Grantee shall not assign the performance of this Agreement, nor any part thereof, without the prior written consent of Grantor. 10. GOVERNING LAW Grantor and Grantee understand and agree that the laws of the State of California shall govern the rights, obligations, duties, and liabilities of the parties to this Agreement and also govern the interpretation of this Agreement. Any litigation concerning this Agreement shall take place in the superior or federal district court with jurisdiction over the City of Arroyo Grande. 11. ENTIRE AGREEMENT This Agreement contains the entire understanding between the parties relating to the obligations of the parties described in this Agreement. All prior or contemporaneous agreements, understandings, representations, and statements, either oral or written, are merged into this Agreement and shall be of no further force or effect. Each party is entering into this Agreement based solely upon the representations set forth herein and upon each party’s own independent investigation of any and all facts such party deems material. 12. AMENDMENTS Amendments to this Agreement shall be in writing and shall be made only with the mutual written consent of all of the parties to this Agreement. Item 11.a. - Page 126 4 13. AUTHORITY TO EXECUTE THIS AGREEMENT The person or persons executing this Agreement on behalf of Grantee warrant and represent that he/she has the authority to execute this Agreement on behalf of the Grantee and has the authority to bind Grantee to the performance of its obligations hereunder. IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed the day and year first above written. GRANTOR GRANTEE By:____________________________ By: ___________________________ Whitney McDonald, City Manager Attachments: Exhibit A- Arroyo Grande Community Service Grant Program Application Mary A. Ciesinski Item 11.a. - Page 127 COMMUNITY SERVICE GRANT APPLICATION 2020-21 I. SUPPLEMENTAL DOCUMENTATION: Proof of 501(c)(3) status with a copy of the letter from the IRS. II.CERTIFICATION: I certify on behalf of _________________________________ non-profit organization, that I have read, understand and agree that the aforesaid information is accurate, factual and current. I understand that an award of funds, if granted, will be for the sole use as reflected in this application form. I further certify that as a condition of receiving funds, an agreement with the City of Arroyo Grande, in a form and content provided by the City of Arroyo Grande, will be signed and executed by a duly authorized representative of said non-profit organization. I am aware of and certify that our non-profit organization will adhere to all City regulations regarding the 2020Community Service Grant Program including, but not limited to, maintaining non-discriminatory policies, practices and intent. I also, on behalf of our non-profit organization, DJUHH WRindemnify, defend, and hold harmless the City of Arroyo Grande relative to any and all liability that may arise as a result of the use of the City of Arroyo Grande Community Service Grant Fund monies. Date: _______________ Signature: ______________________________ Executive Director or Designee ______________________________ Board of Director or Officer _____________ ___________________________ ✔ ECOSLO 11/25/2020 Item 11.a. - Page 128 Item 11.a. - Page 129 Item 11.a. - Page 130 Item 11.a. - Page 131 Arroyo Grande Community Service Grant Program Ranking Sheet NAME OF GRANT APPLICANT: Scoring Category Possible Points (100 total) Points Awarded Comments Meets minimum criteria? Is a non-profit (proof of 501(c)(3) status with copy of letter from IRS). Serves AG community. Use funds directly to provide a social service, educational, cultural, beautification or recreation program/project in AG. Doesn’t restrict participants based upon race, religion, gender, etc. Doesn’t use funds for religious activities. n/a n/a If the application does not meet the minimum criteria, the application is ineligible for grant funding. Complete application? Description of community services provided. Relationship of non-profit to the community. Membership information – approx. # of AG residents served. Amount of funds requested. Complete project description and budget plan. Past 2 years financial statements (profit/loss statements, % revenue used for administration, salaries and program costs). Information on annual sources of revenue received. 20 Responsiveness in clearly stating the benefits to be derived by the residents of AG. 20 # of AG residents by age group served by the non-profit (including geographic area(s) and total # of clients served by the non-profit). 10 Family Care Network Item 11.a. - Page 132 NAME OF GRANT APPLICANT: Scoring Category Possible Points (100 total) Points Awarded Comments Non-profit’s history of providing community services to the residents of AG. 20 Non-profit’s financial need for grant funds to service AG residents. 20 Ability to complete project in a timely manner (preferably within 1 year of grant award). 10 Total Points: 100 Amount of Funding Requested: Amount of Funding Recommended: (a total of $0,000 is available with this grant program) Family Care Network Item 11.a. - Page 133 ARROYO GRANDE COMMUNITY SERVICE GRANT PROGRAM GRANT APPLICATION FISCAL YEAR 2020-21 PROGRAM DESCRIPTION The 2020-21 Arroyo Grande Community Service Grant Program is intended to provide monetary grants to eligible community non-profit organizations. The City recognizes the value of such groups ZKLFK provide specialized social service, educational, cultural, beautification and recreation programs andSURMHFWV WKDWEHQHILW$UUR\R*UDQGHcitizens. Grants awarded will be in minimum amounts of not less than $250. Funding is limited to $50,000 for Grant Year 2020-21. ELIGIBILITY STANDARDS To be eligible to apply for grant monies under the City's 2020-21 Community Service *UDQW3URJUDP a community organization must satisfy the following standards: x Operate as a non-profit 501c3; x Serve the Arroyo Grande community; x Use funds to directly provide* a social service, educational, cultural, beautification or recreation program or project to Arroyo Grande residents and/or businesses; x Not restrict participants based upon race, religion, gender, sexual orientation, marital status, national origin, ancestry, disability, medical condition, or age; and x Not use grant monies specifically for religious activities. * "Directly provide" means that the community non-profit organization conducts the social service(s) or cultural program(s) itself rather than through a separate entity to which it sub-awards grant monies. Please provide all required information and attachments. Incomplete applications will be disqualified. APPLICATION PROCESS AND DEADLINE: All interested non-profit organizations must complete an application form, including the following: 1. Attachment A: Cover Sheet a. Organization/Agency Name (applicant is required to list the local branch if it represents a national or statewide organization) b. Program or Service Title c. Executive Director and Program Contact Person (if different) d. Physical Address and Mailing Address (if different) e. Phone Number f. Email Address(es) g. Amount of funds being requested h. If applicable, funds received in prior year (or most recent year when funds were received) i. A brief (50 words or less) description of the proposed program or service j. Indicate if your organization has been affected by COVID-19 Item 11.a. - Page 134 COMMUNITY SERVICE GRANT APPLICATION 2020-21 Attachment B: Program/Service Information DBriefly describe your organization and its mission. EHow is the program or service beneficial to Arroyo Grande residents? LHow is local need for this program/service determined? LLApproximate number of City of Arroyo Grande residents served by the non-profit organization. FDescribe your organizational capacity to successfully carry out the proposed activities (i.e. past performance and history of the organization will be considered to assess the agency’s prospects for achieving its goals and objectives). Attachment C: Scope of Work or Work Plan and Budget Worksheet Attachment D: Signed Agreement with the City of Arroyo Grande (to be fully executed upon grant award). Proof of 501(c)(3) status with a copy of the letter from the IRSDQGVLJQHGFHUWLILFDWLRQ VWDWHPHQW Wednesday, November 25, 2020 addressed to: City of Arroyo Grande Community Development Department Camilla Karamanlis, Program Analyst 300 E. Branch Street Arroyo Grande CA 93420 OR SUBMITTED ELECTRONICALLY TO ckaramanlis@arroyogrande.org Applications are encouraged to be submitted electronically. Electronic signatures are accepted. For questions please contact: Camilla Karamanlis Program Analyst (805) 473-5448 ckaramanlis@arroyogrande.org Completed applications forms, along with supplemental documents must be submitted by 5:00 p.m., 3OHDVHGRZQORDGDQGVDYHWKLVDSSOLFDWLRQSDFNHWWR\RXUFRPSXWHU7KLVLVDILOODEOH3')DQGDSSOLFDQWVDUH HQFRXUDJHGWRFRPSOHWHWKLVSDFNHWHOHFWURQLFDOO\$OWHUQDWLYHO\DSSOLFDQWVPD\SULQWDQGFRPSOHWHWKLV SDFNHWE\KDQGDQGHLWKHUVFDQDQGVXEPLWHOHFWURQLFDOO\WRWKHHPDLODGGUHVVDERYHRUPDLOWKHKDUGFRS\WR WKHDERYHOLVWHGDGGUHVV'XHWR&29,'ZHDUHQRWDFFHSWLQJDSSOLFDWLRQVLQSHUVRQ Item 11.a. - Page 135 COMMUNITY SERVICE GRANT APPLICATION 2020-21 ATTACHMENT A: COVER SHEET Organization/Agency Name: (local branch) Mailing Address: City:State:Zip: Physical Address: (if different from Mailing Address) City:State:Zip: Fund Amount Requested:$ Previous Funds Received?□Yes □No If Yes, Most Recent Year Received: Most Recent Amount Received: Tax ID Number: Please describe how your organization has been affected by COVID-19 (e.g. How has funding been impacted? Has your mission changed/expanded to address needs brought on by the virus?) Executive Director: Email Address: Phone Number: Grant Program Contact: (if different from Executive Director) Email Address: Phone Number: Program or Service Title: Brief description of the proposed program or service (50 words or less): Family Care Network, Inc. 1255 Kendall Road San Luis Obispo CA 93401 201 South Halcyon Road Arroyo Grande CA 93422 ■2019 $1,275 77-0159090 Jim Roberts jim@fcni.org 805-781-3535 Joanna Balsamo-Lilien jlilien@fcni.org 805-270-9386 Transitional Age Youth Housing and Support Services 5,000 See attached. See attached. Item 11.a. - Page 136 COMMUNITY SERVICE GRANT APPLICATION 2020-21 ATTACHMENT B: PROGRAM/SERVICE INFORMATION Organization Description (include summary of community services provided): Mission Statement: x Area(s) Served by Organization: How is the program or service beneficial to Arroyo Grande residents? Number of Arroyo Grande Residents Served: How is local need for this program or service determined? Describe your organizational capacity to successfully carry out the proposed activities. Number of Full Time Staff:Number of Part Time Staff: Number of Volunteers: Approx. 133 162 5 550* See attached. FCNI's mission is "to enhance the wellbeing of children and families in partnership with our community." FCNI operates throughout San Luis Obispo County and owns two small apartment complexes in Arroyo Grande. See attached. See attached. * See not regarding volunteer numbers in the attachment. Item 11.a. - Page 137 COMMUNITY SERVICE GRANT APPLICATION 2020-21 ATTACHMENT C: SCOPE/WORK PLAN AND BUDGET WORKSHEET Scope of Work or Work Plan When completing this worksheet, refer to the following questions: A.What are the objectives? What is the program or service aiming to accomplish? B.How will those goals be achieved, and in what timeframe? C.What is the evaluation methodology for measuring results? How can results be quantified and observed? D.Results should be meaningful, measurable, and demonstrate the difference the proposed project makes, or is intended to make, in the lives of the people within the program or receiving the service. E.Output results show the amount of work performed or services received. F.Outcomes show the quality of the performance and answer the questions: who is better off by providing this program or service? What percentage of residents are assisted or are benefitting from this program or service? Program/Service Objectives: Major Tasks to Complete (to achieve associated goal)Timeline Evaluation Methodology Program/Service OUTPUTS: Program/Service OUTCOMES: See attachment for Scope/Plan Item 11.a. - Page 138 COMMUNITY SERVICE GRANT APPLICATION 2020-21 Budget Worksheet Complete this Worksheet for the specified program or service. PROGRAM/SERVICE PROPOSED EXPENSES Line Item Proposed Cost Grant Amount Requested Personnel Costs Other Salaries & Fees 1. 2. Equipment Supplies / Materials Travel / Transportation Promotion / Publicity Other Expenses: 1. 2. TOTALS: PROGRAM/SERVICE PROPOSED INCOME Other Funding Available Grant Amount Requested Arroyo Grande Community Service Grant Amount Requested Other Funding Sources: Other Public Grants Private Foundations Corporation Contributions Concessions / Ticket Sales Promotion Sales / Advertisements (Other Cash) TOTALS: $700 $700 $$ $$ $$ $4,300 $4,300 $$ $$ $$ $$ $$ $$ $5,000 $5,000 $5,000 $ $ $ $ $ $$5,000 Item 11.a. - Page 139 ATTACHMENT D ARROYO GRANDE COMMUNITY SERVICE GRANT FUNDS AGREEMENT THIS ARROYO GRANDE COMMUNITY SERVICE GRANT FUNDS AGREEMENT (“Agreement”), is made and effective as of ____________, 2021 (the “Effective Date”), by and between the City of Arroyo Grande, a municipal corporation (“Grantor”), and the ___________________, a non-profit 501(c)(3) corporation (“Grantee”). RECITALS WHEREAS, Grantor has established the Arroyo Grande Community Service Grant Program to provide grant funding to local, non-profit 501c3 corporations that provide public service programs; and WHEREAS, on _______________, 2021, the Arroyo Grande City Council held a public hearing to consider the applications for the Arroyo Grande Community Service Grant Program; WHEREAS, Grantee is a local, non-profit 501c3 corporation that provides a public service program and was approved by the City Council for participation in the 2021 Arroyo Grande Community Service Grant Program. NOW, THEREFORE, in consideration of the mutual covenants and conditions set forth herein, the parties agree as follows: 1. TERM This Agreement shall commence on the Effective Date and shall remain and continue in effect until all requests for reimbursement described in Section 3 are processed, or unless sooner terminated pursuant to the provisions of this Agreement. 2. SERVICES (a) The Arroyo Grande Community Service Grant Program Application, attached hereto as “Exhibit A” and incorporated herein by this reference, identifies the description of community services to be performed by Grantee during the implementation of this Agreement. Grantee agrees that any funds received from Grantor may only be used to provide the community services set forth in Exhibit A. (b) Grantee agrees to the following requirements in administering the community services set forth in Exhibit A: (1) Grantee will at all times during the duration of this Agreement operate as a non-profit 501c3 corporation in good standing; (2) Provide services benefiting the City of Arroyo Grande; (3) Use funds provided by Grantor to directly provide a social service, educational, cultural, beautification or recreation program or project to Arroyo Grande residents and/or businesses; (4) Grantee will conduct or provide the community services itself rather than through a separate entity; Item 11.a. - Page 140 2 (5) Grantee will not restrict participants based upon race, religion, gender, sexual orientation, marital status, national origin, ancestry, disability medical condition, or age; and (6) Grantee will not use funds provided under this Agreement specifically for religious activities. 3. PAYMENT OF GRANT FUNDS (a) Grantee must maintain receipts for expenditures made in furtherance of the community services provided for in Exhibit A. Grantee must also prepare and submit to the City a report describing the relationship between the expenditure and the tasks and activities identified in Exhibit A. This report and the receipts described herein shall be submitted to the City with each request for reimbursement. (b) Grantee is eligible for reimbursement for approved expenditures in an amount not to exceed a total of $________. (c) All requests for reimbursement must be received by Grantor prior to June 30, 2021. 4. REIMBURSEMENT FOR IMPROPER EXPENDITURES If at any time it is determined by Grantor that funds provided for under this Agreement have been used by or on behalf of Grantee in a manner or for a purpose not authorized by this Agreement, Grantee hereby obligates itself, at the Grantor’s request, to pay to the Grantor an amount equal to one hundred percent of the amount improperly expended. This obligation shall survive termination of this Agreement. 5. STATUS Nothing in this Agreement is intended nor shall be construed to create an employer-employee relationship or a joint venture relationship between Grantor and Grantee. Neither Grantee nor any of Grantee’s agents, employees or contractors are or shall be considered to be agents or employees of Grantor in connection with the performance of Grantee’s obligations under this Agreement. 6. TERMINATION FOR CAUSE If Grantor determines that the Grantee has requested reimbursement for purposes that are not permitted or are prohibited under the terms and provisions of this Agreement, or if the Grantor determines that the Grantee has failed to fulfill its obligations under this Agreement in a timely and professional manner, or if the Grantee is in violation of the terms of this Agreement, then Grantor shall have the right to terminate this Agreement effective immediately upon giving written notice to Grantee. Item 11.a. - Page 141 3 7. INDEMNIFICATION Grantee agrees to accept responsibility for loss or damage to any person or entity, and shall defend, indemnify and hold harmless Grantor, its officers, employees and agents from any and all claims and demands, liability, damages, costs, expenses, judgments (including, but not limited to attorney fees and expert witness costs) that may be asserted by any person or entity, including Grantee, arising out of or in connection with the performance by Grantee hereunder and/or the use of the City of Arroyo Grande Community Service Grant fund monies. 8. COMPLIANCE WITH LAW Grantee agrees to comply with all City of Arroyo Grande, Federal and State laws and regulations applicable to Grantee. In particular, Grantee agrees to comply with the terms and conditions contained in the City of Arroyo Grande 2017 Arroyo Grande Community Service Grant Program, which is attached hereto as Exhibit “B” and incorporated herein by this reference. 9. ASSIGNMENT Grantee shall not assign the performance of this Agreement, nor any part thereof, without the prior written consent of Grantor. 10. GOVERNING LAW Grantor and Grantee understand and agree that the laws of the State of California shall govern the rights, obligations, duties, and liabilities of the parties to this Agreement and also govern the interpretation of this Agreement. Any litigation concerning this Agreement shall take place in the superior or federal district court with jurisdiction over the City of Arroyo Grande. 11. ENTIRE AGREEMENT This Agreement contains the entire understanding between the parties relating to the obligations of the parties described in this Agreement. All prior or contemporaneous agreements, understandings, representations, and statements, either oral or written, are merged into this Agreement and shall be of no further force or effect. Each party is entering into this Agreement based solely upon the representations set forth herein and upon each party’s own independent investigation of any and all facts such party deems material. 12. AMENDMENTS Amendments to this Agreement shall be in writing and shall be made only with the mutual written consent of all of the parties to this Agreement. Item 11.a. - Page 142 4 13. AUTHORITY TO EXECUTE THIS AGREEMENT The person or persons executing this Agreement on behalf of Grantee warrant and represent that he/she has the authority to execute this Agreement on behalf of the Grantee and has the authority to bind Grantee to the performance of its obligations hereunder. IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed the day and year first above written. GRANTOR GRANTEE By:____________________________ By: ___________________________ Whitney McDonald, City Manager Attachments: Exhibit A- Arroyo Grande Community Service Grant Program Application _____________________________________________________________________ Jim Roberts, CEO Item 11.a. - Page 143 COMMUNITY SERVICE GRANT APPLICATION 2020 -21 I. SUPPLEMENTAL DOCUMENTATION: Proof of 501(c)(3) status with a copy of the letter from the IRS. II. CERTIFICATION: I certify on behalf of _________________________________ non-profit organization, that I have read, understand and agree that the aforesaid information is accurate, factual and current. I understand that an award of funds, if granted, will be for the sole use as reflected in this application form. I further certify that as a condition of receiving funds, an agreement with the City of Arroyo Grande, in a form and content provided by the City of Arroyo Grande, will be signed and executed by a duly authorized representative of said non-profit organization. I am aware of and certify that our non-profit organization will adhere to all City regulations regarding the 2020-21 Community Service Grant Program including, but not limited to, maintaining non-discriminatory policies, practices and intent. I also, on behalf of our non-profit organization, agree to indemnify, defend, and hold harmless the City of Arroyo Grande relative to any and all liability that may arise as a result of the use of the City of Arroyo Grande Community Service Grant Fund monies. Date: _______________ Signature: ______________________________ Executive Director or Designee ______________________________ Board of Director or Officer ce Grant Fund _______________________________ ve Director or DeExecutivesignee ________________________________________________________________________ Board of Director or Offfficer ve Director or De ✔ Family Care Network, Inc. 11/18/20 Item 11.a. - Page 144 Item 11.a. - Page 145 Item 11.a. - Page 146 Arroyo Grande Community Services Grant Program FY 2020-2021 Family Care Network, Inc. Application Please describe how your organization has been affected by COVID-19 (e.g. How has funding been impacted? Has your mission changed/expanded to address needs brought on by the virus?): The Transitional Age Youth, or “TAY” - those ages 16-24 who are emancipating from the foster care system - and families that FCNI serves have been impacted by Adverse Childhood Experiences, and often struggle to meet their basic needs. The possibility of going hungry or not being able to maintain housing has only increased as their employers have had to reduce hours or cut staff due to the pandemic. Financial strain and the disruption of the activities of daily living have increased stress on our youth and families working to heal from past trauma and the concomitant mental health impacts. In order to successfully address their mental health needs, assist them to develop the daily living skills required for independence, and work with them on educational and career goals, we must ensure that they can remain stably housed, have enough to eat, and can properly care for their children. COVID -19 has had a significant impact on FCNI’s ability to ensure that these basic needs are met, while also continuing to provide services that support our TAY and families in their efforts to achieve self-sufficiency. Our primary services are intensive, one-on-one, behavioral interventions with children, youth and families, most of which are essential “entitlement” services. The need to isolate and socially distance has resulted in a shift to telemedicine, which has led to significantly reduced contact hours/treatment times, thus reducing billable hours. Fear of exposure to the virus has meant that foster parents are unwilling to accept new placements, further reducing the availability of family-based care for vulnerable youth, as well as agency revenue. Additionally, FCNI contracts with various County agencies to provide services; the impact of COVID-19 on these agencies has resulted in far fewer referrals. Reduced referrals and limited contact compromise our ability to serve those who seek our assistance, and the resulting decrease in revenue means we cannot comprehensively address their needs. Brief description of the proposed program or service (50 words or less): FCNI offers Transitional Age Youth housing with wrap-around services designed to help them successfully move to independence. We are proposing to install a solar energy system on one of our Arroyo Grande properties in order to reduce administrative costs, allowing us to invest more directly in our youth. Item 11.a. - Page 147 Organization Description (include summary of community services provided): FCNI is committed to helping children, youth and families in our community who have experienced trauma and Adverse Childhood Experiences stemming from childhood abuse and neglect, family separation, and/or homelessness and other impacts of poverty, find stability and live healthier lives. Since our founding in 1987, we have operated with a core purpose to provide family-based treatment programs as an alternative to group home or institutional care of children and youth. FCNI currently offers 20 programs in five service divisions: Behavioral Health Services, providing mental health treatment programs that heal, empower and stabilize children and youth; Education Support Services, giving current and former foster youth academic and life skills development training to promote independence; Family Support Services, offering programs that empower families and stabilize children and youth; Housing and Support Services, assisting homeless and at-risk households to identify and/or secure affordable housing while providing supportive services to ensure their success; and Community Resources Development, inviting local individuals, organizations and businesses to partner with FCNI to enhance our services. Throughout our history, we have successfully served over 20,000 individuals. In our most recent fiscal year, we served more than 2,300 low-income children, youth and families with an overall success rate of 90%. This success rate is based on achieving life-changing results, such as: children and youth being reunited with family; youth successfully transitioning to independent living; and homeless families, or those at-risk of homelessness, securing safe and stable housing. Number of Arroyo Grande Residents Served: FCNI owns and operates nine units of housing in two properties in Arroyo Grande, serving up to 15 TAY and their dependents, if any, at any given time, as well as two Resident Advisors. TAY in FCNI housing gain skills and become ready to move-on at different rates, thus we often serve a greater number of youth throughout the year than we have units. Additionally, foster families connected to FCNI within the City house an average of 15 children, ages 3 to 18, each year. FCNI also offers services to a number of youth in the Arroyo Grande school system, and supports homeless families seeking affordable housing within the City. In all, in the last Fiscal Year, we served approximately 133 Arroyo Grande residents. Eighteen of those were housed in our Halcyon Transitional Housing property, where the current project is proposed. How is the program or service beneficial to Arroyo Grande residents? FCNI’s two Arroyo Grande properties for Transitional Age Youth provide vital housing and support to up to 15 youth, and any dependents they may have, at any given time. Through our Housing and Support Services division FCNI offers TAY who are homeless, or at risk of becoming homeless, affordable housing and comprehensive instruction in everyday life skills as they plan their futures so that they can stabilize and become self-sufficient. The “wrap-around” support we provide to youth in our transitional housing is designed to meet each TAY’s individual needs, offering mental health services, one-on-one life skill development, case management and counseling, educational support, and job readiness training. The combination of housing and support ensure each youth is able to successfully move from system dependence to adult independence. For many, FCNI is the only option available to provide them the stability needed to focus on their personal development. Item 11.a. - Page 148 How is local need for this program or service determined? FCNI operates our programs for TAY in collaboration with the County Department of Social Services. The Departments of Social Services, Probation and Behavioral Health screen and refer TAY clients to FCNI to receive services. Based on capacity, FCNI serves all youth that are referred. Describe your organizational capacity to successfully carry out the proposed activities. FCNI has been providing housing and services to families and TAY for over 20 years. We currently own and operate nine transitional housing properties for TAY and families who are homeless or at imminent risk of becoming homeless. We have overseen rehab at eight of these properties, including installation of a solar system at our other Arroyo Grande apartment complex. Each of those previous projects was completed using a combination of funding sources that included HOME, CDBG, San Luis Obispo County Title 29 funds, and City of Arroyo Grande Redevelopment Funds and Community Services Grants. Thus, FCNI has experience working under County and Federal program requirements, and in completing regular compliance reporting. Throughout the completion of these projects, subsequent monitoring and regular compliance reporting, FCNI has not been required to perform any corrective actions or had any findings. Each project has used a combination of independent contractors as well as internal FCNI staff to manage and perform the work. The agency employs three full time maintenance staff as well as a Facilities Manager who oversees all major projects. A Property Management Specialist and agency CFO oversee grant programs to ensure compliance and to complete regular reporting. Program Objective: Reduce property operating costs by shifting to renewable energy and therefore diverting funds to direct client services. Major Tasks: Purchase of solar energy equipment Installation Connection to PG&E Timeline: From purchase to installation, and full implementation, we estimate no more than 4 weeks to complete the project. Evaluation: Monitoring of monthly electrical service costs to determine cost reduction due to use of solar energy. Outputs: Installation of complete solar system to service 5 apartment units resulting in reduced operating costs. Shift to renewable energy source. Outcomes: 95 -99% reduction in monthly electrical service cost, thereby reducing property operating expenses. The reduction in operating costs will divert funds from administrative use to direct client services. *Note on number of volunteers: While our annual average is between 550 and 600, we are currently seeing close to half that number. This is due to large event cancellations that utilize numerous volunteers, as well as volunteer tutors and mentors leaving the program citing safety concerns and/or do not have the ability to participate remotely. Item 11.a. - Page 149 Arroyo Grande Community Service Grant Program Ranking Sheet NAME OF GRANT APPLICANT: Scoring Category Possible Points (100 total) Points Awarded Comments Meets minimum criteria? Is a non-profit (proof of 501(c)(3) status with copy of letter from IRS). Serves AG community. Use funds directly to provide a social service, educational, cultural, beautification or recreation program/project in AG. Doesn’t restrict participants based upon race, religion, gender, etc. Doesn’t use funds for religious activities. n/a n/a If the application does not meet the minimum criteria, the application is ineligible for grant funding. Complete application? Description of community services provided. Relationship of non-profit to the community. Membership information – approx. # of AG residents served. Amount of funds requested. Complete project description and budget plan. Past 2 years financial statements (profit/loss statements, % revenue used for administration, salaries and program costs). Information on annual sources of revenue received. 20 Responsiveness in clearly stating the benefits to be derived by the residents of AG. 20 # of AG residents by age group served by the non-profit (including geographic area(s) and total # of clients served by the non-profit). 10 Five Cities Repair Cafe Item 11.a. - Page 150 NAME OF GRANT APPLICANT: Scoring Category Possible Points (100 total) Points Awarded Comments Non-profit’s history of providing community services to the residents of AG. 20 Non-profit’s financial need for grant funds to service AG residents. 20 Ability to complete project in a timely manner (preferably within 1 year of grant award). 10 Total Points: 100 Amount of Funding Requested: Amount of Funding Recommended: (a total of $0,000 is available with this grant program) Five Cities Repair Cafe Item 11.a. - Page 151 The 2020-21 Arroyo Grande Community Service Grant Program is intended to provide monetary grants to eligible community non-profit organizations. The City recognizes the value of such groups ZKLFK provide specialized social service, educational, cultural, beautification and recreation programs andSURMHFWV WKDWEHQHILW$UUR\R*UDQGHcitizens. Grants awarded will be in minimum amounts of not less than $250. Funding is limited to $50,000 for Grant Year 2020-21. To be eligible to apply for grant monies under the City's 2020-21 Community Service *UDQW3URJUDP a community organization must satisfy the following standards: x Operate as a non-profit 501c3; x Serve the Arroyo Grande community; x Use funds to directly provide* a social service, educational, cultural, beautification or recreation program or project to Arroyo Grande residents and/or businesses; x Not restrict participants based upon race, religion, gender, sexual orientation, marital status, national origin, ancestry, disability, medical condition, or age; and x Not use grant monies specifically for religious activities. * "Directly provide" means that the community non-profit organization conducts the social service(s) or cultural program(s) itself rather than through a separate entity to which it sub-awards grant monies. Please provide all required information and attachments. Incomplete applications will be disqualified. All interested non-profit organizations must complete an application form, including the following: 1. Attachment A: Cover Sheet a. Organization/Agency Name (applicant is required to list the local branch if it represents a national or statewide organization) b. Program or Service Title c. Executive Director and Program Contact Person (if different) d. Physical Address and Mailing Address (if different) e. Phone Number f. Email Address(es) g. Amount of funds being requested h. If applicable, funds received in prior year (or most recent year when funds were received) i. A brief (50 words or less) description of the proposed program or service j. Indicate if your organization has been affected by COVID-19 Item 11.a. - Page 152 Attachment B: Program/Service Information DBriefly describe your organization and its mission. EHow is the program or service beneficial to Arroyo Grande residents? LHow is local need for this program/service determined? LLApproximate number of City of Arroyo Grande residents served by the non-profit organization. FDescribe your organizational capacity to successfully carry out the proposed activities (i.e. past performance and history of the organization will be considered to assess the agency’s prospects for achieving its goals and objectives). Attachment C: Scope of Work or Work Plan and Budget Worksheet Attachment D: Signed Agreement with the City of Arroyo Grande (to be fully executed upon grant award). Proof of 501(c)(3) status with a copy of the letter from the IRSDQGVLJQHGFHUWLILFDWLRQ VWDWHPHQW Wednesday, November 25, 2020 addressed to: City of Arroyo Grande Community Development Department Camilla Karamanlis, Program Analyst 300 E. Branch Street Arroyo Grande CA 93420 OR SUBMITTED ELECTRONICALLY TO ckaramanlis@arroyogrande.org Applications are encouraged to be submitted electronically. Electronic signatures are accepted. For questions please contact: Camilla Karamanlis Program Analyst (805) 473-5448 ckaramanlis@arroyogrande.org Completed applications forms, along with supplemental documents must be submitted by 5:00 p.m., 3OHDVHGRZQORDGDQGVDYHWKLVDSSOLFDWLRQSDFNHWWR\RXUFRPSXWHU7KLVLVDILOODEOH3')DQGDSSOLFDQWVDUH HQFRXUDJHGWRFRPSOHWHWKLVSDFNHWHOHFWURQLFDOO\$OWHUQDWLYHO\DSSOLFDQWVPD\SULQWDQGFRPSOHWHWKLV SDFNHWE\KDQGDQGHLWKHUVFDQDQGVXEPLWHOHFWURQLFDOO\WRWKHHPDLODGGUHVVDERYHRUPDLOWKHKDUGFRS\WR WKHDERYHOLVWHGDGGUHVV'XHWR&29,'ZHDUHQRWDFFHSWLQJDSSOLFDWLRQVLQSHUVRQ Item 11.a. - Page 153 Organization/Agency Name: (local branch) Mailing Address: City: State: Zip: Physical Address: (if different from Mailing Address) City: State: Zip: Fund Amount Requested: $ Previous Funds Received? □ Yes □ No If Yes, Most Recent Year Received: Most Recent Amount Received: Tax ID Number: Please describe how your organization has been affected by COVID-19 (e.g. How has funding been impacted? Has your mission changed/expanded to address needs brought on by the virus?) Executive Director: Email Address: Phone Number: Grant Program Contact: (if different from Executive Director) Email Address: Phone Number: Program or Service Title: Brief description of the proposed program or service (50 words or less): Five Cities Repair Café 240 Aspen Street Apt. #3 Arroyo Grande CA 93420 27-2116150 (Our ﬁscal sponsor is Ecologistics, SLO) www.ecologistics.org Linda Busek (Founder) ﬁvecitiesrepaircafe@gmail.com 650.367.6780 Five Cities Repair Café 2,200 Since March 2020 Five Cities Repair Café has been on hiatus due to Covid-19 restrictions. We have not received any donations to fund our work going forward once the restrictions are lifted. We are hopeful that our operations will resume in early 2021. Our volunteers are eager to get back at it and we anticipate the community will have a large backlog of broken items that need repair. Five Cities Repair Café hosts quarterly free events that support reuse, repair, and waste prevention by saving repairable items from the landﬁll. Our all-volunteer run Repair Café links up neighbors helping neighbors to build strong community connections and promote sustainable living. Item 11.a. - Page 154 Organization Description (include summary of community services provided): Mission Statement: x Area(s) Served by Organization: How is the program or service beneficial to Arroyo Grande residents? Number of Arroyo Grande Residents Served: How is local need for this program or service determined? Describe your organizational capacity to successfully carry out the proposed activities. Number of Full Time Staff: Number of Part Time Staff: Number of Volunteers: potentially hundreds 0 0 ~ 60 Five Cities Repair Café offers free repairs of clothing, appliances, lamps, bikes, jewelry, etc. plus tool and knife sharpening carried out by community volunteers. Except for purchase of spare parts, we do not charge a fee and we depend on donations to help cover expenses. Our goal is to provide a free service to make broken items usable again and keep them out of the landﬁll. While doing this we engage with our neighbors and seek to build relationships that extend out into the community. (We operate under the 501(c)(3) of our ﬁscal sponsor, Ecologistics, located in SLO. See their website: www.ecologistics.org) Five Cities Repair Café seeks to build community and promote sustainable living by repairing broken items for reuse and keeping them out out of the landﬁll. Arroyo Grande, Grover Beach, Pismo Beach, Nipomo, Oceano, Halcyon, and Avila Beach. In today’s economy it’s often impossible to ﬁnd a repair service for broken items or the cost of repairing an item is too expensive, so we throw it away. At our free quarterly events Five Cities Repair Café matches talented volunteers with neighbors who bring us broken stuff. As neighbors sit with neighbors discussing and diagnosing repairs we build community one-to-one. Everyone has items that break and often there is no option to get them repaired due to lack of service providers or the expense of a repair. Our talented volunteers provide an alternative to discarding them. Please view this photo montage - and video - of our last Repair Café 1.12.20 Repair Cafe 5 Cities https://photos.app.goo.gl/ntajwAFCTMZ5i38H7 Item 11.a. - Page 155 Scope of Work or Work Plan When completing this worksheet, refer to the following questions: A.What are the objectives? What is the program or service aiming to accomplish? B.How will those goals be achieved, and in what timeframe? C.What is the evaluation methodology for measuring results? How can results be quantified and observed? D.Results should be meaningful, measurable, and demonstrate the difference the proposed project makes, or is intended to make, in the lives of the people within the program or receiving the service. E.Output results show the amount of work performed or services received. F.Outcomes show the quality of the performance and answer the questions: who is better off by providing this program or service? What percentage of residents are assisted or are benefitting from this program or service? Program/Service Objectives: Major Tasks to Complete (to achieve associated goal) Timeline Evaluation Methodology Program/Service OUTPUTS: Program/Service OUTCOMES: Repair broken items Diagnose & repair items quarterly events Neighbors leave with a repaired item Build Community Volunteers meet with neighbors and work together (or observe) repairs quarterly events Neighbors gain conﬁdence and potentially learn new skills Build Community Many volunteers are in support roles: intake, hospitality, logistics quarterly events Teamwork builds new connections and friendships Our most recent Repair Café had 160 tickets for broken items submitted by neighbors (some tickets had multiple items.) Our October 2019 inaugural event had over 80 attendees and our January 2020 event had over 200 neighbors attend. Repairs were successfully completed on approximately 70% of the items; about 12% more were partially ﬁxed (neighbors were sent away with guidance how to secure a spare part and complete the ﬁx at home.) Item 11.a. - Page 156 Budget Worksheet Complete this Worksheet for the specified program or service. PROGRAM/SERVICE PROPOSED EXPENSES Line Item Proposed Cost Grant Amount Requested Personnel Costs Other Salaries & Fees 1. 2. Equipment Supplies / Materials Travel / Transportation Promotion / Publicity Other Expenses: 1. 2. TOTALS: PROGRAM/SERVICE PROPOSED INCOME Other Funding Available Grant Amount Requested Arroyo Grande Community Service Grant Amount Requested Other Funding Sources: Other Public Grants Private Foundations Corporation Contributions Concessions / Ticket Sales Promotion Sales / Advertisements (Other Cash) TOTALS: $0 $0 $0 $0 $0 $ $0 $0 $300 $200 $900 $500 $$ $350 $350 $$ $1200 $650 $500 $500 $3250 $2200 $2200 $ $ $600 $ $450 $1050 $2200 — — Facility rental (est. with discount) Insurance (est. with discount) Item 11.a. - Page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tem 11.a. - 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Page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tem 11.a. - Page 160 "-*5*7843475*78438*=*(:9.3,9-.8,7**2*3943'*-&1+4+7&39**<&77&39&3) 7*57*8*39 9-&9 -*8-* -&8 9-* &:9-47.9> 94 *=*(:9* 9-.8 ,7**2*39 43 '*-&1+ 4+ 9-* 7&39**&3)-&89-*&:9-47.9>94'.3)7&39**949-*5*7+472&3(*4+.984'1.,&9.438 -*7*:3)*7 9-*5&79.*8-*7*94-&;*(&:8*)9-.8,7**2*3994'**=*(:9*) 9-*)&>&3)>*&7+.789&'4;*<7.99*3 >%%%%%%%%%%%%%%%%%%%%%%%%%%%% >%%%%%%%%%%%%%%%%%%%%%%%%%%% $-.93*>(43&1).9>&3&,*7 99&(-2*398 =-.'.9774>47&3)*422:3.9>!*7;.(*7&39 74,7&2551.(&9.43 Item 11.a. - Page 161 I. SUPPLEMENTAL DOCUMENTATION: Proof of 501(c)(3) status with a copy of the letter from the IRS. II.CERTIFICATION: I certify on behalf of _________________________________ non-profit organization, that I have read, understand and agree that the aforesaid information is accurate, factual and current. I understand that an award of funds, if granted, will be for the sole use as reflected in this application form. I further certify that as a condition of receiving funds, an agreement with the City of Arroyo Grande, in a form and content provided by the City of Arroyo Grande, will be signed and executed by a duly authorized representative of said non-profit organization. I am aware of and certify that our non-profit organization will adhere to all City regulations regarding the 2020 Community Service Grant Program including, but not limited to, maintaining non-discriminatory policies, practices and intent. I also, on behalf of our non-profit organization, DJUHH WRindemnify, defend, and hold harmless the City of Arroyo Grande relative to any and all liability that may arise as a result of the use of the City of Arroyo Grande Community Service Grant Fund monies. Date: _______________ Signature: ______________________________ Executive Director or Designee ______________________________ Board of Director or Officer Five Cities Repair Café 11/24/2020 _______________________________________________________________ xecutive Director or Designee Item 11.a. - Page 162 Item 11.a. - Page 163 Item 11.a. - Page 164 Arroyo Grande Community Service Grant Program Ranking Sheet NAME OF GRANT APPLICANT: Scoring Category Possible Points (100 total) Points Awarded Comments Meets minimum criteria? Is a non-profit (proof of 501(c)(3) status with copy of letter from IRS). Serves AG community. Use funds directly to provide a social service, educational, cultural, beautification or recreation program/project in AG. Doesn’t restrict participants based upon race, religion, gender, etc. Doesn’t use funds for religious activities. n/a n/a If the application does not meet the minimum criteria, the application is ineligible for grant funding. Complete application? Description of community services provided. Relationship of non-profit to the community. Membership information – approx. # of AG residents served. Amount of funds requested. Complete project description and budget plan. Past 2 years financial statements (profit/loss statements, % revenue used for administration, salaries and program costs). Information on annual sources of revenue received. 20 Responsiveness in clearly stating the benefits to be derived by the residents of AG. 20 # of AG residents by age group served by the non-profit (including geographic area(s) and total # of clients served by the non-profit). 10 Hospice of SLO County Item 11.a. - Page 165 NAME OF GRANT APPLICANT: Scoring Category Possible Points (100 total) Points Awarded Comments Non-profit’s history of providing community services to the residents of AG. 20 Non-profit’s financial need for grant funds to service AG residents. 20 Ability to complete project in a timely manner (preferably within 1 year of grant award). 10 Total Points: 100 Amount of Funding Requested: Amount of Funding Recommended: (a total of $0,000 is available with this grant program) Hospice of SLO County Item 11.a. - Page 166 Item 11.a. - Page 167 Item 11.a. - Page 168 Item 11.a. - Page 169 Item 11.a. - Page 170 )PTQJDFPG4BO-VJT0CJTQP$PVOUZ Item 11.a. - Page 171 Item 11.a. - Page 172 Item 11.a. - Page 173 6KDQQRQ0F2XDW Item 11.a. - Page 174 7HUU\+RXVLQJHU $IBJS 6KDQQRQ0F2XDW&YFDVUJWF%JSFDUPS Item 11.a. - Page 175 Item 11.a. - Page 176 Arroyo Grande Community Service Grant Program Ranking Sheet NAME OF GRANT APPLICANT: Scoring Category Possible Points (100 total) Points Awarded Comments Meets minimum criteria? Is a non-profit (proof of 501(c)(3) status with copy of letter from IRS). Serves AG community. Use funds directly to provide a social service, educational, cultural, beautification or recreation program/project in AG. Doesn’t restrict participants based upon race, religion, gender, etc. Doesn’t use funds for religious activities. n/a n/a If the application does not meet the minimum criteria, the application is ineligible for grant funding. Complete application? Description of community services provided. Relationship of non-profit to the community. Membership information – approx. # of AG residents served. Amount of funds requested. Complete project description and budget plan. Past 2 years financial statements (profit/loss statements, % revenue used for administration, salaries and program costs). Information on annual sources of revenue received. 20 Responsiveness in clearly stating the benefits to be derived by the residents of AG. 20 # of AG residents by age group served by the non-profit (including geographic area(s) and total # of clients served by the non-profit). 10 Los Padres Council - Boy Scouts of America Item 11.a. - Page 177 NAME OF GRANT APPLICANT: Scoring Category Possible Points (100 total) Points Awarded Comments Non-profit’s history of providing community services to the residents of AG. 20 Non-profit’s financial need for grant funds to service AG residents. 20 Ability to complete project in a timely manner (preferably within 1 year of grant award). 10 Total Points: 100 Amount of Funding Requested: Amount of Funding Recommended: (a total of $0,000 is available with this grant program) Los Padres Council - Boy Scouts of America Item 11.a. - Page 178 ARROYO GRANDE COMMUNITY SERVICE GRANT PROGRAM GRANT APPLICATION FISCAL YEAR 2020-21 PROGRAM DESCRIPTION The 2020-21 Arroyo Grande Community Service Grant Program is intended to provide monetary grants to eligible community non-profit organizations. The City recognizes the value of such groups, which provide specialized social service, educational, cultural, beautification and recreation programs and projects that benefit Arroyo Grande citizens. Grants awarded will be in minimum amounts of not less than $250. Funding is limited to $50,000 for Grant Year 2020-21. ELIGIBILITY STANDARDS To be eligible to apply for grant monies under the City's 2020-21 Community Service Grant Program, a community organization must satisfy the following standards: Operate as a non-profit 501c3; Serve the Arroyo Grande community; Use funds to directly provide* a social service, educational, cultural, beautification or recreation program or project to Arroyo Grande residents and/or businesses; Not restrict participants based upon race, religion, gender, sexual orientation, marital status, national origin, ancestry, disability, medical condition, or age; and Not use grant monies specifically for religious activities. * "Directly provide" means that the community non-profit organization conducts the social service(s) or cultural program(s) itself rather than through a separate entity to which it sub-awards grant monies. Please provide all required information and attachments. Incomplete applications will be disqualified. APPLICATION PROCESS AND DEADLINE: All interested non-profit organizations must complete an application form, including the following: 1. Attachment A: Cover Sheet a. Organization/Agency Name (applicant is required to list the local branch if it represents a national or statewide organization) b. Program or Service Title c. Executive Director and Program Contact Person (if different) d. Physical Address and Mailing Address (if different) e. Phone Number f. Email Address(es) g. Amount of funds being requested h. If applicable, funds received in prior year (or most recent year when funds were received) i. A brief (50 words or less) description of the proposed program or service j. Indicate if your organization has been affected by COVID-19 Item 11.a. - Page 179 COMMUNITY SERVICE GRANT APPLICATION 2020-21 2. Attachment B: Program/Service Information a. Briefly describe your organization and its mission. b. How is the program or service beneficial to Arroyo Grande residents? i. How is local need for this program/service determined? ii. Approximate number of City of Arroyo Grande residents served by the non-profit organization. c. Describe your organizational capacity to successfully carry out the proposed activities (i.e. past performance and history of the organization will be considered to assess the agency’s prospects for achieving its goals and objectives). 3. Attachment C: Scope of Work or Work Plan and Budget Worksheet 4. Attachment D: Signed Agreement with the City of Arroyo Grande (to be fully executed upon grant award). 5. Proof of 501(c)(3) status with a copy of the letter from the IRS and signed certification statement. Completed applications forms, along with supplemental documents must be submitted by 5:00 p.m., Wednesday, November 25, 2020 addressed to: City of Arroyo Grande Community Development Department Camilla Karamanlis, Program Analyst 300 E. Branch Street Arroyo Grande CA 93420 OR SUBMITTED ELECTRONICALLY TO ckaramanlis@arroyogrande.org Applications are encouraged to be submitted electronically. Electronic signatures are accepted. Please download and save this application packet to your computer. This is a fillable PDF, and applicants are encouraged to complete this packet electronically. Alternatively, applicants may print and complete this packet by hand, and either scan and submit electronically to the email address above or mail the hard copy to the above listed address. Due to COVID-19, we are not accepting applications in person. For questions please contact: Camilla Karamanlis Program Analyst (805) 473-5448 ckaramanlis@arroyogrande.org Item 11.a. - Page 180 COMMUNITY SERVICE GRANT APPLICATION 2020-21 ATTACHMENT A: COVER SHEET Los Padres Council-Boy Scouts of America Organization/Agency Name: (local branch) 4000 Modoc Rd. Santa Barbara Mailing Address: CA 93110 City: State: State: Zip: Zip: Physical Address: (if different from Mailing Address) City: Fund Amount Requested: $1,500 □ Yes □ No If Yes, Most Recent Year Received: Most Recent Amount Received: Previous Funds Received? 95-1696725 Tax ID Number: Please describe how your organization has been affected by COVID-19 (e.g. How has funding been impacted? Has your mission changed/expanded to address needs brought on by the virus?): With COVID 19 pandemic scouting on the Central Coast is at risk. Los Padres Council remains dedicated to providing fun and educational programming to our Cub Scouts and their families. That is why our staff and volunteers have created "Take Home Day Camp Packages." Each package contains supplies for all of the activities that Cub Scouts would have done at camp. Activities will include crafts, STEM, woodwork, leatherwork, cooking and more. It is the council's hope that these resources will help Cub Scout families to keep progressing even as they adjust to a "socially distanced summer." It is our estimate that 100 Cub Scouts participated in each virtual camp. Scouts have always led the way, been prepared, helped other people, strived to be good citizens, and worked to be brave. Times like this are exactly why we need Scouting. In response to COVID scouts made and distributed hundreds of face masks for essential workers Carlos Cortez Executive Director: Email Address: Phone Number: carlos.cortes@scouting.org 805-967-0105 Kenneth D. Miles Grant Program Contact: (if different from Executive Director) kenneth.miles@scouting.org 805-835-9456 Email Address: Phone Number: Development Director Program or Service Title: Brief description of the proposed program or service (50 words or less): Diversity in Scouting is essential to being effective in our community. It cost $60 a year for a scout. We would like to provide 25 scholarships for current and new scout families in the 5 -Cities area who are unable to pay or are deeply affected by the COVID pandemic. Item 11.a. - Page 181 COMMUNITY SERVICE GRANT APPLICATION 2020-21 ATTACHMENT B: PROGRAM/SERVICE INFORMATION Organization Description (include summary of community services provided): Los Padres Council, Boy Scouts of America serves 1,500 boys and girls ages 5 to 20 and their families within the counties of San Luis Obispo and Santa Barbara. The Council was first chartered in 1919 and has promoted youth leadership and family-based programs on the Central Coast for 100 years. The Council has a varied set of programs to serve our community's diverse families with the mission to prepare our youth for their future endeavors. Programs includes Cub Scouts (age 5 -10), Scouts for Boys and Girls (age 11-18), Venturing (age 14-20) and Exploring (age 10-20). Los Padres Council's programs are designed to prepare youth for successful futures by instilling in them the importance of living a moral and ethical life. Mission Statement: The Mission of Los Padres Council is to serve others by helping to instill values in young people and to prepare them to make ethical choices over their lifetime in achieving their full potential. The values we strive to instill are based on those found in the Scout Oath and Law: Scout Oath: On my honor I will do my best to do my duty to God and my country and to obey the Scout Law; to help other people at all times; to keep myself physically strong, mentally awake, and morally straight. Scout Oath: To be Trustworthy, Loyal, Helpful, Friendly, Courteous, Kind, Obedient, Cheerful, Thrifty, Brave, Clean and Reverent. Area(s) Served by Organization: Counties of San Luis Obispo and Santa Barbara How is the program or service beneficial to Arroyo Grande residents? Scouting programs are designed to prepare youth for successful futures. For an example, the 2015 Tufts University followed nearly 1,800 Cub Scouts over the course of three years and compared them to nearly 400 boys of similar backgrounds who were not involved in Scouting. Cub Scouts showed significant p ositive development in attributes of being cheerful, helpful, kind obedient, trustworthy, and hopeful. Non -scouts did not show a positive development in these areas. The study also showed the kids who spent more time in Scouting 140 Number of Arroyo Grande Residents Served: How is local need for this program or service determined? Scouting is an inclusive, values-based Movement and is open to all young people and adults. Scouting is needed more than ever for families raising caring children and preparing them to be equipped to live and lead in an increasingly diverse world. Our program goal focuses on underserved communities. All families throughout the county are notified of available scholarships and fundraising opportunities for which they may participate. No scout is turned down do their finances. Describe your organizational capacity to successfully carry out the proposed activities. 7 0 Number of Full Time Staff: Number of Volunteers: Number of Part Time Staff: 200 Item 11.a. - Page 182 COMMUNITY SERVICE GRANT APPLICATION 2020-21 ATTACHMENT C: SCOPE/WORK PLAN AND BUDGET WORKSHEET Scope of Work or Work Plan When completing this worksheet, refer to the following questions: A. What are the objectives? What is the program or service aiming to accomplish? B. How will those goals be achieved, and in what timeframe? C. What is the evaluation methodology for measuring results? How can results be quantified and observed? D. Results should be meaningful, measurable, and demonstrate the difference the proposed project makes, or is intended to make, in the lives of the people within the program or receiving the service. E. Output results show the amount of work performed or services received. F. Outcomes show the quality of the performance and answer the questions: who is better off by providing this program or service? What percentage of residents are assisted or are benefitting from this program or service? Program/Service Major Tasks to Complete (to achieve associated goal) Evaluation Methodology Timeline Objectives: Provide 25 scholarships Conduct virtual recruitment activities Fall 2021 count scholarships distributed Program/Service OUTPUTS: Recruitment activities utilizing participating scouts, families, and virtual events. Program/Service OUTCOMES: Providing opportunities for up to 25 families to raise caring children and preparing them to be equipped to live and lead in an increasingly diverse world. Item 11.a. - Page 183 COMMUNITY SERVICE GRANT APPLICATION 2020-21 Budget Worksheet Complete this Worksheet for the specified program or service. PROGRAM/SERVICE PROPOSED EXPENSES Line Item Proposed Cost Grant Amount Requested Personnel Costs $ $ Other Salaries & Fees 1. Program Director 2. $ $ $80,000 $ $ $ Equipment $ $ Supplies / Materials Travel / Transportation Promotion / Publicity Other Expenses: 1. office support 2. $39,140 $1,500 $1,500 $ $2,000 $ $ $ $1,200 $ $ $ TOTALS: $123,840 $1,500 PROGRAM/SERVICE PROPOSED INCOME Other Funding Available Grant Amount Requested Arroyo Grande Community Service Grant Amount Requested $1,500 Other Funding Sources: Other Public Grants $25,000 Private Foundations $ Corporation Contributions Concessions / Ticket Sales Promotion Sales / Advertisements (Other Cash) $ $83,520 $20,000 TOTALS: $128,520 $1,500 Item 11.a. - Page 184 ATTACHMENT D ARROYO GRANDE COMMUNITY SERVICE GRANT FUNDS AGREEMENT THIS ARROYO GRANDE COMMUNITY SERVICE GRANT FUNDS AGREEMENT (“Agreement”), is made and effective as of ____________, 2021 (the “Effective Date”), by and between the City of Arroyo Grande, a municipal corporation (“Grantor”), and the ___________________, a non-profit 501(c)(3) corporation (“Grantee”). RECITALS WHEREAS, Grantor has established the Arroyo Grande Community Service Grant Program to provide grant funding to local, non-profit 501c3 corporations that provide public service programs; and WHEREAS, on _______________, 2021, the Arroyo Grande City Council held a public hearing to consider the applications for the Arroyo Grande Community Service Grant Program; WHEREAS, Grantee is a local, non-profit 501c3 corporation that provides a public service program and was approved by the City Council for participation in the 2021 Arroyo Grande Community Service Grant Program. NOW, THEREFORE, in consideration of the mutual covenants and conditions set forth herein, the parties agree as follows: 1. TERM This Agreement shall commence on the Effective Date and shall remain and continue in effect until all requests for reimbursement described in Section 3 are processed, or unless sooner terminated pursuant to the provisions of this Agreement. 2. SERVICES (a) The Arroyo Grande Community Service Grant Program Application, attached hereto as “Exhibit A” and incorporated herein by this reference, identifies the description of community services to be performed by Grantee during the implementation of this Agreement. Grantee agrees that any funds received from Grantor may only be used to provide the community services set forth in Exhibit A. (b) community services set forth in Exhibit A: (1) Grantee will at all times during the duration of this Agreement operate Grantee agrees to the following requirements in administering the as a non-profit 501c3 corporation in good standing; (2) Provide services benefiting the City of Arroyo Grande; (3) Use funds provided by Grantor to directly provide a social service, educational, cultural, beautification or recreation program or project to Arroyo Grande residents and/or businesses; (4) Grantee will conduct or provide the community services itself rather than through a separate entity; Item 11.a. - Page 185 (5) Grantee will not restrict participants based upon race, religion, gender, sexual orientation, marital status, national origin, ancestry, disability medical condition, or age; and (6) Grantee will not use funds provided under this Agreement specifically for religious activities. 3. PAYMENT OF GRANT FUNDS (a) Grantee must maintain receipts for expenditures made in furtherance of the community services provided for in Exhibit A. Grantee must also prepare and submit to the City a report describing the relationship between the expenditure and the tasks and activities identified in Exhibit A. This report and the receipts described herein shall be submitted to the City with each request for reimbursement. (b) Grantee is eligible for reimbursement for approved expenditures in an amount not to exceed a total of $________. (c) All requests for reimbursement must be received by Grantor prior to June 30, 2021. 4. REIMBURSEMENT FOR IMPROPER EXPENDITURES If at any time it is determined by Grantor that funds provided for under this Agreement have been used by or on behalf of Grantee in a manner or for a purpose not authorized by this Agreement, Grantee hereby obligates itself, at the Grantor’s request, to pay to the Grantor an amount equal to one hundred percent of the amount improperly expended. This obligation shall survive termination of this Agreement. 5. STATUS Nothing in this Agreement is intended nor shall be construed to create an employer-employee relationship or a joint venture relationship between Grantor and Grantee. Neither Grantee nor any of Grantee’s agents, employees or contractors are or shall be considered to be agents or employees of Grantor in connection with the performance of Grantee’s obligations under this Agreement. 6. TERMINATION FOR CAUSE If Grantor determines that the Grantee has requested reimbursement for purposes that are not permitted or are prohibited under the terms and provisions of this Agreement, or if the Grantor determines that the Grantee has failed to fulfill its obligations under this Agreement in a timely and professional manner, or if the Grantee is in violation of the terms of this Agreement, then Grantor shall have the right to terminate this Agreement effective immediately upon giving written notice to Grantee. 2 Item 11.a. - Page 186 7. INDEMNIFICATION Grantee agrees to accept responsibility for loss or damage to any person or entity, and shall defend, indemnify and hold harmless Grantor, its officers, employees and agents from any and all claims and demands, liability, damages, costs, expenses, judgments (including, but not limited to attorney fees and expert witness costs) that may be asserted by any person or entity, including Grantee, arising out of or in connection with the performance by Grantee hereunder and/or the use of the City of Arroyo Grande Community Service Grant fund monies. 8. COMPLIANCE WITH LAW Grantee agrees to comply with all City of Arroyo Grande, Federal and State laws and regulations applicable to Grantee. In particular, Grantee agrees to comply with the terms and conditions contained in the City of Arroyo Grande 2017 Arroyo Grande Community Service Grant Program, which is attached hereto as Exhibit “B” and incorporated herein by this reference. 9. ASSIGNMENT Grantee shall not assign the performance of this Agreement, nor any part thereof, without the prior written consent of Grantor. 10. GOVERNING LAW Grantor and Grantee understand and agree that the laws of the State of California shall govern the rights, obligations, duties, and liabilities of the parties to this Agreement and also govern the interpretation of this Agreement. Any litigation concerning this Agreement shall take place in the superior or federal district court with jurisdiction over the City of Arroyo Grande. 11. ENTIRE AGREEMENT This Agreement contains the entire understanding between the parties relating to the obligations of the parties described in this Agreement. All prior or contemporaneous agreements, understandings, representations, and statements, either oral or written, are merged into this Agreement and shall be of no further force or effect. Each party is entering into this Agreement based solely upon the representations set forth herein and upon each party’s own independent investigation of any and all facts such party deems material. 12. AMENDMENTS Amendments to this Agreement shall be in writing and shall be made only with the mutual written consent of all of the parties to this Agreement. 3 Item 11.a. - Page 187 13. AUTHORITY TO EXECUTE THIS AGREEMENT The person or persons executing this Agreement on behalf of Grantee warrant and represent that he/she has the authority to execute this Agreement on behalf of the Grantee and has the authority to bind Grantee to the performance of its obligations hereunder. IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed the day and year first above written. GRANTOR GRANTEE By:____________________________ By: ________________ Whitney McDonald, City Manager Kenneth Miles Attachments: Exhibit A- Arroyo Grande Community Service Grant Program Application 4 Item 11.a. - Page 188 COMMUNITY SERVICE GRANT APPLICATION 2020-21 I. SUPPLEMENTAL DOCUMENTATION: Proof of 501(c)(3) status with a copy of the letter from the IRS. II. CERTIFICATION: I certify on behalf of _________________________________ non-profit organization, that I have read, understand and agree that the aforesaid information is accurate, factual and current. I understand that an award of funds, if granted, will be for the sole use as reflected in this application form. I further certify that as a condition of receiving funds, an agreement with the City of Arroyo Grande, in a form and content provided by the City of Arroyo Grande, will be signed and executed by a duly authorized representative of said non-profit organization. I am aware of and certify that our non-profit organization will adhere to all City regulations regarding the 2020-21 Community Service Grant Program including, but not limited to, maintaining non-discriminatory policies, practices and intent. I also, on behalf of our non-profit organization, agree to indemnify, defend, and hold harmless the City of Arroyo Grande relative to any and all liability that may arise as a result of the use of the City of Arroyo Grande Community Service Grant Fund monies. Date: _______________ Signature: ______________________________ Executive Director or Designee ______________________________ Board of Director or Officer Item 11.a. - Page 189 Arroyo Grande Community Service Grant Program Ranking Sheet NAME OF GRANT APPLICANT: Scoring Category Possible Points (100 total) Points Awarded Comments Meets minimum criteria? Is a non-profit (proof of 501(c)(3) status with copy of letter from IRS). Serves AG community. Use funds directly to provide a social service, educational, cultural, beautification or recreation program/project in AG. Doesn’t restrict participants based upon race, religion, gender, etc. Doesn’t use funds for religious activities. n/a n/a If the application does not meet the minimum criteria, the application is ineligible for grant funding. Complete application? Description of community services provided. Relationship of non-profit to the community. Membership information – approx. # of AG residents served. Amount of funds requested. Complete project description and budget plan. Past 2 years financial statements (profit/loss statements, % revenue used for administration, salaries and program costs). Information on annual sources of revenue received. 20 Responsiveness in clearly stating the benefits to be derived by the residents of AG. 20 # of AG residents by age group served by the non-profit (including geographic area(s) and total # of clients served by the non-profit). 10 Meals That Connect (Senior Nutrition Program) Item 11.a. - Page 190 NAME OF GRANT APPLICANT: Scoring Category Possible Points (100 total) Points Awarded Comments Non-profit’s history of providing community services to the residents of AG. 20 Non-profit’s financial need for grant funds to service AG residents. 20 Ability to complete project in a timely manner (preferably within 1 year of grant award). 10 Total Points: 100 Amount of Funding Requested: Amount of Funding Recommended: (a total of $0,000 is available with this grant program) Meals That Connect (Senior Nutrition Program) Item 11.a. - Page 191 ARROYO GRANDE COMMUNITY SERVICE GRANT PROGRAM GRANT APPLICATION FISCAL YEAR 2020-21 PROGRAM DESCRIPTION The 2020-21 Arroyo Grande Community Service Grant Program is intended to provide monetary grants to eligible community non-profit organizations. The City recognizes the value of such groups ZKLFK provide specialized social service, educational, cultural, beautification and recreation programs andSURMHFWV WKDWEHQHILW$UUR\R*UDQGHcitizens. Grants awarded will be in minimum amounts of not less than $250. Funding is limited to $50,000 for Grant Year 2020-21. ELIGIBILITY STANDARDS To be eligible to apply for grant monies under the City's 2020-21 Community Service *UDQW3URJUDP a community organization must satisfy the following standards: x Operate as a non-profit 501c3; x Serve the Arroyo Grande community; x Use funds to directly provide* a social service, educational, cultural, beautification or recreation program or project to Arroyo Grande residents and/or businesses; x Not restrict participants based upon race, religion, gender, sexual orientation, marital status, national origin, ancestry, disability, medical condition, or age; and x Not use grant monies specifically for religious activities. * "Directly provide" means that the community non-profit organization conducts the social service(s) or cultural program(s) itself rather than through a separate entity to which it sub-awards grant monies. Please provide all required information and attachments. Incomplete applications will be disqualified. APPLICATION PROCESS AND DEADLINE: All interested non-profit organizations must complete an application form, including the following: 1. Attachment A: Cover Sheet a. Organization/Agency Name (applicant is required to list the local branch if it represents a national or statewide organization) b. Program or Service Title c. Executive Director and Program Contact Person (if different) d. Physical Address and Mailing Address (if different) e. Phone Number f. Email Address(es) g. Amount of funds being requested h. If applicable, funds received in prior year (or most recent year when funds were received) i. A brief (50 words or less) description of the proposed program or service j. Indicate if your organization has been affected by COVID-19 Item 11.a. - Page 192 COMMUNITY SERVICE GRANT APPLICATION 2020-21 Attachment B: Program/Service Information DBriefly describe your organization and its mission. EHow is the program or service beneficial to Arroyo Grande residents? LHow is local need for this program/service determined? LLApproximate number of City of Arroyo Grande residents served by the non-profit organization. FDescribe your organizational capacity to successfully carry out the proposed activities (i.e. past performance and history of the organization will be considered to assess the agency’s prospects for achieving its goals and objectives). Attachment C: Scope of Work or Work Plan and Budget Worksheet Attachment D: Signed Agreement with the City of Arroyo Grande (to be fully executed upon grant award). Proof of 501(c)(3) status with a copy of the letter from the IRSDQGVLJQHGFHUWLILFDWLRQ VWDWHPHQW Wednesday, November 25, 2020 addressed to: City of Arroyo Grande Community Development Department Camilla Karamanlis, Program Analyst 300 E. Branch Street Arroyo Grande CA 93420 OR SUBMITTED ELECTRONICALLY TO ckaramanlis@arroyogrande.org Applications are encouraged to be submitted electronically. Electronic signatures are accepted. For questions please contact: Camilla Karamanlis Program Analyst (805) 473-5448 ckaramanlis@arroyogrande.org Completed applications forms, along with supplemental documents must be submitted by 5:00 p.m., 3OHDVHGRZQORDGDQGVDYHWKLVDSSOLFDWLRQSDFNHWWR\RXUFRPSXWHU7KLVLVDILOODEOH3')DQGDSSOLFDQWVDUH HQFRXUDJHGWRFRPSOHWHWKLVSDFNHWHOHFWURQLFDOO\$OWHUQDWLYHO\DSSOLFDQWVPD\SULQWDQGFRPSOHWHWKLV SDFNHWE\KDQGDQGHLWKHUVFDQDQGVXEPLWHOHFWURQLFDOO\WRWKHHPDLODGGUHVVDERYHRUPDLOWKHKDUGFRS\WR WKHDERYHOLVWHGDGGUHVV'XHWR&29,'ZHDUHQRWDFFHSWLQJDSSOLFDWLRQVLQSHUVRQ Item 11.a. - Page 193 COMMUNITY SERVICE GRANT APPLICATION 2020-21 ATTACHMENT A: COVER SHEET Organization/Agency Name: (local branch) Mailing Address: City:State:Zip: Physical Address: (if different from Mailing Address) City:State:Zip: Fund Amount Requested:$ Previous Funds Received?□Yes □No If Yes, Most Recent Year Received: Most Recent Amount Received: Tax ID Number: Please describe how your organization has been affected by COVID-19 (e.g. How has funding been impacted? Has your mission changed/expanded to address needs brought on by the virus?) Executive Director: Email Address: Phone Number: Grant Program Contact: (if different from Executive Director) Email Address: Phone Number: Program or Service Title: Brief description of the proposed program or service (50 words or less): Meals That Connect/Senior Nutrition Program 2180 Johnson Avenue San Luis Obispo CA 93401 same ■2020 $2500 770279528 Elias Nimeh elias@mealsthatconnect.org 805-541-3312 Juliane McAdam juliane@mealsthatconnect.org 310-490-0310 Meals That Connect/Senior Nutrition Program 10,000 Because of COVID-19, we had to close all of our dining rooms; all meals are being delivered to seniors' homes. The number of seniors requesting our meals has increased dramatically. In Arroyo Grande alone, last year we served 238 seniors; this year we served 297. Our costs have increased accordingly, both the increase in the amount of food and the number of the disposable trays required for home delivery. Senior donations have dropped significantly. We had to cancel our annual Night of a Million Meals fundraiser due to the virus. While we have received some additional funding because of the virus, it has not been sufficient to meet our growing financial needs. We will continue to serve free noontime meals, plus frozen meals for weekends, to the seniors in Arroyo Grande who request our service. Item 11.a. - Page 194 COMMUNITY SERVICE GRANT APPLICATION 2020-21 ATTACHMENT B: PROGRAM/SERVICE INFORMATION Organization Description (include summary of community services provided): Mission Statement: x Area(s) Served by Organization: How is the program or service beneficial to Arroyo Grande residents? Number of Arroyo Grande Residents Served: How is local need for this program or service determined? Describe your organizational capacity to successfully carry out the proposed activities. Number of Full Time Staff:Number of Part Time Staff: Number of Volunteers: 297 12 18 355 Meals That Connect provides free home-delivered meals to seniors age 60 and over. All food is prepared in bulk in our central kitchen in San Luis Obispo then delivered in refrigerated trucks to our dining sites. In Arroyo Grande, the meals are prepared for home delivery at the Central Coast Senior Center in Oceano and delivered by volunteers to seniors in Arroyo Grande. We provide meals five days a week plus frozen meals for the weekends. Our program staff includes our executive director, the kitchen manager, a registered dietitian, plus office and kitchen staff. We are overseen by a volunteer board of directors. We will enhance health, restore dignity, support independence, and reduce isolation for every San Luis Obispo County resident in need who is at least 60 years of age by providing meaningful connections and free, hot, noon-time meals delivered to community dining sites or at home. Our program operates 10 dining sites county-wide: Paso Robles, Atascadero, Santa Margarita, San Luis Obispo, Cambria, Morro Bay, Los Osos, Oceano (serving Arroyo Grande), and Nipomo. Our program is currently providing free, home-delivered noontime meals to 297 seniors in Arroyo Grande. These meals help seniors stay healthy and independent. Our program is alleviating food insecurity and financial insecurity among vulnerable seniors, while keeping them safe in their homes during the COVID-19 shutdown. Seniors can call our office to request our meals. Seniors are also referred to us by other agencies, including home health services, hospitals, and doctors offices. The fact that we are serving 20% more seniors in Arroyo Grande this year than last year shows that the need for our program is growing. Senior Nutrition Program/Meals That Connect has been serving the seniors in SLO County as a registered 501(c) (3) nonprofit since 1991. Our paid staff includes the executive director, kitchen manager, registered dietitian, bookkeeper, office staff, cooks, drivers, and site managers. We are overseen by a volunteer board of directors. We rely on 355 volunteers to deliver meals to seniors and to help pack out meals at the dining sites. Our monthly menus are approved by the Area Agency on Aging. Item 11.a. - Page 195 COMMUNITY SERVICE GRANT APPLICATION 2020-21 ATTACHMENT C: SCOPE/WORK PLAN AND BUDGET WORKSHEET Scope of Work or Work Plan When completing this worksheet, refer to the following questions: A.What are the objectives? What is the program or service aiming to accomplish? B.How will those goals be achieved, and in what timeframe? C.What is the evaluation methodology for measuring results? How can results be quantified and observed? D.Results should be meaningful, measurable, and demonstrate the difference the proposed project makes, or is intended to make, in the lives of the people within the program or receiving the service. E.Output results show the amount of work performed or services received. F.Outcomes show the quality of the performance and answer the questions: who is better off by providing this program or service? What percentage of residents are assisted or are benefitting from this program or service? Program/Service Objectives: Major Tasks to Complete (to achieve associated goal)Timeline Evaluation Methodology Program/Service OUTPUTS: Program/Service OUTCOMES: feed 300 Arroyo Grande seniors cook meals in central kitchen & deliver FY 2021 SAMS tracking in office assess clients for health & function send assessors to clients's homes FY 2021 client surveys; reports quarterly inspection of AG site written inspection reports FY 2021 review reports' accuracy 1. MTC will cook and serve meals to 300 senior clients in Arroyo Grande. All meals will be delivered to seniors' homes by trained volunteers. 2. All active clients to be assessed at the beginning of fiscal year for changes in their daily life. Home Delivered meal seniors assessed 4 times per year. 1. All senior clients receiving daily hot nutritious meals will likely be healthier than other seniors. 2. Due to assessments, referral services & nutrition education, seniors will be more likely to have a better chance of extended good health and less chance of depression. 3. All sites to pass detailed County Health inspections with 100% goal. Item 11.a. - Page 196 COMMUNITY SERVICE GRANT APPLICATION 2020-21 Budget Worksheet Complete this Worksheet for the specified program or service. PROGRAM/SERVICE PROPOSED EXPENSES Line Item Proposed Cost Grant Amount Requested Personnel Costs Other Salaries & Fees 1. 2. Equipment Supplies / Materials Travel / Transportation Promotion / Publicity Other Expenses: 1. 2. TOTALS: PROGRAM/SERVICE PROPOSED INCOME Other Funding Available Grant Amount Requested Arroyo Grande Community Service Grant Amount Requested Other Funding Sources: Other Public Grants Private Foundations Corporation Contributions Concessions / Ticket Sales Promotion Sales / Advertisements (Other Cash) TOTALS: $4,000 $ $0 $ $$ $$ $300 $ $2,500 $ $1,700 $ $0 $ $1,500 $ $$ $$ $10,000 $10,000 $10,000 $800,000 $145,000 $100,000 $50,000 $1,294 $1,096,294 $10,000 Item 11.a. - Page 197 ATTACHMENT D ARROYO GRANDE COMMUNITY SERVICE GRANT FUNDS AGREEMENT THIS ARROYO GRANDE COMMUNITY SERVICE GRANT FUNDS AGREEMENT (“Agreement”), is made and effective as of ____________, 2021 (the “Effective Date”), by and between the City of Arroyo Grande, a municipal corporation (“Grantor”), and the ___________________, a non-profit 501(c)(3) corporation (“Grantee”). RECITALS WHEREAS, Grantor has established the Arroyo Grande Community Service Grant Program to provide grant funding to local, non-profit 501c3 corporations that provide public service programs; and WHEREAS, on _______________, 2021, the Arroyo Grande City Council held a public hearing to consider the applications for the Arroyo Grande Community Service Grant Program; WHEREAS, Grantee is a local, non-profit 501c3 corporation that provides a public service program and was approved by the City Council for participation in the 2021 Arroyo Grande Community Service Grant Program. NOW, THEREFORE, in consideration of the mutual covenants and conditions set forth herein, the parties agree as follows: 1. TERM This Agreement shall commence on the Effective Date and shall remain and continue in effect until all requests for reimbursement described in Section 3 are processed, or unless sooner terminated pursuant to the provisions of this Agreement. 2. SERVICES (a) The Arroyo Grande Community Service Grant Program Application, attached hereto as “Exhibit A” and incorporated herein by this reference, identifies the description of community services to be performed by Grantee during the implementation of this Agreement. Grantee agrees that any funds received from Grantor may only be used to provide the community services set forth in Exhibit A. (b) Grantee agrees to the following requirements in administering the community services set forth in Exhibit A: (1) Grantee will at all times during the duration of this Agreement operate as a non-profit 501c3 corporation in good standing; (2) Provide services benefiting the City of Arroyo Grande; (3) Use funds provided by Grantor to directly provide a social service, educational, cultural, beautification or recreation program or project to Arroyo Grande residents and/or businesses; (4) Grantee will conduct or provide the community services itself rather than through a separate entity; Item 11.a. - Page 198 2 (5) Grantee will not restrict participants based upon race, religion, gender, sexual orientation, marital status, national origin, ancestry, disability medical condition, or age; and (6) Grantee will not use funds provided under this Agreement specifically for religious activities. 3. PAYMENT OF GRANT FUNDS (a) Grantee must maintain receipts for expenditures made in furtherance of the community services provided for in Exhibit A. Grantee must also prepare and submit to the City a report describing the relationship between the expenditure and the tasks and activities identified in Exhibit A. This report and the receipts described herein shall be submitted to the City with each request for reimbursement. (b) Grantee is eligible for reimbursement for approved expenditures in an amount not to exceed a total of $________. (c) All requests for reimbursement must be received by Grantor prior to June 30, 2021. 4. REIMBURSEMENT FOR IMPROPER EXPENDITURES If at any time it is determined by Grantor that funds provided for under this Agreement have been used by or on behalf of Grantee in a manner or for a purpose not authorized by this Agreement, Grantee hereby obligates itself, at the Grantor’s request, to pay to the Grantor an amount equal to one hundred percent of the amount improperly expended. This obligation shall survive termination of this Agreement. 5. STATUS Nothing in this Agreement is intended nor shall be construed to create an employer-employee relationship or a joint venture relationship between Grantor and Grantee. Neither Grantee nor any of Grantee’s agents, employees or contractors are or shall be considered to be agents or employees of Grantor in connection with the performance of Grantee’s obligations under this Agreement. 6. TERMINATION FOR CAUSE If Grantor determines that the Grantee has requested reimbursement for purposes that are not permitted or are prohibited under the terms and provisions of this Agreement, or if the Grantor determines that the Grantee has failed to fulfill its obligations under this Agreement in a timely and professional manner, or if the Grantee is in violation of the terms of this Agreement, then Grantor shall have the right to terminate this Agreement effective immediately upon giving written notice to Grantee. Item 11.a. - Page 199 3 7. INDEMNIFICATION Grantee agrees to accept responsibility for loss or damage to any person or entity, and shall defend, indemnify and hold harmless Grantor, its officers, employees and agents from any and all claims and demands, liability, damages, costs, expenses, judgments (including, but not limited to attorney fees and expert witness costs) that may be asserted by any person or entity, including Grantee, arising out of or in connection with the performance by Grantee hereunder and/or the use of the City of Arroyo Grande Community Service Grant fund monies. 8. COMPLIANCE WITH LAW Grantee agrees to comply with all City of Arroyo Grande, Federal and State laws and regulations applicable to Grantee. In particular, Grantee agrees to comply with the terms and conditions contained in the City of Arroyo Grande 2017 Arroyo Grande Community Service Grant Program, which is attached hereto as Exhibit “B” and incorporated herein by this reference. 9. ASSIGNMENT Grantee shall not assign the performance of this Agreement, nor any part thereof, without the prior written consent of Grantor. 10. GOVERNING LAW Grantor and Grantee understand and agree that the laws of the State of California shall govern the rights, obligations, duties, and liabilities of the parties to this Agreement and also govern the interpretation of this Agreement. Any litigation concerning this Agreement shall take place in the superior or federal district court with jurisdiction over the City of Arroyo Grande. 11. ENTIRE AGREEMENT This Agreement contains the entire understanding between the parties relating to the obligations of the parties described in this Agreement. All prior or contemporaneous agreements, understandings, representations, and statements, either oral or written, are merged into this Agreement and shall be of no further force or effect. Each party is entering into this Agreement based solely upon the representations set forth herein and upon each party’s own independent investigation of any and all facts such party deems material. 12. AMENDMENTS Amendments to this Agreement shall be in writing and shall be made only with the mutual written consent of all of the parties to this Agreement. Item 11.a. - Page 200 4 13. AUTHORITY TO EXECUTE THIS AGREEMENT The person or persons executing this Agreement on behalf of Grantee warrant and represent that he/she has the authority to execute this Agreement on behalf of the Grantee and has the authority to bind Grantee to the performance of its obligations hereunder. IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed the day and year first above written. GRANTOR GRANTEE By:____________________________ By: ___________________________ Whitney McDonald, City Manager Attachments: Exhibit A- Arroyo Grande Community Service Grant Program Application Item 11.a. - Page 201 ✔ Item 11.a. - Page 202 Item 11.a. - Page 203 Item 11.a. - Page 204 Item 11.a. - Page 205 Arroyo Grande Community Service Grant Program Ranking Sheet NAME OF GRANT APPLICANT: Scoring Category Possible Points (100 total) Points Awarded Comments Meets minimum criteria? Is a non-profit (proof of 501(c)(3) status with copy of letter from IRS). Serves AG community. Use funds directly to provide a social service, educational, cultural, beautification or recreation program/project in AG. Doesn’t restrict participants based upon race, religion, gender, etc. Doesn’t use funds for religious activities. n/a n/a If the application does not meet the minimum criteria, the application is ineligible for grant funding. Complete application? Description of community services provided. Relationship of non-profit to the community. Membership information – approx. # of AG residents served. Amount of funds requested. Complete project description and budget plan. Past 2 years financial statements (profit/loss statements, % revenue used for administration, salaries and program costs). Information on annual sources of revenue received. 20 Responsiveness in clearly stating the benefits to be derived by the residents of AG. 20 # of AG residents by age group served by the non-profit (including geographic area(s) and total # of clients served by the non-profit). 10 SLO County Housing Trust Fund Item 11.a. - Page 206 NAME OF GRANT APPLICANT: Scoring Category Possible Points (100 total) Points Awarded Comments Non-profit’s history of providing community services to the residents of AG. 20 Non-profit’s financial need for grant funds to service AG residents. 20 Ability to complete project in a timely manner (preferably within 1 year of grant award). 10 Total Points: 100 Amount of Funding Requested: Amount of Funding Recommended: (a total of $0,000 is available with this grant program) SLO County Housing Trust Fund Item 11.a. - Page 207 Item 11.a. - Page 208 Item 11.a. - Page 209 Item 11.a. - Page 210 Item 11.a. - Page 211 Item 11.a. - Page 212 Item 11.a. - Page 213 Item 11.a. - Page 214 Item 11.a. - Page 215 Item 11.a. - Page 216 Item 11.a. - Page 217 Arroyo Grande Community Service Grant Program Ranking Sheet NAME OF GRANT APPLICANT: Scoring Category Possible Points (100 total) Points Awarded Comments Meets minimum criteria? Is a non-profit (proof of 501(c)(3) status with copy of letter from IRS). Serves AG community. Use funds directly to provide a social service, educational, cultural, beautification or recreation program/project in AG. Doesn’t restrict participants based upon race, religion, gender, etc. Doesn’t use funds for religious activities. n/a n/a If the application does not meet the minimum criteria, the application is ineligible for grant funding. Complete application? Description of community services provided. Relationship of non-profit to the community. Membership information – approx. # of AG residents served. Amount of funds requested. Complete project description and budget plan. Past 2 years financial statements (profit/loss statements, % revenue used for administration, salaries and program costs). Information on annual sources of revenue received. 20 Responsiveness in clearly stating the benefits to be derived by the residents of AG. 20 # of AG residents by age group served by the non-profit (including geographic area(s) and total # of clients served by the non-profit). 10 South County Historical Society Item 11.a. - Page 218 NAME OF GRANT APPLICANT: Scoring Category Possible Points (100 total) Points Awarded Comments Non-profit’s history of providing community services to the residents of AG. 20 Non-profit’s financial need for grant funds to service AG residents. 20 Ability to complete project in a timely manner (preferably within 1 year of grant award). 10 Total Points: 100 Amount of Funding Requested: Amount of Funding Recommended: (a total of $0,000 is available with this grant program) South County Historical Society Item 11.a. - Page 219 ARROYO GRANDE COMMUNITY SERVICE GRANT PROGRAM GRANT APPLICATION FISCAL YEAR 2020-21 PROGRAM DESCRIPTION The 2020-21 Arroyo Grande Community Service Grant Program is intended to provide monetary grants to eligible community non-profit organizations. The City recognizes the value of such groups ZKLFK provide specialized social service, educational, cultural, beautification and recreation programs andSURMHFWV WKDWEHQHILW$UUR\R*UDQGHcitizens. Grants awarded will be in minimum amounts of not less than $250. Funding is limited to $50,000 for Grant Year 2020-21. ELIGIBILITY STANDARDS To be eligible to apply for grant monies under the City's 2020-21 Community Service *UDQW3URJUDP a community organization must satisfy the following standards: x Operate as a non-profit 501c3; x Serve the Arroyo Grande community; x Use funds to directly provide* a social service, educational, cultural, beautification or recreation program or project to Arroyo Grande residents and/or businesses; x Not restrict participants based upon race, religion, gender, sexual orientation, marital status, national origin, ancestry, disability, medical condition, or age; and x Not use grant monies specifically for religious activities. * "Directly provide" means that the community non-profit organization conducts the social service(s) or cultural program(s) itself rather than through a separate entity to which it sub-awards grant monies. Please provide all required information and attachments. Incomplete applications will be disqualified. APPLICATION PROCESS AND DEADLINE: All interested non-profit organizations must complete an application form, including the following: 1. Attachment A: Cover Sheet a. Organization/Agency Name (applicant is required to list the local branch if it represents a national or statewide organization) b. Program or Service Title c. Executive Director and Program Contact Person (if different) d. Physical Address and Mailing Address (if different) e. Phone Number f. Email Address(es) g. Amount of funds being requested h. If applicable, funds received in prior year (or most recent year when funds were received) i. A brief (50 words or less) description of the proposed program or service j. Indicate if your organization has been affected by COVID-19 Item 11.a. - Page 220 COMMUNITY SERVICE GRANT APPLICATION 2020-21 Attachment B: Program/Service Information DBriefly describe your organization and its mission. EHow is the program or service beneficial to Arroyo Grande residents? LHow is local need for this program/service determined? LLApproximate number of City of Arroyo Grande residents served by the non-profit organization. FDescribe your organizational capacity to successfully carry out the proposed activities (i.e. past performance and history of the organization will be considered to assess the agency’s prospects for achieving its goals and objectives). Attachment C: Scope of Work or Work Plan and Budget Worksheet Attachment D: Signed Agreement with the City of Arroyo Grande (to be fully executed upon grant award). Proof of 501(c)(3) status with a copy of the letter from the IRSDQGVLJQHGFHUWLILFDWLRQ VWDWHPHQW Wednesday, November 25, 2020 addressed to: City of Arroyo Grande Community Development Department Camilla Karamanlis, Program Analyst 300 E. Branch Street Arroyo Grande CA 93420 OR SUBMITTED ELECTRONICALLY TO ckaramanlis@arroyogrande.org Applications are encouraged to be submitted electronically. Electronic signatures are accepted. For questions please contact: Camilla Karamanlis Program Analyst (805) 473-5448 ckaramanlis@arroyogrande.org Completed applications forms, along with supplemental documents must be submitted by 5:00 p.m., 3OHDVHGRZQORDGDQGVDYHWKLVDSSOLFDWLRQSDFNHWWR\RXUFRPSXWHU7KLVLVDILOODEOH3')DQGDSSOLFDQWVDUH HQFRXUDJHGWRFRPSOHWHWKLVSDFNHWHOHFWURQLFDOO\$OWHUQDWLYHO\DSSOLFDQWVPD\SULQWDQGFRPSOHWHWKLV SDFNHWE\KDQGDQGHLWKHUVFDQDQGVXEPLWHOHFWURQLFDOO\WRWKHHPDLODGGUHVVDERYHRUPDLOWKHKDUGFRS\WR WKHDERYHOLVWHGDGGUHVV'XHWR&29,'ZHDUHQRWDFFHSWLQJDSSOLFDWLRQVLQSHUVRQ Item 11.a. - Page 221 COMMUNITY SERVICE GRANT APPLICATION 2020-21 ATTACHMENT A: COVER SHEET Organization/Agency Name: (local branch) Mailing Address: City:State:Zip: Physical Address: (if different from Mailing Address) City:State:Zip: Fund Amount Requested:$ Previous Funds Received?□Yes □No If Yes, Most Recent Year Received: Most Recent Amount Received: Tax ID Number: Please describe how your organization has been affected by COVID-19 (e.g. How has funding been impacted? Has your mission changed/expanded to address needs brought on by the virus?) Executive Director: Email Address: Phone Number: Grant Program Contact: (if different from Executive Director) Email Address: Phone Number: Program or Service Title: Brief description of the proposed program or service (50 words or less): South County Historical Society P.O. Box 633 Arroyo Grande CA 93421 126 South Mason Street Arroyo Grande CA 93420 ■2015 $1,000 95-3539454 Gary L. Hoving sloghov@aol.com 805-929-3106 James Gregory jdouglassgregory@gmail.com 805-440-9153 Community History Services 5,500 The COVID-19 has closed our community operation barring the ability to conduct fundraising. The emergency declarations have prohibited our rental income from weddings, funerals and society functions for fear of spreading the disease. In addition, the annual Antique Show which provides a major percentage of our income, has been prohibited and canceled for February, 2021. All other fundraising efforts have resulted in the same fate including summer concert series concessions, rummage sale, and book sale at community events. The impact of COVID-19 has eliminated our self-sustainability blocking all fundraising efforts other than membership dues and direct donations. Yet, the majority of our expenses continue regardless of community access. The mission remains the same but the virus has financially crippled our organization. The proposed program will continue the free community history programs through theater, museums, readings and presentations. In addition it will preserve access to the community's history research library by rehabilitation of the historic building and preserving the exterior for all to enjoy in the future. Item 11.a. - Page 222 COMMUNITY SERVICE GRANT APPLICATION 2020-21 ATTACHMENT B: PROGRAM/SERVICE INFORMATION Organization Description (include summary of community services provided): Mission Statement: x Area(s) Served by Organization: How is the program or service beneficial to Arroyo Grande residents? Number of Arroyo Grande Residents Served: How is local need for this program or service determined? Describe your organizational capacity to successfully carry out the proposed activities. Number of Full Time Staff:Number of Part Time Staff: Number of Volunteers: 10,000 annual 01 100 The South County Historical Society operates from six buildings in Arroyo Grande to preserve, display and present our local history to the community. Five of the building used in the operation are themselves historic buildings. The primary structures housing our museums consist of The Heritage House, the Barn Museum, The Santa Manuela Schoolhouse and the Paulding History House. The community history library is contained in a restored home affectionately known as "Ruby's House". Our IOOF Lodge building serves as our community meeting area, theater for historic plays and informational presentations and also serves as our repository for an extensive artifact and archive collection. The mission statement of the South County Historical Society is "Serving the Public Trust by Preserving Local History". Located in Arroyo Grande, we do focus on the preservation of history for the entire South San Luis Obispo County. However, all of our programs and services are located in the City of Arroyo Grande. A cultural awareness promotes a feeling of ownership as a citizen or visitor. Learning the lessons of history through visiting museums, presentations, and visualizing the life circumstances of the past all lead to a better understanding or our community offered to all without charge by the South County Historical Society. Much of the need for our historic services is driven by attendance. With the annual number of visitors at 10,000 people for museums and events, we offer the opportunity to enjoy and interpret history though the community historic core surrounding Heritage Park. These programs increase tourism impacting the businesses and sales tax revenue for the city. Following a grass-roots format, the historical society has successfully operated with one half-time employee with the bulk of the services provided by unpaid volunteers. Each program has a group of designated volunteers who pool together for large scale events such as the annual Antique Show. As our programs require, we maintain a large number of society members to draw upon to increase our available volunteers which has been a successful recipe for many years. The maintenance component of the grant request will need to be contracted with a professional carpenter/builder. Item 11.a. - Page 223 COMMUNITY SERVICE GRANT APPLICATION 2020-21 ATTACHMENT C: SCOPE/WORK PLAN AND BUDGET WORKSHEET Scope of Work or Work Plan When completing this worksheet, refer to the following questions: A.What are the objectives? What is the program or service aiming to accomplish? B.How will those goals be achieved, and in what timeframe? C.What is the evaluation methodology for measuring results? How can results be quantified and observed? D.Results should be meaningful, measurable, and demonstrate the difference the proposed project makes, or is intended to make, in the lives of the people within the program or receiving the service. E.Output results show the amount of work performed or services received. F.Outcomes show the quality of the performance and answer the questions: who is better off by providing this program or service? What percentage of residents are assisted or are benefitting from this program or service? Program/Service Objectives: Major Tasks to Complete (to achieve associated goal)Timeline Evaluation Methodology Program/Service OUTPUTS: Program/Service OUTCOMES: Rehabilitation of Research Library Repair front steps/porch/rails of Library 3 months 100% repair accomplished Community Historic Presentations Organize programming/prep to reopen 12 months Present to 10,000 visitors Building Rehabilitation: The front access will be rebuilt and painted to ensure safe access by all visitors, particularly our seniors, within three months by a licensed contractor. Historic Programs: Project will restore historic presentation visitors to pre-COVID attendance levels to continue community interaction led by docents and experts during the twelve month period at plays, museums and forums. Building Rehabilitation: The outcome for the rehabilitation project is to create a safe access for 100% of the visitors to Ruby's House research library with stable stairs, replaced handrails and protective paint. Historic Programs: Programs will increase the understanding of local history by 75% of attendees measuring the increased knowledge and appreciation through the implementation of a voluntary survey at museums and presentations. All residents, visitors and business are welcome to attend any of our programs at no cost. Item 11.a. - Page 224 COMMUNITY SERVICE GRANT APPLICATION 2020-21 Budget Worksheet Complete this Worksheet for the specified program or service. PROGRAM/SERVICE PROPOSED EXPENSES Line Item Proposed Cost Grant Amount Requested Personnel Costs Other Salaries & Fees 1. 2. Equipment Supplies / Materials Travel / Transportation Promotion / Publicity Other Expenses: 1. 2. TOTALS: PROGRAM/SERVICE PROPOSED INCOME Other Funding Available Grant Amount Requested Arroyo Grande Community Service Grant Amount Requested Other Funding Sources: Other Public Grants Private Foundations Corporation Contributions Concessions / Ticket Sales Promotion Sales / Advertisements (Other Cash) TOTALS: $ $$ $$ $$ $$ $$ $$ $$ $$ $ 7,000 $ 3,500 $ 4,000 $ 2,000 $ 11,000 $ 5,500 $5,500 $0 $0 $0 $ $ 5,500 $5,500 $5,500 Rehabilitation of hisory research library Community Historic Presentations Item 11.a. - Page 225 ATTACHMENT D ARROYO GRANDE COMMUNITY SERVICE GRANT FUNDS AGREEMENT THIS ARROYO GRANDE COMMUNITY SERVICE GRANT FUNDS AGREEMENT (“Agreement”), is made and effective as of ____________, 2021 (the “Effective Date”), by and between the City of Arroyo Grande, a municipal corporation (“Grantor”), and the ___________________, a non-profit 501(c)(3) corporation (“Grantee”). RECITALS WHEREAS, Grantor has established the Arroyo Grande Community Service Grant Program to provide grant funding to local, non-profit 501c3 corporations that provide public service programs; and WHEREAS, on _______________, 2021, the Arroyo Grande City Council held a public hearing to consider the applications for the Arroyo Grande Community Service Grant Program; WHEREAS, Grantee is a local, non-profit 501c3 corporation that provides a public service program and was approved by the City Council for participation in the 2021 Arroyo Grande Community Service Grant Program. NOW, THEREFORE, in consideration of the mutual covenants and conditions set forth herein, the parties agree as follows: 1. TERM This Agreement shall commence on the Effective Date and shall remain and continue in effect until all requests for reimbursement described in Section 3 are processed, or unless sooner terminated pursuant to the provisions of this Agreement. 2. SERVICES (a) The Arroyo Grande Community Service Grant Program Application, attached hereto as “Exhibit A” and incorporated herein by this reference, identifies the description of community services to be performed by Grantee during the implementation of this Agreement. Grantee agrees that any funds received from Grantor may only be used to provide the community services set forth in Exhibit A. (b) Grantee agrees to the following requirements in administering the community services set forth in Exhibit A: (1) Grantee will at all times during the duration of this Agreement operate as a non-profit 501c3 corporation in good standing; (2) Provide services benefiting the City of Arroyo Grande; (3) Use funds provided by Grantor to directly provide a social service, educational, cultural, beautification or recreation program or project to Arroyo Grande residents and/or businesses; (4) Grantee will conduct or provide the community services itself rather than through a separate entity; Item 11.a. - Page 226 2 (5) Grantee will not restrict participants based upon race, religion, gender, sexual orientation, marital status, national origin, ancestry, disability medical condition, or age; and (6) Grantee will not use funds provided under this Agreement specifically for religious activities. 3. PAYMENT OF GRANT FUNDS (a) Grantee must maintain receipts for expenditures made in furtherance of the community services provided for in Exhibit A. Grantee must also prepare and submit to the City a report describing the relationship between the expenditure and the tasks and activities identified in Exhibit A. This report and the receipts described herein shall be submitted to the City with each request for reimbursement. (b) Grantee is eligible for reimbursement for approved expenditures in an amount not to exceed a total of $________. (c) All requests for reimbursement must be received by Grantor prior to June 30, 2021. 4. REIMBURSEMENT FOR IMPROPER EXPENDITURES If at any time it is determined by Grantor that funds provided for under this Agreement have been used by or on behalf of Grantee in a manner or for a purpose not authorized by this Agreement, Grantee hereby obligates itself, at the Grantor’s request, to pay to the Grantor an amount equal to one hundred percent of the amount improperly expended. This obligation shall survive termination of this Agreement. 5. STATUS Nothing in this Agreement is intended nor shall be construed to create an employer-employee relationship or a joint venture relationship between Grantor and Grantee. Neither Grantee nor any of Grantee’s agents, employees or contractors are or shall be considered to be agents or employees of Grantor in connection with the performance of Grantee’s obligations under this Agreement. 6. TERMINATION FOR CAUSE If Grantor determines that the Grantee has requested reimbursement for purposes that are not permitted or are prohibited under the terms and provisions of this Agreement, or if the Grantor determines that the Grantee has failed to fulfill its obligations under this Agreement in a timely and professional manner, or if the Grantee is in violation of the terms of this Agreement, then Grantor shall have the right to terminate this Agreement effective immediately upon giving written notice to Grantee. Item 11.a. - Page 227 3 7. INDEMNIFICATION Grantee agrees to accept responsibility for loss or damage to any person or entity, and shall defend, indemnify and hold harmless Grantor, its officers, employees and agents from any and all claims and demands, liability, damages, costs, expenses, judgments (including, but not limited to attorney fees and expert witness costs) that may be asserted by any person or entity, including Grantee, arising out of or in connection with the performance by Grantee hereunder and/or the use of the City of Arroyo Grande Community Service Grant fund monies. 8. COMPLIANCE WITH LAW Grantee agrees to comply with all City of Arroyo Grande, Federal and State laws and regulations applicable to Grantee. In particular, Grantee agrees to comply with the terms and conditions contained in the City of Arroyo Grande 2017 Arroyo Grande Community Service Grant Program, which is attached hereto as Exhibit “B” and incorporated herein by this reference. 9. ASSIGNMENT Grantee shall not assign the performance of this Agreement, nor any part thereof, without the prior written consent of Grantor. 10. GOVERNING LAW Grantor and Grantee understand and agree that the laws of the State of California shall govern the rights, obligations, duties, and liabilities of the parties to this Agreement and also govern the interpretation of this Agreement. Any litigation concerning this Agreement shall take place in the superior or federal district court with jurisdiction over the City of Arroyo Grande. 11. ENTIRE AGREEMENT This Agreement contains the entire understanding between the parties relating to the obligations of the parties described in this Agreement. All prior or contemporaneous agreements, understandings, representations, and statements, either oral or written, are merged into this Agreement and shall be of no further force or effect. Each party is entering into this Agreement based solely upon the representations set forth herein and upon each party’s own independent investigation of any and all facts such party deems material. 12. AMENDMENTS Amendments to this Agreement shall be in writing and shall be made only with the mutual written consent of all of the parties to this Agreement. Item 11.a. - Page 228 4 13. AUTHORITY TO EXECUTE THIS AGREEMENT The person or persons executing this Agreement on behalf of Grantee warrant and represent that he/she has the authority to execute this Agreement on behalf of the Grantee and has the authority to bind Grantee to the performance of its obligations hereunder. IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed the day and year first above written. GRANTOR GRANTEE By:____________________________ By: ___________________________ Whitney McDonald, City Manager Attachments: Exhibit A- Arroyo Grande Community Service Grant Program Application Item 11.a. - Page 229 COMMUNITY SERVICE GRANT APPLICATION 2020-21 I. SUPPLEMENTAL DOCUMENTATION: Proof of 501(c)(3) status with a copy of the letter from the IRS. II.CERTIFICATION: I certify on behalf of _________________________________ non-profit organization, that I have read, understand and agree that the aforesaid information is accurate, factual and current. I understand that an award of funds, if granted, will be for the sole use as reflected in this application form. I further certify that as a condition of receiving funds, an agreement with the City of Arroyo Grande, in a form and content provided by the City of Arroyo Grande, will be signed and executed by a duly authorized representative of said non-profit organization. I am aware of and certify that our non-profit organization will adhere to all City regulations regarding the 2020Community Service Grant Program including, but not limited to, maintaining non-discriminatory policies, practices and intent. I also, on behalf of our non-profit organization, DJUHH WRindemnify, defend, and hold harmless the City of Arroyo Grande relative to any and all liability that may arise as a result of the use of the City of Arroyo Grande Community Service Grant Fund monies. Date: _______________ Signature: ______________________________ Executive Director or Designee ______________________________ Board of Director or Officer ✔ South County Historical Society 11/24/20 Item 11.a. - Page 230 Item 11.a. - Page 231 South County Historical Society Museum Program Visitors Program 2018 2019 2020 Hisoric Plays 277 169 Closed Covid Barn Museum 5,014 4,978 Closed Covid School House Museum 5,008 4,526 Closed Covid Chrismas in Village 106 103 Closed Covid Historic Presentations 68 Closed Covid 10,405 9,844 - 20,249 Item 11.a. - Page 232 Arroyo Grande Community Service Grant Program Ranking Sheet NAME OF GRANT APPLICANT: Scoring Category Possible Points (100 total) Points Awarded Comments Meets minimum criteria? Is a non-profit (proof of 501(c)(3) status with copy of letter from IRS). Serves AG community. Use funds directly to provide a social service, educational, cultural, beautification or recreation program/project in AG. Doesn’t restrict participants based upon race, religion, gender, etc. Doesn’t use funds for religious activities. n/a n/a If the application does not meet the minimum criteria, the application is ineligible for grant funding. Complete application? Description of community services provided. Relationship of non-profit to the community. Membership information – approx. # of AG residents served. Amount of funds requested. Complete project description and budget plan. Past 2 years financial statements (profit/loss statements, % revenue used for administration, salaries and program costs). Information on annual sources of revenue received. 20 Responsiveness in clearly stating the benefits to be derived by the residents of AG. 20 # of AG residents by age group served by the non-profit (including geographic area(s) and total # of clients served by the non-profit). 10 South County Youth Coalition Item 11.a. - Page 233 NAME OF GRANT APPLICANT: Scoring Category Possible Points (100 total) Points Awarded Comments Non-profit’s history of providing community services to the residents of AG. 20 Non-profit’s financial need for grant funds to service AG residents. 20 Ability to complete project in a timely manner (preferably within 1 year of grant award). 10 Total Points: 100 Amount of Funding Requested: Amount of Funding Recommended: (a total of $0,000 is available with this grant program) South County Youth Coalition Item 11.a. - Page 234 Item 11.a. - Page 235 Item 11.a. - Page 236 Item 11.a. - Page 237 Item 11.a. - Page 238 Item 11.a. - Page 239 Item 11.a. - Page 240 Item 11.a. - Page 241 Item 11.a. - Page 242 Item 11.a. - Page 243 Item 11.a. - Page 244 Item 11.a. - Page 245 Item 11.a. - Page 246 Item 11.a. - Page 247 Arroyo Grande Community Service Grant Program Ranking Sheet NAME OF GRANT APPLICANT: Scoring Category Possible Points (100 total) Points Awarded Comments Meets minimum criteria? Is a non-profit (proof of 501(c)(3) status with copy of letter from IRS). Serves AG community. Use funds directly to provide a social service, educational, cultural, beautification or recreation program/project in AG. Doesn’t restrict participants based upon race, religion, gender, etc. Doesn’t use funds for religious activities. n/a n/a If the application does not meet the minimum criteria, the application is ineligible for grant funding. Complete application? Description of community services provided. Relationship of non-profit to the community. Membership information – approx. # of AG residents served. Amount of funds requested. Complete project description and budget plan. Past 2 years financial statements (profit/loss statements, % revenue used for administration, salaries and program costs). Information on annual sources of revenue received. 20 Responsiveness in clearly stating the benefits to be derived by the residents of AG. 20 # of AG residents by age group served by the non-profit (including geographic area(s) and total # of clients served by the non-profit). 10 United Methodist Children's Center Item 11.a. - Page 248 NAME OF GRANT APPLICANT: Scoring Category Possible Points (100 total) Points Awarded Comments Non-profit’s history of providing community services to the residents of AG. 20 Non-profit’s financial need for grant funds to service AG residents. 20 Ability to complete project in a timely manner (preferably within 1 year of grant award). 10 Total Points: 100 Amount of Funding Requested: Amount of Funding Recommended: (a total of $0,000 is available with this grant program) United Methodist Children's Center Item 11.a. - Page 249 ARROYO GRANDE COMMUNITY SERVICE GRANT PROGRAM GRANT APPLICATION FISCAL YEAR 2020-21 PROGRAM DESCRIPTION The 2020-21 Arroyo Grande Community Service Grant Program is intended to provide monetary grants to eligible community non-profit organizations. The City recognizes the value of such groups ZKLFK provide specialized social service, educational, cultural, beautification and recreation programs andSURMHFWV WKDWEHQHILW$UUR\R*UDQGHcitizens. Grants awarded will be in minimum amounts of not less than $250. Funding is limited to $50,000 for Grant Year 2020-21. ELIGIBILITY STANDARDS To be eligible to apply for grant monies under the City's 2020-21 Community Service *UDQW3URJUDP a community organization must satisfy the following standards: x Operate as a non-profit 501c3; x Serve the Arroyo Grande community; x Use funds to directly provide* a social service, educational, cultural, beautification or recreation program or project to Arroyo Grande residents and/or businesses; x Not restrict participants based upon race, religion, gender, sexual orientation, marital status, national origin, ancestry, disability, medical condition, or age; and x Not use grant monies specifically for religious activities. * "Directly provide" means that the community non-profit organization conducts the social service(s) or cultural program(s) itself rather than through a separate entity to which it sub-awards grant monies. Please provide all required information and attachments. Incomplete applications will be disqualified. APPLICATION PROCESS AND DEADLINE: All interested non-profit organizations must complete an application form, including the following: 1. Attachment A: Cover Sheet a. Organization/Agency Name (applicant is required to list the local branch if it represents a national or statewide organization) b. Program or Service Title c. Executive Director and Program Contact Person (if different) d. Physical Address and Mailing Address (if different) e. Phone Number f. Email Address(es) g. Amount of funds being requested h. If applicable, funds received in prior year (or most recent year when funds were received) i. A brief (50 words or less) description of the proposed program or service j. Indicate if your organization has been affected by COVID-19 Item 11.a. - Page 250 COMMUNITY SERVICE GRANT APPLICATION 2020-21 Attachment B: Program/Service Information DBriefly describe your organization and its mission. EHow is the program or service beneficial to Arroyo Grande residents? LHow is local need for this program/service determined? LLApproximate number of City of Arroyo Grande residents served by the non-profit organization. FDescribe your organizational capacity to successfully carry out the proposed activities (i.e. past performance and history of the organization will be considered to assess the agency’s prospects for achieving its goals and objectives). Attachment C: Scope of Work or Work Plan and Budget Worksheet Attachment D: Signed Agreement with the City of Arroyo Grande (to be fully executed upon grant award). Proof of 501(c)(3) status with a copy of the letter from the IRSDQGVLJQHGFHUWLILFDWLRQ VWDWHPHQW Wednesday, November 25, 2020 addressed to: City of Arroyo Grande Community Development Department Camilla Karamanlis, Program Analyst 300 E. Branch Street Arroyo Grande CA 93420 OR SUBMITTED ELECTRONICALLY TO ckaramanlis@arroyogrande.org Applications are encouraged to be submitted electronically. Electronic signatures are accepted. For questions please contact: Camilla Karamanlis Program Analyst (805) 473-5448 ckaramanlis@arroyogrande.org Completed applications forms, along with supplemental documents must be submitted by 5:00 p.m., 3OHDVHGRZQORDGDQGVDYHWKLVDSSOLFDWLRQSDFNHWWR\RXUFRPSXWHU7KLVLVDILOODEOH3')DQGDSSOLFDQWVDUH HQFRXUDJHGWRFRPSOHWHWKLVSDFNHWHOHFWURQLFDOO\$OWHUQDWLYHO\DSSOLFDQWVPD\SULQWDQGFRPSOHWHWKLV SDFNHWE\KDQGDQGHLWKHUVFDQDQGVXEPLWHOHFWURQLFDOO\WRWKHHPDLODGGUHVVDERYHRUPDLOWKHKDUGFRS\WR WKHDERYHOLVWHGDGGUHVV'XHWR&29,'ZHDUHQRWDFFHSWLQJDSSOLFDWLRQVLQSHUVRQ Item 11.a. - Page 251 COMMUNITY SERVICE GRANT APPLICATION 2020-21 ATTACHMENT A: COVER SHEET Organization/Agency Name: (local branch) Mailing Address: City:State:Zip: Physical Address: (if different from Mailing Address) City:State:Zip: Fund Amount Requested:$ Previous Funds Received?□Yes □No If Yes, Most Recent Year Received: Most Recent Amount Received: Tax ID Number: Please describe how your organization has been affected by COVID-19 (e.g. How has funding been impacted? Has your mission changed/expanded to address needs brought on by the virus?) Executive Director: Email Address: Phone Number: Grant Program Contact: (if different from Executive Director) Email Address: Phone Number: Program or Service Title: Brief description of the proposed program or service (50 words or less): Arroyo Grande United Methodist Children's Center 275 North Halcyon Arroyo Grande CA 93420 ■ 87-0790518 Maddy Quaglino agumcc@sbcglobal.net 805-481-2223 Arroyo Grande United Methodist Children's Center 36000 Our mission has not changed; but we have added multiple COVID-19 safety precautions. The Arroyo Grande United Methodist Children's Center (AGUMCC) closed since March 18, 2020 while staff worked through April 10, 2020 to clean, sanitize and change over classrooms for when school returned. A Plan of Action Application to Re-Open has been completed, staff training and parent Orientation Information Packets have been developed so staff and families feel informed and confident their safety has been put first. A new check-in/check-out process for parents/children offers more safety for our children and staff. AGUMCC reopened September 21, 2020. We have approximately 25 children enrolled with a full capacity of 41; half of the 25 children are part-time. COVID restrictions for staffing and cohorts of children, low enrollment, increased cost of staffing to manage the cleaning guidelines we are not able to make payroll from month to month since re-opening. Our purpose is to provide quality childcare to families of children 18 months - 5 years of age. We offer a low child to teacher ratio with staff that is dedicated to fostering a healthy, safe and nurturing environment. Our goal is to develop age appropriate learning experiences both inside and outside the classroom. All famlies are welcome to participate in our program as we respect diverse religions and cultures while perserving our own Christian identity Item 11.a. - Page 252 COMMUNITY SERVICE GRANT APPLICATION 2020-21 ATTACHMENT B: PROGRAM/SERVICE INFORMATION Organization Description (include summary of community services provided): Mission Statement: x Area(s) Served by Organization: How is the program or service beneficial to Arroyo Grande residents? Number of Arroyo Grande Residents Served: How is local need for this program or service determined? Describe your organizational capacity to successfully carry out the proposed activities. Number of Full Time Staff:Number of Part Time Staff: Number of Volunteers: 13 61 5 The goal of the Arroyo Grande United Methodist Children's Center (AGUMCC) is to provide a safe, enriched, nuturing, and learning environment for children ages 18 months to 5 years old. We value each child and foser famkly relationships, promote a child's self-directon, encourage them to take responsibility for their actions, develp the abilty to express their needs to others, achieve a healthy self-esteem, respect others, their family, peers, teachers and God. It is our goal to help children achieve a solid well-rounded foundation of social and emotional, fine and gross motor skills, as well as cognitive development for future academic success. The AGUMCC mission is to Embrace, Educate, and Enhance the future development of each child in our program. Shell Beach, Pismo Beach, Grover Beach, Arroyo Grande, Nipomo, Santa Maria, and Oceano The AGUMCC offers full and part time child care services in a nuturing, safe envornoment promoting learning, self-esteem and a solid foundation for future academics. According to the needs assessment in 2005 for the county of San Luis Obispo it was determined there was and still is a need for childcare. The AGUMCC is currently engaged in a number of options to increase enrollment utilizing parent support, sending out a "Friends of the Children's Center" letter to garner donations to the community at large and members of the congregation (and notify of the need to increase enrollment )and a See's Candy drive to purchase needed supplies for the classroom which will subsidize the budget until full enrollment. The AGUMCC Board continues to meet reviewing monthly expenditures and providing input for fundraising efforts; monthly staff meetings to inform staff of current ideas for child guidance, fund-raising activities, parent communication and envolvement and current openings for children's enrollment opportunities. Item 11.a. - Page 253 COMMUNITY SERVICE GRANT APPLICATION 2020-21 ATTACHMENT C: SCOPE/WORK PLAN AND BUDGET WORKSHEET Scope of Work or Work Plan When completing this worksheet, refer to the following questions: A.What are the objectives? What is the program or service aiming to accomplish? B.How will those goals be achieved, and in what timeframe? C.What is the evaluation methodology for measuring results? How can results be quantified and observed? D.Results should be meaningful, measurable, and demonstrate the difference the proposed project makes, or is intended to make, in the lives of the people within the program or receiving the service. E.Output results show the amount of work performed or services received. F.Outcomes show the quality of the performance and answer the questions: who is better off by providing this program or service? What percentage of residents are assisted or are benefitting from this program or service? Program/Service Objectives: Major Tasks to Complete (to achieve associated goal)Timeline Evaluation Methodology Program/Service OUTPUTS: Program/Service OUTCOMES: Add ten fulltime children to enrollment See's Candy fundraiser for school supplies 12/4/2020 Increased enrollment Friends of the Children's Center 1/31/2021 Increased enrollment Other donations 2/28/2021 Increased enrollment Continue to provide low child to teacher ratio. Maintain and/or increase fundraising for SEE's candy, Friends of the Children's Center, Tri-Tip BBQ (based on COVID restrictions) to offset expenses. Promote through teachers, parents and communty-at-large availability of open slots in enrollment. Expected outcomes will be to increase enrollment by ten children by March 31, 2021 Item 11.a. - Page 254 COMMUNITY SERVICE GRANT APPLICATION 2020-21 Budget Worksheet Complete this Worksheet for the specified program or service. PROGRAM/SERVICE PROPOSED EXPENSES Line Item Proposed Cost Grant Amount Requested Personnel Costs Other Salaries & Fees 1. 2. Equipment Supplies / Materials Travel / Transportation Promotion / Publicity Other Expenses: 1. 2. TOTALS: PROGRAM/SERVICE PROPOSED INCOME Other Funding Available Grant Amount Requested Arroyo Grande Community Service Grant Amount Requested Other Funding Sources: Other Public Grants Private Foundations Corporation Contributions Concessions / Ticket Sales Promotion Sales / Advertisements (Other Cash) TOTALS: $$ $$ $105,936 $36,000 $1,240 $ $3,973.76 $ $4,834.20 $ $$ $$ $$ $453 $ $24 $ $116,460.96 $36,000 $36,000 $ $4,000 $3,333 $3,400 $59,528 $70,261 $36,000 Director and teachers Bookkeeper Utilities Security Item 11.a. - Page 255 ATTACHMENT D ARROYO GRANDE COMMUNITY SERVICE GRANT FUNDS AGREEMENT THIS ARROYO GRANDE COMMUNITY SERVICE GRANT FUNDS AGREEMENT (“Agreement”), is made and effective as of ____________, 2021 (the “Effective Date”), by and between the City of Arroyo Grande, a municipal corporation (“Grantor”), and the ___________________, a non-profit 501(c)(3) corporation (“Grantee”). RECITALS WHEREAS, Grantor has established the Arroyo Grande Community Service Grant Program to provide grant funding to local, non-profit 501c3 corporations that provide public service programs; and WHEREAS, on _______________, 2021, the Arroyo Grande City Council held a public hearing to consider the applications for the Arroyo Grande Community Service Grant Program; WHEREAS, Grantee is a local, non-profit 501c3 corporation that provides a public service program and was approved by the City Council for participation in the 2021 Arroyo Grande Community Service Grant Program. NOW, THEREFORE, in consideration of the mutual covenants and conditions set forth herein, the parties agree as follows: 1. TERM This Agreement shall commence on the Effective Date and shall remain and continue in effect until all requests for reimbursement described in Section 3 are processed, or unless sooner terminated pursuant to the provisions of this Agreement. 2. SERVICES (a) The Arroyo Grande Community Service Grant Program Application, attached hereto as “Exhibit A” and incorporated herein by this reference, identifies the description of community services to be performed by Grantee during the implementation of this Agreement. Grantee agrees that any funds received from Grantor may only be used to provide the community services set forth in Exhibit A. (b) Grantee agrees to the following requirements in administering the community services set forth in Exhibit A: (1) Grantee will at all times during the duration of this Agreement operate as a non-profit 501c3 corporation in good standing; (2) Provide services benefiting the City of Arroyo Grande; (3) Use funds provided by Grantor to directly provide a social service, educational, cultural, beautification or recreation program or project to Arroyo Grande residents and/or businesses; (4) Grantee will conduct or provide the community services itself rather than through a separate entity; Item 11.a. - Page 256 2 (5) Grantee will not restrict participants based upon race, religion, gender, sexual orientation, marital status, national origin, ancestry, disability medical condition, or age; and (6) Grantee will not use funds provided under this Agreement specifically for religious activities. 3. PAYMENT OF GRANT FUNDS (a) Grantee must maintain receipts for expenditures made in furtherance of the community services provided for in Exhibit A. Grantee must also prepare and submit to the City a report describing the relationship between the expenditure and the tasks and activities identified in Exhibit A. This report and the receipts described herein shall be submitted to the City with each request for reimbursement. (b) Grantee is eligible for reimbursement for approved expenditures in an amount not to exceed a total of $________. (c) All requests for reimbursement must be received by Grantor prior to June 30, 2021. 4. REIMBURSEMENT FOR IMPROPER EXPENDITURES If at any time it is determined by Grantor that funds provided for under this Agreement have been used by or on behalf of Grantee in a manner or for a purpose not authorized by this Agreement, Grantee hereby obligates itself, at the Grantor’s request, to pay to the Grantor an amount equal to one hundred percent of the amount improperly expended. This obligation shall survive termination of this Agreement. 5. STATUS Nothing in this Agreement is intended nor shall be construed to create an employer-employee relationship or a joint venture relationship between Grantor and Grantee. Neither Grantee nor any of Grantee’s agents, employees or contractors are or shall be considered to be agents or employees of Grantor in connection with the performance of Grantee’s obligations under this Agreement. 6. TERMINATION FOR CAUSE If Grantor determines that the Grantee has requested reimbursement for purposes that are not permitted or are prohibited under the terms and provisions of this Agreement, or if the Grantor determines that the Grantee has failed to fulfill its obligations under this Agreement in a timely and professional manner, or if the Grantee is in violation of the terms of this Agreement, then Grantor shall have the right to terminate this Agreement effective immediately upon giving written notice to Grantee. Item 11.a. - Page 257 3 7. INDEMNIFICATION Grantee agrees to accept responsibility for loss or damage to any person or entity, and shall defend, indemnify and hold harmless Grantor, its officers, employees and agents from any and all claims and demands, liability, damages, costs, expenses, judgments (including, but not limited to attorney fees and expert witness costs) that may be asserted by any person or entity, including Grantee, arising out of or in connection with the performance by Grantee hereunder and/or the use of the City of Arroyo Grande Community Service Grant fund monies. 8. COMPLIANCE WITH LAW Grantee agrees to comply with all City of Arroyo Grande, Federal and State laws and regulations applicable to Grantee. In particular, Grantee agrees to comply with the terms and conditions contained in the City of Arroyo Grande 2017 Arroyo Grande Community Service Grant Program, which is attached hereto as Exhibit “B” and incorporated herein by this reference. 9. ASSIGNMENT Grantee shall not assign the performance of this Agreement, nor any part thereof, without the prior written consent of Grantor. 10. GOVERNING LAW Grantor and Grantee understand and agree that the laws of the State of California shall govern the rights, obligations, duties, and liabilities of the parties to this Agreement and also govern the interpretation of this Agreement. Any litigation concerning this Agreement shall take place in the superior or federal district court with jurisdiction over the City of Arroyo Grande. 11. ENTIRE AGREEMENT This Agreement contains the entire understanding between the parties relating to the obligations of the parties described in this Agreement. All prior or contemporaneous agreements, understandings, representations, and statements, either oral or written, are merged into this Agreement and shall be of no further force or effect. Each party is entering into this Agreement based solely upon the representations set forth herein and upon each party’s own independent investigation of any and all facts such party deems material. 12. AMENDMENTS Amendments to this Agreement shall be in writing and shall be made only with the mutual written consent of all of the parties to this Agreement. Item 11.a. - Page 258 4 13. AUTHORITY TO EXECUTE THIS AGREEMENT The person or persons executing this Agreement on behalf of Grantee warrant and represent that he/she has the authority to execute this Agreement on behalf of the Grantee and has the authority to bind Grantee to the performance of its obligations hereunder. IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed the day and year first above written. GRANTOR GRANTEE By:____________________________ By: ___________________________ Whitney McDonald, City Manager Attachments: Exhibit A- Arroyo Grande Community Service Grant Program Application M. Quaglino Item 11.a. - Page 259 COMMUNITY SERVICE GRANT APPLICATION 2020-21 I. SUPPLEMENTAL DOCUMENTATION: Proof of 501(c)(3) status with a copy of the letter from the IRS. II.CERTIFICATION: I certify on behalf of _________________________________ non-profit organization, that I have read, understand and agree that the aforesaid information is accurate, factual and current. I understand that an award of funds, if granted, will be for the sole use as reflected in this application form. I further certify that as a condition of receiving funds, an agreement with the City of Arroyo Grande, in a form and content provided by the City of Arroyo Grande, will be signed and executed by a duly authorized representative of said non-profit organization. I am aware of and certify that our non-profit organization will adhere to all City regulations regarding the 2020Community Service Grant Program including, but not limited to, maintaining non-discriminatory policies, practices and intent. I also, on behalf of our non-profit organization, DJUHH WRindemnify, defend, and hold harmless the City of Arroyo Grande relative to any and all liability that may arise as a result of the use of the City of Arroyo Grande Community Service Grant Fund monies. Date: _______________ Signature: ______________________________ Executive Director or Designee ______________________________ Board of Director or Officer ✔ Arroyo Grande United Methodist Children Item 11.a. - Page 260 Item 11.a. - Page 261 Item 11.a. - Page 262 Item 11.a. - Page 263 THIS PAGE INTENTIONALLY LEFT BLANK Item 11.a. - Page 264